Team engagement and motivation survey during an acute care reconfiguration programme. What Dance can teach Mental Health Services about teamwork, leadership skills, and safe practice. Topic: Change, Engagement, Motivation, Teamwork Venue: SHSC NHS Foundation Trust, Sheffield, UK

1. INPATIENT & COMMUNITY FORUM
Understanding Mental Health Services
- Dancing with Complex Systems
Perspective from the Frontline
Dr Nicoletta P. Lekka MD, MSc, PhD
Sheffield, 09 January 2017

2. Outline
• The Valley of Change
• Engagement and Motivation
• What Mental Health Systems can learn from
Dance

4. Organisational Change
• “Mental health teams have to go through
frequent mandated organisational change, such
as reconfiguration programmes aiming for
fewer, smaller acute inpatient units”
(Gilburt, 2015)

7. Engagement and Motivation
Work engagement: a positive, fulfilling, work-related state
of mind that is characterised by
•vigour (a high level of energy and mental resilience,
willingness to invest effort, and persistence in the face of
difficulties)
•dedication (strong involvement in work, experiencing a
sense of significance, enthusiasm and challenge)
•absorption (characterised by time passing quickly and
happily whilst immersed at work)
(Schaufeli et al., 2002; Salanova & Schaufeli, 2008)

8. Engagement and Motivation
• Motivation: a psychological process that
includes activation of energy, effort or
persistence, as well as the direction towards a
goal
(Salanova & Schaufeli, 2008)

9. Team engagement and
motivation
• Online anonymous survey
• 41 multidisciplinary acute inpatient mental
health team members (Stanage ward)
• Explored team engagement, dealing with
change, team morale and team motivation
• 25 respondents
• Quantitative and qualitative data

10. Team engagement and
motivation
• 92% felt respected and valued by the team
• 80% were given credit for work achievements
• 80% believed their efforts to be vital for the
team's success
• 80% felt confident to put forward their ideas
about improving daily work
• 92% felt supported by the team during difficult
work circumstances

11. Team engagement and
motivation
• Only 60% agreed or strongly agreed they were
satisfied with their current job role
• Only 32% agreed or strongly agreed they found
change at work easy to deal with

12. Team engagement and
motivation
• Work-related stress was high amongst team
members, with 48% agreeing or strongly
agreeing they felt stressed
Factors affecting work-related stress included:
• Lack of resources
• Non-clarity of role
• A violent, potentially abusive inpatient
environment

13. Team engagement and
motivation
Motivational factors highly valued by the team
included:
•Providing high-level care
•Improving patient experience
•Strong team leadership
•Working in a supportive, collaborative team
environment

15. Teamwork in a Dance Company
• “Sophisticated machine”
(backstage, on stage)
• Recognising that everyone plays
a role (dancers, staff members)
• Communicating (giving
everyone information about
decisions made)
• Practicing and reflecting
• Achieving through motivation
and empowerment, not though
fear
• Nurturing each other’s potential
Ballet BC, Vancouver

16. Performance and the Team

17. Dance and Leadership Skills
• Focus
• Patience
• Passion
• Perseverance
• Discipline
• Goal orientation
• Competitiveness
Lisa Rabasca Roepe (2016)

18. Dance and Leadership Skills
Ability to
• Multi-task
• Deal with different
people
• Get things done
• Be present
• Stay on your feet
• Let others shine
Lisa Rabasca Roepe (2016)

19. Safe Practice – Prevention
• Evaluate the
Environment
• Evaluate Risk
• Develop Responsibility
and Self-Discipline
• Look after your Physical
and Mental Health
Edel Quin, Sonia Rafferty and Charlotte Tomlinson
(2015)

20. Safe Practice – Prevention
• Give Appropriate
Feedback
• Be Able to Trust
• Avoid (Physical and
Psychological) Injury
• Rest and Recover
Edel Quin, Sonia Rafferty and Charlotte Tomlinson
(2015)

21. Thank you!