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Announcing Jeff Jernigan's New Books
Co-Authored with Rex Miller
Click on the book above to buy.
Digital and Print versions available
COACHING LEADERS
February 1, 2023 - Wholeness in Life
Wholeness is a quality and not a state. Fruit of an ongoing process, wholeness in life comes out of continuous movement toward holistic health physically, emotionally, and spiritually. Wholeness does not mean we are unbroken, undamaged, or complete in any way. It is the result of sustaining a healthy body, mind, and spirit including thinking, feeling, and acting in ways that create healthy physical, social, and spiritual well-being.
The enemy of wholeness is stress when it erodes resilience and produces burnout. Burnout is primarily psychological in its impact, resulting in complete emotional and physical collapse. It is a moral injury resulting from the persistent transgression of deeply held values. Moral injury was first associated with the moral injuries of war producing post-traumatic stress injury we now call PTSD. Today we understand stress disorders including PTSD to have a much broader spectrum than trauma-related injury. Stress is primarily physiological in impact and may lead to physical collapse with psychological components, but does not constitute a moral injury.
So, how do we create and sustain resilience that promotes wholeness in life and equips us to handle stress while still not being unbroken or undamaged? What is the perfect solution for imperfect people?
Nutrition, exercise, sleep, meaningful relationships, and purposeful work are the keys to creating and sustaining resilience. Each has a significant impact biologically and neurologically on the status of our wholeness in life. All are required, you cannot leave anything out. We will explore the surprising secrets to wholeness in each of these factors in a series of following blogs.
Check out next month for the next blog in this series.
Jeff Jernigan, PhD
October 17, 2022 - Leadership and Moral Distress -
Moral distress is a psychological phenomenon quite different from ethical dilemmas or emotional distress. Moral distress occurs in a work environment when one knows the right thing to do, but institutional constraints make it nearly impossible to pursue the right course of action. This can occur in any industry where leadership decisions, or indecision, are constrained by institutional requirements or overruled by more senior leaders. This can lead to actual moral injury.
A moral injury can occur in response to acting or witnessing behaviors that go against an individual's values and moral beliefs which erode self-esteem and confidence, breaking down long and strongly held beliefs about themselves and the world they live in. The result is disillusionment, despair, and eventual physiological and psychological burnout. It is like an iceberg which can sink anyone’s boat and is not getting much attention.
Sources of moral distress and injury can vary widely. For example, care providers taking care of children or aging adults in their homes or institutions can develop compassion fatigue because of unending pressure to be engaged in caregiving without appropriate relief. We feel responsible, committed, and guilty or ashamed when it gets hard enough to quit. Our personal values and inability to hold up under pressure physically and emotionally are in constant conflict and we burnout. Or requirements to return to the office conflict with realities of living with a pandemic and your employer doesn’t provide remote working options. Or corners are cut, safety is ignored, and quality control is no longer enforced on the production line to the point you know if you speak up you will be out of a job.
More practically, supervisors, managers, and senior leaders are confronted with a need to change how things get done while at the same time there is pressure to provide more mental wellness resources to the workforce. There is only so much money in the budget, probably not enough to consider wholesale changes in the workplace or for the workforce. Even though the need is recognized. Moral distress can lead to moral injury.
Most employers are unaware that employees can bring legal action against an employer for burnout and other stress-induced disorders based upon the employer’s responsibility to prevent work-related hazards. Mental wellness is not going away as a workplace issue, putting focus on prevention. How are you managing your stress these days? Have you noticed a lessoning of your ability to bounce back following tough times, or a negative shift in your perspective? Is motivation sagging and your outlook shaded by frustration and disappointment, surprising yourself with uncharacteristic attitudes or behaviors? Are you a candidate for burnout? Mental wellness in the workload is an issue you can do something about. Consider being an advocate for mental wellness planning in your workplace.
