building resilience in a world of uncertainty

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Building resilience in a world of uncertainty

Rosanna Hunt, Ph.D.

rosanna.hunt@nhs.net@rosielhunt

• Defining resilience

• Building personal resilience

• Building team resilience

This presentation is about….

Presenter: Rosanna Hunt rosanna.hunt@nhs.net

“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 rosanna.hunt@nhs.net

“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

Presenter: Rosanna Hunt rosanna.hunt@nhs.net

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

“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

The nature of human memory• Basal ganglia (routine, familiar

activity)• The prefrontal cortex (takes in new

information and matches it against old = rational thought)

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

• Fear circuitry is in the amygdala

IMPACT OF CHANGE ON THE BRAIN

SOURCE: CIPD Presenter: Rosanna Hunt @rosielhunt

ORBITAL FRONTAL CORTEX

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

Benjamin Franklin

A WORLD OF UNCERTAINTY

What personal strategies do you have for building your resilience?

Share them!

TABLE DISCUSSIONS

• Reduce multi tasking & find your “flow”• Sleep & exercise• Activate the parasympathetic nervous system• Practice gratitude

Building personal resilience

Reduce multi-tasking and find focusREDUCE MULTI TASKING AND FIND YOUR FLOW

“Do what you can, with what you have, where you are”

Theodore Roosevelt

Two key scientific benefits of meditation practice:

1. It strengthens the brain’s ability to move from one focus of attention to another

2. It improves the brain’s ability to resist distractionsRichard Davidson – Neuroscientist at the University of Wisconsin-Madison

• Exercise, such as taking a brisk walk shortly after feeling stressed, not only deepens breathing but also helps relieve muscle tension.

• Walking meetings

• Tiredness and stress are linked!

Exercise“sitting is the new smoking” BBC 2016

http://www.bbc.co.uk/news/health-36411403#

SLEEP & EXERCISE

“The sympathetic nervous system functions like a gas pedal in a car. It triggers the fight-or-flight response, providing the body with a burst of energy so that it can respond to perceived dangers. The parasympathetic nervous system acts like a brake. It promotes the “rest and digest” response that calms the body down after the danger has passed” http://www.health.harvard.edu/staying-healthy/understanding-the-stress-response

Stress is caused by over-activation of the sympathetic nervous systemSTRESS IS CAUSED BY OVER ACTIVATION

OF THE SYMPATHETIC NERVOUS SYSTEM

“Okay, your posture’s very good. Now, relax, concentrate, and slowly let go of your mobile phone”

• Relaxation Response Training reduces anxiety and depression (third-highest causes of US health costs after heart disease and cancer -which also are affected by stress).

• 4400 study participants had an average reduction of 43 percent in their use of health care services in the year after RRT

Relaxation Response and Resiliency Training and Its Effect on Healthcare Resource Utilization. Stahl et al Oct 2015. Journal Plos One

• Relaxation Response Training includes deep abdominal breathing, focus on a soothing word (such as “peace” or “calm”), visualization of tranquil scenes, repetitive prayer, yoga, and tai chi.

Dr. Herbert Benson, director emeritus of the Benson-Henry Institute for Mind Body Medicine at Massachusetts General Hospital.

ACTIVATE THE PARASYMPATHETIC NERVOUS SYSTEM

GratitudePRACTICE GRATITUDEGratitude improves psychological health. - reduces toxic energy such as envy, frustration and regret- increases happiness and reduces depression Robert A. Emmons, Ph.D., - research on gratitude and well-being

Gratitude improves self-esteem.- increases athlete’s self-esteem - an essential component of

optimal performance Journal of Applied Sport Psychology 2014- reduces social comparisons- able to appreciate – not envy other people’s successes

Gratitude increases mental strength. - reduces stress and increases capacity to overcome trauma http://www.forbes.com/sites/amymorin/2014/11/23/7-scientifically-proven-benefits-of-gratitude-that-will-motivate-you-to-give-thanks-year-round/#145a2cf56800

• Use strengths-based approaches • Build Energy for change

Presenter: Rosanna Hunt @rosielhunt

Building TEAM resilience

Psychological

Physical

Spiritual

Social Intellectual

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

TEAM DEVELOPMENT TOOL: The SSPPI Energy Index

Psychological

Physical

Spiritual

Social Intellectual

“With alarming regularity, we find that team members do not know what energises the other people in their own team”

TEAM DEVELOPMENT TOOLS: Some strengths based approaches

Presenter: Rosanna Hunt @rosielhunt

• Gallup strengths finder• Inner Skills & Landscapes of the Mind• Or just ask: what are you most looking

forward to this week?

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

Leo Tolstoy

“Go for no!”- And learn from it

Our mantra on the School for Heath and Care Radicals:

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