Healthcare Employers Tested to Protect Employees from Threats and Burnout

Healthcare Employers Tested to Protect Employees from Threats and Burnout

Drastic Times Call for More Thoughtful Measures to Protect Employees from Burnout

Healthcare employers use systems to avoid employee burnout and protect employees from threats. Despite these systems, factors of late stress test the capacity of those protective measures. Hence, employers must adjust, take extra care, and increase resources. In so doing, they maintain support for employees during times of increased need. 
Protective measures include:
  • hazard assessment,
  • physical and policy-based violence and harassment risk management,
  • mental wellness supports, and
  • distribution of work and resourcing.
We recommend that employers combat employee burnout and install safeguards from employee exposure to threats jointly with unions, employees across work areas, and cross-discipline management leadership teams. Collaborative approaches will result in:
  • higher quality controls,
  • across-the-board buy-in, and
  • greater system integration.
Public policymakers and law enforcement must also step up to the plate. They must clearly and unreservedly condemn harassment and violence directed at healthcare heroes. Police must enforce and protect targeted employees and members of the public.

“A 2021 survey by advocacy group Doctors Manitoba found that 57 percent of physicians reported mistreatment from at least one patient in the previous month. Verbal abuse included racist and sexist attacks and being compared to a Nazi and accused of profiting from the pandemic. Other aggressive incidents included being spit on, vandalism, social media attacks, physical assault and death threats….The healthcare system belongs to us all. As a major cause of physician burnout, this crisis of incivility and abuse threatens the people who patients need to trust when their health is at stake. It affects anyone who is a patient, has ever been a patient or is hoping to become a patient of a family physician.”

#leadership #work #management #people #health #healthcare #doctors #wellness #riskmanagement #police #socialmedia

For information on how our firm can assist lead and facilitating risk assessment and risk mitigation, visit us at our labour relations and human resources firm’s homepage.

Alberta Labour Market and Employment Update, February 7, 2022

Alberta Employment and Labour Market Update

For the week of February 7, 2022

 

Employment Update: Canada lost 200,000 jobs in January. It is worth noting that Ontario and Quebec felt most of these losses after confronting the Omicron wave.

Meanwhile, Alberta employment increased by 7,000 jobs. However, full-time jobs receded by 3,900, and part-time employment increased by 10,900 positions.

The goods and manufacturing sector drove gains, with 18,400 positions filled. Service sector jobs (including education, professional and science services) declined by 11,300 positions month over month. Reductions experienced by the service sector would have been more significant were it not for gains in food, cultural, healthcare and accommodations roles.

These shifts have significant implications for Alberta employment. The trend displaces workers within specific skillsets and targets specific industries where much of the displacement occurs. Meanwhile, lower-paying jobs grow in service industries with fewer hours of work offered.

Alberta’s unemployment rate dropped slightly to 7.2%, and labour market participation reduced to 69.6%.

Construction permit values increased by 14% in 2021 – inflated input costs drove 60% of that increase.

Alberta inflation year over year increased to 4.8%, matching the national CPI rate.

On the bargaining front, 2022 negotiated wage settlements in the private sector average 1.26%. 2023 average negotiated private sectors wage settlements are 1.12%. Public sector settlements average 0.8% in 2022, and Public sector settlements average in 2023. The recent nurses’ wage settlement of 4.25% over four years, ratified by 87% of their membership, reaffirms this pattern.

Province-wide average wage rates in Alberta employment contracted 1.2% month over month and are down 2% year over year.

All the above factors must be considered when considering compensation and collective agreement negotiations strategies.

Visit our homepage for more information on our labour relations and human resources firm, with offices in Edmonton, Alberta, and Prince Geroge and Victoria, British Columbia.

Respectfully submitted by Workforce Delivery Inc.

(c) Workforce Delivery Inc. 2022

Find Your Sacred During Times of Tension and Conflict Communication

Find Your Sacred During Times of Tension and Conflict Communication

Conflict Communication

Find your sacred during times of conflict and tension: As I sit across the bargaining table from a Union counterpart, he slams his fists against the table, calls me names not worth repeating and has choice words for the employer I represent. It is worth mentioning; the employer I represent is reasonable and fair. Fortunately, this is not an everyday experience. Most of us negotiators can have these difficult conversations while respecting the party opposite and the process. Whether out of shock or good judgment, our team does not react.  I suggest a caucus “to gather our thoughts,” but it is to create space to calm things down.

