Creating a Healthy Culture of Altruism throughout Healthcare

Serving our Patients and their Families

At Alive, we understand the importance of Leadership and developing the skills of each individual as a Leader. We have witnessed profound personal and professional gain from our Leadership program while seeing participants, embracing the balance of leadership, roles & responsibilities and humanity. We have seen the deepest transformation of selves and culture when circle has been paired with our program. Simply said, when we provide human interaction held with respectful intention of listening, hearing and sharing of stories, you reap the rewards of a self developed culture that is longing to be carried out of the circle.

“The simplest way to begin finding each other again is to start talking about what we care about. If we could stop ignoring each other, stop engaging in fear-filled gossip, what might we discover?

Conversation, however, takes time. We need time to sit together, to listen, to worry and dream together. As this age of turmoil tears us apart, we need to reclaim time together. Otherwise, we cannot stop the fragmentation.

I hope we can reclaim conversation as our route back to each other, and as the path forward to a hopeful future. It only requires imagination, courage and faith. These are qualities possessed by everyone. Now is the time to exercise them to their fullest.” Margaret Wheatley, Turning to One Another


It is crucial to create a safe environment for all those participating in circle. The goal is to have all roles interacting in circle, coming from a humanitarian experience versus roles & responsibilities hindering the experience. Who sits in each circle depends on the culture that already lives in the system. For some, it may be best to start with participants who are in common roles such as the following examples:

  • Circle of Executive Leadership
  • Circle of Managerial Leadership
  • Circle of Nurse Manager Leadership
  • Circle of Nursing Leadership
  • Circle of RN Leadership
  • Circle of RPN/LPN Leadership

Once the participants have grasped the concept and way of being in healthy conversations with others, it is highly suggested to begin creating mixed circles by pulling participants from each circle together to create a Circle of Leadership. Here, roles will fade and humanity will be highly evolved. The participants then become ONE with the system and the culture of ONE is achieved through their own doing.


To provide human interaction held with respectful intention of listening, hearing and sharing of stories that will reap the rewards of a self developed culture that is longing to be carried out of the circle.


  • To introduce the concept of circle as a relationship we are all a part of
  • To invite the individuals’ stories and wisdom into circle
  • To offer deep listening, without judgement, to each individual of the circle
  • To give a voice to each individual of the circle
  • To allow the circle to come up with new topics of discussion
  • To instill a new way of interacting with others, reinforcing the deep listening


  • Creating a fun and safe environment
  • Experiential learning
  • Interactive learning
  • “No telling” model, encouraging participants to learn from their experiences versus someone telling them what they have to do
  • Sustained personal & professional development


Circles will change the culture of your organization. You will have a culture of leaders from every discipline having healthy conversations. This is not about making people ‘nice’ or avoiding conflict; this is about knowing how to speak from the heart, be heard, and resolve disagreements in a productive and sustainable way. Your people will be more engaged and speak their truth with trust and respect. They will value ideas and suggestions more openly without fear. There will be a sense of unity and belonging in the system.



The benefits experienced through coaching are as unique as the individuals themselves, impacting not only careers, but lives. Some of the most noted outcomes from circle are:

  • A deeper sense of belonging and purpose
  • New skills to proactively deal with conflict
  • Taking on personal responsibility
  • Self-direction—being more self-reliant
  • Increased self-esteem, self-confidence, and self-worth
  • Increased productivity through being more efficient and effective
  • Improved communication skills
  • Handling challenge more effectively
  • Increased trust—more involvement leading to feeling trusted and trusting others
  • Increased respect and team work


Decreased Cost to the Organization due to:

  • employee engagement
  • reduced sick days/sick leave
  • reduced conflict
  • reduced complaints

Improved Patient Care due to:

  • employee engagement
  • all benefits listed above


“Circle is a shape that calls a conversation where all voices may be heard…creates a leader in every chair…The circle way is an opportunity for human beings to call forward the best of who they are and how they interact with one another.”
Christina Baldwin

Dialogue is a process of genuine interaction through which human beings listen to each other deeply enough to be changed by what they learn.”
Harold Saunders

“People fail to get along because they fear each other; they fear each other because they do not know each other; they do not know each other because they have not communicated with each other.”
Reverend Martin Luther King, Jr.

“Circles are about practicing a new way to be in the world. They are about incrementally shifting habits and practicing to be in a different way with one another and ourselves. Circles develop skills at participation, consensus, shared leadership, and problem solving, all of which are…essential tools for genuine democracy and social justice….They…help us see ourselves as part of a connected whole.”
Carolyn Boyes-Watson

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