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PCREF-Integrated Transformation Journey
Welcome to PCREF-ic: Phoenix Cultural Liberation. This masters-level programme is designed to provide you with comprehensive, evidence-based learning experiences that integrate theoretical frameworks, research evidence, critical analysis, and practical applications.
Your Journey: You'll move through a structured process: Information β Agreement β Baseline Assessment β Engagement (the 12 lessons) β Evaluation β Graduation β Future Action Planning. Each stage builds on the previous, ensuring a comprehensive and supported learning experience.
Before we begin, we need your informed consent for participation, data collection, and engagement in this transformational learning journey. All assessments are optional and explained before administration.
Your Rights: You can change your consent settings at any time in your profile. You can request a copy of your data or request deletion at any time. All data is encrypted and stored securely per GDPR and UK Data Protection Act requirements.
This baseline assessment helps us understand your starting point and personalize your learning journey. All assessments are optional and explained before administration. This should take approximately 15-20 minutes.
Assessment Loading...
The baseline assessment will be loaded here. This includes validated instruments such as:
β’ Transformational Learning Scale (TLS)
β’ Cultural Humility Scale (CHS)
β’ Self-Efficacy for Learning Scale
β’ Course-specific knowledge pre-test
"Phoenix First, PCREF Woven"
An 12-lesson masters-level programme that follows Ward Manager Ava Thompson's transformation from well-meaning but struggling leader to confident anti-racism champion.
Through immersive storytelling, you'll experience authentic challenges, breakthrough moments, and systematic victories - seeing yourself in Ava's journey and finding courage for your own.
12 Lessons. 13 PCREF Domains. One Liberation Journey.
Watch the story unfold for Lesson 1
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"I thought I was one of the good ones..."
Ava Thompson sat in her office, reviewing patient feedback forms. Fifteen years as a ward manager, and she prided herself on being one of the "good ones" - someone who cared, who listened, who tried to do right by everyone.
Then she read James's feedback.
"I don't feel safe here," he'd written. "The staff don't see me. They see a problem. They see a diagnosis. They don't see me."
Ava felt defensive at first. I've always tried to be fair. I've always tried to listen. What more could I do?
But then she remembered the incident last week. James had asked for a different medication approach, one that honored his cultural practices. She'd listened, but she'd also explained why the "standard protocol" was important. She'd been kind. She'd been professional. But she hadn't really heard him.
The realization hit like a physical blow: Good intentions don't equal good impact.
Ava put down the feedback form. This wasn't about being a "good person" or a "bad person." This was about impact. And her impact, despite her intentions, had made James feel unsafe.
That was the wake-up call. The moment everything changed.
What would you do in Ava's situation?
Scenario: Intent vs. Impact
Ava Thompson sat in her office, reviewing patient feedback forms. Fifteen years as a ward manager, and she prided herself on being one of the "good ones" - someone who cared, who listened, who tried to do right by everyone.
Reflect on this lesson alongside Ava:
By completing this lesson, you will be able to:
This lesson draws on Critical Race Theory & Intent vs. Impact principles.
Key Concepts:
Evidence Base:
Healthcare disparities and patient safety (Williams, 20112); Intent vs. impact in healthcare (Smedley et al., 2003)
Scenario: [Lesson-specific case study related to Intent vs. Impact]
Apply the principles from Lesson 1:
[Publisher information]
Estimated Time: 90-100 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 2
Watch the story unfold for Lesson 1
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"Neutrality wasn't safetyβit was silence. I chose presence over performance."
PCREF Domains Active: D3, D4, D13
This 360-degree view represents the healthcare environment where Ava's transformation unfolds. Click the hotspots to discover connections to PCREF practice and your learning journey.
Ava stood in the ward, watching the same pattern unfold. The same assumptions. The same silence. The same harm.
A pivotal moment in the journey of transformation and liberation.
Then she paused. Not the professional pause. The Phoenix Pause. Hand to heart. Breathe. Notice. Set intention.
In that pause, everything shifted. She saw the neutrality for what it was: silence. She saw the assumptions for what they were: harm. She saw her choice: presence over performance.
