DiversityNursing Blog

Rather than dismissing Diversity, Equity, and Inclusion (DEI) as a passing trend, we should recognize it as a natural progression. In moving forward, we need to elevate our strategies to a more deliberate, purposeful, and impactful approach.

According to the Pew Research Center, a significant number of employees have expressed that DEI initiatives have had a beneficial impact on the workplace. It comes as no surprise that among those highlighting the value of DEI efforts, many belong to marginalized groups who often face challenges in a work environment that overlooks the importance of their diverse experiences in terms of quantity and quality.

The Institute for Corporate Productivity (i4cp)—in partnership with HR Executive, analyzed data from over 850 respondents in organizations of all sizes, and arrived at a surprising finding, most companies aren’t slowing down their DEI initiatives, despite backlash. 

Research highlights the multitude of benefits diversity brings to organizations, including heightened profitability, enhanced creativity, strengthened governance, and improved problem-solving capabilities. Employees from diverse backgrounds contribute their unique perspectives, ideas, and experiences, ultimately fostering resilient and high-performing organizations that surpass those lacking in diversity investments.

Below we explore different ways of improving DEI efforts in the work place.

Integrate and Align Efforts

Dr. Luthra shares with Forbes that it’s hard to effectively address DEI needs in isolated pockets. It’s interconnected and needs a holistic lens. Emphasizing targets and quotas just pits people against one another. “When DEI is done right, it levels the playing field and there’s room for everyone. But we can’t skip the hard work of dismantling systems that weren’t built for everyone.”

Go Beyond Diverse Hiring

It's important to foster a culture of inclusion and belonging throughout the entire organization. This means creating spaces where all employees feel valued, respected, and empowered to bring their authentic selves to work. Implementing mentorship programs, unconscious bias training, and regular DEI education can help to cultivate a more inclusive workplace where everyone has equal opportunities to thrive.

It's essential to address systemic barriers and biases that may exist within company policies and practices to truly create a level playing field for all individuals. By going beyond just meeting hiring quotas and actively promoting a culture of diversity and inclusion, organizations can truly harness the benefits that a diverse workforce brings.

Embedding DEI Throughout The Organization

This requires a comprehensive and sustained effort that goes beyond just surface-level initiatives. It involves weaving DEI principles into the fabric of the organization, from top leadership to every employee at all levels. This means creating a culture where DEI is not just a box to check off, but a fundamental value that guides decision-making, policies, and practices.

To truly embed DEI, organizations must provide ongoing training and education for all employees to increase awareness and understanding of different perspectives and experiences. Leaders should lead by example, actively promoting and advocating for DEI in all aspects of the business. Regularly assessing and evaluating DEI efforts through metrics and feedback mechanisms can help ensure that progress is being made and that any areas needing improvement are identified and addressed promptly.

Utilize Metrics 

By collecting and analyzing data on key performance indicators related to DEI initiatives, such as employee satisfaction, retention rates, promotion rates among underrepresented groups, and diversity in leadership positions, you can effectively measure the success and effectiveness of your efforts. These metrics provide concrete evidence of the positive impact of DEI on the workplace culture, employee engagement, and overall organizational performance. Additionally, sharing these metrics with stakeholders and leadership can help reinforce the importance of DEI and drive continued support and investment in these initiatives. By regularly tracking and reporting on these metrics, you can showcase the tangible benefits of prioritizing diversity and inclusion in the workplace.

According to a Gallup Report, employees that feel connected to the culture are 3.7 times more likely to be engaged at work, 68% less likely to feel burned out and 55% less likely to be looking for work somewhere else. It appears, getting DEI right has benefits for everyone, including the business itself.

DEI is here to stay. Organizations will continue to uncover and address their obstacles to fostering inclusion and workplace equity.

In the dynamic realm of healthcare, the significance of representation in Nursing cannot be overstated. Nurses are the backbone of healthcare, playing a pivotal role in patient care, advocacy, and community health.

As the profession continues to evolve, it is imperative the Nursing workforce reflects the diversity of the populations it serves.

Representation in Nursing goes beyond demographic statistics. It encompasses a rich tapestry of backgrounds, experiences, and perspectives that contribute to a more culturally competent approach to providing care. 