During our caucus, the first order of business would be convincing our team that the outburst required no direct response.

Sure, there are times to respond with passion and vigour, but that wasn’t one of them.

I would remind our team that perceived process wins and “I sure showed them moments” in front of committees did not amount to a win on the actual negotiation scorecard.

While strolling down the hallway to our caucus room, I inhaled deeply, muttered, “It’s not about me,” under my breath and reflected on what holds us together in these moments.

What keeps us from responding in kind, escalating the situation and causing conlfict communication breakdown and impasse?

For me, and it works regardless of whether others reciprocate the sentiment, I hold dear and sacred the negotiating table, the negotiation process, the parties involved, and the agreement reached. Holding on to this meaningfulness keeps me grounded and helps me not lose perspective during tension and hostility, independent of what happens during the exchange.

This is hardly a unique approach, but how did this approach become ingrained within me?

I was often troubled and confused about my place and direction in life throughout my teens and early twenties, exacerbated by several family calamities. Fortunately, at the time, I found a healthy distraction in the sport of wrestling. It meant a lot to me to become competent at the sport. I prepared obsessively and competed often.

What could Wrestling, or other Competitive Sports have to do with Conflict Communication?

Wrestling was somewhat nerve-racking for many in the sport, even the well-adjusted. A match is a one-on-one competition. Defeats were punctuated and often taken as personal failures unless they were in matches close on points. Due to my maladjustments, I was driven more by fear of losing than the joy of participation and chance of success, seemingly to a greater extent than most.

I worried too much and made the mistake of placing too much of my identity and self-worth on the line.

At tournaments, our team members would wear our wrestling singlets underneath our sweats and t-shirts during warm-ups. We would drop our shoulder straps and let them hang down outside our sweats during warm-ups before the match. In so doing, we showcased our slightly rebellious nature and style (if there was such a thing among us) while it identified us as wrestlers when walking the gym floor.

There was a rule; however, you never stepped onto the mat with your straps down when arriving for your match. Doing so would be a sign of disrespect for the sport, to your opponent, and the match itself.

I enjoyed the rule. It was one of those things we came to know and made us feel like we were in on a secret code of sorts. My self-centred fear would block access to the more fulsome meaning behind the rule at the time. After accumulating much greyer hair and distance from the sport, a deeper appreciation would surface years later.

A wrestling match is an intense situation that reveals our humanness, whether virtues or vices, courage or fear, or a mix of all above. It is a test or moment of truth, if you will, on whether you trained hard enough, had the physical and mental fitness, ate properly, and had the talent to succeed. It was a test of character, courage and integrity.

In the middle of all this intensity and human frailties and strengths, the mat was sacred.

We worked out on the mat, warmed up, stretched, cooled down, meditated, and even disinfected and cleaned the mat. We cared for and honoured the mat. The mat was the truthteller during the competition amidst a collision of human fortitude, weakness, and tension. Having the reverence to adopt rules that made the mat sacred was enough to remove us, ever so slightly from our self-centred fear,  to engage in the match on an honourable footing grounded in virtue with our fears muted.

For those transformations to happen, the rule/ritual needs to be in place, and we need to be present to the moment enough to honour the ritual and find meaning in it.

During our caucus, I see energy return to the faces of our team. They understand that the over-the-top outburst we witnessed did nothing to change our bargaining position. They understand that a non-reaction can, in fact, be more potent than a reaction in conflict communication. We walk back down the hall to the negotiation room. I take a few deep breaths during our stroll.

We enter the room and move to our seats. My eyes scan the surface of the table, with binders and papers strewn about, people leaning in, leaning back, arms open, arms crossed, elbows on the table elbows off the table, some eye contact, some eyes down, some eyes averting direct view, some nods and some shrugs. I exhale as my hands touch the surface before me and feel its texture. I gauge the table’s strength while seated. I notice the soles of my feet against the floor and feel my connection to the ground supporting me. I press my shoes to the floor, twist ever so slightly and feel the resulting stored energy. This is a precious moment. The negotiation table, process, and the agreement that we will eventually achieve; bind us to the truth and integrity that connect us. I remind myself that it is not about me. It is not about one person’s behaviour. With self-centred fear set aside, we get down to honouring the business at hand again. In this state, we are prepared to engage in conflict communication skillfully. 

