We: sijc t-we:m - it's not about me

Saturday, 16 November 2013

Deborah J Dyjak, RN, BSN, MS
RN, Archie Hendricks Sr. Skilled Nursing Facility, Sells, AZ

Learning Objective 1: Upon viewing the GNLA poster,the learner will be able to discuss the significance of the term "behavioral expression".

Learning Objective 2: Upon viewing the GNLA poster, the learner will be able to use presented root cause analysis tool to analyze one behavioral expression.

Objectives:

After viewing my GNLA poster the learner will: 

1) Discuss the significance of the term “behavioral expression”

2)  Use presented root cause analysis tool to analyze one behavioral expression

Title:    “We: sijc t-we:m” -  it’s not about me

Keywords: Long Term Care (LTC) , leadership, geriatrics

Authors: Deborah Dyjak, RN, BSN, MS; Lee Olitzky, MA, Administrator; Jane Mohler, NP-c,MPH,PhD, University of Arizona Center on Aging; and Nelma Shearer, PhD, RN Hartford Center on Aging 

Introduction:    Tohono O’odham “Himdag” (way of life) serves as a source of strength and underlies the care of elder resident within the Archie Hendricks Sr. Skilled Nursing Facility on the vast Tohono O’odham nation in Southern Arizona. It likewise influenced my leadership journey.

Methods:

Leadership: “Gawul cegĭtoidag ‘am cipkana we:hejeḍ” or “becoming different”.  I modeled  the way by becoming a valuable team player. I inspired, challenged, and enabled others to grow as a team and to envision a person-centered home, where residents are treated with dignity and respect. I provided support and encouragement to the team.

Project:  “We: sijc t-we:m” or “working together”  creates harmony. Our project involved a three-phased approach to addressing Behavioral Expressions (BE’s) .  Phase one involved conducting a Behavioral Health focus group from which evolved a Behavioral Health Symposium . Phase two assessed current practices from QA and person-centered care teams.  Phase three involved the formation of BE teams, pre/post behavioral tracking to identify the effectiveness of caregiver psycho-education support, and the creation of a culturally-specific root cause analysis tool.

Influence: A’ai ‘i-t-we:m cipk or “networking” with other tribal facilities.  Participation in a national webinar on the benefits of tribal LTC partnerships, and plans for a national Native American LTC Learning Community to share resources are planned.

Conclusion: “We: sijc t-we:m”- by Working Together,  we’ve created a more harmonious LTC facility.