Cardinal Tips For Caregivers of Senior HIV Patients A Guest Post by David Beeshaw

Elderly woman and young female caregiver at home

In 2014, people aged 55+ accounted for 17% of Americans living with a diagnosed HIV infection.

Even if this age group has the same risk factors as young people, they might be less aware of them – especially since most awareness campaigns don’t target older adults. Most of the time, they don’t think HIV is an issue for them and may be less likely to protect themselves. That’s why it’s older Americans that are most likely to learn about their HIV infection later in the course of their disease.  As a result, they start the treatment late and might suffer from more damage to their immune system.

These are the basic facts every caregiver should know before starting to provide care for senior patients with a diagnosed HIV infection.

However, that’s not everything. Here are 4 critical tips for caregivers of senior HIV patients.

Be aware of the stigma

Patients diagnosed with HIV often face social stigma and might be suffering from lack of support from others in their circle of family and friends who in turn might lack knowledge about HIV. Older people might already feel isolated because of their illness or loss of friends and family.

Social stigma might affect their self-image and quality of life. It often discourages these patients from seeking care or disclosing their status to others. Adults diagnosed with HIV are 5 times more likely to experience depression and be at risk of suicide than HIV-negative adults.

HIV and aging

Aging with HIV infection is challenging because the disease increases the risks that come with aging: particular cancers, thin bones, or cardiovascular disease.

That’s why care providers should make sure to maximize their efforts to prevent these conditions and look for signs of illness early on. Caregivers should also pay attention to the potential interactions between medication used to treat HIV and those used by the patient to treat common age-related conditions such as obesity, elevated cholesterol, diabetes, or hypertension.

Antiretroviral treatment allows patients diagnosed with HIV to achieve a near-normal life expectancy. However, senior patients are more vulnerable to infections and illnesses because of their age. Caregivers should minimize their exposure to common illnesses such as the flu that could bring about complications (like pneumonia) for patients with a compromised immune system.

Research the disease

Caregivers should educate themselves about HIV and AIDS. Knowing how the HIV infection is spread is a helpful measure against social stigma. Caregivers should also know how an HIV infection develops and when it might lead to the patient developing AIDS. Being aware of what different treatment regimens entail is helpful as well.

Follow these rules while providing care

Caregivers who provide care to senior patients diagnosed with HIV should know how the infection is spread and what they can do to prevent it.

Here are some tips on how to prevent the spread of HIV infection while taking care of a diagnosed patient:

  • Always wear vinyl or latex gloves if you might have contact with bodily fluids or blood from a person infected with HIV. Wear such gloves when cleaning articles soiled with vomit, feces or urine to avoid infection with other germs. Remember to wash your hands after any contact with blood, even if you wore gloves.
  • Flush all liquid waste that contains the patient’s blood down the toilet.
  • Items that aren’t flushable (sanitary pads, paper towels, wound dressings) need to be placed in a plastic bag. Close the bag securely before throwing it out. Remember to check in with your local health department about the disposal of such items.
  • Cover all breaks, cuts or sores in your exposed skin.
  • Wash all clothing and linens together – those worn by the patient don’t need to be separated.
  • Dishes used by the patient don’t need to be separated and can be cleaned using regular methods.
  • Be positive!

Follow these 4 tips and you’ll be on your way to providing top-quality care to a senior patient who has been diagnosed with an HIV infection.

Author’s Bio:

David Beeshaw is a staunch advocate of regular exercise and leading a healthy lifestyle. He is also a writer at raTrust, a non-profit organization dedicated to helping those at risk of STIs and HIV. Verify raTrust on BizDb.

4 Self-Care Tips for Family Caregivers A Guest Post by Rebecca Kennedy

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Family caregivers who neglect to take care of their own needs can quickly experience burn-out and exhaustion. Here are several important self-care tips for family caregivers to keep in mind.

There are many warnings signs that your senior loved one may be on their way to needing in-home care, such as difficulties in mobility, disorganization in the house, and forgetting to take important medications. As these signs become more and more apparent, family members can be faced with a difficult choice regarding who they will appoint as the primary caregiver of their aging loved one. In many cases, family members themselves may choose to step in as their loved one’s primary caregiver. This is a noble and selfless decision, but family caregivers who neglect to take care of their own needs can quickly experience burn-out and exhaustion.

Here are several important self-care tips for family caregivers to keep in mind.

Continue working in your current job if possible.

It’s easy for caregiving to transition into a full-time position, but many experts strongly urge family caregivers to continue working in their current job position. Not only does this provide a steady stream of income for both you and your senior loved one to live off of, but it also allows you to maintain a part of your identity that is unrelated to caregiving.

This can help prevent burn-out and provide an outlet for family caregivers. If working full-time hours simply isn’t possible in conjunction with your caregiving duties, consider asking your employee if you can cut your hours down to part-time work.