That was the awakening. The moment everything changed.
Phoenix Pause became her practice. Mask of Power scenarios became her learning. Oxytocin Diamond science became her foundation.
That was Lesson 1. The Phoenix Awakening. Presence over performance. Truth over silence.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Presence vs. Neutrality in Healthcare Leadership principles.
Key Concepts:
Evidence Base:
Bias interruption techniques (Devine et al., 2012); Presence in leadership (Scharmer, 2009)
Scenario: [Lesson-specific case study related to Presence vs. Neutrality in Healthcare Leadership]
Apply the principles from Lesson 1:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 2
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"Guilt didn't mean I was bad; it meant I had arrived at a growth edge."
PCREF Domains Active: D3, D4, D13
Ava looked at her practice. The "good intentions." The "professional neutrality." The "treating everyone the same."
A pivotal moment in the journey of transformation and liberation.
She saw the scripts. Inherited. Unquestioned. Harmful.
Cultural Pause became her practice. Script Mapping became her tool. The Game of Neutrality became her teacher.
Guilt didn't mean she was bad. It meant she had arrived at a growth edge.
That was Lesson 2. Inherited Scripts of Oppression. Recognizing harm. Mapping scripts. Choosing transformation.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Inherited Scripts & Systemic Oppression principles.
Key Concepts:
Evidence Base:
Implicit bias and healthcare (Chapman et al., 2013); Script theory (Abelson, 1981)
Scenario: [Lesson-specific case study related to Inherited Scripts & Systemic Oppression]
Apply the principles from Lesson 2:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 3
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"I cried in the car. Not weakness, but my body refusing to carry the system's armor."
PCREF Domains Active: D3, D4, D13
Ava sat in her car. The tears came. Not weakness. Her body refusing to carry the system's armor.
A pivotal moment in the journey of transformation and liberation.
She'd learned to armor up. To perform strength. To hide emotion. But the armor was heavy. The performance was exhausting.
Emotion Auction became her practice. Body Scan became her tool. Discomfort Navigation became her skill. Emotional Honoring became her way.
Dropping the armor wasn't weakness. It was courage.
That was Lesson 3. The Courage to Feel. Emotional honoring. Presence over performance. Body wisdom.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Emotional Regulation & Leadership Presence principles.
Key Concepts:
Evidence Base:
Emotional intelligence in healthcare (Goleman, 1995); Body-based practices (Van der Kolk, 2014)
Scenario: [Lesson-specific case study related to Emotional Regulation & Leadership Presence]
Apply the principles from Lesson 3:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 4
Watch the story unfold for Lesson 4
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"The first time I named bias in a staff meeting, my hands shook. Truth made power more honest."
PCREF Domains Active: D1, D5, D6, D7, D9
Ava stood in the staff meeting. Her hands shook. But she spoke. Named the bias. Told the truth.
A pivotal moment in the journey of transformation and liberation.
Truth made power more honest. Secrets lost their power. Silence broke.
Hidden Roles Power Game became her practice. Circle of Silence breaking became her skill. Power Sharing Lab became her experiment. Solidarity Strategies became her network.
Speaking truth wasn't easy. But it was necessary.
That was Lesson 4. Power, Secrets, and Speaking Truth. Breaking silence. Sharing power. Building solidarity.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Power Dynamics & Truth-Telling principles.
Key Concepts:
Evidence Base:
Speaking truth to power (Freire, 1970); Power dynamics in healthcare (Foucault, 1977)
Scenario: [Lesson-specific case study related to Power Dynamics & Truth-Telling]
Apply the principles from Lesson 4:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 5
Watch the story unfold for Lesson 5
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"We rewrote care by co-authoring plans with families. Not consultationβpartnership."
PCREF Domains Active: D4, D8, D10
Ava rewrote the rules. Not consultation. Partnership. Not telling. Co-authoring.
A pivotal moment in the journey of transformation and liberation.
Role Reversal Theatre became her practice. Collaborative Decision-Making Lab became her experiment. System Mapping became her tool.
