Module 1 change starts with me upload
-
Upload
nhs-improving-quality -
Category
Healthcare
-
view
4.437 -
download
0
Transcript of Module 1 change starts with me upload
#SHCR @School4Radicals
http://www.theedge.nhsiq.nhs.uk/school/
Module 1:
Being a health and care radical:
Change starts with meSupported by
#SHCR @School4Radicals
Welcome to the School for Health and Care Radicals – a global community of change agents
• 1,643 registrants for The School for Health and Care Radicals (as of 29th January)
• From 36 countries, including:
Argentina, Australia, Austria, Belgium, Brazil, Canada, Denmark, England, France, Georgia, Germany, Greece,
India, Ireland (Republic), Italy, Netherlands, New Zealand, Nigeria, Norway, Northern Ireland, Pakistan, Qatar, Russian
Federation, Saudi Arabia, Scotland, Singapore, Slovenia, South Africa, Spain, Sweden, Switzerland, Thailand, Tunisia,
Ukraine, USA, Wales
#SHCR @School4Radicals
How are you feeling today?(choose one)
I’m ready to be radical
I’m cautiously optimistic
I remain unconvinced or
sceptical
I’m feeling positive, let’s see how I can make
this work
#SHCR @School4Radicals
Joining in today and beyond
• Please use the chat box to contribute continuously during the web seminar
• Please tweet using hashtag #SHCR and the handle @School4Radicals
• Join our Facebook group School for Health and Care Radicals
• We will produce summaries of the discussions on each module using Storify and Pinterest and put on the website
• Join in the Tweetchat each Wednesday at 4-5pm (GMT) using the hashtag #SHCR
#SHCR @School4Radicals
Study guides
Programme Study Guide: http://www.slideshare.net/NHSIQ/shcr-ii-study-guide-20150120-final-2
Module 1 Study Guide: http://www.slideshare.net/NHSIQ/shcr-module-1-study-guide
#SHCR @School4Radicals
The team today
Session lead: Helen Bevan @HelenBevan
Learning lead: Pip Hardy@PilgrimPip
Case study alumnus:Daniel Walsh@dwalsh811
Chat monitor:Dominic Cushman@domcushnan
Twitter monitor: and alumna:Jodi Brown@jodimolden
Case study alumna:Kate Pound@kateslater2
#SHCR @School4Radicals
30th January: Being a health and care radical:
change starts with me
6th February: Building alliances for change
13th February: Rolling with resistance
20th February: Making change happen
27th February: Moving beyond the edge
Modules
#SHCR @School4Radicals
• Background to The School for Health and Care Radicals
• Learning processes
• Context: emerging directions in transformation and change
• Some challenges for health and care radicals
• The difference between a radical and a troublemaker
• How to rock the boat AND stay in it
• How to thrive and survive as a radical
• Questions and call to action
Source of image: www.freshnessmag.com
for today
#SHCR @School4Radicals
The genesis of the School
2002
20142013
2010 2012
2003
NHS Change Day 2013
“A school for healthcare radicals”
Applying social movement
thinking to healthcare
improvement
“The School for Health and Care
Radicals”
“A one day school for organisational
radicals”
Applying community organising
principles to healthcare
improvement
2015
#SHCR @School4Radicals
The school is based on two kinds of learning
Transactional learning Transformational learning
A “toolkit” of ideas & approaches
Learning through motivation, practice & feedback
Seeks to transfer useful knowledge
Seeks to transform beliefs & underlying assumptions
Learning events, presentations & materials
Experiential, interactive & action-based
Generates understanding of “what to do”
Generates increased capacity in “how to do it”
Source: John Wenger https://medium.com/corporate-learning/3deb1bb2e865
#SHCR @School4Radicals
“New truths begin as heresies.” (Huxley, defending Darwin’s theory of natural selection)
Source of image: installation by the artist Adam Katzwww.thisiscolossal.com
Via @NeilPerkin
#SHCR @School4Radicals
Starts on the fringe
(at the edge)
Starts with the activistsGary Hamel
always
#SHCR @School4Radicals
So why do we keep reinventing the past
and calling it the future?
