Participatory Narrative Inquiryı

Transcription

1 Participatory Narrative Inquiryı An Introduction with Special Attention to Health Care Cynthia Kurtz July 2015

2 Talk outline 1. What is PNI? 2. Why stories? 3. What does PNI look like? 4. Where do the ideas in PNI come from? 5. What is your history with PNI? 6. What can you do with PNI? 7. What can t you do with PNI? 8. PNI in health care (with case studies) 9. Questions

3 What is PNI? Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience.

4 What is PNI? participatory, not extractive Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience.

5 What is PNI? participatory, not extractive using stories to think together, not just collecting them Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience.

6 What is PNI? participatory, not extractive using stories to think together, not just collecting them Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience. everyday anecdotes, not polished performances

7 What is PNI? participatory, not extractive using stories to think together, not just collecting them Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience. everyday anecdotes, not polished performances what happened? not what do you think

8 What is PNI? participatory, not extractive using stories to think together, not just collecting them Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience. everyday anecdotes, not polished performances what happened? not what do you think not for preservation or persuasion, but to improve thought and discussion

9 What is PNI? participatory, not extractive using stories to think together, not just collecting them deep exploration, not surface level Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience. everyday anecdotes, not polished performances what happened? not what do you think not for preservation or persuasion, but to improve thought and discussion

10 What is PNI? participatory, not extractive using stories to think together, not just collecting them deep exploration, not surface level people consider their own stories Participatory narrative inquiry is an approach in which groups of people participate in gathering and working with raw stories of personal experience in order to make sense of complex situations for better decision making. PNI focuses on the profound consideration of values, beliefs, feelings, and perspectives through the recounting and interpretation of lived experience. everyday anecdotes, not polished performances what happened? not what do you think not for preservation or persuasion, but to improve thought and discussion

11 Why stories? Story Ritual ancient, innate

12 Why stories? Safety distance Story Respect giving voice Ritual ancient, innate

13 Why stories? Safety distance Story Engagement draws you in Respect giving voice Imagination what if Ritual ancient, innate

14 Why stories? Safety distance Story Engagement draws you in Respect giving voice Imagination what if Articulation don t know but can tell Ritual ancient, innate Interpretation it s about the story, not me

15 Why stories? Safety distance Story Engagement draws you in Respect giving voice Imagination what if Articulation don t know but can tell Ritual ancient, innate Authenticity ground truth Interpretation it s about the story, not me Context layers of meaning

16 What does PNI look like? Story Collection stories PNI

17 What does PNI look like? Story Collection stories PNI Sensemaking ideally with storytellers

18 What does PNI look like? Story Collection stories PNI Return stories go back to community Sensemaking ideally with storytellers

19 What does PNI look like? Story Collection stories PNI Return stories go back to community Sensemaking ideally with storytellers

20 What does PNI look like? Story Collection stories Planning may include pilot project PNI Return stories go back to community Sensemaking ideally with storytellers

21 What does PNI look like? Story Collection stories Planning may include pilot project PNI Catalysis generates questions, not answers Return stories go back to community Sensemaking ideally with storytellers

22 What does PNI look like? Story Collection stories Planning may include pilot project PNI Catalysis generates questions, not answers Return stories go back to community Sensemaking ideally with storytellers Intervention to change the stories we tell

23 Where do the ideas in PNI come from? Participatory Action Research Research Action Three Rs PNI Research Action

24 Where do the ideas in PNI come from? Narratology Narrative Inquiry Homo narrans Participatory Action Research Research Action Three Rs PNI Research Action

25 Where do the ideas in PNI come from? Narratology Narrative Inquiry Cognitive Science Homo narrans Case based reasoning Participatory Action Research PNI Research Action Three Rs Research Action

26 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon PNI Research Action Three Rs Research Action

27 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon PNI Research Action Three Rs Oral History Let the people speak Research Action

28 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon PNI Research Action Three Rs Oral History Let the people speak Mixed- Methods Research Qual Quant synergy Research Action

