on the edge: nursing in the age of complexity the aic fractal linking purpose, power and process...

On The Edge: Nursing in the Age of ComplexityOn The Edge: Nursing in the Age of Complexity

The AIC Fractal The AIC Fractal Linking Linking

Purpose, Power and ProcessPurpose, Power and Process

William [email protected]

Daniel [email protected]

Cynthia [email protected]

ControlControlInfluenceInfluence

AppreciationAppreciation

mailto:[email protected]



On The Edge: Nursing in the Age of ComplexityOn The Edge: Nursing in the Age of Complexity

The AIC Fractal The AIC Fractal Linking Linking

Purpose, Power and ProcessPurpose, Power and Process






1. Fractals are patterns within patterns. 2. They are nature’s super-efficient way of organizing. 3. They can produce extremely highly functioning organization by iterating very

simple patterns through multiple levels to produce very complex forms.4. The complexity is produced from very little information and a parsimonious use of

energy. 5. The results are often astoundingly beautiful. 6. AIC is a fractal that builds a highly effective organizing process from a pattern

built on three power relationships: a) Appreciation—openness, lightness, spirit, yinb) Influence—relatedness, energy, heart, yin/yangc) Control—closure, strength, body, yang

7. This pattern can be used at any scale from a 15 min. problem-solving session through design addressing the most complex issues of our time. How many such patterns of three within three can you see in this slide? How many such patterns of three within three can you see in this slide?

((See last slide for answer.See last slide for answer.))


On The Edge: Nursing in the Age of ComplexityOn The Edge: Nursing in the Age of Complexity::The AIC Fractal The AIC Fractal

Linking Linking Purpose, Power and ProcPurpose, Power and Process








Purpose of PresentationPurpose of PresentationThis Power Point is designed to give those who did not This Power Point is designed to give those who did not attend the previous conferences a brief background in the attend the previous conferences a brief background in the AIC concept and its introduction to Nursing so far. AIC concept and its introduction to Nursing so far.

We bring you up to speed by taking the main points of We bring you up to speed by taking the main points of Liana’s September presentation and using the AIC Fractal Liana’s September presentation and using the AIC Fractal pattern to show how they can be organized both as a pattern to show how they can be organized both as a leadership model and a framework for action. leadership model and a framework for action.

We then show the results of an AIC Mapping Process We then show the results of an AIC Mapping Process applied to the discussions carried out in the 2010 applied to the discussions carried out in the 2010 Transforming Nursing Conference. The results give an Transforming Nursing Conference. The results give an Appreciation of the Nursing Culture and show its Appreciation of the Nursing Culture and show its preparedness to implement the kind of ideas presented by preparedness to implement the kind of ideas presented by Liana. Liana.

Conscious PurposeConscious Purpose

ControlControl

InfluenceInfluence


What is the AIC FractalWhat is the AIC FractalEvery purpose no matter how big or small creates three Every purpose no matter how big or small creates three power fields:power fields:

1.1. a Control field that consists of everything you control a Control field that consists of everything you control relative to achievement of that purposerelative to achievement of that purpose

2.2. an Influence field that consists of everything outside of an Influence field that consists of everything outside of your area of control that you can influence relative to your area of control that you can influence relative to achievement of that purposeachievement of that purpose

Unconscious PurposeUnconscious Purpose

3.3. an Appreciative field that consists of everything that an Appreciative field that consists of everything that affects your purpose but which you cannot influence or affects your purpose but which you cannot influence or controlcontrol



ControlControl

InfluenceInfluence


On the Edge ConferenceOn the Edge ConferenceMaine in 2009 Maine in 2009

This relatively simple use of the AIC Fractal occurred impromptu at the end of the conference. Faculty, students and administrators attending an optional session on AIC decided to put it to immediate use.

Their purpose was to obtain a successful launch of their program by involving all faculty, staff and students present in the process.

Note: Note: This simple use of AIC to bring people together around purpose This simple use of AIC to bring people together around purpose and action is one of the most common uses of the AIC Fractal. and action is one of the most common uses of the AIC Fractal.

In just over an hour they were able to:a) gain everyone's perception of the ideals and realities they

brought to the programb) have a discussion of priorities and what factors would

support and oppose themc) draw some key lines of action about how they would address

themd)d) create a degree of excitement and a greater sense of purposecreate a degree of excitement and a greater sense of purpose



ControlControl

InfluenceInfluence


On the Edge ConferenceOn the Edge ConferenceSpokane in 2010 Spokane in 2010

The results of this experience were so positive that AIC was chosen to address the most relevant and complex issue the organizers could think of at the 2010 conference. They chose the issue of Transforming Nursing Education.

