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Work culture makes a difference in recruitment, retention and team well-being, and all health care organizations strive to offer a more loving work environment where team members can thrive.

Vidant Health Chief Experience Officer Dr. Julie Oehlert joined the SEE YOU NOW podcast, from Johnson & Johnson and American Nurses Association, and discussed leading organizational change on Episode 64: Reporting Powers: Leading With Love.

A new, loving culture

Dr. Oehlert said “power-over” or hierarchical relationships are at the core of many relational issues, and missed opportunities in health care. She encourages all of health care to work together with team members on culture innovations.

A group of nurses talk at a station

“I think most organizations use the definition of culture of ‘How we do things around here,’” Dr. Oehlert said. “That cultural definition is like you’re a fish swimming in a bowl. It is not actionable. We believe that culture is defined by how our relationships are structured with each other – how we treat each other, how we treat patients, how we treat our community, and that definition is very actionable and everyone can impact the culture.”

As team members partner to create a new, loving environment, team and organizational goals become much more achievable. Dr. Oehlert said measures such as whether team members are afraid of reporting safety events, if they feel heard by their manager, and if the community believes the health system is their partner, are key indicators of a positive, changing culture.

Dr. Oehlert noted the importance of looking to an organization’s own team members to change cultures and innovate in their own space. She believes that health care can improve if they listen to their team members who want to have a voice in their own work environment.

“You don’t need other people to help you with your culture. Do you know you have innovators sitting around in your hospital? They’re everywhere,” Dr. Oehlert said. “Your EVS and food services workers will redesign your food delivery in a hot minute. Don’t bother to pay a consultant. Your innovation awaits you if you walk into your departments. Give them an environment and ask them, listen to them and they will design beautiful things.”

It starts at the top

A culture shift in health care must include changes to leadership development. Transformational leadership is full of love, kindness and mentorship.

So, she and the Organizational Development department felt they needed to carve its own path.

“I called our chief operating officer and I had all of these books sitting around me, you know your scholarly books on leadership development,” Dr. Oehlert said. “So I’m looking at all these different models and I’m putting my head in my hands and I’m like, ‘None of these are going to take us where we want to go. We’re going to have to develop our own leadership curriculum and our own leadership framework.’”

A team came together and different and new frameworks were pulled together to create a unique system for Vidant to develop talented team members and grow leaders.

This new system was necessary to transform and later maintain a culture of love, empathy and power-with attitudes from organizational leaders.

“Leadership development is so important because the leaders are at the top of the hierarchy; if they are perpetuating fear or dominance, whether intentional or not, because some leaders were just taught to lead that way, that has to shift,” Dr. Oehlert said. “A new leadership way of being has to emerge.”

Policies reflect culture

Policies are a reflection of the workplace culture and policies can frequently be outdated and not in line with the culture of the organization.

Dr. Oehlert said as the culture shifted, the organization needed to review policies and procedures.

“It’s amazing how many policies, once you read them with a lens of caring and love that you realize – ‘This is terrible. Why would we have this policy?’” Dr. Oehlert said. “Are your policies by their nature punitive? How do you handle mistakes and coaching and errors with your team members? Do you have grace when they are humanly failing? Do you have grace for their mental health issues? You really have to dismantle that.”

Looking for more?

Find and listen to the SEE YOU NOW podcast, Episode 64. Reporting Powers: Leading with Love, wherever you get your podcasts.

Read more on Dr. Oehlert’s previous appearance on the SEE YOU NOW podcast.