Image used under Creative Commons licence: Kicki
#SHCR @School4Radicals
Leading change in a new era
Dominant approach Emerging direction
Most healthcare transformation
efforts are driven from this side
#SHCR @School4Radicals
John Kotter, the most influential thought leader globally, recognises new approaches are needed
FROM
#SHCR @School4Radicals
John Kotter: ‘Accelerate!’
• We won’t create big change through hierarchy on its own
• We need hierarchy AND network
• Many change agents, not just a few, with many acts of leadership
• At least 50% buy-in required
• Changing our mindset
• From ‘have to’ to ‘want to’
TO
#SHCR @School4Radicals
From ‘have to’ to ‘want to’
Source of image s:www.slideshare.net/mexicanwave/champions-trolls-10-years-of-the-cipd-online-community
#SHCR @School4Radicals
Managers know how to command obedience and diligence, but most are clueless when it comes to galvanizing the sort of volunteerism that animates life on the social web.
Initiative, imagination and passion can’t be commanded—they’re gifts.
Gary Hamel http://www.mixmashup.org/blog/reinventing-
management-mashup-architecture-ideology
‘ ‘
#SHCR @School4Radicals
The Network Secrets of Great Change AgentsJulie Battilana &Tiziana Casciaro
1. As a change agent, my centrality in the informal network is more important than my position in the formal hierarchy
2. If you want to create small scale change, work through a cohesive network
If you want to create big change, create
bridge networks between disconnected groups
#SHCR @School4Radicals
People who are highly connected have twice as much power to
influence change as people with hierarchical power.
Leandro Herrero
http://t.co/Du6zCbrDBC
#SHCR @School4Radicals
Discussion
What are the implications of the “emerging direction” for the way
change agents work?
#SHCR @School4Radicals
is the new normal!
‘By questioning existing ideas, by opening new fields for action, change
agents actually help organisations survive and adapt to the 21st Century.’
Céline SchillingerImage by neilperkin.typepad.com
#SHCR @School4Radicals
We need rebels!
• The principal champion of a change initiative, cause or action
• Rebels don’t wait for permission to lead, innovate, strategise
• They are responsible; they do what is right
• They name things that others don’t see yet
• They point to new horizons
• Without rebels, the storyline never changes
Source : @PeterVan http://t.co/6CQtA4wUv1
@helenbevan #IQTGOLD#NHSChangeDaySource: Lois Kelly http://www.slideshare.net/Foghound/rocking-the-boat-without-falling-out
@helenbevan
We need to be boat rockers!
• Walk the fine line between difference and fit, inside and outside, rock the boat but manage to stay in it
• Able to challenge the status quo when we see that there could be a better way
• Conform AND rebel
• Capable of working with others to create success NOT a destructive troublemaker Source: Debra Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice
Source: adapted from Debra E Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of “being different” can be fundamentally disempowering. This can lead us to conform because we see no other choice
we surrender a part of ourselves, and silence our commitment, in order to survive
Source: adapted from Debra E Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice
we surrender a part of ourselves, and silence our commitment, in order to survive
2. leave the organisation
Source: adapted from Debra E Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice
we surrender a part of ourselves, and silence our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values and commitments and still survive
Source: adapted from Debra E Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice
we surrender a part of ourselves, and silence our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values and commitments and still survive
3. stridently challenge the status quo in a manner which is increasingly radical and self-defeating
Source: adapted from Debra E Meyerson
@helenbevan
What are the risks for a boat rocker?
1. Our experiences of ‘being different’ can be fundamentally disempowering. This can lead us to conform because we see no other choice
we surrender a part of ourselves, and silence our commitment, in order to survive
2. leave the organisation
we cannot find a way to be true to our values and commitments and still survive
3. stridently challenge the status quo in a manner which is increasingly radical and self-defeating
this just confirms what we already know – that we don’t belong Source: adapted from Debra E Meyerson
@helenbevan#NHSChangeDay #SHCRchatSource : Lois Kelly www.foghound.com
There’s a big difference between a rebel and a troublemaker
Rebel
@helenbevan
Reflection
• What are your insights around ‘rebels’ and ‘troublemakers’?