Such complex issues require the next more powerful level of AIC in which we engage not only the organizer’s power to accomplish their purpose but each of the stakeholder’s purpose and their power to support and oppose each other. We now have multiple organizations with no one in control.

The next level of organization requires more understanding of the AIC fractal as the power relationships within an organization and between the organization and its environments.



ControlControl

InfluenceInfluence


The AIC FractalThe AIC Fractal

Your power consists not only of what you want to control, Your power consists not only of what you want to control, influence and appreciate but how that fits with others’ influence and appreciate but how that fits with others’ reactions to the exercise of your power.reactions to the exercise of your power.

Others can use their appreciation, influence or control to Others can use their appreciation, influence or control to counter or support your exercise of power. counter or support your exercise of power.

The more you are aware of your power relative to that of The more you are aware of your power relative to that of others the more “power-full” you are relative to the others the more “power-full” you are relative to the achievement of your purpose. achievement of your purpose.

A-a A-a

I-a I-a

C-a C-a

A-i A-i

I-i I-i C-i C-i

A-cA-c

I-c I-c

C-c C-c

THE AIC FRACTAL AS POWER RELATIONSHIPSTHE AIC FRACTAL AS POWER RELATIONSHIPS

Your power relative to others is symbolized by capital A, I and C

Your power relative to others is symbolized by capital A, I and C

The others’ Power relative to you is symbolized by the small a, i and c

The others’ Power relative to you is symbolized by the small a, i and c

Your ControlYour Control

Your InfluenceYour Influence

Your AppreciationYour Appreciation

Others’ Others’ AppreciationAppreciation

Others’ Others’ InfluenceInfluence

Others’ Others’ ControlControl

AA AA

AA

II II

CC

CCCC

I I

THE NINE AIC POWER RELATIONSHIPS THAT MAKE UP THE FRACTAL


A-aA-a

I-aI-a

C-aC-a

A-iA-i

I-iI-iC-iC-i

A-cA-c

I-cI-cC-cC-c



A-aA-a

I-aI-a

C-aC-a

A-iA-i

I-iI-iC-iC-i

A-cA-c

I-cI-cC-cC-c

We now have nine possible power relationships that can be accessed through any purpose. Our preference for and use or lack of use of these

powers determines how well we achieve our purposes.



Levels of PurposeLevels of PurposeEvery level of purpose creates these same nine power relationships.Every level of purpose creates these same nine power relationships.

AA-The most open possible-The most open possible level of purpose (Global) level of purpose (Global)

II-Jointly shared purpose -Jointly shared purpose (External)(External)

CC-Closed purpose (Internal)-Closed purpose (Internal)

a-Basic human drivesa-Basic human drives

c-The need behind a goalc-The need behind a goal

i-The reaction to value i-The reaction to value differencesdifferences

Similarly every level of subconscious purpose creates the same nine power relationshipsSimilarly every level of subconscious purpose creates the same nine power relationships

GoalsGoals

ValuesValues

InstinctsInstincts

IdealsIdeals

EmotionsEmotions

MotivesMotives



Levels of PurposeLevels of Purpose

GoalsGoals

ValuesValues

InstinctsInstincts

IdealsIdeals

EmotionsEmotions

MotivesMotives

The more we are aware of our levels of purpose and the power that The more we are aware of our levels of purpose and the power that they create the more “power-full” we can become.they create the more “power-full” we can become.

The following chart illustrates an organizing process for creating and The following chart illustrates an organizing process for creating and maintaining such awareness. maintaining such awareness.

Monitor Performance Practice

AAGlobalGlobal

IIExternalExternal

CCInternalInternal

a i ca i c Learning Relating DoingLearning Relating Doing

AIC as an Organizing FramewAIC as an Organizing Framework

Means →Means →

EngageEngage

StakeholdersStakeholders

LEADERSHIPLEADERSHIP

Team Working Team Working AgreementsAgreements

Open to Our

World

Form Policies

for Our World

Appraise Appraise Priorities and Priorities and Relationships Relationships

Develop Strategic Options and

Models

Relate DiplomaticallyRelate DiplomaticallyTo Our WorldTo Our World

EndsEnds↓↓

LEADERSHIPLEADERSHIP

AAGlobalGlobal

IIExternalExternal

CCInternalInternal

a i ca i c Learning Relating DoingLearning Relating Doing

AIC as an Organizing FramewAIC as an Organizing Framework

We can now view Liana’s presentation on the Future of We can now view Liana’s presentation on the Future of Nursing through this framework to better understand the Nursing through this framework to better understand the leadership and organizing processes necessary to leadership and organizing processes necessary to implement the recommendations.implement the recommendations.