Whatever we do, find the meaning, find the sacred, and learn to trust it.

That is one example of how some of us hold it together during conflict communication, tension, escalation, hostility and challenge.

Please visit our homepage for more information about our labour relations and human resources firm with offices in Edmonton, Alberta and Prince George and Victoria, British Columbia.

Respectfully submitted,

Sam Kemble

Chief Operating Officer

With People Inc.

 

What is a Good Job? More Importantly, What Isn’t a Good Job?

What is a Good Job? More Importantly, What Isn’t a Good Job?

Industrial Jobs: I am a labour relations practitioner and a workforce delivery expert, one very much connected on a personal level to the plight of working families and job creators. My ears come alive whenever I hear of a report or commentary about jobs.

A few years ago, I noticed a pattern of discourse shifting about industrial jobs. I noticed policymakers, particularly those positioned left of centre, add the adjective “good” in front of the word jobs. Adjectives are tricky things in political speak. Often they are used less to describe and are, instead, more to qualify and introduce a cloak of exclusions to a concept.

Up until the last five or six years, policymakers would be delighted, in fact, elated to report on a job creation period. In so doing, they would refer to jobs.

Now the phrase used is “good jobs.” So we must ask, what jobs are excluded from that description?

In a recent conversation with a private-sector union leader in the resource sector, the person said, it meant good union jobs.

“Is that what they tell you?” I asked, acknowledging Biden’s fleeting rehabilitation efforts to garner street credibility among labour groups after cancelling Keystone.

I replied, “good jobs mean jobs other than yours – jobs other than industrial jobs – outside of the resource sectors. Now, aren’t you happy to have supported the very policymakers seeking to make your members irrelevant?”

Silence.

The phrase is a nod to the environmentalists within the left-of-centre ranks. Good jobs mean green jobs, or rather, excluding those in resource sectors and greenhouse gas-emitting jobs.

The exception is, cars of course, as they are manufactured in vote-rich areas of the country. Policymakers overlook the environmental implications of car manufacturing in Ontario.

It is easier to tsk-tsk the number of F-150s and Dodge Rams on the road in the prairies.

What is stunning is how many working families relying on industrial jobs in the private sector believe left-of-centre parties support their interests.

No, they don’t, nor do they support the livelihoods of most private-sector union members.

I am all for guarding, enhancing and pursuing a sustainable environmental future.

I prefer policymakers to speak directly about what aggressive programs do to working families, including those whose main breadwinners work industrial jobs.

They should consider and represent those interests instead of sweeping the plight of working families in the private sector under the rug.

Instead, they ignore them.  They exclude working families from future consideration by adding the word “good” before any reference to jobs.

Not only is this too cute by half, but it is also dishonest and destructive.

If you want to understand more about Workforce Delivery Inc’s recruitment services, contact us at [email protected]. For more information about our human resources and labour relations firm visit our homepage.

Respectfully submitted,

Sam Kemble

Chief Operating Officer, With People Inc.

 

Job Readiness: Born Mainly from Positions of Privilege, What is it Now?

Suppose we Googled the phrase “job-ready” and looked back to the content date stamped at just about 2000. The phrase was not as pervasive as it is today and is often referred to as:

  • machines and equipment that were job-ready[1] for the projects that needed them,
  • welfare recipients[2] and convicts who were job-ready[3], and
  • projects themselves being job-ready (i.e. ready for people; what we now refer to as “shovel-ready”).

Hence, the phrase was about:

  • the absence of, or remediation of, socioeconomic barriers to achieving a job,
  • about the scheduling function of projects concerning material and equipment, or
  • scopes of work developed enough to receive the workforce required to execute the work.

Between 2001-2005, industry stakeholders began to use the phrase more widely; it was about candidates for employment having all the required training tickets for safety-sensitive positions, usually in the industrial construction and maintenance sector.

In Alberta, this was born mainly from a place of privilege. During such time, building trade union members performed most heavy industrial construction and maintenance work in the Wood Buffalo and the Industrial Heartland regions. Each hiring hall had a multi-employer-funded training trust fund, indirectly paid for by major industrial clients through cost-plus funding arrangements with their contracted service providers. Despite this, the practice was that those members dispatched would spend the first 3-4 days on-site, on paid time, in safety training. Often the project and employer would be retraining members who would not disclose that they already had the certification in question.

