STAFF RESILIENCE MEANS STAFF RETENTION AND SUCCESS Deborah

STAFF RESILIENCE MEANS STAFF RETENTION AND SUCCESS Deborah Gilboa, MD

What do you need from staff?

Disruptors Schedule change complaint medical emergency weather delay Staffing problem family interruption DISASTER

Outcomes of Stress DISCOMFORT IS NECESSARY FOR LEARNING CAUSES PEOPLE TO IDENTIFY PROBLEMS PUSHES CREATIVE PROBLEM SOLVING IS ON A CONTINUUM, LEADS TO OVERWHELM

fight Reaction s to Stress flight freeze face

What does staff need from you?

q Preparation q Response q Reconciliation

Preparation • Purpose: – Maintain focus – Improve culture – Prevent burnout • Know your “why” – Of each choice, decision, policy and recognition – Be willing to explain • Be mission-driven: THIS GETS STAFF

Build Resilienc resilience e in through Practice TRUST Learn about your staff Manageable workload Clear support chain Staff up Demonstrate gratitude

Audit your Culture • Your programming • Your recognitions/positive feedback • Your social support • Your team collaboration • Out of work time • The way your staff views new initiatives

Use Peer Pressure • Use peer pressure for GOOD • -near-peer mentoring • -colleague encouragement • -Drive to fulfill the mission modeled by leadership but verbalized by coworkers

• Set expectations Set When-not -if Language • Remove the premise of failure Remove Model

Uncomfortable ≠ Unsafe

Response • Lack of prevention is not failure, lack of planning is failure • Every “bad thing” is an opportunity for: – Mission – Stepping up – Practice – Resilience

What you DO than what you feel… matters more

Emergencies are not the time to question or change Protocols!

Transparenc y Required for resilience • Setting expectations • Changing policies • Enforcing consequences • Managing conflict • Choosing discretion

Reconciliation • Listen – Ask why (dampen judgment) – Empathy • Offer support, require solutions – Idea progress board – especially frontline staff – Recognize the impact of individual managers • Mission driven – See how their work connects to the mission – See leadership live the mission daily