Week 14 Reflection

This week we discussed motivation and it’s role in the workplace. One of the big challenges for managers and leaders is battling low moral. There are many things that can cause low moral in a hospital setting, such as high patient loads, lack of recognition, contention between coworkers, little or no room for advancement, little or no incentives, poor benefits, etc. I learned that it is important for leaders to always be looking for ways to motivate their peers. In order to do that, leaders need to listen to the needs and concerns of their peers to gain an understanding of what may be causing low moral or a lack of motivation. Providing incentives that interest the employee population can be a great way to motivate employees to improve moral and performance, which can lead to better patient care and higher patient satisfaction rates, which will pay for itself in the end.

Week 11 & 12(13) Reflection

This week we participated in a discussion surrounding the topic of bargaining between employee and employer, which gave us insight into the capitalistic relationships between CEO’s and those that they employ. It helped me get a better understanding of the concepts of monetary supply and demand between these two parties and how they can be calculated. We also watched a movie, The Gaudian, and discussed effective and non-effective types of conflict resolution. I reflected on clear communication as an effective method of conflict resolution. 

This week we also ensued in the chaos of deciphering a team activity in which we were asked to participate in strategic planning of a new expansion for a healthcare facility in the town of Bionicle Town and Legoville. After getting past the initial frustration that is online team activities, this became a unique experience in which we were able to plan the healthcare operations in a metaphorical setting. Although I do not anticipate this experience having any sort of significant impact on my future career as a nurse or CRNA, it was interesting to have a brief insight as to what CEO’s and high ranked executives deal with and helped me gain a better understanding of how stressful it can be to work with a team and to have to plan so intricately for the most unpredictable future.

The major takeaway from these last two weeks for me was the importance of clear communication. It is so important for us to learn clear communication skills because poor communication can lead to unclear expectations, unnecessary frustration, and a overall decrease in productivity.

Week 10 Reflection

This week we had an interview to discuss budgeting and also discussed a lot about change. This was a really interesting and helpful topic for me personally because although I feel that I am flexible, I sometimes have a hard time coping with change. I notice that when I find myself in a new environment, I often close up and try to isolate myself. I guess I just have a smaller bubble than others and it feel safer for me to close myself off, at least until I get to know them or my situation a little bit better. This weeks discussions have helped me to understand myself a little bit better regarding how I react to change and how I can improve. I need to be better at not procrastinating. I need to make every day count, because time is one of our most valuable commodities. I need to go forward with a vision to and be more creative in developing strategies to realize my goals.

Budgeting Interview

This week I interviewed L.S. who works at a new accounting company. The following are the interview questions with her responses:

What is the most common budget constraint you frequently run into and how can it be fixed?

“I am in charge of budgeting and the most common issue I deal with is employees spending company money without permission or before getting approval and exceeding their allowance for certain events.

What is your favorite thing about budgeting at your company?

“Budgeting is not necessarily something I enjoy, it can be quite tedious and often frustrating.”

What is your least favorite thing about budgeting?

“Being the stickler and having to enforce the budget and explain the rules of company spending to other employees.”

What do you find to be the most difficult about planning your budget?

“Trying to anticipate and compensate for unexpected costs.”

How does budgeting affect your employees & customers?

“Budgeting can be a double edged sword. Depending on cash flow and how the company is doing, it can effect work hours for employees which also effects the amount of customers we can assist.

What is the main cause for being over budget?

“Executive employees spending more than they should.”

What is the main cause for being under budget?

“Good sales and not spending excessively.”

How often do you think the little things add up to help you stay under budget?

“The company I work for is a newer start up so we are typically always over budget at the moment.”

Who helps oversee the budget for the company?

“Myself, the owner and co-owner.”

How often do you make changes to your budget?

“We review the budget monthly together to address concerns and make the necessary changes.”

How often do you fire employees as a way of decreasing your budget?

“I am not responsible for firing employees, and as we are a new company no one has been fired as of yet.”

This interview helped me gain a little more insight as to how budgeting can work in a newer company that is still establishing itself. I can imagine how difficult it can be, especially for a new company, to gather data to help keep track of the budget and have a specific plan in mind in regards to actual numbers.

