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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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!
Allison Bone retweeted
Distraction carries a price in #neonatal simulated resuscitation
Mask leak (31.0 vs 15.9 %)
Minute volume (202.0 vs 253.0 mL/kg/min)
Respiratory rate (29.0 vs 33.0/min)
Keep your eye on the patient!
pubmed.ncbi.nlm.nih.gov/3957…
#neoTwitter #Pediatrics
Allison Bone retweeted
Landmark Sepsis General Practice Update launched by ICGP today to support GPs with early recognition and management of sepsis. Excellent document through collaboration with Sepsis Programme, thanks to Dr Ellen Hayes, NCP for Sepsis and everyone who contributed. #RecogniseSepsis
Allison Bone retweeted
Today is World Meningitis Day!
If you do just one thing today make yourself meningitis aware !
#WorldMeningitisDay #DefeatMeningitis #ACTforMeningitis @HSEDubSouthEast @AssocEmergMedIE @IrishEMtrainees @svuh @edsvuh
Allison Bone retweeted
Prof. @EvaDoherty @rcsi delivers a thought provoking talk on how Human Factors are vital in the strategy against Sepsis & to enhance safe patient care.
We need to be solution focused, not blame focused.
Psychological safety is imperative for safe patient care.
#Sepsis2024 #BeKind
Allison Bone retweeted
Starting the day with some education around sepsis in children @WexGenHosp. Thank you to Susan Keane Group Sepsis ADON for collaborating with the local team to deliver this important training. #sepsistrainingmatters #sepsisawareness
Allison Bone retweeted
Leadership , a document written by @JamesTCobbler and brilliantly he is now a Minister of HM government dept of justice. Grown ups doing grown up jobs , remember that ?
Allison Bone retweeted
Please share🙏
Deconditioning is the burglar of life's quality and the thief of time, leaving peoples' lives smaller than before
'Deconditioned' shows us its impact lingers but it isn't inevitable
#EndPJparalysis #Last1000days
HT @lyndamholt @RCSI_Nursing
youtube.com/watch?v=xeXoLQ7U…
Allison Bone retweeted
"Leadership is language". Words are powerful tools that energise or deflate, inspire or dishearten. When we talk about "resources" rather than "people", or use "they" rather than "we" or say someone is lazy or use "must" or "have to" or abbreviations excessively, we set the culture. There are some great examples of leadership teams identifying words they want to use more & less often & holding each other to account for it: antmurphy.medium.com/leaders… Via @ant_murphy @noelito
Allison Bone retweeted
The National Patient Experience Survey is underway and open to eligible participants. As a patient , your feedback is critical to our service @WexGenHosp as it allows us to learn what is working well and where we can improve.
@careexperience @HIQA @HSELive @roinnslainte
Allison Bone retweeted
Mechanical ventilation is the name of the game on our education board this month.
Allison Bone retweeted
Although best known for #EndPJparalysis, I'm especially proud of #Last1000days, so honoured to Chair these @NHSConfed events on Valuing Patient Time organised by the fab @Sonia_Sparkles on 3 & 11 April
nhsconfed.org/events/valuing…
HT @ConfedMatthew @RoyLilley @ECISTNetwork @WeNurses
I’ve just registered for this 2-part webinar series chaired by @BrianwDolan and can’t wait to hear how Hampshire and Sussex Community Hospitals are reframing patient flow and delayed discharges to centre around patient time #Last1000days




































