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How a Health System Improved Patient-Centered Focus With Digital Role Play

Friday, February 22, 2019

In a recent article, I wrote about the eight key metrics L&D strategies should focus on when designing a leadership training program aiming at developing conversational leadership.

Being all equal, however, years of in-field experience about leadership development suggest to me that if I had to choose one and only one, I would definitely go for developing self-awareness.

We all know that self-awareness is the ability to have a realistic view of one’s strengths, weaknesses, and areas for improvement. Evidence shows that people with a high level of self-awareness are much more drawn to self-improvement and more eager to deepen their understanding of themselves and the world around them. So, focusing on increasing the level of self-awareness can be great leverage toward leadership development as a whole.

The Challenge of Patient-Centered Focus

In a project we delivered for a health system operating eight hospitals, we were asked to help design a meaningful training program for developing their managers’ conversational behaviors.

The goal was to increase the awareness of all employees on the importance of putting patients at the core of healthcare delivery. Despite the fact that leaders were already onboard on the importance of this core approach, apparently, they were not comfortable with transferring this value to their reports.

So, the client thought about delivering a leadership training focusing on developing their leaders’ ability to provide a more effective storytelling on this crucial topic. The idea was that delivering more impactful conversations would have helped realign the entire staff on the subject.

We proposed to support a learning path to encourage leaders to try conversations in our digital role play library, where each story describes a specific leadership challenge.

The Critical Threshold of Self-Awareness

The practice schedule was set in a way that, on average, each trainee was taking one simulated conversation per week, over a 20-week program. It came to a total of around 1,500 hours’ equivalent of training, with around 200 leaders involved in the initiative.

At about halfway through the program, most leaders were already improving their performance on the specific critical conversations; but this is not the point of this blog post.

What is really interesting, as you can see from the graphic below, is that the improvement in performance started to boost after the self-awareness crossed the threshold of 65 percent (to learn more about the specific learning triggers that generate fast improvements in performance and self-awareness, read this article).

It took around seven weeks of practicing—at a low pace, indeed—to start obtaining a significant increase in self-awareness. Until then, the overall performance in conversation management was growing at a very slow speed. But once the trainees reached the critical threshold of 65 percent in self-awareness, the performance in conversations started to grow faster, too.

Analyzing the practical training session data we have, we found this happens quite frequently.
In fact, performance is related to learning agility, and learning agility widely depends on self-awareness. Until the trainees are completely aware of the impact of their own performance, it is difficult for them to focus on changing their behaviors.

As self-awareness finally clicks, revealing this blind spot, learners start realizing that new behaviors are necessary to achieve the results they aim for. And they start to change for real and at a faster pace.

Practicing on Conversations for Developing Self-Awareness

The case study I presented was developed by training healthcare leaders through practicing on digital role plays. Certainly, the main reason for choosing this approach was the clearly stated objective of the client: practicing on critical conversations to re-motivate and lead their leaders to improve their ability to drive employees toward a better patient-centered focus.

According to my experience, however, practicing on critical conversations—whatever they are and whatever the context is—not only brings the direct benefit of improving on the specific ability of managing critical conversations, but is also a great learning strategy to boost self-awareness.

There is a reason why training on conversational leadership with digital role play can accelerate the development of crystal-clear self-awareness. Humans fear confrontation; but when confrontation happens, it becomes a great time for inner self-discussion. Digital role plays are the safest way to make this confrontation happen. And the feedback session at the end of each simulation—especially when delivered in the form of a subjective and emotional feedback of the character the trainee was practicing with—is a fantastic accelerator of inner self-discussion.

That’s when self-awareness gets sharper and sharper.

For those of you interested in working on this fundamental skill, in this article I discuss 10 good reasons to consider digital role play as a learning strategy for leadership development, including how to choose wisely the type of solution among those available on the market.

Self-Awareness Paves the Way

Building on self-awareness development is a great approach to pave the way to any leadership growth. For example, take a look at this interesting leadership model for healthcare, presented by UK NHS. I believe that each of the nine dimensions they consider for leadership would be better (and faster) nurtured with a preliminary training activity on self-awareness.

Of course, there are several ways to develop leaders’ self-awareness, but few are so efficient and effective as practicing on critical conversations. If you’re interested in learning more about practical strategies on this subject, subscribe to this free, online master class.

Want to learn more? Don’t miss the ATD webcast, “The AI-Driven Digital Role Play Methodology Stripped Bare!

About the Author

As an enthusiastic technology endorser, Andrea is a serial entrepreneur who has founded several companies specialized in interactive e-learning content development and distribution. He is a strong endorser of the “human factor,” which he believes to be the added-value key element of any business negotiating process. Andrea is the mind behind the revolutionary Lifelike Interaction approach, a cognitive model and set of algorithms able to create a new training method designed to train behavior—and therefore boost performance.

As CEO and founder of Lifelike SA, a Swiss high-tech company leader in the area of learning simulators focused on user performance improvement, Andrea now leads a disruptive revolution. He is among the few world pioneers to bring artificial intelligence and interactive video into the field of behavioral learning and training.

In 2017, Andrea co-authored a paper published in the Journal of Medical Education. That same year, Lifelike was awarded the Gold and Silver medals at the Reimagine Education Conference in Philadelphia, Pennsylvania.

2 Comments
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Intriguing! Brain science indicates that it takes about 40 repetitions to create a habit. I'm interested in if the participants have continued to practice to ensure that what is learned gets moved into the part of the brain where habits are stored (striatum). That said, I'm also curious about if practicing twice per week would have accelerated performance.
Hi Treca, thanks for commenting. Yes participants continued to practice. It is essential to maintain those skills overtime. We notice that consistency works better than intensity. There are a couple of articles you may want to read to dive deeper. Check them out on my blog at www.skillgym.com/c-factor (please copy and paste, no links allowed here).
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