CSTE LEAD 2022

Leading through tough transitions

Hi all,

I was wondering if you have any strategies for leading a team through tough transitions. I manage the WA DOH COVID-19 Outbreak Response in Non-healthcare Congregate Settings Program and our staff are struggling with the rapid pace of COVID-19 policy change decisions that are made at the Agency or Governor level. Some feel ready for the changes, some feel uncomfortable with the changes, but we all have to take the changes and incorporate them into our work and personal lives. I'm trying to allow space for sharing of how people are feeling but some individuals are getting stuck feeling disheartened. I am interested in hearing from others how you create space for sharing impact but still motivate a team to move forward with their work when we can't always (ever?) control the direction. Brene Brown has a suggestion in her Dare to Lead book about acknowledging the challenge and asking team members what they need from you to navigate the situation. Any suggestions or approaches that you all have used would be helpful. Thanks.

Comments & Events

Kathryn Lowerre, Section Head, Overdose Prevention
Hi Laura:
Really timely issue. For what it's worth---I'd agree your acknowledging the situation is difficult & people can be frustrated is important, and also important that sharing reactions doesn't turn into a negative cycle that brings everyone down. If there's a small # of people really struggling, 1:1s with them might be worth the time if you can spare it. Since my team works in Overdose Prevention the Serenity Prayer is a good touchpoint for us, though I'm not sure if it would work as well in your situation. We try to remember we often can't control what happens but we can control how we respond---so 'what can we do?', 'what do you need?', 'how can we make this work?' all seem like good questions to ask and keep the collective focus on support & solutions. When it seems appropriate I usually tell my team I'm confident we can figure it out. One concrete thing I have been able to do here relates to annual review paperwork. We have 3 categories we *have* to evaluate people on (Customer Service [variously defined], Productivity, Quality) but I have added "Adaptability & Flexibility" to everyone's review form which I think helps somewhat since people know how important it is for our team. They also know that their efforts to navigate through all the changes we face on a monthly (even weekly) basis are officially recognized, documented, and appreciated (even if one of the things I don't have control over is remuneration, but that's a whole other discussion). I'm definitely interested in hearing what others have found helpful in these types of situations, either COVID-specific or other changes due to leadership/staff turnover, administration/legislative change, gain/loss of state or federal funding, etc.
Leann Liu, Manager of Surveillance and Epidemiology Unit, Harris County Public Health
Like many others, we have gone through leadership changes and constant redirections in covid response. We try to communicate with our team about what changes/why/how to adapt through group meetings, 1:1 meetings, and daily touch-base. If possible, we give the team heads-up about potential changes to avoid a complete surprise. We set up a Win Wall for people to post "wins" from a challenging situation. We also have mental wellbeing sessions that include topics on flexibility and managing changes.       
Andrew Hennenfent, HAI Program Manager
I am in the process of getting a team building exercise scheduled for my team to help address some of these points.

Leann Liu, Manager of Surveillance and Epidemiology Unit, Harris County Public Health Leann , who runs your mental wellbeing sessions? 
Leann Liu, Manager of Surveillance and Epidemiology Unit, Harris County Public Health
Hi Andrew Hennenfent, HAI Program Manager Andrew , at the beginning, he was a volunteer, and then our agency contracted with him. Dr. Sean Fitzpatrick, Director
  
Andrew Hennenfent, HAI Program Manager
Thanks Leann Liu, Manager of Surveillance and Epidemiology Unit, Harris County Public Health Leann ! Do you have them in-person or virtual? 
Leann Liu, Manager of Surveillance and Epidemiology Unit, Harris County Public Health
Virtual now. 
Bernice Carr, Epidemiologist, MPH, MS, NJDOH
Kathyrn, as often as I remember I try to recite the Serenity Prayer during trying times. I do feel that our department should provide, especially since the pandemic, block of time for mental health check-ins, "touching-base" and keeping in the loop sessions. The effect on morale and mental health should not be underestimated.
Roza Tammer, Healthcare-Associated Infections (HAI) Reporting Epidemiologist at Oregon
As a non-manager, it's very encouraging to hear how you all are supporting your teams during this challenging time! Something I often say when I'm working with healthcare facilities during outbreaks is that their patients and residents still need all the same care, even though it's harder to give and takes more resources now, given COVID. I think there's a parallel here - staff still need encouragement and support, probably more than ever, especially while workloads are still so high.