29 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research We can change the stories we tell Narrative Therapy function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon PNI Research Action Three Rs Oral History Let the people speak Mixed- Methods Research Qual Quant synergy Research Action

30 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research We can change the stories we tell Narrative Therapy function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon PNI Research Action Three Rs Stories can change the world Participatory Theatre Oral History Let the people speak Mixed- Methods Research Qual Quant synergy Research Action

31 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research We can change the stories we tell Narrative Therapy function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon Oral History Let the people speak PNI Research Action Three Rs Stories can change the world Making sense to plan the future Participatory Theatre Decision Support Mixed- Methods Research Qual Quant synergy Research Action

32 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research We can change the stories we tell Narrative Therapy function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon Oral History Let the people speak PNI Research Action Three Rs Stories can change the world Making sense to plan the future Participatory Theatre Decision Support Mixed- Methods Research Qual Quant synergy Research Action Conflict resolution Dialogue

33 Where do the ideas in PNI come from? form Narratology Narrative Inquiry Homo narrans Participatory Action Research We can change the stories we tell Narrative Therapy function phenomenon Cognitive Science Cultural Anthropology Folklore Case based reasoning Stories as social phenomenon Oral History Let the people speak PNI Research Action Three Rs Emergence, selforganization Stories can change the world Making sense to plan the future Participatory Theatre Decision Support Mixed- Methods Research Qual Quant synergy Research Complexity Theory Action Conflict resolution Dialogue

34 What is your history with PNI? 1986 Started as ethologist

35 What is your history with PNI? 1986 Started as ethologist Wrote educational software

36 What is your history with PNI? 1986 Started as ethologist Wrote educational software 1999 Knowledge socialization group StoryML Guided Exploration

37 What is your history with PNI? 1986 Started as ethologist Wrote educational software 2001 IKM Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration

38 What is your history with PNI? 1986 Started as ethologist Wrote educational software 2001 Human augmentation of reasoning through patterns IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration

39 What is your history with PNI? 1986 Started as ethologist SenseMaker Wrote educational software 2001 Human augmentation of reasoning through patterns IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration

40 What is your history with PNI? 1986 Started as ethologist SenseMaker Wrote educational software 2001 Human augmentation of reasoning through patterns IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration Risk assessment and horizon scanning

41 What is your history with PNI? 1986 Started as ethologist SenseMaker Wrote educational software 2001 Human augmentation of reasoning through patterns Risk assessment and horizon scanning 2009 IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration Independent consultancy

42 What is your history with PNI? 1986 Started as ethologist SenseMaker Wrote educational software 2001 Human augmentation of reasoning through patterns Risk assessment and horizon scanning 2009 IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration Independent consultancy PNI textbook

43 What is your history with PNI? 1986 Started as ethologist SenseMaker Wrote educational software 2001 Human augmentation of reasoning through patterns Risk assessment and horizon scanning 2009 IKM & Global Services Dave Snowden Sharon Darwent (and others) 1999 Knowledge socialization group StoryML Guided Exploration Independent consultancy 2015 PNI textbook

44 What is your history with PNI? Health care Manufacturing Education Technology Emergency preparedness Defense Environmental 80 projects for corporate and government clients since 1999 Training Research and innovation Human resources Future planning Policy making Customer relations Decision support

45 What can you do with PNI? dependence on participation Find things out traditional inquiry Catch emerging trends find things you weren t looking for inherent uncertainty

46 What can you do with PNI? dependence on participation Enlighten people help them see things anew Help people learn add experience to information Find things out traditional inquiry Catch emerging trends find things you weren t looking for inherent uncertainty

47 What can you do with PNI? dependence on participation Enlighten people help them see things anew Make better decisions by making sense of options Get new ideas by finding new options Help people learn add experience to information Find things out traditional inquiry Catch emerging trends find things you weren t looking for inherent uncertainty

48 What can you do with PNI? dependence on participation Enlighten people help them see things anew Make better decisions by making sense of options Resolve conflicts see through each other s eyes Connect people stories build community Get new ideas by finding new options Help people learn add experience to information Find things out traditional inquiry Catch emerging trends find things you weren t looking for inherent uncertainty

