Resilience in Healthcare Organizations – My Blog

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School of Nursing & Midwifery
Resilience in Healthcare Organizations
Dr Vishnu Renjith. PhD, MSN, RN, FRSPH
Lecturer / Programme Director, School of Nursing & Midwifery
Royal College of Surgeons in Ireland, 123 St. Stephen’s Green, Dublin 2, Ireland
Email: [email protected]
Change Management : Theory & Practice
School of Nursing & Midwifery
• Define Resilience
• Understand the concepts of personal resilience and organizational resilience
• Explain resilience in healthcare organizations
• Enumerate the strategies for building resilience among nurses
• Discuss steps in building a resilient organization
Objectives
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School of Nursing & Midwifery
• Traumatic events can generate a range of emotions such as feelings of grief and
sadness.
• Those who are able to work through the emotions and effects of stress and pain and
rebuild their lives are called resilient people.
• Personal resilience is the individual ability to withstand, adapt to, and recover from
adversity and stress. It involves behaviors, actions, and thoughts that ultimately
promote wellbeing and healthy mental status.
Resilience
Dr Vishnu Renjith
School of Nursing & Midwifery
• Resiliency can appear at different levels changing and developing
throughout life.
• The concept of resilience is related to wellbeing because they are both
important to prevent mental health problems.
• Wellbeing and resilience help develop problem-solving skills, build and
maintain interpersonal relationships enhancing the personal ability to
perform well in daily life.
Resilience
Dr Vishnu Renjith
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School of Nursing & Midwifery
• Resilience helps to develop coping mechanisms against overwhelming
experiences and help to maintain balance during stressful moments.
• A resilient person will take care of themselves and others daily and during
emergencies. They will provide active support to their communities,
workplaces, and neighborhoods.
Resilience
Dr Vishnu Renjith
School of Nursing & Midwifery
• A resilient person appear confident and optimistic about the future because
they trust they will overcome present difficulties.
• They also look physically and mentally healthy and are able to recover fast.
• The lack of resilience affects mental health leading to depression and
anxiety.
Resilience
Dr Vishnu Renjith
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School of Nursing & Midwifery
NHS(2019). Building your own resilience, health and wellbeing. Available at https://www.workingwellglos.nhs.uk/wp-content/uploads/2019/01/Building-your-own-Personal-Resilience.pdf
Resilience
Dr Vishnu Renjith
School of Nursing & Midwifery
• Resilience is important in the health care workplace. Health workers are
often burned out because of dealing with stressful situations every day.
• Resilience in health care workplace can help professionals grow, rather than
shrink, from stress.
• However, first it is necessary to build a culture where employees feel they
are important and that their well-being matters.
Resilience in healthcare organizations
Dr Vishnu Renjith
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School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
• As a fundamental part of the health system, nurses need a high level of
resilience and emotional intelligence to cope with stressful situations and
pressure.
• Nurse resilience is defined as the ability to face adverse situations, remain
focused, and continue to be optimistic for the future, resilience is a vital
characteristic for nurses in today’s complex healthcare system (Kester &
Wei, 2018).
Resilience among nurses
Dr Vishnu Renjith
School of Nursing & Midwifery
Kendall-Raynor, P. (2018). More than 17,000 younger nurses leave NHS, figures show. Nursing Standard

•	More than 17,000 nurses under the age of 40 left the NHS in 2016/17.

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• The Royal College of Nursing, UK has claimed
that the NHS is ‘haemorrhaging’ nurses at a
time of unparalleled demand for health and
social care services, describing the situation as
a ‘perfect storm’ that is engulfing nursing in the
UK
Why does resilience matter?
Dr Vishnu Renjith
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School of Nursing & Midwifery
NHS(2019). Building your own resilience, health and wellbeing. Available at https://www.workingwellglos.nhs.uk/wp-content/uploads/2019/01/Building-your-own-Personal-Resilience.pdf

•	The Health and Safety Executive describes stress at work as a ‘major problem’, accounting for around 40% of all work-related illness