Co-authoring care wasn't consultation. It was partnership.
That was Lesson 5. Rewriting the Rules. Co-production. Collaboration. System transformation.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Co-Production & Collaborative Decision-Making principles.
Key Concepts:
Evidence Base:
Co-production in healthcare (Boyle & Harris, 2009); Collaborative decision-making (Charles et al., 1997)
Scenario: [Lesson-specific case study related to Co-Production & Collaborative Decision-Making]
Apply the principles from Lesson 5:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 6
Watch the story unfold for Lesson 6
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"When we welcomed herbs, prayers, and songs, patients softened. Community wisdom is medicine."
PCREF Domains Active: D4, D5, D8
Ava welcomed the herbs. The prayers. The songs. The community wisdom.
A pivotal moment in the journey of transformation and liberation.
Patients softened. Healing deepened. Medicine expanded.
Community Tribunal became her practice. Dignity Preservation Workshop became her tool. Cultural Integration Lab became her experiment.
Community wisdom wasn't alternative. It was medicine.
That was Lesson 6. Community as Medicine. Cultural integration. Dignity preservation. Community healing.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Community Integration & Cultural Medicine principles.
Key Concepts:
Evidence Base:
Community-based healing (Ginwright, 2015); Cultural medicine (Kirmayer, 2012)
Scenario: [Lesson-specific case study related to Community Integration & Cultural Medicine]
Apply the principles from Lesson 6:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 7
Watch the story unfold for Lesson 7
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"Numbers became our language of justice. Data could show what stories alone couldn't prove."
PCREF Domains Active: D3, D7, D12
Ava discovered data. Not just numbers. Evidence. Liberation tool.
A pivotal moment in the journey of transformation and liberation.
Numbers became the language of justice. Data showed what stories alone couldn't prove.
PCREF domains exploration became her practice. Evidence mapping workshops became her tool. Baseline data collection became her foundation.
Evidence wasn't just data. It was liberation.
That was Lesson 7. Evidence as Liberation Tool. PCREF domains. Evidence mapping. Data justice.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Evidence-Based Transformation principles.
Key Concepts:
Evidence Base:
PCREF framework (NHS, 2021); Evidence-based transformation (Pawson & Tilley, 1997)
Scenario: [Lesson-specific case study related to Evidence-Based Transformation]
Apply the principles from Lesson 7:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 8
Watch the story unfold for Lesson 8
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"Teaching Phoenix Pause to colleagues meant liberation was no longer just my practiceβit became ours."
PCREF Domains Active: D2, D9, D13
Ava taught others. Phoenix Pause. Cultural Pause. Truth-telling. Transformation.
A pivotal moment in the journey of transformation and liberation.
Liberation was no longer just her practice. It became theirs. Ours.
Facilitator skills became her practice. Train-the-trainer models became her tool. Workforce development strategies became her system.
Teaching others wasn't just sharing. It was multiplying.
That was Lesson 8. Workforce as Change Agents. Training. Multiplication. System transformation.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Workforce Development & Change Multiplication principles.
Key Concepts:
Evidence Base:
Train-the-trainer models (Joyce & Showers, 2002); Workforce development (Senge, 1990)
Scenario: [Lesson-specific case study related to Workforce Development & Change Multiplication]
Apply the principles from Lesson 8:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 9
Watch the story unfold for Lesson 9
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"Real change required allies in every cornerβpatients, families, leaders, even skeptics became partners."
PCREF Domains Active: D6, D11, D12
Ava built partnerships. Not just allies. Partners. Patients. Families. Leaders. Even skeptics.
A pivotal moment in the journey of transformation and liberation.
Real change required allies in every corner. Partnership in every system.
Stakeholder mapping became her practice. Collaboration frameworks became her tool. Partnership governance models became her system.
Partnerships weren't just connections. They were transformation.
That was Lesson 9. Partnerships That Transform Systems. Collaboration. Governance. System change.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Partnership & Collaboration for System Change principles.
