Early career professional resilience: interdisciplinary insights to support professional education

1. Early career professional resilience: interdisciplinary insights to support professional education Mark Boylan, Education, Heidi Probst, Radiotherapy Pete Nelson, Social Work

2. Teacher Education, Radiation Therapy, Social Work Teacher education - post graduate plus undergraduate, particularly in Primary, 2 or 3 placements, now schools direct, 120 days in school, school based 'mentor' Radiation therapy – undergraduate training, heavy clinical placement component, PG training is to develop advanced practice in qualified practitioners Social Work – undergraduate and postgraduate qualifying training, Requirement for 200 days in placement for both usually over two placements which must include statutory social work experience

3. Q. Why research professional resilience? A. Professional need • Teacher Education issues - high percentage of new teachers leave in the first five years, high levels of stress. Intense and intensifying performativity and accountability culture. Some research linking teacher well-being with student impacts. • Radiation Therapy issues -there are issues of attrition on UG courses nationally with concerns about qualified practitioner retention at a time when cancer referrals are on the increase. In addition, research into the development of entrepreneurial skills identified a need for resilience in order to make changes in the NHS. Radiotherapy managers have identified resilience as a potential issue in their staff group manifest in increased numbers of days off sick. • Social work issues- significant issues of professional retention particularly in children and families social work and child protection. There is evidence of early career drop out with an overall practice longevity of 8 years. SWs gain considerable satisfaction from their work but report higher levels of work-related stress than other professional groups with associated sickness absence.

4. Q. Why research professional resilience? A. Knowledge gap Research literature • Models of resilience - often from psychometric studies describe how different factors relate to each other e.g. coping, wellbeing, emotional intelligence, positive emotions • Little qualitative research • Little research with multiple perspectives • Limited research on interventions or ways of developing resilience in health, teacher, and social work education

5. Some resilience dimensions/issues • Bounce back from adversity◄▬►coping with continual demands • Personal/individual ◄▬► organizational • Relatively stable ◄▬► situated • Fixed ◄▬► learnable • Disengaged 'surviving' ◄▬► engaged/ professional

6. Initial definition Professional resilience is what supports people to stay in the profession and to stay professional

7. Research Aim To develop the basis for a research informed creative curriculum and pedagogy that supports and develops professional resilience during early career education in professions involving emotional labour and moral challenge.

8. Research Questions • What supports and hinders the development of professional resilience in radiotherapy, social work and teacher education? • What creative pedagogical approaches may help to develop professional resilience? • What are appropriate methodologies for researching professional resilience?

9. Methodology • A fixed mixed method design incorporating survey research, qualitative interpretive interviews and creative innovative approaches • Creative innovative approaches- co-operative inquiry

10. Activities

11. Common pictures - 1 Staff – he pictures mountains with a road – described the pleasure of running on very straight boring roads as it gives you time to think and a metaphor for what keeps him going when he may be having a difficult time Student – Represents reflection. The car in the road may represent a mental breakdown. Might not enjoy reflecting but it can be a useful tool Gender an issue – men are expected to be tough – a reflection diary can seem a bit girly but reflection can be useful I can talk but I hate reflection – I wouldn’t write a diary but I can reflect in my head.

12. Can resilience be developed? Senior mentors/practice educators/practice training coordinators

13. Can resilience be developedacademic staff

14. Seeing the Wood and the Trees Some tentative thoughts - and a logic model - on (or off) the wall

17. Emerging messagesfor Professions and Organisations • commitment, values and altruistic purposes support resilience - • if professionals cannot enact those commitments values and purposes then they may leave • leaders who communicate support, and signal appreciation and understanding of workload issues enhance resilience • provide support with difficult cases • show understanding of transitions and have appropriate expectations of new professionals • give support with difficult cases/clients/patients/classes/pupils • create space for peer talk/support • prioritise team and/or supportive relationships • develop a culture that avoids judgemental feedback both of trainees and newly qualified professionals and aim for more supportive relationships • increase empathy for the demands of transitions • reduce workload

18. For qualified early career professionals - develop supportive relationships - retain determination and commitment - keep issues in perspective and limit expectations of what is achievable - cultivate equanimity—empathetic distance - work life balance—have some where else to go - strengthen personal qualities, dispositions and skills that support resilience - trust that experience will make the work easier to cope with - take opportunities to increase knowledge and skills

19. For students • remember or develop a sense of purpose, values and commitment • be determined • engage with reflective practice to enhance self awareness and understanding of professional life/role • accept not knowing as part of learning • aim for realistic appraisal of self and the profession • develop peer support networks • develop positive qualities, dispositions and skills such as patience, empathy, emotional awareness • pay attention to the importance of professional relationships and teams • managing work load and maintaining a work-study-life balance

20. For HEIs/University tutors • prepare students for the realities of professional practice • signal support during placement by regular contact • be available to support with difficult cases/situations/events/patients/classes • aim for an open, accessible relationship that models professionalism as engaged and empathetic • address the issue of resilience and related subjects on courses

21. Potential areas for curriculum development in University and Work Place professional education • Professionalism, purpose and agency • Strengthening personal qualities • Interpersonal dimension • Support with placement and transitions • Expand professional knowledge base • Coping with workload

22. As a student you’re constantly in a learning environment where all these people are telling you how you should behave and what attitude you should have I remember feeling so stupid and incompetent...you had to pick yourself up and get on with it I’m really proud of the job we do…..you really get to know them (patients) and they get to the end of their treatment and they're so grateful that either you've managed just to get them through to the end or you've managed to deal with problems. I think you’ve just got to be calm....I’m far more patient in my job. When someone would get cross before I would take it as a personal attack whereas actually that person’s life has fallen

23. SHU Imagine Professional resilience project 2013 For further enquiries please contact a member of the project team M. Boylan, edsmsb@exchange.shu.ac.uk P.NelsonP.Nelson@shu.ac.uk H. Probsth.probst@shu.ac.uk