Worker Care Training An orientation to worker care concepts and practices for worker care personnel

Transcription

1 Worker Care Training An orientation to worker care concepts and practices for worker care personnel 1

2 Learning Objectives Be able to train, coach and mentor others to: Understand stressors inherent in emergency and disaster related work Understand the warning signs of stress and burnout Understand and apply worker self-care/peer support principles Understand and apply organizational resources in support of workers 2

3 Learning Objectives Understand and be able to apply: Worker care principles Ability to assist managers and supervisors to implement: Organizational worker care activities through policy, procedure and programming consistent with the National Worker Care plan Create: An action plan for worker care in a Red Cross disaster context 3

4 Causes of Worker Stress Poor preparation and briefing Being a part of a collective crisis Prolonged exposure to a disaster situation Physically difficult, exhausting, and dangerous tasks Chronic fatigue Feeling inadequate in dealing with the task Facing moral and ethical dilemmas Being detached from your support system (home /family) Feeling unsupported at your work site Unclear, inadequate or inconsistent supervision Other 4

5 Factors Influencing the Emotional Impact of a Disaster Disaster Individual/Community Worker Characteristics Characteristics Characteristics With warning v. Without warning Individual characteristics Expectations / experience Time of day and duration Social support systems Intensity/ duration of assignment Geographic location Diversity / demographics Physical / emotional health Scope of impact Disaster history Personal issues Natural v. man-made Previous trauma Perception of treat Post-disaster environment Communications Exposure to critical incidents 5

6 Signs of Stress and Burnout Wounded ideals Cynicism Feeling unappreciated Loss of spirit Grandiose beliefs Reckless behavior Neglecting safety and physical needs Mistrust of colleagues and supervisors Antisocial behaviors Chronic fatigue Inability to concentrate Somatic symptoms Sleep difficulties Inefficiency Self medicating (alcohol, tobacco, caffeine, or drugs) Isolation Other 6

7 Worker Care Activities Canadian Red Cross / Croix-Rouge canadienne Facilitate worker care needs assessments Provide worker care orientation and training Assist/facilitate organizational support to provide for worker basic needs Develop access to community resources for work stress reduction Develop referral relationships for employee assistance in crisis Facilitate means for personnel to stay in touch with family and friends Provide consultation and support to supervisory personnel to ensure: a. continuing assessment of worker stressors, b. worker self care c. peer support activities 7

8 Worker Care Activities In certain crisis situations, provide necessary consultation and referral of personnel Oversee the monitoring and evaluation of worker care functions Provide other worker care services as defined by assessment and consultation with HR and managers Pre/Post disaster functions: Participate in local and regional disaster planning to provide inclusion of worker care concepts and practice Facilitate incorporation of worker care elements into existing human resources recruiting and screening procedures Consult and facilitate in development of ongoing worker care in nondisaster settings within the Red Cross 8

9 Facilitate worker care needs assessments Coordinate with responsible parties for overall assessment of disaster situation Integrate worker care assessment protocols (see appendix C&D) Participate in assessment or orient assessors to worker care issues Use worker care stressors checklists as guide (see slide ) to quantify or qualify onsite stressors in each category Prioritize stressors based on available information from assessment, knowledge of worker care and uniqueness of situation Create action plans for worker care from above priorities (Appendix E) 9

10 Worker Care Stress/ Risk Assessment Guidelines I. Worker Care Stressors/Risks II. Worker Care Resources Available III. Recommended plan of action 10

11 Monitoring Stress Levels 11

12 Provide worker care orientation and training "Meet and greet" incoming workers and volunteers in coordination with HR Handout prepackaged worker care materials (see appendix F, G, &H) Provide available information related to disaster situation as well as clarity of roles for assignment in conjunction with HR Train as appropriate/possible within context,is an those that have not had WC I (WC II for managers) Established communications and information dissemination networks (information board, meeting place for information dissemination, etc) 12

