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
Our Wisdom Guide
“You can’t solve a problem from the same level of consciousness that created it.” Albert Einstein
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 world as we have created it
is a process of our thinking.
It cannot be changed
without changing
our thinking. Albert Einstein
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
Insanity is doing the same thing,
over and over again, but expecting
different results. Albert Einstein
From Certitude to ReframingFrom Autonomy to InterdependenceFrom Silo to SystemFrom Hierarchy to ParityFrom Analysis to SynthesisFrom Individualism to CollaborationFrom Conflict Avoidance to Conflict
Engagement
REFRAMING:REFRAMING:TO SEE A TO SEE A
FAMILIAR SITUATION FAMILIAR SITUATION IN A WHOLE NEW WAY, IN A WHOLE NEW WAY, WITH NEW MEANING,WITH NEW MEANING,
WITH NEW EYES…WITH NEW EYES…
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 optionsNew Relationships: If we can build new
connections we might unveil new shared possibilities
Creativity is intelligence having fun. Albert Einstein
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
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…
“Any intelligent fool can make things bigger, more complex, and more violent.
It takes a touch of genius and a lot of courage to movein the opposite direction.”
Albert Einstein
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
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
Conflict assessment and analysis Asking questions, listening, acknowledging,
reframingManaging the process, timing, interest clarificationIntegrating balcony viewing, humor, and
compassionNegotiation, mediation, and facilitationOption generation and agreement managementTiming, closure, and disciplined self-assessment
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.
We must be the change We must be the change we wish to seewe wish to see
in the worldin the worldGandhiGandhi
http://ehccocommunity.ning.com/ http://www.acrnet.org/ http://www.peacemakers.ca/ http://www.peacemakers.ca/ http://www.un.org/peace/peacebuilding/
““Imagination is more Imagination is more importantimportant
than knowledge.”than knowledge.”
Albert EinsteinAlbert Einstein
