Looking forward to joining this virtual workshop today with @ALPHAcademy at @BangorUni

"Healthy behaviours in individuals & systems: what drives behaviour and how can we harness it?"

Tweets will appear below as a 🧵

#QITwitter
@ALPHAcademy @BangorUni Prof John Parkinson introduces the outcomes of today's workshop! So pleased to be attending today!
#ALPHAcademy #ILAWorkshop
When we diagnose the problem in Improvement.....how often do we consider the behaviours needed for the change to succeed and how to influence them? How often do we walk in the shoes of those involved in making the change happen?

#QITwitter #ALPHAcademy #ILAWorkshop
John says there are more than one system in relation to behaviour change: Reason, Conscience, Automatic.

We think we make decisions and behave in a certain way based on reflection, planning & problem solving (system 2) but often we make quick decisions based on system 1
When might we use each system? We might use them for different scenarios. Listed are some of the advantages and disadvantages of each system.

#QITwitter #ALPHAcademy #ILAWorkshop
A group whiteboard session has generated some thoughts on some of the things that influence behaviour

#BehaviourChangeILA #QITwitter
I'm simultaneously taking part in a @FutureLearn course on an Introduction to Organisational Behaviour (OB). I'm beginning to wonder if our improvement diagrams should include behaviour as a primary driver. Just mocked this up based on the OB course
#QITwitter #BehaviourChangeILA
John is introducing us to the COM-B tool, which asks us to consider capability for behaviour change, motivation for behaviour change and opportunity for behaviour change
#QITwitter #BehaviourChangeILA
Interesting comment from John around risk perception and how risk perception may differ within a group!

#BehaviourChangeILA #QITwitter
Prof Carl Hughes is now introducing us to the EAST Framework which I've come across before but not explored further.

4 simple ways to apply behavioural insights

You can download it for free here: bi.team/publications/e…

#QITwitter #BehaviourChangeILA
Carl is providing some examples of application of this framework - impact on behaviour change via really simple changes....

Have you used this framework well in improvement❓

#QITwitter #BehaviourChangeILA
Now listening to Dr Rosemary Smith, talking about how we can bridge the gap between intention & action. What blockers and enablers are there? And how do we overcome them?

#QITwitter #BehaviourChangeILA
This next session looks really interesting with Prof Carl Hughes.

#QITwitter #BehaviourChangeILA
"By balancing the needs of individuals & the group & building relationships with other teams, we shape the culture"

#QITwitter #BehaviourChangeILA
Core design principles for polycentric governance.

Shared purpose right at the top!

#QITwitter #BehaviourChangeILA
Where 0 is at the centre and 10 is at the outside, think about a team you are part of - how do you rate currently? Could you use this tool to facilitate a session with a group you're working with?

#QITwitter #BehaviourChangeILA
These are some questions you might consider.

#QITwitter #BehaviourChangeILA
Recognising the need for agency and new power in behaviour (culture) change

Interested in learning more about power? I recommend Jeremy Heimans and Henry Timms book "New Power"

#QITwitter #BehaviourChangeILA
This diagram shows how you can link changing behaviour (culture) within a system to the COM-B tool.

#QITwitter #BehaviourChangeILA

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More from @LouRodrigues_QI

Apr 13
🧵 1/ Sitting with a cup of tea 🫖, reviewing my pages of notes 📖 from @QualityForum

The inspirational @SCFNuka talked about their 25 year community driven transformation journey in Alaska.

They created these operational principles...
#Quality2024 #BetterByBetsi #QITwitter Image
2/ Their community is the driver for improvement through coaching, inspiring, connecting, listening, understanding & nurturing "in shared responsibility."
#Quality2024 #QITwitter #BetterByBetsi Image
@csubbe @advocacy_forum @lockley_leeanne @PeteGreensmith @QualityForum 3/ They focus on "health" as "multi-dimensional wellness", NOT "healthcare."

Physical..Emotional..Mental & Spiritual wellness...

"Our behaviours drive our wellness, not the doctors" - April Kyle @SCFNuka

#Quality2024 #QITwitter #BetterByBetsi Image
Read 36 tweets
Jan 11
🧵 1/ One year ago we launched #BetterByBetsi as a community & social movement for positive change @BetsiCadwaladr. Within a week we had attracted over 100 members 🤩 Today we celebrate our 1st birthday with over 470 members! 🥳🎉🎈

#QITwitter #LeadingQI Image
2/ We love this graphic from @gapingvoid which we use often.

We established a coproduction partnership approach very early on with a competition to name the community.

The winning name #BetterByBetsi was chosen by Neonatal Consultant @OliverRackham

#QITwitter #LeadingQI Image
@gapingvoid @OliverRackham @BetsiCadwaladr @Carolshillabeer @csubbe @Cymraes_Lois @JackiePottleOT 3/ We launched #BetterByBetsi in response to conversations where it became apparent those doing improvement work felt like lone wolves. With the teaching of @Sch4Change & @hahriehan in mind, we wanted to organise and mobilise for change, and connect our organisation

#QITwitter Image
Read 29 tweets
Aug 3, 2021
Just joined the second #QLabCymru #LabordyQCymru workshop on #CovidRecovery

This is a series of workshops on offer by Q Lab Cymru. See dates for future workshops in the next tweet

#QITwitter
.@desbrown67 is introducing the Skills for Collaborative Change, created by @HealthFdn and @nesta_uk for @theQCommunity

You can read more here: q.health.org.uk/resource/skill…

#QITwitter #QLabCymru #LabordyQCymru #CovidRecovery
Read 13 tweets
Jun 9, 2021
Thanks to Andy Crosbie @CIACIC1 for a fab talk on The Role of Learning & Emotions in Systems & Systems Change.

He talked about how much of the learning that takes place, is Training in Best Practice. And whilst this is important it is not enough for a healthy system & employees
Andy says, the 3️⃣ key roles of Learning in Human Learning Systems (HLS) are:

🔸️Adaptive (sense-making & Improvement)
🔸️Social (trust building)
🔸️Motivational

We also have 3️⃣ INTRINSIC MOTIVATIONAL needs (@DanielPink)

🔸️Autonomy
🔸️Mastery (learning)
🔸️Purpose
Andy comments that...

"Learning is an essential component of a healthy system"

&

"Any system that acts as if learning is a luxury is actively stagnating"

He questions whether "a love of learning" (by a system's people) could be a marker of system health

What do you think?
Read 7 tweets
Apr 28, 2021
Just joining this @NHSElect webinar on Systems Thinking in QI with @RobinD100 and @GarethCorser

#SystemsThinking #QI #QITwitter
I want to share some of the fabulous stuff I picked up in today's Systems Thinking in QI webinar with the wonderful presenting duo, @RobinD100 & @GarethCorser

What is a system? And how can we apply systems thinking to Quality Improvement?

@NHSElect

#QITwitter
Traditional analysis focusses on linear processes & breaking down problems into component parts. But there are also relational influences within a system where variation in a systems part influences other parts of the system which may influence each other in turn.
#QITwitter
Read 19 tweets

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