Symposium Review – from Renata Tewes July 28, 2017
Posted by mariemanthey in Creative Health Care Management, Inspiration, Leadership, Professional Practice.Tags: Events, International, People, Primary Nursing, Relationship-Based Care, Symposium
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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!
EVERYBODY, SOMEBODY, ANYBODY, AND NOBODY July 24, 2017
Posted by mariemanthey in Leadership.Tags: Escape Victim Mindset, Health Care System, Hospitals, Primary Nursing, RAA, Relationship-Based Care, Trust
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As you know if you follow this blog, we take RAA – Responsibility, Authority and Accountability – very seriously. We feel that that paradigm has the power to create healthy workplaces, excellent health care and healthy nurses, doctors, and staff. Anywhere. These discussions are serious, practical, conceptual, and (we hope) useful.
Variety being the spice of life, today’s entry into the conversation is provocatively different. Today we provide to you a highly-scientific, term-by-term description (or not) of what it’s like when RAA is not in place. Anywhere. Well ok, not that scientific or academic – but highly accurate nonetheless! Think of how often in your personal and private lives you have experienced this exact dynamic!
In this world, there are four kinds of people: EVERYBODY, SOMEBODY, ANYBODY AND NOBODY.
There was an important job to be done and EVERYBODY was asked to do it. EVERYBODY was sure that SOMEBODY would do it. ANYBODY could have done it but NOBODY did.
SOMEBODY got angry about it because it was EVERYBODY’S job. EVERYBODY thought that SOMEBODY would do it, but NOBODY realized it wouldn’t get done by ANYBODY.
It ended up that the job didn’t get done, but EVERYBODY accused SOMEBODY and NOBODY accepted responsibility.
Moral: EVERYBODY’S job is ANYBODY’S. NOBODY can be SOMEBODY unless he’s willing to do ANYBODY’S work.
How about you? All EVERYBODYs, NOBODYs, ANYBODYs, and SOMEBODYs welcome – tell us your story.
Meeting Challenges – Ripple Effects July 3, 2017
Posted by mariemanthey in History, Inspiration, Leadership, Professional Practice, Values.Tags: Florence Nightingale, Health Care System, Primary Nursing, Staff Nurses
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Nursing through a lens of history.
As we celebrate the victory in battle that lead to the signing of the Declaration of Independence this weekend, my thoughts are on how often nursing is spotlighted and impacted during wartime. A cataclysmic example of this is the lasting affect of Florence Nightingale’s work during the battle of Crimea.
That situation was a terrible one, full of despair and unpredictability. Florence went voluntarily into that mess because of how desperate it was, and acted on her values, knowledge and skills to change that reality. The depth of the damage to soldiers and the impact of her reforms set in motion a profound reaction, which in this instance included seeds of change vastly greater in scope than that particular problem. The death rate among hospitalized soldiers was amazingly reduced due to her reforms, and the whole country of England honored her for this achievement.
In particular, she provided compassion, and she managed the environment to a degree of sanitation that was new to that setting. The depth and cohesion of her response to that situation was beyond what anyone expected. No one involved in that war would have predicted or imagined that the outcome of that war would be the modern practice of nursing.
When people engage in the struggle to do their best in difficult times, positive outcomes are more likely.. not only in that moment, but decades and centuries later.
New Historical Resources: Nightingale and Barton June 29, 2017
Posted by mariemanthey in History, Inspiration, Thought for today.Tags: Events, Florence Nightingale, Primary Nursing, Reading List, Staff Nurses, Symposium
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I came across these resources recently, and wanted to share them.
One new thing is a collection of Florence Nightingale’s letters – being digitized, and soon available to all on the web!
The other is the Clara Baron Missing Soldiers Office, Washington DC’s newest Museum.
As we rest up after the amazing Symposium last week, it’s fun to see progress continue on the embrace of our history. I just love the trajectory of really knowing our history, having clarity about the current situation and beng aware of future trends in society that will impact our profession. That awareness can lead us into proactive planning, rather than the reactivity that has so often directed our responses.
About a Paradox June 25, 2017
Posted by mariemanthey in Creative Health Care Management, Inspiration, Professional Practice.Tags: CHCM, Events, Primary Nursing, Relationship-Based Care, Symposium
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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.Tags: CHCM, Events, Primary Nursing, Relationship-Based Care, Symposium, University of MN SON
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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.
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.Tags: CHCM, Events, I2E2, Nurse Managers, Nurse-Patient Relationship, Primary Nursing, Relationship-Based Care, Symposium, University of MN SON
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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.Tags: CHCM, Events, I2E2, International, Nurse-Patient Relationship, People, Primary Nursing, Relationship-Based Care, Symposium, University of MN SON
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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!
RAA Part III – Achieving Full Experience of Will Power June 15, 2017
Posted by mariemanthey in Creative Health Care Management, Manthey Life Mosaic.Tags: CHCM, Escape Victim Mindset, Mindfulness, Nurse-Patient Relationship, Primary Nursing, RAA, Relationship-Based Care, Self-Care
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This is part III of an initial series of articles about RAA. Here are links to the previous parts: RAA Part I RAA Part II
After 10 years of experience applying these ideas to professional roles and organizational structures, I began thinking about them in relation to my own life.
By this time one thing I knew for sure was that when nurses accepted responsibility for the Primary Nursing (PN) role, they experienced empowerment and manifested less victim behavior than before…..and much less than those who’s did not accept responsibility.
I also knew for sure that accepting responsibility was an experiential activity……not an intellectual activity. You can’t just think you are responsible….you have to experience it, to literally place yourself in the position of being responsible, in order to have full access to legitimate authority.
In PN, this only seemed to occur when the nurse established a responsibility relationship with the patient. The explicit establishment of that relationship was necessary in order for the nurse to experience responsibility acceptance. The closed door of power (personal or other) only opens when an individual experientially recognizes their responsibility.
So, my epiphany moment occurred when I asked myself the question of whether or not I had accepted responsibility for my life.
I immediately remembered with resentment areas of my life where I felt victimized. My ex-husband, a former boss….etc. With great clarity I knew that if I had truly accepted responsibility for all aspects of my life, I would not feel victimized by past events. As this thought process evolved, I recognized that accepting responsibility for one’s own life involves the three major components of behavior: thinking, feeling and acting.
So, accepting responsibility for my thinking meant I had to develop new thought processes. Often, my thinking fell into automatic pathways developed over the passage of life. These pathways needed to be examined and in many cases changed, as they led directly to victim thinking.
The new thinking required the development of new neuron pathways, and then also lots of deliberate practice until consciousness of choice became my automatic thought process in response to situations and events in my life. This involved learning to make space in my reactions to events and people for the experience of choice.
Likewise, accepting responsibility for my feelings meant I had to learn some skills for handling feelings in an appropriate way which also often involved changing the way I think. The connection between thinking and feeling began to be more manageable. Further, accepting responsibility for my actions helped me recognize the connection between thinking and acting and how action can positively influence thinking and feeling.
This overall development required me to develop new ways of being in my life, and the results have been increased positive energy, increased choices, and increased well-being.
Marie Manthey's Nursing Salon 