Building the Reflective Healthcare Organisation by Tony Ghaye

By Tony Ghaye

Healthcare organizations need to deal with switch so as to evolve and enhance care. This ebook explores using reflective perform as a realistic device to ascertain progress and alter and to advance an efficient health and wellbeing care organization.

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In his book Educating the Reflective Practitioner, Schön (1987) uses the metaphor of the swamp and the high ground: On the high ground, manageable problems lend themselves to solution through the application of research-based theory and technique. In the swampy lowland, messy, confusing problems defy technical solution. (Schön 1987, p. 3) Without doubt, life in the swamp, with the ‘messy and confusing problems’ of practice, can lead to powerful opportunities for learning. If we take on the arguments mentioned earlier about the power of human agency, then we can say that here we have at least two choices: to climb out of the swamp and stay on the high ground, or to descend from the high ground into the swamp and maybe stay there.

In reality, progress on one pathway becomes related to progress on another. By reflecting on our action, I hope we will make wise choices about which pathways are naturally and mutually supportive of each other. 2 Six action pathways that enable us to make progress towards building a reflective healthcare organisation. Action pathway name Reflection with action as . . Values Developing an understanding and congruence between espoused and values-in-action Conversation Using the power of the positive question User Learning from patient and client experiences Leadership Leaders using their appreciative intelligence Team Learning shared within and between teams Network Linked groups working in a knowledgesharing way 20 Introduction ones need and can sustain others?

We listen, act and think from within our own, already existing experience. By welcoming in, I mean adopting a frame of mind that enables us to develop our positive core of values, intentions and actions that help us sustain and create new social realities. Unlike downloading (saying what we always say, doing what we always do, thinking in the same old ways), welcoming in is about listening to, and learning from, others who have a stake in the healthcare system. It is learning from those who have different, even opposing, perspectives to our own.

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