Dr. Jeff
1 Epstein, E. Delgado, S., Understanding and Addressing Moral Distress: Online Journal of Issues in Nursing, 15(3), 2010. McCarthy, J., Montverde, S., The Standard Account of moral Distress and Why We Should Keep It: HEC Forum 30(4), 2018
2 Hertelendy, A., Gutberg, J., et al, Mitigating MoralDistress in Leaders of Healthcare Organizations: A Scoping Review: Journal of Healthcare Management, American College of Healthcare Executives Journal, 67(5), October 2022
March 2, 2022 - Mental Health Comes Out of the Shadows
COVID-19 is transforming behavioral healthcare. More and more employers are openly championing mental health resources in the workplace. Increasing interest in behavioral care is tied to growing trends. Suicide rates have increased 33%. Depression continues to contribute greatly to the overall global burden of disease. Life expectancy in this country has decreased in relationship to suicide and the opioid epidemic. A growing focus on treating all needs, coordinating treatment, and providing innovative treatment is an emerging response.
Examples of this intentional focus on mental health include the Hoag Hospital network in southern California which has gone after this with state-of-the-art emergency services and a holistic array of mental heath services in their expanded Hoag Mental Health Center. Broader efforts are illustrated by the work the OC Be Well Coalition is doing in Orange County, California. The Coalition has brought a large number of public and private mental health stakeholders together to build three first-of-a-kind mental health facilities in the county. This collaboration is unprecedented, bringing together state, county, and municipal governance, area hospitals, public insurance programs, CalOptima, and the faith-based community.
Mental healthcare and addiction treatment is envisioned as holistically integrated into all aspects of care. More pediatric resources will be provided to address the under-met needs of children as well as the increasing rate of suicide in ages 15-24, the second leading cause of death among Americans. The difficulty of access to mental health resources due to stigma experienced by children, adults, and senior citizens is being addressed. Studies are underway to improve use of medications through evidence-based medicine. Patient trials are underway to discover through analysis of brain activity how to better match patients to the medication they need.
The goal of these efforts is to improve access, integrate resources for more and better care, eliminate guesswork, and increase cost-effectiveness of care when it comes to treating mental illness. Eliminating stigma is necessary for success in each of these domains. I have worked in this arena in this country and on three continents and can say with surety: stigma is a universal impediment to gaining access to and benefiting from good mental healthcare.
Not so long ago we used to speak about medical illness publicly only in whispers. Advances in medicine have taken us a long way since then to where there is not only a private dialogue about illness, but a very public one as well. But mental health is still something very much “in the closet” that needs to find fresh air. With mental health now a workplace concern, we can hopefully expect more open conversation and less stigma will follow. We have made progress, yet there is still much to do.
Dr. Jeff
November 2021 - Advances in Leadership
Last week I attended a CEO Forum in Colorado. This was a private engagement involving well known leaders from across the country representing a number of industries including healthcare. What made this gathering unique was the topic: how is the pandemic changing our understanding of leadership? The backdrop to this inquiry is the continuing wrestling between employees and employers regarding returning to work; full return, remaining virtual, or hybrid environments with some sharp division of opinions between the workforce and leadership.
Major global disasters have always had a permanent influence on life and work in terms of how we travel, how we guard our health, how we work and how we socialize. Bubonic Plague, Spanish Flu, Ebola are just a few examples stretched across the centuries. Now it is COVID. The impetus for social and cultural change comes not so much from the disaster, but how we respond to the disaster. Here is an example.
In the five years preceding the pandemic just over 100 air travelers were band for life on certain carriers due to acting out in a manner jeopardizing passenger safety and aircraft operations. In just over eighteen months through the pandemic this number has risen to over 5,000. Worn down beyond reasonable measure, travelers with little resilience left and no margin of self-control at all act out in predictable manner. It is a personal crisis characterized by thinking that goes from reasonable, logical and abstract to concrete, illogical, and unfocused in the blink of an eye. So, what does this have to do with the workplace?
The effects of the pandemic will be with us for many years. No country will be entirely open until the world is open. Just as, in a global economy, no business will be entirely unaffected until all business is unaffected, so-to-speak. Here are some quotes from our time together and their implications for the workplace.
“If you project the past into the future you will always live in fear.” An expression of this axiom is seen in the demands employees are making regarding an employer’s presumed responsibility to guard their physical and psychological safety in the workplace. This is central to the argument over returning to work which will not be resolved by token interventions. The culture of work is changing underneath our desks all across the world.
