Caring conversations as a method to facilitate dialogue in health and social care contexts - PowerPoint Presentation

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Caring conversations as a method to facilitate dialogue in health and social care contextsProfessor Belinda Dewar

Professor of Practice Improvement

School of Health, Nursing and Midwifery

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Relationship centred care - Tresolini and the Pew-

Fetzer

Taskforce (1994).

Willingness

to negotiate and compromise

Willingness to see another perspectivePromoting and accepting the emotions of othersSharing personal informationOpenness to other ideasSharing insights when things are not going wellRecognising the good in others

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Relationship Centred Practice

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The Compassionate Care Study

2008-2011

Overarching theoretical framework Appreciative inquiry and relationship centred practice

Observed over 240 hours of interactions

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Compassionate Relationship Centred Model

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Caring Conversations

Courageous

Connect emotionally

Curious

Collaborative

Considerate of

other

perspectives

Compromise

Celebrate

What matters to you? What would happen if we gave this a go?

How do you feel? I feel? …

How can we work together to make this happen? How would you like to be involved? Who else could help us?

Help me to understand why this

happened

? What would help you now? What might make a difference?

What do you think? What are others saying about this? What would happen if we did nothing?

What is real and possible? How can we work together to make this happen?

What works well for you? I value the fact that you are…? Thank you for…

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Bringing relationships to life in day to day practice

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Stories using Emotional touchpoints

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Language antennae

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Being Provocative

Barrett and

Cooperrider

(1990: 232) claim that a good metaphor ‘provokes new thought, excites us with novel perspectives and enables us to see the world with fresh perspectives’.

Deal with relatives/explore with relatives

We are the experts/we are one expert among many

Caring for people like I would want my own family to be cared for/Caring for people like they themselves want to be cared for

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This Spirit of InquiryWonderIntrigue

Surprise

Energy

‘The

shyest people said the most amazing things. The people who usually tend to take over were being challenged by others who are usually quieter. This gave a sense of justice in the room. We got more qualified insights – for example, someone would say, ‘Yes, that does happen sometimes

’.THE WISE Effect

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New Possibilities‘I used the caring conversations framework to facilitate a discussion with a relative who I had a very poor relationship with. Just connecting emotionally with her – asking how she felt and sharing how I felt, which was frustrated and sad that we did not have a better relationship helped to open up dialogue. I would never normally say how I felt. [The 7 C’s] transformed our conversation to one that was balanced and respectful. I asked her at the end if she would mind if I shared some of our learning with other staff on the unit. She said this was not a problem and wondered if I would mind if she could join me in sharing our learning with staff.’

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Development of frameworkDeveloped in the context of compassionate care in an acute care setting caring for older people

Further tested in 5 care settings including residential care, community care and acute care

Expanded to use as a framework in to promote learning and knowledge into action in a range of other contexts e.g. action learning, academic supervision

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People were able to turn…

Fear

to courage

Detached to

emotionful

Furious to curious

Dogmatic to consider other perspectives

Conflictual to collaborative

Resolute to compromise

Disregard to celebrate

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The compassionate organisation

In depth knowledge of caring/person-centred philosophy and its application to practice from senior members of the organisation.

Philosophy of caring/person-

centredness

underpinning all organisational process and activity

Active support of staff to enhance their well beingConstant and consistent messaging about caring/person centredness

Use of appreciative language

Celebration

of success and clearly naming and sharing caring activity and behaviours across the organisation

Using measurement as a development tool to celebrate success and prompt insight, motivation and discussion about future

development

Using a range of ways to build capacity/leaders

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The poem – I used to but now I….