Kathy Rice and Eric Harvey gut-level, real-world messages from employees to managers healthcare edition walk    awhile in   shoes my
Dear Manager: (introduction)    On “change”    On caring for patients    On “no win” situations    On performance evaluations    On loyalty    On “being in on things”    On respecting my time    On resolving disputes    On participative management    On recognition    On the joys of the job    On “the future”    What I ask of you   page 2 page 5 page 7 page 8 page 10 page 11 page 13 page 14 page 16 page 17 page 19 page 21 page 22 page 23 ... The Messages — 1 —
Dear Manager: I am every employee, and I work in every part of this organization. My collar is blue, pink, and white – frequently stained with the sweat of hard work ... and sometimes tears. I am man, and I am woman.    I’m every color, every belief, and every size.   I’m old, young, and everything in between. I’ve worked here longer than you and not as long as you. I am a daughter. I am a son. I’m married and single, a parent and without children. I’m alone, and I’m surrounded by people I care about deeply. Sometimes you may think of    me only as a number, or perhaps just another small cog in a very large wheel that you have to manage. But like you, I am a human being filled with joys, fears, frustrations, and hopes. I feel, and I laugh, and I hurt. And, like you, I want to be understood, accepted, and appreciated. — 2 —
— 3 — The following pages are about opening up to you – about sharing my feelings on just a few of the many aspects of my job and how they affect me. Some of what you read may surprise you … some may bring a laugh or two. All of these pages, I hope, will encourage you to see me in a new, and perhaps much different, light. I ask that you receive these messages with the same level of compassion and understanding that you wish from me as I read the flip side of this book. Chances are we’re not as different as you may think. And just maybe, you’ll be more inclined to “meet me in the middle,” where we can begin a new and better working relationship. Hear me. Understand me. Walk awhile in my shoes.
         t’s not so much that we’re afraid of change        or so in love with the old ways, but it’s that       place in between that we fear ... it’s like being between trapezes. It’s Linus when his blanket                is in the dryer. There’s nothing to hold on to.                                  – Marilyn Ferguson I — 4 —
Okay, I admit it. When it comes to change, my first thoughts tend to be pretty self-centered: What about ME? Will I have a job? Will it be the same job? Will I still be able to work with my friends? Will I be able to handle the new demands and challenges facing all of us in healthcare? Will I still be able to get satis- faction from what I do? What’s the secret plan ... the hidden agenda? What? You don’t have a plan? YIKES! No wonder I’m stressed. Change is particularly tough on me be- cause when it comes “rolling downhill,” guess who’s usually standing at the bottom of the hill? Me! I’m rarely the “decider,” but almost always the “doer.” Seems like I no sooner get comfortable and proficient with my job and WHAM! – a whole new set of requirements, protocols, and expectations are dropped on me. I do like feeling that I’m helping our patients and making a contribution to this organization. But, to be per- fectly honest, it’s getting harder and harder to feel that way. Like you, I’m learning that life and con- tinuous change are one and the same. But some changes are a lot easier to swallow than others. I’m basically okay with doing things differently to keep up with advancements in patient care – even though I question the “bureaucracy” that frequently comes with them. But I do resent those changes that are sometimes required because you screwed up or didn’t think things through. Maybe if you asked my opinion a little more often, that wouldn’t happen. My biggest problem with change comes when you don’t take the time to explain why! If you know why, tell me, and you’ll increase the odds that I’ll support what has to be done. If you don’t know why, try to find out !  And  then  let  me  know. I’m struggling with this new healthcare environment of ours. I’m doing the best I can, but I’m scared. A little more sensitivity and patience on your part would go a long way toward helping me cope. Change may not be easy for you, but at least you’re calling some of the shots. Try walking awhile in my shoes! on “change” — 5 —
              ’re in    the caring business. But lately it seems like all the emphasis is on       the business part – with the caring part left to us to figure out.                               – Anonymous R.N. — 6 —