dr elizabeth bernthal - commonwealth nurses · medical directorate a sense of belonging and...
TRANSCRIPT
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Dr Elizabeth BernthalUnited Kingdom
A sense of belonging and identity to
enhance a nurses’ resilience
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Medical Directorate
A sense of belonging and identity
to enhance a nurse’s resilience
Dr (Lt Col) Lizzy Bernthal MEd PhD QARANC
Academic Department of Military Nursing,
Medical Directorate, Birmingham, UK
The 4th Commonwealth Nurse and Midwives
Conference
10-11 Mar 18
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Medical Directorate
Contents
Why is resilience important?
Definitions of stress and psychological
resilience
Strategies to enhance resilience
•Personal
•Team
Recommendations for future research
Key messages
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Medical Directorate
The impact of stress
Stress is known to cause significant mental suffering -
• Is directly or indirectly linked to 7 of the 10 major
causes of death in UK, USA and other developed
nations
•Has a major impact on working days loss
(Cooper and Quick 2017).
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Medical Directorate
Causes of stress in the workplace
Imbalanced job design
• high job demands
• low job control – tasks/ workload e.g. short notice deadlines
Occupational uncertainty
• lack of job security – fear of financial security
• low procedural justice
Lack of value and respect in the workplace.
• role stress
• high effort–reward imbalance
• bullying
• low social and psychological support
(Harvey et al, 2017)
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Medical Directorate
What is stress?
Briggs et al (2017) defined stress as “ a condition or
feeling experienced when a person perceives that
demands exceed the personal and social resources
the individual is able to mobilise”
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Medical Directorate
Definition - psychological resilience
“the capacity to adapt successfully in the
presence of risk and adversity” (Defence
Academy 2018)
“bouncing forward to a new norm” (Manyena
et al., 2011)
Components:
•Resistance
•Recovery
•Reconfiguration
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Medical Directorate
What is resilience?
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Medical Directorate
Coping strategies
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Medical Directorate
Personal – belonging
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Medical Directorate
Identity
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Medical Directorate
Growth v Fixed mind-set
Failure/ challenge –
Is just a test and a learning
opportunity for me
Failure/ challenge -
shows how rubbish I am and that I
have reached my limits
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Medical Directorate
Embracing change – locus of control
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Medical Directorate
When feeling stressed
– 4/4/4 breathing, BBA
Breathe Believe Achieve
Breathe in for 4 seconds hold
for 4 seconds and breathe out
for 4 seconds and repeat…..
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Medical Directorate
Team/ organisational attributes
Core values match within team
Team cohesion/ fitting in
Strong leadership – based on trust
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Medical Directorate
Strong teams – leadership
Transparency
Respect
United – take ownership
Support – role modelling
Trust
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Medical Directorate
Team cohesion and teamwork
Stronger than its individual parts
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Medical Directorate
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Medical Directorate
(Permission to reproduce received from Yates, S. via email dated 4 Mar 18 at 14.55)
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Medical Directorate
Key messagesThere are many strategies to enhance resilience
A resilient individual that ‘bounces back’
develops a new norm to ‘bounce forward’.
A strong sense of belonging, identity and
teamwork are vital within an organisation
A sense of belonging and identity to one’s
employing organisation could be predictors of
psychological wellbeing.
Team cohesiveness enables individuals cope
with the emotional pressures associated with
their role.
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Medical Directorate
References Biggs, A., Brough, P. and Drummond, S., (2017) Lazarus and
Folkman's psychological stress and coping theory. The Handbook
of Stress and Health: A Guide to Research and Practice, pp. 349-
364.
Cooper, C.L. and Quick, J.C. (2017). Eds. The Handbook of Stress
and Health: A Guide to Research and Practice. John Wiley & Sons.
Cusack, L et al. (2016). Exploring environmental factors in nursing
workplaces that promote psychological resilience: constructing a
unified theoretical model. Frontiers in Psychology, 7 (1) p.60
Defence Academy of the United Kingdom (2018) Available at:
http://www.da.mod.uk [Accessed 7 Mar 18].
Harvey, S.B. et al. (2017). Can work make you mentally ill? A
systematic meta-review of work-related risk factors for common
mental health problems. Occupational and Environmental Medicine
74(4), pp.301-310.
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Medical Directorate
Questions
Thank you for listening