Develop hobbies that help you relieve stress.

Depending on their unique circumstances, family caregivers may feel stressed out, anxious, afraid, lonely, and even resentful. These are all normal and common emotions to experience as a caregiver, but it’s important to find an appropriate outlet that can help you stay on track mentally and emotionally.

Some options include:

  • Yoga, stretching, or meditation
  • Daily walks
  • Gardening
  • Journaling
  • Talking with a close friend

The best outlets are those that can be enjoyed from the comfort of your own home, where you can still keep an eye on your loved one. If you are worried that your negative emotions are beginning to take over your mental health, seek out professional help for yourself.

Don’t forget about your own physical health.

When you spend the majority of your days helping a loved one take care of themselves, it can be easy to start putting their health needs above your own. But if you allow your own health to go unchecked and un-monitored, you may in turn be compromising your abilities to adequately care for your loved one.

The American Heart Association recommends at least 150 minutes per week of moderate exercise, which could be as simple as a 20 minute walk every morning. Doing your best to carve out a small amount of time every day for physical activity can help you stay energized and motivated.

It’s also important to get regular check-ups and receive annual immunizations, which can help you feel your best and alleviate concerns about your own health.

Don’t feel guilty about asking for and accepting help.

When it comes down to it, there are only so many hours in a day and it’s just not realistic to think that you can “do it all.” It’s so important to know what your physical, mental, and emotional limits are, and to not feel guilty when you’re unable to exceed those limits.

Asking for help when you need it isn’t a sign of failure; it’s a sign of strength. If your friend or neighbor asks if there is anything that they can do to help, tell them what you need! If you need someone to stay with your relative while you attend to an appointment, or if you need someone to bring you some groceries while you deal with a mini-emergency at home, don’t be afraid to ask someone you trust.

Perhaps the biggest challenge of all for family caregivers is when the time comes when they need to start seeking out professional help. Depending on your loved one’s health condition and your level of training, it may be inevitable that you will need to bring in hired help. Keep in mind that you’re not “giving up” – you’re simply doing what is in the best interest of your loved one.

What self-care tips do you practice as a family caregiver? What has proved to be the most effective for you?

Ellen DeGeneres Celebrates Nurses and Says Thank You To Nurse Kelley Johnson, RN

Miss America 2016 – While other contestants sang, danced or played instruments for the talent competition on the second night of preliminaries in Atlantic City, Kelley Johnson, Miss Colorado, delivered a unique monologue about experience as a nurse.

 

 

Listen To Kelly Johnson share that Ellen is able to be funny without offending anyone…

Miss Colorado had so many nice things to say about Ellen during the Miss America pageant, it only seemed fair to let her elaborate in person! Ellen and her friends at Shutterfly happened to have something nice for her too.

4 Tips to Ensure That You Fuel Your Caring Nature From a Full Heart and Not Fumes

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Dearest Caregiver

  1. Acknowledge and Respect Your Compassion Nature

Most people have the capacity to feel empathy for another person when there is a tragedy such as a plane crash or mass shooting. Some people have the capacity to rise to the occasion and offer a helping hand to someone in need. However, very few people have the ability to mobilize their compassion into the action we call caregiving.

The uncommon ability to be a caregiver is the highest form of generosity. It is a gift and it needs to be honored for the gift that it is. This means that you must respect your caring nature by taking really good care of yourself as well. All too often, caregivers put their own needs last. Granted, this extra effort may be needed on occasion.

Putting yourself last time after time can mutate your awakened heart in a toxic sense of self-sacrifice. Remember, putting your caregiver-self first is an act of selflessness and it is healthy. It allows you to keep your compassionate heart full and ready to serve.

  1. Ask and Accept Help

The responsibilities that accompany your role as caregiver can be daunting. There always seems to be a relentless list of things to do, appointments to coordinate, and care to be rendered. You are gifted with a highly evolved sense of the duty, responsibility and loyalty. However, these qualities can channel you into a life of isolation if you resist asking for help.

Asking for help is not a sacrilege. It’s honest. No one, no matter how dedicated or organized, can manage alone. Many folks like yourself resist asking for help because they feel that they do not want to impose on benevolent friends of family. The irony is that these same folks are often trying to find a way to lend a hand without sending the unintended message that you are not doing a good job.

No everyone can do hands-on care but most everyone can do something. I encourage you to investigate support networks such as Share the Care. This non-profit organization trains groups such as family, friend, neighbors, and church members to create Care Circles. The goal is to surround the person in need of care and their primary caregiver with a sense of community and support.

A calendar and task list is set up so that everyone can weave their part of the caring into their daily life. Who does the food shopping? Who transports to the doctor’s appointment and when? Who mows the lawn, etc. I ask you to please consider this option so that you can pace yourself. Remember, caregiving is not a sprint. It is a marathon and it takes a team to keep you in the race.

