Staff Recovery Resources - elearning for healthcare
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Introduction - Staff Recovery Resources

Emotional and psychological support spaces for NHS staff

These resources have been created to support healthcare staff recovering from the COVID-19 pandemic. The resources have been curated by the London Transformation and Learning Collaborative. Not all people approach wellbeing by the same means. These resources acknowledge those differences and cover a variety of approaches, such as Wellbeing Conversations, Creative Story Telling workshops and a mini-series of filmed conversations with critical care workers starting with a discussion around Moral Injury. All the resources help health and care staff explore how they feel and how they might respond to those around them.

Materials to support “Negotiating Brave Conversations” have now been added to this page as well so that these sessions can be facilitated within NHS Trusts/Integrated Care Systems.

Follow updates on Twitter using the hashtag #NHSLTLC or HEE London @NHSHEE_LDN

Creating Spaces for Wellbeing

How do we cope with all that life throws at us? Especially since the pandemic began in 2020? Life, both at work and at home, has changed beyond recognition and many of us, as well as the systems we work in, are finding it challenging to adapt.

Spaces for Wellbeing are 4 resources for staff that can be facilitated for colleagues by anyone who feels able, in order to support themselves and others. We offer a range of spaces as we recognise people may need differing approaches depending on their circumstances, preferences and personal needs.

Please explore the resources below. For each, you will find a description and a short film introduction about the space. There is further reading and guides for facilitators where appropriate.

If you are interested in being connected with other healthcare colleagues who want to deliver or practice sessions please complete this online form and tell us which resource(s) you are interested in. We will endeavour to enable collaborations.

Good luck and please let us know how you get on at LTLC@hee.nhs.uk.

Developing Wellbeing Conversations

Our NHS People website calls for wellbeing conversations to become part of the working week as, “at their heart, Health and Wellbeing Conversations are a way for two people to connect together to identify individual health and wellbeing needs.”

The LTLC offers an approach to facilitating wellbeing conversations here. The short film below introduces the concept of Developing Wellbeing Conversations. To provide guidance in advance and support whilst you have one of these conversations, there are downloadable prompt cards (PDF, 81KB) and a guide (PDF, 85KB) to using them.

To see one of these conversations in action there is a demonstration film below (15 mins) showing an example conversation between two nursing colleagues and a table of notable elements (PDF, 200KB) to guide your viewing.

Having accessed our resources, we encourage you to practise wellbeing conversations where you feel able and confident to do so. Additional guidance on how we might engage in such conversations is offered through the Our NHS People website and app.

Further reading:

  • Our NHS People guide – useful principle led guidance on facilitating wellbeing conversations.
  • Article about supporting clinicians through peer conversations.
  • Film clip about doctors in distress.
  • A moving clip from an expert in compassion.

 

  • Developing Wellbeing Conversations – Introduction

  • Developing Wellbeing Conversations - Demonstration

Spaces for Listening

Spaces for Listening was created in 2020 by leadership coach, Brigid Russell and psychologist, Charlie Jones. Participation engenders a greater attention to others, reflection on similarities and differences and a recognition of the power of listening. Participating often develops a sense of calm, an attentiveness to others and a greater sense of perspective.

This space offers an hour-long session for 8 people to come together and share their thoughts, feelings and reflections in a safe environment.

Further reading:

Sessions – 1 hour, up to 8 participants

Facilitator Guides can be found at the bottom of this page.

Creative Story Telling

Creative Story Telling workshops build on the role of narrative theory in a range of wellbeing initiatives from therapeutic and psychological support to the relaxing and creative. In developing our story telling skills we can process our experiences, make sense of chaos, explore, grieve, rejoice, reflect, connect and feel less alone. One of our facilitators says story telling is exercise for the soul.

These sessions are inspired by the success of The Re-humanising Revolution (2019) which has published over 170 stories since its creation in February 2019. This blog curates and hosts stories from colleagues in healthcare, education and related professions. It acts as a space for people to share their experiences and to reflect on the experiences of others.

