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1. Apply stress reduction strategies in your professional and personal life.
2. Explain the components that contribute to burnout.
3. Practice in-the-moment stress relief techniques including Four Square Breathing, Mindful Check–In and STOP.
4. Differentiate between toxic and healthy workplace environments.
5. Apply mindful communication techniques to patient care scenarios.
6. Evaluate new techniques to process difficult emotions.
7. Create a realistic self-care plan.

Know your Stress: Naming your Top 5 External and Internal Stressors

• Workplace Stressors: Workload, high acuity, code blue, demanding patients, abusive co-workers, lack of control, scheduling
• Home Stressors: Relationships, family, care giving, household management
• Life Stressors: Money, time, illness, aging, death
• Internal Stressors: Anger, fear, worry, attitudes, memories
• Recognizing your stress reactivity pattern: Are you a Fight, Flight or Freezer?

Immediate Stress Relief

• Learn and Practice Quick Stress Busters: Four Square Breathing, Recruiting the Senses, STOP

Long-Term Stress Relief

• The new brain research: Neuroplasticity
• Hypervigilance and the overactive amygdala
• Mindfulness and Compassion Meditation Practices
• Yoga
• Self-Care

Nursing and Negative Stress Reaction Patterns

• Burnout: Emotional exhaustion, depersonalization, and loss of personal efficacy
• Rate yourself: Maslach Burnout Inventory
• Compassion fatigue
• Lateral violence: Disruptive, abusive, or inappropriate behavior between nurses

Explore Mindfulness

• Intention/Attention/Attitude
• The present moment
• Experience: Mindful eating
• Mindful eating at work: Tips and techniques

Focus and Concentration

• Calming the mind
• Mindfulness Attention Awareness Scale (MAAS)
• Mindfulness and patient safety
• Experience: Mindfulness of breathing

Responding vs. Reacting to Stress

• Stress reactivity habits
• Experiential exercise: Stress awareness and stress release
• Using awareness to ‘Center’ during workplace turmoil

Caring and Compassion: Exploring the Heart of Healthcare

• Job satisfaction and burnout
• Self-compassion: Kindness, common humanity, and mindfulness
• Rate yourself: Self-Compassion Scale
• Compassion Meditation 1: To work with difficult feelings (judgment, blame, shame, doubt) towards yourself
• Compassion Meditation 2: To cultivate greater compassion towards self and others

Workplace Scenarios: Apply Mindful Communication

• A patient’s family member wants to monopolize your time
• You are overloaded and asked to take another admission
• A colleague questions your clinical judgment
• A patient is triggering unwelcome memories from your past
• Today you are irritated by everyone at work
• Working with an emotional spouse at the deathbed

Stress and the Workplace

• The Toxic Workplace: Overwork, Bullying, Blame and Burnout
• The Healthy Workplace: Teamwork, Safety, Mentoring, Flourishing
• Employee health and wellness programs

Self-Care and Resiliency: Keys to a Sustainable Nursing Career

• Stress reduction
• Time management
• Balance: Work to home transitions
• Workplace wellness
• Creating a self-care plan

Teaching Stress Reduction Strategies to Patients and Families

• Choosing appropriate techniques

Sara Lefkowitz, RN, BSN, MPA, is a dynamic and engaging speaker who presents highly acclaimed seminars on stress reduction for healthcare workers throughout the United States. She has firsthand knowledge of the challenges that nurses face through her years working in large urban hospitals on medical surgical units and in the emergency department. She did this while being a wife and mother; so she understands the difficulties of juggling family and career responsibilities.

Sara is naturally curious and a lifelong learner. This spirit helped her face her own periods of burnout with optimism and hope. She is excited to share with you the best techniques from her studies on mindfulness based stress reduction, meditation, compassion, and wellbeing. Because the best cure can be a day in nature; Sara is often found kayaking on the bay or hiking in the mountains.

Sara hopes you will join her in this experiential and career-changing workshop. She will teach you how to calm the mind, soothe the emotions and speak up for the profession. In a nutshell, when stressed; breathe, feel your feet on the floor, and choose kindness. Speaker Disclosures
Financial: Sara Lefkowitz has an employment relationship with the College of Marin. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Sara Lefkowitz has no relevant non-financial relationships.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $9.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 9/28/2021
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.3 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Other Professions
This self-study activity qualifies for 6.25 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

Nurses, Nurse Practitioners, Clinical Nurse Specialists, Nurse Educators