49 What can t you do with PNI? Prove anything conclusively. Why not? Story Person who told story Person listening to story

50 What can t you do with PNI? Prove anything conclusively. Why not? Facilitator of collection session Story Person who told story Person listening to story Person who wrote questions used to elicit story Collection session

51 What can t you do with PNI? Prove anything conclusively. Why not? Facilitator of collection session Story Person who told story Person listening to story Story Person who repeated story the next week Person who heard story the next week Person who wrote questions used to elicit story Collection session

52 What can t you do with PNI? Prove anything conclusively. Why not? Facilitator of collection session Facilitator of sensemaking session Story Person who told story Person listening to story Story Person who repeated story the next week Person who heard story the next week Person who wrote questions used to elicit story Collection session Person who designed sensemaking session Sensemaking session

53 What can t you do with PNI? Prove anything conclusively. Why not? Facilitator of collection session Facilitator of sensemaking session Story Person who told story Person listening to story Story Person who repeated story the next week Person who heard story the next week Story Person who repeated story the next month Person who heard story the next month Person who wrote questions used to elicit story Collection session Person who designed sensemaking session Sensemaking session

54 What can t you do with PNI? Prove anything conclusively. Why not? So many intermingled interpretations! Facilitator of collection session Facilitator of sensemaking session Person who chose to put story in project report Story Person who told story Person listening to story Story Person who repeated story the next week Person who heard story the next week Story Person who repeated story the next month Person who heard story the next month Person who wrote questions used to elicit story Person who designed sensemaking session Person who presented report Collection session Sensemaking session Project report

55 PNI in health care

56 PNI in health care case 1 Hospital retention of nursing and administrative staff Story showed trust They saw: - high turnover leave stay They thought: - staff quit because of stress They found out: - Work stress was seen positively when it was combined with challenge in an environment of trust and treamwork Energy - critically low to abundant Challenge - pushed to bored

57 PNI in health care case 2 Pharmaceutial firm doctor views of representatives They saw: - doctors irritated with reps They thought: - doctors never want to be bothered by reps They found out: - Visits from reps were welcome ( angels ) when they helped doctors provide better patient care ( Help me help my patients )

58 PNI in health care case 3 Pharmaceutical firm relationships between patients and doctors They saw: - patients and doctors butting heads They thought: - power dynamics are inherent in the relationship They found out: - Patients with different conditions had different feelings about control, need for information, and views of pharma Control of decision making Gastro intestinal Blood Chol- Asthma Pressure esterol Need help Yes Yes Yes Understand treatment Yes Yes Know what to do Yes No Who should be in charge Me Conflicted My doctor (Doctors) Opinion of patient Conflicted Conflicted (Doctors) Can patient handle treatment? No Satisfaction Gastro intestinal Blood Chol- Asthma Pressure esterol Treated well Badly Opinion of pharma Good Information received Okay Okay Useless Fully heard Fully Not at all Fully Fully Fully included Fully Not at all Fully Not at all

59 PNI in health care case 4 Pharmaceutical firm why doctors do what they do Story character had They saw: - doctors struggling Ambition (Doctor) Ambition (Patient and/or family) They thought: - all doctors face similar challenges Ambition to help Ambition to succeed Ambition to heal Ambition to control They found out: - Doctors responded in a variety of ways to terms like ambition, fairness, control, selfishness, validation - Three distinct motivations: community caretaker, life-saving hero, everyday worker Selfish Selfcentered Story character was Larger sense of self Selfless

60 PNI in health care case 5 Maker of medical devices how to design devices for different conditions They saw: - six different conditions They thought: - what do these people need? They found out: - People with each medical condition had varying needs a device should meet (e.g., clarity, reassurance, privacy, reliability). The most successful anaphylaxis patients depended on others to make decisions. People with migraines who had the most success in controlling the condition depended least on the decisions of others.

61 Questions? Find out more at: - workingwithstories.org textbook - pni2.org PNI Institute - storycoloredglasses.com blog - cfkurtz.com web site