Resources:

http://sharethecare.org/

http://caringforthecaregiver.org/caring-healing-circle-meetings/

http://project-compassion.org/nc-initiatives/circles-of-care

http://caringcircle.ca/support-organizations/

http://www.circleofcareproject.org/ways-to-help/

  1. Stay Connected with Friends

It is often said that laughter is the best medicine. Without a doubt, this is true.  However, the demands and realities of constantly caring for others can often leave you struggling to find a reason to smile let alone laugh. Fatigue is your worst enemy. It can leave wanting to “crash” and be alone during any down time. Please resist this temptation. Yes, the extra effort to get ready for some social time with friends may seem daunting but the payoff is priceless.

Caregiving is what you do not who you are and it is your friend who will keep you connected to the outside world. Friend will often listen and just let you vent without judgement. Friend can show you the exit sign out of your head and your relentless thoughts centered on caregiving and reintroduce you to the rest of your life. Friend can help you keep a perspective on your situation so that the frustrations of caregiving don’t fester into pain and resentment.

Friend can make you laugh until your side ache and you find yourself hoping you don’t wet your pants. In short, they are often your lifeline. So please don’t let go. Socializing may need to me modified. Lunches and matinees may replace dinner and a movie. You may not be able to leave your home, so the party may have to come to you but however you arrange it, stay connected.

  1. Don’t Confuse Endurance with Resilience

So often we torment ourselves with the notion that as soon as you get past this latest hurtle in life, all will be easier. In reality nothing gets easier. No sooner do you exhale from meeting one demand than the next burning issue presents itself. So we hunker down and call upon our endurance to meet the next challenge.Here is where the danger lies, in a caregiver’s endless ability to endure.

You see, we mistake endurance for resilience. Endurance is a coping skill intended to be called upon when things become exceedingly challenging and stressful. Endurance is the ability to deal with unusual pain or suffering and continuing to function. Our ability to endure is intended to be maintained for only a fixed amount of time until a situation is resolved. It was never intended to be used as an everlasting source of fuel for life.

Resilience, however, is the ability to withstand the stress and challenges of life while remaining centered and fresh. Resilience is a healthy reserve of personal fuel that can be accessed to maintain a state of equilibrium, not only to rise up to overcome the crisis of the moment. Resilience is like dropping the engine of your life into second gear so you can maintain speed as you go uphill.

Developing a resilient mindset means understanding you can only thrive in a lifestyle of perpetual generosity, such as a caregiving, when you give from the excess of your energetic fuel tank and not from the fumes. It means that regardless of the demands of a situation, you are addressing that situation from a place of fullness.

The true lesson here is to embrace the fact that choosing a mindset of endurance is choosing only to survive. Choosing a temperament of resilience is embracing living life fully each day. So explore what it takes to develop a resilient nature that is ready, willing and very much able to serve, regardless of the circumstances surrounding that call to care.

Blessings, Phyllis

 

 

 

An Antidote to Incivility A Guest Post by Christine Porath

Resilience sign with a road background
Resilience sign with a road background

 

When I was 22, I scored what I thought was my dream job. I moved from the snowy Midwest to sunny Florida with a group of fellow former college athletes to help a global athletic brand launch a sports academy. But within two years I and many of my peers had left our jobs.

We had fallen victim to a work culture rife with bullying, rudeness, and other incivility that was set by a dictatorial head of the organization and had trickled down through the ranks. Employees were at best disengaged; at worst they undertook acts of sabotage or released their frustration on family members and friends. By the time I left, many of us were husks of our former selves.

That experience was so formative that I decided to spend my professional life studying workplace incivility—and its costs and remedies. My research has shown that it is almost impossible to be untouched by incivility during one’s career. Over the past 20 years I’ve polled thousands of workers and found that 98% have experienced uncivil behavior and 99% have witnessed it. In 2011 half said they were treated badly at least once a week—up from a quarter in 1998. Rude behavior ranged from outright nastiness and intentional undermining to ignoring people’s opinions to checking e-mail during meetings.

As I and my colleagues at the sports academy discovered, incivility in the workplace drags down performance and takes a personal toll. In laboratory settings I’ve found that simply observing it makes people far less likely to absorb information. Seeing or experiencing rude behavior impairs working (short-term) memory and thus cognitive ability. It has been shown to damage the immune system, put a strain on families, and produce other deleterious effects.

Unfortunately, people’s resilience to incivility is partly out of their control. Research has shown that responses to threat, humiliation, loss, or defeat—all commonly associated with incivility—are significantly influenced by genetic makeup. Perhaps as a result, the most effective way to reduce the costs of incivility in the workplace is to build a culture that rejects it—to adopt “the no asshole rule,” as Robert Sutton calls it in his best-selling book by that name. But very few organizations can comprehensively enforce this rule. So when individuals encounter incivility, what should they do?

