26. mai 2011

Dealing with Resentment at Work

A great article from CrucialSkills.

The Problem:

In our hospital, we have a person who made a grave mistake during surgery. As the manager's pet, she was not disciplined or reprimanded, but anyone else would have been fired on the spot. The rest of the staff noticed the special treatment given to this individual and are extremely resentful. How do I, as one of those staff members, interact with the offending person without letting my resentment show?

The Solution:

We studied this very problem in our research, Silence Kills, and found that 84 percent of healthcare professionals observe colleagues take dangerous shortcuts when working with patients and yet less than 10 percent speak up about their concerns.

I applaud you for raising your concerns. Nobody wants to work in an atmosphere of resentment that could compromise your paramount concern of patient safety. However, the situation you describe is complicated. There are many parties and probably many perspectives on the same set of facts. Let's begin by examining your concerns.

1. Ask yourself, "What do I really want?" Think about what you want long-term for yourself, the other person, and for your relationship. This is what I learned from your question:

• You want fairness and justice. You think your peer is "the manager's pet," receives "special treatment," and perhaps should have been disciplined, reprimanded, or even fired.
• You want to make sure your team provides patients with the safest, best care possible.
• You want a positive set of relationships so people don't feel resentment toward one another.

2. Master your stories. Each of these concerns is based on a set of facts and/or a series of incidents, including the mistake that happened during surgery. But different staff members, and your manager, may interpret these same facts in different ways. All of you are telling yourselves stories about what these facts mean.

Treat your story as a story, not as a fact. Your story should be your best, most honest interpretation of what the facts mean. But also look out for what we call "clever stories"—interpretations that let you off the hook for feeling resentful and letting your feelings show.

Interrogate your story with two questions: a) "Do I really have all the facts I need to be certain my story is true?" and b) "Is there any other story that could fit this same set of facts?" Let's examine two of the stories you're telling yourself:

Your story about fairness and justice: What are the facts or incidents that combine to make you tell yourself a story about injustice? How confident are you that your story is true? Here are a few questions to consider:

It sounds as if you are holding your peer accountable for not being disciplined. Shouldn't that concern be with your manager more than with your peer?

I wonder whether you and your manager are telling yourselves different stories about the "grave mistake." Your manager may not have witnessed the mistake and that may mean he/she has less information. On the other hand, your manager may have interviewed your colleague as well as others who were there and this information might be both important and confidential.

Your story about patient safety: Any time you have a concern about patient safety you need to deal with it. It's one of those non-negotiables. However, before you have this crucial conversation, examine your story.

It would be easy to tell yourself the story that your manager is putting friendship above patient safety. That would be a very troubling conclusion. But is it true?

In the old days, errors were often blamed on whoever touched the patient last. Every error was considered "operator error." Then the pendulum swung toward "system error." Errors and near misses were seen as caused by faulty processes and procedures rather than individuals. Of course, sensible people demand both capable systems and capable individuals. Neither is sufficient by itself. Do you see how this interplay complicates the stories you and your manager tell about the very same incident?

I don't have enough information to know whose story is closer to the truth. But I think there is a lot of room for people who value fairness, justice, and patient safety to disagree. Have this conversation with your manager, but don't assume he or she has bad intentions.

3. Start with the facts, then tentatively share your story. Take the time to prepare for this conversation. Try writing it out as a script and then review it to make sure you:

• Avoid accusations or any "hot" words or phrases.
• Begin with your good intentions—what it is you really want. Explain that this conversation is about patient safety. That is your mutual purpose.
• Start with the facts. These facts include the incidents you are fairly sure you and your manager will agree on. This is your common ground.
• Tentatively tell your story. Draw the pattern these facts are forming for you. But remember, your manager may see the facts—and almost certainly sees the pattern—differently than you do. Be careful to be respectful of your manager's story.
• Stop so that your manager can share his or her perspective. Understand that some of the facts your manager has are likely to be confidential.

I also encourage you to review our latest study, The Silent Treatment, at www.silenttreatmentstudy.com or register for The Silent Treatment learning series to learn how to solve critical communication breakdowns and avoid dangerous mistakes in the hospital.


20. mai 2011

90% OF ALL HEALTH BOOKS SAY THE SAME THING

Roughly 90% of Self Help books contain the same advice repeated over and over. Don't believe me? Stop by your local bookstore sometime and read the Table of Contents of a dozen or so Self Help books. The advice may be worded differently or geared toward a specific target audience (eg. men, women, various enthnic and social groups), but the underlying message is pretty much always the same. Here's a list of that advice:
1. CREATE YOUR OWN LIFE
You are not a victim. You are 100% responsible for the life you have right now. If you are unhappy, you have the power to change your attitude and actions to begin making your life better. Always remember, whether you think life sucks or you think life is great, either way, you're right.
2. MAKE YOURSELF FEEL THE WAY YOU FEEL...
Ever notice how some people are able to brush off insults, while others get furious and start throwing punches? Realize that nobody can "make" you feel anything. You are the one that "chooses" to feel good or bad about a particular event or action that occurs.
3. FAKE IT UNTIL YOU MAKE IT
If you want to be more confident, happy, or positive, then "pretend" that you already are this way. Eventually, after practicing this long enough, you'll realize that you're no longer "pretending".
4. FOLLOW YOUR PURPOSE
A purpose is what you enjoy doing that you never get tired of and you will do for the rest of your life. Is your purpose to write screenplays? Is it to help sick people? Write down on index cards a list of purposes and choose the one that speaks to you the most.
5. SET GOAL AND SCHEDULE YOUR DAY
List out 5 to 10 goals that you want for your life. Break each goal up into smaller sub-goals and then break those sub-goals into individual tasks and action steps. Every night, plan the next day in advance. Create a daily "to-do list" with those tasks that you need to do to accomplish your goal.
6. LIVE IN THE PRESENT
Regret and shame come from dwelling in the past. Worrying and anxiety come from living in the future. True peace of mind comes from living in the present. The more you become aware of being in the present, the more it becomes a part of your daily life.
7. THE POWER OF ATTRACTION
The power of attraction is a powerful mental tool. The process works by focusing on something that you want while visualizing that you already have it. You then have a heightened level of awareness for recognizing opportunities that occur around you. These opportunities will then assist in bringing what you want into your physical reality.
8. EXPAND YOUR COMFORT ZONE
Your comfort zone (what you feel comfortable doing) is always in a state of either expanding or contracting. The more you get out in the world and do what you feel uncomfortable doing, the less inhibited you become, thereby allowing you to live a richer and fuller life.
9. BE THANKFUL FOR WHAT YOU HAVE
Every morning before you start your day, give thanks and appreciation for what you have. It's only when we are thankful for what we have that life gives us more blessings and abundance to be thankful for.
10. THE POWER OF ASKING...
Don't be afraid to ask for what you want. The squeaky wheel gets the grease. It's the reason that children ask their parents for the same thing over and over again, because they know mom and dad will eventually cave in. The same concept works in the real world. If there is something in the world you want, ask for it...or at least ask how to get it.
11. LEARN FROM THE PROS AND COPY THEM
Find the successful people in your field and ask them for advice. Ask them what they do to be successful, take notes, and then copy them. A lot of people think that the pros don't want to share. The opposite is actually true. Most successful people are more that willing to share their knowledge if you ask them.
12. IGNORE THE TROLLS
Trolls are people that will try to discourage you from your dreams. Don't listen to them. Realize that the only reason they are doing it is because by seeing you chase after your dreams, it's reminding them that they aren't chasing theirs. Misery loves company.  www.chopcow.com