{"id":"https://openalex.org/W2530689869","doi":"https://doi.org/10.5339/jemtac.2016.icepq.122","title":"Changing culture through conversation: An action research inquiry on the adverse incident review process","display_name":"Changing culture through conversation: An action research inquiry on the adverse incident review process","publication_year":2016,"publication_date":"2016-10-09","ids":{"openalex":"https://openalex.org/W2530689869","doi":"https://doi.org/10.5339/jemtac.2016.icepq.122","mag":"2530689869"},"language":"en","primary_location":{"id":"doi:10.5339/jemtac.2016.icepq.122","doi":"https://doi.org/10.5339/jemtac.2016.icepq.122","is_oa":true,"landing_page_url":"https://doi.org/10.5339/jemtac.2016.icepq.122","pdf_url":null,"source":{"id":"https://openalex.org/S2764394186","display_name":"Journal of emergency medicine, trauma & acute care","issn_l":"1999-7086","issn":["1999-7086","1999-7094"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320064","host_organization_name":"HBKU Press","host_organization_lineage":["https://openalex.org/P4310320064"],"host_organization_lineage_names":["HBKU Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Emergency Medicine, Trauma and Acute Care","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://doi.org/10.5339/jemtac.2016.icepq.122","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5052538088","display_name":"Craig Brendan Campbell","orcid":"https://orcid.org/0000-0002-4704-5877","observed_orcids":["https://orcid.org/0000-0002-4704-5877"]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Craig Brendan Campbell","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011034997","display_name":"Loua Asad Hanna Al Shaikh","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Loua Asad Hanna Al Shaikh","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078988175","display_name":"Jorg Kuhne","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Jorg Kuhne","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108437416","display_name":"Nicholas Raymond Castle","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Nicholas Castle","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019117690","display_name":"Ameeta Patel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Ameeta Patel","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5059969241","display_name":"Guillaume Alinier","orcid":"https://orcid.org/0000-0003-4255-4450","observed_orcids":["https://orcid.org/0000-0003-4255-4450"]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Guillaume Henry Alinier","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":null,"display_name":"James Bowen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"James Bowen","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061885791","display_name":"Joel Sayo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Joel Sayo","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038782127","display_name":"Roumel Ramos","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"Roumel Ramos","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061759834","display_name":"John Thomas Meyer","orcid":"https://orcid.org/0000-0002-5343-6284","observed_orcids":["https://orcid.org/0000-0002-5343-6284"]},"institutions":[{"id":"https://openalex.org/I49828101","display_name":"Hamad Medical Corporation","ror":"https://ror.org/02zwb6n98","country_code":"QA","type":"nonprofit","lineage":["https://openalex.org/I49828101"]}],"countries":["QA"],"is_corresponding":false,"raw_author_name":"John Meyer","raw_affiliation_strings":["Ambulance Service, Hamad Medical Corporation, Doha, Qatar"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ambulance Service, Hamad Medical Corporation, Doha, Qatar","institution_ids":["https://openalex.org/I49828101"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I49828101"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16959411,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"2016","issue":"2","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10508","display_name":"Patient Safety and Medication Errors","score":0.9883000254631042,"subfield":{"id":"https://openalex.org/subfields/3604","display_name":"Emergency Medical Services"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.008799999952316284,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10809","display_name":"Occupational Health and Safety Research","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/3614","display_name":"Radiological and Ultrasound Technology"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.9259999990463257},{"id":"https://openalex.org/keywords/culture-of-fear","display_name":"culture of fear","score":0.7770000100135803},{"id":"https://openalex.org/keywords/risk-aversion","display_name":"risk aversion","score":0.8840000033378601},{"id":"https://openalex.org/keywords/clinical-governance","display_name":"clinical