Key Concepts:
Evidence Base:
Partnership models (Lasker et al., 2001); Collaboration frameworks (Gray, 1989)
Scenario: [Lesson-specific case study related to Partnership & Collaboration for System Change]
Apply the principles from Lesson 9:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 10
Watch the story unfold for Lesson 10
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"My ward work started rippling into policy, training, then other hospitals. Liberation scaled when we stopped hoarding transformation."
PCREF Domains Active: D7, D9, D13
Ava's ward work rippled. Into policy. Into training. Into other hospitals.
A pivotal moment in the journey of transformation and liberation.
Liberation scaled when they stopped hoarding transformation.
Liberation Escape Room became her practice. Movement Mapping became her tool. Scalability Design Lab became her experiment. Coalition building became her network.
Scaling wasn't just expansion. It was movement.
That was Lesson 10. Liberation as Collective Practice. Scaling. Movement. Coalition.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Scalability & Movement Building principles.
Key Concepts:
Evidence Base:
Social movement theory (Tarrow, 2011); Scalability (Moore et al., 2015)
Scenario: [Lesson-specific case study related to Scalability & Movement Building]
Apply the principles from Lesson 10:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 11
Watch the story unfold for Lesson 11
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"Our evidence portfolio became a roadmap others could followβproof that liberation creates measurable change."
PCREF Domains Active: D1, D2, D9
Ava completed the portfolio. Not just evidence. A roadmap. Proof that liberation creates measurable change.
A pivotal moment in the journey of transformation and liberation.
Portfolio compilation became her practice. Impact measurement became her tool. Audit preparation became her system. Sustainability planning became her legacy.
The portfolio wasn't just completion. It was proof.
That was Lesson 11. Portfolio Mastery & Impact Measurement. Evidence. Impact. Sustainability.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Impact Measurement & Portfolio Completion principles.
Key Concepts:
Evidence Base:
Evaluation frameworks (Patton, 2011); Impact measurement (Rogers, 2014)
Scenario: [Lesson-specific case study related to Impact Measurement & Portfolio Completion]
Apply the principles from Lesson 11:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to unlock Lesson 12
Watch the story unfold for Lesson 12
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"This story began with me, but it ends with you. Every pause you takeβwe rise."
PCREF Domains Active: D1, D8, D10
Ava stood before the Liberation Council. Her story. Her transformation. Her legacy.
A pivotal moment in the journey of transformation and liberation.
Liberation Move presentations. Covenant Ceremony. Phoenix Rising Ritual. Integration. Next steps.
This story began with her. But it ends with them. Every pause they takeβwe rise.
That was Lesson 12. The Liberators' Covenant. Legacy. Continuity. Movement.
Consider this: How does this lesson connect to your practice? What PCREF domains are most relevant?
By completing this lesson, you will be able to:
This lesson draws on Legacy Building & Sustained Practice principles.
Key Concepts:
Evidence Base:
Sustainability in change (Kotter, 2012); Legacy building (Gardner, 2006)
Scenario: [Lesson-specific case study related to Legacy Building & Sustained Practice]
Apply the principles from Lesson 12:
[Publisher information]
Document your learning and transformation:
Estimated Time: 100-120 minutes | Depth Level: Advanced
Complete all sections to complete PCREF-ic Programme
Let's evaluate your transformation journey. This includes mid-journey self-assessment, application quality evaluation, and comprehensive post-programme assessment (Tier 3: Integration Checkpoints).
Mid-journey self-assessment of growth and application (10 minutes)
Measures: Growth perception, confidence, application readiness
Application quality rubric (peer + self-assessment) (8 minutes)
Measures: Quality of action plans, equity awareness
Post-programme summative assessment (15-20 minutes)
Measures: Knowledge, attitudes, skills, transformation
You have completed PCREF-ic: Phoenix Cultural Liberation. Your transformation journey is a testament to your commitment, courage, and capacity for growth.
Transformation doesn't end here. Let's create your individual and collaborative action plans to sustain and deepen your learning journey.
Create your personal commitment plan for continued growth and application.
Work with your team, community, or cohort to create collective transformation commitments.