Patient Safety and the Healing Power of Story

Recently I’ve been having conversations with nonprofit professionals in healthcare about improving safety in hospitals. This led me to two articles by David Bornstein for The New York Times: “Reducing Preventable Harm in Hospitals” and “Hospitals Focus on Doing No Harm.”

In his writing, Bornstein asks: “How can health systems be made safer when success means changing the attitudes and habits of health care professionals at a time when many are overwhelmed and deeply frustrated by all of the demands being made on them? What does it take to get them to urgently embrace new ways of working?”

One key factor for successful change is engaging front line clinicians in peer learning communities. This works best when it is collaborative and storytelling is at its core. Stories reveal small details in the work experience that can make a huge difference in the outcomes. By giving peers the opportunity to coach one another, their unique success stories become concrete solutions which, in turn, get integrated into new or existing systems. Empowering people to create their own improvements to the system will, in the long run, inspire them to welcome change.

Ric Elias, Atul Gawande, Ed Gavagan: Stories about finding meaning in caregiving, healing and facing death.

The healthcare culture must support these changes, and story is the catalyst for transformation. The human brain is wired for story. Cognitive studies have proven that telling and listening to stories enhances learning, memory and understanding. These are essential in building relationships and trust which is crucial for patient safety.

What does trust in healthcare look like? Nurses feel comfortable correcting doctors without fear of reprisal. Patients and family members are engaged in care to alert staff members when they see potential problems. Above all, doctors are more comfortable talking about change.

And it begins with story

The End of Life Teaches Us How To Live

I would like to dedicate this podcast to my BFFF (best furry feline friend) Buddy, a short-haired tabby. Yesterday, my partner Curt and I said goodbye to Buddy who gave us eleven years of his life. Truly the best gift we will forever cherish. If you have a pet or have had one, I’m sure you will understand me saying that we rely on our pets to teach us about unconditional love and generosity. If we let them, they can bring out the best in us as human beings.

Being with Buddy as he drew his last breath changed me. Now I look at my life in a slightly different way. LISTEN to two storytellers calling for a more heroic narrative for death which, if we let it, can become a more positive thread that transforms our lives.

Kelli Swazey, Amanda Bennett, Buddy
Kelli Swazey, Amanda Bennett, Buddy

What is school for?

On the heels of our observance of Labor Day, a series of questions come to mind about the meaning of work. One question I have is: What motivates us to work? Contrary to conventional wisdom, it isn’t just money.  But it’s not exactly joy either. Scientific research has shown that most of us thrive by making constant progress and feeling a sense of purpose. Behavioral economist Dan Ariely has presented two eye-opening experiments that reveal our unexpected and nuanced attitudes toward meaning in our work.

Also on the heels of this holiday, Chicago Public Schools are opening their doors to begin the new school year. I can’t help but try to connect the dots between the meaning of work and why teachers teach? What compels someone to stand in front of young impressionable minds?

According to Seth Godin, the school system was redesigned to meet the needs of the factories born out of the industrial revolution. Students were taught respect and obedience in order to fit in, so they can do the same after they graduate and secure a job on the assembly line. Obviously, times have changed and the economy has changed. If they’re not training kids for a life in a factory, what is a teacher preparing students for? Is it still about fitting in? Reciting what’s on the text book? Knowing what’s on the test? Today, is it more important to ask kids to collect dots than to connect the dots?

I will never forget what my high school English teacher, Emannuel Leviste, said to me in our writing class: “Don’t fall in love with one idea. If it ends up not working, don’t be afraid to throw it out the window and start again.” His words have always been a pillar for me whenever I face a fork in the road. A great teacher knows what school is for: With passion, insight and love, to spark courage in every child to follow their dream.

Education and Story: Building Blocks of Community

In keeping with Barkada’s 2015 theme of education, I’d like to highlight an article that was recently published in the Chicago Sun-Times. Ameya Pawar, alderman of the 47th Ward on Chicago’s North Side, wrote an opinion piece about Chicago’s test-based high school system.

