Wednesday, October 31, 2012

Working Artfully within the Medical Center


Working Artfully within the Medical Center
By:  Lolly Forsythe-Chisolm and Alanna Berman

“Creativity is not a talent but a way of operating.”
~ John Cleese

Healthcare acts as a microcosm of our rapidly changing culture. The arts are working their way back into care and wellbeing. To recognize that Art can take many forms, the Integrative Care team assigned our first art intern to interview staff within the hospital that are doing their job in a creative manner. Having an appreciation of the arts can encourage a creative work environment as well as inspire value and meaning within any duty, career or job.

The framework and focus of this project was to ask ten University of Maryland Medical Center staff three questions:  How did you decide on your profession, what keeps you excited to come to work, and do you have a core belief which keeps you anchored in times of challenge or stress. These questions are important to ask ourselves in times of change both in our culture and our workplaces. Acknowledging what is important in our lives is the start of stress management and self-care.

Each story we heard from our coworkers was interesting and varied. To organize and present a small portion from each staff member, we decided break it down into “Ten lessons the Arts teach” from a list created by Elliot Eisner.

Good judgments about qualitative relationships. Harold Hardinger has been a nurse for 39 years. Harold came to trauma after time as a Navy Corpsman. Working in the Trauma Resuscitation Unit, he loves that it is different every day. He has to have good judgment and bring that to his “gut feeling” about how a patient is doing. His positive outlook and job satisfaction comes in part from the “feeling of saving a life.” Harold swims and enjoys time on his farm in order to de-stress.

Problems can have more than one solution. Dan Eisner is an Occupational Therapist and life coach at the hospital. Dan knew he did not want a desk job. His passion is “learning about the process of change.” Knowing that there is creativity in solving a problem or challenge, Dan has focused on including patients in their care using principles of emotional management and balance. Dan’s core belief is one of evolution, “we are on this plane to learn and evolve.” Dan spends time in nature, exercises and enjoys family and pets to reconnect and find balance.

Learning in the arts requires the ability and willingness to surrender to the unanticipated possibilities of the work as it unfolds. Brian Nelson is a Nurse Case Worker at the hospital. Brian came to nursing after recognizing the flexibility of hours and reliable pay. Brian enjoys that “no two cases are the same” as well as the challenge of helping families navigate unanticipated possibilities within discharge details. Brian has a core belief and pride in the teamwork that he feels at University of Maryland Medical Center. Brian is trained as a Massage Therapist and offers this service to co-workers during times of stress. Time with his family is a priority as Brian is a coach for his children’s sports teams and enjoys athletics.

The arts celebrate multiple perspectives. Brian Burke is a Clinical Education Specialist with experience as a Pediatric nurse at the Medical Center. After volunteering with The Leukemia & Lymphoma Society, Brian switched to nursing from a career in banking. Brian spoke about being able to see the big picture within the acuity of a situation or challenge. Having the ability to take a step back for multiple perspectives has offered Brian the chance to bring a unique compassion to his nursing and now his work within the Department of Clinical Practice and Professional Development. Admiring the “commitment and energy of nursing,” Brian uses a positive attitude and belief in nursing education to help “create an environment for the patients to which they do not otherwise have access while hospitalized.” As a core belief, Brian values relationships, working toward a goal and education. Time with his growing new family is a top self-care priority in Brian’s life.

The arts make vivid that neither words in their literal form nor number exhaust what we can know. Becky Halagarda is a Child Life Specialist with a Masters Degree in Social Work; she works in the Pediatric Hematology/Oncology Department at the hospital. Guiding children and families through difficult diagnoses, Becky knows that sometimes it is not the words that offer solace but the artistic expression. She often uses art and creativity to make the hospital world/equipment less threatening for children. She finds inspiration in her work when she experiences the “resilience in children and families.” She offered the reminder that the staff can share and tell stories in order to advocate for the creative care that treats the whole patient. Becky uses athletics as her self-care and her faith as a resource for balance in her life.

The arts teach that small differences can have large effects. Richie Stever is a Project Manager at the hospital. It is Richie’s job to “keep the hospital building healthy so patients and families can come to get healthy.” On the roof of the North hospital 14 stories high, Ritchie is responsible for the management and construction of a new air ventilation system which will make a difference in the hospital’s air quality. “Changing the building’s performance by constructing a new X Ray room in the front of the house and installing new ‘green’ equipment in the back of the house” is what keeps Richie excited about his work.  Fishing, biking and spending time with his kids is what helps him re-charge.

