1. Building Resilient Teams Around End-of-Life Care
Chris Swift th November 2016

2. The Topic In general terms Palliative care Outcomes
Identify positive factors
Recognise problems/limitations
Note the role of belief(s)
Contribute to change

4. Definition “Effective coping and adaptation although faced with loss, hardship or adversity” Tugade & Fredrickson, 2004)

5. In general “…organizations require three key constituents for getting tagged as ‘resilient’: acceptance of reality, deeply held values that yield meaning, and the ability to improvise”. Pradhan, Rabindra Kumar

6. Is palliative care different
Is palliative care different? People are mindful of mortality People die and are preparing for death Staff may be ‘disenfranchised mourners’ The context of care is highly emotive In palliative care “…burnout occurs when work demands outstrip personal resources”. Tugade, Michele M., Barbara L. Fredrickson, and Lisa Feldman Barrett.

7. Workplace well-being BURNOUT RESILIENCE Personal Resources
Work demands
BURNOUT

8. Resilience skills and workplace factors
Individual Skills
Workplace Factors
Working from strengths
Tracking activation
Healthy boundaries
Regulating emotions
Recognizing distortions
Reasonable expectations
Finding meaning
Commitment to long term
Enabling control
Structuring rewards
Building community
Promoting fairness
Recognizing values
Calibrating workload

9. Adapting to change

10. Resilient Teams The roles of team members are clear
Everyone has a say in work planning and values
People are valued
Opportunity for reflection
Leaders are accessible

11. The role of guiding beliefs/convictions
“His brother’s death had made him see things ‘differently’. After his brother’s death, Alan could still use his faith (but in a different way)”.
Chapple, Alison, Chris Swift, and Sue Ziebland

12. What the Team Believes What’s the story of your team?
Or are there stories?
Is everyone part of the story?
Does the story support resilience?
How is the story changed?

13. Spirituality & Resilience
“participants reported that their spirituality was a critical resource in their ability to bounce back from adversity, while also strengthening and deepening their faith. Resilience, strengthened by spirituality, thus led to participants’ subjective sense of well-being”.
Tuck, Inez, and Lorraine Anderson. "Forgiveness, flourishing, and resilience: The influences of expressions of spirituality on mental health recovery." Issues in mental health nursing 35, no. 4 (2014):

14. Doris Lessing
Let us suppose floods wash through our cities, the seas rise. But the storyteller will be there, for it is our imaginations which shape us, keep us, create us - for good and for ill. It is our stories that will recreate us, when we are torn, hurt, even destroyed. It is the storyteller, the dream-maker, the myth-maker, that is our phoenix, that represents us at our best, and at our most creative.
Nobel Prize for Literature acceptance speech 2007

15. References
Chapple, Alison, Chris Swift, and Sue Ziebland. "The role of spirituality and religion for those bereaved due to a traumatic death." Mortality 16, no. 1 (2011): 1-19.
Manning, Lydia K. "Navigating Hardships in Old Age Exploring the Relationship Between Spirituality and Resilience in Later Life." Qualitative health research (2013):
Pradhan, Rabindra Kumar. "Building resilient organizations." The Routledge International Handbook of Psychosocial Resilience (2016): 391.
Tuck, Inez, and Lorraine Anderson. "Forgiveness, flourishing, and resilience: The influences of expressions of spirituality on mental health recovery." Issues in mental health nursing 35, no. 4 (2014):
Tugade, Michele M., Barbara L. Fredrickson, and Lisa Feldman Barrett. "Psychological resilience and positive emotional granularity: Examining the benefits of positive emotions on coping and health." Journal of personality 72, no. 6 (2004):