1. C:6 - The Resilience Factor: Exploring Resilience for People with Dementia, their Carers and Staff #nhsc6

2. Resilience An introduction to the work of Bryan Sexton
Today I am going to introduce you to the work oN RESILIENCE OF Bryan Sexton – a Psychologist and Director of the patient safety centre at Duke university Health System world expert on Patient safety and Culture.
Fiona McQueen
Chief Nursing Officer
Scottish Government

3. So what is resilience?
Resilience is the ability of people to cope with stress and crisis, and then rebound quickly.
So….
Your resilience is a function of:
your ability to cope
and the availability of resources related to health/well-being that keep you rebounding

4. Resilience has never been more important. It is a requirement for
the delivery of
high quality
health care
If we are not thriving, not taking good care of ourselves we can’t care about our work in a resilient way.
If we can’t care about our work we will not be able to deliver quality in the longer term

5. Pre-Frontal Cortex
Provides the ability to regulate our emotions. Helps with empathy, sympathy, foresight and decision making.
Hands Up if ………..
You have skipped a meal in the last week
You got home late from work
You have had a poor nights sleep
You felt stressed
Limited your fluid intake because you were too busy to pee
All of the above cause vasoconstriction affecting the blood flow to the Pre frontal cortex – Imagine the outcome……….

6. Some Audience Participation
You try to be everything to everyone
You get to the end of the day and feel like you haven’t made a meaningful difference
you feel like the work you are doing is not recognised
You identify so strongly with work that you lack a reasonable balance between work and your personal life
Your job varies between monotony and chaos
You feel like you have little or no control over your work
You work in healthcare – 40%
All stand up
I am going to ask you a set of questions if you can personally identify with any of the questions please sit down.
Read the list when you get to the last the majority of the audience should be sitting – then say that Bryan Sexton would say that if you answer yes to any of these questions then you are at risk of BURNOUT
IN healthcare we think that burnout is present in 30-40% of our staff at any given time.

7. Resilience is important in preventing Burnout
Stages of Burnout
Rumination – the pre burnout phase constant replay of negative loops
Burnout –
Physical, mental and emotional exhaustion
Shame, doubt
Cynicism and negativity
Depression and or post traumatic stress disorder

8. Response Ability All of Us Government NHS Boards Leaders and Managers
Who?
Government
Boards
HSCPs
Leaders
Mangers
Personal
All of Us
Ability
Leaders and Managers
HSCPs

9. What can we do ourselves? - Three good things
No more than 2 hours before bed
Think about 3 good things you were involved in today - Write them down
Write down what your personal contribution was
Do this for at least 14 days – it will help to rewire your brain to the positive.
Seligmann sexton and others tell us that the brain is hard wired to remember the negative as humans we are wired this way to enable us to register and process danger and to ensure we are to avoid it in the future - it is part of our learning.
To flip this to the positive we must do something different we must

10. So… does 3 good things work ?
Happiness
CES-D
Pre-test
53.4
(15th percentile)
33.9
(severe)
Post Test
69.8
(50th percentile)
17.20
(mild –moderate)
Change
+16.4
92% increased
-16.70
94% decreased
Research by Seligman et al on this demonstrates stunning results which are comparable to the use of prozac –
* Results within 14.8 days on average –
Seligmann, Steen, Park and Peterson 2005

11. https://youtube/zL1FmLYOC4c
Further information
Dr. J. Bryan Sexton - Introduction to Resiliency: The prevalence of Severity of Burnout