My research has uncovered some tactics that anyone can use to minimize the effects of rudeness on performance and well-being. I wish I could have shared these with my younger self as she floundered in a hostile work environment many years ago.

The Usual Responses Often Fall Short

Many people decide to tackle incivility head-on—through either retaliation or direct discussion. Another common response is to try to work around the problem by avoiding the perpetrator as much as possible. Although these approaches can help in certain situations, I don’t usually advise people to take them. Avoidance often falls apart, because sometimes you have no choice but to collaborate with discourteous colleagues. Confrontation can make the dynamic worse. In my surveys I’ve found that more than 85% of people who chose to avoid or confront perpetrators were unsatisfied with how the situation ended or how they handled it, and those who attempted confrontation were no more satisfied than those who didn’t respond. Relying on institutional remedies rarely works either—a mere 15% report being satisfied with how their employers handle incivility. In fairness, organizations often have no opportunity to act: More than half of survey respondents say they don’t report rudeness, largely out of fear or a sense of helplessness.

A Holistic Approach

Just as medicine is shifting from a focus on fighting illness to one on promoting wellness, research in my field—organizational behavior—has begun to discover that working to improve your well-being in the office, rather than trying to change the offender or the corrosive working relationship, is the most effective remedy for incivility.

That’s not to say you shouldn’t report a rude or bullying colleague to HR, or try to manage conflict directly. But a more sustainable way to deal with bad behavior is to make yourself impervious to it—or at least a lot less vulnerable. To do that, it’s helpful to look at what we know about thriving—the psychological state in which a sense of vitality and self-improvement fortifies people against the vicissitudes of life.

Few people are satisfied with how their employers handle incivility.

In my research I have found that thriving people are healthier, more resilient, and better able to focus on their work. They are buffered against distraction, stress, and negativity. In a study of six organizations across industries, employees characterized as high thrivers burned out less than half as often as their peers. They were 52% more confident in themselves and their ability to take control of a situation, and their performance suffered 34% less after an unpleasant incident.

If you’re thriving, you’re less likely to worry about a hit or take it as a personal affront, more immune to the waves of emotion that follow, and more focused on navigating toward your goal. Yet despite these obvious advantages, fewer than half the people I’ve surveyed focus on themselves and work to foster a thriving mentality after a brush with incivility. Rarely do they consider that the antidote might be totally disconnected from the incident at hand.

How can you help yourself thrive? I suggest a two-pronged approach: Take steps to thrive cognitively, which includes growth, momentum, and continual learning; and take steps to thrive affectively, by which I mean feeling healthy and experiencing passion and excitement at work and outside it. These two tactics are often mutually reinforcing—if you have energy, you’re more likely to be motivated to learn, and a sense of growth fuels your vitality. But distinguishing between them can help people recognize in which area they may be lagging and take steps to bolster their defenses for the next hostile encounter.

Thrive Cognitively

If you’ve dealt with a rude colleague, you probably know how hard it can be to get over it. Perhaps no feeling is more difficult to overcome than a sense of injustice. Neuroscientists have shown that memories attached to strong emotions are easier to access and more likely to be replayed, and ruminating on an incident prevents you from putting it behind you. This can cause greater insecurity, lower self-esteem, and a heightened sense of helplessness.

I encourage people to shift their focus to cognitive growth instead. Your conscious brain can think about only so many things at once—far better that it keep busy building new neural connections and laying down new memories.

You can allow yourself to feel hurt or outraged—but for a limited time only. Tina Sung, a vice president at the nonprofit Partnership for Public Service, shared with me a saying that captures this advice: “You can visit Pity City, but you can’t live there.” I might add that Pity City is a good place to drop off your baggage.

Journaling and other rituals can help bring closure. As David Brooks documents in his new book, The Road to Character,Dwight D. Eisenhower often wrote furious invective in his journal to release negative emotions related to colleagues. He started the habit while working as an aide to the famously tyrannical General Douglas MacArthur.

Once your attention has shifted to more-productive avenues, several steps can help you focus on cognitive growth. First, identify areas for development and actively pursue learning opportunities in them. Teresa Amabile and Steven Kramer have shown that progress is a more powerful motivator in the workplace than even recognition or pay. It can be equally effective in helping employees bounce back from incivility. One young woman working in marketing told me, “A toxic environment was chipping away at my soul.” She saw no quick or easy path out of her position, so she decided to pursue an MBA at night. Events along the way, such as achieving a great GMAT score, provided excitement and confidence. Although her future remained unclear, she became more resilient to her corrosive workplace.

