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TRAINING


of the performance that needs to be improved, rather than the problems one is keen to guard against.


On diagnosing required improvement(s), and setting a goal for how much to increase or decrease the performance goal by, a current culture reality check is needed (see Fig. 1). Among the questions that need to asked are: n What is currently working for and against operating procedures?


n How aligned is the workforce? (Individually, as a team, and with leadership perceptions).


This inquiry process requires investment in time, time that people say they don’t have, but how much time and other resources are wasted by not taking this step at the beginning?


Assessing how aligned the workforce feels against what the leadership team perceives and desires highlights ‘hotspots’ that need working on. This process alone will provide some intriguing insights, identifying where the focus should initially go and a roadmap for ongoing development. It may even reveal that training might not be the right intervention to focus on initially.


Desired organisational culture Policies, systems, and processes should be reviewed and aligned to reflect the current and desired organisational culture and values of the leadership. These are dynamic documents that should act as job/performance and education aids for those implementing them. Whatever the problems being experienced, ignoring the human factor is asking for repeated mistakes, inconsistent practices, and slow performance improvements. To change practice, to improve performance, to be excellent and not just the same, put the human element at the centre. Reframe ‘training’ to ‘development’, and invest the time to really carry out the analysis around the different job roles, and what those in particular roles specifically need to do to meet the desired performance improvement goal.


The main challenge for healthcare revolves around the fear of making mistakes – the fear of legal proceedings as a result of the mistake, and of blame. If an environment of fear is created, we are less willing to admit our mistakes, and if we do not reflect on those mistakes, we block the learning process. Research in learning and memory studies has found that learning by doing (progressive), also described as experiential learning,6


leads


to better understanding and knowledge. This is also highlighted in the book, Make It stick. The Science of Successful Learning, where it is written that ‘making mistakes and correcting them builds the bridges to advanced learning’.


Stop training for training’s sake Learning from mistakes requires educators to create a ‘safe’ learning environment, where the individuals participating have an opportunity to reflect on events, explore all forms of the feedback mechanism, and encourage people to share their experiences. In conclusion, as an educator I say stop training for training’s sake. It promotes boredom, and herd mentality, and fails to promote and develop the skills that employers are saying they want and are hard to find.


How did I make water, decontamination and infection prevention and control inspiring and engaging? How did I bridge the gap in language, while demonstrating quality improvements? I spent several years going to many seminars, training programmes, and courses all over the world, finding out how our brains work, and how we can connect as people by removing the negative learnt barriers we create – by ‘doing’.


It is imperative to walk the talk, ensuring that continuous learning behaviours are modelled by you and your leadership team. That’s excellence. If your leaders have a barrier to learning, how do you expect others to follow?


There are seven steps to follow when you shift from an organisation-led to a worker-centred approach (see Fig. 2). By assessing the ‘Values’ of your human capital you identify staff’s experience of the current culture, and these results provide: n The baseline measure from which return on investments in people development initiatives can be seen, and therefore managed.


n The psychological stage of development of the organisation and the workforce,


Becky Hill


Becky Hill is the founding owner and CEO of Solutions 42, which provides ‘a holistic approach and measurable solutions to learning and development interventions in healthcare’.


Her experience is built from her foundation as an applied biology and microbiology research scientist, who ‘transitioned’ into the corporate world, developing her knowledge skills and expertise in the field of water treatment and purification.


With over 30 years’ experience in healthcare environments, she has specialist subject knowledge and skills covering: Water hygiene, purification, and quality assurance; Environmental cleaning; Medical device decontamination, and Infection prevention and control.


She is further trained and certified in human potential and developmental psychology, holding diplomas and certifications supporting adult training and education, team/organisational culture transformation, and leadership development. She co-authored chapter 11 on ‘Pure water in healthcare’ published in the reference book, Decontamination in Hospitals and Healthcare,5


edited by Dr Jimmy Walker,


has developed and tutored an online Water module course supporting a University Medical Device Decontamination education pathway, and has created an ‘Infection Prevention and Control/Outbreak Toolkit’, with associated ‘IPC Champion’ development programme and performance management system, for a community care home group. Becky Hill also speaks at numerous healthcare-related events.


October 2019 Health Estate Journal 69 and how aligned or misaligned they are.


n Where to prioritise the focus to handle the ‘hotspots’ that are creating the barriers to consistency and productivity.


As Sam Walton, founder of Wal-Mart, once said: ‘Outstanding leaders go out of their way to boost the self-esteem of their personnel. If people believe in themselves, it’s amazing what they can accomplish.’ Don’t be the Same. Be Excellent.


References: 1 Department for Education. Employer skills survey 2017: UK findings. August 2018 [https://tinyurl.com/y3wxbd8m].


2 Brinkley I, Crowley E. From ‘inadequate’ to ‘outstanding’: making the UK’s skills system world class. CIPD. April 2017 [https://tinyurl.com/y6z6scjx].


3 The Bloomberg Job Skills Report 2016: What Recruiters Want. Bloomberg, 9 February 2016.


[https://www.bloomberg.com/graphics/ 2016-job-skills-report].


4 Department for Education. Gutman LM, Vorhaus J. The impact of pupil behaviour and wellbeing on educational outcomes. February 2012 [https://tinyurl.com/jt4jrzr].


5 Walker JT. Decontamination in Hospitals and Healthcare, 1st Edn. Elsevier Science & Technology, Woodhead Publishing Ltd, December 2013.


6 Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. New Jersey: Englewood Cliffs, Prentice-Hall, 1984.


7 Brown PC, Roediger HL, McDaniel MA. Make It Stick. The Science of Successful Learning. Harvard University Press, 2014. ISBN 978-0-674-72901-8.


hej


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