Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce...
Transcript of Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce...
![Page 1: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/1.jpg)
Thriving vs. Surviving: The Science of Enhancing
Resilience
J. Bryan Sexton, PhDDirector, Duke Center for Healthcare Safety and QualityDuke University Health System
5-28-2020
twitter.com/dukehsq | www.hsq.dukehealth.org
![Page 2: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/2.jpg)
Ask the kids…
National Study of the Changing Workforce
worried about parents
wish parents were less stressed
and less tired
65% of children (age 8–18) of working parents:
![Page 3: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/3.jpg)
Examples•Institutional Resources
– Schwartz Center Rounds
– Just Culture Training
– Positive Rounding
– Safety Rounding
– Second Victim Support
•Resources for individuals:– Gratitude Letters: bit.ly/grattool
– Cultivate Hope: bit.ly/fwdtool
– 3 Funny Things: bit.ly/start3ft
– Cultivate Confidants: bit.ly/1goodchat
– Cultivate Awe and Wonder: bit.ly/awetool
– Random Acts of Kindness: bit.ly/kindtext
– Cultivate Mindfulness: bit.ly/3goodminutes
– Cultivate Interest & Curiosity: bit.ly/inttool
– 3 Good Things: bit.ly/start3gt
![Page 4: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/4.jpg)
Why do we need individual and
institutional resources in the first place?
![Page 5: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/5.jpg)
MD Burnout is
expensive: $4.6 billion
![Page 6: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/6.jpg)
workplace wellness RCT: no
differences in clinical
measures of health, spending,
utilization, or employment
outcomes after 18 months
![Page 7: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/7.jpg)
hospitalizations for
conditions with
prevention potential in
primary care are
influenced by GP well-
being
(dose–response pattern
across several well-
being indicators)
![Page 8: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/8.jpg)
Expensive
Traditional countermeasures not working
Impact on clinical quality
Quick recap of burnout so far:
![Page 9: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/9.jpg)
In the past week:
![Page 10: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/10.jpg)
![Page 11: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/11.jpg)
![Page 12: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/12.jpg)
Burnout ICC .26
“Burnout is a team sport”
![Page 13: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/13.jpg)
![Page 14: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/14.jpg)
Burnout is contagious, but so is resilience…
![Page 15: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/15.jpg)
![Page 16: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/16.jpg)
Psychology of BurnoutYour focus and reflections
determine your reality
![Page 17: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/17.jpg)
Psychology of Burnout
Your determines your
reality
![Page 18: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/18.jpg)
Notice anything unusual about this lung scan?
Harvard researchers found that 83% of radiologists didn't notice the gorilla in the top right portion of this image.
![Page 19: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/19.jpg)
What the burned out eyes are able to
see is limited:
Eye-tracking of attention of burned out
and depressed participants was the same:
more focus on dysphoric stimuli /
less focus on positive stimuli
![Page 20: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/20.jpg)
![Page 21: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/21.jpg)
Analogy:• Noticing something about the world
• Commenting on it briefly through your mobile phone
• Seeing what other people commented on
![Page 22: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/22.jpg)
![Page 23: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/23.jpg)
![Page 24: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/24.jpg)
![Page 25: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/25.jpg)
![Page 26: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/26.jpg)
![Page 27: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/27.jpg)
![Page 28: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/28.jpg)
![Page 29: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/29.jpg)
For the latest on our research,
courses and tools, connect with
us on Twitter
@JBryanSexton1
![Page 30: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/30.jpg)
Higher Standardized
Mortality RatiosWelp, Meier & Manser. Front
Psychol. 2015 Jan 22;5:1573.
Burnout is associated with:
Medication ErrorsFahrenkopf et al. BMJ. 2008 Mar 1;336(7642):488–91.
InfectionsCimiotti, Aiken, Sloane and Wu.
Am J Infect Control. 2012 Aug;40(6):486–90.
Lower Patient SatisfactionAiken et al. BMJ 2012;344:e1717 Vahey, Aiken et al. Med Care. 2004 February; 42(2 Suppl): II57–II66.
![Page 31: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/31.jpg)
Burnout is what happens when it gets really hard to notice something funny, interesting, or amazing…
![Page 32: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/32.jpg)
Burnout, at its core, is the impaired ability to experience positive emotion.
