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Leading from the Inside Out
Leading from the Inside Out provides a safe space for leaders in continuing care to share their challenges and learn self-care practices.
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The Provincial Violence Prevention Curriculum is recognized as best-practice in violence prevention training for health care workers.
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Guidelines & Regulations

Guidelines and Regulations

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WorkSafeBC has acknowledged an error in calculating the 2025 SafeCare BC levy, which is included in the premiums paid by our two member employer groups–those providing community health support services (classification unit 766006) and those in long-term care (classification unit 766011).
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The Province has introduced a new masking policy for all healthcare workers who provide direct care effective immediately. Staff Requirements Visitor Guidance With an increase in viral respiratory illnesses (VRI) across the province, the Ministry of Health has introduced new masking measures to help control the spread of these illnesses. It's important to remember that […]
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A strong organizational culture fosters employee engagement, collaboration, and productivity, while a weak or toxic culture can lead to dissatisfaction and high turnover.

What is organizational culture?

Organizational culture refers to the shared values, beliefs, norms, and practices that shape how people within an organization interact and work together. It encompasses the organization’s mission, leadership style, communication patterns, workplace environment, and traditions.

A strong organizational culture fosters employee engagement, collaboration, and productivity, while a weak or toxic culture can lead to dissatisfaction and high turnover. A positive organizational culture in healthcare ultimately benefits both employees and residents and clients by creating a safe, respectful, and high-performing environment/

After this huddle, staff should be able to:

  • Explain organizational culture and why it matters in healthcare.
  • Identify specific behaviours and characteristics that contribute to a positive or negative organizational culture.
  • Recognize how organizational culture influences psychological safety, communication, teamwork, and resident or client and staff safety and well-being.

Guiding questions

  • What does a positive organizational culture look like to you?
  • Can you think of a time when you felt supported at work? What made it feel that way?
  • What challenges do we face in maintaining a positive culture in our busy healthcare environment?
  • What is one thing you can do today to contribute to a more positive and supportive workplace?

Scenario 1

  • Situation:Jenny, a housekeeper, proposes a plan to enhance common area sanitization, aiming to proactively reduce infection risks for residents.
  • Positive culture response: Jenny feels comfortable sharing her ideas with her team and manager. Her colleagues actively listen to the suggestions, provide constructive feedback, and explore the idea’s feasibility. Even if her idea isn’t ultimately adopted, Jenny feels valued and encouraged to contribute further.
  • Negative culture response: Jenny hesitates to share her ideas; fearing being dismissed or ridiculed. When she has shared ideas in the past, her colleagues have ignored them or shut them down without consideration. Jenny feels discouraged and doesn’t want to share any more ideas.

Scenario 2

  • Situation: Luke, a care aide, assists a client with mobility challenges in transferring from their bed to a wheelchair. The client loses balance, and Luke struggles to support them safely.
  • Positive culture response: Luke immediately calls for assistance. After the incident, he discusses the incident with his supervisor, who provides additional training and support. Luke feels comfortable asking for help in the future.
  • Negative culture response: Luke hesitates to call for help, fearing it will be seen as a failure to handle the situation independently. Luke and the client are at greater risk of injury, and he experiences unnecessary stress. He doesn’t report the incident.

Scenario 3

  • Situation: Alex and Inaya disagree about the best approach to care for a resident.
  • Positive culture response: Alex and Inaya communicate openly and respectfully, actively listening to each other’s perspectives. They use a structured approach to clarify the situation and reach a consensus. They use the conflict as an opportunity to learn from each other and improve.
  • Negative culture response: Their conflict escalates into a personal argument, with Alex and Inaya interrupting each other, raising their voices, and making personal attacks. Their failure to resolve the conflict leads to ongoing tension and resentment, which impacts the resident’s care.

Guiding questions for each scenario

For scenario 1:

  • What are some ways we can encourage innovation and creativity?
  • Have you ever had an idea for improvement but hesitated to share it? Why?
  • How can we create a culture where everyone feels comfortable sharing ideas?

For scenario 2:

  • What are the best practices for assisting clients with mobility challenges?
  • How can we create a culture where staff feel comfortable asking for help when needed?
  • What training or support would help improve client mobility assistance?

For scenario 3:

  • How do we typically handle disagreements or conflicts within our team?
  • How can we foster a culture of open communication and respectful disagreement?
  • What are some healthy ways to express differing opinions?

Notes to the huddle leader 

  • Create a safe space for sharing.
  • Remind participants that all perspectives are welcome and there are no right or wrong answers. 
  • Remind participants of the resources available for support and guidance regarding workplace culture and psychological well-being (e.g., employee assistance programs and mental health services). 
  • Invite participants to reflect on how organizational culture influences psychological safety, communication, teamwork, and ultimately, resident or client safety and staff well-being.
  • Consider the specific behaviours and characteristics contributing to a positive or negative organizational culture.

Downloads
Organizational culture
Organizational culture

Additional Resources

A blog post from SafeCare BC CEO Saleema Dhalla The foundation of healthcare is compassion, yet within many organizations, workplace incivility is an underrecognized threat that impacts staff well-being, team collaboration, and, ultimately, resident outcomes. Respect, professionalism, and kindness should not just be "nice to haves." Research has shown that incivility among healthcare workers can […]
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More Safety Huddles

This SafeCare BC safety huddle provides guidance on how to utilize your Joint Occupational Health and Safety (JOHS) Committee to improve workplace safety. Learn how to report safety hazards, understand the role of the JOHS committee, and find JOHS resources. Ideal for healthcare workers and safety training.
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A strong organizational culture fosters employee engagement, collaboration, and productivity, while a weak or toxic culture can lead to dissatisfaction and high turnover.
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Safety huddles are important because they focus on improving staff safety by creating solutions and opportunities to communicate, helping build a culture of safety, encouraging positive change within the workplace, and providing staff with a chance to share important information.
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Learn to recognize feeling unsettled, use effective self-settling strategies in situations self-setting may be helpful.
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Learn about what bullying and harassment is and when to report it.
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People living with dementia can experience changes in how they understand and process language, which can affect how they communicate.
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Learn to follow proper hand washing procedures.
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Working with clients or residents and their families is not always easy. You may not be able to control how others act, but you can control how you respond.
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We strive to empower those working in the continuing care sector to create safer, healthier workplaces by fostering a culture of safety through evidence-based education, leadership, and collaboration.
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