Emotional Intelligence (EQ) and Resilience

1. Emotional Intelligence (EQ) and Resilience Gerard T. Hogan, DNSc., CRNA, ARNP-BC Associate Professor and Program Director Rush University College of Nursing Nurse Anesthesia Program

2. Conflict of Interest Disclosure Statement NEANA Spring Meeting 2019 Gerard T. Hogan, DNSc., CRNA, ARNP-BC I have no financial relationships with any commercial interest related to the content of this activity. I will not discuss off-label use during my presentation

3. Rush University Medical Center Rush University Medical Center is a not-for-profit academic health system serving the Chicagoland area. Rush consists of three hospitals: Rush University Medical Center Rush Oak Park Hospital Rush Copley Medical Center Rush is unique in that it is a University and Medical Center all under one roof. 664 beds, 37 anesthetizing locations.

4. Rush University College of Nursing • 1100 students • Both online and traditional offerings • All nursing specialties are represented with the exception of CNM • 88 faculty members • 30 are FAANs • Over $6 million dollars in grants including 3 R01s

5. Wellness Presentation Remember I said wellness and not fitness….

6. Ancient Chinese Proverb You can’t expect to be a lucky dog if you’re always growling.

7. What is Emotional Intelligence? Emotional Intelligence refers to an ability to recognize the meanings of emotion and their relationships, and to reason and problem-solve on the basis of them. Emotional intelligence is involved in the capacity to perceive emotions, assimilate emotion-related feelings, understand the information of those emotions, and manage them (Mayer, Caruso & Salovey, 1999, p. 267).

8. Emotional Intelligence • Edward, K. & Warelow, P. (2005) • Emotional Intelligence is posited to be the ability to make one’s emotions work by using them in ways that generate the desired results • Many protective behaviors can be learned • The role of insight

9. What is Resilience? • The capacity to recover quickly from difficulties; toughness (Google dictionary, 2018) • The ability of a substance or object to spring back into shape; elasticity • An ability to recover from or adjust easily to misfortune or change (MW, 2018) • The ability to become strong, healthy, or successful again after something bad happens (MW, 2018).

10. Resilience • Armstrong A.R., Galligan R.F. & Critchley, C.R. (2011) • Life transitions caused by stressful events pose significant adaptational challenges that can strain the ability to cope to the point of clinical distress • This can lead to anxiety and depression • Emotional intelligence (EQ) is the antecedent to resilience • EI acts as a psychological buffer

11. Characteristics of EI • Psychologist Daniel Goleman (2004) identified five elements that make up emotional intelligence • Self-awareness • Self-regulation • Motivation • Empathy • Social skills

12. Self-awareness • Goleman (1996) Emotional Intelligence: Why it can Matter More Than IQ • People with high self-awareness are “aware of their moods as they are having them”. • Self-awareness requires mindfulness – focus on the present • Personal SWOT analysis

13. Self-Regulation • Goleman (1996) Emotional Intelligence: Why it can Matter More Than IQ • Are you always in control of your emotions or do they control you? • If you find yourself often angry then note what triggers that feeling – be honest. • Accountability – taking responsibility for your actions and behaviors is therapeutic in the long run.

14. Motivation • Goleman (1996) Emotional Intelligence: Why it can Matter More Than IQ • There is a tie between emotions and motivation • The best way to improve your motivation is through self-discipline – celebrate the “small wins” • Set REALISTIC short and long term goals • If you’re struggling then take time to rediscover your purpose

15. Empathy • Goleman (1996) Emotional Intelligence: Why it can Matter More Than IQ • Do you think of other people’s viewpoints or do they not matter to you? • Put yourself in their shoes – what would you do? • Active listening means not interrupting

16. Social Skills • Goleman (1996) Emotional Intelligence: Why it can Matter More Than IQ • Even if you’re not a “people person” it is possible to develop better social skills • Learn to deal with conflict effectively – it isn’t the same for everyone • Look for opportunities to build your self-confidence in public places or in front of a group

17. Emotion to Rationalization • Primary senses must travel from the Spinal Cord through the Limbic System before getting to the Frontal Lobe • Impulses that hang up in the Limbic System never allow you to process and resolve intellectually

18. Self Management • Breathe Right • Create an Emotion vs. Reason List • Make Your Goals Public • Count to Ten • Sleep on It • Talk to a Skilled Self-Manager • Smile and Laugh More Bradberry, T. & Greaves, J. (2009). Emotional Intelligence 2.0