![Page 33: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/33.jpg)
Gratitude
Serenity
Awe
Interest
Pride Amusement
Joy
Hope
Love
Inspiration
![Page 34: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/34.jpg)
![Page 35: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/35.jpg)
Through Positive Emotions…
Positive Emotions Recharge your
Batteries…
![Page 36: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/36.jpg)
How to make positive emotions more accessible, when the negative are so prevalent? A simple intervention called 3 Good Things…
![Page 37: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/37.jpg)
Three Good Things
![Page 38: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/38.jpg)
![Page 39: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/39.jpg)
Three Good Things
![Page 40: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/40.jpg)
![Page 41: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/41.jpg)
55
60
65
Pre-test
Post-test
Oneweek
Onemonth
Threemonths
Sixmonths
Happin
ess
Placebo control (n = 70)
Three good things (n = 59)
Three Good Things
Seligman, Steen, Park & Peterson, 2005
![Page 42: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/42.jpg)
8
12
16
Pre-test
Post-test
Oneweek
Onemonth
Threemonths
Sixmonths
Depre
ssiv
e S
ym
pto
ms
Placebo control (n = 70)
Three good things (n = 59)
Three Good Things
Seligman, Steen, Park & Peterson, 2005
![Page 43: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/43.jpg)
![Page 44: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/44.jpg)
Adair, Kennedy & Sexton 2020Provisional acceptance at JOPP
![Page 45: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/45.jpg)
Percent Concerning after 3 Good Things
0
20
40
60
Before Starting"Three Things"
12 Months After"Three Things"
Perc
ent
Concern
ing
Happiness
Burnout
Work-life balance
Depression
![Page 46: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/46.jpg)
#1 We are hard-wired to remember the negative.
The negative screams at
you, but the positive only
whispers…
—Barbara Fredrickson
![Page 47: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/47.jpg)
#1 We are hard-wired to remember the negative.
#2 Reflecting on the positive leads to noticing more positive.
#3 With practice (by day 4 or 5) reflecting on the positive leads to noticing more positive.
![Page 48: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/48.jpg)
`
We’ll send you a text or
email link…
![Page 49: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/49.jpg)
![Page 50: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/50.jpg)
![Page 51: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/51.jpg)
![Page 52: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/52.jpg)
![Page 53: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/53.jpg)
DUH Exposure to 3GT associations with Safety Culture and Well-Being
77%80%
45%51%
64%67%
37%
47%
0%
20%
40%
60%
80%
100%
TeamworkClimate
SafetyClimate
Resilience Work-LifeBalance
Perc
ent
Posi
tive
3GT Yes (N=1944) 3GT No (N=4890)
t=13.24
p<0.0001
t=14.04
p<0.0001
t=5.91
p<0.0001
t=3.58
p<0.0001
![Page 54: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/54.jpg)
![Page 55: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/55.jpg)
Meeting Agenda Item
One good thing so
far this week
![Page 56: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/56.jpg)
Evaluation from Participants of 3GT
96% said that they would recommend the 3 Good Things exercise to a friend
86% said that they have encouraged others to try 3 Good Things
93% said they would like to participate in 3 Good Things again next year
![Page 57: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/57.jpg)
3GT on demand (start anytime)
Choose email or text format
Share with your colleagues
(bit.ly/start3gt)
![Page 58: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/58.jpg)
Please get your mobile phone….
![Page 59: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/59.jpg)
Please use your mobile browser to go to:
bit.ly/start3gt
![Page 60: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/60.jpg)
bit.ly/start3gt
![Page 61: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/61.jpg)
Negative is like Velcro,positive is like Teflon
3GT enhances your ability to see the positive that is there
scalable from individual to work setting levels
bit.ly/start3gt
![Page 62: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/62.jpg)
Time to enroll: 2–5 minutes
Time each evening: 2 minutes
Time to finish: 2 weeks
bit.ly/start3gt
![Page 63: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/63.jpg)
bit.ly/3gtdemo
3-Minute Video
![Page 64: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/64.jpg)
“So how are we going to kill the next patient
around here?”
Traditional Patient Safety Rounding Frame:
![Page 65: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/65.jpg)
“What are three things that are going well around here, and one thing that could be
better?”
Positive Rounding Frame:
![Page 66: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/66.jpg)
0
10
20
30
40
50
60
70
80
90
100
% Y
es
Do senior leaders ask for information about what is going well in this work setting (e.g., people who deserve special recognition for going above and beyond, celebration of successes, etc.)?
![Page 67: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/67.jpg)
0
10
20
30
40
50
60
70
80
90
100
% Y
es
Do senior leaders ask for information about what is going well in this work setting (e.g., people who deserve special recognition for going above and beyond, celebration of successes, etc.)?
