Leadership Webinar 4 Improving Patient Outcomes by Strengthening

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Leadership Webinar 4: Improving Patient Outcomes by Strengthening Teamwork & Communication January 16, 2018

Leadership Webinar 4: Improving Patient Outcomes by Strengthening Teamwork & Communication January 16, 2018

Please note: This webinar is being recorded Personal information in this initiative is collected

Please note: This webinar is being recorded Personal information in this initiative is collected under s. 26(c) and 26(d)(ii) of the Freedom of Information and Protection of Privacy Act. The information is being collected in order to facilitate training and education as part of Clear. This webinar is being recorded and will be shared with program participants. We ask that you refrain from identifying patients, specific team members or offering any other personal information. If you have further questions, please contact the BCPSQC at 604 668 8210 or [email protected] ca.

Your Clear team Tara Fitzgerald, Improvement Advisor Ben Breslin, Project Coordinator Mary Lou Lester,

Your Clear team Tara Fitzgerald, Improvement Advisor Ben Breslin, Project Coordinator Mary Lou Lester, Improvement Advisor Eric Young, Health Data Analyst Geoff Schierbeck, Improvement Advisor Kevin Smith, Director of Communications Dr. Chris Rauscher, Clinical Lead Shari Mc. Keown, Director, Clinical Improvement Dr. Ian Bekker , Clinical Lead

Interacting in Web. Ex Today’s Tools: 1. Pointer 2. Raise Hand 3. Yes /

Interacting in Web. Ex Today’s Tools: 1. Pointer 2. Raise Hand 3. Yes / No or 4. Chat

Who is online?

Who is online?

Which care home are you from?

Which care home are you from?

What We Are Covering Today • Define culture and the importance of culture in

What We Are Covering Today • Define culture and the importance of culture in clinical outcomes • Identify the factors that can influence nontechnical skills and impact culture • Recognize the relationship between a positive culture and staff benefits • Tips for a successful healthcare team

What is Culture?

What is Culture?

Defining an Organizational Culture “The way we do things around here …” Davies, Nutley

Defining an Organizational Culture “The way we do things around here …” Davies, Nutley and Mannion, 2000

Image source: https: //blogs. hope. edu/getting-race-right/wpcontent/uploads/sites/30/2014/09/What-is-culture. png

Image source: https: //blogs. hope. edu/getting-race-right/wpcontent/uploads/sites/30/2014/09/What-is-culture. png

What is Culture? • Artefactual elements of culture are more visible and may be

What is Culture? • Artefactual elements of culture are more visible and may be more readily changed • Deep-seated beliefs and values may prove to be more resistant to external influences Davies, Nutley and Mannion, 2000 @ck 4 q

Everyone has a role to play in culture

Everyone has a role to play in culture

Why Does Culture Matter? Clinical Outcomes • Positive clinical outcomes: – Pressure ulcers –

Why Does Culture Matter? Clinical Outcomes • Positive clinical outcomes: – Pressure ulcers – Falls – Hospital acquired infections – Depressive symptoms – Pulmonary embolism/deep vein thrombosis – Incontinence – Symptom burden at the end of life – Mental and physical health status Braithwaite et al, 2017

Do you have staffing challenges such as turnover, unplanned absences or recruiting issues?

Do you have staffing challenges such as turnover, unplanned absences or recruiting issues?

Why Does Culture Matter? Health Care Providers 76% more engaged 50% more productive 60%

Why Does Culture Matter? Health Care Providers 76% more engaged 50% more productive 60% more job enjoyment 40% less burnout Harvard Business Review, 2017

The Facts • Research indicates that many failures in our system originate from ‘non-technical’

The Facts • Research indicates that many failures in our system originate from ‘non-technical’ rather than ‘technical’ aspects of performance. Brathwaite et al 2017

Non-Technical Skills Yule et al. 2006

Non-Technical Skills Yule et al. 2006

Poll: What are some challenges your team may have with non-technical skills? • Teamwork

Poll: What are some challenges your team may have with non-technical skills? • Teamwork • Communication • Leadership • No challenges (you can choose one or more)

The Impact of Non-Technical Skills on Culture

The Impact of Non-Technical Skills on Culture

Psychological Safety

Psychological Safety

Does EVERYONE Psychological on your Safetyteam feel they can speak up when needed? •

Does EVERYONE Psychological on your Safetyteam feel they can speak up when needed? • Yes • No • Depends…

Psychological safety translates to… • More confidence to engage in learning behavior • Allows

Psychological safety translates to… • More confidence to engage in learning behavior • Allows team members to bring forth concerns and issues that can help the team • Higher levels of engagement at work Carmeli et al. 2009

Psychological Safety

Psychological Safety

Silence “We should seek to understand the multifaceted meanings and impact of silence, and,

Silence “We should seek to understand the multifaceted meanings and impact of silence, and, rather than seeking to eradicate silence from team communication, we should educate practitioners to use and interpret silence wisely and safely. ” (Linguard, 2012)

“A lack of safe staff meetings where everyone can have a voice has lead

“A lack of safe staff meetings where everyone can have a voice has lead to an atmosphere of indifference” “Not feeling safe for sharing our thoughts. ” “We have to trust in order to have safety. ”

Power Distance Index (PDI) “Power distance is the extent to which the less powerful

Power Distance Index (PDI) “Power distance is the extent to which the less powerful members of organizations and institutions accept and expect that power is distributed unequally. ” Geert Hofstede’s Power Distance Index www. Clearlycultural. com

Mitigated Speech Any attempt to downplay or sugarcoat the meaning of what is being

Mitigated Speech Any attempt to downplay or sugarcoat the meaning of what is being said. Fischer and Oranasu, 1999

Have you ever mitigated your speech when talking to someone? • Yes • No

Have you ever mitigated your speech when talking to someone? • Yes • No

How can mitigated speech affect patient/resident outcomes?

How can mitigated speech affect patient/resident outcomes?

The Impact of Non-Technical Skills on Culture

The Impact of Non-Technical Skills on Culture

Tips for success Representation of staff from different disciplines and levels in the organization

Tips for success Representation of staff from different disciplines and levels in the organization Bradley et al. 2017

Tips for success Authentic Participation and Engagement of Diverse Perspectives Bradley et al. 2017

Tips for success Authentic Participation and Engagement of Diverse Perspectives Bradley et al. 2017

Tips for success Distinct Patterns of Managing Conflict, Fatigue and Motivation Over Time Bradley

Tips for success Distinct Patterns of Managing Conflict, Fatigue and Motivation Over Time Bradley et al. 2017

Where is the challenge with your team? A. B. C. D. E. F. G.

Where is the challenge with your team? A. B. C. D. E. F. G. Senior Management Support Teamwork Managing conflict, fatigue and motivation? A&B A&C B&C All of the above Bradley et al. 2017

Kick-off Workshops Register by January 15 at: clearbc. ca

Kick-off Workshops Register by January 15 at: clearbc. ca

Reminders • Please complete the evaluation for this webinar • Next webinar: Tuesday, January

Reminders • Please complete the evaluation for this webinar • Next webinar: Tuesday, January 23 • Please register for the kick-off workshop at clearbc. ca