Session supported by

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Session supported by
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Surfing not sinking Dealing with change in the
NHS

• Professor Michael West, Aston Business School

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Environment mastery
Positive relationships
Purpose in life
Psychological Well-Being
Autonomy
Self- acceptance
Personal growth
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Self acceptance

• Positive regard for ones self. Not narcissism or
  superficial self-esteem. A deep form of self
  regard built on awareness of ones positive and
  negative attributes. On honest self-evaluation,
  awareness of personal failings and limitations,
  and compassion for ones self, warts and all.
• Vital for the surfer of change

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Purpose in life

• The capacity to find meaning and direction in
  ones experiences, as well as to create and
  pursue goals in living and working.
• Vital for the surfer of change

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Personal growth

• The capacity to continually realize ones talent
  and potential, as well as to develop new
  resources and strengths, particularly in
  responding to change
• Vital for the surfer of change

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Environmental mastery

• The challenge of managing ones surrounding
  world. To create and sustain environments suited
  to ones personal needs. The enduring personal
  initiative required to build and nurture work and
  family environments that bring out the best in
  ones self and others.
• Vital for the surfer of change

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Autonomy

• To follow personal convictions and beliefs, even
  when they go against accepted dogma and
  conventional wisdom.
• Vital for the surfer of change

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Focus

• Identify a current or planned change process you
  are leading/experiencing in your work
• What is the change? What do you hope for?What do
  you fear about the change?
• Take two minutes to jot down answers to these
  questions and then another minute to tell the
  person next to you what the answers are

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Am I taking time out to reflect and grow?
Am I helping others?
Surfing not Sinking
Am I focused on a core purpose?
Am I true to myself?
Adapted from Quinn, (2004)
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Am I true to myself?
How to surf not sink ride the wave and shape it

• Know my mission
• Play to my strengths
• Then ride the wave in the direction I want to go.

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Internally directed There is a vitality, a life
force, an energy, a quickening that is
translated through you into action, and because
there is only one of you in all of time, this
expression is unique. And if you block it, it
will never exist through any other medium and it
will be lost. The world will not have it. It is
not your business to determine how good it is nor
how valuable nor how it compares with other
expressions. It is your business to keep it yours
clearly and directly, to keep the channel
open. Martha Graham
Her sacred mission to "chart the graph of the
heart" through movement.
What is your mission in your work life overall?
Take two minutes to write down what this mission
is or might be.
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Knowing my Strengths and Valueswww.authentichapp
iness.com

• Wisdom and Knowledge
• Courage
• Love and Humanity
• Justice
• Temperance
• Spirituality and Transcendence
• helps you be a shaper rather than a victim of
  change

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Organisations as communities of humanstrengths
Wisdom and Knowledge Courage Love and
Humanity Justice Temperance Spirituality and
Transcendence
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Internally directed knowing my values, playing
to my strengths

• Wisdom and knowledge
• Curiosity, interest
• Love of learning
• Judgement, critical thinking, open-mindedness
• Practical intelligence, creativity, originality,
  ingenuity
• Perspective
• Which of these are your strengths and how can you
  use them to shape the change?

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Internally directed knowing my values, playing
to my strengths

• 2. Courage
• Valour
• Industry, perseverance
• Integrity, authenticity, honesty
• Zest, enthusiasm
• Which of these are your strengths and how can you
  use them to shape the change?

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Internally directed knowing my values, playing
to my strengths

• 3. Love
• Intimacy, reciprocal attachment
• Kindness, generosity, nurturance
• Social intelligence, personal intelligence,
  emotional intelligence
• Which of these are your strengths and how can you
  use them to shape the change?

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Internally directed knowing my values, playing
to my strengths

• 4. Justice
• Citizenship, duty, loyalty, teamwork
• Equity, fairness
• Leadership
• Which of these are your strengths and how can you
  use them to shape the change?

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Internally directed knowing my values, playing
to my strengths

• 5. Temperance
• Forgiveness, mercy
• Modesty, humility
• Prudence, caution
• Self-control, self-regulation
• Which of these are your strengths and how can you
  use them to shape the change?

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Internally directed knowing my values, playing
to my strengths

• 6. Transcendence
• Awe, wonder, appreciation of beauty and
  excellence
• Gratitude
• Hope, optimism, future mindedness
• Playfulness, humour
• Spirituality, sense of purpose
• Which of these are your strengths and how can you
  use them to shape the change? Share with
  colleagues one idea/suggestion four minutes

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Revolutionary teams
Have a clear vision personal mission in work
life Form a small team Clear, consistent and
coherent message Repeat, repeat, repeat the
message Listen openly Be persistent whatever the
obstacle Get others involved and engaged in
discussion
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Am I taking time out to reflect and grow?
Am I helping others?
Surfing not Sinking
Am I focused on a core purpose?
Am I true to myself?
Adapted from Quinn, (2004)
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Purpose

• What are you going to try to create by this
  change? What deeper, more valuable and better way
  of providing health care for patients or enabling
  staff to flourish?
• Take a minute to write down the answer to this
  question and then share it with your colleagues
  (three minutes).

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Am I taking time out to reflect and grow?
Am I helping others?
Surfing not Sinking
Am I focused on a core purpose?
Am I true to myself?
Adapted from Quinn, (2004)
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Am I helping others?