Here are a few reasons why representation in Nursing is important: 

Cultural Competence 

Patients come from diverse cultural backgrounds, and having Nurses who reflect this diversity helps in providing culturally competent care. Culturally competent Nurses understand the nuances of different cultural practices, beliefs, and values, leading to better communication and improved patient outcomes.

This cultural competence extends beyond language barriers and encompasses a deep understanding of the social, religious, and traditional aspects that shape a patient's identity and healthcare needs. When Nurses are able to appreciate and respect these cultural nuances, they can tailor their care to meet the unique needs of each patient.

For example, a Nurse who understands the cultural significance of certain foods in a patient's diet may be able to provide alternative options that are more appropriate, ensuring the patient feels heard and understood. Additionally, a Nurse who is aware of cultural norms around personal space and touch may adapt their approach to physical examinations to make the patient more comfortable.

Building Trust 

Patients often feel more comfortable and trusting when they see healthcare professionals who share similar backgrounds or experiences. This connection goes beyond the surface level, creating a sense of understanding and empathy that fosters a stronger therapeutic relationship. When patients can relate to their Nurses on a personal level, it encourages open communication, allowing for a more comprehensive understanding of their healthcare needs. This trust is not only essential for effective healthcare delivery, but it also plays a significant role in patient satisfaction and overall well-being.

Imagine a patient who is hesitant to share personal information or discuss sensitive health concerns with a Nurse who they perceive as distant or unable to comprehend their unique circumstances. However, when that patient encounters a Nurse who shares similar experiences or cultural background, a sense of relief washes over them. They feel validated and understood, knowing their Nurse has likely faced similar challenges or obstacles. This creates a safe space for open dialogue, enabling the Nurse to provide the most accurate and tailored care possible.

When patients can connect with their Nurses on a personal level, it humanizes the healthcare experience. It reminds patients their Nurses are not just medical professionals, but individuals who have their own stories, struggles, and triumphs. This shared humanity strengthens the therapeutic bond, allowing patients to feel seen, heard, and respected. It empowers them to actively participate in their healthcare decisions and collaborate with their Nurses to achieve optimal outcomes.

Reducing Health Disparities

Having a diverse Nursing workforce is crucial in addressing the disparities in healthcare access and outcomes certain populations may experience. By understanding and addressing the unique healthcare needs of different communities, a diverse Nursing workforce can contribute to more equitable healthcare delivery.

Health disparities can arise from a variety of factors, including socioeconomic status, race, ethnicity, sexual identity, religion, geographic location, etc. These disparities can lead to differences in access to healthcare services, quality of care, and health outcomes. For example, individuals from marginalized communities may face barriers such as language barriers, lack of culturally competent care, and limited access to healthcare facilities.

By having a diverse Nursing population that reflects the communities they serve, healthcare organizations can better understand and address these barriers. Nurses who come from similar backgrounds or have experience working with diverse populations can help bridge the gap between patients and healthcare services. They can provide culturally competent care, advocate for the unique needs of their communities, and promote health equity.

A diverse workforce also brings a range of perspectives and experiences to problem-solving. This diversity of thought can lead to innovative solutions for addressing healthcare disparities. Nurses who have firsthand experience with the challenges faced by certain populations can bring valuable insights to the table and help develop effective strategies for improving healthcare access and outcomes.

Improved Communication 

Language barriers and differences in communication styles can significantly impact the delivery of healthcare services. Effective communication between healthcare providers and patients is crucial for accurate diagnosis, treatment, and overall patient satisfaction. Nurses who are proficient in the same language as their patients or have a deep understanding of their communication norms can play a vital role in enhancing the quality of care by ensuring clear and accurate information exchange.

When language barriers exist, it can lead to misunderstandings, misinterpretations, and potential errors in healthcare delivery. This can be especially challenging when discussing symptoms, medical history, treatment options, and medication instructions. Nurses who are fluent in the same language as their patients can bridge this gap and facilitate effective communication, ensuring patients fully understand their condition, treatment plan, and any necessary lifestyle modifications.

Understanding the communication norms of patients from different cultural backgrounds is equally important. Communication styles can vary greatly across cultures, and what may be considered appropriate or respectful in one culture may not be in another. Nurses who are aware of these cultural norms can adapt their communication approach to ensure patients feel comfortable, heard, and respected. This not only enhances patient satisfaction but also promotes a more trusting and collaborative relationship between the Nurse and patient.

