performing under pressurealaskapharmacy.org/wp-content/uploads/2020/02/slides-ajango.pdfleast three...

29
PERFORMING UNDER PRESSURE

Upload: others

Post on 02-Aug-2020

2 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

PERFORMING

UNDER

PRESSURE

Page 2: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Learning objectives. By the end of this talk, you should be able to …

1. Explain the differences between, and the role of and likely response of, the brain's automated system (middle brain) and the brain's cortex (especially pre-frontal cortex) during an emergency. 2. Describe at least three adaptive, as well as maladaptive, behaviors that are fairly common among rescuers and bystanders; and identify at least three actions that can help improve the odds of a good response. 3. Describe at least three things you can do now that can help you perform better later, if an incident occurs. 4. List at least three steps you can take to improve staff trainings (such as wildlife encounter education, etc.) so that you and others can improve field performance.

Page 3: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Some parts of the brain are hardwired and automated.

Some parts are like apps; the more apps you have open, the slower your cognition.

Page 4: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

THE BRAIN IS HIGHLY EFFICIENT AND PREFERS ORGANIZATION.

• Commonly-used information is stored where it can be easily accessed (desk top). • Less-used information is stored in a junk drawer or seldom-used computer file. • ASAP, habits are moved to and stored in the hard drive; this clears space for the working

brain.

Page 5: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

IT’S IMPORTANT TO KNOW: WE HAVE TWO BRAINS, AND EACH SERVES A

DIFFERENT PURPOSE.

LIMBIC SYSTEM: PRE-FRONTAL CORTEX: AUTOMATED; SUB-CONSCIOUS CRITICAL THINKING AND JUDGMENT IMPULSIVE (and EMOTIONAL) CONTROLS IMPULSES INCLUDES AN EFFECTIVE EARLY WARNING SYSTEM CUMBERSOME IN AN EMERGENCY

Page 6: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

The LIMBIC SYSTEM does whaaat?

• It’s primitive.

• It’s super fast.

• It’s a hyper-paranoid car alarm: It’s constantly “on guard” for potential threats.

It secretes stress chemicals when stimulated.

• It’s excellent at “remembering” patterns.

(Is that your amygdala you’re feeling?)

• In an emergency, it is given priority.

I know pleasure pain, and fear.

Page 7: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

What is the PRE-FRONTAL CORTEX?

• It is an amazing computer that learns from its past. • It is good at analyzing; good at critical thinking. This is

where decision making happens. • It represses urges and helps keeps the limbic system under control • It reaches full maturity by around

age 25.

Page 8: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

BOTH HAVE DOWN SIDES

Page 9: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

When the pre-frontal cortex is highly stressed, it …

Becomes bogged down,

Cannot handle multi-tasking,

Isn’t able to recall information well, and

Decision making is significantly affected.

Commonly, people lose situational awareness . Tunnel vision sometimes happens.

Page 10: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

When the limbic system is over-stressed, it has three typical responses…

ONE … TWO …

Page 11: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

AND THREE …

Page 12: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

How would you perform under

pressure?

What do most people do in an Emergency?

Page 13: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

TYPICAL PERFORMANCE (of the average person) UNDER PRESSURE

Research suggests that upwards of 85 percent of people will have cognitive and/or performance deficit in an emergency.

Page 14: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

DURING AN EMERGENCY …

The amygdala warns the system even before a message reaches the cortex.

Page 15: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

During an emergency …

The pre-frontal cortex gets busy and instantly scans for a memory or impactful experience that can provide useful data.

It is essential to upload the brain with quality “hits” that can be easily retrieved.

Page 16: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

During an emergency …

The cortex hates adding more stress or workload to an already stressful situation. (Being over-busy leads to cognitive error). Consequently, to limit cognitive output, people will: • Speak their native language; • Avoid attempting new or unfamiliar behaviors; • Follow their habitual routines, etc. … in other words, they will automatically do what takes as little thought as possible in order to keep the pre-frontal cortex clear.

Page 17: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

During an emergency: (common responses)

• People gather “stuff.” • People have a need to be with others (most loathe isolation) and they (and

primates) benefit by touching each other. • People check in with those around them and seek information; if they don’t get it,

they check in with others, start rumors, etc.

• People are apt to do what those around them do; they are very open to suggestions.

Page 18: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

WHY DOES THIS MATTER?

Don’t gamble that all will go well. Instead, change the odds.

1) We underestimate how the stress will affect our brains in a real emergency. 2) We overestimate our cognitive abilities (including our ability to multi-task). 3) We are often surprised by “something.” This adds to stress and reduces performance.

Page 19: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

SPECIFIC STEPS THAT CAN HELP

• Simple checklists provide grounding.

• Breathing techniques can effectively reduce heart rate and BP.

• Knowing about bystander stress can minimize surprises.

• Use of case studies and close calls allows you to imagine what you might do in the situation. (Think through each step in detail.)

• Taking time to stop, breathe, and take a drink of water has been shown to reduce stress.

Page 20: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

RESEARCH SHOWS…

We perform as we practice …

Note: It is very rare that we will perform better

under pressure than we perform in practice.

Page 21: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

CONSEQUENTLY…

1) Hold yourself to high standards,

2) And make your practices real!

Page 22: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

REALISM MATTERS

Research has shown … talking is

a fairly ineffective method for improving performance; showing is marginally effective; having students do leads to better performance/retention.

Research shows that the brain is best able to retrieve information when it is asked to recall info under similar circumstances.

Page 23: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Things that add stress …

• Performing new skill • Performing in front of others • Being evaluated • Surprises • Gaps in knowledge • Lack of familiarity • Noise • Overstimulation (task saturation) • Working alone • Time pressures • Limited resources

Page 24: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Things that can reduce stress.

• Knowledge • Familiarity • Routine • Checklists • Quality leadership • Working with a partner • Quiet, soothing voice • Breathing • Laughter

Page 25: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

AND KEEP IN MIND …

Practice without corrective feedback often allows bad habits to solidify.

Page 26: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Learning objectives. Let’s review: You should be able to …

1. Explain the differences between, and the role of and likely response of, the brain's automated system (middle brain) and the brain's cortex (especially pre-frontal cortex) during an emergency. 2. Describe at least three adaptive, as well as maladaptive, behaviors that are fairly common among rescuers and bystanders; and identify at least three actions that can help improve the odds of a good response. 3. Describe at least three things you can do now that can help you perform better later, if an incident occurs. 4. List at least three steps you can take to improve staff trainings (such as wildlife encounter education, etc.) so that you and others can improve field performance.

Page 27: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

Good luck!

May all your emergencies go well.

Page 28: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

REFERENCES

Survival Psychology by John Leach, 1994. The Unthinkable: Who Survives When Disaster Strikes … and Why by Amanda Ripley, 2009. Thinking Fast and Slow by Daniel Kahneman, 2011. Nerve: Poise Under Pressure, Serenity Under Stress, and the Brave New Science of Fear and Cool by Taylor Clark, 2011.

Page 29: PERFORMING UNDER PRESSUREalaskapharmacy.org/wp-content/uploads/2020/02/Slides-Ajango.pdfleast three actions that can help improve the odds of a good response. 3. Describe at least

REFERENCES, cont.

Peak: Secrets From the New Science of Expertise by Anders Ericsson and Robert Pool

Performing Under Pressure: The Science of Doing Your Best When it Matters Most by Hendrie Weisinger and J.P. Pawliw-Fry

Visible Learning and the Science of How We Learn by John Hattie and Gregory Yates

How We Learn by Benedict Carey