19. Self Management 8. Set Aside Some Time in Your Day For Problem Solving 9. Take Control of Your Self-Talk 10. Visualize Yourself Succeeding 11. Clean Up Your Sleep Hygiene 12. Focus Your Attention on Your Freedoms Rather Than Your Limitations 13. Stay Synchronized Bradberry & Graves (2009) Emotional Intelligence 2.0

20. Self-Management 14. Speak to Someone Who is NOT Emotionally Invested in Your Problem 15. Learn a Valuable Lesson From Everyone You Encounter 16. Put Mental Recharge Into Your Schedule 17. Accept That Change is Just Around the Corner Bradberry & Graves (2009) Emotional Intelligence 2.0

21. Self Awareness Strategies • Quit Treating Your Feelings as Good or Bad • Observe the Ripple Effect from Your Emotions • Lean into Your Discomfort • Feel Your Emotions Physically • Know Who and What Pushes Your Buttons • Don’t be Fooled by a Bad Mood • Visit Your Values – Know Yourself Bradberry & Graves (2009) Emotional Intelligence 2.0

22. Social Awareness Strategies • Greet People by Name • Watch Body Language • Make Timing Everything • Develop a “Back Pocket” Question • Don’t Take Notes at Meetings • Plan Ahead for Social Gatherings • Practice the Art of Listening • Step into Their Shoes Bradberry & Graves (2009) Emotional Intelligence 2.0

23. Relationship Management Strategies • Be Open and Be Curious • Avoid Giving Mixed Signals • Take Feedback Well • Build Trust • Have an “Open Door” Policy • Only Get Mad on Purpose • Acknowledge Other People’s Feelings Bradberry & Graves (2009) Emotional Intelligence 2.0

24. Relationship Management Strategies 11. Compliment the Person’s Emotions or Situation 12. When you Care, Show It 13. Explain Your Decisions – Especially if the Answer is NO 14. Make Your Feedback Direct and Constructive 15. Align Your Intention with Your Impact 16. Offer a “fix it” during a Broken Conversation Bradberry & Graves (2009) Emotional Intelligence 2.0

25. Why is this important? • Emotional intelligence is one area of our psyche that we can actually change • Cognitive reframing • In psychiatry it is the ability to view or experience events, ideas, concepts and emotions in a more positive way • It’s not about WHAT happened – it is about how you frame it • You choose to identify and dispute negative and irrational thoughts

26. It’s all about perspective

27. Cognitive Behavioral Therapy • Aaron T. Beck – 1960s • Rethink negative thoughts and turn them positive • Distortion – exaggerated negative thoughts not supported by a plausible rationale

28. The Crucial Role of Insight “I try to live with few rules, but one that I’ve adopted over the years is this: if it’s down to me being screwed up, or everyone else being screwed up, it is far, far, far more likely that I’m the one who’s screwed up. I have learned this from experience. I have been the @&#*$^#& acting out based on my own insecurities and flawed certainties more times than I can count. It’s not pretty” - Mark Manson

29. “Stress Free Life…” • Manson, M. (2016) • Success = struggle • Struggle free = status quo (you’ll never move forward) • Problems force us to think outside the box • This movement challenges us to grow stronger mentally, physically and emotionally • Effective problem solving takes practice • Sugar coated advice is like a sugary dessert • Long term “feel good” comes from working through and solving your dilemmas

30. The Struggle is Real… “We all get dealt cards.  Some of us get better cards than others.  And while it’s easy to get hung up on our cards, and feel we got screwed over, the real game lies in the choices we make with those cards, the risk we decide to take, and the consequences we choose to live with.  People who consistently make the best choices in the situations they’re given are the ones who eventually come out ahead in poker, just as in life.  And it’s not necessarily the people with the best cards.”~ Mark Manson

31. Tips for Students • Every day is a new day • Focus on the next goal • Self-awareness of feelings and emotions • Check yourself • How bad is it when you step back and analyze? • Positivity is infectious • DFTBA!!

32. Questions?

33. Bibliography • Armstrong, A.R., Galligan, R.F. & Critchley, C.R. (2011). Emotional intelligence and psychological resilience to negative life events. Personality and Individual Differences 51 p. 331-336. • Barker, E. (2017). Barking up the wrong tree. New York, NY: HarperCollins. • Edward, K. & Warelow, P. (2005). Resilience: When coping is emotionally intelligent. Journal American Psychiatric Nurses’ Association 11(2) p. 101-102. • Goleman, D.G. (2005). Emotional intelligence: Why it can matter more than IQ. Philadelphia, PA:Bantam Books. • Manson, M. (2016). The subtle art of not giving a f---. New York, NY: Harper