13 Facilitate organizational support to provide for worker basic needs Brief managers/supervisors related to assessment of worker stressors Identify priorities for stress mitigation Working with managers, facilitate provision of services and goods to meet worker basic needs (food, shelter, rest areas, establishing of worker teams, support services) Use worker team feed back, observation, and surveying to update assessment of basic needs 13

14 Develop access to community resources for worker stress reduction Assess available community resources related to worker care needs With appropriate managers, facilitate relationships and logistics for access of community resources Develop situation specific protocols for access of community resources with supervisors Disseminate information on available resources 14

15 Facilitate means for personnel to stay in touch with family and friends Assess available communication systems Develop relationships for access of these systems (calling cards, cell phones, access, computer access, etc. Develop protocols for usage as a part of an orientation package Reinforce with worker teams the importance of continued contact with family support systems 15

16 Provide consultation and support to supervisory personnel to ensure: Continuing assessment of worker stressors: a. Develop communications system through DRT, ERT and worksite meeting and consultations b. Provide regular assessment updates to management staff c. Realign action plans for worker stress mitigation with management staff 16

17 Provide consultation (continued) Worker self care: a. With management and HR develop worker teams b. Through orientation, training and ongoing consultation with worker teams assist worker is in self care planning c. Develop ongoing self-care review as a part appear support activities d. Facilitate self care though consultation with workers related to available resources 17

18 Worker Self-Care Identify major stressors Be assertive/stay organized Get adequate rest Eat healthy balanced diet Do cardiovascular exercise Avoid excess/selfmedication Practice relaxation Seek dialogue with friends and co-workers Listen and support others Develop realistic expectations Maintain contact with friends/family at home Seek support/counseling Other 18

19 Self-Care Stress Management Planning Canadian Red Cross / Croix-Rouge canadienne What are my identified stressors? What are my stress relief practices: Additional stress relief practices in difficult situations 19

20 Provide consultation (continued) Peer support activities: a. Through consultation with supervisors develop peer support daily process. Processing should be at end of shift with recommended shift overlap to free end of shift workers b. Develop/facilitate teambuilding/communications experiences within work teams and for staff in general c. Facilitate manager/supervisor worker teams and peer support as modeling for other staff. 20

21 Teamwork, Communication and Conflict Resolution Team building enhances trust Regular communication expands trust and team support Clear and consistent objectives, well defined roles and responsibilities and worker team processing provide clarity, support and reduces conflict 21

22 Peer Support 1. Concern, empathy, respect, trust 2. Effective listening/communication 3. Clear roles,team work, cooperation, problem solving 4. Daily processing with team of work experience 22

23 Daily Processing Elements Structure Information Review of work (accomplishments)and plan for next shift Follow-up (pending issues) Basic needs (personal and group issues) Team/individual support Ventilation Self-care plan 23

24 Develop referral relationships for employee assistance in crisis situations Define and develop relationships with community resources to meet special needs and to respond to crisis intervention. Consideration should be made but not limited to mental health facilities, health care facilities, police and security, CISM and EAP based on assessment of stressors Develop protocols for worker care personnel, supervisors and HR for utilization of the above resources 24

25 In certain crisis situations, provide necessary consultation to and referral of personnel Worker care personnel will consult with workers in crisis within the limits of their capacity to assess the situation Worker care personnel will make recommendations to managers/hr for referral and interventions based on worker care issues Worker care personnel will not acting independently except in extreme crisis Worker care personnel may follow through with appropriate referral at the direction of managers/supervisors 25

26 Oversee the monitoring and evaluation of worker care activities With managers and supervisors, define assessment tools to evaluate worker care programs On an ongoing basis, use assessment tools to gather data throughout the course of the response At the direction of supervisors/managers, compile data for end of mission debriefing 26

27 Putting It All Together 27

28 Worker Care Action Plan Incident Supervisor/Manager Worker Care Personnel? Task Activities Resources Needed Date 1 Needs assessment 2 Orientation and training a. Assist in assessment b. Prioritize stressor c. Develop action plan a. With HR, develop WC orientation b. Implement brief WC training c. Brief managers on WC functions Next review date? Responsible person 3 Worker basic needs a. Review priorities with managers b. Assist in internal resources development 28