We can also understand the cultural preparedness of the We can also understand the cultural preparedness of the Nursing Profession as revealed in our AIC Mapping process Nursing Profession as revealed in our AIC Mapping process completed at the 2010 Conference. completed at the 2010 Conference.

HealthHealth

CommitteesCommittees

LEADERSHIPLEADERSHIPI-iI-i

New Information

on PracticeC-a

Best

Practices

C-c

Enlightened

Human

Global Approach

A-a

Policy Design

Educational ReformA-c

Appraisal of New Appraisal of New PartnershipsPartnershipsAnd Forms of And Forms of CollaborationCollaboration

I-aI-a

Strategic Strategic PartnersPartners

New ModelsNew ModelsI-c

DiplomaticDiplomaticGlobal NationalGlobal National

PresencePresenceA-iA-i

GLOBAL INSIGHT AND IMPACTGLOBAL INSIGHT AND IMPACT

PATIENT BASED SERVICEPATIENT BASED SERVICE

C-iC-i

Team SystemTeam System

Transforming Nursing Education Transforming Nursing Education

A-aA-a

I-aI-a

C-aC-a

A-iA-i

I-iI-iC-iC-i

A-cA-c

I-cI-cC-cC-c

The Results From The 2010 Conference All Individual And Group Preferences for (AIC) Ends and (aic) Means.

RankingPossibilities

PowerEnds/Means

Weighting Priority Issues Identified by Groups and Individuals

1 I-c +48Finding our Voice. Confident Leadership. Change Advocacy.

2 A-c +13Healing Focused. Holistic Health, Basic Education, Student-Centered Education.

3 A-i +7Being the Wise Person. Visibility. Duality. Collective Voice.

4 A-a +5Global Song of Nursing: Unified, Unheard, Invisible, Lifelong Learning.

5 I-i 0 No Entries

Ranking Realities

6 C-i -2Community Nursing. Tertiary Care Systems

7 I-a -16Caring Undervalued. Bringing together. Advocate with Civility. Diversity.

8 C-c -17First Line Care Providers. Statue Quo. Fearfull.

9 C-a -19First-line Care. Working up to Standards. Healthcare “Machine” Paradigm. Define Profession.

Nursing’s Fractal Pattern of Purpose and PowerNursing’s Fractal Pattern of Purpose and Power

The Preferences for (AIC) Ends and (aic) Means produced this Fractal pattern.

.

This pattern is then passed through a digital program that interprets the results

IDEALSIDEALS

VALUESVALUES

GOALSGOALS

LEARNINGLEARNING RELATINGRELATING DOINGDOING

GLOBALGLOBAL

EXTERNALEXTERNAL

INTERNALINTERNAL

Our Ideals

Our Ideals

1.As nurses, we believe that it is possible to achieve anything. This belief resonates through all our other ideals, values and goals and shows in a very energetic, interactive way that our colleagues find infectious.

2.This belief helps us hold true to our underlying principles and the higher meanings that guide our profession.

3.We strive to be open and flexible. We like to be sure we are working on the issues that really matter.

OmnipotenceI-c

TruthA-c

Wisdom A-i

A Fuller Version is available at: http://www.plexusinstitute.org/resource/dynamic/forums/20110309_161836_17724.pdf

Our Values

1.Our core value is political in that we understand that others have different interests, and we constantly try to take their interests into account. We engage energetically with our stakeholders, and we also expect them to engage equally with us.

2.We support this engagement with spiritual values that link us to the highest levels of purpose of the whole of healthcare and its community.

3.We want to be an authentic voice in the strategic dialogue on health care issues. As we engage with our stakeholders, we are concerned about being treated as equals. We know what we want, but we also want to be sure that all others have an equal chance to influence education and healthcare.

SpiritualA-a

PoliticalI-i

AuthenticC-i

Our GoalsOur Goals

1.Our primary goal is the quality of care we provide, which includes understanding how that fits into the larger picture of healthcare. Our direct involvement in patient care gives us an advantage in seeing how the whole system functions.

2.We are confident that we will carry out our commitments and will achieve our goals, and we fully expect our colleagues to do the same. We are quite assertive in commitment to our goals and thorough in appraising any conditions that could affect their achievement.

