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Symposium Reflections July 30, 2017

Posted by mariemanthey in Creative Health Care Management, Professional Practice.
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This is a reflections from just on of the many mind-opening events of our recent Symposium. of the Symposium.

A Pre-conference was a program about the Daisy Foundation’s values and accomplishments through their recognition of exemplary nurses as nominated by their patients.   Studies of these scores have come under laser focus as reimbursement amounts are now based on those scores.    One of the findings had to do with how strongly a single negative experience colors the WHOLE experience for a patient…..even when 99% of the experience was positive.

It reminds me of a powerful paradox the sits within the nursing profession…..the fact that when nursing care is perfect, it simply shows that nothing (No THING) went wrong.   It is an absence that is difficult to describe, to count …and even to value.

So….it is fair to say about nursing….

Everyone knows when something is done wrong

No one knows when everything is done right…..because (NO THING ) has occurred.

P.S.  Your reflections welcome and much appreciated.

Symposium Review – from Renata Tewes July 28, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice.
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Professor Dr. Renata Tewes of Dresden, Germany was one of our international attendees at the Relationship-Based Care Symposium last month. 

Here are some thoughts she shared with us about the event.

What did I expect? Of course, an interesting conference, good discussions in the workshops and nice meetings with old and new colleagues during the breaks.

Nobody prepared me for what else happened on the RBC Symposium in Minneapolis. The name of the company organizing this event is Creative Health Care Management. The word creative could have been a sign, that it will not be a usual conference. It was not just interesting presentations and workshops.

It was experiencing, how it feels, when a conductor tests different leadership styles, while sitting in the middle of the orchestra. It was feeling the deep respect between a CNE and a CME while they have been explaining the importance and success of their honest relationship to each other. It was sensing the inspiring group dynamic of 400 people working with the method Appreciative Inquiry.

At the end of the conference I felt deep gratitude for being a part of this innovative process – when the participants build new relations, shared their true desires and helped in understanding – showing that building positive relationships in healthcare makes a difference. Needless to say, the empirical results of hospitals that establish Relationship-Based Care (RBC) speak for themselves.

Do I really have to wait another 4 years for the next RBC-Symposium?

Initial conversations about the next Symposium are already underway, and feedback like this is very helpful. We’d love to hear from you as well!

Happy Birthday Marie! July 17, 2017

Posted by mariemanthey in Creative Health Care Management, History, Inspiration, Leadership, Manthey Life Mosaic, Nursing Peer Support Network, Nursing Salons, Professional Practice, Thought for today, Values.
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This is Claire talking (Marie’s daughter, and co-editor of this site), checking in with you on this celebratory day!

I know Marie values each and every one of you, and loves hearing from you and having conversations with you – whether in person, in various professional / civic roles, on social media, here on the blog.

And so today on her birthday, I wanted to formally welcome you all back to this blog.

In the last few months, we’ve started to get active again — exploring various kinds of posts with a multitude of topics including Nursing: it’s history, challenges, future, best practices, values & inspiration etc.. as well as CHCM activities, Marie’s life (Mosaic), Nursing Salons, the Nursing Peer Support Network, activities at the University of MN School of Nursing, and so on.

If you have a moment today, would love to hear any preferences from you about types of content, questions you have for Marie, how often you’d like us to post, how you’d like to hear about posts, and anything else to make this blog a win-win.

We never know how long any of us have here. Marie is the epitome of taking care of herself, taking responsibility for her health and well-being, and we hope to have years and years yet. In any case, the more conversations she can fit engage in, the better!

Oh, one more thing- Happy Birthday Marie!

Thanks much for your participation.

About a Paradox June 25, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Professional Practice.
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On CHCM‘s recent publication – ‘Advancing Relationship-Based Cultures’ by Mary Koloroutis and David Abelson.

This book was just released in the last few weeks, and was given out to all attendees of the International Relationship-Based Care Symposium.

Here is the first line of its ‘Epilogue:

‘It is a paradox that our work includes so many painful elements of the human experience and still ends up being, somehow, profoundly beautiful.’

That is a sentence I read when I first saw a preliminary draft of the book. I said to my colleague who I had borrowed it from: ‘Oh, this is so beautiful – it makes me want to cry.’

As I went on to read the rest of the paragraph, I was filled with awe at the authenticity and practicality used in the writing process.

The rest of the paragraph goes like this:

‘That contradiction is a lot for any one person to hold. It’s even more for a person to effectively make sense of it, to sort it out – to reconcile the paradox of it. Not very many of us can do that kind of reconciling in isolation.

