Patient Balance, Moral Distress and the Cost of Failure

THE BURDEN THAT DARE NOT SPEAK ITS NAME . . .

Stream 2 – Organizational Development and Leadership Sunday morning, June 8, 2014

Rose DeAngelis, N, MSc(A), CHPCN ©Teresa Dellar, MSW, PSW, FT

With the assistance of Deborah Randall-Wood

The Canadian Hospice Palliative Care AssociationThe Learning Institute, Banff

The Burden that Dare Not Speak its Name: Patient Balance, Moral Distress and the Cost of Failure

June 8, 2014

Faculty Presenters Disclosure : Rose DeAngelis and Teresa Dellar

Commercial Interests* No! We don’t have any commercial interests (But we love to shop!)

* No! We don’t have any relationships with commercial interests (Our current partners keep us happy, thank you very much!)

Disclosure of Commercial Support * There is no financial or in-kind support for this session (Sadly, we are from a

non-profit organization & secretly wish for a clothing & shoe allowance!)

Potential for Conflict(s) of Interest * Neither Teresa or Rose (the presenters) have received payment for the

presentation of this program (however, we have been known to, on occasion, ‘Hook for Hospice’!)

Mitigating Bias * There are no biases to be mitigated (Unless you count our bias towards The

Montreal Canadiens and any Montreal police officers!)

Welcome to this interactive workshop!

This session will help us explore the answers to some of the following questions:

- why do people leave our organizations- what is the cost of losing/training new employees- why employees stay in our organizations- why does this help our patients- why should we care to make our organization a great place to work- how can we avoid compassion fatigue

and what measures can we put in place that will effect all of the above?

Session Overview . . . .PART A: Analysis of the literature-what does it say? (1.5 hours)

– Stretch/Health Break

PART B: Analysis of our own experience-what does it tell us? (1 hour)

PART C: Validation & Discussion (30 minutes)• How do the results from Part A & Part B compare and/or contrast?• Discussion of what are the relevant ‘take-away’ messages? • What are realistic changes/improvements that can be made to our

workplaces/practices?

Leadership Styles A quick exercise …

Read the information on the different leadership styles on the following slide

Chose the one that most matches you – in most situations

No one will match exactly . . . pick whichever one seems the closest

Remember your number (or write it down)

Take the Leadership TestWhat kind of Leader are you? (from Quantum Self)

1. I like to inspire others to my beliefs, and then let them take the necessary self-directed action.

2. I am non-emotional, and like to just jump in and drive my team to achieve the goal at hand.

3. I like to develop a general overall strategy before I assign goal-directed responsibilities.

4. I like to micro-analyze the challenge and know exactly what it will take to achieve a goal.

5. I like to set a specific long-range goal, and then use a “hands-off” approach to manage how we get there.

6. I just seem to “know” when something will work, and use ‘trial and error’ to guide my team to a goal.

7. I enjoy a lot of personal interaction with my team, and like to receive their input as we go along.

Leadership Styles (from Quantum Leadership)

1) Charismatic Leader (motivational, inspiring, persuasive)

2) Goal-Orientated Leader (Objective, assertive, organized, logical, in control, non-emotional)

3) Strategic Leader (Systematic, rational problem solver, draws conclusions based on logical evidence)

4) Task Orientated Leader (Analytical, detail-oriented, micro-analyzes a problem)

5) Visionary Leader (Initiates action to achieve vision, ‘hands-off’ manager)

6) Intuitive Leader (Instinctive, less verbal, highly subjective, curious, attentive)

7) Interactive Leader (Relates to others easily, spontaneous, show feelings openly)

Group Assignments (based on what kind of leader you are)

Human Resources Group - Styles # 1

Healthy Workplaces Group - Styles #2

Moral Distress Group - Styles #3 and #4

Managing Stress Group - Styles # 5

Interpersonal Relationships Group - Styles #6 and #7

Part A: Analysis of the literatureAt the end of this section, the smaller group will report back to the large group.

1. Review articles provided2. Answer questions provided on next slide, on the flip charts 3. You have 30-45 minutes to collect the data to answer the

questions (Rose and Teresa will facilitate this)4. Choose a group ‘reporter’ will present the findings to the

entire group

Please answer the following questions & record the data on the flip charts for discussion

1) What are the most important findings in the articles?2) Are these findings relevant to our work in Hospice

Palliative Care? 3) What can we change in our work to make use of this

knowledge?

Then report data to the larger group4) Mention title of articles/authors5) Answers to Questions 1, 2, 3

Part B - Analysis of our own experienceWhat does it tell us?

1. In your groups, compare the results of the questionnaires (your own survey/research) to that of others at your table

2. Combine the results on the Tabulation Result Sheets on each table; take 10-15 minutes to complete this.

3. Every table should fill in 2 sheets of paper:a) one for staff/volunteers who left the organizationb) one for staff/volunteers who are still working for the

organization

PART B - Analysis of our own experience / Reporting

1. Report findings to the larger group 1) Summary of the data2) Highlight the similarities and differences3) Hand back tabulation papers to Teresa/Rose

Why People Stay

Why People Leave

PART C - Validation & Discussion of Findings

How does what we found in the literature compare and contrast to what our own

experience (with staff and volunteers) has been?

Part C – What are the lessons learned that are most valuable and meaning? t are most

valuable and meaningful for us to bring

Based on what we have discovered, are there realistic changes and improvements

that we can make in our leadership practices and in our workplaces?

THE BURDEN THAT DARE NOT SPEAK ITS NAME . . .

Rose DeAngelis, N, MSc(A) CHPCN ©Teresa Dellar, MSW, PSW, FT

THANK YOU FOR PARTICIPATING !