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Weaving toward clarity

The IOM/RWH 2010 report: The Future of Nursing: Leading Change, Advancing Health AIC: a fractal built on 3 power relationships: Appreciation: openness, lightness, spirit Influence: relatedness, heart, energy Control: strength, body, closure

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Weaving toward clarity

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  1. The IOM/RWH 2010 report: The Future of Nursing: Leading Change, Advancing Health • AIC: a fractal built on 3 power relationships: • Appreciation: openness, lightness, spirit • Influence: relatedness, heart, energy • Control: strength, body, closure • Results of the 2010 Plexus Conference: Nurses’ Preferences for AIC Ends and Means: voice, leadership, advocacy, wisdom, unity Weaving toward clarity

  2. Our Wisdom Guide

  3. Some often subtle shifts in consciousness • Health Promotion and Illness Prevention • Primary Care demand, changing demographics • Value emphasis; volume de-emphasis • A time of rich opportunity! • Monitoring and Care Integration (IOM) • 32+ million new patients in the system • Unmet needs of racial and ethnic minorities • Expanding leadership roles Patient Protection andAffordable Care Act (PPACA)

  4. “You can’t solve a problem from the same level of consciousness that created it.”Albert Einstein

  5. Practice Education Leadership Transformation of theNursing Profession Needs to Occurin Three Broad Areas:

  6. Recommendation : #7Prepare and enable nurses to lead change to advance health

  7. produce leaders throughout the health care system, from the bedside to the boardroom, who can serve as full partners with other health care professionals and be accountable for their own contributions to delivering high quality care while working collaboratively with leaders from other health professions” (p. 221) “The nursing profession must

  8. The world as we have created it is a process of our thinking. It cannot be changed without changing our thinking. Albert Einstein

  9. A communication process that fosters innovation and advanced problem solving among people of different disciplines, organizational ranks or institutional settings • Who band together for advanced problem solving in order to discern innovative solutions • Without regard to discipline, rank, or institutional affiliation to • Enact change based on a higher standard of care or organizational outcomes (Kinnaman and Bleich, 2004) Collaboration:

  10. Toleration:“how it’s done here”; parallel play; clear boundaries for control, information, influence, “work arounds”; silos Coordination:separate services informing the other; focus on process, not relationship; policy guided, single-loop learning/feedback Cooperation:work together for mutual benefit; relationships and negotiations shaped by professional and cultural boundaries What We Probably Already Do

  11. Insanity is doing the same thing, over and over again, but expecting different results. Albert Einstein

  12. From Certitude to Reframing • From Autonomy to Interdependence • From Silo to System • From Hierarchy to Parity • From Analysis to Synthesis • From Individualism to Collaboration • From Conflict Avoidance to Conflict Engagement Implicit Culture Shifts

  13. REFRAMING:TO SEE A FAMILIAR SITUATION IN A WHOLE NEW WAY, WITH NEW MEANING,WITH NEW EYES…

  14. New Narratives: Those who differ with me have information I tend to ignore or discredit • New Lenses: Expanding my grasp of the “facts” of a situation will change how I understand it • New Ideas: My creativity depends on my ability to integrate diverse seemingly unrelated ideas • New Choices: I can often expand my options • New Relationships: If we can build new connections we might unveil new shared possibilities Reframing Conflict…

  15. Creativity is intelligence having fun. Albert Einstein

  16. US: possession of control, authority, or influence over others; to wield force, command, rule (2ndary) • First meaning: ability to act or create an effect • Additional options • Magnification • Strength • Moral efficacy • Source of energy • Physical might Reframing Power

  17. The ability to act or create an effect A call to courage Reframing the Power of Leadership

  18. Mental or moral strength to venture, persevere and withstand danger, fear, or difficulty Mental or moral strength to resist opposition, danger or hardship Firmness of mind and will in the face of danger or extreme difficulty Synonyms: mettle, resolution, tenacity NB: to act in spite of the fear, not without it… Courage

  19. “Any intelligent fool can make things bigger, more complex, and more violent. It takes a touch of genius and a lot of courage to move in the opposite direction.” Albert Einstein

  20. Our hope is to link our purpose, our power and our process We are called on to transform our leadership and expand our influence, finding voice We have often felt reluctant to engage in the conflict that comes from acts of influence We will be called to courage to respond to our purpose, ensure our influence, and exercise our leadership power Returning to AIC

  21. Levels of Discourse in Steps toward Collaboration • From POWER: (as) dominance and competition • To RIGHTS: entitlement and adjudication • To INTERESTS: needs/desires/hopes of all involved parties • And RELATIONSHIPS: inclusive, fair, respectful and transparent • War • Legislation and policy • Negotiation • Collaboration

  22. Conflict assessment and analysis • Asking questions, listening, acknowledging, reframing • Managing the process, timing, interest clarification • Integrating balcony viewing, humor, and compassion • Negotiation, mediation, and facilitation • Option generation and agreement management • Timing, closure, and disciplined self-assessment Essential Conflict Engagement Competencies

  23. We seek an environment that will allow us more voice and scope to work with others in the creation of a better, less conflicted healthcare world. We would like calmer and more understanding relationships in order to better help our patients and help others see a bigger picture. We are open yet cautious in pursing such relationships We would like to pursue inspiring goals that will excite and fascinate people. We want to identify with our work in a sensitive and intuitive way. Our Wishes for the Future (plexus, 2010)

  24. We must be the change we wish to see in the world Gandhi

  25. http://ehccocommunity.ning.com/ http://www.acrnet.org/ http://www.peacemakers.ca/ http://www.peacemakers.ca/ http://www.un.org/peace/peacebuilding/ Some mind expanders

  26. “Imagination is more importantthan knowledge.”Albert Einstein

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