Bereavement Professional

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Healthy, supportive work environment

  • 1.  Healthy, supportive work environment

    This message was posted by a user wishing to remain anonymous
    Posted 05-21-2021 10:13 AM
    This message was posted by a user wishing to remain anonymous

    Hello - I'm wondering if I could get some feedback about whether there are healthy, supportive hospice work environments out there, or if that's an unrealistic expectation or goal?  I don't mean one that everyone gets along 100% of the time, but that overall people both within and between the professions within your hospice program generally support each other in this work. Thought I'd throw it out to this group to find out if that's realistic or not.  Thank you for your thoughts and for your beautiful work of helping to support this grieving world. 


  • 2.  RE: Healthy, supportive work environment

    Posted 05-21-2021 02:29 PM
    Hey fellow hospice friend, 
    Yes, that is a really realistic vision. Have hope! There are healthy and supportive hospice work environments. I believe that team culture is critical. I work for a small non-profit hospice with a focus on patient care rather than revenue, which I think allows for a nurturing and understanding work environment.  As in any field, not every team is going to be running perfectly smooth and some teams may not be a fit for you. And that's ok. The right leadership makes a big difference. I think that leaders who are have a person-centered focus and good communication can nurture the team in the right direction. I hope that you can experience a hospice environment that is supportive of one another, a place that you can enjoy coming to work as you too make a difference in this grieving world.
    Warmest regards,
    Heather


  • 3.  RE: Healthy, supportive work environment

    Posted 05-21-2021 02:48 PM

    Anonymous,

     

    YES!  I believe a healthy work culture in hospice care is possible. I have worked for three separate and incredible organizations. One for profit hospice, one non-profit hospice, and one hospice attached to a large healthcare system. Each had its own culture and over time, each had an evolution of sorts in which it changed.

     

    As helping professionals I believe many of us are well acquainted with systems theory and like the families we support, so too are our programs systems also.  There can be some systems that feel less nurturing, safe, support and collaborative than others but I would not venture to say that all hospices are challenged in this way.  No doubt the last year has been particularly difficult in that the patients, families, staff and each system are responding to an overload of change and loss at unprecedented levels. Many of us have reflected on how that may strain and compromise some systems.

     

    I really appreciate what Heather shared about leadership. I agree there is much value in their influence to building that culture!  I will also add that in our program we have a collective set of agreements around culture that are reviewed amongst staff and leadership and a key piece of it is how we all are on the same page: our culture is something we all own and are accountable to and responsible for it. I'm thankful we are so intentional around that and circle back to it often.

     

    Your question comes from what sounds like a very important place: your own experience. I wonder if you are feeling that way in the specific place that you are in, but are drawn to and passionate about continuing in bereavement care, if there might be an opportunity elsewhere?

     

    Perhaps others have worked in some places where they have left and found a positive contrast elsewhere?  I am hopeful many other voices are able to echo and add to this dialogue with experiences of healthy, supportive hospice work cultures.

     

    Thank you for asking!

     

    Joelle Osterhaus, MSW, LCSW, LICSW, ACHP-SW (she/her)
    KPNW Hospice & Palliative Care Psychosocial Services Manager

     

    "Although the world is full of suffering, it is also full of overcoming it." - Hellen Keller

     

    Kaiser Permanente Northwest
    Continuing Care Services 2701 NW Vaughn St., Ste. 140, Portland, OR 97210-5344

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  • 4.  RE: Healthy, supportive work environment

    Posted 05-21-2021 03:41 PM

    Wow - I am overwhelmed and grateful for the thoughtful, hopeful responses to this post.  I just needed some guidance as to whether a healthy, team oriented approach to hospice is attainable or if I needed to downsize my expectations.  This chat group has been instrumental to me with the level of support it offers. Thank you so much!


     

    Lori M.Williams, MSW, LISW

    Social Worker/Bereavement Counselor

    St. Luke's Hospice Duluth

     

    220 North 6th Ave East | Duluth, MN 55805

    Phone: 218-249-6102| Fax: 218-249-6166

    Cell: 218-349-4397

    Lori.Williams2@slhduluth.com

    www.slhduluth.com/hospice

     

     

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  • 5.  RE: Healthy, supportive work environment

    Posted 05-24-2021 12:46 PM
    Dear Anonymous, I echo Heather's sentiments. I work for a small non-profit, independent hospice organization and we do have a supportive environment. Grief support work is hard enough, especially in this pandemic era, and it is possible and necessary to have supportive, caring coworkers. I also wonder if a profit-focus is different from patient-focused care in the for-profit vs non-profit sector, but I don't have any experience in the for-profit hospice world. 