Enhancing Innovation 

Diversity in Nursing brings a variety of perspectives and approaches to problem-solving, fostering a culture of innovation and creativity within healthcare organizations. When Nurses from different backgrounds and experiences come together, they bring with them a wealth of knowledge and unique insights which can lead to development of groundbreaking solutions to address the complex challenges in healthcare.

A diverse Nursing workforce encourages collaboration and the exchange of ideas. When individuals with different backgrounds and experiences work together, they can learn from one another and combine their expertise to create innovative solutions. This cross-pollination of ideas can spark creativity and lead to the development of novel approaches that may not have been considered otherwise.

Career Aspirations and Role Modeling 

Representation in Nursing can inspire individuals from underrepresented groups to pursue careers in healthcare. When aspiring Nurses see professionals who look like them, it can serve as a powerful motivator and provide role models who have successfully navigated similar paths. This representation not only encourages diversity within the Nursing profession but also helps to address the disparities in healthcare access and outcomes that certain populations may face.

When individuals from underrepresented groups see Nurses who share their backgrounds and experiences, they are more likely to believe that a career in Nursing is attainable and they can overcome any barriers or challenges they may face. Seeing successful role models who have paved the way can instill a sense of possibility and determination in aspiring Nurses, empowering them to pursue their dreams and make a difference in healthcare.

Representation in Nursing can help break down the stereotypes and biases that may exist within the healthcare industry. By showcasing diverse Nurses who excel in their careers, it challenges the notion certain groups are not capable or qualified to pursue healthcare professions. This can lead to a more inclusive and equitable healthcare system, where individuals from all backgrounds have equal opportunities to succeed and contribute.

Policy and Advocacy 

Diverse representation in Nursing leadership and professional organizations is a critical aspect of influencing policy development and advocacy efforts in the healthcare industry. When decision-making tables are filled with individuals from a variety of backgrounds and experiences, it ensures policies are comprehensive and address the needs of all patients and healthcare professionals.

By including diverse perspectives in policy development, organizations can ensure the unique challenges and barriers faced by different populations are considered. This allows for the creation of policies that are inclusive, equitable, and responsive to the diverse needs of patients and healthcare providers.

Diversity in Nursing leadership and professional organizations can help shed light on the disparities that exist within the healthcare system. By amplifying the voices of underrepresented groups, these organizations can advocate for policy changes that address these disparities and work towards achieving health equity for all.

Having a variety of perspectives at the decision-making table also ensures policies are informed by a wide range of experiences and knowledge. This diversity of thought can lead to more innovative and effective solutions to the complex challenges facing the healthcare industry. By incorporating different viewpoints and ideas, organizations can develop policies that are forward-thinking and adaptable to the rapidly evolving healthcare landscape.

Representation in Nursing is not just about fairness and equal opportunities; it is an essential component of providing high-quality, patient-centered care. A diverse Nursing workforce contributes to improved health outcomes, increased patient satisfaction, and a healthcare system that is better equipped to meet the needs of an increasingly diverse population.

Healthcare organizations and hospitals are making significant investments in initiatives focused on promoting Diversity, Equity, and Inclusion (DEI) in order to cultivate a dynamic and talented workforce for the future.

Johnson & Johnson has put its support behind two pilot programs aimed at setting Nurses up for success on campus and in healthcare settings.

The first program is a year-long leadership initiative developed by the National League for Nursing (NLN), an organization whose mission is to promote an inclusive nursing workforce and support nursing education. The NLN leadership program is designed to help students of color with a smooth transition from their last year of school to their first clinical job.

The second initiative is led by the American Association of Colleges of Nursing (AACN), which represents more than 865 nursing schools nationwide. The AACN has developed a detailed online survey for student nurses to measure their sense of belonging in classrooms. The goal is to use the survey results to foster a more inclusive and encouraging culture on campuses.

Mass General Brigham and UMass Boston’s Manning College of Nursing and Health Sciences announced an expanded collaboration to enhance the college’s Clinical Leadership Collaborative for Diversity in Nursing program.

With a $20 million investment — $10 million from Mass General Brigham and $10 million from UMass Boston — the goal is to recruit and retain Nursing students from underrepresented communities as they start their clinical rotations. 

“Nurses are fundamental to the delivery of high-quality, compassionate healthcare to our patients,” said Dr. Anne Klibanski, president and CEO of Mass General Brigham. “There is an immense need to increase the pipeline of trained Nurses, with a concerted focus on increasing diversity among our trainees. This initiative is a powerful example of how collaboration can drive change to overcome monumental challenges in a meaningful way.” 

