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Holisticare Hospice is a small boutique hospice owned and operated by a team of hospice professionals. Our Team is comprised of RN/Case Managers, Social Workers, Chaplains, and Certified Nursing Aides/Home Health Aides. The Holisticare Team is a unique one. Despite the difficult work our Team performs, often peppered with sadness and loss, we are a positive group that supports each other, and brings out the best in one another simply by being our most authentic selves.
Hospice is an area of the medical field that one must love in order to do well, simply because it can be difficult. End-of-life care can be beautiful and should be celebrated in the same way a birth is celebrated. As a hospice professional, you bear witness to a person’s passing and become a part of their story, an important part as you are one of the last characters cast, in the last chapter of their story.
Does this sound like the type of work and the kind of team you would like to learn more about?
Benefits of Being Part of the Team
– Employees may receive up to 25 PTO days per year.
– We offer various substantial benefit packages suited for all employees’ needs.
– Our culture promotes work-life balance, allowing our caregivers to be their best selves and provide outstanding care to others.
– We foster opportunities for professional development in all employed fields.
– Be part of an organization encouraging employee contributions to the processes, planning, and culture of our organization.
– Equal opportunity employer
– We offer part-time, full-time, and per diem opportunities.
If you are interested in the employment opportunities available at Holisticare Hospice, please click on one of the links below depending on your location and send your resume.
Holisticare Hospice provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Holisticare Hospice complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Compassion Fatigue in Hospice Nursing:
Using a Mobile Application to Aid in Resiliency
Denise M. Theiler, MSN, RN, BS, CHPN
- Increased Frustration Observed
- Avoidance of Intense Patient Situations
- Desire to Quit Verbalized
- Incomplete Documentation in EMR
- Errors/Lack of Follow Through
- Stressed Interpersonal Communication
- Increased Turnover Rates
Relational: Consequence of caring for the suffering (prolonged, continuous, intense contact with patients, use of self, and stress) (Coetzee & Klopper, 2010).
Reactional: Response to work or environmental stressors (staffing workload, inadequate resources, or managerial decision making) (Boyle, 2011).
The nurse’s sense of hope and optimism about the future and value of their work. The pleasure derived from providing compassionate care. A sense of fulfillment and well-being.
The capacity to keep functioning physically and psychologically in the face of stress, adversity, trauma, or tragedy.
Review of Literature:
- Nurses who work in high stress areas with exposure to loss, grief, and suffering are at a high risk for compassion fatigue (Corso, 2012).
- Early recognition and interventions for compassion fatigue are essential to improve both nurse and patient outcomes (Melvin, 2015).
- Poor QOL for healthcare workers can lead to negative outcomes including disengagement from patients, poor attitude, absenteeism.
- More research is needed to determine variables which impact CF and interventions to support prevention.
In nurses who work in hospice, what is the effect of using a mobile application designed to promote mindful breathing compared to not using the mobile application within a three month time frame?
Materials and Methods
- Electronic consent and survey-Profession Quality of Life (PROQOL) prepared with Qualtrix
- Mobile Application on Android: http://bit.ly/2jIS6hL
- Mobile Application on iOS: http://apple.co/2wFjyOJ
Holisticare Hospice located at 1144 Hooper Ave, Suite 208 Toms River, NJ
Volunteer participation from Registered Nurses ages 21 to 65 years who have been working in a community hospice setting for 3 or more months.
- Permission was obtained from the Administrator of Holisticare Hospice.
- Initial on-site interview to explain the nature of the project. Email addresses will be obtained and the Qualtrex electronic survey will be distributed.
- Participants will consent and complete the online survey-including demographic information and the PROQOL tool.
- Participation will be voluntary and confidentiality will be maintained.
- Education regarding compassion fatigue will be reviewed with the staff. The mobile application from MoodTools will be reviewed and instructions for downloading and using the mobile application will be provided.
- Participants will be asked to utilize the mobile application a minimum of once during their workday, over a period of three months.
- After the three month time period, the participants will be asked to complete a second survey indicating their participation with the mobile application and complete the PROQOL tool for a second time.
- Data will be analyzed
Breathe Easy is the simplest way to meditate and relax. Just breath in and out as the shape continuously grows and shrinks at a customized regular rate.
- Customized time spent inhaling, exhaling, and pausing between breaths.
- Choose between a circle, square, triangle, or a heart in over 10 colors.
- Select a black or white background.
The American Nurses Association, (ANA) and Hospice and Palliative Nurses Association, (HPNA) have partnered to issue a Call for Action: Nurses Lead and Transform Palliative Care.
A list of recommendations included:
#9 Conduct intervention studies testing strategies to alleviate compassion fatigue and moral distress to maintain a healthy workforce. Nursing Insider, Vol. 20 No 4. April 6, 2017
- Analysis of data concludes that compassion fatigue exists in hospice nurses who provide compassionate care in the community setting.
- Nurses who engage in self-care strategies, including mobile applications designed to promote mindful breathing, report less compassion fatigue symptoms and greater compassion satisfaction.
- Nurses who work in hospice are at high risk for compassion fatigue.
- Early identification and intervention for symptoms of compassion fatigue lead to better outcomes for nurses overall well being and patient safety and satisfaction.
- Compassion satisfaction can be achieved when supportive interventions are incorporated daily to reduce compassion fatigue and build resiliency
- Education and supportive services are needed to encourage nurses to maintain a healthy work-life balance.
- Boyle, D. A. (2011, Jan 31). Countering Compassion Fatigue: A Requisite Nursing Agenda. OJIN: The Online Journal of Issues in Nursing. 16(1), http://dx.doi.org/10.3912/OJIN.Vol16No01Man02
- Coetzee, S. K., & Klopper, H. C. (2010). Compassion fatigue within nursing practice: A concept analysis. Nursing and Health Sciences, 12, 235-243. http://dx.doi.org/10.1111/j.1442-2018.2010.00526.x
- Corso, V. M. (2012, October). Oncology Nurse as Wounded Healer: Developing a Compassion Identity. Clinical Journal of Oncology Nursing, 16(5), 448-450. http://dx.doi.org/10.1188/12.CJON.448-450
- Melvin, C. S. (2015). Historical Review in Understanding Burnout, Professional Compassion Fatigue, and Secondary Traumatic Stress Disorder from a Hospice and Palliative Nursing Perspective. Journal of Hospice & Palliative Nursing, 17(1), 66-72. Retrieved from http://www.medscape.com/viewarticle/838180_print