governance","score":0.7350000143051147},{"id":"https://openalex.org/keywords/patient-safety","display_name":"patient safety","score":0.8669999837875366},{"id":"https://openalex.org/keywords/ambulance-services","display_name":"ambulance services","score":0.5830000042915344},{"id":"https://openalex.org/keywords/employee-morale","display_name":"employee morale","score":0.6370000243186951},{"id":"https://openalex.org/keywords/leadership","display_name":"leadership","score":0.5210000276565552},{"id":"https://openalex.org/keywords/peer-engagement","display_name":"peer engagement","score":0.6779999732971191},{"id":"https://openalex.org/keywords/feedback-communication","display_name":"feedback communication","score":0.6610000133514404},{"id":"https://openalex.org/keywords/learning-from-errors","display_name":"learning from mistakes","score":0.7699999809265137},{"id":"https://openalex.org/keywords/organizational-change","display_name":"organizational change","score":0.5220000147819519}],"concepts":[{"id":"https://openalex.org/C2777200299","wikidata":"https://www.wikidata.org/wiki/Q52943","display_name":"Conversation","level":2,"score":0.5594266057014465},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.5237210392951965},{"id":"https://openalex.org/C2780791683","wikidata":"https://www.wikidata.org/wiki/Q846785","display_name":"Action (physics)","level":2,"score":0.5048035383224487},{"id":"https://openalex.org/C2777199835","wikidata":"https://www.wikidata.org/wiki/Q5154234","display_name":"Communicative action","level":2,"score":0.49874019622802734},{"id":"https://openalex.org/C98045186","wikidata":"https://www.wikidata.org/wiki/Q205663","display_name":"Process (computing)","level":2,"score":0.48317041993141174},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.46065422892570496},{"id":"https://openalex.org/C53173841","wikidata":"https://www.wikidata.org/wiki/Q1897444","display_name":"Action research","level":2,"score":0.4596061706542969},{"id":"https://openalex.org/C2780952636","wikidata":"https://www.wikidata.org/wiki/Q13479512","display_name":"Incident management","level":2,"score":0.4272812008857727},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.4124959707260132},{"id":"https://openalex.org/C19417346","wikidata":"https://www.wikidata.org/wiki/Q7922","display_name":"Pedagogy","level":1,"score":0.1963059902191162},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.1925080418586731},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.1784917116165161},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.13204646110534668},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C111919701","wikidata":"https://www.wikidata.org/wiki/Q9135","display_name":"Operating system","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C38652104","wikidata":"https://www.wikidata.org/wiki/Q3510521","display_name":"Computer security","level":1,"score":0.0},{"id":"https://openalex.org/C62520636","wikidata":"https://www.wikidata.org/wiki/Q944","display_name":"Quantum mechanics","level":1,"score":0.0},{"id":"https://openalex.org/C46312422","wikidata":"https://www.wikidata.org/wiki/Q11024","display_name":"Communication","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.5339/jemtac.2016.icepq.122","doi":"https://doi.org/10.5339/jemtac.2016.icepq.122","is_oa":true,"landing_page_url":"https://doi.org/10.5339/jemtac.2016.icepq.122","pdf_url":null,"source":{"id":"https://openalex.org/S2764394186","display_name":"Journal of emergency medicine, trauma & acute care","issn_l":"1999-7086","issn":["1999-7086","1999-7094"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320064","host_organization_name":"HBKU Press","host_organization_lineage":["https://openalex.org/P4310320064"],"host_organization_lineage_names":["HBKU Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Emergency Medicine, Trauma and Acute Care","raw_type":"journal-article"},{"id":"pmh:oai:ecite.utas.edu.au:112766","doi":null,"is_oa":false,"landing_page_url":"http://ecite.utas.edu.au/112766","pdf_url":null,"source":{"id":"https://openalex.org/S4306401569","display_name":"eCite Digital Repository (University of Tasmania)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I129801699","host_organization_name":"University of Tasmania","host_organization_lineage":["https://openalex.org/I129801699"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Conference Extract"},{"id":"pmh:oai:figshare.com:article/23146484","doi":null,"is_oa":true,"landing_page_url":"https://figshare.com/articles/conference_contribution/Changing_culture_through_conversation_An_action_research_inquiry_on_the_adverse_incident_review_process/23146484","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Conference contribution"},{"id":"pmh:oai:uhra.herts.ac.uk:2299/18662","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/2299/18662","pdf_url":null,"source":{"id":"https://openalex.org/S4306400241","display_name":"University