The hierarchy of hospitals has its job, but disdain for the work of others should not be allowed, says doctoral researcher Sirpa Manninen.
Professional groups the gap between hospitals exists and will remain as long as it is fed, says the doctoral researcher Sirpa Manninen.
Helsingin Sanomat reported on Monday healthcare workers' experiences of hospital hierarchy. Coped with, among other things, eating at different tables, not saying hello and cleaning up other people's messes.
According to Manninen, it is clear that hospitals need to shake up the work culture.
“It shouldn't be the case that everyone maintains operating methods just because that's how it's always been done.”
Manninen investigates in his dissertation ostracism. It's about an unspoken way of acting or behavior that shuts people out of the work community.
Before his research career, Manninen worked as a midwife for about ten years. He himself has not come across humiliating treatment or belittling in his working career. However, thanks to the research he has done, he has a broad understanding of what kind of hierarchy exists in workplaces.
“I recognize all the situations described in the article,” says Manninen.
One The person who responded to the HS survey said that there was a saying among the medical students in the operating room that medical students are even lower than garbage in the hierarchy of the operating room. According to Manninen, this is unequivocally wrong.
In the survey material he collected for his dissertation, Manninen discovered that in some workplaces, good nurses and doctors are allowed to behave badly.
“It was even considered justified and many stated that this is a generally accepted practice here. It shouldn't be like this.”
Healthcare industry there is a reason for hierarchical structures. In order for the whole to work, there must be clear areas of responsibility.
However, it is not a question of priority, but of the division of responsibilities. The idea is that everyone knows both their own tasks and those of others.
“The marching order is a great advantage in the healthcare industry. In the chain, every role is needed and everyone is important.”
Sometimes, as a result of too low a hierarchy, so-called “hidden bosses” can arise in the workplace. They manage and assign the work tasks of others in a similar position.
The other extreme is authoritarian management and over-management. This, in turn, can cause opposition from a leader who is rightfully in his position. Both situations must be addressed, says Manninen.
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“The roles of doctors and nurses do not have to be competing.”
If there is a bad atmosphere at the workplace, the help for the situation is open interaction.
“The cat should be put on the table. If the nurses feel that they are not allowed to talk to the doctor, they should tell the doctor. If someone else's actions make you feel bad, you have to say that too.”
Mutual respect would be important.
“The roles of doctors and nurses do not have to be competing.”
Manninen reminds that the work atmosphere and creating a sense of community is the responsibility of every employee, regardless of title.
“And no position gives permission to act in a way that disdains the work done by others. Whatever the title, the
re is no right to choose which nurse hands out instruments in the operating room.”
Nodes opening up is important for enjoying work, but especially from the point of view of patient safety. Some of the respondents to HS's survey said that due to the atmosphere in the workplace, they do not dare to tell the doctor about the adverse effect of the medicine, even at the risk of the patient's safety. In Mannen's opinion, this should never happen.
“I say very emphatically that the doctor can and must be 'disturbed', i.e. consulted in small and big matters related to the patient's treatment,” he says.
“If you don't dare to tell the patient that you don't dare to ask the doctor, you realize that this is ridiculous.”
Manny points out that ostracism can be unintentional. This means that, for example, the colleague does not notice the greeting addressed to him and therefore does not respond to it. Even by accident, the greeter can just as easily feel shut out or invisible.
The nurses who responded to HS's survey saw eating at different tables as an indication of division into two or perhaps a lack of appreciation. However, the doctor interviewed by HS said that he personally does not feel comfortable in the break room, because there the nurses start treating his own illnesses and those of his loved ones.
“One form of ostracism is that the doctor withdraws without explanation. If no explanation is given, the nurses will come up with one. This often results in completely unnecessary tensions and bad feelings,” Manninen says.
“In this situation, the doctor should say that he would like to have a coffee with the nurses, but finds discussing the health issues of relatives, for example, embarrassing.”
Read more: “Specialist doctors treated me like garbage” – Employees talk about the hospital's hierarchy
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