He begins by telling the story of his father living in Mumbai, India in the mid-1950s. His father and other students spent their childhood preparing for one test to secure one of a few coveted seats in the right high school. It meant the difference between spending the rest of their lives in poverty or winning the lottery for a chance of getting ahead. Twenty years later, his father immigrated to the United States so that when he started a family, they wouldn’t be condemned to the same broken system. Fast forward to 2015 and we find the same broken system here in Chicago. Pawar describes what this looks like and feels like for the families in our City of Neighborhoods:

Children begin to prepare for Chicago’s selective public high school entrance exam as early as 10 years old – spending hours on homework and stressing over earning straight As. Test-shaming and peer pressure are the norm. Parents scrounge together resources for tutors and admissions consultants. Parents peer pressure one another. To what end? Each year 25,000 eighth graders compete for 3,600 seats across eleven selective enrollment schools. A near-lifetime of preparation to get into the right high school. In a system which serves a few and neglects the whole.

And so, like many families, Pawar’s father once again decided to move his elsewhere to seek out stability and equity, fleeing to the suburbs to find a stable neighborhood K-12 system.

According to Pawar, “Chicago is doing itself a tremendous disservice by replicating an educational pattern that helped force my family out of India. The narrow focus on selective enrollment high schools is stressing families, harming neighborhood high schools, and undermining long-term growth in Chicago.”

Urban education reform treats schools like businesses, but we know that most businesses fail. Pawar’s vision for Chicago’s educational system is where schools are the starting point for neighborhoods to come together and make change happen, because everyone has some vested interest in making sure that their schools are doing well.

He describes this initiative as having three pillars:

  • Organize around the schools and change the dialogue in order to change the perception of neighborhood high schools
  • Generate conversations one household at a time and connect these conversations to a plan
  • Build community around the plan

For a community-driven initiative like this to be successful, the leaders have to be ready to do a lot of listening. By getting people to share stories with one another, they begin to realize that they are dealing with the same challenges and they all want the same thing for their children. They begin to realize that they will be more successful if they work together to make change happen around their schools to achieve stability and equity.

Leaders begin and end with stories.

In 2003, Harvard Business School interviewed screenwriting coach Robert McKee. He talks about why it is essential for a leader to be a skilled storyteller in order to successfully persuade members of her team to work toward common goals. Particularly in the nonprofit sector, a leader should be able to convince potential donors and funders that his organization is worthy of receiving their financial support. Cognitive research has shown that the human mind assembles the bits and pieces of an experience into a story in order to understand and remember. We tend to forget lists and bullet points. Instead, human desire and struggle are what stay with us.

Why does it make a world of difference to go beyond rhetoric and present your case in a story? According to McKee:

Essentially, a story expresses how and why life changes. You want to display the struggle between expectation and reality in all its nastiness. It demands vivid insight and storytelling skill to present an idea that packs enough emotional power to be memorable.

Our team at Barkada Circle has worked closely with leaders of nonprofits to help them realize that storytelling is a powerful catalyst that brings together key stakeholders of an organization to the same page. Stories reveal shared values and foster deeper understanding of common goals. The outcome is a shift in the collective consciousness of the organization to create a shared narrative about the mission that has more clarity and focus. From here, leaders can take their story and develop a more compelling message that resonates with their audience.

Jacqueline Novogratz and Simon Sinek
Jacqueline Novogratz and Simon Sinek

LISTEN to Simon Sinek and Jacqueline Novogratz share stories that encourage us to take the initiative for inspiring others to change the way they think and see. Ultimately, the outcome will be something bigger than we had imagined.

Stories we tell define who we are

At Barkada Circle we believe that positive change begins with cultivating a sense of community around real collaborative efforts and allowing various ideas to converge. This is why we use storytelling as the main catalyst for realizing new ideas and shared goals.

As human beings, we are naturally wired for story. When you tell a story to another person, you will spark a story from that person. As an emergent form of communication, a compelling story conveys meaning that the other person can relate to because it reflects what they believe in. As a way to bring people together, stories reinforce the culture of the community. Stories build our identity and help to forge meaning for what it means to be a community, and ultimately, revealing who we are as individuals.

