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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 today
Lead
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
Presenter: Rosanna Hunt @rosielhunt
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!)
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)
• 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
Presenter: Rosanna Hunt @rosielhunt
A world of uncertainty
‘In this world nothing
is certain but death
and taxes.’
Benjamin Franklin
© Pip Hardy @pilgrimpip
Impermanence: everything changes
© Pip Hardy @pilgrimpip
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
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 E
Morn
Aft
Eve
© Pip Hardy @pilgrimpip
Gratitude
© Pip Hardy @pilgrimpip
Projects that make your heart sing
© Pip Hardy @pilgrimpip
Take a break – think of your heart
© Pip Hardy @pilgrimpip
Ask for help!
© Pip Hardy @pilgrimpip
Eat lunch!
To do list
• Finish quarterly report
• Prepare presentation for tomorrow
• Eat lunch!
• Answer emails
© Pip Hardy @pilgrimpip
Presenter: Pip Hardy @pilgrimpip
What do you do to build resilience?
Use the web chat to share.
TASK
Resilience:
Meditation and Mindfulness
Ashok Gupta
BBC / University of Liverpool
Study on Anxiety and Depression
Psychological 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 & Resilience
Relaxation 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
ashok@harleystressclinic.com
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
Presenter: Rosanna Hunt @rosielhunt
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
paul.woodley@nhsiq.nhs.uk
TEAM TOOL: The SSPPI Energy Index
Presenter: Rosanna Hunt @rosielhunt
TEAM TOOL: Strengthsfinder
Source: The Gallup Organisation
Achiever
Activator
Adaptability
Analytical
Arranger
Belief
Communication
Connectedness
Consistency
Context
Deliberative
Developer
Discipline
Empathy
Futuristic
Harmony
Ideation
Includer
Individualisation
Input
Intellection
Learner
Maximiser
Positivity
Relator
Responsibility
Restorative
Strategic
Woo
Presenter: Rosanna Hunt @rosielhunt
TASK
What has your team done or/could do
to build its resilience TOGETHER ?
Use the web chat to share.

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Edge Talk: Practical skills for resilience

  • 1. Edge Talks ‘Practical skills for resilience’ 11th March 2016 @theedgenhs #EdgeTalks
  • 2. #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
  • 3. 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
  • 4. The team today Lead 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
  • 5. How resilient are you feeling today?
  • 6. • Defining resilience • Practical approaches for developing individual resilience • Practical approaches for developing team resilience OUTLINE FOR TODAY’S SESSION
  • 7. “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
  • 8. “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
  • 9. 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
  • 10.  “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
  • 11. 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
  • 12. 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
  • 13. A world of uncertainty ‘In this world nothing is certain but death and taxes.’ Benjamin Franklin © Pip Hardy @pilgrimpip
  • 14. Impermanence: everything changes © Pip Hardy @pilgrimpip
  • 15. 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
  • 17. 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 E Morn Aft Eve © Pip Hardy @pilgrimpip
  • 18. Gratitude © Pip Hardy @pilgrimpip
  • 19. Projects that make your heart sing © Pip Hardy @pilgrimpip
  • 20. Take a break – think of your heart © Pip Hardy @pilgrimpip
  • 21. Ask for help! © Pip Hardy @pilgrimpip
  • 22. Eat lunch! To do list • Finish quarterly report • Prepare presentation for tomorrow • Eat lunch! • Answer emails © Pip Hardy @pilgrimpip
  • 23. Presenter: Pip Hardy @pilgrimpip What do you do to build resilience? Use the web chat to share. TASK
  • 25. BBC / University of Liverpool Study on Anxiety and Depression Psychological 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
  • 26. Landmark Harvard Study on Meditation & Resilience Relaxation 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.”
  • 28. 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%
  • 29. Easy to Access Meditations & Videos
  • 30. Other Aspects of Resilience • Maintaining good Sleep Cycles – anti-inflammatory effect – Amygdala effect – Effects on pain • Physical Exercise
  • 32. • Build Energy for change • Appreciate each other’s strengths PRACTICAL APPROACHES FOR DEVELOPING TEAM RESILIENCE Psychological Physical Spiritual Social Intellectual Presenter: Rosanna Hunt @rosielhunt
  • 33. 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 paul.woodley@nhsiq.nhs.uk TEAM TOOL: The SSPPI Energy Index Presenter: Rosanna Hunt @rosielhunt
  • 34. TEAM TOOL: Strengthsfinder Source: The Gallup Organisation Achiever Activator Adaptability Analytical Arranger Belief Communication Connectedness Consistency Context Deliberative Developer Discipline Empathy Futuristic Harmony Ideation Includer Individualisation Input Intellection Learner Maximiser Positivity Relator Responsibility Restorative Strategic Woo Presenter: Rosanna Hunt @rosielhunt
  • 35. TASK What has your team done or/could do to build its resilience TOGETHER ? Use the web chat to share.