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Stepwise Success

Motivation

Published February 3, 2009 8:49 AM by Scott Warner
Recently I told a group of high school students at a local Career Day, "Healthcare is the most rewarding profession you can choose. You are really helping people. And that feels good."

It was the best I could come up with before a group raised on flashy gadgets, fast food and endless choice. I thought it a good answer until I wondered aloud why I had known lab techs who became nurses but never the reverse. The teacher in the room had the answer. She said, "It's the money."

What motivates us? Are laboratory workers motivated because of job security, a love of science or job satisfaction? Surely, it isn't money.

We place a higher value on intrinsic motivators--love of knowledge, altruism, et al--and typically think of them as morally superior to working for money or ego. But as this article in Science Daily points out, intrinsic motivation may not exist. According to Steven Reiss, a professor of psychology at Ohio University, Athens, there is no proof "quality of happiness" suffers from "inferior" motivators. Indeed, any motivation is probably good enough.

Is greed (working just for the money) bad if patients receive excellent care? Is competition (openly wanting to do better than another department) terrible if it encourages overall improvement? And is hubris (broadcasting accomplishments) awful if it allows everyone the freedom to share success?

Thinking intent (working for a love of the job) and behavior (quality work) are connected is a trap. Intent and behavior are different. Management can assume employees must love their jobs to the point of personally sharing the values of the organization. Staff may think less of themselves if they don't. But noble aspirations matter little to a patient--the best care does.

So, does it matter what motivates us? For me, yes. A part of me believes wholeheartedly what I told those high school students. Most days, it feels really good to help people.

posted by Scott Warner
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9 comments

Ryan,

I think we're really talking about the same thing.  My point is simply that I was surprised to find a variety of approaches to covering a third shift.  And I think the manager that doesn't work to reach consensus brews trouble.  Peer review of the schedule process is the way to go.

But this can get ugly.  It forces rivals and allies alike to confront how their own schedule is perceived.  It raises fairness questions.  It openly challenges management.  It can get a labor union involved.

I doubt, generally, that management wants any of those things.  But the simple truth is that management owns working conditions largely defined by a work schedule.  Ignoring input and obvious lack of consensus leads to a loss of trust.  At some point, I'd guess, it's too late for a manager to fix a schedule without outside help.  Without people willing to literally work together, everything breaks down.

Maybe I'm overstating it, but I don't think so.

Good luck getting your own issue resolved.  Let me know if you succeed.

Scott Warner March 3, 2009 9:15 PM

It is easy for the laboratory brass to dole out scheduling parameters to shifts - but I ask that those that do so walk a mile in our shoes for not a day, week, but try it for a few months.

Then maybe they will understand where we are coming from when we ask to have a schedule that allows us to work longer days and have more days off in a row.

Merely saying, "What's more, the plan should be reviewed periodically, if for no other reason than to show people it isn't cast in iron" is a transparent way pressing the mute button.

Ryan March 3, 2009 11:06 AM
NY

The question, "How do labs staff a night shift?" came up recently.  Surprisingly, I found a wide variety of approaches.  One nearby hospital even still has call seven nights a week.

Not all laboratories prefer longer shifts / fewer days or more on / more off.  I think the key is for management to work with staff to develop a transparent scheduling process that has consensus, fairness, and adaptability.  A manager needs to set the ground rules of the discussion and then encourage and coach people to arrive at a solution that really works.  What's more, the plan should be reviewed periodically, if for no other reason than to show people it isn't cast in iron.

The alternative is a schedule used as an object of punishment, both by management and staff, that eventually destroys the team.  I don't think this point can be made too strongly, but I'm probably in a management minority on this one.

The few labor agreements I've seen are filled with scheduling rules, which makes me wonder how often management really includes line staff in a scheduling solution.  (Almost never, I'd guess.)

Scott Warner February 28, 2009 7:14 AM

Stephanie, in regards to your question about our schedules - We dont get the distinction of having a 'cool' work schedule like 12 or 10 hr shifts with extra days off..  