1st
Quartile2nd
Quartile3rd
Quartile
4th
Quartile
This
Quartile –
low Positive
Rounding
This
Quartile –
High
Positive
Rounding
![Page 68: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/68.jpg)
0
10
20
30
40
50
60
70
80
90
100
ImprovementReadiness
LocalLeadership
TeamworkClimate
Safety Climate EmotionalExhaustion
BurnoutClimate
Work-LifeBalance
4th (fewest PosWR) 3rd 2nd 1st (most PosWR)
Mean o
f th
e w
ork
settin
g s
core
s
t=6.32,
p<.001
┌┴┐
t=3.65,
p<.001
t=5.50,
p<.001
┌┴┐
t=7.69,
p<.001
┌┴┐t=-4.32,
p<.001
t=-5.07,
p<.001
┌┴┐
t=6.39,
p<.001
┌┴┐
Safety Culture & Well-Being by Positive Rounding Quartiles
┌┴┐ ┌┴┐
![Page 69: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/69.jpg)
Pausing and Reflecting
• Large survey of workplace norms (n = 10,496) included three items on positive reflection:
• The learning environment in this work setting
allows us to gain important insights into what we
do well
• The learning environment in this work setting
allows us to pause and reflect on what we do well.
• In this work setting local management regularly
makes time to pause and reflect with me about my
work.
• Chronbach's alpha: .863
![Page 70: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/70.jpg)
Relationship between
institutional resources and well-being after controlling for positive
reflections:
ZERO or nearly Zero
![Page 71: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/71.jpg)
Relationship between
institutional resources and well-being after controlling for positive
reflections:
ZERO or nearly Zero
![Page 72: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/72.jpg)
Examples•Institutional Resources
– Schwartz Center Rounds
– Just Culture Training
– Positive Rounding
– Safety Rounding
– Second Victim Support
•Resources for individuals:– Gratitude Letters: bit.ly/grattool
– Cultivate Hope: bit.ly/fwdtool
– 3 Funny Things: bit.ly/start3ft
– Cultivate Confidants: bit.ly/1goodchat
– Cultivate Awe and Wonder: bit.ly/awetool
– Random Acts of Kindness: bit.ly/kindtext
– Cultivate Mindfulness: bit.ly/3goodminutes
– Cultivate Interest & Curiosity: bit.ly/inttool
– 3 Good Things: bit.ly/start3gt
![Page 73: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/73.jpg)
Meeting Agenda Item
-One good thing so far this week
![Page 74: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/74.jpg)
bit.ly/dukewebinars
![Page 75: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/75.jpg)
bit.ly/start3gt
Q&A
TOOL
bit.ly/3gtdemo3 min VIDEO
![Page 76: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/76.jpg)
For the latest on our research,
courses and tools, connect with
us on Twitter
@JBryanSexton1
![Page 77: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/77.jpg)
Enduring Resources (for Pausing & Reflecting)
• Cultivate gratitude: bit.ly/grattool
• Cultivate positive emotions: bit.ly/start3gt
• Cultivate engagement: bit.ly/inttool
• Cultivate awe: bit.ly/awetool
• Cultivate hope: bit.ly/fwdtool
• Cultivate work-life balance: bit.ly/wlbtool
• Mindfulness: bit.ly/3goodminutes
• Self Compassion: bit.ly/selfcomptool
• Cultivate relationships: bit.ly/1goodchat
• Cultivate serenity: bit.ly/serenitytool
• www.hsq.dukehealth.orgResilience Ambassador Training in Durham, NC
Positive Emotion & calibrating to situation are keys to resilience
Frequency…not magnitude of positive emotion
![Page 78: Thriving vs. Surviving...2020/05/28 · Ask the kids… National Study of the Changing Workforce worried about parents wish parents were less stressed and less tired 65% of children](https://reader033.fdocuments.net/reader033/viewer/2022050304/5f6d429ad8e52917836a6e0e/html5/thumbnails/78.jpg)
Monthly Resilience Webinar series:—1 hour continuing education credit (MD/RN/other)—1 tool each month, recorded, with Q&A
JANUARY Prevalence & Severity of Burnout: Workforce Resilience as Care Quality
FEBRUARY Enhancing Resilience: The Science and Practice of Gratitude
MARCH Relationship Resilience: The Science of How Other People Matter
APRIL Enhancing Resilience: Three Good Things
MAY Enhancing Resilience: Practicing Safe Stress and the Science of Sleep
JUNE Psychological Safety: The Predictive Power of Feeling Supported When Things Go Wrong
JULY Science of Mindfulness
AUGUST Health Care Worker Resilience, Work-Life Integration, and Burnout
SEPTEMBER Collaboration vs. Dealing with Difficult Colleagues: Assessing, Understanding and Improving Teamwork in a Clinical Area Near You
OCTOBER Science of Wow: Cultivating Awe and Wonder as a Resilience Strategy
NOVEMBER Positive WalkRounds: Leader Rounding to Identify What is Going Well—Links to Quality, Culture and Workforce Resilience
DECEMBER Enhancing Resilience: Survival of the Kindest
www.hsq.dukehealth.org