• Patients
• Staff
• The organisation as community
• Society

Encouraging positive emotions and good
relationships helps others and enables effective
change how can I do more of this?
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The sea, the sun and the sky surfing is fun

• Positive emotion and optimism build the strengths
  for surfing change
• Creative problem solving, negotiation, self
  control, coping, memory, reducing defensiveness,
• Helpfulness, generosity, social responsibility
• Persistence on tasks
• Optimists switch from unsolvable tasks sooner
• Optimism is associated with greater attention to
  negative feedback
• Optimists pay close attention to relevant risk
  information

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Belonging and relationships

• Age-adjusted relative risk ratio between low
  social integration and mortality exceeds those of
  smoking and obesity and mortality
• Humans are above all else social creatures whose
  evolved biological properties promote harmonious
  bonds with other humans

Berscheid, 2003
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Positive vs negative aspects of relationships

• Relationships one of the most potent sources of
  human misery (e.g. death of a spouse)
• Conflict and hostility damage the immune system
• Positive relationships in organisations for
  people to manage change
• Negativity (e.g. criticism and hostility) is the
  hallmark of dysfunctional families and
  workplaces
• Probability of divorce where criticism,
  defensiveness and stonewalling
• Forgiveness and accommodation are associated with
  commitment, satisfaction and stability in
  relationships and at work

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People management and effectiveness

• Positive organisational climates are associated
  with high staff satisfaction and low levels of
  stress and injury
• Support for work life balance is associated with
  staff satisfaction, low pressure and staff
  intention to leave
• Staff working in well designed jobs are more
  satisfied, lower intention to leave, less
  pressure, injury, harassment, bullying and
  violence
• Supervisory support is associated with staff
  satisfaction, low intention to leave, and low
  stress

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Am I helping others?

• Patients
• Staff
• The organisation as community
• Society

Encouraging positive emotions and good
relationships helps others and enables effective
change how can I do more of this?
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Am I taking time out to reflect and grow?
Am I helping others?
Surfing not Sinking
Am I focused on a core purpose?
Am I true to myself?
Adapted from Quinn, (2004)
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Relaxation Productivity (Benson)
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Managing the rocks

• Not about how negative experience may be avoided
  or ignored, but rather how positive and negative
  experience may be interrelated
• Growth leads to loss loss can lead to growth
  e.g., loss of a job
• Psychological turning points, even extremely
  stressful, can elicit positive psychological
  growth.
• Perceptions of growth and strength are often born
  of suffering and setbacks.

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Inevitability of stressors

• Extreme, persistent events cannot always be
  ignored
• Effective coping may require acceptance and
  discussion of the stressor and the negative
  emotions evoked
• Those who express little emotion when faced with
  a dire stressor suffer worse health outcomes than
  those who are expressive
• Larsen et al., 2003

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Growth through trauma

• New perceptions of self
• Feeling stronger, more self-assured, increased
  self reliance Gains in recognising and
  appreciating ones own vulnerability
• Changes in relationships
• Closer family ties, appreciation of significant
  others, more self disclosure, emotional
  expressiveness
• Changed philosophy of life
• Taking things easier, new purposes, greater
  spirituality
• What applicability to my current experience of
  change?

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Accentuate the positive to aid coping

• Positive reappraisal
• Focusing on the good in what is happening
• Problem focused coping
• Focusing on ways of managing or solving the cause
  of the distress
• Creation of positive events
• Creating a positive time-out or infusing ordinary
  events with positive meaning
• Folkman and Moskowitz, 2000

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Accentuate the positive to aid coping

• Optimism predicts problem-focused coping,
  physical recovery, and post-surgical quality of
  life amongst coronary surgery patients.
• Behavioural coping entail optimistic outlook and
  effective action (successful living)
• Naïve optimism entails simplistic, overly
  positive thinking (better relationships, more
  illness)

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Surfing - Its a lifelong process
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Believing in myself

• Stronger self-efficacy beliefs - more challenging
  goals
• Attributing success to stable, controllable
  factors
• Developing superior strategies for coping with
  highly complex tasks
• Doubt and anxiety lead to avoidance of challenge
• Abandon activity when faced with setbacks
• Perceived emotional self-efficacy leads to
  helping and lower depression

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Three lifelong human strengths

• 1. Perseverance
• Enhancing persistence makes sense in terms of
  motivation
• Building confidence about successful outcomes so
  that effort is self sustaining
• Turning pessimists into optimists
• The ability of people to struggle forward, to
  persevere against great odds even in the face of
  failure, represents a very important human
  strength. Carver Scheier, 2003 (p.89).
• Keep the faith

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Three lifelong human strengths

• 2. Giving up
• Disengagement from failed efforts is a necessity
• Strategy is as much about what we wont do or
  will give up
• Important goals are hard to disengage from it
  is difficult and painful but sometimes necessary
• Sometimes it involves scaling back from a lofty
  goal in a domain to a less demanding one
• Older people who are more adept at making
  loss-based goal choices report less agitation and
  greater well-being

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Three lifelong human strengths

• 3. Growth
• Positive growth, stress-related growth, post
  trauma growth
• Growth in skill, growth in knowledge, growth in
  confidence, greater elaboration and
  differentiation in ones ability to deal with the
  world.
• With increasing growth, more skills become
  automatic e.g., older people become potentially
  capable of handling more complexity
  automatically, they take into account more
  variables at once, thereby stretching themselves
  yet further.
• Broaden and build

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Am I taking time out to reflect and grow?
Am I helping others?
Surfing not Sinking
Am I focused on a core purpose?
Am I true to myself?
Adapted from Quinn, (2004)
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I am done with great things and big plans, great
institutions and big successes. I am for those
tiny, invisible loving human forces that work
from individual to individual, creeping through
the crannies of the world like so many rootlets
.... William James
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Whatever you can do or dream you can, begin it.
Boldness has genius, power and magic in it.
Begin it now! Goethe
THANK YOU
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