“As culture shifts for each generation, there is a constant dismantling of some things and creation of new things.” Disasters accelerate this process. After all, culture is an expression of how we address the constantly changing realities of our lives. My children and grandchildren grew up in a world very different from mine, and their social paradigms illustrate this culture shift. Nothing stays the same, leading to the question regarding leadership: how will it be changing and what will be normal expectations of our leaders moving forward?
There is a growing focus on emotional intelligence for leaders as a job requirement. Flexible, adroit, relational leaders who are just as focused on people as they are strategy, goals, and the numbers. We don’t need more people trying to sell us a product or process to remedy this need. We need people who will come forward with solutions. That is what we do. We provide people with solutions.
Dr. Jeff
September 2021 - Con * tent * ment - a state of happiness and satisfaction
*This is an excerpted from Jeff's article in Contentment Magazine.
By Jeff Jernigan, PhD
Interesting that the definition carries with it the sense of a claim, something to be paid, as if contentment were owed to us. It certainly is something sought after, and once found, difficult to hold on to! Disconcerting circumstances, disappointed expectations, and frustrated desires all seem to somehow steal our joy at the most inopportune times, evaporating contentment like mist in the dry heat of the desert. Is it us, or the capricious nature of life in this world that seems to conspire against our claim upon happiness and satisfaction? Actually, it is us.
Contentment is both an emotion and a choice. It is both biological and psychological. It is a neurological response to stimuli in the limbic region of our brain which we experience as one of our most fundamental emotions,2 and at the same time, a volitional choice we make to be content, or not, in spite of circumstances.3 This is more than a little confusing for me since I grew up learning from experience that happiness and satisfaction, and therefore contentment, were a result, not a choice. Boy was I wrong! It is actually the other way around; psychologically contentment is also a choice and not a result. Here is why this is true.
Emotions, in the sense of mental health, are not just tied to our psychology, but to our biology as well. It is a two-way street with body impacting mind and mind impacting body. This is why experts tell us a healthy brain means healthy body and mind. At the same time, we can make decisions that enable us to regulate our emotions. Take anger, for example. It is one of the strongest fundamental emotions we can experience. Yet anger is also a feeling we can choose to manage. There is a well-developed professional specialty, Anger Management, built around this concept of exercising volitional choice in order to manage our anger. In fact, we can manage all of our emotions in a manner that does not allow them to manage us.
Continue the article click below:
https://www.stress.org/contentment-magazine-summer-2021-2
July 2021 ~ Moving Forward When What May Be Wrong is a Mystery
Jeff attended a global summit conference recently when the US Department of Commerce projected that "globalization will continue to disrupt economies around the world for the next seven years and perhaps longer due to COVID-19.1". “No country will be out of the woods until the world is out of the woods.” (Vyas, N - The Impact of COVID-19).
Jeff writes, "For employers right down to employees, this means living with uncertainty, varying degrees of health risk, and prolonged stress that will still be with us for some time." Yes, in order to help employers and employees we need to understand the effects of stress on us, our society and much more.
Jeff wrote an article for The American Institute of Stress (AIS) - click on the below link to read the full article and hear more about what he says about dealing with stress today and even how some of our psychological challenges can become medical conditions through somatization. What can we rule out and what must not be ruled out.
Helpful Answers: Article by Jeff Jernigan, PhD
https://www.stress.org/contentment-magazine-summer-2021-2
~ Nancy
April 5, 2021 - Check out Nancy's Leadership Blog
On Leadership Development, Being Taught By God and A Spiritual Crux - with special guest Lauren Franco.
March 23, 2021 - Emotional Intelligence
Emotional intelligence, also called simply “EQ,” is something everyone has to different degrees. Some come by it more naturally than others, but anyone can learn to act and speak with EQ. In a time when everyone is stressed and many are concerned about keeping their jobs, their homes, and their health we need to choose emotional regulation over acting out.
Emotional Intelligence is the ability to understand, use, and manage your own emotions in positive ways to relieve stress, communicate effectively, empathize with others, overcome challenges and defuse conflict. Our natural behaviors in leadership, communication, problem solving, and style under duress reflect our emotional intelligence.
Emotional intelligence is crucial to working relationships that depend upon collaboration, team work, and good interpersonal communication. It is a function of learned behavior and can be taught and practiced in order to facilitate organizational change coming out of a crisis like we are experiencing. Emotional intelligence is a necessary leadership quality and if someone minimizes the important of EI they may be making their role more about themselves and not about others or the organization.
