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Fixers Anonymous: “A 12-Step Program for ‘Fixers’” (Steps 10-12)

May 5, 2022 by Joy Goldman Leave a Comment

By Joy W. Goldman RN, MS, PCC: A recovering fixer!

We continue our post stress management strategies for those of us who identify as “I’m a fixer!—I fix things!”

Fixing, also known as problem-solving, is a valuable skill, until we approach everything in our work and personal lives as problems to fix. Here we’ve adapted the time-tested 12-step program from Alcoholics Anonymous to habitual problem solvers/ fixers for steps 10-12.

10. We continued to be aware of our risk of overusing problem-solving/ fixing thinking and when we were wrong, promptly admitted it. We enlisted the support of key strategic partners to ensure we were distinguishing problems from polarities (complex challenges). An often heard question was: “Whose perspective/ voice are we missing that we need to bring into our conversation?” We found ourselves noticing the common tensions of leveraging local needs with system needs; having a communication style that was direct along with a more diplomatic one when that was called for. We focused on the quality of our work as we also focused on the cost of our work. To everyone’s delight, we also spent time talking about nurse and physician well-being along with patient and organizational well-being.

11. We sought out prayer and meditation experiences to improve our ability to notice in the moment and correct our responses. Knowing that the demands would not cease, we learned to assume responsibility for caring for ourselves through daily health habits like exercise; mindful and healthy eating; taking time-outs from electronic devices and spending focused time with family, friends and alone time. We began a daily spiritual practice that allowed us to feel connected to something larger than ourselves.

12. Humbly acknowledging our risk of overusing fixing to the detriment of sustainable and systemic change, we commit to cascading our learning to others who may be so afflicted. As I humbly and courageously worked on developing myself, I noticed that there were others on my team who shared this love of “fixing.” My modeling asking for feedback and being curious was a powerful invitation for them to do the same. I realized that it wasn’t sufficient for me to modify my behavior, alone: I had to help others find healthier ways of partnering and perceiving that created a culture of health and well-being for ALL. I now devote at least 15 minutes during my 1:1 meetings and during our team meetings to focus on our individual and collective development. We also engaged SixSEED Partners to help us identify our key tensions and then measure and create action plans around better leveraging these tensions so that we achieved sustainable change and progress with less expense to the system and to us!

If you need more information, please email info@sixseedpartners.com and they’ll be happy to support you! You can find some case studies around this work by going to: https://sixseedpartners.com/resources/.

Filed Under: Leadership Development, Six Seeds, Uncategorized

Fixers Anonymous: “A 12-Step Program for ‘Fixers’” (Steps 7-9)

April 28, 2022 by Joy Goldman Leave a Comment

By Joy W. Goldman RN, MS, PCC: A recovering fixer!

We continue our post stress management strategies for those of us who identify as “I’m a fixer!—I fix things!”

Fixing, also known as problem-solving, is a valuable skill, until we approach everything in our work and personal lives as problems to fix. Here we’ve adapted the time-tested 12-step program from Alcoholics Anonymous to habitual problem solvers/ fixers for steps 7-9.

7. We humbly asked our higher power to supplement our fixing habit with a healthy alternative. We bravely acknowledged that we didn’t have all the answers and could allow ourselves the opportunity to learn and expand our toolbox, while also providing an opportunity for others to develop their skills. We also realized that we didn’t have to abandon our “fixing” high but that we could complement it with something called polarity thinking- both/and thinking.

8. We made a list of all persons we had harmed and became willing to be transparent about our steps to recovery. In our haste to be the one with the one right answer, we acknowledge that we dismissed other’s perspectives, often making them feel devalued. At this time of “the great resignation,” we know we can’t afford to do that and we need every talented resource we can get to be successful. During our 1:1’s and team meetings, we fessed up and apologized for our previous dismissive behavior and committed to change. We asked our peers and team members to provide us feedback when they noticed positive changes and when they also noticed our inevitable remissions.

9. We made direct amends to people we had harmed unless doing so would injure them or others. For those whose perspectives had been dismissed, we now purposefully asked for their perspective as we were challenged by complex issues. Instead of trying to surface one right answer, we purposefully looked for numerous perspectives and seeming contradictions. Our goal became more about getting several voices and perspectives in the room, often from those who generally had opposite preferences from the majority.