It’s worth noting that these development efforts need not be linked directly to your job. Taking on a new skill, hobby, or sport can have a similar effect. It’s simply harder to be dragged down when you feel on the upswing.

Another way to promote cognitive growth is to work closely with a mentor. Mentors have a knack for helping their protégés thrive by challenging them and ensuring that they don’t stagnate or get caught in an unproductive churn. For example, Lynne, a consultant working in an uncivil environment, built a close relationship with a mentor who urged her to steer clear of any unnecessary drama and focus on her own performance. When Lynne felt that she was slipping into rumination, recrimination, and anger, her mentor reminded her of the toll on her happiness and productivity and pointed her in more-fruitful directions. Following the advice, Lynne was able to dramatically improve her well-being—and her performance, which scored her a promotion.

Thrive Affectively

I find it useful to think of rude behavior in the workplace as an infectious pathogen, like a virus. Your defense against it depends in good measure on how well you are able to manage your energy. In fact, my research suggests that many of the factors that help prevent illness—such as good nutrition, sleep, and stress management—can also help ward off the noxious effects of incivility.

Sleep is particularly important: A lack of it increases your susceptibility to distraction and robs you of self-control; makes you feel less trusting, more hostile, more aggressive, and more threatened even by weak stimuli; and can induce unethical behavior. In short, sleep deprivation (usually defined as getting less than five hours a night) is a recipe for responding poorly to incivility and perhaps even damaging your career.

Exercise is another surefire way to protect yourself against the negative emotions, such as anger, fear, and sadness, that are typically brought on by rude behavior. It enhances both cognitive firepower and mood, distracts you from your concerns, reduces muscle tension, and improves resilience. It has been shown to slash symptoms of anxiety by more than 50%, and in one study it even proved to be more effective at treating depression than sertraline, a leading prescription for the illness. Those who exercise regularly are far less likely to sulk and better able to rebound in the wake of negative interactions.

Maintaining your energy in other ways, such as eating healthfully, will also help put you in top form to respond smoothly to an uncivil encounter. When famished, most people tend to respond to frustration by lashing out.

But it’s not just about caring for your body. Mindfulness—shifting your consciousness to process situations more slowly and thoughtfully and to respond with greater premeditation—can help you maintain your equilibrium in a difficult environment, as can finding a sense of purpose in your job. I and other researchers have discovered that when people are engaged in work they consider meaningful, they are more productive in uncivil teams than their colleagues are. Reminding yourself of nonmonetary attributes that attracted you to your work in the first place may foster gratitude and satisfaction.

Positive relationships within and outside the office also provide an emotional uplift that can directly counterbalance the effects of incivility. Research I conducted with Andrew Parker and Alexandra Gerbasi shows that across industries, organizations, and levels, “de-energizing,” negative relationships have four to seven times as much impact on an employee’s sense of thriving as do energizing, positive ones. In other words, you need a small group of energizers to offset the effects of each jerk. So think about the people in your life who make you laugh and who lift your spirits. Spend more time with them, and ask to be introduced to their friends.

Finally, in studies of MBAs, executive MBAs, and employees, I have found a consistently strong correlation between thriving outside work and resilience to incivility. In a study of people who experienced rudeness, those who flourished in nonwork activities reported 80% better health, 89% greater thriving at work, and 38% more satisfaction with how they had handled the encounter. Seeking leadership roles in the community—particularly if you have no immediate opportunity within your organization—bolsters both cognitive and affective thriving. One executive I interviewed decided to join the board of a nonprofit dedicated to improving the lives of patients with dup15q, a condition his daughter had inherited. He spearheaded fundraising efforts, helped build scientific interest, and stewarded the group’s finances. These experiences and rewards, he told me, made him feel nearly bulletproof at work.

Incivility exacts a steep price. In extreme cases a job change or relocation may be needed to avoid burnout and to preserve your health and well-being. My research shows that for every eight people who report working in an uncivil environment, approximately one ultimately leaves as a direct result, and, looking back, I know I was right to exit the Florida sports academy. However, when I encounter rude behavior now, I’m better armed to offset its effects. Like everyone else, I’m still a work in progress, and my response is rarely perfect. But I can say with confidence that focusing on a sense of thriving has made me a more engaged, productive, and happy professional. You can be too.

A version of this article appeared in the April 2016 issue (pp.108–111) of Harvard Business Review.

Christine Porath is an associate professor of management at Georgetown University, a coauthor of Mastering Civility: A Manifesto for the Workplace (Grand Central Publishing, forthcoming), and a coauthor of The Cost of Bad Behavior (Portfolio, 2009).

18 Signs You Have High Emotional Intelligence A Guest Post by Travis Bradberry

Diagram of emotional intelligence
Diagram of emotional intelligence

 

When emotional intelligence (EQ) first appeared to the masses, it served as the missing link in a peculiar finding: People with average IQs outperform those with the highest IQs 70 percent of the time. This anomaly threw a massive wrench into the broadly-held assumption that IQ was the sole source of success.

