Professionals all need sophisticated interactional skills. "Conversations Inviting Change" is a narrative-based approach to encounters in health and social care that can enrich all professional work.
CIC is based on the simple idea that everyone - whether as a patient, client, learner or colleague - benefits from telling stories about their experiences, and being skilfully questioned about these.
CICcan be applied in:
person-centred consultations with individuals and families
supervision, coaching and mentoring
team development and facilitation
training in reflective practice and professionalism
action learning sets and collaborative learning groups
leadership and management
creating a culture of respect
CIC is effective in helping people to move on when they feel stuck, and ideal for difficult or challenging encounters. It is especially effective when professionals need to balance attentiveness to the client's story with considerations of safety, quality of care, best evidence, or statutory roles.
CIC is based on narrative studies, communication theory and systems thinking. It was first developed at the Tavistock Clinic in London by John Launer and Caroline Lindsey as an approach to healthcare consultations and peer supervision. Since then, it has been introduced to over two thousand people in the United Kingdom and abroad through one-day workshops and three-day courses, as well as longer courses for becoming a CIC trainer. It has been taught at Health Education England (formerly the London Deanery) for over ten years for training health professionals in supervision skills.
Other organisations where courses and workshops in CIC were delivered during 2018 and are planned in 2019 include:
- Fondazione ISTUD Business School, Milan, Italy - Imperial College Faculty of Medicine, London, UK - Danish Society for Supervision and Communication Skills, Copenhagen, Denmark - Swedish Association for Narrative Medicine, Gothenberg, Sweden - East Kent Community Education Provider Network, Canterbury, UK - University of Hertfordshire School of Health and Social Work - University College London Medical School, Faculty of Postgraduate Medical Education
CICwill benefit all health and social care professionals, and anyone looking for all-round development of their interactional skills at work.
Course participants have included:
doctors from primary and secondary care
nurses and health visitors
dentists and dental staff
counsellors, therapists, psychologists and coaches
other mental health professions
allied health professionals and paramedics
managers and administrators
pharmacists and optometrists
health service researchers
teachers and educationalists
workers from the voluntary and private sectors
We have run courses and given presentations in hospital Trusts, GP practices, universities, mental health organisations, nursing and business schools and elsewhere. Our trainers have run workshops and presented at conferences internationally including in Scandinavia, Turkey, Israel, Japan, Israel, the US, Canada and Australia.
How can trained CIC facilitators help your organisation?
CIC facilitators can offer external consultancy and direct help to organisations, covering a wide range of issues including supervision training and team development. Previous projects have involved helping to develop staff as educators (including observation of their workplace teaching), setting up systems of peer supervision, promoting multi-professional collaboration, and delivering strategies to address bullying and undermining.
CIC facilitators, and those accepted for facilitator training, are all highly experienced professionals from the health service, social care, higher education and voluntary sector. CIC trainersare all accredited by the Association of Narrative Practice in Healthcare, an organisation set up in the United Kingdom to promote the use of narrative-based approaches in healthcare settings.