Diversity in healthcare requires the right leadership

Healthcare staff often come from various cultural backgrounds, which can lead to misunderstandings, conflicts, and inefficiency. This, in turn, can affect patient safety, according to research from Jönköping University. The researchers argue that active and inclusive leadership can prevent these problems.

Photo: BURST

Leaders who are aware of cultural differences and actively work to create an inclusive environment can improve both collaboration and the workplace climate. When managers or team leaders become passive or disengaged, conflicts risk escalating, and the work environment can deteriorate. Misunderstandings may arise, and team members can feel uncertain about their roles, which in the worst-case scenario impacts patient safety. The researchers emphasize that active and inclusive leadership can prevent these issues.

The team of JU researchers, through interviews with healthcare staff, have examined the specific needs of those working in culturally diverse teams. The interviews revealed that staff often felt a need for a work environment characterized by openness and respect, where cultural differences are acknowledged and addressed openly. The interview results are also supported by data gathered from over 60 team simulations in emergency care settings.

Many unsure how to manage differences

Three keys to an inclusive climate

The researchers identified three main contributions that an inclusive climate brings to healthcare teams:

1. The value of differences and similarities: When everyone’s unique traits are recognized and team members are encouraged to look beyond cultural differences, tensions can decrease, and collaboration can be strengthened. By focusing on both the similarities and differences between members, healthcare teams can become more cohesive and effective.

2. Meaningful interactions: An open and social climate where team members are encouraged to interact and support each other enhances cohesion. When staff feel safe to ask for help and express themselves, the risk of conflicts and misunderstandings decreases.

3. Engaged leadership: Inclusive leadership is crucial in creating an environment where cultural differences are not only accepted but seen as strengths. Leaders who promote learning and interaction can help the team function more smoothly and improve the work environment.

The interviewees stressed the importance of being able to discuss their experiences of cultural differences without fear of being judged. Many felt uncertain about how to manage differences in working methods and communication styles, which sometimes led to frustration and conflicts. Leadership played a crucial role in creating a safe environment where staff could express themselves and receive support in dealing with cultural differences constructively.

In addition to the need for open communication, the researchers highlight the importance of clear structures and roles within healthcare teams.

"When all members understood their responsibilities and tasks, especially in stressful situations, the risk of misunderstandings and uncertainty decreased, which in turn improved collaboration and patient safety," says Timur Uman, Professor of Business Administration at Jönköping International Business School, Jönköping University.

When team leaders actively work to build an open and respectful work environment, where cultural differences are addressed and discussed constructively, both the work environment and patient care improve.

Creating a climate where everyone feels safe

For healthcare organizations seeking to benefit from the increased diversity in the workforce, it is important to invest in leadership training and create structures that promote inclusion. Managers and team leaders need to focus on creating a climate where all team members feel safe to express themselves, and where cultural differences are seen as a strength, not a barrier.

"Healthcare staff working in diverse teams should be encouraged to share their experiences and perspectives while receiving support from their leaders to navigate cultural differences. By building a work environment characterized by openness and respect, diversity in healthcare can become an asset that strengthens both team performance and patient safety," says Timur Uman.

In summary, the research shows that cultural diversity, when managed correctly, can improve team dynamics and lead to better patient outcomes. An inclusive climate and strong leadership are key to transforming diversity into a success factor in healthcare.

Facts

The research was conducted through a systematic literature review and interviews with a total of 40 healthcare workers at hospitals in southern Sweden. Additionally, around 60 team simulations with healthcare staff in emergency care environments were conducted. The research project, which is in its final phase, is a collaboration between Jönköping International Business School, the School of Health and Welfare, and Region Jönköpings län (Jönköping Regional Council)It is funded by the Jan Wallander and Tom Hedelius Foundation and the Tore Browaldh Foundation.

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2024-10-17