Narrative Leadership: Signaling Safety and Inclusion Through Storytelling

Sunday, August 21, 2022, 10:30 am - 11:30 am CDT
Greenway I Room

Improving the quality of care performed by interprofessional teams has been a complex problem in health care for years. Progress has been made with the adoption of formal quality improvement measures; however, success has been slower and more variable than anticipated. Research shows that relational issues, not technical problems, are more often impairing the success of quality improvement initiatives (1). In fact, improvement efforts often overemphasize technical approaches, to the detriment of relational ones, when evidence supports that relational factors are more impactful on interprofessional team-based care. The highest functioning teams focus on and excel at both technical and relational elements (2).

Of relational factors, psychological safety – the shared belief that team members can take interpersonal risks (3) – is increasingly recognized as essential to high functioning teams and high quality health care. For example, hospitals with increased psychological safety experienced significantly greater reductions in risk-standardized mortality rates following acute myocardial infarction (4). Cardiothoracic surgery teams at an academic health center found that enhanced psychological safety significantly decreased surgical errors and nurse turnover at 12 months (5). In our work in various clinical, educational, and research settings, we hear how important it is that individuals feel empowered to contribute in all situations. Psychological safety matters. Systems leaders articulate a desire to create psychological safety, but all too often academic training falls short of equipping healthcare professionals with the practical day-to-day skills to create this type of working environment.

The COVID-19 pandemic has highlighted the urgent need for promoting safe, inclusive, and human-centered healthcare and learning environments. The pandemic has exacerbated the strain on our relationships with patients, learners, colleagues, and interprofessional partners. More than ever, we need collaboration that honors providers’ humanity and builds upon their strengths. Substantive improvement requires an activation of leadership’s relational domain, and the cultivation of a psychologically safer culture. Despite increasing awareness of the importance of psychological safety, we are still learning how to make it both actionable and impactful.

Engaging in Narrative Leadership, utilizing storytelling as a leadership tool, can enhance psychological safety in interprofessional teams. This session gives attendees practical skills to enhance psychological safety within their teams and communities and move this key concept from a theoretical good to an actionable essential.

In this seminar, attendees will experience a brief, interactive introduction to psychological safety. Then, we will transition into skills training on Narrative Leadership, a tool that can enhance psychological safety, through a short didactic, a live demonstration, and then small group practice. A debrief and discussion of application will round out the session.

Learning Objectives:
1. Identify the role of psychological safety on highly functioning teams and the delivery of high quality patient care.
2. Determine how employing the principles of Narrative Leadership contributes to a psychologically safer team environment.
3. Apply Narrative Leadership in appropriate settings to demonstrate shared values.
4. Develop a Story of Self for use in professional settings.

Accreditation Details

In support of improving patient care, this activity is planned and implemented by The National Center for Interprofessional Practice and Education Office of Interprofessional Continuing Professional Development (OICPD). The OICPD is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

The National Center OICPD is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credit for learning and change.

Physicians: The National Center for Interprofessional Practice and Education designates this live activity for AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with their participation.

Physician Assistants: The American Academy of Physician Assistants (AAPA) accepts credit from organizations accredited by the ACCME.

Nurses: Participants will be awarded contact hours of credit for attendance at this workshop.

Nurse Practitioners: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts credit from organizations accredited by the ACCME and ANCC.

Pharmacists and Pharmacy Technicians: This activity is approved for contact hours.

Athletic Trainers: This program is eligible for Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program.

Social Workers: As a Jointly Accredited Organization, the National Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. The National Center maintains responsibility for this course. Social workers completing this course receive continuing education credits.

IPCE: This activity was planned by and for the healthcare team, and learners will receive Interprofessional Continuing Education (IPCE) credits for learning and change.