Building a Culture of Respect and Safety: How can you make a difference in your workplace? PeriAnesthesia Nurses Association of British Columbia October 26, 2013 Rebecca Brooke & Marlene Weeks

What is culture?

Why does it matter?

[data showing effects of culture on clinical outcomes] From Pascal metrics

If we had a mirror…

How do we change culture?

Individuals can… Be Situational Leaders

Briefing: Who is on the team? Goals? Roles and Responsibilities? Plan of care? Staff? Resources? Debriefing: Process Improvement; Informal after event; Improve teamwork, improve outcomes “What should we do differently next time?”

Individuals can… Be Situational Leaders Huddle: “touch-base”; Emerging events. Concerns! Outcomes/Contingencies? Resources?

Groups can…

The Victoria General Journey March 2010 – New Manager Fall Rotations December 2010 – New Manager Ready to Quit January 2011 – Stop the Bus March 2011 – 5 Dysfunctions May 2011 – MBTI Formal and Informal Leaders June 2011 – Vision, Mission, and Values – Start July 2011 – Motivation Survey - RN September 2011 – Motivation & Efficiency Survey – All Disciplines October 2011 – Gallup November 2011 – SQAN/Morale Fall 2011 – DOBA Issues

The Victoria General Journey Jan-May 2012 DOBA and New Rotations March to June 2012 – Teamwork and Culture Survey October 2012 – Halloween Vision and Values Work November 2012 – Communication and Efficiency Survey November 2012 – TLC Board November 2012 to September 2013 Short Staffed February to May 2013 Values Exercises June Gallup

J & C Dear Marlene, I was involved in an incident with a co-worker Friday afternoon. It was personal in nature and did not involve a patient but it is a serious matter and I felt I should bring it to your attention. The co- worker involved is C and the fault in this incident lies completely with me. C and I spoke at length on Saturday about what transpired and I think we have come to an understanding but I am heartbroken about what I have done and would really appreciate a meeting with you and hopefully L to discuss the matter. I start work at 14:45 Monday but can come in at any time during the day to meet with you. I look forward to hearing back from you. J

Your turn How can we connect with our shared values? How can you create a ripple effect in your organization?

Contact us Rebecca Brooke Quality Improvement Coordinator, The Ottawa Hospital Previously Quality Leader, BC Patient Safety and Quality Council Marlene Weeks OR Manager, Victoria General Hospital Resources Geoff Schierbeck, Quality Leader at BCPSQC