I’ve been leading a lot of workshops lately, sharing tools and strategies to improve communication and relationships. There’s one statement that no matter where or what group I’m with, someone will say it. Do you know what it is? Here it is . . .
And it’s true!!
Yep, you read that correctly . . . it is true that none of the tools and strategies I share will get people what they want IF (and it’s a ginormous IF) …
Let me explain.
If (there’s that word again) you are providing point-of-care service to a patient and you walk into your leader’s office and say “It’s crazy out there. Workload is out of control, call bells are ringing. I need another nurse.” To save you the pain of rejection, I’ll tell you what you’re leader will say (in most cases), “We don’t have the budget for another nurse (or care aid, physio, educator – just fill in the blank).” And as a result, you’re frustrated, make up stories about the lousy leader you have AND you don’t get what you want. I’m sure that’s not earth shattering news to you. Here’s my point, as a point-of-care health professional, you don’t have the decision-making power to decide if you need another nurse or not. Just like a manager doesn’t have the decision-making power to change the focus of the program he/she is managing.
. . . otherwise your efforts fall on deaf eyes. I want to be clear of one thing, I’m not saying you can’t advocate to your leader about needing another nurse, I’m saying you don’t have the power to make THE decision or demand the result. But you can advocate within your realm of influence. Of course all of this begs the question, how? The answer?
Every leader, at least that I know in health care, is acutely aware of their budget and how much services, resources, and personnel are costing them or conversely, what the lack of services, resources or personnel are costing them.
Advocate in terms of those pain points: “I’ve noticed that our sick time has increased since the workload went up and we’re calling for overtime at least once per day. What kind of money are your spending on overtime each month?”
Then give a suggestion (not a demand) about how to reduce or eliminate those pain points i.e. “Would it be more cost effective to routinely have another nurse on shift instead of always paying the overtime costs?” Now this doesn’t mean, the next day they are going to hire a nurse. It does mean you will have a much better chance of having a productive conversation about your unit or area needs when you speak from your realm of influence.
Give it a try, And let me know how it goes.
Barb
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