Filed Under: Leadership Development, Six Seeds, Uncategorized

Fixers Anonymous: “A 12-Step Program for ‘Fixers’” (Steps 4-6)

April 21, 2022 by Joy Goldman Leave a Comment

By Joy W. Goldman RN, MS, PCC: A recovering fixer!

We continue our post stress management strategies for those of us who identify as “I’m a fixer!—I fix things!”

Fixing, also known as problem-solving, is a valuable skill, until we approach everything in our work and personal lives as problems to fix. Here we’ve adapted the time-tested 12-step program from Alcoholics Anonymous to habitual problem solvers/ fixers for steps 4-6.

4. We made a searching and fearless inventory of ourselves. We admitted that our tendency to attribute the cause of problems to others and place ourselves in a victim or hero role was interfering with our getting the results we want and draining us of the energy we need to get things done. This wasn’t someone else’s issue.. this perpetual perspective of “fixing” was ours to solve……oh, oh! We also acknowledged that our desire to fix came from a well-intentioned place—we want to ease the burden of others and make a positive contribution in the world. How might we harness that energy of contribution while continuing to appreciate our “fixer identity” when that approach was needed?

5. We admitted to others and to our higher power the exact nature of our wrongs. We acknowledged that our desire to fix became a barrier to others wanting to collaborate and communicate with us. We even noticed that we were pushing people away in our personal lives as we applied our fixer approach to loved ones who didn’t want a fixer and just wanted someone to listen. We summoned the courage to become transparent with others about our desire to expand our way of perceiving challenges and to humbly ask for help. We noticed that when other leaders were transparent about their development efforts, others looked at them with greater respect. Perhaps we can trust ourselves enough to believe that showing our own vulnerability might engender more trust and desire for partnership.

6. We were entirely ready to have our higher power remove all these defects of our overdone fixing habit. We started asking for help and learned that there was a supplemental way of perceiving challenges that expanded upon fixing. We didn’t have to relinquish our fixing identity: we could add to it different perspectives that allowed us to see a larger and more complex picture. Expending less energy and embracing other perspectives actually could create longer lasting, effective outcomes with less wear and tear on myself and others!

Filed Under: Leadership Development, Six Seeds, Uncategorized

Fixers Anonymous: “A 12-Step Program for ‘Fixers’”

April 15, 2022 by Joy Goldman 2 Comments

By Joy W. Goldman RN, MS, PCC: A recovering fixer!

Over the next several weeks, we will post stress management strategies for those of us who identify as “I’m a fixer!—I fix things!” — usually said with much pride. Fixing, also known as problem-solving, is a valuable skill, until we approach everything in our work and personal lives as problems to fix. Here we’ve adapted the time-tested 12-step program from Alcoholics Anonymous to habitual problem solvers/ fixers!

1. We admitted that we were powerless over wanting to fix everything and everyone. As healthcare practitioners and leaders, we have been groomed to notice the gap: our filters have been cultured to look for what’s wrong as compared with what’s right. We’ve fallen hostage to the dopamine/ neurochemical surge that occurs when we believe we’ve solved a problem and fixed something. We’ve enjoyed the feeling of power when we believe we have the answer and share our wisdom with those with a need to learn from us. In an increasingly unpredictable and fast-moving world, fixing problems seems less injurious than eating lots of chocolate! We’ve also noticed others coming to us less frequently- seemingly not wanting our advice, or coming to us ALL the time to solve their problems.

2. We came to believe that a power greater than ourselves could restore us to sanity and provide hope that others wouldn’t run when we approached. As we become overwhelmed with everyone running to us to solve their problems, we realized there had to be a better way. Constantly “fixing” is exhausting! There are some leaders who don’t seem as harried as we do and seem to be getting results—from where does their power come and how might I have the courage to be vulnerable and ask for help?

3. We made a decision to turn our fixing compulsion over to the care of a higher power as we understand them. We really enjoy appearing to be the master of our craft where others see us as the expert. And while we recognize that there are places and times when our fixing is a tremendous contribution, we’re also aware that we are a limited resource and can’t tackle all of work and life problems. We also notice that, like bell-bottoms, the same problems keep reappearing. They may seem fixed for a time, but then they reappear, like a pesty mosquito that just won’t quit! We need and surrender to getting help.

