Upload
bcpsqc
View
234
Download
1
Embed Size (px)
Citation preview
Culture is what happens when we interact!
“…cultures-and the specific norms that
define these cultures-emerge as
unintended byproducts of interpersonal
interaction.” Lehman et al., Ann Rev Psych 2004;55:689-714
“Communication is the joint establishment of meaning.”
High Power Distance Index Cultures
• Those in authority openly use their rank.
• Subordinates expect clear guidance from above.
• Subordinates take the blame (Second Victim).
• Politics is prone to totalitarianism.
• Class divisions within society are accepted.
NSQIP
• Frequency of events reported
• Non-punitive response to errors
• Perception that management promotes patient safety
• Organizational learning/continuous improvement
• Feedback and communication about safety incidents
• Handovers and transitions
• Teamwork within units
• Teamwork between units
In Summary
• Adopting expansive, open postures changes our physiological state.
• Our feelings of confidence and self-control are enhanced.
• Our feelings of stress are diminished.
So What?
• We feel better and more effective.
• We feel less stressed and anxious.
• We feel more happy and optimistic.
• We feel more powerful, confident, and assertive.
So What?
• It enhances our leadership ability.
• Our body posture has a stronger effect on role power than title.
• Can play a role in balancing the power distance index.
Activity
• At your tables, consider how this information is relevant in your work.
• Where could you leverage your physical state to influence your mental?
• How can we use this to improve patient outcomes?
”Duchenne” or Genuine Smile
• A smile which raises the corners of the mouth and which raises the cheeks and forms crow’s feet around the eyes
External Sensory Input • Sights • Sounds • Tastes • Smells • Touch
Internal Input • Memories • Biochemistry • Culture • Education • Values • Mental Maps
Percepts
Experience Conscious • Observations • Thoughts • Feelings • Wants Unconscious • Observations • Thoughts • Feelings • Wants
Perception Generation and the Elements of Experience
What is Your Mush?
Perception Generation: • What do you think happened? Who messed up? Sense-making: • What did you observe and how did this lead to filling in the blanks
with your story? Interpersonal Competence: • Objective truth: What did you observe to be true? • Subjective truth: From your personal experience, what do you
believe is true? • Inter-subjective truth: Does your truth match those of your table?
Just Listen
• Get into pairs
• Randomly select a topic
– Twenty on your table
• For 1 minute
– Partner 1: what you think and feel about topic
– Partner 2: just listen
• After 1 minute, partner 2 recaps what partner 1 said
Just Listen
• Next, switch roles
• For 1 minute
– Partner 2: what you think and feel about topic
– Partner 1: just listen
• After 1 minute, partner 1 recaps what partner 2 said
Just Listen: Debrief
• How did you feel about your partner’s ability to listen?
• Did your partner’s body language communicate how they felt about what was being said?
• How did listeners feel about not being able to speak their own views on the topic?
• How well did the listener summarize?
• How can we apply in our work?