edge talk: practical skills for resilience
TRANSCRIPT
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Edge Talks‘Practical skills for resilience’
11th March 2016 @theedgenhs #EdgeTalks
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#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
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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
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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
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How resilient are you feeling today?
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• Defining resilience
• Practical approaches for developing individual resilience
• Practical approaches for developing team resilience
OUTLINE FOR TODAY’S SESSION
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“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
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“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
Presenter: Rosanna Hunt @rosielhunt
RESILIENCE AND REFRAMING
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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!)
Presenter: Rosanna Hunt @rosielhunt
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“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
Presenter: Rosanna Hunt @rosielhunt
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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
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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
Presenter: Rosanna Hunt @rosielhunt
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A world of uncertainty
‘In this world nothing is certain but death and taxes.’
Benjamin Franklin
© Pip Hardy @pilgrimpip
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Impermanence: everything changes
© Pip Hardy @pilgrimpip
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Change
‘All great literature is one of two stories; a man goes on a journey or a stranger comes to town.’
Leo Tolstoy
© Pip Hardy @pilgrimpip
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William Bridges Transition model
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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
© Pip Hardy @pilgrimpip
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Gratitude
© Pip Hardy @pilgrimpip
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Projects that make your heart sing
© Pip Hardy @pilgrimpip
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Take a break – think of your heart
© Pip Hardy @pilgrimpip
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Ask for help!
© Pip Hardy @pilgrimpip
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Eat lunch!
To do list• Finish quarterly report• Prepare presentation for tomorrow• Eat lunch!• Answer emails
© Pip Hardy @pilgrimpip
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Presenter: Pip Hardy @pilgrimpip
What do you do to build resilience?
Use the web chat to share.
TASK
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Resilience: Meditation and Mindfulness
Ashok Gupta
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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
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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.”
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Meditation & Mindfulness
Cognitive Skills & Positive Psychology
Purpose
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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%
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Easy to Access Meditations & Videos
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Other Aspects of Resilience• Maintaining
good Sleep Cycles– anti-
inflammatory effect
– Amygdala effect– Effects on pain
• Physical Exercise
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• Build Energy for change• Appreciate each other’s strengths
PRACTICAL APPROACHES FOR DEVELOPING TEAM RESILIENCE
Psychological
Physical
Spiritual
Social Intellectual
Presenter: Rosanna Hunt @rosielhunt
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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
Presenter: Rosanna Hunt @rosielhunt
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TEAM TOOL: StrengthsfinderSource: The Gallup Organisation
AchieverActivator
AdaptabilityAnalyticalArranger
BeliefCommunicationConnectedness
Consistency
ContextDeliberativeDeveloperDisciplineEmpathyFuturisticHarmonyIdeationIncluder
IndividualisationInput
IntellectionLearner
Maximiser Positivity
RelatorResponsibility Restorative
Strategic Woo
Presenter: Rosanna Hunt @rosielhunt
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TASK
What has your team done or/could do to build its resilience TOGETHER ?
Use the web chat to share.