We are living in VUCA World. Resilience is a key strategy to survive successfully in this VUCA world

1. BUILDING RESILIENCE IN
HEALTH CARE
PROFESSIONAL
Dr Ashok Kumar Khandelwal
VP & Medical Director
Anandaloke multispecialty hospital
Siliguri

2. WHY RESILIENCE?
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We are living in VUCA World. Researchers
mention that health organisations are also
characterized by their high uncertainty,
diversity and interactive complexity.
Resilience is a key strategy to survive
successfully in this VUCA world

3. Recently, resilience has become
increasingly important in the
workplace (Mills et al. 2013).
According to Rook et al.(2018),
resilience is a key characteristic
of a successful employee in
today’s turbulent work
environment.

4. WHAT IS RESILIENCE?
Resilience is defined as the ability to
positively adapt to traumatic or adverse
experiences (Luthar & Cicchetti, 2000).
Resilience embodies the personal
qualities that enable one to thrive in the
face of adversity (Connor and Davidson

5. ORGANIZATIONAL RESILIENCE
Organizational resilience is
organization’s ability to survive and
even strengthen itself in times of crisis.
It is more visible after a natural disaster;
however, in everyday life, organizations
have to handle a variety of adversities
in which organizational resilience is
extremely important (Stephenson et al.
2010).

6. Organizational resilience assessment includes two
factors:
Planning and adaptive capacity (gonçalves et al. 2019).
Planning implies the use of predetermined planning
capacities for the continuity of the business and risk
management initiatives.
Adaptive capacity relates to the ability to deal with the
organization’s needs before they become critical,
and it emerges as a result of strong leadership and
culture (Lee et al. 2013).

7. Resilient employees, when facilitated and supported
by the organization, have the capability to apply
resources to continually adapt and flourish at work,
even when faced with challenging circumstances
(Kuntz et al. 2016).
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8. BENEFITS OF RESILIENCE
Interventions aimed at building resilience in healthcare
workers can help to
1. Improving patient safety (Garcia et al., 2019)
2. Decreasing hospital‐acquired infections (Cimiotti et
al., 2012; Van Bogaert et al., 2014)
3. Decreases Post Traumatic Stress
disorder(Rodríguez‐Rey et al., 2019; Schäfer et al., 2018).
4.Decreasing medication errors (Van Bogaert et al., 2014).
5. Reduces burnout of health care workers.
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Organizations can promote resilience by
designing a work environment that supports
people and positively influences the
acquisition and use of resilience
skills(wachs et al. 2015),
Or enhancing employees’ capacity to
manage uncertainty (weick and sutcliffe
2015).

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PREPAREDNESS RESPONSE RECOVERY ADAPTATION

11. PREPAREDNESS
Presentation title 11
• Proactive Risk assessment -FMEA
• Implementing risk mitigation strategies before an emergency
occurs
• Develop response/support plans and establish response teams
• Training, skill, and general awareness building
• Program planning to maintain effective coping and daily functioning
of the workforce
• Psycho-education, information sharing, and support materials (i.e.
posters, brochures, leaflets, videos, etc.)

12. RESPONSE
 Normalizing reactions and responses
 Emphasis on self-care
 Expansion of response resource capacity
 Identify resource gaps (human capacity &
system)
 Ongoing training & Refresher courses
 Financial planning to design enhanced
support infrastructure
 Building safer processes to meet ongoing
concrete needs
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14. RECOVERY
• Action measures to reduce vulnerabilities
• Emphasis on and encouragement of sustained
coping
• Organizational alignment and ongoing current
state assessments
• Countermeasures for maintenance
• Problem solving activities
• System-wide reflective learning
• Effective debriefing for workforce resilience-
building
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15. RESILIENCE BUILDING 15

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• It plays vital role
• Acceptance moves us beyond the immature defense
mechanisms of denials and repression, and enables us to
face the new reality to which we must adapt.
Acceptance
• Be it religious faith, trust in others, or self-
affirmation.
• Identify your strength & believe it.
Belief
• Moving forward and carrying out one’s responsibility with
determination
• Doing what needs to be done regardless of feelings and
circumstances
Commitment
• Learning something new about the self and life
Discover
• Savoring positive outcomes or reassessing one’s
progress
Evaluate &
Enjoy

17. Research describes both personal and
environmental factors (organisational)
contribute to resilience that is needed (Britt
et al. 2016).
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18. Your behaviour is decided 80% by social norms
20% by yourself (individual)- Normative behaviour/
conduct.
The literature provides strong evidence for the
impact of social norms on a variety of attitudes and
behaviors. Examples include littering behavior
(Cialdini et al., 1990), cancer screening intentions
(Smith-McLallen and Fishbein, 2008), alcohol
consumption (Perkins and Berkowitz, 1986), fruit and
vegetable consumption (Sorensen et al., 2007), and
spousal violence against women (Linos et al., 2013).
Top management should ensure a positive &
energetic environment at work place.
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21. INDIVIDUAL LEVEL
Presentation title 21
1.Exercise
2.Healthy Diet
3.Adequate Sleep
4.Mindfulness
5.Helping others to grow
6.Gratitude practice
7.Positive thoughts
8.Empathy
9.Relationship management
10.Meaning of life
11. Achievement

22. It is your reaction to adversity, not
the adversity itself, that determines
how your life's story will develop.'.
“
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23. THANK YOU
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