Chimamanda Adichie, Thandie Newton, Tavi Gevinson
Chimamanda Adichie, Thandie Newton, Tavi Gevinson

LISTEN to three artists talk about how stories reflect our humanity and all its complexities––the multiplicity of the human experience.

Teacher. Student. And how story connects them.

At Barkada Circle, we use storytelling as the catalyst for sparking conversations between the people of a community so they can inspire each other and work together to make change happen.

For the past few months, my team has been immersed in Chicago’s education community. From coaching early childhood educators in a nursery school so they can engage the parents of the children on a deeper human level to speaking to a group of development professionals for community colleges about the value of storytelling in their work.  From training teachers to be leaders in their own communities to engaging the board members of a museum in outreach and promoting their mission.

Barkada Circle’s goal for 2015 is to highlight the value of storytelling as a transformative agent for education: why storytelling is the foundation for how children learn and how adults find common ground around the issues of education, why each one of us must engage in making sure everyone has access to education regardless of their socio-economic status in the community.

Recently we gathered parents, youth, educators and nonprofit leaders around a table in Evanston, Illinois to share their experiences and perspectives on education. Participating in this conversation provided them opportunities for:

  • Meeting other equally invested neighbors who share similar visions for Evanston
  • Deepening their understanding of the community’s needs, programs, challenges and successes
  • Planting the seeds for future interactions, collaborations and resource sharing

This was our first step in supporting people’s efforts to make the necessary change for education in Evanston. As we facilitate more conversations, we continue the journey of addressing education as the cornerstone of our democracy and, presently, a tangled web of direction, intention and contention. Once we reach the place where we find our common truth and identity, only then can we change our story that weaves together reconciliation, courage and hopefulness.

Rita Pierson, Christopher Emdin and Linda Cliatt-Wayman
Rita Pierson, Christopher Emdin and Linda Cliatt-Wayman

Listen to these three storytellers talk about having the courage to break down barriers to reconcile their passion for education with the needs of underserved students so that they can hope to succeed in life.

The Struggle to Be American

I was driving down Clark Street yesterday afternoon from Chicago’s Rogers Park neighborhood to get to Andersonville. While waiting for the light to change at the intersection of Clark and Granville, I turned my head to gaze at the office of Centro Romero, a nonprofit agency that serves the immigrant and refugee community. My eyes were transfixed on something I had never seen before. I saw hand-painted on their office window the words: No Budget. No Service. No Justice.

“Did they close their doors for good?” was my first thought. I couldn’t tell for sure because it was Sunday and no one was around. Then the light changed. Driving off, the question “Was this the aftermath of the state budget cuts?” popped immediately into my head.

Two months ago, I had lunch with Daysi Funes, Centro Romero’s Executive Director. Back then, she expressed a deep concern for what could potentially become the fate of nonprofits after Illinois Governor Bruce Rauner announces the state budget in July. Now that we’ve turned that corner, I’m seeing signs that point toward difficult times ahead. Just the other day, a friend told me that he was laid off from a community organization also serving immigrants and their families.

Nonprofits like Centro Romero work to keep immigrant families together, help people from this community find jobs and provide them access to healthcare. The state budget is a reflection of how little value elected officials put on the lives of people who have the weakest ability to find resources for building a sustainable home. It’s seems so easy for someone in power to forget how this country was built in the first place. From where he stands, he sees today’s immigrant community as having no impact on the status quo that he’s trying to protect. But what he fails to see is the reality that immigrants shape the future of this country, whether or not he accepts it. This is how it has always been throughout our history, and how it always will be.

Tan Le, Anand Giridharadas and Pearl Arredondo
Tan Le, Anand Giridharadas and Pearl Arredondo

Listen to three success stories that shed light on the immigrant community. More than that, they are stories of courage, perseverance and compassion. What may seem to be foreign at first is, in reality, ideally American.