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