The Cleveland Clinic, MetroHealth and University Hospitals officially signed the Impact Workforce Commitment with the overall goal to find new opportunities, maximize the hiring process and train and retain the area's diverse talent.

"Through this partnership with the Healthcare Anchor Network, we literally have committed to walk the talk," said Alan Nevel, Senior Vice President Chief Equity and Community Impact Officer for Metro Health System.

The health system is creating learn-and-earn programs to amplify and support diversity, as well as hosting community health and job fairs year-round.

The United Health Foundation, the philanthropic arm of UnitedHealth Group, will invest $100 million over the next decade to drive a more diverse healthcare workforce.

Investing in a diverse workforce has numerous benefits and advantages such as:

Better patient care and outcomes: Diverse healthcare teams can provide more comprehensive and culturally competent care to patients from various backgrounds. When healthcare professionals understand the unique needs and perspectives of their patient populations, they can deliver more effective and personalized treatments, leading to better health outcomes.

“When you’re a Nurse with a diverse background, you are likely to bring a differentiated perspective to patient care," explains Lynda Benton, Senior Director of Global Community Impact Strategic Initiatives of Johnson & Johnson Nursing. "You may have broader and deeper insights into patient beliefs, attitudes, ethnicities and perceptions. When patients see Nurses and other members of the medical team who look like them, it can remove barriers, open up conversations and ultimately improve access to quality care."

Enhanced patient satisfaction: Patients feel more comfortable and valued when they see diversity represented in their healthcare providers. Feeling understood and respected by their healthcare team contributes to higher patient satisfaction and better patient-provider communication.

Reducing health disparities: In many healthcare systems, certain minority groups experience disparities in access to care, treatment options, and health outcomes. By promoting diversity and inclusion, hospitals aim to address these disparities and provide equitable care to all patients.

Attracting and retaining talent: High turnover rates are prevalent in this industry, attributed not only to the demanding workload but also the treatment professionals experience. 

A Rutgers School of Nursing study found 63% of Nurses have experienced racism on the job. More than three-fourths of Black Nurses said racism negatively impacts their professional well-being. 

People are more likely to join and stay in an inclusive organization where they feel accepted, supported, valued, and have equal opportunities for growth and advancement.

Fostering innovation and creativity: A diverse workforce brings together individuals with different backgrounds, experiences, and perspectives, creating a mix of ideas and insights. This diversity of thought can foster a culture of innovation and creativity within healthcare settings, leading to more effective problem-solving and decision-making.

When healthcare professionals from diverse backgrounds collaborate, they bring forth a wide range of perspectives and approaches to address complex healthcare challenges. They can draw upon their unique experiences and knowledge to develop innovative strategies and solutions that may not have been considered otherwise.

Reputation and community trust: Healthcare organizations that prioritize diversity and inclusion can build a positive reputation in their communities. Patients and community members are more likely to trust and support organizations that demonstrate a commitment to inclusivity.

Cultural competence and language access: A diverse workforce can help bridge language and cultural barriers between patients and providers. This can improve communication and ensure that patients receive the information and care they need, regardless of their language or cultural background.

Economic benefits: Diverse and inclusive healthcare organizations have been associated with improved financial performance. Studies have shown that companies and institutions with diverse leadership teams tend to outperform their peers financially.

From a health care perspective, lack of equity translates to higher costs. “When we exclude particular populations, decrease access, increase barriers, or provide subpar care, then at the end of the day, those people are going to utilize health care dollars at a much higher rate,” says Mary Fleming, MD, President of the nonprofit Reede Scholars, Inc. and Program Director of the Leadership Development to Advance Equity in Health Care program at the Harvard T.H. Chan School of Public Health.

Employee morale and productivity: Inclusive environments not only foster higher employee morale and satisfaction but also have a direct impact on the overall productivity and success of an organization. 

When employees feel supported and included, they are more likely to develop a sense of loyalty towards the organization. They become advocates for the company's mission and values, which can positively impact employee retention and reduce turnover rates.

Additionally, inclusive environments promote effective communication and collaboration among team members. When employees feel comfortable expressing their thoughts and opinions, it leads to open and honest discussions. This fosters a culture of trust and transparency, enabling teams to work together more efficiently and effectively towards shared objectives.

