edge talk: practical skills for resilience

Edge Talks‘Practical skills for resilience’

11th March 2016 @theedgenhs #EdgeTalks

#Edgetalks is bought to you by the NHS Horizons team

The team has emerged through years of supporting change thinking and practice in the NHS and wider health and care system. We tune into and

engage with what is working in both healthcare and other industries around the world and share and test in action

For more information on NHS Horizons:

83,000 connected with

10,000 enrolled in

The Horizons Team supports large scale change and builds energy for change throughout the system

Joining in today and beyond• Please use the chat box to contribute continuously during the

web seminar• Please tweet using hashtag #EdgeTalks and the handle

@School4Radicals @theedgenhs• Send a request to join our Facebook group School for Health

and Care Radicals and The Edge NHS

The team todayLead presenter:Rosanna Hunt @rosiehunt

Chat room monitor:Carol Read @CarolLRead

Presenter:Pip Hardy@PilgrimPip

Session chair:Kate Pound @KateSlater2

Presenter:Ashok Gupta@GuptaProgramme

Twitter monitor:Hannah Wall @hw4ll

How resilient are you feeling today?

• Defining resilience

• Practical approaches for developing individual resilience

• Practical approaches for developing team resilience

OUTLINE FOR TODAY’S SESSION

“Resilience at work can be described as the capability to maintain high performance and positive well-being. Resilient individuals are able to sustain successful performance and positive wellbeing in the face of adverse conditions, and to recover from or adjust easily to misfortune or change.”

Robertson Cooper (2013)

Presenter: Rosanna Hunt @rosielhunt

“It’s snowing still”, said Eeyore gloomily.“So it is.”“And freezing.”“Is it?”“Yes,” said Eeyore. “However,” he said, brightening up a little, “we haven’t had an earthquake lately.”

A.A. Milne. Winnie the Pooh


RESILIENCE AND REFRAMING

RESILIENCE IS NOT ABOUT BEING TOUGH OR IMMOVABLE

“It ain't how hard you hit; it's about how hard you can get hit, and keep moving forward. ” (Rocky Balboa!)


“It’s not the strongest of the species that survive, nor the most intelligent, but the most responsive to change.” (Charles Darwin)

RESILIENCE IS ABOUT BEING ABLE TO ADAPT TO CHANGE


The nature of human memory• Basal ganglia (routine,

familiar activity)• The prefrontal cortex

(takes in new information and matches it against old)

• The energy involved in detecting “errors” when something is different – takes place in the orbital frontal cortex

• Fear circuitry is in the amygdala

ORBITAL FRONTAL CORTEX

IMPACT OF CHANGE ON THE BRAIN

SOURCE: CIPD Presenter: Rosanna Hunt @rosielhunt

Share your personal strategies for moving energy out of the “fear” zone and into the “rational thought” zone.

Use the web chat to share.

TASK


A world of uncertainty

‘In this world nothing is certain but death and taxes.’

Benjamin Franklin

© Pip Hardy @pilgrimpip

Impermanence: everything changes


Change

‘All great literature is one of two stories; a man goes on a journey or a stranger comes to town.’

Leo Tolstoy


William Bridges Transition model

A&E Activities monitoring sheet

Monday A E Tuesday A E Wednesday A E Thursday A E Friday A E Saturday A E Sunday A EMorn

Aft

Eve


Gratitude


Projects that make your heart sing


Take a break – think of your heart


Ask for help!


Eat lunch!

To do list• Finish quarterly report• Prepare presentation for tomorrow• Eat lunch!• Answer emails


Presenter: Pip Hardy @pilgrimpip

What do you do to build resilience?


TASK

Resilience: Meditation and Mindfulness

Ashok Gupta

BBC / University of Liverpool Study on Anxiety and DepressionPsychological Processes Mediate the Impact of Familial Risk, Social Circumstances and Life Events on Mental Health. Kinderman et al. Oct 2013. Journal Plos One

• 42,000 Participants• Study revealed that dwelling on negative

thoughts, and self-blame, are the biggest predictor of the most common mental health problems in the country

Landmark Harvard Study on Meditation & ResilienceRelaxation Response and Resiliency Training and Its Effect on Healthcare Resource Utilization. Stahl et al Oct 2015. Journal Plos One

• “…stress-related illnesses, such as anxiety and depression, are the third-highest causes of health expenditures in the United States after heart disease and cancer (which also are affected by stress).”

• “…Over 90% of people suffering from stress or stress-related problems seek help through primary care and tend to be frequent healthcare utilizers. These visits can comprise as much as 70 percent of physicians' caseloads. In addition, more than 80% of patients presenting to general practice evidence lack of resiliency and psychological stress.

• “… (4400) participants had an average reduction of 43 percent in their use of health care services in the year after their participation.”

Meditation & Mindfulness

Cognitive Skills & Positive Psychology

Purpose

Clinical Effects of Meditation• Regular Meditation

– Reduced stress/anxiety/depression

– Brain changes– Gene expression &

Immune System– Reduced Inflammation– Heart attacks and

strokes down by 66%

Easy to Access Meditations & Videos

Other Aspects of Resilience• Maintaining

good Sleep Cycles– anti-

inflammatory effect

– Amygdala effect– Effects on pain

• Physical Exercise

[email protected]

www.themeaningoflife.tv

More Information

• Build Energy for change• Appreciate each other’s strengths

PRACTICAL APPROACHES FOR DEVELOPING TEAM RESILIENCE

Psychological

Physical

Spiritual

Social Intellectual


Psychological

Physical

Spiritual

Social Intellectual

Team leader identifies the change that they want to measure energy for

Ask the team to complete the online questionnaire, ensuring:• they use the allocated team code*• they understand the change they should

answer the questionnaire in relation to• anonymity – to encourage honest

responses• a deadline for completion is set

Arrange a feedback call to discuss:• The team’s results• A date for facilitated feedback to the

whole team (via webinar or face-to-face)

*obtain the link to the questionnaire and team codes from [email protected]

TEAM TOOL: The SSPPI Energy Index


TEAM TOOL: StrengthsfinderSource: The Gallup Organisation

AchieverActivator

AdaptabilityAnalyticalArranger

BeliefCommunicationConnectedness

Consistency

ContextDeliberativeDeveloperDisciplineEmpathyFuturisticHarmonyIdeationIncluder

IndividualisationInput

IntellectionLearner

Maximiser Positivity

RelatorResponsibility Restorative

Strategic Woo


TASK

What has your team done or/could do to build its resilience TOGETHER ?