Week 9 Reflection

This week we discussed staffing and career development. It was interesting to see what some of my classmates had planned for their future careers. Some wanted to become NP’s, I myself have a goal of becoming a CRNA. It was nice to have the opportunity to reflect on our goals and make sure we had a plan for our future. For me, I know it is not as clear as I imagine it at the moment, because my wife and I have plans for a family that I know will delay my ideal time frame. But to me, family is just as important to prioritize.

It was also interesting discussing scheduling trying to create a schedule for the scenario that we were given. I think it was a helpful insight to the complex skill of scheduling. Scheduling is definitely not as clear cut as some may think, and it is impossible to satisfy everyone’s scheduling preferences.

Week 8 Reflection

This week we watched a presentation on the future of nursing practice and discussed our thoughts on the subject. We also continued to work on our professional portfolios.

A thought that stuck out to me this week was the need for better collaboration within the healthcare system as a whole. What I mean by this is the need for a universal system in which every healthcare facility/provider is required to report to. I think this could improve the accuracy of medical records and increase communication between providers, as well as improve patient awareness and involvement in their own healthcare. However, this is so much easier said than done with our current healthcare system. Companies compete heavily to dip their toe in the billion dollar industry of software programming to create systems for the various healthcare corporations. I’m not saying that we need universal healthcare, I believe capitalism promotes innovation. I’m just suggesting a universal medical record system.

Another thought: While I believe that inter-professional collaboration will continue to improve, it will not do so passively. As professionals we need to be continuously be striving to improve the way we communicate, which requires practicing effective communication techniques. We need to familiarize ourselves with these techniques and implement them into our practice. SBAR is just one simple example of this.

Week 7 Reflection

This week we discussed budgeting, managing resources, as well as interviewed someone responsible for firing/disciplining employees. I learned a lot about budgeting, and had the chance to get more familiar with how budget reports look like. I now have a better understanding about how complicated budgeting can be and how it can have a huge impact on the everyday mechanics within the workplace. If I am ever to become in charge of budgeting I know that I will have my work cut out for me, but I also am glad that I am now a little more familiar with the concept.

Firing/Discipline Interview

This week I interviewed J.O. who works at Walmart. The following is a list of questions our group created, and J.O.’s answers to these questions:

What are automatic grounds for termination at your workplace?

“Pretty much anything considered illegal like stealing, abusing customers. Things like showing up for work late consistently or poor attitude/customer service can eventually get you terminated, but that is usually over a period of time and not an instant termination.”

What is the process you use to discipline an employee who is constantly late?

“This can vary from case to case. We have some excellent employees who work hard and have great customer service skills, but are often late for work. We are sometimes more lenient with these type of employees. On the other hand, if an employee performs poorly AND is constantly late, they will be the ones we terminate first.” Typically the process goes from verbal warnings, to written warnings, and once they’ve had a couple written warnings they may be suspended or layed off.”

What is the hardest part of disciplining an employee and firing an employee for you?

“I’ve had to let at least two employees whom I would consider close friends, I think that was the hardest thing I’ve had to do.”

  1. What tactics have you found to be effective when disciplining/firing an employee?

“It’s always important to have someone else in the room to help be a witness/mediator. It’s also important to be sensitive and degrading towards them. It’s a hard thing to get fired.”

  1. What are good indicators which help you know if your disciplinary actions have been effective or not?

“If they start working harder or show an improvement in behavior. If it was an employee that was always late I would expect them to show up on time.”

  1. When you need to discipline an employee, do you have someone else there to help be a mediator?

“Unless it’s a serious issue, No. Discipline often consists of a short private meeting where we can share concerns and help resolve the issue.”

  1. How many “chances” do you give an employee before they are terminated?

“Again, this can depend on the circumstances, but we do sometimes follow the “3 strikes you’re out” rule.”

  1. What is the main reason why you need to fire an employee?

“Not performing their job duties or treating customers poorly.”

  1. After firing an employee how does the workplace change/react to the firing?

“After the initial hiccup, ironically, firing a problem employee usually results in more work getting done.”