Furthermore, inclusivity promotes diversity in leadership roles. Employees see individuals from diverse backgrounds in positions of authority, and become inspired and motivated to reach their full potential. This representation not only boosts employee morale but also helps to break down barriers and biases, leading to a more inclusive and equitable workplace for everyone.

Compliance and legal requirements: Many countries have laws and regulations that promote diversity and equal opportunity in the workplace. Hospitals and health systems invest in D&I to comply with these legal requirements and create a safe and inclusive environment for their employees.

Overall, investing in DEI is not just a social responsibility but also a strategic decision that can lead to improved patient care, better employee satisfaction, and enhanced organizational performance for health systems and hospitals.

Why Should Healthcare Be Committed to Diversity in their Workforce? 

Diversity within healthcare is essential in delivering competent and inclusive patient care. Individuals from all walks of life enter hospitals and clinics daily to seek medical care. To provide these individuals with the best medical care possible, we must be able to relate to them properly. The best way to ensure we can connect and communicate effectively with patients is to ensure that the healthcare staff is well diversified. 

What is Diversity in Healthcare? 

Diversity is reflected in healthcare by employing individuals from different backgrounds and walks of life. There are many ways healthcare staff can be diversified. A diversified workforce includes hiring persons of multiple races, ages, genders, ethnicities, religious beliefs, political beliefs, education levels, languages, and sexual orientations. Military service is also a unique quality that can often be overlooked to add to the diverse population of healthcare workers. 

Is Healthcare Committed to Diversity in their Workforce?

Although there is much evidence to support that diversity within the healthcare workforce is beneficial for employees and the community, there is still a gap in healthcare diversity. The majority of Physicians are white males. Nurses tend to be predominately female. 

Benefits of Diversity in Healthcare 

There are many benefits to having a diverse workforce for the healthcare staff and patients. Some of those benefits include:

• Individualized Patient Care for Diverse Populations: When you have a patient seeking care and there is diversity within your healthcare staff, there is always someone on the healthcare team who can communicate and identify with them to ensure their needs are met. 
• Increased Patient Trust: Patients seek medical care for a variety of reasons. Often, the reason for seeking care comes with a sense of anxiety. Studies have shown when patients can easily relate to their healthcare provider, there is better overall communication and better patient outcomes. It’s also been shown that when patients relate better to healthcare staff, they are more likely to continue with follow-up care and take part in preventative care measures.
• Improved Problem Solving: A wide range of perspectives from individuals of different backgrounds allows for better problem solving and creative solutions to problems. When creative minds come together from various perspectives, new ideas and innovations can be produced. 
• Better Employee Retention and Morale: Employing a diverse community of healthcare workers can improve employee morale and make the workplace more enjoyable. Working for a company that takes pride in people of diverse populations positively impacts the workplace and the community. 

Disadvantages of a Lack of Diversity

The disadvantages of a lack of diversity within healthcare can pose significant risks to healthcare delivery and result in poor patient outcomes. Some disadvantages include:

• Impaired Communication: Impaired communication occurs when there is a language barrier. Healthcare staff may not fully understand what a patient is trying to convey, and patients may be confused about the plan of care, leading to patient dissatisfaction and potential medical errors. 
• Limited Perspectives: When healthcare staff lacks diversity, implicit bias can affect how healthcare is delivered to those of different backgrounds. Implicit bias is when healthcare workers unintentionally judge patients based on their different beliefs, customs, or cultures. Although implicit bias is not intentional, it can cause significant harm. Having a diverse healthcare staff decreases implicit biases by allowing for different perspectives while implementing care.

How can we Promote Diversity in Healthcare? 

The only way to truly diversify healthcare professionals is to make medical education more attainable for people of all races, ethnicities, and backgrounds. People seeking healthcare education should have access to feasible and affordable education. 

Many students seeking medical education are not of the traditional college age. College students can range from working parents, people changing careers, or single parents seeking education on weekends or nights. Many people cannot dedicate days to a classroom setting. A great way to achieve a more diverse workforce is to improve upon and offer more online learning programs that are more accessible and affordable to various and diverse people. 

Conclusion 

The importance of diversity within the healthcare workforce is evident. When healthcare is more diversified, medicine itself becomes more culturally competent. All healthcare workplaces should strive to provide a diverse population of workers to improve overall patient outcomes and acquire better patient satisfaction.

