Playing Well With Others: Collaborating In High Conflict/Low Trust Settings
Collaboration is the foundation of the work of lactation professionals. As allied health providers, the team approach is at the centre of our professional relationships. Differences in professional practice and standards of care are aggravated by health care systems that are fragmented and operate in silos, while the high emotion and urgency of infant feeding concerns interfere with reasoned collaborative decision-making. Where adequate training, workplace policies and management oversight fail, conflicts within the team may escalate to incivility, lateral violence and bullying. IBCLC must be able to name and act when conflict crosses these boundaries.
At a policy level, the problems facing breastfeeding are among the most "wicked" of public health's "wicked problems".
In perpetually resource- limited settings, the challenges of policy-making, good governance and innovative programs require effective collaboration and co-operation within and across organizations.
Limited time and energy is available for the enormous work required to provide excellent care to families and create societies that fully support them to breastfeed their children for as long as they wish to. Moreover, because of the intensity of the "wicked" problems we face and the urgency of resolving them both in individual cases and at the policy level, conflict and erosion of trust often occur. Because we cannot only work with those we would like to work with to accomplish our goals, we must learn "stretch collaboration", explored using Adam Kahane's model of working in absence of friendliness, agreement or trust.
This lecture was originally offered at our 2018 GOLD Lactation Conference.
Michelle Pensa Branco MPH IBCLC is a lactation consultant and public health advocate. In addition to her clinical practice, which has included in-hospital, outpatient and private practice settings, she advocates for improved maternal-child health practices at the local, national and global level. She has a particular interest in the impact of trauma to breastfeeding families, models of peer support to improve breastfeeding outcomes and the application of health communication principles to the promotion and protection of breastfeeding. Michelle serves as the Director of Peer Support Programs and provides clinical lactation expertise for Nurture Project International, the only international NGO focused exclusively on infant feeding in emergencies. With Jodine Chase, she co-founded a Canadian non-profit organization, SafelyFed Canada. She is also an active member of the Ontario Public Health Association’s Breastfeeding Promotion Working Group. Michelle has previously served as the Vice-Chair of La Leche League Canada, the Communications Director for the Canadian Lactation Consultants Association as well as the Toronto Coordinator of INFACT Canada. When she is not travelling for work, Michelle stays close to home, living with her family just outside Toronto, Ontario, Canada.
Topic: Keeping the Fox Out of the Chicken Coop: Safeguarding Your Reputation Against Baby Feeding Industry Influence - [View Abstract]
Topic: Playing Well with Others: Collaborating in High Conflict/Low Trust Settings - [View Abstract]
Topic: Watching Our Words: Is Risk-Based Language Always the Right Choice? - [View Abstract]
Objective 1: Describe the difference between intra- and inter-professional collaboration;
Objective 2: Explain how collaboration failure impacts lactation outcomes and provide an example from their own practice or the case studies presented;
Objective 3: Describe the organizational impacts of unproductive conflict;
Objective 4: Define "stretch collaboration"
Collaboration is the foundation of the work of lactation professionals. As allied health providers, the team approach is at the centre of our professional relationships. Differences in professional practice and standards of care are aggravated by health care systems that are fragmented and operate in silos, while the high emotion and urgency of infant feeding concerns interfere with reasoned collaborative decision-making. Where adequate training, workplace policies and management oversight fail, conflicts within the team may escalate to incivility, lateral violence and bullying. IBCLC must be able to name and act when conflict crosses these boundaries.
At a policy level, the problems facing breastfeeding are among the most "wicked" of public health's "wicked problems".
In perpetually resource- limited settings, the challenges of policy-making, good governance and innovative programs require effective collaboration and co-operation within and across organizations.
Limited time and energy is available for the enormous work required to provide excellent care to families and create societies that fully support them to breastfeed their children for as long as they wish to. Moreover, because of the intensity of the "wicked" problems we face and the urgency of resolving them both in individual cases and at the policy level, conflict and erosion of trust often occur. Because we cannot only work with those we would like to work with to accomplish our goals, we must learn "stretch collaboration", explored using Adam Kahane's model of working in absence of friendliness, agreement or trust.
Accreditation
CERPs - Continuing Education Recognition Points GOLD Conferences has been designated as a Long Term Provider of CERPs by the IBLCE--Approval #CLT114-07. 1 L-CERP.
If you have already participated in this program, you are not eligible to receive additional credits for viewing it again. Please email [email protected] if you have any questions.Additional Details
Viewing Time: 2 Weeks
Tags / Categories
(IBCLC) Education and Communication, (IBCLC) Public Health and Advocacy, Counseling Skills
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