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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 distractions
Richard 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 GRATITUDE
Gratitude 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:
Free – online – every February
Connect with thousands of change
agents worldwide

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Building resilience in a world of uncertainty

  • 1. Building resilience in a world of uncertainty Rosanna Hunt, Ph.D. rosanna.hunt@nhs.net @rosielhunt
  • 2. • Defining resilience • Building personal resilience • Building team resilience This presentation is about…. Presenter: Rosanna Hunt rosanna.hunt@nhs.net
  • 3. “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
  • 4. “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
  • 5. 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
  • 6.  “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
  • 7. 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
  • 8. ‘In this world nothing is certain but death and taxes.’ Benjamin Franklin A WORLD OF UNCERTAINTY
  • 9. What personal strategies do you have for building your resilience? Share them! TABLE DISCUSSIONS
  • 10. • Reduce multi tasking & find your “flow” • Sleep & exercise • Activate the parasympathetic nervous system • Practice gratitude Building personal resilience
  • 11.
  • 12. 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 distractions Richard Davidson – Neuroscientist at the University of Wisconsin-Madison
  • 13. • 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
  • 14. “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
  • 15. “Okay, your posture’s very good. Now, relax, concentrate, and slowly let go of your mobile phone”
  • 16. • 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
  • 17. GratitudePRACTICE GRATITUDE Gratitude 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
  • 18. • Use strengths-based approaches • Build Energy for change Presenter: Rosanna Hunt @rosielhunt Building TEAM resilience Psychological Physical Spiritual Social Intellectual
  • 19. 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”
  • 20. 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?
  • 21. Change ‘All great literature is one of two stories; a man goes on a journey or a stranger comes to town.’ Leo Tolstoy
  • 22. “Go for no!” - And learn from it Our mantra on the School for Heath and Care Radicals: Free – online – every February Connect with thousands of change agents worldwide

Editor's Notes

  1. The Horizons team exists as a source of new trends, ideas, breakthroughs and knowledge in methods and mind-sets for large scale change, spread and improvement to help change happen more speedily and effectively. This is achieved by tuning-in to and engaging with what is working in healthcare and other industries around the world, and, by helping to build capability for change across the system.
  2. Constant change in the work place is the way of the modern world Sometimes we are instigating the change, often we are not Personal resilience = wellbeing Team resilience = handling stress & dealing with resistance to change
  3. Tiredness and stress are linked! Remember to be kind to yourself the day after a late night.
  4. MOVING FROM THINKING & DOING – TO “BEING”
  5. Research on gratitude and wellbeing shows that gratitude improves physical and psychological health by, for example, reducing toxic energy such as envy, frustration and regret and increases happiness and reduces depression (Robert A. Emmons, Ph.D.). Links between gratitude and stress reduction/resilience have also been identified. For example, Vietnam War Veterans with higher levels of gratitude experienced lower rates of Post-Traumatic Stress Disorder (Kashdan et al., 2006).  A 2003 study published in the Journal of Personality and Social Psychology also found that gratitude was a major contributor to resilience following the terrorist attacks on September 11.  (Forbes Magazine, 2013)
  6. Stop talking about barriers to change