Who wants to be out in minus thirty turning wrenches when they could be on paid time, sitting in a lovely warm classroom, drinking coffee, learning about fall arrest for the twentieth time?

Safety professionals certainly did not lose sleep over this waste; it meant more business for them. In the heavy industrial construction and maintenance sector, there is no business like the safety business.

Then, the ones paying the bill had enough.

Purchasers of significant industrial capital projects sent their auditors in, who began to ask questions.

If we have to pay to train everyone anyways, why are we also paying millions of dollars each year into training trust funds?

There was no good answer to this uncomfortable question, and it became an awkward conversation at the bargaining table.

The repetitive training and upload of the training responsibility to the industry’s best clients became, to some extent, a prevailing practice.

Employers needed to address the issue with the bargaining representatives of the members who took such liberties for granted for a long time. The Ironworkers, Carpenters and Labourers stepped up. They recognized they were in the business of supplying qualified, skilled tradespeople and construction professionals to the industry and ended the practice.

They readily agreed to dispatch their members “job-ready,” meaning they were pre-trained, supported by their training trust fund, and ready to go to work.

It took multiple rounds of bargaining for other unions to remove this waste; they would argue that their members were entitled to their entitlements. They instead invested in bricks and mortar of large and lavish training centres with the owner-funded unspent training dues.

If you treat your clients this poorly, any business person knows they will not be clients for long. This situation was no different.

Building trade unions have since lost market share; they no longer perform most of the work available in the Wood Buffalo and Industrial Heartland regions.

Now most workers participating in the industry are no longer dispatched through hiring halls and are no longer supported by funded training trust funds.

When this shift happened, site owners and employers maintained the practice of insisting workers be job-ready.

As a result, the industry downloaded the responsibility for training certifications onto the backs of working construction and maintenance tradespeople.

Now we have no problem with established journeypeople maintaining their safety certifications as part of what it means to be committed to their profession. We feel less comfortable about this within the context of newcomers and apprentices.

We also recognize that this practice, which came from a place of privilege, can have a disproportionate impact on members of groups of individuals who have not traditionally participated in the industry, such as women and BIPOC candidates.

Just one example, members of Indigenous communities living in remote communities do not have equal access to training resources as other candidates.

Workforce Delivery Inc constantly self-scrutinizes our processes, actively seeking to identify structural, systemic and institutional barriers and then apply measures and, at times, a positive bias to eradicate those barriers.

This is what it is like, to recruit right?

If you want to understand more about Workforce Delivery Inc’s recruitment services, contact us at [email protected] or visit us on our recruitment services page.

 

Respectfully submitted,

Sam Kemble

Chief Operating Officer, With People Inc.

[1] RIOT-The Scheduling Problem (berkeley.edu)

[2] How Are Families That Left Welfare Doing? (urban.org); Welfare-to-Work Block Grants: Are They Working? (brookings.edu)

[3] Recruiting and employing offenders (employabilityinscotland.com)

 

Why Safety Rules Must Be and Be Perceived as Reasonable

Safety Rules: Like many controls on safety-sensitive worksites, our preferred line of defence is to eliminate or completely control hazards through design and engineering. Administrative controls must mitigate residual threats that companies cannot, for lack of a better phrase, engineer out of the work process. Managerial measures include controls levered by training, policy and procedures and personal protective equipment requirements. Together they are designed to motivate or encourage employee behaviour to eliminate further, mitigate or control residual safety risk.

We rely on safety rules and rule compliance for many reasons, including to protect employees’ safety. To set and administer rules effectively, we pay heed and study the realm of human behaviour.

Many industrial safety-sensitive sites operate on a reasonably authoritative chain of command structure to organize and execute work. However, due to the often large geographic footprint of industrial worksites, usually in dynamic, open environments exposed to changing factors, companies must rely heavily on autonomous rule compliance, which means that individuals follow the rules when not in the line of sight of one who directly supervises them. Thus, safety performance relies on the cultural norms and buy-in of teams working to keep each other safe. Individual compliance and peer enforcement rely on a hearts and minds approach or buy-in into the rule. This requires leaders to explain and inspire, rather than solely direct and instruct safety leadership when setting and administering controls. Therefore, we need to be willing to get into the questions. Why is a rule essential? What prompted management to install the expectation? Why is it in my interest and my coworkers’ interest to follow these rules? And, what makes this rule reasonable? These are the types of questions that need to be embraced and explored with crews to achieve a hearts and minds buy-in. If our team does not understand why a rule is made or does not believe it is reasonable, things can go wrong.