• The daily stressfulness at work can contribute to:
• errors and misjudgments
• low morale
• sickness absence
• burnout
• staff turnover in the sector.
• These are all factors that undermine quality in all sorts of ways.
• Building resilience is the key as resilient staff deliver high quality care and support.
Why does resilience matter?
Dr Vishnu Renjith
School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
• Three strategies for building nurse resilience
1. Formal education programs
2. Social support
3. Meaningful recognition
Strategies for building resilience among nurses
Dr Vishnu Renjith
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School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
Crabtree-Nelson, S., & DeYoung, L. P. (2017). Enhancing resilience in active duty military personnel. Journal of psychosocial nursing and mental health services, 55(2), 44-48.
1. Formal education programs
• Implementing formal and consistent resilience education for nurses to identify
stressors, be aware of personal triggers, and take part in preferred self-care
activities can help move the healthcare industry toward supporting a culture of
wellness.
• Master Resilience Training including operational stress control, education about
sleep, fitness, eating habits, and other self-care techniques was found to be
beneficial in improving resilience among military mental health nurses and social
workers (Crabtree-Nelson & DeYoung, 2017).
Strategies for building resilience among nurses
Dr Vishnu Renjith
School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
Schmidt, M., & Haglund, K. (2017). Debrief in emergency departments to improve compassion fatigue and promote resiliency. Journal of Trauma Nursing, 24(5), 317-322.
2. Social support
• Social support can be implemented in many ways and may vary depending on
the culture of an individual department.
• One option is hosting scheduled debriefing sessions in which nurses can bond
and learn from each other while sharing stories and experiences. The debriefing
sessions are educational, focused, and could be led by individuals who are
trained to structure reflection, learning, and healing (Schmidt, & Haglund, 2017).
• Other options for social support may include activities such as potluck dinners,
holiday crafts, and out-of-work events.
Strategies for building resilience among nurses
Dr Vishnu Renjith
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School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
Kelly, L. A., & Lefton, C. (2017). Effect of meaningful recognition on critical care nurses’ compassion fatigue. American Journal of Critical Care, 26(6), 438-444.
3. Meaningful recognition
• Employee recognition and rewards are valuable drivers of a resilient work
culture.
• Ensuring that employees feel valued and appreciated is particularly critical
during times of change because change of any size brings with it a level of
uncertainty
• Developing tools to identify methods of recognition that nurses prefer can help
nurse leaders be effective in giving meaningful recognition.
Strategies for building resilience among nurses
Dr Vishnu Renjith
School of Nursing & Midwifery
HSE (2020) Minding Your Wellbeing Programme. Available at https://www2.hse.ie/healthy-you/minding-your-wellbeing-programme.html
Minding Your Wellbeing Programme
• Initiated by HSE Health and Wellbeing, this evidence-based programme
provides a unique opportunity for people to learn more about mindfulness,
gratitude, self-care and resilience.
• This programme focuses on the promotion of mental wellbeing, and has
been adapted from a face-to-face programme into a series of short online
videos.
HSE initiatives
Dr Vishnu Renjith
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School of Nursing & Midwifery
HSE (2020) Minding Your Wellbeing Programme. Available at https://www2.hse.ie/healthy-you/minding-your-wellbeing-programme.html
Minding Your Wellbeing Programme
• The programme consists of 5 video sessions (of about 20 minutes each)
1. Practicing Self-Care
2. Understanding Our Thoughts
3. Exploring Emotions
4. Building Positive Relationships
5. Improving Our Resilience
Program is available at
https://www2.hse.ie/healthy-you/minding-your-wellbeing-programme.html
Link will be available in the VLE/Moodle
HSE initiatives
Dr Vishnu Renjith
School of Nursing & Midwifery
BCI (2021). statement on organizational resilience . Retrieved 2 March 2021, from https://www.thebci.org/knowledge/bci-statement-on-organizational-resilience.html
• Organizational Resilience is the ability of an organization to anticipate,
prepare for, respond and adapt to incremental change and sudden