3.We focus on producing value from the relationships we have with patients and all those affecting their care. We remain open to identify potential positive and negative factors that could affect implementation of those values.

EvaluationEvaluationI-aI-a

QualityQualityC-aC-a

OperationsOperations C-cC-c

OmnipotenceI-c

How We Appreciate Our Whole Situation (Mindset)How We Appreciate Our Whole Situation (Mindset)

1. At this stage of our development as a profession we are very self-aware and use that awareness to create harmony in our world of healthcare. We are disciplined in the pursuit of our ideas and their application to education, nursing and healthcare. However, we need more support and agreement from others in healthcare and the community in order to continue our quest. 2.We sense that quality is not reaching the standards we aspire to, but we continue to work hard and stand our ground though we feel unappreciated. Our instinct is to get out. However, we continue with our work. We tell ourselves that we don't care, and we hide our true feelings.

3.Our means for managing the tensions that arise between our ideals and the provision of quality service are more than adequately met by our willingness to engage as equals with others to negotiate difference—our core political value.

QualityQualityC-aC-a

PoliticalI-i

Politics:Politics: Developing Our Influence Developing Our Influence

1.As we have already seen our core value is political, so effective influence comes relatively easy to us. There is no change necessary.

2.We should, however, become less focused on the principles—or truth—involved in our diplomacy and more willing to be open to influence to consider a wider range of possibilities.

3.In negotiating options we should think less about the work itself and more about the quality of the agreements reached.

Note :The recommendations for change try to keep the ends, the large (A), (I) and (C) the same and make changes only in the means, the small (a), (i) and (c), so increasing influence is achieved by increasing the amount of influence means (i).

PoliticalI-i

TruthA-c

Wisdom A-i

AgreementC-i


PoliticalI-i

Execution:Execution: Developing Our Control Developing Our Control

1.At the policy level the model suggests that we become a little more open. It asks us to consider a wider use of ideas, people and resources for implementation—for example, from outside of Nursing.

2.At the strategic level our emphasis on the political process is just what is required and requires no change.

3.At the operations level it suggests that our learning process be much more focused on operational results rather on resolving difference of values that arise.

Note: These relatively small changes end up giving us an ideal use of the maximum possible range of balanced ends and means A-a, I-i and C-c.

PoliticalI-i

Wisdom A-i


PoliticalI-i

EnlightenmentA-a

EvaluationEvaluationI-aI-a

Individual Takeaway for All of Us Individual Takeaway for All of Us

It doesn’t matter whether by It doesn’t matter whether by personality we are personality we are ((AA), (), (II) or () or (CC) types.) types.

We can all be healed We can all be healed (made whole) (made whole)

By choosing to use By choosing to use ((aa) () (ii) and () and (cc) means equally. ) means equally.

http://www.plexusinstitute.org/resource/dynamic/forums20110309_161836_17724.pdf

http://www.plexusinstitute.org/members/forums/posts.asp?group=69372&topic=208766&DGPCrPg=1&hhSearchTerms=&#Post208766

A fuller version of the Appreciation A fuller version of the Appreciation

Background on AIC use in the on the Edge Conferences.

REFERENCESREFERENCES

The Creative Power: Transforming Ourselves, Our Organizations and Our World. Routledge, 2009.

© William E. Smith Ph.D.

[email protected]

GraphicsDeborah BarbeeBarbee Graphics

[email protected]

© William E. Smith Ph.D.

[email protected]

GraphicsDeborah BarbeeBarbee Graphics

[email protected]

On The Edge: Nursing in the Age of ComplexityOn The Edge: Nursing in the Age of Complexity::The AIC Fractal The AIC Fractal

Linking Linking Purpose, Power and ProcPurpose, Power and Process




SkySkyAA

SeaSeaII

EarthEarthCC

Yellow CenterYellow CenterCC

Dynamic Arrows Dynamic Arrows II

Black WholeBlack WholeAA

Green arrow, triangle Green arrow, triangle AA

Red arrow, triangle Red arrow, triangle II

Blue arrow, triangle Blue arrow, triangle CC

Three dotsThree dots Yellow A, Red I, Indigo CYellow A, Red I, Indigo C

Three Circle Three Circle Three ColorsThree Colors

Three Three Triangles Triangles

within trianglewithin triangle

And many more depending on And many more depending on how macro or micro you want how macro or micro you want

to look….to look….

Three letters AICThree letters AICThree shades Three shades

LightLightAA

MediumMediumII

Dark Dark CC

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