Elder Care: It Takes a Village

Senior care

Seniors rely on their caregivers, often building lasting relationships.

If you have an aging loved one — grandparent, parent, aunt, uncle, or family friend – living in a senior nursing community or being cared for at home by a home health organization, the people performing the most menial-sounding jobs may be the most important people in their lives. They are the van driver who takes them for a day out to the mall or to the clinic for dialysis; the laundry worker who picks up their dirty clothes every morning and brings them back clean and carefully hung or folded; the activities director who brings music, art and crafts to engage their minds, bodies and hearts; the housekeeper who cleans the floor no matter what mess s/he encounters. They also are the groundskeeper who mows the lawn and manicures the flower beds; the custodian who hangs a new memento on the wall; the hairdresser who keeps them neatly groomed.

My mother spent the final eight years of her life in a nursing facility. That became her permanent home, and almost everyone treated her as if she owned the place. She knew most of the staff by name and would share with me her interactions with them. It became clear after a few months that she only spoke in detail about the employees that I mentioned in the first paragraph. The nurses and aides, of course, were giving her the physical caring she needed to stay healthy, yet the non-clinical staff were the people she told me about. She knew about their marital status and family life, what they did on their non-working time, and their favorite hobbies. Mom didn’t get to know the clinical staff on the same personal level; they had many residents who demanded their expertise, and her interactions with clinical staff were focused on medical needs.

The next time you visit your aging loved one living in a senior community, pay attention to the staff:  not only those who are giving the meds or changing bedpans, but also those working behind the scenes to make life more comfortable for the residents.

Elder Care Certificate

Alber Enterprise Center has created a new training program for those on the front lines who would like some help understanding the challenges of the elders in their care. The Elder Care Certificate program, designed for anyone who cares for or interacts with older adults, is a wealth of information about issues facing our aging population. This program will transform the way participants work with elders and enhance their status as caring individuals. Participants will gain expertise in dealing with the aging population, will have a better understanding of the challenges seniors face, and will be better equipped with the interpersonal tools to function as contributing members of a caring team. The modules include topics in gerontology, personal effectiveness, communication, problem-solving, and leadership/customer service skills.

The 16-hour pilot program was delivered in 2017, and the 14 participants who were randomly selected to experience the program offered high praise for their experience. One stated, “The thing that touched and inspired us the most is that it changed our attitudes and the way we look at our residents.”  Another commented: “What is the #1 thing that I will use in the future? Listening:  Making each resident or coworker feel that they are very important and have my undivided attention.”

Alber Enterprise Center is in the process of licensing the curriculum through the university’s Technology Commercialization Office. To assure that the training is delivered to as many workers as possible throughout Ohio, the Center is seeking Extension educators who would like to become certified trainers for this program and offer it in their counties. For more information, contact Anne Johnson.6754@osu.edu or Myra Wilson.2025@osu.edu.


Myra WilsonMyra Wilson is the Program Director for the Alber Enterprise Center.

The BRIDGE: The Background Story on one of Extension’s Newest Signature Programs

Not all problems are created equal. Using one’s intuition or past practices might work for solving very simple problems. Yet our past and our view of the future may limit our solutions. When we are facing an issue or challenge that requires a fresh solution and has many interrelated components — perhaps several different constituents are involved or can be affected by the solution — a more robust process will bring you a clearer, more novel solution. Based on Snowden’s (2007) research, there are four levels of problems – simple, complicated, complex and chaotic. As director of the Alber Enterprise Center, I helped to develop an issue management model specifically designed to resolve our clients’ complex problems.

The BRIDGEIn my own research comparing The BRIDGE Issue Management Process with other more basic problem-solving models, I determined that there are three features that differentiate our model. The BRIDGE:

  1. Identifies a system of interrelated solutions that resolve the issue;
  2. Provides templates for clients to document the desired outcomes, action steps, measurements, and resources into formal documents; and
  3. Gains buy-in from their respective organizations to implement and sustain the solution.

Deciding how to solve problems and issues can create a challenge in itself. Giroux (2009) conducted a study of the decision-making habits of small business owners and entrepreneurs in Canada. Using one’s intuition seems to be a common practice, as was learning from past incorrect decisions. Also, emotions may unduly influence the decision if the problem is critical to the success of the business. Without a formal process that helps them view the problem objectively, small business owners sometimes lacked the ability to make sound decisions (Giroux, 2009). They are limited by their past experience and their view of the horizon.

There is history in the phrase “issue management process.” It was coined by the late Howard Chase in 1976 to describe a process he crafted for corporations to manage their public relations image and to influence public policy. Although Chase restricted his model to the corporate and public policy environment, issue management eventually progressed into a discipline used by other types of entities to develop strategies for a wide range of issues in their respective environments.

As one of Extension’s newest “signature programs,” The BRIDGE: Issue Management Process, is not actually a program as educators know it. It is a tool that anyone experienced with facilitating groups can utilize to solve complex issues. The BRIDGE creatively incorporates adaptations of several organization analysis tools designed by business scholars arranged in a logical flow. First, the facilitator carefully chooses stakeholders familiar with the issue and invites them to a workshop to guide them through the process. The facilitator then coaches the participants to storyboard what they can control or influence about the issue; to reflect on where they are currently and what they want as an end result in measurable terms; and to identify forces driving the issue as well as barriers that must be overcome. The group then designs a comprehensive, multifaceted solution that specifies the action steps and addresses the human resistance to change that may hold back implementation. Creating an evaluation plan for monitoring the outcomes is the final phase of the process.

We use The BRIDGE when:

  1. there are many components to an issue that are interrelated, and minor changes to one component could cause major consequences to others;
  2. we want a creative solution that has not been done before; and
  3. we have a short time period to resolve the issue.

