Cultural Vertigo

1

How do you handle political, cultural and generational differences among the laboratory staff?

We often discuss staffing issues within the bubble of our laboratory routine. In this context, we discuss the need for timely training and competency assessment and the problems that ensue when these are not fulfilled. We are concerned when behavior affects work performance, cooperation and team spirit and we act when there is dissatisfaction with the work environment and routine. However, this has been a most unusual, even tumultuous year, and events outside the bubble may be impacting the cohesiveness of the laboratory team.

Over the last 12-18 months, we have seen unprecedented public involvement in our electoral process and, as a result, intense political, cultural, religious, economic, class, geographic and demographic discussions. I have heard anecdotally that the strong feelings that these issues engender have spilled over into the workplace and, in some cases, have affected how the staff relates to each other.

For our profession in particular, this stress is compounded by all the rapid changes we have to deal with that accompany the introduction of new technologies, new specialties, new regulations and new requirements. An indication of the almost revolutionary changes occurring in laboratory medicine were new buzzwords a short time ago and are now established terms: genomics, molecular diagnostics, RFID, ACOs, direct access (test results), IQCP, value-based care; mobile technology and personalized medicine. We now routinely note the growth of retail medicine and the steady loss of physician office labs. It is notable, particularly as laboratory professionals, that the healthcare profession is at the intersection of both technological and political change as a whole.

Wait until next year!

Given the prevailing power of the Internet and social media, is it any wonder that some of these feelings would spill over into the daily discourse among our staff? Of course, open discussion of any change coming is good in general; the more information available about changes to our profession or, more specifically, to our laboratory operation, the better prepared our staff will be to adjust. Transparency regarding the laboratory operation is a must to achieve and maintain laboratory quality. Laboratory management should always encourage this.

But what do you do when external issues create rifts within your staff? How do you handle political, cultural and generational differences? What happens when strong opinions result in less tolerance, more partisanship and hurt feelings? These emotions cannot always be kept out of the workplace. Some of the staff brings their feelings with them; others keep silent about their opinions—yet we must all work together for the benefit of the patient. Where do you draw the line between self-expression and workplace propriety? After all is said and done, the work of the laboratory must be done, the quality maintained and patient care not compromised.

The “first responders” to any indication of disruptive behavior must be laboratory management. The astute manager will be able to identify who is disruptive and who is intimidated—either directly or through the comments of other staff—and if this is disruptive to the laboratory operation and the team structure.

What steps can a manager take?

  • Inform the employee(s) involved about the impact their behavior is having on coworkers
  • Set guidelines for acceptable behavior, enlisting human resources if needed
  • Stress that the quality of the laboratory work must never be compromised to personal differences.

We live in a far more intense time, perhaps more so than any time since World War II, and laboratory management must be vigilant and aware that everyone is entitled to their feelings and opinions, but not at the expense of laboratory teamwork or quality.

Share.
// Uncomment below to display word count of article //

607 words

About Author

Irwin Rothenberg, MBA, MS, MLS(ASCP)
Irwin Rothenberg, MBA, MS, MLS(ASCP)

Irwin Rothenberg, MBA, MS, MLS(ASCP) is Quality Advisor for COLA Resources, Inc. where he provides a wide range of technical assistance to COLA’s enrolled labs to help them achieve continuous quality as it relates to COLA and CLIA standards. His role is to help laboratories achieve quality standards 365 days a year, instead of limiting quality reviews to a biennial survey process. Rothenberg joined COLA in 1996 as a laboratory inspector. He previously was the Executive Director of Community Response, a community-based organization that provides HIV/AIDS support services in metropolitan Chicago. Prior to that position he was the Laboratory Manager of Crittenden Memorial Hospital, West Memphis, AR. He was formerly a Technical Consultant/Surveyor for COLA. He holds a Bachelor of Science degree from Brooklyn College, a Medical Technology degree from Good Samaritan School of Medical Technology, a Master of Science degree from Colorado State University, and a Master of Business Administration degree from the University of Memphis.

1 Comment

  1. Pingback: » Cultural Vertigo in the Lab

Leave A Reply

Log in or register to comment on this article.