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To round out an awesome @CAEP_Wellness week, I am thrilled to share an ED anthropologist's perspective on 1) who we are and 2) why that matters....
blog post: https://bit.ly/3puijxH
Thread 1/10
blog post: https://bit.ly/3puijxH
Thread 1/10
Culture is the culmination of a group's values, beliefs, and practices. It is learned and taught and always changing.
No two EDs have exactly the same culture, but so far I have found there are some commonalities...
https://canadiem.org/canadiem-frontline-primer-emergency-department-culture-101/
2/10
No two EDs have exactly the same culture, but so far I have found there are some commonalities...
https://canadiem.org/canadiem-frontline-primer-emergency-department-culture-101/
2/10
Though by no means definitive or complete, it seems there are core values that are central to who we are, what we believe, and how we envision practicing....
3/10
https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325
3/10
https://onlinelibrary.wiley.com/doi/full/10.1002/aet2.10325
Why are we talking about this in wellness week? Simply put,
-When work we do aligns with our core values we feel good.
-When work we do does not align with our core values we feel bad.
Value congruence=good
Value incongruence=bad
https://bit.ly/36nlekk 4/10
-When work we do aligns with our core values we feel good.
-When work we do does not align with our core values we feel bad.
Value congruence=good
Value incongruence=bad
https://bit.ly/36nlekk 4/10
Let's look at a few examples....
First some value congruence
When we are "in the zone" in a resus or when we have an extremely busy, but somehow, fun shift we see value 6 (high functioning teams are necessary) reinforcing value 2 (expert at managing uncertainty)...
5/10
First some value congruence
When we are "in the zone" in a resus or when we have an extremely busy, but somehow, fun shift we see value 6 (high functioning teams are necessary) reinforcing value 2 (expert at managing uncertainty)...
5/10
And the flip side...
Value incongruence
Like when a new disease seems to compromise your ability to be really good at value 1 (diagnosing and treating life threatening conditions)...
6/10
Value incongruence
Like when a new disease seems to compromise your ability to be really good at value 1 (diagnosing and treating life threatening conditions)...
6/10
Or...
When cumulative system and organizational failures prevent you from being able to uphold value 1 (keeping patients and families at the centre of care) and capitalize on your desperate commitment to juggle value 4 (balancing needs and resources at a system level).
7/10
When cumulative system and organizational failures prevent you from being able to uphold value 1 (keeping patients and families at the centre of care) and capitalize on your desperate commitment to juggle value 4 (balancing needs and resources at a system level).
7/10
Unsurprisingly there is mounting evidence that value incongruence is a mediator of burnout....
https://bit.ly/39sPvjA
https://bit.ly/3iZDvtm
http://shorturl.at/ewJTW
This relationship adds real urgency to the careful alignment of organizational values.
8/10
https://bit.ly/39sPvjA
https://bit.ly/3iZDvtm
http://shorturl.at/ewJTW
This relationship adds real urgency to the careful alignment of organizational values.
8/10
We will continue to experience joys and navigate conflicts that exist at the interfaces of our values and at the sharp end of our systems.
As we shape our culture-who are we? Who do we want to be? What are the enablers/barriers to our values...on shift?...in the boardroom?
9/10
As we shape our culture-who are we? Who do we want to be? What are the enablers/barriers to our values...on shift?...in the boardroom?
9/10
I've learned a few things studying ED culture but the most important???
...I feel so proud to belong.
10/10
https://caep.ca/caep-emergency-medicine-wellness/wellness-committee/wellness-week-january-18-23-2021/#1608581757955-b09ff8f0-e80d
...I feel so proud to belong.
10/10
https://caep.ca/caep-emergency-medicine-wellness/wellness-committee/wellness-week-january-18-23-2021/#1608581757955-b09ff8f0-e80d
