At the recent 19th International Mental Health Conference, Dr. Shahina Braganza explained how she and her colleagues introduced mindfulness into the Gold Coast Health Emergency Department. Her presentation, oneED – Can we Embed a Wellness Program into a Busy Emergency Department?, was one of the highlights for me at the Mental Health Conference.
The wellness program incorporating mindfulness was appropriately titled, oneED, because it recognises that emergency departments are very much a team with high levels of interdependence amongst the various categories of staff who are focused on patient welfare in often demanding circumstances. The wellness program is inclusive, covering both clinical and non-clinical staff. The program focus was also broadened beyond mindfulness in recognition that not everyone is receptive to mindfulness as an approach and that other approaches, such as physical activity, can also lead to wellness
The emphasis on oneness is clearly articulated by the Director of Emergency Medicine, Dr. David Green, when discussing the oneEd program on video. He emphasised that quality emergency patient outcomes are achieved “where everyone looks after everyone else” in the Department.
Developing mindfulness in a busy work environment
Shahina explained that the essence of introducing mindfulness into a busy emergency department was the ability to incorporate it into the daily flow of work. While the program began with a one-day mindfulness course, other activities of the structured program are embedded in the daily routine.
A four-minute pause was introduced at handover time during shift transitions. This was originally conducted daily and changed to weekly, following consultation with the staff involved. The pause may include sharing experiences, watching a brief mindfulness-related video and/or engaging in a 90 second sitting meditation.
Emergency staff are encouraged to engage in moments of mindfulness that are precipated by the experience of overwhelm and/or loss of focus, and aided by a series of flyers encouraging reflection and mindfulness. A weekly, 30 minutes drop-in session is conducted on a voluntary basis to build the capacity of ED staff to engage in these mindfulness moments.
Shahina wrote a thought-provoking article on the program identifying the learnings from the development of the Mindful Emergency Room. Of particular note in the article are the nine tips for implementing a wellness program in a busy workplace. These tips incorporate sound change management principles related to a mindfulness approach.
One of the tips relates to joining forces with like-minded people and Shahina mentioned the banding together to form a group called WRaP EM (Wellness, Resilience and Performance) – incorporating a blog, guides and learning resources. The blog provides an avenue for medical staff to share their wellness stories.
As we grow in mindfulness through meditation and encourage its adoption in the workplace, we can contribute to the effective achievement of organisational goals, a strong sense of connection and support, and the development of ever-widening circles of positive influence.
By Ron Passfield – Copyright (Creative Commons license, Attribution–Non Commercial–No Derivatives)
Image source: courtesy of geralt on Pixabay
Disclosure: If you purchase a product through this site, I may earn a commission which will help to pay for the site, the associated Meetup group and the resources to support the blog.