• What moves people from being ‘rebel’ to ‘troublemaker’?
• How do we protect against this?
@helenbevan#NHSChangeDay #SHCRchatSource : Lois Kelly www.rebelsatwork.com
There’s a big difference between a rebel and a troublemaker
Rebel
@helenbevan#SHCR @School4Radicals
‘There’s only one corner of the universe you can be certain of improving, and that’s your own self.’
Aldous Huxley
Source of image: timcoffeyart.wordpress.com
@helenbevan
‘I do not think you can really deal with change without a person asking real
questions about who they are and how they belong in the world.’
David Whyte, The Heart Aroused 1994
Source of image: fistfuloftalent.com
@helenbevan
History tells us that personal transformation comes before organisational or system
transformation
If we want to play our role, we have to focus deeply on our own perspective and the ways
http://blogs.bmj.com/quality/2013/08/19/a-call-to-action-helen-bevans-blog-2/
we interact with and influence others. The more that we can unleash that powerful reservoir of energy for change, the more our influence and impact will grow.
Image from novamagazine.com
@helenbevan
1. able to join forces with others to create action
2. able to achieve small wins which create a sense of hope, possibility and confidence
3. More likely to view obstacles as challenges to overcome
4. strong sense of “self-efficacy” belief that I am personally able to create the change
Four things we know about successful
boat rockers
Source: adapted from Debra E Meyerson
CHANGE
me
BEGINS WITH
@helenbevan
Self-efficacy
There is a positive, significant relationship between the self-efficacy beliefs of a change agent and her/his ability to facilitate change
and get good outcomes
Source of image:www.h3daily.com
@helenbevan
What’s the difference between
self efficacyand
self esteem,self belief,
self-confidence?
@helenbevan
Source: @NHSChangeDay
What is the issue here?
“permission” ? (externally generated)
or
Self efficacy ? (internally generated)
@HelenBevan
Building self-efficacy: some tactics1. Create change one small step at a time
2. Reframe your thinking:
• failed attempts are learning opportunities
• uncertainty becomes curiousity
3. Make change routine rather than an exceptional
activity
4. Get social support
5. Learn from the best
@helenbevan
The most effective change agents:
• don’t waste their time and energy blaming and complaining
• take calculated risks to achieve the outcomes they sought
Now is the time to plan steps to keep moving myself forward, with positive momentum, as a health and care radical
@helenbevan
Avedis Donabedian
‘Ultimately, the secret of quality is love.
…… If you have love, you can then work backward to monitor and improve the system.’
The secret of quality
@helenbevan
Calls to action from this module
• Take part in a RCT (Randomised Coffee Trial).
• Reflect on your own role / knowledge / skills as a health and care radical and create an action plan to “start with me”.
• Discuss tactics for “rocking the boat and staying in it” with other radicals.
• Identify and support others who are at risk of crossing the line from “radical” to “troublemaker”.
@helenbevan
Randomized Coffee Trial!• Instructions in News from Jo later today• Send an email to say you want to take part in the RCT to
[email protected]• We will randomly match you with another participant in the
School for Health and Care Radicals from anywhere in the world• At some time in the next four weeks, arrange to have a
conversation over Skype (or other communication system) with a cup of coffee!
@helenbevan
Next opportunities for learning
• Next Wednesday 4th February
16:00-17:00 GMT: Tweet chat #SHCR
• Next Friday morning 6th February
9.30-11;00 GMT: Module 2:
Building alliances for change
@helenbevan
Celebration, certification and CPD!
Become a certificated change agent.
Put your learning into action.
Gain CPD points.
@helenbevan
Questions for reflection
1. What are the opportunities for me to build my perspectives and skills as an agent of change?
2. How can I build self efficacy as a change agent?
3. How do I move beyond skills and knowledge of change to live and be change?
4. Who can help and support me as a change agent?
5. What are the implications for the way I work?