Decades of research now point to emotional intelligence as being the critical factor that sets star performers apart from the rest of the pack. The connection is so strong that we know 90 percent of top performers have high emotional intelligence.

Emotional intelligence is the “something” in each of us that is a bit intangible. It affects how we manage behavior, navigate social complexities and make personal decisions to achieve positive results.

Despite the significance of EQ, its intangible nature makes it very difficult to know how much you have and what you can do to improve if you’re lacking. You can always take a scientifically validated test, such as the one that comes with the Emotional Intelligence 2.0 book.

Unfortunately, quality (scientifically valid) EQ tests aren’t free. So, I’ve analyzed the data from the million-plus people that TalentSmart has tested in order to identify the behaviors that are the hallmarks of a high EQ. What follows are sure signs that you have a high EQ.

1. You have a robust emotional vocabulary.

All people experience emotions, but it is a select few who can accurately identify them as they occur. Our research shows that only 36 percent of people can do this, which is problematic because unlabeled emotions often go misunderstood, which leads to irrational choices and counterproductive actions.

People with high EQs master their emotions because they understand them, and they use an extensive vocabulary of feelings to do so. While many people might describe themselves as simply feeling “bad,” emotionally intelligent people can pinpoint whether they feel “irritable,” “frustrated,” “downtrodden,” or “anxious.” The more specific your word choice, the better insight you have into exactly how you are feeling, what caused it and what you should do about it.

2. You’re curious about people.

It doesn’t matter if they’re introverted or extroverted, emotionally intelligent people are curious about everyone around them. This curiosity is the product of empathy, one of the most significant gateways to a high EQ. The more you care about other people and what they’re going through, the more curiosity you’re going to have about them.

3. You embrace change.

Emotionally intelligent people are flexible and are constantly adapting. They know that fear of change is paralyzing and a major threat to their success and happiness. They look for change that is lurking just around the corner, and they form a plan of action should these changes occur.

4. You know your strengths and weaknesses.

Emotionally intelligent people don’t just understand emotions; they know what they’re good at and what they’re terrible at. They also know who pushes their buttons and the environments (both situations and people) that enable them to succeed. Having a high EQ means you know your strengths and you know how to lean into them and use them to your full advantage while keeping your weaknesses from holding you back.

5. You’re a good judge of character.

Much of emotional intelligence comes down to social awareness; the ability to read other people, know what they’re about, and understand what they’re going through. Over time, this skill makes you an exceptional judge of character. People are no mystery to you. You know what they’re all about and understand their motivations, even those that lie hidden beneath the surface.

6. You are difficult to offend.

If you have a firm grasp of whom you are, it’s difficult for someone to say or do something that gets your goat. Emotionally intelligent people are self-confident and open-minded, which creates a pretty thick skin. You may even poke fun at yourself or let other people make jokes about you because you are able to mentally draw the line between humor and degradation.

7. You know how to say no (to yourself and others).

Emotional intelligence means knowing how to exert self-control. You delay gratification, and you avoid impulsive action. Research conducted at the University of California, San Francisco, shows that the more difficulty that you have saying no, the more likely you are to experience stress, burnout and even depression. Saying no is indeed a major self-control challenge for many people. “No” is a powerful word that you should not be afraid to wield. When it’s time to say no, emotionally intelligent people avoid phrases such as “I don’t think I can” or “I’m not certain.” Saying no to a new commitment honors your existing commitments and gives you the opportunity to successfully fulfill them.

8. You let go of mistakes.

Emotionally intelligent people distance themselves from their mistakes, but do so without forgetting them. By keeping their mistakes at a safe distance, yet still handy enough to refer to, they are able to adapt and adjust for future success. It takes refined self-awareness to walk this tightrope between dwelling and remembering. Dwelling too long on your mistakes makes you anxious and gun shy, while forgetting about them completely makes you bound to repeat them. The key to balance lies in your ability to transform failures into nuggets of improvement. This creates the tendency to get right back up every time you fall down.

9. You give and expect nothing in return.

When someone gives you something spontaneously, without expecting anything in return, this leaves a powerful impression. For example, you might have an interesting conversation with someone about a book, and when you see them again a month later, you show up with the book in hand. Emotionally intelligent people build strong relationships because they are constantly thinking about others.

10. You don’t hold grudges.

The negative emotions that come with holding onto a grudge are actually a stress  response. Just thinking about the event sends your body into fight-or-flight mode, a survival mechanism that forces you to stand up and fight or run for the hills when faced with a threat. When the threat is imminent, this reaction is essential to your survival, but when the threat is ancient history, holding onto that stress wreaks havoc on your body and can have devastating health consequences over time. In fact, researchers at Emory University have shown that holding onto stress contributes to high blood pressure and heart disease. Holding onto a grudge means you’re holding onto stress, and emotionally intelligent people know to avoid this at all costs. Letting go of a grudge not only makes you feel better now but can also improve your health.

