Transcript Skellern Award Cermony - Centre for Recovery and Social

WORKSHOP
Cork June 11th 2014
Resilience, Surviving and prospering in
Health and Social Care
Dr Martin Lawlor
Malcolm Rae OBE FRCN
[email protected]
07969895710
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Aims of the Workshop
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Have a better understanding of resilience in dealing with pressures,
retaining motivation and focus on quality, creativity and innovation
Understand the pressures and factors which negatively impact on
individuals and teams ability to cope and function effectively
Increase awareness of the benefits of heightened resilience to
- individual
- organisation
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Explore what actions, support and positive leadership/management
practice may be helpful
Explore how professional organisations might impact and influence
Consider issues for inclusion in personal and professional resilience
training
Highlight individual responsibilities and own strategies
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QUESTION
WHAT IS YOUR UNDERSTANDING
OF THE TERM RESILIENCE?
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RESILIENCE
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An individual’s ability to adapt to
challenges, stress, difficulties, problems
The capacity and resourcefulness to cope
Accepting your new reality even if it is less
than what existed before
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POSITIVE QUOTES
YOU CAN FIGHT IT, YOU CAN DO
NOTHING BUT SCREAM ABOUT
WHAT YOU HAVE LOST OR YOU CAN
ACCEPT WHAT YOU HAVE LOST AND
TRY TO PUT TOGETHER SOMETHING
THAT’S GOOD
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Nelson Mandela
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Japanese Proverb
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QUESTION
WHAT ARE THE KEY PRESSURES
CLINICAL STAFF ARE LIKELY TO
ENCOUNTER?
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Contemporary Pressures
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Massive imposed structural changes
Financial constraints
Juggling conflicting demands
A drive for outcomes without support
Expected performance improvements/regulation
Service user/family expectations
Changes in complexity of need, dependency and
challenging behaviours
Fear of blame
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Contemporary Pressures 2
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Negative media interest
Demand for openness/transparency
Increase in technology
Having to deal with the unexpected
Abuse, intimidation and violence
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Question
What may help?
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Factors which will be beneficial 1
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Being connected to support networks.
Governance frameworks and health and wellbeing
workplace policies and stress reducing activities to
maintain wellbeing.
Access to confidential support.
Both health promoting and opportunities for renewal and
recovery.
Senior managers, board members being visible, role
modelling, supportive behaviours, including formal and
informal debriefing, listening to staff ideas/concerns, tap
into their insights and expertise, actively seeking
ideas/suggestions for improvements and push and
support the ideas.
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Factors which will be beneficial 2
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Skills to manage competing demands i.e. quality and
safety standards v cost improvements, understand
business v compassion imperatives.
Skills in pragmatism, persuasion, relationship building,
handling pressures and conflict, managing change and
improvements.
Opportunities for team support and development.
Time and space for shared reflection, support and
supervision to obtain a sense perspective, development
of self awareness and trust and give attention to
different parts of their life.
Opportunities for mentorship/coaching.
A culture of support to consider alternative options, try
out different strategies for solving problems.
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Factors which will be beneficial 3
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Opportunities for professional development and updating
following needs assessment, including tailored
programmes, peer support projects, secondments,
shadowing, visits etc.
Debriefing and support after incidents/complaints.
Opportunities for fun, humour and celebration of good
work and achievements.
Nominate for awards, encourage application for
scholarships.
Role modelling of emotional intelligence, positive practice
and attitudes, acts of kindness by senior
managerial/clinical leaders.
Effective communication and information channels (A
two way street).
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Question
 What
are the benefits of a
heightened focus on resilience to
1The individual
2 The organisation
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Benefits to individual
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Maintain/enhance self confidence, value base, self
esteem.
Ability to make informed decisions.
Ability and confidence to apply courage and
appropriately challenge systems, decisions to say no,
and raise concerns of poor service quality and in
managing conflict.
Develop inner strength to keep going in tough
circumstances, and bounce back.
Heightened job satisfaction.
Improved personal safety.
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Benefits to organisation
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A positive organisational culture.
Staff feel valued, optimistic, energised, pride.
Effective staff management.
Loyal, well motivated and informed workforce, working
to optimum levels, committed to organisations strategy
and goals.
Healthier workforce, reduced sickness and absence and
less emotional fallout.
Increased awareness of prevention of ill health and staff
advocating for prevention and health promotion with
service users.
Less turnover and recruitment, retention of good staff.
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Benefits to organisation 2
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Heightened focus on patient care.
Consistent delivery on performance standards.
Likelihood of innovative practice.
Maintenance/enhancement of reputation.
More effective MDT/interagency relationships,
communication and partnership working.
Reduced mistakes, less adverse incidents, formal
complaints, litigation, Improved learning from
adverse incidents.
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Question
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What is the role of our professional
organisations in raising awareness
and lobbying for support?
How can they best influence and
impact?
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Role of Professional organisations
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Advocate for good employment policies and practice.
Provide a blueprint for organisations to work towards.
Highlight cost benefits.
Articulate the negative impact on patient care if nurses
are struggling.
Seek to influence locally, regionally and nationally.
Develop a cadre of advisors, mentors, coaches (support
and value them).
Provide personal/professional development opportunities
local/regional.
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Role of Professional organisations 2
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Hold organisations to account.
Point to where good practice is working well.
Consider incentives of accreditation of good
health and wellbeing employment policies and
practice.
Advocate for evidence based research and
resilience to feature in pre and post basic
training programmes, which enable staff and
students to develop coping skills for difficult
situations.
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Training and Professional
Development
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Question: If we are to equip staff
with the necessary skills and capacity
to withstand pressures and cope,
what are the themes and issues
which should be considered for
personal and professional resilience
training and development
programmes/workshops?
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Development Programmes
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Stress awareness, protective factors and management.
Self awareness of emotional health and wellbeing, and
that of your team.
Dealing with disappointment and learning from adversity.
Self care, promoting self resilience through accessing
support, reflective practice and supervision.
Improving self esteem and self belief.
Social competences and friendships.
Celebrating your strengths and assets.
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Development Programmes 2
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Avoiding victimhood.
Being adaptable, flexible, learning, innovative
and the capacity to walk in another person’s
shoes.
Putting perfectionism into perspective.
Sleep hygiene.
Effective time management.
Understanding why things go wrong.
Problem solving.
Communication skills.
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Development Programmes 3
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Keeping well including 5 Ways to
Wellbeing (Protective factors).
Creating a sense of belonging.
Motivational skills.
Importance of physical, emotional and
spiritual health.
Recognition of unhealthy behaviours.
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Development Programmes 4
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Learning resilience skills from sport including:
Preparation
Managing expectations
Decatastrophising
Focus on positive thinking, confidence, self belief
and motivation and mindfulness
Visualising and optimising expectations of
success, opportunities and hope building
Aspects of CBT and emotional control
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The Survivor Tree
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The Survivor Tree: A Story of Hope
and Healing
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A pear tree became known as the "Survivor Tree" after
enduring the September 11, 2001 terror attacks at the
World Trade Center. In October 2001, the tree was
discovered at Ground Zero severely damaged, with
snapped roots and burned and broken branches. The
tree was removed from the rubble and placed in the care
of the New York City Department of Parks and
Recreation. After its recovery and rehabilitation, the tree
was returned to the Memorial in 2010. New, smooth
limbs extended from the gnarled stumps, creating a
visible demarcation between the tree’s past and present.
Today, the tree stands as a living reminder of resilience,
survival and rebirth.
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