Think about it: self-awareness, self-regulation, the ability to motivate others positively, empathy, and social skills all enhance one’s leadership effectiveness. These also happen to be the basic ingredients of high EQ, of leaders who help us do more than survive, but thrive in adversity.
Dr. Jeff
March 15, 2021 - Empathy
Empathy is the ability to imagine the feelings of others. Empathy helps us understand others and at the same time helps others experience being listened to, understood, and taken seriously. Some believe empathy is a soft skill that has only marginal value in the workplace. This is not true. Empathy is hard skill excellent leaders have mastered.
Empathy is a key component of emotional intelligence, another crucial leadership capacity we will visit in the next blog. Empathy enables us to connect with others, and they with us, and is foundational in all good relationships in work and life. Empathy enables us to read body language, intuit someone else’s disposition, be above average in resolving conflicts, and stand by our values without giving offense.
Just talking to each other in person, over the phone, and in meetings that minimize the use of technology when those conversations are possible cultivates empathy. Out of these personal connections grows respect, openness, listening conversations, and understanding of other people’s perspectives. Personal bias we may be unaware of diminishes in the face of empathy in a way no use of communications technology can accomplish.
In these days of social distancing, masks, and very limited personal contact we need to go the extra mile and spend the time necessary when we connect virtually to take a few minutes to connect personally. Call it a coffee chat, the prelude to the meeting where we have a few minutes to catch up with one another.
Dr. Jeff
P.S. Please check out Jeff's new book by clicking on "Return to Work" - A Leader's Guide to Avoiding Mental Health Crisis. (To the right of this Blog)
February 15, 2021 - Lessons Learned
Well, it certainly has been months since we posted a blog! This time last year I was racing out of Eastern Europe just ahead of travel lockdowns due to the pandemic. As healthcare professionals, Nancy and I were quickly caught up in the whirlwind of COVID-19! In the next four blogs you will find important lessons learned during this time that will sustain you through the weeks and months ahead as we pull out of this terrible time shared together.
As time drew long and expectations for a quick resolution ebbed away, we all settled in to a sort of involuntary confinement committed to doing our part to win through difficult times. We also began to experience the effects of prolonged stress and uncertainty. Prolonged stress over time is actually a form of trauma that, give enough time, can have the same impact as a car accident, or the loss of a loved one, or some other traumatic event.
What is needed during these times is someone to process your experience with that is a trustworthy, non-judgmental friend who will listen well without a critical spirit. This is actually a form of therapy, letting people express themselves in ways that takes what may be hidden and brings it into the open where it can be acknowledged and dealt with.
If you are the listener in this formula, you need to be flexible and be available for unhurried conversations with people who may reach out to you. Empathy is an antidote in these situations. Empathy in conversations is what deescalates and detoxifies stress.
Dr. Jeff
October 23, 2020 - A Leader's Guide to Avoiding the Mental Health Crisis ~
In observation of Mental Health Month we are offering a new resource from Rex Miller and Jeff Jernigan. We hope you will find this manual helpful, transformational and inspiring.
Click on the book on the RIGHT for more information and purchase.
September 22, 2020 - Leadership Legacy in the Workplace ~
Building strong leadership qualities in your executive team takes intentionality, time and a deep conviction. I have talked to many CEO and C-Suite leaders who say they want to develop a strong leadership development process yet the urgency of the moment and board financial pressures seem to take precedence. Developing a process in your organization in order to multiply strong leaders is no easy task. Leadership development processes and departments have risen in importance and visibility the last 10 years.
As CEO’s and senior leaders I am sure you have put much thought into how you plan to build your leadership team. If you are a big NFL fan you may be familiar with the term used in football called “the coaching tree”. If you are not a huge fan, let me briefly describe the concept of having a “coaching tree”. Some NFL coaches are known for developing and multiplying other effective coaches, thus developing an impressive coaching tree legacy. Coaches who have a so called “coaching tree” are known for how they have influenced other successful coaches. In other words, their legacy extends farther than the teams they have lead. Have you thought about your need to develop a “corporate coaching tree”? Some leading owners of organizations have already done this by multiplying other great corporate leaders. Entrepreneurial CEO’s and leaders in particular are posed to multiply these type of leaders.
