Practical Applications of Resilience

Ms. Shaila Selvarani

Ms. Samah Elzakazeky

Service Managers

Introduction
Health system resilience can be defined as the capacity
of health actors, institutions and populations to prepare
for and effectively respond to crises;: maintain core
functions when a crisis hits; and ,informed by lessons
learned during the crisis, reorganize if conditions require
it. Kruk et al (2015)
Leadership in nursing creates structure, implements
processes and facilitates positive outcomes in nursing
care. Solving complex nursing problems requires
effective nurse leadership.
We need to be flexible, adaptable and open to new
forms of learning

Leader Role to
build
resilience
Nurse

Resilient Leadership
Resilient leadership is the term
used to describe those leadership
behaviors that help others
withstand crisis, adapt to, or
rebound from, adversity.

Resiliency in Leaders
Summary
I. Understand the environment
II. Awareness of your personal Risk
Factors
III. Awareness of Protective Factors
IV. Maintenance of Protective
Factors
V. Practice good self care

Scenario -1

You as a Nurse Manager have a committee meeting

schedule at 8am and Nursing leadership calls for an
urgent meeting at the same time. The phone rings , your
babysitter inform you that your daughter had a seizure
and is on the way to the hospital.

Scenario - 2

In patient ward there are Ten patients occupied with 3

staffs on duty, three patients for surgery, one patient for
CT scan but KAUH- CT scan machine is out of order so
the patient should be brought to KKUH , Suddenly one
staff accidentally slips on the floor after endorsement and
she cant walk.

Scenario -3

A consultant has scheduled appointment for 26 patients

on Monday morning. On the day of appointment 16
patients are already waiting to see the consultant.
Suddenly half an hour before the appointment the
consultant calls and says he will not be present on that
day (due to personal reason).

Scenario -4

In OR , Room No: 2 A patient is undergoing a surgery

under general anesthesia. Suddenly you are able to sense
smoke in the room. Code red is being announced .

Scenario -5

Patient registered in ER with Open Globe injury , patient

must be brought to OR for admission but no bed
available on 7A because of renovation .

Scenario -6

We have only one isolation room in DEM occupied by a

patient then 2 patients comes at the same time with
respiratory score 5 and 7

Scenario -7
Patient in Room No: 5 complaints to Nurse manager
saying that he tried to call the Nurse using call bell system
and the nurse didn't attend him. After investigation the
sound of call bell is not working

Seeking Opportunities in Change

When you look

into the face of
change
... do you see
the danger or the
opportunity?
22

Even if youre on the right track, youll get run over if you just sit there. Will Rogers

What Makes Up Resilience?

Emotion Regulation
Controlling Impulses
Empathy
Optimism
Analysis of Cause
Self-Efficacy
Expanding-reaching out

Resilient People

Look for opportunities in problems

Have a positive attitude
Fight the victim mentality
Find their power in every situation
Overcome difficulties
Learn from mistakes