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urgery must be a welcoming space for staff
members and patients of all races, sexuali-
ties, genders, gender identities, ages, nation-
alities and physical abilities. Widespread improve-
ments are needed to increase diversity across
health care, but it's difficult to address this subject
without alienating individuals who have different
backgrounds, beliefs, life experiences and view-
points. Conversations about equality and inclusion
can be uncomfortable, but are essential for true
progress to occur and become easier with the right
ground rules in place.
Create a safe space
Trust and openness are the foundational ele-
ments of constructive dialogue. Staff members take
risks when sharing their honest opinions on what's
often an emotional topic, and worry about saying
the wrong things while searching for the right
words. Don't expect everyone to master their feel-
ings and know how to clearly express their
thoughts. Make sure staff members give each other
the benefit of the doubt and understand that com-
ments or beliefs will not be judged. Emotions can
hijack the brain of even the most well-intentioned
person and their controversial statements might be
based on feelings instead of facts. If you question
what someone says, ask them for specifics of what
they mean in a non-confrontational tone.
Keep in mind that anonymity might be important
to some staff members who fear retaliation for the
comments they make. Eventually you'll get to a
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Let's Learn How to Discuss Our Differences
Constructive communication will keep needed conversations going.
Diversity & Inclusion
Rumay Alexander, EdD, RN, FAAN
OPENING UP Creating opportunities for sharing honest feelings about diversity is the critical first step to empathizing with underrepresented groups.