disruptions in order to survive and prosper.
Organizational Resilience
Dr Vishnu Renjith
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School of Nursing & Midwifery
Lengnick-Hall, C. A., Beck, T. E., & Lengnick-Hall, M. L. (2011). Developing a capacity for organizational resilience through strategic human resource management. Human resource management review, 21(3), 243-255.
• To survive in uncertain environments and to foster future success,
organizations must be able to handle manifestations of the unexpected
events.
• Firms need to develop a resilience capacity which enables them to
adequately react to unexpected events and to capitalize on events that could
potentially threaten an organization’s survival.
Organizational Resilience
Dr Vishnu Renjith
School of Nursing & Midwifery
Steps you can take to build a resilient organization. (2021). Retrieved March 02, 2021, from https://www.ccl.org/articles/leading-effectively-articles/steps-you-can-take-to-build-a-resilient-organization/
According to the Centre for Creative Leadership (2021), Organizational
resilience is the dynamic capacity of the people within an organization to:
1. Be mindfully aware of the environment
2. Respond productively to continuous change, adversity, and disruption
3. Positively adapt and learn from experience in order to drive higher levels of
performance over the long term.
Organizational Resilience
Dr Vishnu Renjith
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School of Nursing & Midwifery
Steps you can take to build a resilient organization. (2021). Retrieved March 02, 2021, from https://www.ccl.org/articles/leading-effectively-articles/steps-you-can-take-to-build-a-resilient-organization/
In leading an organization to become more resilient, embed these three
iterative steps as standard operating practice:
1. Anticipate
• Determine what’s happening in the environment and prepare to act
on challenges and opportunities.
2. Adapt
• Mobilize and collectively implement actions by empowering the
organization to work and collaborate in new and different ways.
3. Assess
• Review and reflect on progress to collectively learn, evolve, and
build capability and capacity.
Building a Resilient Organization
Anticipate
Adapt
Assess
School of Nursing & Midwifery
Steps you can take to build a resilient organization. (2021). Retrieved March 02, 2021, from https://www.ccl.org/articles/leading-effectively-articles/steps-you-can-take-to-build-a-resilient-organization/
Purpose and
meaning
Empowerment
Social
connections
Emotional
intelligence
Ongoing
Learning
Innovation
Building a Resilient Organization
Dr Vishnu Renjith
Resilient
Organization
Key Capabilities of a Resilient Organization
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School of Nursing & Midwifery
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
• The competing priorities and challenges with which nurses are confronted
may make it difficult to develop resilience characteristics.
• Therefore, it’s important for nurse leaders to educate nurses about self-care
and techniques to build resilience.
Conclusion
Dr Vishnu Renjith
School of Nursing & Midwifery
• In organizations, resilience is not simply the ability to deal with adversity
when it appears.
• Organizational resilience can help businesses prevent crises, deal more
effectively with them when they do appear, and then learn from them once
they have been resolved.
Conclusion
Dr Vishnu Renjith
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HSE (2020) Minding Your Wellbeing Programme. Available at https://www2.hse.ie/healthy-you/minding-your-wellbeingprogramme.html
Kelly, L. A., & Lefton, C. (2017). Effect of meaningful recognition on critical care nurses’ compassion fatigue. American
Journal of Critical Care, 26(6), 438-444.
Kendall-Raynor, P. (2018). More than 17,000 younger nurses leave NHS, figures show. Nursing Standard
Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing management, 49(6), 42-45.
Lengnick-Hall, C. A., Beck, T. E., & Lengnick-Hall, M. L. (2011). Developing a capacity for organizational resilience
through strategic human resource management. Human resource management review, 21(3), 243-255.
NHS(2019). Building your own resilience, health and wellbeing. Available at https://www.workingwellglos.nhs.uk/wpcontent/uploads/2019/01/Building-your-own-Personal-Resilience.pdf
CCL (2021) Steps you can take to build a resilient organization. (2021). Retrieved March 02, 2021, from
https://www.ccl.org/articles/leading-effectively-articles/steps-you-can-take-to-build-a-resilient-organization/
References
Dr Vishnu Renjith
School of Nursing & Midwifery
Thank you
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