The pressure of leading a corporate team in today’s pandemic culture may not afford you the luxury of a lot of extra time, yet the most effective leaders are indeed taking their high-priced time to strategically develop leaders in their C-suite that will some day be considered a part of their “coaching tree”.
CEO’s who take the time needed to multiply leaders by training their next line of authority usually concentrate on a handful of reproducible skills and abilities. These skills include, inspiring strong character, sharing knowledge, igniting innovative thinking, providing tools and resources for excellence, integrating corporate values and encouraging personal and professional growth.
As you intentionally take the time to build your leadership team you may also see that your line of authority follows suit and equips their teams with these same abilities. This coaching concept of equipping leaders to lead others is not something all business leaders grasp or have the innate ability to reproduce. It takes concentrative effort.
Just like well-worn lighthouses’ have saved and navigated many ships, it would be a profound legacy if you were to multiply leaders who save companies, navigate leaders and equip others to build strong and successful companies. Building, training and developing top leaders whether in person or virtually will bring significant added value to your business and will pay off in the long run. So think about playing the long game and develop your executive team in ways that reproduce other strong leaders in your organization. It is imperative to put into place a strong leadership development process now that includes developing the leaders in your coaching tree. Just like the leading NFL coaches, wouldn’t it be quite a world class legacy if you were to reproduce leaders in this way.
Who is in your Corporate Coaching Tree?
Dr. Nancy
July 27, 2020 - Leadership Can be Lonely, Part 2
Here are four contemporary causes for feeling lonely, isolated, or shut out as a leader:
1) Instead of using performance objectives as tools for progress, they are used to criticize performance or, worse, as weapons.
2) The leadership team environment provides insufficient psychological safety to support team effectiveness, innovation, or collaboration.
3) A lack of understanding multi-cultural barriers to communication and collaboration (when 20% of the executive workforce, and growing, is foreign-born).
4) When gender or racial bias sneaks into your thinking in a manner that excludes others and robs them of equitable treatment. These are the obstacles the new generation of leaders face today. This also contributes to deteriorating health for those who find themselves constantly in a largely punitive environment that hides behind smiles and complements.
Leadership can lonely, but it doesn’t have to be. Live and work with authenticity that enables others around you to experience respect and dignity, acceptance of who they are, and your willingness to make sure they are included. Your leadership will break down barriers and build trust.
They will experience less isolation, and you will experience less loneliness at the top.
Dr. Jeff
June 30, 2020 - Leadership Can be Lonely, Part 1
The expression, “It can be lonely at the top” comes out of a social paradigm from a more traditional generation. The risks of leadership in my father’s generation sometimes encouraged choosing your words and actions based upon how you wanted others to react rather than being based upon what you really think. In my own generation the risks of leadership often gave rise to a choice to be made, depending on the situation, which was more important: helping the team or advancing your career? These things still happen, but not as a culturally acceptable style of leadership.
If you do experience loneliness often in your role as a leader, keep this in mind: each generation develops a social paradigm all its own. This is a result of two dynamics. First, they grow up responding to the previous generation’s social paradigm, determining what works for them and what doesn’t. Social change produces this struggle quite naturally. There are things in their new world the previous generation was not faced with in the same way that the present generation will need to navigate differently. Second, they are faced with challenges that are altogether different from previous generations. Each generation goes through this cycle of adaptation and invention.
Take the time to reach across social boundaries in the workplace. Those who come before and those who come after you share in common this shaping of their own generation. Don’t get locked into chromo-centric thinking where you view the social paradigm of your generation as the best of all times. Embrace change and differences. You will find your self engaged with far more people across all ages, and not so much likely any more.
Dr. Jeff
May 27, 2020 - Mental Health Comes Out of the Shadows - Jeff Jernigan, PhD
COVID-19 is transforming behavioral healthcare. More and more employers are openly championing mental health resources in the workplace. Increasing interest in behavioral care is tied to growing trends. Suicide rates have increased 33%. Depression continues to contribute greatly to the overall global burden of disease. Life expectancy in this country has decreased in relationship to suicide and the opioid epidemic. A growing focus on treating all needs, coordinating treatment, and providing innovative treatment is an emerging response.
