Getting outside the box to create a preferred future for school health

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Getting outside the box to create a preferred
future for school health!

• Gwen Sherwood
• The University of Texas Houston
• School of Nursing

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Contrast the purposes of boxes.

• Protection/hide
• structure/rigid
• treasure/empty
• discovery/limit

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Through out history we have examples of out of
the box thinking...

• What are current examples?

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School health is.

• How has your vision of school health changed?
• Why have students involved in school health?

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School health not just in the clinic

• Begin with the end in mind
• Building the relationship
• Thinking outside the box

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Getting Involved in Childrens Health essentials
of baccalaureate education

• designers, managers, and coordinators of care
• delegate, supervise, and evaluate

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Professional values...

• Caring
• Altruism
• Autonomy
• Human dignity
• Integrity
• Social justice

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Core competencies...

• Critical thinking
• Communication
• Assessment
• Technical skills

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Expected competencieswhat do you expect of a
school nurse?

• Key school nurse competences
• knowledge
• skills
• Categorize
• essential
• value added

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What experiences have you had with student
nurses?

• Ideal
• communication
• clear purpose
• Avoid at all costs!
• Poor communication
• no planning

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New approaches...

• What does the school need?
• What does the school of nursing need?
• Why partner?

• What can the school offer?
• What can the school of nursing offer?
• Why not partner?

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How to get out of the box thinking.

• Brainstorm a lot of ideas to get one good idea.
• Use what if.

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Logic Vs. imagination...

• The right answer ismore than one
• Thats not logicalglow worms and fireflies
• Its against the rulesor is it assumptions?
• We must be practicalwhat if changed the world.

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Dream a little dream with me...

• If you could do anything you wanted to do in
  school health, it would be.
• If you could paint any picture you wanted of
  school health, it would look like.

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Have you been whacked?

• Thinking of something different
• Going a new way
• A new idea!

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Unleashing the creativity within
Going beyond structure...

• Allowing yourself to
• follow that whack!...

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To get over the top be dissatisfied...
take a whack... be courageous... be
persistentOne enthusiastic flea can worry one
whole dog!
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The message drives the method...
values
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Predicting the future

• Beliefs
• the future repeats the past
• change is caused by external forces
• Immediate future 1 - 5 years
• shaped by decisions already made
• Medium term 5 - 10 years out
• shaped by decisions made today and in the years
  ahead.

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The future is influenced by...

• Social
• economic
• political
• environmental
• technological

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To create a preferred future

• Requires vision and commitment.

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Assumptions about the future

• The future is uncertain
• We choose and create the future by what we do or
  fail to do.

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Four futures 1. Possible future what may
happen

• everything imaginable
• wildcards
• Ex the Berlin Wall collapse

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2. Plausible future what could happen.

• possible futures that could happen based on what
  we know today.
• Discrete forecasts
• Ex green/sustainable environment.

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3. Probable future what will likely happen

• Future based on present situations
• Appraise present like trends and future
  developments
• Business as usual
• Extrapolation of the present
• Ex. Health care (sort of)

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4. Preferred future what we want to happen

• Visions that begin by identifying and trying to
  create a future that does not yet exist.
• Vision moves beyond reality toward the best that
  can be.

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Creating the future

• Possible nurses become the primary managers of
  care and MDs report to them.
• Plausible expanded role for nurses, holistic
  care dominant value.
• Probable nurses continue as invisible.
• Preferred nurses holistic care integral to
  health care on the front lines.

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Creating a shared vision of a healthy community
can be a powerful tool for mobilizing around a
common purpose.

• When we know the future we value and want to
  create,
• we feel a release of energy!

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4 components of future 1. Trends

• pattern of change over time.
• Focus on specific topics
• How do you spot trends that influence school
  health?
• Name trends that influence school health.

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2. Scenario of the future

• powerful tools that consider how interacting sets
  of trends work together and lead to a range of
  conditions.
• Compilation of trends into an image of the future
  to help us learn
• best guess, hard times,
• What scenario do you foresee for school health?

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3. Vision of the future

• Futures for the Heart.
• Statement of values projected into the future we
  want to create.
• Defines the best that we can be.
• Compelling, inspiring statement of the preferred
  future.
• Critical dimension is the commitment and behavior
  of those pursuing.
• State a vision of school health.

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4. Strategies for the future

• Strategic plans are useful only if based on a
  strategic vision.
• Essential to have vision and strategic plan to
  move toward preferred future.
• Focus efforts on achieving vision.
• High level sets of actions to achieve vision.
• What strategies can help achieve our vision of
  school health?

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What is your mission statement for school health?

• What are the most beautiful verbs connected to
  school health?
• What are the strongest descriptive words for
  school health?
• Translate into a one sentence view.

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To be effective a mission statement must be seen
and heard.

• How do you translate the vision into reality?
• How do you overcome the loneliness of school
  nursing?

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I wish I could, but .

• You stated your vision, why not go for it?
• What stop signs do you see ahead?
• What barriers would have to be overcome?

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Jumping over the hurdle

• How can we remove the stop signs?
• What are ways to get beyond the barriers?

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Some ideas

• Computer connections
• Science labs
• Summer teaching institutes
• Joint project development
• Faculty practice appointments
• Shared lecture
• Continuing education
• Research

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3 patterns of thinking Kerfoot and Zohar

• Serial logical, arithmetic
• associative forms associations, recognizes
  patterns
• quantum creative, insightful, intuitive,
  visionary, challenges assumptions

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Who moved my cheese? Spencer Johnson

• The more important your cheese is to you, the
  more you want to hold onto it.
• Change happens. Anticipate it. If you do not
  change you will become extinct.
• What would you do if you were not afraid?
• Get ready for the cheese to move.

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Who moved my cheese?

• It is safer to search in the maze than remain
  cheeseless.
• Old beliefs do not lead you to new cheese.
• Smell the cheese so often you know when it is
  getting old!

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Monitor cheese...

• When you move beyond your fear you feel free!
• Adapt to change quickly.
• The quicker you let go old cheese the sooner you
  find new cheese.
• Be ready to change quickly and enjoy it.
• They keep moving the cheese!

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Healthy kids make better students...

• Better students make healthy communities!

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Looking to the future.

• How to break out of the mold
• Thinking out of the box about school health and
  student nurses...

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Use boxes and cheese wisely...
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