11. You neutralize toxic people.

Dealing with difficult people is frustrating and exhausting for most. High EQ individuals control their interactions with toxic people by keeping their feelings in check. When they need to confront a toxic person, they approach the situation rationally. They identify their own emotions and don’t allow anger or frustration to fuel the chaos. They also consider the difficult person’s standpoint and are able to find solutions and common ground. Even when things completely derail, emotionally intelligent people are able to take the toxic person with a grain of salt to avoid letting him or her bring them down.

12. You don’t seek perfection.

Emotionally intelligent people won’t set perfection as their target because they know that it doesn’t exist. Human beings, by our very nature, are fallible. When perfection is your goal, you’re always left with a nagging sense of failure that makes you want to give up or reduce your effort. You end up spending your time lamenting what you failed to accomplish and what you should have done differently instead of moving forward, excited about what you’ve achieved and what you will accomplish in the future.

13. You appreciate what you have.

Taking time to contemplate what you’re grateful for isn’t merely the right thing to do; it also improves your mood because it reduces the stress hormone cortisol by 23 percent. Research conducted at the University of California, Davis, found that people who worked daily to cultivate an attitude of gratitude experienced improved mood, energy and physical well-being. It’s likely that lower levels of cortisol played a major role in this.

14. You disconnect.

Taking regular time off the grid is a sign of a high EQ because it helps you to live in the moment. When you make yourself available to your work 24/7, you expose yourself to a constant barrage of stressors. Forcing yourself offline and even—gulp!—turning off your phone gives your body and mind a break. Studies have shown that something as simple as an email break can lower stress levels. Technology enables constant communication and the expectation that you should be available 24/7. It is extremely difficult to enjoy a stress-free moment outside of work when an email that will change your train of thought and get you thinking (read: stressing) about work can drop onto your phone at any moment.

15. You limit your caffeine intake.

Drinking excessive amounts of caffeine triggers the release of adrenaline, and adrenaline is the source of the fight-or-flight response. The fight-or-flight mechanism sidesteps rational thinking in favor of a faster response to ensure survival. This is great when a bear is chasing you, but not so great when you’re responding to a curt email. When caffeine puts your brain and body into this hyper-aroused state of stress, your emotions overrun your behavior. Caffeine’s long half-life ensures you stay this way as it takes its sweet time working its way out of your body. High-EQ individuals know that caffeine is trouble, and they don’t let it get the better of them.

16. You get enough sleep.

It’s difficult to overstate the importance of sleep to increasing your emotional intelligence and managing your stress levels. When you sleep, your brain literally recharges, shuffling through the day’s memories and storing or discarding them (which causes dreams) so that you wake up alert and clearheaded. High-EQ individuals know that their self-control, attention, and memory are all reduced when they don’t get enough—or the right kind—of sleep. So, they make sleep a top priority.

17. You stop negative self-talk in its tracks.

The more you ruminate on negative thoughts, the more power you give them. Most of our negative thoughts are just that—thoughts, not facts. When it feels like something always or never happens, this is just your brain’s natural tendency to perceive threats (inflating the frequency or severity of an event). Emotionally intelligent people separate their thoughts from the facts in order to escape the cycle of negativity and move toward a positive, new outlook.

18. You won’t let anyone limit your joy.

When your sense of pleasure and satisfaction are derived from the opinions of other people, you are no longer the master of your own happiness. When emotionally intelligent people feel good about something that they’ve done, they won’t let anyone’s opinions or snide remarks take that away from them. While it’s impossible to turn off your reactions to what others think of you, you don’t have to compare yourself to others, and you can always take people’s opinions with a grain of salt. That way, no matter what other people are thinking or doing, your self-worth comes from within.

 

Originally posted in Success: http://www.success.com/article/18-signs-you-have-high-emotional-intelligence? trk_msg=NQCN05UQ0KQKL11SNQLDK3DCS4&trk_contact=U1IIDO2SRHPR980ID0266PD08K&utm_source=Listrak&utm_medium=Email&utm_term=http%3A%2F%2Fwww.success.com%2Farticle%2F18-signs-you-have-high-emotional-intelligence&utm_campaign=18+Signs+You+Have+High+Emotional+Intelligence

Incivility & Bullying Within the Profession of Nursing: Is Peace In Our Time Possible?

wooden numbers forming the number 2016 and a heart-shaped chalkb
wooden numbers forming the number 2016 and a heart-shaped chalkboard with some wishes for the new year, such as peace, love and happiness, on a rustic wooden surface

 

I find it frustrating to acknowledge that despite all the work of recent years to implement initiatives aimed at creating healthy and safe workplace environments, that lateral and horizontal hostility still remains within the nursing profession. I think we all hoped that when the idea of Zero Tolerance bloomed into an actual Human Resource policy the darkest days were behind us. Disappointingly, this is not what I hear from my private coaching clients and other professional caregivers across the country. The elephant remains in the room and the reluctance to talk openly about it continues as well.