    I agree that all levels of leadership need to be aware of the need for healthy dynamics amongst colleagues and that inevitably the stress and tension will impact patient care.

    I also acknowledge that the pandemic, in my experience, has increased demand for grief support and we are busier than ever. The stress and exhaustion is palpable and could be impacting both systems- the agency dynamics and one's internal resources. What has helped me is taking time off even if I am hit when a tsumami of work after I return. I just need a change sometime. But I love this work and the people I work with, thankfully. 

    I certainly hope you can find a healthier environment for yourself. Thank you for putting yourself out there and asking this question. 
    Good luck to you, Anonymous!
    Isabel


    Isabel Stenzel LCSW MPH

    Manager, Bereavement Department

    Bereavement Counselor, Children/Teens/Adults

    Mission Hospice and Home Care

    66 Bovet Rd., Suite 380 (**New Address**)

    San Mateo, CA 94402

    650-554-1000 (main)

    650-931-8236 (personal line)

    650-753-4938 (cell)

    istenzel@missionhospice.org

    Se habla espanol

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  • 6.  RE: Healthy, supportive work environment

    Posted 05-24-2021 12:00 PM
    I am sorry to hear that you have to post this question. My roles have changed over the years which gave me variety, but overall we have had good relationships. Just a few turnovers, mainly retirements. I am in my 33rd year. We are non profit and hospital based. Over the years we have had speakers that did work on staff moral and wellness. Staff will grumble, but I feel they have helped.

    ------------------------------
    Kathy Tweten, LSW
    Bereavement Coordinator
    Carris Health-Rice Hospice
    Willmar, MN
    ------------------------------



  • 7.  RE: Healthy, supportive work environment

    Posted 05-24-2021 06:35 PM
    In my experience in a small branch of a larger company, a healthy and supportive environment is crucial!  This work is so rewarding when done as part of a healthy, safe team.  No team is perfect, but intention is everything!  I assumed that hospice, in general, offers a supportive work environment due to the nature of the work.  I mean, nobody cares if  my shoes go with my purse when the focus is helping folks be comfortable and live meaningful lives until their last breath is taken.  I think it kind of puts everything in perspective, and makes office drama just seem childish.
      I think team building is crucial.  If it doesn't happen organically, it can be done through team building exercises.  Vulnerability is such an important aspect of being witness to the end of life.  Safety is what makes this possible.

    ------------------------------
    Patty Dean, MA, LMHC-A
    Envision Hospice of Washington
    Volunteer Coordinator
    Olympia, Washington
    ------------------------------



  • 8.  RE: Healthy, supportive work environment

    This message was posted by a user wishing to remain anonymous
    Posted 05-25-2021 04:09 PM
    This message was posted by a user wishing to remain anonymous

    For me, it's all about my relationship with my direct supervisor. I've been in the same company and position for years...and I've had three different supervisors. It's the supervisor that can make things either miserable or pleasurable. 



  • 9.  RE: Healthy, supportive work environment

    This message was posted by a user wishing to remain anonymous
    Posted 07-23-2021 06:08 PM
    This message was posted by a user wishing to remain anonymous

    ​Hello ~

    Yes! There are healthy, supportive work environments out there. I read from another anonymous post that the relationship you have with your direct supervisor is key, I couldn't agree more. It is the relationship that will either support and nurture you or the relationship that will break you and make you miserable - at work as well as outside of work because you take the worry and stress with you when you go home at night and on the weekends.

    I have worked under 3 directors and on #4 now. There were 2 that were terrible for me and now, 2 that have been and are very supportive and easy to communicate with. That's the magic - that relationship.... in my opinion.

    I hope you can either see an improvement where you're at right now OR have the strength, courage, and resources to move on before you're too discouraged.

    Hang in there ~ we're doing important work :)





  • 10.  RE: Healthy, supportive work environment

    This message was posted by a user wishing to remain anonymous
    Posted 07-27-2021 12:03 PM
    This message was posted by a user wishing to remain anonymous

    Thank you for this and your support.  I agree that management and supervision and the culture that creates is critical for a healthy work environment.  This work can be challenging in the best of circumstances, let alone the worst of circumstances.  This group has been a wonderful source of support and information!!​