--- --- *Communication can bring people together or push them apart, CAT describes the forces at play.* This reminds me of [[ad hoc team]] creation, using [[Name Claim Aim - Leading with Good Judgment]] as a [[learning leader]]. This helps move away from displaying your [[🐓 Idea Farm/🌿 Ideas/Advice Monster]], helps [[modeling vulnerability]] as one of the [[actions that promote approachability]]. _Example_: - Name: You just went through that difficult intubation, I'm hoping we can learn from it. - _Appreciation_: Thank you for the hard work that you put into that challenging situation! - I'm hoping we can spend 10 minutes with the goal of helping us both learn to be better at leading an intubation team - Claim: I'll be the feedback leader and I'm going to need your help by you speaking up, sharing your views, and helping me learn what's working for you because I'll try my best to meet you and understand you but I won't be perfect so I'll need your feedback as we go - does that sound good to you? - Aim: I'm thinking we should start by refreshing the basic assumption, that I believe you are intelligent, well trained, care about doing your best, and want to improve, I hope you can hold the same for me. - We are going to get into the meat of the conversation but first I'd love to hear - how are you doing right now? _learn, do they want evaluation or coaching/exploring?_ - It sounds like you're hoping to hear where you stand? - It sounds like you're hoping to get right into the exploring together? ![[🐓 Idea Farm/🗂️ Resources/Preview.jpg]] - Alright, so let's talk about difficult intubations and specifically the challenge of leading a team while you're trying to focus on the airway - I saw that the O2 sat was dropping, and you didn't seem to change what you were doing - I was thinking that was scary because the second intubation attempt was a repeat of the first instead of an adjustment in technique or a pause to bag the patient which contributed to the further decompensation of the patient - What was going on for you during that moment? - [[Listening to Understand]] - Rephrase, mirror until you get to [[That's exactly right]] Communication Accommodation Theory describes the forces pushing and pulling, creating a team during a communication moment or creating a gap. Key features are that if the recipient believes the sender is using the [[Basic Assumption]] to hold good intent, if the recipient believes they and the sender are members of the same group, they are more likely to be brought together. However, if they assume ill intent, or ingroup/outgroup, the communication moment will pull them apart. ![[revised model of communication accommodation theory.png]] This matters because in [[Feedback]] moments, the sender should strive to explicitly describe their high regard and seek to create a temporary team for the conversation. If the conversation can be described as an opportunity to learn from one another to solve a common problem, then the conversation feels like a temporary team and an "in-group." ##### What would the opposite argument be? ##### Sources: