aged care staff

Aged Care Staff

Aged Care StaffWorkplace Culture Predicts Significant and Avoidable Costs in Staff Turnover, WorkCover Claims, ACFI and Clinical Care

Fiona StevensPsychologist

2(26th May 2005?) "Geting on with Others" - Interpersonal styles, EQ andconflict2. "Why Are'nt You Like Me" - differences in the workplace3. "Why Don't l Like Me" - Destructive behaviours, addictions, coping styles4. Flourishing

What is culture? Only human?June 7, 2005 The use of sponges as tools among some dolphins could be the first documented case of a material culture in a marine mammal species. The behavior, called sponging, involves a dolphin affixing a marine sponge over its snout to protect itself while it pokes and prods for fish on the sea floor. Researchers believe the use of this sponge tool is a fishing technique that mother dolphins teach to their children. The study is published in the Proceedings of the National Academy of Sciences.

3DolphinBlue eyesRaceAvista IntroductionsRobert Bowden

08 8357 4988 or 0432 070 [email protected] Stevens

08 8410 2342 or 0402 410 [email protected] Peter Winwood

[email protected]

De Stress Consulting

who is thinking of their workplace, what are they up towhats your biggest worry?

you know your staff also worry about their workWorry about signatures Worry about relationships (bullying)Cry before starting workCant sleep Fatigued and poor recovery (wake up and call the facility)Worried about getting everything done

2 ways of looking at itWhat have we been up to!Got started with support through EML Members Benefit Program

We are now up to our 12th facility

Based around concept of PSC = PsychoSocialSafetyClimate

Extensive research, link between high PSC and organisational outcomes including affective commitment, lower injury ratesPsychosocial Safety Climate (PSC) The philosophies, policies and practices through which Management clearly demonstrates the extent to which employees are valued as a business asset, and their complete health and welfare is protected as a priority.

It is the cause of causes

Factors that make up PSCManagement Support & PriorityOrganisational Commitment & ParticipationResourcesCognitive, emotional, physical, facilityFatigue and RecoveryBullying and Anti-Social BehaviourMorale, Cynicism, Affective Commitment, AbsenteeismSelf Care and Home - muscle joint painPSC CAN BE MEASUREDThe key outcomes of PSC are:WHS Outcomes:Injuries and IncidentsWorkCover Claims and Cost (RTW times)Sick LeaveSafe Work PracticesFatigue and RecoveryWorkplace Engagement and Productivity Outcomes:Workers EngagementService Quality and CareComplaintsStaff TurnoverCynicismWorkplace MoraleWorkplace commitmentEmployee ProductivityInnovationACFI FundingPSC = PsychoSocialSafetyclimate

This is about keeping your staff, your residents safe

Low PSC = more ambulence callouts = more incidents including falls = more WC injuries= longer RTW times

How safe is that?

High PSC = a safer workplace

Safety culture is inextricably linked with, but distinguishable from, organisational cultureDependent on how the organisation deals with the often conflicting goals of safety and profitability - and the trade offs between the twoThe demonstrated level of commitment to safetyIf an employee is concerned about a safety issue, are channels open to communicate this to management?If so, how will management respond?Are messengers shot? Safety CultureSurgeon shoots During Operation Anaesthetist Dead-Patient Faints

Rio de Janeiro. Reuters. April 1996. A Brazilian surgeon shot a colleague, who was responsible for the anaesthesia of the patient, during abdominal surgery. While this was happening, the patient woke from anaesthesia and, on seeing the bloodbath, fainted. The Resident who was present attempted to save the life of the anaesthesist, then ended the abdominal operation. The surgeon was long gone over the mountainsThere was disagreement regarding the surgery between the two doctors, members of a private clinic at Macae, near Rio de Janeiro, where the operation took place. During the dispute, the 60 year old surgeon, Marcelino Pereira da Silva, took out a revolver and put three shots into the head of Elimson Ribeiro Elais, age 40. Search is on for the surgeon.

13What have we found?PSC can be measured and specific tailored interventions can be designed, implemented and measured.

Every workplace (and aged care facility) is different and has different needs (even if it is part of a bigger group)

By changing PSC you change:Injury ratesClinical careAbsenteeismAgency useAged care Study 1Highest rate of musculo skeletal injuries in the WC systemMeasured the PSC in 6 facilitiesCompared outcomes includingNumber of injuriesRTW timeCost of injuriesLink between PSC and outcome variables A Multidisciplinary Approach to Injury Minimisation in the Aged Care Health Sector A Pilot ProjectFunded by Employers Mutual Ltd

The Survey QuestionnaireDeveloped specifically for the ACAA studyHas proven remarkably effective in providing insight into a wide range of important aspects of injury in Aged CareSignificant ObservationsHigh correspondence between direct observations at sites and measured PSC levelConsistent with the top down nature of PSC, the significant role of the actual site manager (whether this is Owner Proprietor or another. Identifying Hot Spots within the organisation i.e. RN group Ongoing value of the questionnaireBenchmarking assessing the individual facility against industry standardsGuiding targeted interventions

Study Facility Claims and Costs for Injuries Reported Since July 2008 Facility NameEAPNo of EmployeesNo ClaimsType of ClaimCost of Claims TotalHigh Claim (s)Cost /HeadMean Costs 2 yrs priorPhysicalPsychHigh PSC Facility2008/2009Yes5343173305087$1382009/2010Yes52220288288$52687Low PSC Facility2008/2009No12018180447983160521(159797)$37332009/2010No1209903777417231$314242878Table 1: Observed Difference in WorkCover Claims in High and Low PSC facilities in the Study (Exemplar)PSC and WorkCover Claims Costs

Study 2OngoingLooking at the most efficient ways to change organisationsDebrief the stats with all staff = stories behind the statsEnables change via the exec group getting detailed feedbackTargetted programs eg Handling Work Handling YouEAP services especially physiotherapy alters culture immediately = ok to ask for helpRepeat questionnaires any changes?

How to Change PSC... there is no more delicate matter to take in hand, nor more dangerous to conduct, nor more doubtful in its success, than to set up as a leader in the introduction of changes. For he who innovates will have for his enemies all those who are well off under the existing order of things, and only lukewarm supporters in those who might be better off under the new. (Machiavelli, 14691527)UPPLIFT ApproachBoardCEO/ExecutiveArea/Facility ManagersClinical NursesRNENPSCFloor/Care/Service Staff

Investigating PSC Across Work Areas

Variation in Reported Resources by Work Area

Fatigue & Recovery According to Work Area

Bullying Reports According to Work Area

Work Morale, etc. According to Work Area

Work Engagement by Work Area

Summary PointsLook at your difficulties in your organisations as opportunities to learn about your people to create change.

Your culture is measurable and effects all outcomes of your business

YOU are responsible to create and influence PSC it will change why not make sure it changes to your expectations

Please look at Workplace injuries and bullying differently

Learn more about real leadershipSummary PointsQuestions ?

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