I hope that this post helps to broaden your perspective on problem-solving vs. issue management, and that the next time you’re faced with a complex issue, you’ll reach for The BRIDGE tool kit.


Myra WilsonMyra Wilson is program director for the Alber Enterprise Center located at The Ohio State University at Marion.

15 minutes could save your … strategic plan

We’ve all experienced it, or heard about it. A team spends weeks or months developing a strategic plan, and nothing happens with it after the glossy document gets printed. Why does this great new plan just sit on the shelf gathering dust? Business scholars over the past two decades have been researching why plans fail to be implemented.1 The overarching theme of their conclusions: people resist change. How do we address this challenge? Through a structured plan for execution. Your team needs to commit to the plan, yet they are busy with their daily duties (the “whirlwind”) and they don’t take time to focus on the strategic plan.

WIGs 2018-02-04An effective execution plan starts with committing to a series of 15-minute segments on planning and implementing the strategic plan. Franklin Covey’s 4 Disciplines of Execution (4DX)2 is one formula to follow. The four disciplines are:

  1. Select one or two “wildly important goals” (WIG) that drive your strategic plan and can be measured and tracked.
  2. Identify the activities that lead to achieving the WIG(s), ones that your team can influence.
  3. Create a compelling scoreboard: simple, visible to the team, shows the lead and lag measures, and tells immediately if you are winning.
  4. Establish a weekly cadence of accountability in which each team member commits to working on one or two of the lead activities as well as reports on the efforts toward the WIG.

This 4DX plan is easy to implement by committing to 15-minute segments for each discipline:

  1. 15 minutes to identify and establish your WIG from your strategic plan. If you need two WIGs, spend another 15 minutes on the second one.
  2. 15 minutes per WIG to list all of the leading activities required to meet your WIG.
  3. 15 minutes to determine how you will show (scoreboard) the team’s progress toward leading activities and WIG and where it will be displayed.
  4. 15 minutes per week – the same day/time each week – for the accountability meeting.

We facilitated a strategic plan for one of our clients a year ago. After following up with them to see their progress, they reported that the leadership team implemented a few goals but felt they needed our help to really drive the plan throughout their organization with all employees. They embraced 4DX and are starting to see results.

This works! Try it, and let me know how it works for you.

If you need help in setting up your 4DX plan, the Alber Enterprise Center can show you how. Call 740-725-6325.

(Submitted by Myra Wilson, Program Director, Alber Enterprise Center at Marion)

1:

Govindarajan, V., & Trimble, C. (2010). The other side of innovation: solving the execution challenge. Boston: Harvard Business School Publishing.

Gudmundsson, H., Ericsson, E., Tight, M., Lawler, M., Envall, P., Figueroa, M., et al. (2012). The role of decision support in the implementation of “sustainable transport” plans. European Planning Studies, 20(2), 171-191.

Hahn, W., & Powers, T. (2010). Strategic plan quality, implementation capability, and firm performance. Academy of Strategic Management Journal, 9(1), 63-81.

Kotter, J. (1996). Leading change. Boston: Harvard Business School Press.

Larian, L., Day, M., Backhurst, M., Berke, P., Ericksen, N., Crawford, J., et al. (2004). What drives plan implementation? Plans, planning agencies and developers. Journal of Environmental Planning and Management, 47(4), 555-577.

2:

McChesney, C., Covey, S., & Huling, J. (2012).  The 4 disciplines of execution: achieving your wildly important goals.  New York:  Free Press.

Coaching made me a better boss

When I was hired as program director for Alber Enterprise Center in December 2011, I thought I knew how to be a manager and leader. After all, for two decades I studied the best authors – Drucker, Collins, Covey, Buckingham, Friedman and dozens more. I witnessed a myriad of management styles in private business and public education, and listened to their employees’ reactions, praise and complaints, then eventually began teaching leadership development courses. I knew the importance of listening, team building, problem solving, performance management and conflict resolution skills; especially their role in engaging employees and moving the organization forward. Yes, I felt confident in my abilities to lead my own team.

Well, I learned there is a difference between knowing and doing! My personal style of working entails rolling up my sleeves and digging in, taking full ownership of all details while visioning the future. My new team was great, helping me understand our center’s history with clients and excited about the opportunities to develop updated programs. After three years, we were holding our own but I knew we had so much more potential to make an impact. Sensing we had stalled, I found myself wondering about my abilities as a leader. Then a phone call from a certified coach transformed our team into a high speed powerhouse that doubled the number of delivered programs in six short months.

He called me in hopes of becoming one of our center’s educational partners; a partner in delivery of leadership training and coaching. I decided that the best way to assess his qualifications was to try him out on our team. He facilitated our strategic plan and provided follow-up coaching to help us implement our goals.

Coaching 2015-04-30What did the coach do for each of us?

  • Confidentially identified behaviors each team member wished to strengthen
  • Assessed our current level of skill in each of those behavioral areas
  • Assembled a plan of action for improvement
  • Monitored our progress through feedback and other objective means

I learned two key lessons during my coaching sessions that have helped take our center to a new level of performance:

  • Let go of the details and delegate them to others – stay focused on the big picture instead of getting “tangled in the weeds”
  • Empower others to take ownership of their jobs by using the coaching techniques I learned – listening more and speaking less, asking questions rather than directing, rewarding positive behavior and sharing successes as a team

This external (and objective) assessment not only made me a better leader and manager but has also elevated the performance of our organization and its members in the process.

(Submitted by Myra Wilson, MS, SPHR, Program Director, Alber Enterprise Center)
You want SUCCESS . . . We have SOLUTIONS!