 

Subsequently: RBC Symposium Day 4_ Thursday, June 22 June 23, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice.
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Collective process and action were the agenda for this amazing day!

Robin Youngson started off the day leading a session around the impact of compassion on the healing process.   He shared compelling scientific data on that impact, driving home the point that compassion GREATLY impacts healing.   It is hard to imagine any justification for not being intentionally compassionate.   It does not involve the use of time….just the use of heart and brain.

Another powerful event was an inter-professional conversation of young clinicians on  their work and their ideas about a better future for health care.   This was a ‘fishbowl’ type of event where they sat in the middle of the room on a raised dias, with the audience sitting around them…..listening to their conversation.   A stunning event….there is so much to learn from each other.

Culminating today’s events, David Cooperrider explained  the well-known Appreciative Inquiry (AI) methodology; and utilized that to lead participants through a synergistic process that focused on what people do right – instead of focusing just on problems.

Conference participants continually comment on the magnificence of this conference, how it is changing the way they feel and think and how grateful they are to be able to attend.

 

 

Celebrating books: ‘Should’ – taking back your power over words [to post whenever too busy for notes!] June 23, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice.
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In the midst of all the Symposium goings-on, we wanted to take a minute and celebrate the work of one of our CHCM staff member, Rebecca Smith. At CHCM she is involved in all the writing activities of the company, and also consults in the area of human communication/relationships.

Creative Health Care Management last year re-issued Rebecca’s book: ‘Should: How Habits of Language Shape Our Lives‘, due to its very useful applicability to the health care environment.

In ‘Should’, Rebecca explores the power of language at a psychological level – the power it has to hold us back or to move us forward. It is another non-silo work, applicable to everyone in every part of their life. Including, of course, nurses.

I had the privilege of providing the foreward for the 2016 edition and here’s an excerpt from that:

‘The culture of nursing is replete with all forms of oppression, but I have always thought that the most insidious among them is self-oppression, often referred to as victim mentality. There is no question that our work is hard or that there is, and will always be, more work to do than time or resources to do it. In fact, it is no mystery why people in all disciplines within health care might slip into feeling victimized or oppressed.

But that doesn’t mean self-oppression and victim mentality are the only choices available to us.

Self-empowerment — the opposite of self-oppression — is possible for all people in all circumstances (remember how self-empowered Nelson Mandela became during his time in prison!), and just as the name implies, it happens from the inside out. It happens because of the decisions we make to empower ourselves, and one of the most direct routes to doing so comes through noticing and changing the language we use to describe our lives. If our language is full of references to our own powerlessness, what kinds of stories do we end up telling ourselves about who we are, what we do, and how much we matter?

Part conceptual, part workbook, this work is full of concrete, applicable ideas. If you’ve already read Rebecca’s book, we’d love to hear about your experiences with her ideas. Otherwise we strongly encourage you to pick up a copy for your self-empowerment library!

 

As it happens: RBC Symposium Day 3_ Wednesday, June 21 June 21, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice, Values.
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This is the busiest day of the CHCM International Relationship-Based Care Symposium, so to keep the posts from getting too long, will be sharing snippets & segments!

Launched by the wonderful Keynote by Lois Swope on compassionate care; with an all-attendee mid-day session on relationship-building in Indian Health from Phoenix Indian Medical Center; and concluding with a Poster Session; the day also included two breakout sessions with 5 choices each of those sessions! (Please join me in thanking the CHCM staff, they’ve been working extremely hard to bring this all together!)

As it happens: RBC Symposium Day 2_ Tuesday, June 20 June 20, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice.
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Today is the first official day of the 2017 International Relationship-Based Care Symposium, here in Minneapolis at the Hilton Minneapolis! Read on for notes, hand-out links and inside peeks into Day 2.

The MusicParadigm experience made a huge impression on me when I first took it in, several years ago. I told everyone I talked to about it for weeks! It is such a unique,  substantively clear demonstration of the clear power of positive leadership. If you are experiencing it with us today, I would love to hear what you think of it! Otherwise I hope you catch it as soon as you’re able.

I’ve written about The James previously on this blog – along with UC-Davis they hold a pre-eminent position in US critical care health care systems for their extensive and inspired implementation of Relationship-Based Care.

1.Hosp, 6.Doors, 60.Wards   – Such an amazing presentation, from a multi-site hospital in Italian-speaking Switzerland; implementing Relationship-Based Care – escaping silo’s and nurturing compassionate care.

