Nursing Leadership of an Evidence-Based Self Injury Protocol: Lessons Learned

Monday, 31 October 2011

Patricia Jones-Bendel, BSN1
Maureen Kunz, BSN2
Mary Jo Sobotka, BSN3
Pauline Portell, BSN3
Kathleen Marek, BSN3
Camille King, MS3
Jeanette Rossetti, EdD, RN4
(1)Nursing Administration, Linden Oaks at Edward, Naperville, IL
(2)Resource and Referral Department, Linden Oaks at Edward, Naperville, IL
(3)Linden Oaks at Edward, Naperville, IL
(4)School of Nursing, Northern Illinois University, DeKalb, IL

Learning Objective 1: Identify the leadership approach leading to a hospital's change in culture, the successful development of a Self Injury Protocol, and the lessons learned.

Learning Objective 2: Describe the role of a shared governance structure in developing an innovative evidenced based approach for the treatment of patients who self injure.

Non-suicidal self injury is a somber problem that typically affects individuals between the ages of thirteen to thirty two with an average age of sixtenn.  Alarmingly, one in five adolescents has intentionally harmed themselves at some point in their life.  Nurses caring for patients who self harm frequently become frustrated and desensitized.  The challenge for health care providers is to therapeutically assist patients to better manage behaviors and help patients control their self injurious behaviors in a quality focused, cost effective way.  This presentation will present one behavioral health hospital's innovative shared governance council's development of an evidence based self injury protocol.  This protocol resulted in a transformational change in their staffs attitudes and care of the patient with self injurous behaviors.  Embracing a leadership framework with a multidisciplinary approach and which supported professional empowerment, servcie accountability, shared ownership, and collaborative relationships will be highlighted in this presentation. Finally, nursing leadership's lessons learned throughout the process will be shared.