Major health care giants like Dana-Farber Cancer Institute and Massachusetts General Hospital have pledged to improve diversity recruitment of health workers. Reports showed a lack of diversity in hospitals and care discrepancies among patients. The hospitals plan to increase resources, hire executives focused on improving diversity and inclusion in their organizations, and more.

The lack of diversity in the healthcare workforce can impact patient care. Minority patients are more likely to seek out and follow advice from health professionals who look, sound, eat, worship and share the same cultural customs and values like they do. 

The U.S. population overall is changing and quite rapidly. In 2010, the number of residents age 5 and older speaking a language other than English at home had climbed 158% to 59.5 million from 23.1 million in 1980, according to the U.S. Census Bureau. By 2044, more than half the nation is expected to be made up of minority races or groups, according to a 2015 Census Bureau report.

Yet, statistics show healthcare isn't keeping pace with population changes. Minorities made up just 14% of hospital boards and only 11% of executive leadership positions in 2015, according to a survey from the American Hospital Association's Institute for Diversity in Health Management. This disparity exists even though minorities represent roughly 30% to 35% of patients in hospitals.

Dana-Farber Cancer Institute officials told Becker's Hospital Review they plan to hire a leader for diversity programs, and will require all faculty and administration to complete a bias awareness workshop, among other initiatives, as part of the institution's 2018 strategic plan.

Dianne Austin, workforce diversity program manager at Massachusetts General Hospital, told Healthcare Dive, "Mass General has an orientation where new employees attend a program on diversity and inclusion and learn about various resources available to employees, such as a citizenship program, careers days and school admissions officers. There are also multiple staff committees focused on improving diversity and inclusion."

Akron Children's Hospital supports a program that aims to improve Nursing diversity. The program's plan is to increase the number of interns in the program and provide tuition support during their senior year of college. The hope is that program participants will return to Akron Children's after graduation to begin their Nursing career.

 "Nursing diversity is vital to ensuring a positive experience for our patients," said William Considine, CEO of Akron Children's Hospital. "Not only does this program provide a valuable educational experience, it also helps Akron Children's recruit more prepared Nurses and helps our workforce reflect the diversity of the patients, families and communities we serve."

UC Health intends to contribute $1.5 million to create University of Cincinnati scholarships designed to diversify the medical profession. The hospital system hopes the scholarships will help all local health systems diversify their workforce when hiring doctors, Nurses, pharmacists and medical technicians. 

“We know through recent research that underrepresented adults in Cincinnati believe their race negatively impacts their treatment from medical professionals,” said Dr. Rick Lofgren, CEO of UC Health. “This investment is a step to improve health care for all of our patients and to foster a health care workforce that reflects the diversity of our population.”

Diversity & Inclusion initiatives can be difficult to sustain, but commitment to increasing D&I at all levels of your organization will bring new perspectives and values to your hospital/health system, which can help decrease health disparities across the board. Bravo to the healthcare leaders that are seriously acting on their D&I initiatives! Do you see progress in this area where you work or teach?

Healthcare organizations must know in order to be successful, you need a diverse workforce. The key to success in this area is retaining that staff and knowing how to defuse conflicts. This is especially true in settings like hospitals, where mistakes can mean life or death.

Poor communication is one of the leading causes of medical errors, according to the Joint Commission. Medical errors are the 3^rd leading cause of death in the United States—right after heart disease and cancer, and it’s more prevalent than respiratory ailments, stroke and Alzheimer's disease—according to a study out this year from The BMJ. Author Martin Makary, MD, of Johns Hopkins University, and colleagues estimate that 251,000 Americans die each year from such mistakes. Some instances have nothing to do with interpersonal conflict, but employees at odds with one another are less likely to spend time making sure they understand each other during crucial events like a patient hand-off.

Dianne Austin, workforce diversity program manager at Massachusetts General Hospital, told Healthcare Dive, creating robust support networks is key to helping employees identify and deal with tension or potential discrimination from other employees. They also need to be able to talk freely with others who may be in similar situations. “There’s a lot that we do to really try to help employees feel that they have a voice and that they’re important,” she said.

How conflict happens

Susan Woods, a workplace consultant, says there are a few major dynamics in diversity-related conflict, including respect and disrespect, as well as recognition and identity.

