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• Create a healthy boundary for solitude (information overload is common).


This course is 1 Contact Hour 1. Read the continuing education article.


2. This continuing education course is FREE ONLINE until July 1, 2016, courtesy of Chamberlain College of Nursing. To take the test for FREE, go to Nurse.com/CE/ CE424.


• Resolve issues of anger and fear. Discuss trauma incidents with others to “deprogram” or “debrief.”


• Realize that you have the right to say no without feeling guilty.


• Make a daily practice of some form of “mindfulness” to improve the mind-body-spirit equilibrium.


• Exercise regularly. • Get enough sleep. • Maintain healthy eating habits.


After that date, you can take the course for $12 at Nurse.com/CE.


If you have a CE Direct login and password


(generally provided by your employer), please login as you normally would at CEDirect.ContinuingEducation. com and complete the course on that system.


DEADLINE


Courses must be completed by February 15, 2018


3. If the course you have chosen to take includes a clinical vi- gnette, you will be asked to review the vignette and answer 3 or 4 questions. You must answer all questions correctly to proceed. If you answer a question incorrectly, we will provide a clue to the correct answer.


4. Once you successfully complete the short test associated with the clinical vignette (if there is one), proceed to the course posttest. To earn contact hours, you must achieve a score of 75%. You may retake the test as many times as necessary to pass the test.


5. All users must complete the evaluation process to complete the course. You will be able to view a certifi cate on screen and print or save it for your records.


ACCREDITED


OnCourse Learning is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.


Accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with this activity.


OnCourse Learning is also accredited by the


Florida Board of Nursing and Georgia Board of Nursing (provider # 50-1489). OnCourse Learning is approved by the California Board of Registered Nursing, provider # CEP16588.


ONLINE Nurse.com/CE


You can take this test online or select from the list of courses available.


Prices subject to change. QUESTIONS Or for a complete listing of our courses Phone 800-866-0919 28 Visit us at NURSE.com • 2016 Email ce@nurse.com


• Nurture relationships with family and friends to develop strong support systems.


• Use relaxing music to calm your mind on the drive home from work and during other stressful times.


‘Emptying the mind’ Mindfulness has benefi cial eff ects on vital signs, lowering pulse rate and blood pressure, and has been helpful in managing chronic pain.11,15


the present is the essence of mindfulness.11


Controlling breathing and emptying the mind by being in Like football teams before


the game, in some hospital units, staff members come together at the start of the shift for a “centering” activity. Some business meetings begin with centering and some form of relaxation technique. These practices help people put aside extraneous thoughts and focus on being present for staff and patients. A study of nurses practicing mindfulness-based strategies found both decreased stress and in- creased job performance.18 At the beginning of work, one nurse modeled mindfulness and


centering in the following way: She moved rapidly to gather the things she needed to provide care for her patient. When she came to the threshold of the patient’s room, she stopped; centered; took several slow, deep breaths; and walked in calmly as though this patient were the most important thing in her life and she was truly present for him. Self-refl ection is a method used to debrief from stress and lessen


its impact. Some healthcare professionals keep journals, fi nding that writing about their day aids relaxation. Writing can also reduce stress by helping professionals learn from their experiences and decide how to handle a similar situation in the future.19


People who have


experienced trauma often use journaling. Writing about traumatic experiences reduces stress reactions and improves the response of T-lymphocytes, making a person less susceptible to illness.15


Laughter and music Humor should not be overlooked as a stress reducer. Humor, and specifi cally laughter, releases neurochemicals that promote relaxation and bolster immunity.15


Healthcare professionals have


probably all experienced relief when someone says something funny under tense circumstances or points out the absurdity in a stressful situation. Storytelling, refl ection and debriefi ng with a buddy are all ways professionals can reduce stress. Many of us fi nd that certain types of music help us relax. Many hospitals use music to reduce stress. The therapeutic value of


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