Modern Healthcare

Healthcare leaders, it’s time to stand up to abuse and harassment, wherever it’s encountere­d

- By Debra A. Canales

To my colleagues, I was the composed human resources executive who worked hard to protect employees. Only those closest to me knew that my workplace was a sanctuary, a refuge from the chaos and darkness at home. For years, I chose not to mention the events that shaped who I am today as a survivor of domestic abuse and an advocate for safety at home and in the workplace.

I am sharing my experience more broadly now because this issue can no longer be silenced. I hope that, in coming forward, I can empower others and help move them into action. I can assure you that you know someone struggling with this pervasive problem. One-third of women and one-quarter of men have been victims of violence by an intimate partner within their lifetime. Add to this toll the number of people who suffer from emotional and physical abuse in the workplace. It is simply too much.

The organizati­on I work for now was founded by courageous women committed to social justice. The Sisters of St. Joseph of Orange and the Sisters of Providence recognized the dignity of each person they encountere­d and worked to root out oppression of all kinds. I knew I’d be standing on the powerful shoulders of these women and of my own Aunt Trini, a provincial of a convent, but little did I know how much I’d need to lean on them for guidance in this time of breathtaki­ng societal change. I’ve often wondered how they would respond to #MeToo and #TimesUp.

As healthcare employers, we must awaken to the fact that domestic and workplace abuse is a virulent strain attacking work performanc­e, as well as mental and physical health. Often, it goes unreported for myriad reasons, including misplaced guilt, normalizin­g abusive behaviors, and mistrust of those who can help or the power differenti­al. As leaders, we are obligated to act. I was struck when I recently heard this responsibi­lity described as a “moral imperative.”

Intensely aware of the #MeToo movement and the events of the past year, my organizati­on is responding with #NotHere. That means we do not tolerate harassment or abuse of any kind. Guided by our mission and core values, we stand with those who have come forward and work to root out abusive behaviors.

Of course, a hashtag is just a social expression of this work. We are making this meaningful through action and embedding this work into our culture, just as we do with safety initiative­s. We are looking at all facets of our organizati­on and using the tools that aid in clinical excellence—such as our work related to high reliabilit­y. We are strengthen­ing policies and training. Our focus applies to any kind of abuse and harassment, including mistreatme­nt based on sexual orientatio­n, race and power differenti­al.

We are also empowering caregivers with the tools to ensure a safe environmen­t. Our people know they can report issues to supervisor­s and human resources, as well as through a confidenti­al hot line. Our goal is for everyone in our organizati­on to understand the importance of bystander interventi­on and speak up when they see or suspect harassment or abuse.

To get this right requires a culture that honors the dignity of every human being and celebrates diversity. And, as compassion­ate caregivers, we need a strong sense of justice, rendering assistance to those who are currently vulnerable.

I understand that this issue is deeply personal. I was lucky because I benefited from the wisdom and support of real-life angels who empowered me to free myself and eventually flourish. I’m determined to pay it forward, dedicating myself to caring for people—mind, body and spirit.

It’s time for us as leaders to take a stand. The courage we show now, in this time of intense societal change, will inspire others to drive the kind of cultural shifts that will last. Let’s find that courage and pass it along.

 ??  ?? Debra A. Canales is executive vice president and chief administra­tive officer at Providence St. Joseph Health, Renton, Wash.
Debra A. Canales is executive vice president and chief administra­tive officer at Providence St. Joseph Health, Renton, Wash.

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