To illustrate, I’m going to reflect on one of my favourite courses at university. It was lead by a quirky history professor who studied a phenomenon called jury nullification in early English common law. He referenced heavily Thomas Andrew Green’s book, Verdict According to Conscience. During this time, England defined murder by statute. Hence, the courts were not authorized to find anything inconsistent with the statute’s definition of murder. The crime of murder was described as a death where a human had contributed to that death. If a court found that someone had committed murder, the automatic consequence was capital punishment. It was a capital offence, and within this construct, there was only one defence, which was self-defence. Self-defence was also very rigidly defined. The individual relying on self-defence had to be smaller than the would-be attacker, had to be wielding a smaller weapon, or the individual that was fallen had to have been wielding a more deadly weapon than the individual relying on the self-defence. A person depending on the defence also needed to be unable to escape the would-be attacker. All three of these things need to be in place for a jury to find a person not guilty by self-defence.

My professor and historian Thomas Andrew Green was appropriately suspicious of how this may have played out in real-life in jury trials. They compared jury trials’ findings of fact during that timeframe against the facts issued by coroners reports in the same cases.

They found discrepancies between the coroner reports and jury findings of fact. Case in point, one coroner report found that the husband walked into his home where he found his wife with another man. A struggle ensues. The husband used a knife to stab the man. The man dies. A jury in the same case found the following. The husband encounters a man outside of his home. The jury found the man had an axe (the axe, appearing out of nowhere), and the husband, while trapped against the edge of a cliff (which also appeared out of nowhere), was unable to escape. The jury concluded the husband used the knife to defend himself against the man wielding an axe.

In that case, the jury didn’t find that the rule was reasonable. The jury did not find the consequence suitable. Hence, rather than issue an unjust ruling leading to an unjust consequence, the jury searched for and found the facts required that would enable them to rule the individual not guilty by self-defence. So essentially, the jury nullified the unreasonable rule. Thomas Andrew Green refers to this as jury nullification.

The same can happen to us if our workers do not believe that our safety rules are reasonable or reasonably administered. Leaders must continue to accept questions regarding why we do the things we do. Invest in the effort to explain and inspire because failing to do so may result in our safety rules being nullified out in the field when we’re not looking.

 

A prime example of this points to the Alberta Construction Industry’s experience in administering the COAA’s Canadian Model for Providing a Safe Workplace: Alcohol and Drug Guidelines and Work Rule. Earlier versions of the model relied upon almost exclusively peer and front line supervisory administration of the rule in two basic scenarios: 1) a relatively prescriptive post-incident testing rule, and 2) a more subjective “reasonable cause” testing rule. Often, owners and safety representatives found a 20-25% non-negative result from post-incident testing (a lagging indicator as an incident or near miss would already have occurred). One in five or one in four safety incidents occurred concurrent to the presence of alcohol and drug levels higher than that allowed under the safety-based work rule. The forgoing coincided with a low-level of the frequency of peer or supervisor-initiated reasonable cause tests (a control arguably more preventative than the post-incident testing).

Hence the discretionary aspects of the safety rule were nullified.

Upon further explanation, peer and front-line supervisors were reluctant to administer the rule for three key reasons: 1) discomfort confronting one on their substance use, especially with the stigma attached to alcohol and drug use and abuse, 2) they did not feel the testing regime was fair in respect to the marijuana panel, which measured levels associated with use on personal time away from work, and 3) they did not believe the consequences associated with a positive test were fair for those who recreationally used marijuana. As a result, many employers who installed the Canadian Model on their worksites had a significant portion of their work rule nullified by its workforce, drastically reducing the safety efficacy of the practice, which was its primary purpose in the first place.

There are answers to the concerns of peer enforcers and front-line supervisors. However, in that case, leaders were not equipped to demonstrate the rule’s reasonableness or appropriateness. The rest was history. Supervisors and peers’ reluctance to administer the reasonable cause portion of the Canadian Model prompted owners to impose site access testing to fill the void in preventative controls regarding their Alcohol and Drug Administrative controls.