The Leading Edge: Taking Initiative News You Can Use: Low Employee Morale Assessment Employees Matter: Valuing CNAs Just for Fun: Learning the Healthcare System
Jun 01, 2006
Solutions

In This Issue:
The Leading Edge: Taking Initiative
News You Can Use: Low Employee Morale Assessment
Employees Matter: Valuing CNAs
Just for Fun: Learning the Healthcare System

June 2006 Special!

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Getting In Charge

This program examines how nursing professionals can reduce turnover, improve employee morale, communication, quality of delivery, and effectively handle today's nursing leadership issues. It features interactive group exercises addressing topics such as "No Excuse" policy, coaching vs. counseling, developing self control systems and "team" vs. "turf" approaches.

Note: The video program was video taped by Arizona Hospital/Healthcare Association at a live seminar presentation.

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Want Your Employees to Take the Initiative?
It All Starts with Management

Taking the initiative is a great way for healthcare employees to gain a sense of workplace freedom and satisfaction. Moreover, employees who take initiative are likely to make improvements at work, solve problems, and provide customers with service that far exceeds their expectations. Unfortunately, many organizations don’t encourage risk-taking, initiative, or creativity. In fact, according to a recent Gallup survey of 1,200 U.S. workers, 66 percent said that while their managers asked them to get involved in decision-making, only 14 percent felt they had been empowered to make those decisions. In other words, they are not given the authority, resources, and support necessary to be successful.

Simply put, the more supportive and encouraging the work environment, the more willing employees will be to take the initiative. Any healthcare organization can unleash untapped employee innovation, creativity, and risk-taking. The following five strategies are a great way to start.
  • Break up the monotony. Do your homework, and discover the tasks your employees perform on a daily basis. If they’re stuck doing the same tasks over and over again, they're going to find themselves in a rut. New challenges re-energize them and restore their enthusiasm. Having employees initiate small changes and improvements in their jobs can get them excited about doing more.

  • Be clear. Everyone needs to know the organization's purpose, the team's goals, and how his or her work contributes to those goals. When employees are in-tune with the organization’s mission, they are more likely to go above and beyond “the call of duty” to achieve and maintain that mission—so make sure employees are aware of these items.

  • Bestow some trust. If you want employees to take initiative, you’re going to have to trust them. Employees who take the initiative usually don’t want their managers alongside them, holding their hand through the process. Employees who take initiative need freedom to explore ideas and face the unknown—so trust your employees to do what is right.

  • Solicit suggestions. When employees know that their ideas are taken seriously and that they can make a difference, they will take the initiative to offer innovative and imaginative ideas. No matter how small or insignificant a suggestion may appear, always try to implement it; getting more and better ideas will be the result of taking initial suggestions seriously and implementing them.

  • Recognize and reward. Recognizing employees who take initiative not only acknowledges employees' accomplishments, but also shows all employees that the organization values their ideas, ingenuity, and perseverance.
Now it’s your turn! It’s time for you to take the initiative and start implementing any or all of these practices at your healthcare organization. The result will be employees who consistently exceed expectations.

“ You don't have to be great to start, but you have to start to be great.”
— Zig Ziglar


Getting to the Bottom of Low Morale:
An Assessment Every Healthcare Organization Needs to Take

Is morale low at your healthcare organization? Are employees consistently unmotivated? If you answered “yes” you are not alone. Quite simply, there are many reasons for lack of motivation and low morale. However, if no one is willing to address these issues, they will continue—indefinitely. It’s ultimately up to management and senior level staff to root out the problems.

When it comes to tackling low morale, you can start by asking some simple questions. Here is a practical list of questions that should shed some light as to how your organization is run:

Are promises made but not kept? Broken promises are extremely disheartening to employees. If you have to postpone a group outing, meeting, etc, always try to re-schedule or make the situation right with your employees as soon as possible.

Are raises and rewards always just around the corner? If you don’t know the exact date that rewards or raises will be given, you’re better off not saying anything at all.

Is management out of touch with staff? Perhaps nothing lowers morale more than a management team that is hypercritical and doesn’t really understand what employees do. Employees who are criticized for things that don’t fall within their job description will greatly resent management.

Has an “us” versus “them” culture formed? If you’re out of touch with your employees, they will begin to separate themselves from you and the rest of management.

Are profits, revenue, and office equipment valued more than the employees? Does your organization turn a cold shoulder on employees who are sick or having family problems? Does your organization get extremely upset when profits are down, or when equipment breaks or is out of order? Management may not do it consciously, but employees recognize and resent this kind of behavior.

If you answered yes to any of these questions, your organization probably needs to improve some of its operational practices. After you’ve identified the problem areas, you can then go to work on eliminating the offending practices.

"The dictionary is the only place where success comes before work.”
— Anonymous


Certified Nursing Assistants:
Are You Treating Them with the Respect They Deserve?

Certified nursing assistants (CNAs) are an essential component of the healthcare continuum. Many are like family to residents and patients—tending to the unglamorous but necessary tasks of everyday living, such as helping residents brush their teeth, comb their hair, and get dressed. At the end of the day, patients commonly remember these “little things” more than anything else. Although patients surely appreciate CNAs, many healthcare professionals are still failing to recognize the importance of this critical role. This ultimately results in a lack of respect, compensation, and adequate education for many CNAs.

Sound Familiar? Have you heard other staff refer to a CNA as “just a CNA”? Perhaps you’ve heard certain staff members say things like, “Jane shouldn’t be checking the patients’ charts. She’s just a CNA.” Or maybe some employees say more subtle things like, “I don’t have time to do that. Can’t we just have a CNA do it?”

While staff members probably don’t say these kinds of words to purposely demean CNAs, they undoubtedly do. These types of words are degrading and ultimately nullify the importance of CNAs. While CNAs don’t have the high ranking credentials of a doctor or nurse, their job title should never be referred to as lowly or petty. After all, CNAs have the ability to impact patients’ lives in a positive and much needed way each and every day.

What Your Organization Can Do There are steps you can take to help ensure that CNAs get treated fairly and with respect. The Hospice and Palliative Nurses Association (HPNA) recently published a position statement entitled, “The Value of the Nursing Assistant in End of Life Care” (available at: http://www.hpna.org/positions.asp). While this paper summarizes the Association's commitment to nursing assistants who provide end-of-life care, the majority of the statement can also be applied to nursing assistants in all aspects of care.

Act now: Visit the HPNA website and print out the position statement. Post it in your facility and discuss ways to acknowledge and reward your CNAs.


Learning the System at a Very Early Age
Five-year-old Becky answered the door when a census taker came by. She told the census taker that her daddy was a doctor and wasn't home because he was performing an appendectomy.

"My," said the census taker, "that sure is a big word for such a little girl. Do you know what it means?"

"Sure do!” said Becky. “Fifteen-hundred bucks, and that doesn't even include the anesthesiologist!" The Fine Print



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