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Woman & Doctor


The Narrative Initiative, LLC, (TNI) uses research-based facilitated narrative techniques to positively transform the experience of care for healthcare staff, their patients, and coworkers. TNI sessions & workshops help professionals address the challenges of providing person-centered care, listening empathetically, remaining professional, and communicating effectively.


TNI research/HCAHPS shows that our Write-Read-Reflect narrative method positively transforms the experience of healthcare for those who give care and those who must receive it.


We started The Narrative Initiative to help healthcare professionals improve true communication with their patients, not simply exchange language. We promote empathetic, reflective listening skills that build trust, and to elevate the feeling of being cared for.   


We understand personal bias, emotion, and perception color what we say and what we hear. Our programs and workshops are designed to help people understand each other’s perspectives better and allow professionals to safely address critical gaps between staff expectations of giving care and how patients perceive the care they are given.


Through our Read-Write-Reflect narrative method, we use the personal stories told by participants to enhance their critical listening, reflecting and communication skills. Professional TNI narrative facilitators employ innovative educational and validated research-proven narrative techniques that help participants learn how personal biases and perceptions can stand in the way of moving forward.

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Our Mission

Our Vision at The Narrative Initiative (TNI) is to improve the experience healthcare for those who choose to provide care and those who need to receive care. 


Our Mission is to use personal stories to give healthcare professionals an opportunity to decompress and enhance their personal and professional resilience, and offer tools to gain important listening and reflection skills that are needed to positively transform the healthcare experience.

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Since 2006 our research has demonstrated that writing short personal stories in a safe setting about challenging issues – issues where people hold differing personal perceptions – and then reading those narratives word-for-word in a group setting has the ability to:


  • Help people pay attention to specific words and language and then reflect that language to show respect for other people and their stories.

  • Heighten awareness of individual biases and perceptions

  • Validate difficult emotions and experiences in the work environment

  • Open participants to a new understanding and appreciation of different ways of perceiving the same situation


TNI research consistently shows participants benefit by leaving with an enhanced sense of personal and professional resilience, improved team cohesion, improved ability to listen without judgment, and an ability to immediately apply what they practiced to caring for patients, families, colleagues, and personal connections.

Lorraine Dickey


Founder and CEO

Lead Narrative Facilitator

The Narrative Initiative, LLC

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Vivian C. Foulke


Executive Director

Narrative Facilitator

The Narrative Initiative, LLC

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