Further reading:

  • Powerful TedTalk on the power of story telling.
  • Article about story telling (magazine pages no 28-29, show as page no. 30-31 on finder bar).
  • Ideas for story telling.

Sessions – 1 hour, up to 16 participants

Facilitator Guides can be found at the bottom of this page.

DEBRIEF

DEBRIEF is a reflective tool to encourage participants to develop deeper reflection on specific workplace issues. Inspired by Gibbs (1988), it encourages healthcare staff to attend to their emotions and to explore pattern recognition in order to position their experience in a wider context. It was created in 2007 by Hayley Allan, an educationalist and Stella Vig, a consultant surgeon and has been used in numerous contexts including surgery, midwifery, psychiatry education, coaching and training.

Further reading:

Sessions – 1.5 hours, up to 16 participants

Facilitator Guides can be found at the bottom of this page.

 

  • An introduction to DEBRIEF

Negotiating Brave Conversations

“Negotiating Brave Conversations” sessions were developed in response to feedback the LTLC received from nursing leaders in the spring/summer of 2021. It was suggested that conversations around further redeployment would be more challenging than had previously been the case given that staff knew what to expect from changes to their working week and were burned out, fearful and anxious of having to work in unfamiliar areas again. A series of sessions took place in June and July 2021. in anticipation of another surge in the Covid-19 pandemic. Now the materials for delivering these sessions independently are offered here.

The Brave Conversations provision was centred around 2 sessions:

  • A one-hour Spaces for Listening session where the 3 questions were tailored to surge working;
  • A two-hour workshop during which participants were invited to practise an approach to conducting conversations that aimed to level up the contributions of both manager and staff member, to prepare each for potential redeployment and to encourage staff agency in preparing for such a move.

Spaces for Listening followed the same model outlined elsewhere in these materials with amended questions which were:

  • What do you find challenging about holding conversations with colleagues (surge working or otherwise?)
  • In an ideal world how would these conversations work?
  • What might you take forward in your conversations as a result of this session?

The brave conversations workshop which followed focused on asking open, coaching style questions using two models: SOFT and IRIS.

Facilitator Guides can be found at the bottom of this page.

Further reading:

Moral Injury

Starting with an exploration of moral injury this series of films includes conversation with Dr Esther Murray exploring some of the impacts of the pandemic on staff. The films look at issues from different aspects including leaders, team members and healthcare psychologists. These were filmed in November 2020 by the LTLC team and edited specifically to address the needs in our workforce, both in critical care and beyond.

The 6 films cover 1) Understanding Moral Injury, 2) how to handle it when you recognise moral injury in someone and 3) how to try and re-claim space for connection with each other.

They also discuss 4) Recognising how hard people find it during a pandemic to switch off from work and so managing our addiction to WhatsApp and other social media outlets.

The team discuss 5) Preparing for deployment from the perspective of the new and old team members and finally 6) how to manage requests to work more shifts, considering the challenges facing the person being asked and those that have to make these requests.

Each film is accompanied by reflective questions and, where appropriate, links to further reading.

Thumbnail image for Reclaiming Space for Connection film       Thumbnail for Hooked on Work? film       Thumbnail for Understanding moral injury film

Bitesize.healthcare - Instagram

The bitesize.healthcare Instagram page offers a collection of honest, candid insights from health care professionals. These individuals share how they look after themselves and or their team and how they keep patients safe with their non-technical skills. Each clip is no longer than 90 seconds.

Other resources

Facilitator resources

We invite you, if you wish, to facilitate your own sessions and to use the guidance supplied here to ensure maximum benefit for all. These resources are given freely to everyone, on condition that the guidance for each is followed.

Group sizes are carefully decided to make sure every participant has sufficient opportunity to participate, and we strongly suggest that group size limits, both minimum and maximum, are adhered to. We know that it can be difficult to avoid understandable attrition within busy clinical work, and suggest that clear instruction is given at the joining stage to ensure participants know that there is a risk of cancellation if insufficient numbers occur. All sessions have suggested joining instructions included.

Below you will find as appropriate:

  • Facilitators guides
  • Joining instructions to send out to participants
  • Relevant materials
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