We have the standard night shift with working every other weekend.  Many of us have to work every Friday night (Sat. morn.) as well as every other weekend, essentially working every weekend.  The days off that we do get are often spent sleeping or in a half-dazed, sleep-ridden state as a result of lack of sleep.  Our weekends off are a joke, because they are Saturday morning through Sunday.  Yeah, a real meaningful weekend when you get home at 7:30 am Sat. morning and are exhausted and the family is ready for whatever the weekend has in store and all you want to do is collapse...

Tell me this isnt motivation to find a different career or profession that has normal, waking hours that are better than perpetual night shift hours.

Ryan February 25, 2009 11:35 AM
Buffalo NY

I'm wondering how many hospitals out there have "7 on/7 off" or "8 on/6 off" schedules for at least their third shift laboratorians...

I enjoy this schedule with my current employer (12 guaranteed days off per month as opposed to only 8!), and also worked "8 on/6 off" in Bluefield, WV and "7 on/7 off" near Texas A&M as a traveling/agency technologist.  As a matter of fact, the Texas hospital had all their full-time technologists (except for the technical specialists, who worked four 10-hour shifts/week) working "7 on/7 off," even on 1st and 2nd shifts!

Stephanie Mathis, MT(ASCP), Generalist - Clinical Laboratory Scientist, Danville Regional Medical Center February 23, 2009 8:17 PM
Danville VA

Steven,

Congratulations on your success.  I think you've made a good point about office labs -- not only are you closer to the patient, but you are part of a closely knit team.  It's a great experience to remind one that we are treating patients, not specimens.

Scott Warner February 11, 2009 7:57 PM

I have recently entered the Medical Field (7 years counting my 2 year Medical Technologist Degree). I was donwsized after working in a Major Manufacturing Company as a Mechanical Engineer. I chose the Medical Field with the hope of helping others, to personally contact people and maybe help in the healing process. I tried to work in the Big Chemistry Lab but it was too impersonal and I it was suggested to me by a co-worker to work in a Physician Office Lab because I will be right in there with the patients. I actually took a pay cut, but the hours are better, no weekends or holiday work. But the best part for me is the patient interaction. I have regular "Customers" so to speak, those patient that want me to draw their blood and do their tests because they now know me and I know them. Where else could you get such personal care from a Lab Tech but in a POL.

steven bryand, physician office lab - lab tech February 10, 2009 8:05 PM
saint paul MN

Ryan,

Great points!  Nursing is a good "starting point" for opportunity, while the lab is more limited in many settings.

I wonder, though, if nursing has enough potential for a person who loves science.  The hands-on emphasis of nursing technique is different from the analytical focus of the lab, although both require critical thinking skills.

Scott Warner February 6, 2009 5:51 AM

Scott -

I think it could be the monetary factor.  BUT I also think that other factors may play a role as to why some go the nursing way, but rarely to the lab role.

1.  Gratification and recognition.  Ask all of those kids in the room what a Medical Technologist / CLS does versus a registered Nurse and see how many answers you get for either.

2.  I have said and seen this written before by others -  Starting out and for many years as a med tech. you are schlepping away working nights, evenings, weekends and holidays.  Nurses, on the other hand have bountiful opportunities as to where they can take and move laterally with their career in the early years.

3.  Yeah, PAY is a big one.  Why go for a bachelor's degree and have the added exenses of student loans when you can go for two years to a community college (and possibly get your tuition paid for by an institution) and have no loan exenses afterwards...  and make a killer wage that rivals some that hold Masters degrees!

4.  Recruitment -   Look how many institutions (hospitals, nursing homes, et al.) are at job fairs courting possible students.  plus look how many of the same places are at the colleges doing the same thing for the future grads, by offering them *lucrative* sign-ons, tuition reimbursments, high [negotiable] wages, offers of good OT, flexible schedules, 12/16 hr shifts, dinners, -- you name it, they are giving it to get the bodies in to the profession ...   Where are the lab people ?........

I have continually said that good money may be great, but having time off is better.  Finding a good balance of the two would be great, mainly because I am tired of working nights, every weekend and every holiday.    I can't blame any laboratorian that makes the jump to nursing or other career that offers them better than we can.

Ryan February 3, 2009 3:15 PM
Buffalo NY

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