 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 Reframing From Autonomy to Interdependence From Silo to System From Hierarchy to Parity From Analysis to Synthesis From Individualism to Collaboration From Conflict Avoidance to Conflict Engagement

REFRAMING: TO SEE A FAMILIAR SITUATION IN A WHOLE NEW WAY, WITH NEW MEANING, 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 options New 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 move in 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, reframing Managing the process, timing, interest clarification Integrating balcony viewing, humor, and compassion Negotiation, mediation, and facilitation Option generation and agreement management Timing, 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 wish to see in the world Gandhi

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“Imagination is more important than knowledge.” Albert Einstein