The Power of Narrative

Recently I had the pleasure of travelling to Portugal to teach on a Healthcare Leadership School and exploring my passion for narrative as a leadership philosophy and methodology. Here is the first in a series of posts about this experience!

A crash course in using public narrative to translate values and inspire change

We delivered this component of the course for the first time this year, as a “red line” or unifying thread running through the 3 pillars connecting the self, to the broader healthcare community and the change that we want to see. We did so because we are passionate about narrative as a tool for social change and feel that it is particularly relevant and important skill for healthcare leadership in these troubled times in healthcare, locally, nationally and internationally! We need to re-motivate disenfranchised staff and patients, and call them to our cause, unite our divided factions and inspire action for change!

 

Certainly we do not claim to be experts, merely passionate amateurs! Most of our learning on this topic has been drawn from observation and interaction with some of the great modern masters of public narrative, such as the awe-inspiring Marshall Ganz, a lecturer at Harvard on Social Organising and the seasoned narrator and healthcare innovator Donald Berwick.

 

Stories are a part of who we are a human beings. Since man first began to communicate he has done so with stories… from the earliest cave paintings to the first foundations of primitive religions, we have used stories to share knowledge and beliefs. Stories enable us to translate values, that are more than just simple statements but living breathing entities that can be enveloped and owned by the mind of the listener or reader.

 

Books, films, theatre, art, religion, dance… we are fascinated an obsessed with these storytelling mediums and construct huge swathes of our lives and communities around them. We are all looking for advice and insight into how best to live our lives, how best to survive in this oft confusing and challenging world we inhabit. We are searching for meaning in both the mundane and the chaotic. Stories can teach us:

Narrative quote 1

 

Stories are what people connect with. They’re what people remember.

The audience connects with the teller of the story, they empathise with their human challenges and begin to FEEL not just understand what is happening.

Narrative quote 2

 

The topic can be broken down into three core elements, each of which perfectly underpinned the three HLSS pillars.

Narrative pic 3

 

Each of us has stories that can move others. As you learn this skill of public narrative, you will be able to take stories from your life, from your audience’s history and from what is currently facing us, and structure these into a complete and compelling public narrative.

 

What is unique about storytelling is that it engages both sides of the brain, requiring us to process words, fact and rationality, whilst our imagination is asked to fill in the gaps and inspire emotions and feelings.

 

Our values are related to others as memorable identifiable ideas of common human interest. This idea of using stories for social learning has been around for centuries and has been used by religion and leaders throughout human history to convey messages and lessons. Telling people what is right or wrong is not as effective as showing them through stories and tapping into their emotions. Let us look at an example of patients and the issue of compliance with medication or lifestyle advice. In you professional experience is a patient more likely to listen to a factual statement you give them or the story of their friends experience? Imagine this common scenario… you have been telling someone for years to change a habit or lifestyle, then their friend has an heart attack and suddenly they cannot get enough of lifestyle advice and are wondering why no one pointed these dangers out to them before!

 

Consider how we teach children in their early years, through fairy tales and children’s story books… we don’t expect a child to understand the factual dangers of talking to strangers, but we know that through tales such as “Hansel & Gretel” and their encounter with the evil witch that the message will get through. This works because values are translated through feelings, not thoughts… we don’t think values, we feel them!

 

Effective leaders employ both the “head” and the “heart” in order to mobilise people to act. In other words, they engage people in interpreting the “why” and the value of a strategy.
Such leaders understand that to successfully call us to action, we must first understand that we need to change our world (the motivation, the “why”, the shared value) to enable us to care enough to truly listen to what we should do to change it (their strategy, the “how”, the shared action).

Many leaders are often good at the analytical side and thus focus on presenting a good argument or strategy. Alternately, other leaders are more comfortable focusing on telling us their personal story, but it is often a tale of heartbreak that educates us about the challenge but doesn’t highlight the choices and the potential for hopeful outcomes. The art of public narrative is to tell a story that involves the head AND the heart AND moves people to action.

Permanent link to this article: https://clairemariethomas.com/2015/12/the-power-of-narrative/

Writ large in our eyes

His hands are wringing, frail and wasted with disease, bones straining to break through stretched paper thin skin. Yellowed blood shot eyes staring up at me with a pleading expression, seeking out my eyes for some truth, some answers, some hope. Myself, reflected back in those glassy jaundiced pools of desperation, compassionate but struggling to show the hope required.  Trying to master my emotions and find the balance of empathy and composure; to show my support and care without giving false reassurances. 

I’ve seen these eyes before… The colour of the skin that housed them may have been a lighter shade, the heat of the day may have been cooler and the sounds, if not the meaning, of the language we exchanged may have been different… But the eyes. The eyes and all they express are the same. 