Filed Under: Six Seeds, Uncategorized

Supporting Clinician Well Being with Both/And Thinking

March 31, 2022 by Joy Goldman Leave a Comment

By: Joy W. Goldman RN, MS, PCC, CEO, SixSEED Partners

Background:

The Institute for Healthcare Improvement (IHI) has, as one of their initiatives, “Improving Joy at Work.”  In their 2017 whitepaper on their “Framework for Improving Joy at Work,” Balik, Swensen et al quote Maureen Bisognano as saying: “You can’t give what you don’t have.” On the heels of the beginning emergence from the pandemic, Dr. Larry McEvoy, CEO of Epidemic Leadership and I partnered with Physician and Nurse Executives at WellSpan Health to design and teach polarity thinking to forty clinical leaders in their nursing and physician leadership academies.  We used the context of measuring two tensions: care for self and care for others, and continuity and transformation to illustrate the power of both/and thinking as a supplement to traditional problem-oriented thinking.  Our goal in working with the leaders was to help cultivate a more sustainable and impactful way to address complex, individual, team, and systemic challenges, with less wear and tear on individuals, thus contributing to improving “joy at work” (no pun intended).

The Strategy:

We were hoping that the pandemic recovery would allow us to gather the forty leaders in person yet, two weeks before our delivery date, there remained concern about social distancing and covid transmission so we adapted to a virtual gathering.  We met with the nurse and physician executive sponsors several times to discuss real tensions within the group and the system and decided to focus on the above polarities of Continuity & Transformation and Care for Self & Care for Others.  We wanted to provide validation through data for what these clinician leaders were experiencing while also providing a structure that supported their expanding perspectives and learning from each other.

The Solution:  

Dr. McEvoy and Ms. Goldman designed and administered a polarity assessment measuring the degree to which the participants felt they were leveraging the above -named tensions.  We presented a half-day workshop that integrated content that differentiated problem-solving with either/ or solutions from polarities which required both/and thinking.  We intentionally mixed nurse and physician leaders during breakout sessions; and we used whole-brain and somatic learning with liberating structures that demonstrated the power of using their peers as internal consultants while also hardwiring the learning.

The Impact:

Some tensions identified by these forty clinical leaders included:

  • System decisions being made without the input of the stakeholders whom they effect
  • Being burdened by administrative tasks that take us away from patient care
  • Conflicting messages; do more with less while also making self-care a priority. Decisions being made without stakeholder involvement.

We presented their data to them and demonstrated the ability to filter the data by relevant demographics:  in the case below, we were curious to see if there were differences between care for self and care for others between nurse and physician leaders.  As the below illustrates, all leaders were experiencing the downside of overdoing care for others, however nurse leaders were in the danger zone for all three markers.  This data served as powerful fodder as Dr. McEvoy facilitated the group through three rounds of Troika Consulting (Liberating Structure).  The group unanimously felt that the eight-minute exercise and process provided valuable feedback from their peers for ways they might individually better leverage “care for self” in themselves and in those they lead.

If you’d like to offer something like this with your physician and nurse leaders,  please reach out and let us know at info@sixseedpartners.com or by commenting.  

Filed Under: Case Study, Uncategorized

SixSEED Highlights National Healthcare HR Professional Week

March 9, 2022 by Joy Goldman Leave a Comment

National Healthcare HR Professional Week is dedicated to recognizing human resources professionals in health care organizations throughout the nation for their important role across the continuum of care. This year, more than ever, as the Nation faces a healthcare human resource staffing crisis, SixSEED Partners wants to give a shout out to these often unsung heroes.

The article, “Healthcare Workforce Shortages to Likely Continue for Next Few Years,” published this January in Healthcare Exec Intelligence, explains that “Researchers surveyed 20,665 healthcare workers at 124 institutions between July 1, 2020, and December 31, 2020. The researchers examined worker intentions to reduce hours or resign from their position and their fear of viral exposure or transmission, anxiety or depression related to COVID-19, work overload, and burnout. The survey results showed that the intention to reduce hours within 12 months was highest among nursing staff, physicians, and advanced practice providers (APP). The rates were lowest among clerical staff (13.6%) and administrators (6.8%). Healthcare HR professionals often bear the accountability for having to co-design strategies to recruit, develop and retain healthcare workers. As with many support departments, when they do their job well, other departments are celebrated. When they don’t or there are unfulfilled needs, they get the blame.”

As a former Healthcare HR Professional, I want to thank my fellow colleagues for their dedication; perseverance, and creativity in building and re-building our workforce. – Joy Goldman

Filed Under: Uncategorized

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