1. Building Your Resilience and Managing Stress Karin Anjos Kim Aumann Boingboing CIC www.boingboing.org.uk www.boingboing.org.uk

2. ‘…refers to a class of phenomena characterised by good outcomes in spite of serious threats to adaptation or development’ (Masten 2001) What is resilience?

3. ‘Adequate provision of health resources necessary to achieve good outcomes in spite of serious threats to adaptation or development.’ Source: Ungar 2005b: 429, building on Masten

4. Stresses for the new practitioner Acute performance anxiety and fear Scrutiny by professional gatekeepers, while encountering ambiguous standards Porous or rigid emotional boundaries, learning how to regulate emotional boundaries The fragile and incomplete practice-self Inadequate conceptual maps Glamorized expectations Orphan Distress- acute need for positive mentors (Skovholt and Ronnestad 2003)

5. Fine tune your stress radar FEELINGS BEHAVIOURS PHYSICAL INDICATORS

6. Social ecological approach Research with the most vulnerable children shows very clearly that they heal best when we shape their environments to meet their needs (Jaffee, Caspi, Moffitt, Polo-Tomas, & Taylor, 2007; Prilleltensky, 2012) Developing the protective factors associated with child development in adverse contexts Requires an ‘inequalities imagination’ Multi-faceted strategies

7. “In the context of exposure to significant adversity, resilience is both the capacity of individuals to navigate their way to the psychological, social, cultural and physical resources that sustain their wellbeing, and their capacity individually and collectively to negotiate for these resources to be provided and experienced in culturally meaningful ways”. Ungar (2010, p425)

8. Ecologically derived definition The qualities of both the individual and the individual’s environment that potentiate positive development” (2011 p127) Ungar, M., & Liebenberg, L. (2011). Assessing resilience across cultures using mixed methods: Construction of the Child and Youth Resilience Measure. Journal of Mixed Methods Research, 5(2), 126-149.

9. Draw on internal & external resources Internal resources – to take care of and have to hand What do you think is one of the most important qualities a worker needs, to do your job? External resources – to take care of and have to hand What do you do, to cope when the week has been tough? Who do you look to for support, a laugh?

10. How to survive and thrive 1.Build positive professional relationships – networking and mentoring 2.Maintain positivity – laughter, optimism 3.Develop emotional insight to understand own risk and protective factors 4.Use life balance and spirituality to give one’s life meaning and coherence 5.Become more reflective to build emotional strength and assist in meaning-making to transcend the present ordeal (Jackson et al 2007 in McAllister 2009, nursing)

11. Staff well-being is an ‘antecedent’ to patient care experience (Maben et al 2012 commissioned by the National Institute of Health Research) ‘Well-being bundles:’ – A good local (team)/ work-group climate – Co-worker support – Job satisfaction – A positive organisational climate – Organisational support – Low emotional exhaustion – Supervisor support

12. Partner support 1 Low workload 1 Control over work 1 Colleague support 1 Beliefs and spirituality 1.2 Family support 1 Making a difference 1 Self reflection / awareness 1.4 Protection 4 Client connection 1 Work culture 1 Laughter/humour 1 Mood changers 4 Coping /relational skills 5 Self-efficacy 1. 4 (measure of own skill level) Supervision /peer support 5 Clinical supervision 1 Friend support 1 Feeling valued 1 Work life balance 1.4 Mentors /role models 1 Professional identity 1.3.4 Continuing education 1 Developmental learning 5 Resilience selection box (C. Hudson) 1 McCann et al (2013) 2. Jackson et al (2007) 3. Beddoe et al (2013) 4 Hunter and Warren (2014) 5 Adamson et al (2012)