The first time it was my father, helping him come to terms with the terminal prognosis of his pancreatic cancer. By this point he was very sick, at the end of the road, having exhausted all the treatment options available in Western medicine over several years. This time, it was also a man, of a similar age, with the same condition. But this man would not have the luxury of seeking further treatment, to stretch out his hopes and his time with his loved ones. This man had already sold most of his land and property trying to afford transport and investigations to get his diagnosis confirmed. This man had resigned himself to return home with his wife and live out his last few days with what dignity he still could. 

Different men, different countries, different social circumstances. Yet cancer knows nothing of this and human suffering is universal, writ large in the eyes… yours… mine … Ours.

Permanent link to this article: https://clairemariethomas.com/2015/10/writ-large-in-our-eyes/

Monkeys, massages and money changing…

And so it begins, my new life in Uganda!

My new colleague for the next 12 months, and soon to be new best friend, Dr Ceri Gallivan and I arrived in Entebbe bright and early yesterday morning and were very kindly collected from the airport courtesy of Anna and the wonderful African Roots Guest House.


After some much needed snoozing in our very comfortable beds, we were treated to a lovely breakfast of local fruits and a choice of omelettes or delicious pancakes, complete with fresh juice and tea/coffee.

On Anna’s sound advice we spent the afternoon arranging local phones, SIM cards and exchanging our money…effectively becoming millionaires in seconds! We then had no trouble arranging transport to collect us and take us down to Bwindi tomorrow morning. If you are town and need a responsible, experienced and friendly driver then contact Bruce ( phone: +25686025429 email: mbruceray1989@gmail.com). Bruce is based in Bwindi, but runs trip and tours all over as well as simple door to door services. He does all this to help support his mother, who has been unwell enough to have to cease her work as teacher, and to help put his younger siblings through school.

With the formalities out of the way Ceri and I have been free to relax and acclimatise a little before heading south to Bwindi. Last night we had a few beers at Goretti’s Pizzeria by the beach at Victoria Lake. There we met the lovely Marie Goretti herself, who informed us that she started the place from scratch on a rubble filled site many years ago, when she arrived in Uganda after leaving her home country Rwanda. Hopefully we will meet with her again tonight to hear more of her story over a tasty pizza!

Feeling refreshed this morning, I was very pleased to start the day with a half hour of yoga…a personal challenge I have set myself for my time here in Uganda. After another delicious breakfast we strolled down the road to check out Entebbe Botanical Gardens where the original Tarzan movie was filmed (entry per person 10,000 UgSh or about £2, same again to hire a guide). We had a wonderful guide, Rafiki, who came to Uganda 15 years ago to escape the troubles in his native country of Democratic Republic of Congo. Rafiki works at the gardens to earn enough money to continue to fund his further studies in Botany, so if you are passing through give him a good tip! He really knows his stuff and introduced us to all the many plants and birds of the gardens, including kingfishers, egrets, storks, comorants, herons, bee-eaters and sunbirds! The most special moments though were feeding the gorgeous, friendly Vervus monkeys 😊 They are so well protected here that they have little fear and will quite happily come up to you greet you and take the hard corn you offer right from the palm of your hand. The whole troop came out to greet us, including the lovely babies, clinging to their siblings and feeding from their mothers. Additionally we were lucky enough to see the beautiful shy black and white Colobus monkeys up in trees! Apparently many people in Uganda used to kill the monkeys for food and for traditional medicines, so they are often scared of humans, but conservation areas like the botanical garden are helping to change attitudes and protect them.

After all that exertion in the heat we popped over to the Imperial Botanical Beach Hotel to take a dip in their swimming pool (10,000 UgSh or about £2) and grab some lunch, after which we took a motorbike or “Boda Boda” back to the guest house for the very reasonable price fo 5000 UgSh (about £1). As if we weren’t relaxed enough already the ever thoughtful and helpful Anna the kindly arranged for her friend Tina, who works as a masseuse, to pop by and give us both an amazing foot massage (25,000 UgSh or about £5). Very helpful for sorting out post long haul flight dependent oedema!

So all in all we couldn’t have had a more welcoming and relaxing start to our time in Uganda! The people have been friendly, kind and helpful, the weather warm and balmy and everything has been running smoothly. However, fun as these 2 days have been it is time to get on with the real reason we came here and get ourselves down to our new home at Bwindi Community Hospital in the Impenatrable Jungle. I can’t wait to meet our new colleagues and get stuck in with work and day to day life in the community 😊

Permanent link to this article: https://clairemariethomas.com/2015/08/monkeys-massages-and-money-changing-2/

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