Theory without Practice is empty and Practice without Theory is Blind – Emmanuel Kant

Next was a presentation from the CNO and the CMO about how they’re partnering at Pennsylvania Hospital,  and creating an extraordinarily healthy culture there.  The day ended with a  delightful vocal experience of Full Voice lead byBarbara McAfee!

As it happens: RBC Symposium Day 1 June 19, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Manthey Life Mosaic, Professional Practice, Values.
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Today is the pre-conference afternoon of the 2017 International Relationship-Based Care Symposium, here in Minneapolis at the Hilton Minneapolis!

Here are links to the handout materials available at this time:

Gratitude_Human_Connection

DeepenFacilitationCapacity

It’s been great already to have a brunch at my home – to which I invited international guests, several local nursing leaders and CHCM consultants. Conversations ranged over various topics including comparisons between people’s situations in different countries.

The conference itself is a very enthusiastic experience! I have been constantly in motion and it’s wonderful. Everyone is very happy to be here and many are saying ‘this is exactly what we need at our hospital!’

This afternoon I was able to be a surprise guest at the Daisy Foundation session. I spoke about the the impact of Florence Marie Fisher coloring in my coloring book, and also what a wonderful thing it was for me to be able to nominate her for the DAISY award. In closing I brought in Florence Nightingale as well.

I enjoy talking about the power of nursing: as I experienced in my lifetime the impact of my nurse when I was five years old.  I like to make it clear that the work that I’ve been involved in leading is directly the result of Florence Marie Fisher coloring in my coloring book.

I don’t think that that concept can possibly be emphasized too strongly: the power of good nursing care!

Much more to come, looking forward to sharing it with all of you!

 

 

Authentic Nursing: Past, Present and Future June 18, 2017

Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Manthey Life Mosaic, Professional Practice.
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Nursing is a dynamic profession, constantly moving forward for the well-being of patients and their families.

Let’s look back at one of the early mainstream articles about the onset of Primary Nursing; let’s celebrate recent exciting book releases; and let’s prepare for an incredible week of growth and discovery at the CHCM International Relationship-Based Care Symposium!!

Looking back at the Past:

Primary Nursing: Hospitals bring back Florence Nightingale

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This article provides clear details about the way things were before Primary Nursing. This excerpt (from the 2nd page) is talking about Carol Davis, Primary Nurse, who had been ‘foreman’ in a task-based nursing delivery system at Rush-Presbyterian-St. Luke’s in Chicago before the implementation of Primary Nursing there.

“I was the kingpin who cracked a whip over a crew of people who were unskilled, making sure they got their tasks done,” Davis recalls. “That kept me running around like a chicken without a head.”

She managed about a dozen or so aides, assigning them to various tasks for 25 to 40 patients. Davis made sure the chores were completed on schedule and recorded on patients’ charts, and that her workers went to lunch and returned on time.

Having her own ‘team’ was unheard of. Her aides, like chessmen, were constantly shifted around to other registered nurses, new patients, new units and new tasks. She didn’t have time to get to know her helpers and their abilities.

Furthermore, she had no time for interacting with patients except at pill time. “We were caught in a system that put procedures ahead of patients’ needs,” Davis says. “Nursing didn’t have much of a human face, yet none of us knew how to correct that.”

Results included a turnover rate of RN’s of 48.7% each year!

Celebrating the Present:

Advancing Relationship-Based Cultures is Creative Health Care Management’s newest publication, just in time for the Symposium! Edited by Mary Koloroutis, and David Abelson, the book explores the  culture of health care organizations, looks at what is  necessary for optimal outcomes, and suggests strategies to achieve those outcomes. Advancing Relationship-Based Cultures explains and expands a fundamental and often overlooked truth in health care: It is the confluence of relational and clinical competence that advances healing cultures.

Not as recent, but very relevant: Transforming Interprofessional Partnerships – A New Framework for Nursing and Partnership-Based Health Care by Riane Eisler and Teddie Potter. The only interprofessional partnership text written from the nursing perspective, it provids a model for partnership with patients and other health care professionals.

Prepare for the Future: The Symposium is Here!!!

And moving forward, the Symposium is here! Next week will be an incredible journey, which we’ll share here on the blog as much as possible.

In addition, there will be content on Twitter, Facebook, and even other channels possibly. Find me at @colormenurse on Twitter and join the conversations!

This will be an amazing event, coming only once every 4 years, and each Symposium has many dynamic, passionate health care leaders from around the world. Attendees this year are coming in from Germany, Switzerland, Brazil, Italy and with the US a large number of states are represented.

I am looking forward to seeing many of you next week and together with you working  to advance healthy workplace cultures for those receiving care, and for those who work there.