Presentation Information

Michelle Pensa Branco

Playing Well with Others: Collaborating in High Conflict/Low Trust Settings

Abstract:

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.


Live Presentation Schedule

Apr 10, 2018