1) Respect and Disrespect

Disrespect may be gross and blatant, but it is also subtle, communicated in the little

ways someone is told they don’t belong, are not good enough, are not expected to

achieve, or that they can be overlooked and don’t count.

Remarks like the ones below convey messages about respect.

“Not a bad job, for a woman.”

“You don’t have to worry about your appointment. You’re a minority.”

“That company is very traditional. I’m surprised they even hired you.”

A reasonable person could interpret disrespect in each of these messages. The

harmful message may be unintended and unrecognized by the offending party, even

as it is deeply felt by the offended party.

When disrespect is communicated in unintended and unconscious ways, bringing

this perspective to the surface creates an opening for learning and improved

relations. Regardless of how the incident in question is settled, failure to understand

the dynamics of respect and disrespect from more than one perspective perpetuates

the underlying conflict.

2) Recognition and Identity

A second dynamic often present in diversity-related conflict resolution is

recognition and identity. Recognition and identity are complicated dynamics, full of

opportunity for misunderstanding and tension. These may have a negative effect,

but may not have been communicated with consciously malicious intent.

We hear it below:

“I’m always asked to be in the photo or meet with visitors because I’m one of the few people of color

they have. It has nothing to do with my accomplishments.”

“I hope you’re not asking me to take the minutes because I’m the only woman in the group.”

“You’re not like the others. I feel I can talk with you.”

“Those people …”

The old days of the “great melting pot,” where everyone was expected to conform

to the dominate group, are gone. Hopefully, we’ve moved past assimilation to

realize that inclusion is about recognizing diverse identity. It’s about understanding

individuals as unique persons and, at the same time, as members of groups.

Either/or logic is misleading. This is a both/and phenomenon. The ambiguity can

be unsettling, especially when the challenge is so deeply personal and emotional as

with identity.

Research shows that conflict can be frequent in healthcare organizations because of the high workload volumes, pressures to move quickly and the importance of decisions being made. These conflicts can affect companies in many ways, including high staff turnover rates, reduced productivity and litigation costs.

Dealing with conflicts

The best processes start early and attempt to prevent conflict. Austin said Massachusetts General has an orientation where new employees attend a program on diversity and inclusion and learn about various resources available to employees, such as a citizenship program, careers days and school admissions officers. There are also multiple staff committees focused on improving diversity and inclusion.

Healthcare managers can help ease conflict by listening carefully to employees, quickly addressing the source of the problem, instituting strict and clear policies and educating staff about those policies, she wrote.

Massachusetts General has multiple ways for an employee to bring any concerns to light, including an anonymous hotline, Austin said. The HR department will review whatever is submitted and the relevant department head is told the details. “We really try to pull managers and the appropriate people in so we can get to the bottom of it based on the information provided,” she said.

Sometimes, the problem starts with a patient who refuses to be cared for by a certain nurse or doctor, and may use racial slurs or other inappropriate language. The nurse manager will respond and tell the patient all providers are equally trained and capable. The patient is then told they can go to another hospital if they will not be respectful to all employees. The affected employee can decide whether or not to continue working with the patient.

Diversity is needed at higher ranks

Diversity and inclusion efforts should reach all the way up the ranks to the executives, making sure their C-suites and boardrooms are also diverse and reflective of the surrounding community.

The American Hospital Association's Institute for Diversity in Health Management released a comprehensive report titled Diversity and Disparities: A Benchmarking Study of U.S. Hospitals in 2015. The results of the survey were not exactly positive. In fact, the survey found that minority representation on healthcare boards across this nation stood at just 14%—precisely the same percentage reported in a similar survey two years earlier and a similar study conducted in 2011.

Deborah Bowen, president of the American College of Healthcare Executives said the best ways to remedy poor diversity in C-suites is to start cultivating a diverse group of people who have an interest in leadership early on in their careers. Post-graduate fellowship programs and scholarship for mid-level executives can be helpful. Hospitals should provide leadership development and training as well as other career resources, she said.

“It’s a matter of finding mentors, for example,” she said. “Have a mentorship network to find somebody who has gone through something similar.”

The diversity of people in the US has changed considerably. As stated at the beginning of this article, our hospital and healthcare system employees need to reflect their patient population at all levels within their organization(s). Sensitivity to language, cultural, sexual, and physical differences in both your staff and patients is critical for a harmonious and productive environment.