1. 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

2. What is culture?

3. Why does it matter?

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

5. If we had a mirror…

7. How do we change culture?

8. Individuals can… Be Situational Leaders

9. 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?”

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

11. Groups can…

12. The Victoria General Journey March 2010 – New Manager Fall 2010 - 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

13. 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 2013 - Gallup

14. 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

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

16. Contact us Rebecca Brooke Quality Improvement Coordinator, The Ottawa Hospital Previously Quality Leader, BC Patient Safety and Quality Council RBrooke@toh.on.ca Marlene Weeks OR Manager, Victoria General Hospital Marlene.Weeks@viha.ca Resources Geoff Schierbeck, Quality Leader at BCPSQC Gschierbeck@bcpsqc.ca http://bcpsqc.ca/clinical-improvement/teamwork/resources/