I do not feel the need to define bullying behavior or outline the toll such shadow behavior takes on individuals. You are all too familiar with it most likely because you have been on the receiving end of it. What I want to shed some light on is the nature and makeup of someone who engages in bullying tactics. Having insight into the mindset of the enemy goes a long way to taking the power away from them and empowering yourself.

First I want to point out that we often use the term Bully to describe a coworker or leader that exhibits uncivil conduct but is not a true bully. Unfortunately, we live in a time where uncivil behavior is celebrated. Just consider some of the popular reality TV programs currently enjoying high ratings let alone the antics demonstrated along the campaign trail of 2016. Engaging in uncivil behavior is the consequence of a low emotional intelligence and an unrefined ability to manage one’s emotions under stress in the workplace. Keep in mind that we are all capable of giving into the needier side of our neurotic selves under pressure.

People who are, at times, uncivil usually have the ability to step outside themselves and reflect on a disagreeable interpersonal exchange and take ownership of their behavior when they cool off or are held responsible and accountable by others. They are also capable of expressing genuine remorse and of taking steps to improve in the future. Bullies do not have that capacity.

Consider the following characteristics of an individual with the neurotic personality disorder known as narcissism. They include but are not limited to:

  • Authoritarian
  • Having a strong need for control
  • A desire to dominate people and situations
  • Perceiving themselves as a special, elite individuals that are deserving of VIP treatment
  • Lacking in empathy toward others
  • Having a tendency to be exploitative of others

 

Now think of someone you work with that is knowingly intimidating and/or cruel; someone who has no desire to consider how their words or behaviors affect others. That’s right! Bullies are narcissists. Investing time and efforts into trying to appeal to their higher nature and grow from coaching sessions or disciplinary actions will prove very frustrating. An individual must first be capable of acknowledging that there is an issue before they can buy into their responsibility to remedy the issue. Narcissists lack the ability to grow from insight and introspection.

Addressing both uncivil and bullying behavior requires a true collaboration between administration, the human resources department and in organizations with collective bargaining agreements, labor. All stakeholders must agree on a unified definition of bullying behavior and a unified approach to bullying conduct. The finish line for tolerating this type of misconduct must be fixed and unaffected by the manipulating skills of the bully.

Managing someone who is given to uncivil behavior is very different than addressing someone with a true bullying mentality. The person given to regular demonstrations of low emotional intelligence must understand that we are now in a time in the industry of healthcare and the profession of nursing when skills and knowledge are not enough to secure your professional future.

The literature demonstrates that the level of one’s emotional intelligence directly correlates with that person’s ability to demonstrate a consistent caring behavior to patients and families as well as own their responsibility to maintain a healthy work environment (McQueen 2004). If these individuals are not willing to grow from in-the-moment feedback, coaching and in-depth discussions during the performance evaluation process then; the conversation must move onto asking if they are in the right working environment.

Unfortunately, the personality of a narcissist does not make them amenable to demonstrating sustained improvement with conventional managerial interventions. In these instances, clear performance improvement plans must be crafted and immediate and sustained improvement demonstrated. The push-back will be relentless but there are very few options.

So my question becomes, if we are not willing to put an end to abusive conduct in the workplace now, when will we be willing? Let us resist getting caught up in finger pointing and complaining about how our inter-professional colleagues may mistreat us. Let us decisively address the issues in our own house first. We must commit now, not later, to peace in our time.

Resources:

  • Bakr M, Safaan S (2012) Emotional intelligence: a key for nurses’ performance. Journal of American Science. 8, 11, 385-393.
  • Benson G, Martin L, Ploeg J et al (2012) Longitudinal study of emotional intelligence, leadership, and caring in undergraduate nursing students. Journal of Nursing Education. 51, 2, 95-101
  • Codier E, Codier D (2015) A model for emotional intelligence and patient safety. Asia Pacific Journal of Oncology Nursing. In Press
  • Codier E, Kooker B, Shoultz J (2008) Measuring the emotional intelligence of clinical staff nurses: an approach for improving the clinical care environment. Nursing Administration Quarterly. 32, 1, 8-14.
  • Holbery N (2015) Emotional intelligence: essential for trauma nursing. International Emergency Nursing. 23, 1, 13-16.
  • McQueen A.C.H. (2004) Emotional intelligence in nursing work: Journal of Advanced Nursing 47(1), 101–108