Allison Bone retweeted
Most change initiatives don’t fail in the plan - they fail in what leaders don’t notice.
I want to reflect on a new Manfred Kets de Vries article: “You look, but you don’t see: leadership & the paradox of perception,” for leaders of change.
It reinforces that change initiatives are rarely governed by the “visible layer” (methods, metrics, milestones, RAG, governance, etc). These may appear “under control” while the most decisive forces remain under the surface: anxiety, fear, grief, resentment, rivalry, shame. What is labelled “resistance” may be self-protection; “alignment” may be passive compliance; “clarity” may be premature closure. Leading change is not only about implementing the plan but reading the emotional system the plan is landing in.
The article’s core idea is that “seeing” is an active leadership discipline, needing patience & humility. Change is less likely to be derailed by technical error than by psychological blindness: familiarity is mistaken for understanding, data for perception & analysis for awareness.
Curiosity must override certainty. Certainty is seductive, signalling competence, control & momentum. It also shuts down sense-making, especially if people are anxious. Curiosity keeps leaders open to contradiction & surprise. It reframes “what’s going wrong?” into “what’s being protected here?” & slows premature action.
We should use ourselves as instruments of "seeing": noticing what others evoke in us & treating it as data rather than noise. Feeling bored, confused, irritated or anxious in a meeting can be data about what’s happening relationally (avoidance, unspoken conflict, dependency, power etc).
How can leaders of change put on leadership glasses & see more clearly?
1) Build regular reflection time into change efforts (e.g., before key decisions & after difficult meetings) so we can notice patterns rather than just react.
2) Ask, “What emotion is driving this?” & “What might people be protecting?” to look beyond stated positions.
3) Use our own reactions as data: treat our feelings as signals to explore what’s happening in the relationship or group before pushing ahead.
4) Replace certainty with curiosity by framing early conclusions as “working theories,” then test them with questions like “What doesn’t fit?” & “What else could be true?”
5) Practise humility out loud: admit what we don’t know yet, invite challenge & revise our view openly so the system learns that learning is safe during change.
Too often, we look but we don’t see. “Seeing” means practising an enhanced kind of leadership: paying attention to human dynamics beneath surface data; making space for what doesn’t fit; holding tensions, contradictions & uncertainties & staying open to the unexpected. What becomes visible to those who practise “seeing” often determines whether change becomes movement rather than just motion.
The article in @Medium: medium.com/@manfred.ketsdevr….
Allison Bone retweeted
Healthcare workers are ten times more likely to get the flu.
Getting vaccinated helps protect you, your patients and your family.
For a list of vaccination clinics, see healthservice.hse.ie/staff/f…
Allison Bone retweeted
We have issued a statement on the use of paracetamol medicines during pregnancy.
Paracetamol is an important treatment option for the management of fever and pain in pregnancy and available evidence does not link its use to causing autism in children.
For our full statement, see our website: hpra.ie/news-events/news/art…
Allison Bone retweeted
Apixaban perioperatively
#FOAMed @stjamesdublin
Allison Bone retweeted
Be safe Carrie ❤️🙏.
An incredible human being.
You can donate here 👇
icrc.org/en?fbclid=PAQ0…
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Real leaders drive real engagement 🙌
Workplaces where people are engaged do significantly better in productivity & performance. If we want to build better staff engagement, we need more conversations, not "engagement campaigns".
Too often, leaders who want to improve staff engagement build “campaign-style” interventions: analysing levels of engagement, having listening sessions, broadcasting messages & creating dashboards. Yet engagement isn’t a tool or a project - something you can "install" top down. It’s a daily, ongoing practice, rooted in the rhythms of conversation.
The single force that shapes day-to-day engagement more than any other is line managers. (In the NHS, it is the frontline leaders, around band 7 level, who line manage >60% of the NHS workforce & who have an outsized influence on NHS productivity & performance). Consistent, authentic dialogue between managers & teams creates the psychological safety people need to speak up, take risks & challenge the status quo.
If we want better engagement, we need to support front line leaders to develop skills for conversation-based leadership & build in routines that enable regular conversations to happen: medium.com/@kylejones_47003/…. By Kyle Jones on @Medium, via @LauraJYearsley.
Made possible through engagement of the enrolled hospitals, RTOs, Sinead Brennan, @DrNigelSalter and @ICNARC. A standardised reliable rate of in-hospital cardiac arrest and ROSC for 9 acute hospitals in Ireland @ERC_resus @Irishheart_ie now let’s work on improvement 👏
Allison Bone retweeted
Well done to our QPS team on being shortlisted for the ‘Healthcare Initiative – Patient Safety’ category at the Irish Healthcare Centre Awards for their In-hospital cardiac arrest pilot audit project.👏
Best of luck at the awards tomorrow!
In the midst of what can be a very hectic ever changing system so important to take time to reflect - with obvious outcomes for patients and staff, which is always our end goal.
"Creating team joy & wellbeing: a guide for leaders". This is a super resource, designed by leaders in health & care, to help teams and leaders assess where they’re at, identify how to grow as a team & make meaningful changes to improve team well-being.
It includes practical change ideas, coaching strategies & ways to engage teams in this work:
interiorhealth.ca/sites/defa….
Hi res image: interiorhealth.ca/sites/defa….
These resources were created by Jessica Barker & Marianne Morgan from @Interior_Health in Canada.
HSE values - care compassion trust and learning - can we tick all the boxes?
Loved drawing this for NHS Highland - 7 factors for caring with compassion.
A great source to use to check in with teams and to reflect on ourselves
Find out more about what I offer here: buff.ly/BkQEp36
Are you a leader?
Cherry bun leadership: 4 things great leaders are not afraid to say
Find out more about Sonia Sparkles here: buff.ly/kVks8sp
Fantastic. Well done all. Situational Awareness For Everyone. Communication and timely decision making @HSEDubSouthEast @RCPI_news @PGallagherIEHG @keanesusan1
Congratulations to our Paediatric medical and nursing team @WexGenHosp who took part in the recent SAFE Collaborative and won the best video category 👏🏆
Wexford General Hospital working with patient partners, staff and Parkinson’s Ireland in creating awareness of the importance of Parkinson’s meds on time every time.
Fact!
"Corridor care, or the use of “temporary escalation spaces,” harms patients. But it also harms the professionals working in them."
@greenparakeet1 and Matt Phillips say that safe and good quality care cannot co-exist with treatment in corridors
bmj.com/content/388/bmj.r91?…
😢
At least seven newborns died of hypothermia in #Gaza in December, and more children are in danger.
Every child deserves a healthy and safe start in life, but the children of Gaza are paying the price of war with their own lives. Ceasefire!