Examples of this intentional focus on mental health include the Hoag Hospital network in southern California which has gone after this with state-of-the-art emergency services and a holistic array of mental heath services in their expanded Hoag Mental Health Center. Broader efforts are illustrated by the work the OC Be Well Coalition is doing in Orange County, California. The Coalition has brought a large number of public and private mental health stakeholders together to build three first-of-a-kind mental health facilities in the county. This collaboration is unprecedented, bringing together state, county, and municipal governance, area hospitals, public insurance programs, CalOptima, and the faith-based community.
Mental healthcare and addiction treatment is envisioned as holistically integrated into all aspects of care. More pediatric resources will be provided to address the under-met needs of children as well as the increasing rate of suicide in ages 15-24, the second leading cause of death among Americans. The difficulty of access to mental health resources due to stigma experienced by children, adults, and senior citizens is being addressed. Studies are underway to improve use of medications through evidence-based medicine. Patient trials are underway to discover through analysis of brain activity how to better match patients to the medication they need.
The goal of these efforts is to improve access, integrate resources for more and better care, eliminate guesswork, and increase cost-effectiveness of care when it comes to treating mental illness. Eliminating stigma is necessary for success in each of these domains. I have worked in this arena in this country and on three continents and can say with surety: stigma is a universal impediment to gaining access to and benefiting from good mental healthcare.
Not so long ago we used to speak about medical illness publicly only in whispers. Advances in medicine have taken us a long way since then to where there is not only a private dialogue about illness, but a very public one as well. But mental health is still something very much “in the closet” that needs to find fresh air. With mental health now a workplace concern, we can hopefully expect more open conversation and less stigma will follow. We have made progress, yet there is still much to do.
Dr. Jeff
May 19, 2020 - Why Taking Care of Your Employees is Essential to Company Success
By: John Boyens & Nancy Jernigan, PhD
The pressure of leading a team in the workplace may seem challenging. Yet a critical part of leadership is caring for people as well as accomplishing the needed business goals. In fact, the best leaders are those who put the needs of their people as a priority. You may feel the most pressure to meet your goals at work, but in order to promote a healthy work environment and accomplish the needed goals, it is imperative to be aware of the physical and emotional needs of your employees.
Research shows employees will balance three organizational themes — the three “Rs” — in their decision to remain with a particular company:
Rewards: Salary, commission, benefits, incentives, continuing education, vacation time, retirement plans, etc.
Respect: How they’re treated, work environment, personal and professional growth opportunities, recognition, etc.
Requirements: Clearly defined job duties, realistic goals and expectations, dress code, etc.
Regularly addressing the three “Rs” create a healthy culture where employees can thrive. Studies on workplace effectiveness show that the healthier each individual is on the team, the more productive they will be in accomplishing their work. A healthy, productive team will actually accomplish more.
If you are looking for ways to improve the culture of your business, follow these guidelines:
Get to know your employees as people before getting to know them as employees. That knowledge will help you know how to get the absolute best out of each of them while at the same time recognizing and rewarding their individuality.
Inspire a positive and upbeat culture at work. Be aware of well-being resources and make it a priority to communicate effectively about the services that will enhance the resilience of your team. Train employees to notice their own levels of stress and how to take note of stress in others.
Provide a safe environment to maximize communication and collaboration among the workplace relationships. A psychologically safe environment is a shared belief that a team is safe for interpersonal risk taking. It can be defined as "being able to show and employ one’s self without fear of negative consequences of self-image, status or career."2
Create a positive workspace. Clean facilities, comfortable furniture, ample workspace, proper equipment, collaborative break rooms/kitchens, and ample parking.
Ensure a high level of employee involvement. Give employees responsibility for helping to direct a change in culture.
Identify possible resistance in advance and develop strategies to overcome it. People react to change in different ways. Some embrace it while others need to be brought along kicking and screaming.
Celebrate success. Make sure that you recognize and celebrate successes (no matter how small) along the way.
~ Nancy
Health, Healing & Restoration
Jeff Jernigan, PhD has been appointed a Fellow with The American Institute of Stress for his influence and accomplishments in behavior health, research,
and practical application in the field.
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