of Hertfordshire Research Archive (University of Hertfordshire)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I141584323","host_organization_name":"University of Hertfordshire","host_organization_lineage":["https://openalex.org/I141584323"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":null}],"best_oa_location":{"id":"doi:10.5339/jemtac.2016.icepq.122","doi":"https://doi.org/10.5339/jemtac.2016.icepq.122","is_oa":true,"landing_page_url":"https://doi.org/10.5339/jemtac.2016.icepq.122","pdf_url":null,"source":{"id":"https://openalex.org/S2764394186","display_name":"Journal of emergency medicine, trauma & acute care","issn_l":"1999-7086","issn":["1999-7086","1999-7094"],"is_oa":true,"is_in_doaj":true,"is_core":false,"listed_in":["doaj","poland-20","russia-white-list-4"],"host_organization":"https://openalex.org/P4310320064","host_organization_name":"HBKU Press","host_organization_lineage":["https://openalex.org/P4310320064"],"host_organization_lineage_names":["HBKU Press"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Emergency Medicine, Trauma and Acute Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.6240000128746033,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4220787029","https://openalex.org/W2044189901","https://openalex.org/W1991724933","https://openalex.org/W2998777827","https://openalex.org/W4416101203","https://openalex.org/W2056951320","https://openalex.org/W2899851719","https://openalex.org/W4200371981","https://openalex.org/W4318391281","https://openalex.org/W2042173654"],"abstract_inverted_index":{"Background:":[0],"Clinical":[1],"governance":[2],"requires":[3],"having":[4],"a":[5,83,109,136],"process":[6,58,230,238],"for":[7,113,120,123,158,268],"adverse":[8,211],"incident":[9,56,212,228],"review":[10,213,229],"and":[11,32,45,71,77,100,122,181,200,239,290,293],"management":[12,57],"to":[13,21,79,94,105,153,189,205,246,282],"ensure":[14],"the":[15,37,52,130,141,149,169,182,203,207,210,237,253,256,272,279],"organisation":[16],"\u2018learns":[17],"from":[18,61],"its":[19],"mistakes\u2019":[20],"prevent":[22],"repetition.":[23],"How":[24],"leadership":[25,222],"implements":[26],"this":[27,185],"system":[28,214],"may":[29],"enhance":[30],"learning":[31],"patient":[33,291],"safety,":[34,292],"or":[35],"have":[36],"unintended":[38],"consequence":[39],"of":[40,51,74,90,155,171,175,184,195,209,236,297],"raising":[41],"alarm,":[42],"possible":[43],"demotivation,":[44],"staff":[46,144,196,216,250,294],"becoming":[47,145],"risk-averse.":[48],"The":[49,173],"impact":[50,174,208],"existing":[53],"Ambulance":[54],"Service":[55],"was":[59,117,187],"assessed":[60],"an":[62,88,240,265],"organizational":[63],"culture":[64,139],"aspect.":[65],"Methods:":[66],"Action":[67,262],"research":[68,263],"uses":[69],"iterative":[70],"collaborative":[72],"cycles":[73],"study,":[75],"action,":[76],"reflection":[78,121,186],"not":[80],"only":[81],"understand":[82],"complex":[84,280],"situation":[85],"by":[86],"holding":[87],"attitude":[89],"inquiry":[91],"but":[92],"also":[93],"bring":[95,283],"about":[96,284],"positive":[97,285],"change.":[98],"Dialogue":[99,116,160],"narrative":[101],"enquiry":[102],"were":[103,162,178,198],"used":[104,118,188,201],"collect":[106],"data":[107,114,134],"using":[108],"grounded":[110],"theory":[111],"approach":[112],"interpretation.":[115],"both":[119,287],"initiating":[124],"change":[125],"at":[126],"various":[127],"levels":[128],"within":[129],"Service.":[131],"Results:":[132],"Initial":[133],"indicated":[135],"moderate":[137],"fear":[138],"in":[140,148,202,255,271,276,288],"Service,":[142],"with":[143,164,231,278],"risk":[146],"averse":[147],"clinical":[150],"environment":[151],"due":[152],"concerns":[154],"being":[156],"called":[157],"investigation.":[159],"sessions":[161],"held":[163],"key":[165],"role":[166],"players":[167],"highlighting":[168],"experiences":[170,197],"staff.":[172,247],"these":[176,220],"conversations":[177],"reflected":[179],"on":[180,215,219,243],"outcomes":[183],"frame":[190],"further":[191],"dialogue.":[192],"Narrative":[193],"(stories)":[194],"collected":[199],"dialogue":[204],"highlight":[206],"morale.":[217],"Based":[218],"conversations,":[221],"made":[223],"changes,":[224],"including":[225],"developing":[226],"new":[227],"peer":[232],"involvement,":[233],"changing":[234],"leaders":[235],"increased":[241],"focus":[242],"communicating":[244],"feedback":[245],"As":[248],"one":[249],"member":[251],"noted":[252],"mood":[254],"corridors":[257],"is":[258],"much":[259],"lighter.":[260],"Conclusion:":[261],"provides":[264],"effective":[266],"method":[267],"leaders,":[269],"working":[270],"real":[273],"world":[274],"environment,":[275],"dealing":[277],"issues":[281],"change,":[286],"quality":[289],"satisfaction":[295],"point":[296],"view.":[298]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2016-10-21T00:00:00"}