The arts teach us to think through and within a material. Chris Shippen is a nurse lactation consultant for the Division of Women’s and Children’s Health, working out of the Mother/Baby/Gyn Unit at the Medical Center. Chris has used her 30-plus years of nursing experience to think through some ways to creatively “process events which will affect the life of an Obstetrics (OB) nurse.” She teaches her OB student nurses to use journaling during their clinical work. Through her work lecturing about bereavement and breastfeeding, Chris finds satisfaction impacting lives in a positive manner. Her core beliefs in spirituality as well as the fact that there are so many opportunities to learn and grow in nursing keep her coming to work day after day. Chris’s self-care involves using Integrative Care modalities for herself as well as finding creative ways to offer relaxation to patients, families, and staff.

The arts help us learn to say what cannot be said. Reverend Susan Roy is the head of Pastoral Care Services at UMMC. Susan was planning to spend her career as a Lutheran Pastor in Parish Ministry. She “allowed faith to lead” her to serve in specialized ministry at the Medical Center. At the hospital, she has been inspired by the diversity of opportunity, the chance to meet new people, and the “unexpected” nature of her days. Susan uses stories from her faith to create poetry which helps her deal with challenges of a busy hospital. For Susan, writing poetry helped to “capture the rawness and find expression for strong feelings.” Susan’s faith forms her core belief in “compassion for all” and her self-care involves spending time with pets, friends, and family.

The arts enable us to have experience we can have from no other source. Robert Wright is a Volunteer for the Medical Center as a member of the Trauma Survivors Network. Rob’s motorcycle accident was seven years ago; he has been coming in as a visitor for patients for four years. Rob decided to become a volunteer when he realized that some patients did not have support and many would benefit from a perspective which differed from the medical focus. Inspiration comes for Rob when he is able to see a patient become motivated to move through great odds after hearing about his journey of daily hard work and triumph to get back to wellbeing.  Rob values the chance to tell this story and connect to others through the Trauma Survivors Network Support Group. During times of stress, Rob is reminded and “humbled” that he has “already been to flat line and there is nowhere to go but up from there.”

The arts position within the medical center acts as a symbol for what we believe is important as a culture. Mark Walker is a new nurse on Gudelsky 9 Surgical Intermediate Care Unit. He came to nursing after a career in Finance and Real Estate as a licensed Settlement Agent. Recognizing that the sales world taught him valuable people skills, Mark wondered if the job in Real Estate was the best place for his talents and time. He realized that nursing offered him the ability to “make a difference in someone’s life in a 12 hour shift.” With his core belief that “we are all part of the same stuff,” Mark has a commitment to teach nurses people skills, compassion and to include mind, body and Spirit to treat the whole person/patient. Each is an important aspect for what we value as a culture and a changing healthcare environment. For self-care, Mark spends time with family and makes time for meditation and spiritual inquiry.

Each of the staff members spoke of the importance of relationship both within family as well as work. They all also recognized that hospital-wide there is a range of opportunities and encouragement to continue to evolve and learn both from educational opportunities as well as from   each challenge. As we spoke to each staff member, it was evident that working artfully involves a willingness to imagine a bigger picture, to experiment, and to be flexible. Staff also all had a thorough recognition of resources available as well as a willingness to use thoughtful self-reflection when facing difficulty. Working artfully included a range of self-care habits which staff used to recharge and reconnect. Each also had a desire to pass on knowledge using communication as well as valuable training, and experience.

Within the rapidly changing culture and healthcare environment, self-care must be a priority. As a quick assessment, ask yourself these same three questions:  How did I decide on my career?  What keeps me excited? And what value system do I turn to when there is challenge?  Life stress often takes hold when we say “Yes” without first reconnecting to priorities. After taking this inventory, look for creative solutions or different ways to manage or share duties to work artfully within your position. Simply reconnecting to what is important can bring a new clarity and excitement to your daily tasks.

For more information about the Integrative Care Program at UMMC and their offerings, please contact Lolly at lforsythe@umm.edu.

SOURCE: Eisner, E. (2002). The Arts and the Creation of Mind, In Chapter 4, What the Arts Teach and How It Shows. (pp. 70-92). Yale University Press. Available from National Art Education Association Publications (NAEA). http://www.arteducators.org/advocacy/10-lessons-the-arts-teach.