  1. When a termination needs to happen due to budget issues, how do you choose which employee it will be?

“I focus on employees who are not performing well in their job duties, or problem employees. Our customers are our greatest source of feedback as to how our employees are performing, so I will fire employees who have numerous complaints first.”

  1.  How do you approach the conversation when firing an employee? Do you explain in depth the reasons why they are being fired?

“Of course, I would be a terrible manager if I fired an employee without first explaining why they were being fired.”

  1. If your company was really short-staffed but an employee gives countless reasons to be terminated would you proceed with firing them or keep them because you can’t afford to lose an employee?

“I have sometimes hung on to problem employees for longer than I should have because we had a big sale coming up a department needed help. This may have been the wrong choice to make it the end, but I’m not perfect and everyone makes mistakes.”

This interview was interesting and a helpful insight to the political, and sometimes dramatic, aspect of firing and discipline in the workplace. I learned that it’s important to have witnesses for exit interviews, and for managers to be considerate and show empathy for those being disciplined. Being fired can be extremely stressful and it should be done tactfully.

Week 6 Reflection

This week it was really interesting to discuss the concept of ethics and discuss various ethical issues that are current and relevant issues within the healthcare system. We discussed abortion, physician assisted death, organ donation, when death occurs, and a few other more specific instances where ethics played a vital part in the care of an individual. What made the biggest impression on me from this weeks unit was the value and importance of listening to our patients. Listening to our patients can make things so much easier.

Performance Interview Questions and Reflection

This week we were asked to interview someone who was in charge of conducting performance reviews for their employees. I was able to interview J.P. who works at Smith’s. The following are our questions and J.P.’s answers, as well as my thoughts on the interview:

What is your least favorite thing about performance appraisals?

“Interviewing employees who I know that struggle and trying to not hurt their feelings but still give them feedback on how they can improve.”

How do you approach an interview with an employee who struggles performing their job duties adequately?

“I do my best to not seem condescending. I don’t shy away from telling them where they can improve, but I also try to be tactful and word things so I don’t make them want to hurt me. I often ask them where they think they could improve, and I usually agree and encourage them to act on those thoughts.”

What behavior do you look for in an employee AFTER their performance review?

“I hope that they would correct or improve the behavior that we had discussed initially, or at least show some sort of increase effort.”

What things do you focus on in a performance appraisal interview?

“I usually try to focus on the good and to let them know their efforts do not go unseen or unappreciated.”

How do you help your employees improve after a performance appraisal?

“Sometimes my employees need a little kick in the pants even after performance interviews. I am always reminding them of what is expected of them. My employees often have legitimate concerns regarding being effective, which I try to address in order to make our store more effective and our employees happier.”

How often do you hold performance appraisals for full-time vs part-time employees?

“We typically try to group our performance appraisals within the same time periods for all employees.”

How long do your performance appraisals last?

“Typically no longer than 20 minutes.”

What does your performance appraisal criteria look like and how is it implemented?

“Pretty standard stuff… we try to address areas where employees feel they do well, where they can improve, and we help them set goals for the next period.”

How do you prepare for a performance appraisal interview with an employee?

“When it comes time for performance appraisals, I typically try to spend more time out on the floor to see how my employees are behaving. I also rely on feedback from other manager and employees as to what I may need to address for each employee.”

What are two topics concerning job performance you like to discuss with employees while conducting a performance appraisal interview?

“Customer interaction/friendliness as well as reliability and completion of job duties.”

What tactics do you use to ensure employees actually learn from issues that are discussed during the review?

“Always reminding them about the goals they set with me during our performance review, as well as the importance of good customer service.”

What is the most common issue that comes up with employees during a review?

“Reliability is one of the main themes during an interview. We have a lot of students here and something that comes with that is a high turnover of employees. If I notice an employee starting to slack off I try to address it and get a better idea of what his/her long time goals are with the company.”

From this interview I learned that it is a common strategy to try to be encouraging during performance interviews. It is important to focus on the good and it can be helpful to have employees make suggestions on to how they can improve. It seems like employees that are recognized and appreciated seem to do perform better than those who are only criticized… however, it is important to learn how to communicate and give constructive criticism.