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
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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.
Im every color, every belief, and every size.
Im old, young, and everything in between. Ive
worked here longer than you and not as long as
you. I am a daughter. I am a son. Im married
and single, a parent and without children. Im
alone, and Im 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 were not
as different as you may think. And just maybe,
youll 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.
ts not so much
that were afraid of change
or so in love with
the old ways, but its that
place in between
that we fear ... its like being
between trapezes.
Its Linus when his blanket
is in the dryer.
Theres 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? Whats the secret plan ... the hidden agenda? What? You dont have a plan? YIKES! No wonder Im stressed. Change is particularly tough on me be- cause when it comes rolling downhill, guess whos usually standing at the bottom of the hill? Me! Im 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 Im helping our patients and making a contribution to this organization. But, to be per- fectly honest, its getting harder and harder to feel that way. Like you, Im learning that life and con- tinuous change are one and the same. But some changes are a lot easier to swallow than others. Im 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 didnt think things through. Maybe if you asked my opinion a little more often, that wouldnt happen. My biggest problem with change comes when you dont take the time to explain why! If you know why, tell me, and youll increase the odds that Ill support what has to be done. If you dont know why, try to find out ! And then let me know. Im struggling with this new healthcare environment of ours. Im doing the best I can, but Im 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 youre 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