#MEQAPI Transcript
Healthcare social media transcript of the #MEQAPI hashtag.
– ().
See #MEQAPI Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | MEQAPI @meqapi Welcome to #MEQAPI for the next hour as we chat about "Toxic Bosses in Healthcare" Please introduce yourself, and get ready to talk toxic bosses! https://t.co/HLZ6zIQ0VM |
| MEQAPI @meqapi Matthew - healthcare improvement gnome, doing M&Q, QA, and PI on healthcare policy, technology, and workflow - survivor and perpetrator of many "bad boss" things #MEQAPI |
 | ElizabethKelly, Ph.D @Elizabe85727641 Greetings all, Liz Kelly, reflecting on the differences between being included or excluded and judged as a part of today’s topic. #meqapi |
| MEQAPI @meqapi #MEQAPI T1 Think of the BEST boss you ever saw- department head, chief, director, or just a team lead. What was special about them, what they did, how they acted? |
 | Matthew Loxton is also on Mastodon @mloxton T1 The best boss I ever had participated, at least partially, in every new or undesirable process. Like helping wash panels on equipment during a spring-clean. So participatory, and made sure he understood what he was asking at a practical level #MEQAPI |
 | Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Hello all. I've been running a bit late today. Too many screens, too little time #MEQAPI https://t.co/BwgvDuNeLU |
| Matthew Loxton is also on Mastodon @mloxton T1 have seen many really good bosses that always listened to staff input, and made sure they understood it. If it was not possible to comply, they would frame the answer in terms of goals and priritization #MEQAPI |
| MEQAPI @meqapi @ShereesePubHlth Thanks for joining, Shereese! #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 T1 Best bosses maintained their humanity rather than play out of the title, included everyone, their ideas, helped to bring issues into focus, relate to the work, & develop outcomes/follow-ups. #meqapi |
| MEQAPI @meqapi RT @Elizabe85727641: T1 Best bosses maintained their humanity rather than play out of the title, included everyone, their ideas, helped to bring issues into focus, relate to the work, & develop outcomes/follow-ups. #meqapi |
| MEQAPI @meqapi @Elizabe85727641 Does being a relay good boss entail a degree of humility towards staff, in your view? #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T1 Best bosses weren't micro-managers and dictators; they were a part of the team #MEQAPI |
| MEQAPI @meqapi @ShereesePubHlth Part and supportive of the team? #MEQAPI |
| MEQAPI @meqapi @Elizabe85727641 Don't forget the #MEQAPI hashtag ;) |
| MEQAPI @meqapi #MEQAPI T2: Think of the WORST boss you ever had – department head, chief, director, or just a team lead. What was special about them, what they did, how they acted? |
| MEQAPI @meqapi @MdAntonieta We are chatting now on #MEQAPI , hope you will join in! |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @meqapi Yes, very important distinctions #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T2 really bad bosses often put their own personal advancement and ego needs ahead of the team and the stated org mission and goals. In some cases actively sabotaging the team in order to score personal points #MEQAPI |
 | Maria Antonieta Diaz- Fernandez @MdAntonieta RT @meqapi: @MdAntonieta We are chatting now on #MEQAPI , hope you will join in! |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Worst boss seemed unaffected by the way his behavior was negatively impacting the organization on several levels. I found it fascinating because he never abandoned his arrogance & always blamed others #MEQAPI |
| MEQAPI @meqapi T2 bad bosses often fail to connect activities, priorities, and goals. Placing priority on things without showing (or knowing) how these would serve the goals #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth Blame seems to be a feature of most of the bad bosses I have seen. I have wondered if it was a learned behavior or something in the wiring? #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T2 Bad bosses often mistake disengagement for compliance. "They're not saying anything, so all must be good." #MEQAPI https://t.co/0y7xDw3zwq |
| MEQAPI @meqapi T2 the absolute worst boss I ever saw had sexual relationships with underlings, held grudges, micromanaged, and was perennially vague and contradictory when giving instructions #MEQAPI |
| MEQAPI @meqapi RT @ShereesePubHlth: T2 Bad bosses often mistake disengagement for compliance. "They're not saying anything, so all must be good." #MEQAPI https://t.co/0y7xDw3zwq |
| MEQAPI @meqapi The biggest question was how this behavior was not visible to their superiors as a source of risk, waste, and abuse #MEQAPI |
| MEQAPI @meqapi #MEQAPI T3: What did the bad bosses do to your sanity, safety, productivity, and how did this manifest itself? |
| Matthew Loxton is also on Mastodon @mloxton @meqapi To me this is a really key feature of bad boss situations - there must be a better way to notice bad bosses and trigger mechanisms to fix or resolve #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton @meqapi Internal systems seem to reward bad behavior. It takes an act of congress to get some orgs to address bad boss traits #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T3 made me disengage and look for alternative employment. Have seen people literally driven to an early grave by a bad boss, and seen accidents and errors spike because of the corrosive social effect on staff #MEQAPI |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @meqapi A3 my worse boss help me a lot ... i quit and i rebuilt my autocontrol and auto knowledge ...resilience i guess #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth @meqapi Right! But yet ask anyone in Risk Management and they can detail the huge financial costs and increase in safety and quality incidents due to bad bosses. There are real risks and losses involved! #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba T3 Bad boss made me feel unsafe and un-empowered. I couldn't wait to leave everyday. #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 T3 Difficult bosses increased my awareness of who was hurt by inconsistency, lack of directness & honesty. When this work environment became to much I consulted with management, then decided to stay or quit. Both actions brought interesting changes. #meqapi |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @meqapi that’s exactly how bossing is ... #MEQAPI |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @ShereesePubHlth sometimes is consequence of a bad profile to be a boss ... #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth Did your productivity take a hit? #MEQAPI |
| MEQAPI @meqapi @Elizabe85727641 Interesting in what way, Elizabeth? #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton No but only because I had lots of field work ops but I hated when he entered the office and rejoiced when he left early. He was a sexist and narcissist #MEQAPI |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @Elizabe85727641 sometimes a bad boss made your colleagues and partners begin mobbing ... #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @Elizabe85727641: T3 Difficult bosses increased my awareness of who was hurt by inconsistency, lack of directness & honesty. When this work environment became to much I consulted with management, then decided to stay or quit. Both actions brought interesting changes. #meqapi |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @ShereesePubHlth resilience ... sometimes you have to fall to stay climbing ... #MEQAPI |
| MEQAPI @meqapi @MdAntonieta @Elizabe85727641 Can you explain a little about mobbing? #MEQAPI |
| MEQAPI @meqapi #MEQAPI T4: What did the bad bosses do to patient safety, satisfaction, and outcomes, and how did this manifest itself? |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @mloxton @ShereesePubHlth @meqapi yeah ! it’s very expensive have bad boss !!! #MEQAPI |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @meqapi @Elizabe85727641 partner and colleagues bullying ... with the boss ( bossing) at the top #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T4 I have seen patients cringe when a senior staff member chewed out juniors within earshot. It certainly made them uncomfortable, and probably less likely to report a risk or issue in case somebody was yelled at or punished #MEQAPI |
| Maria Antonieta Diaz- Fernandez @MdAntonieta @meqapi A4 nobody follow a bad boss ... bad leadership #MEQAPI |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton They think they're exerting authority but in reality, they're embarrassing the practice. #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 T4 My setting was nursing education - it caused good students /faculty to leave, increase distrust about nursing role, learning that role, care for the Pt got lost. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton T4 there is some suggestion that bad bossing results in increased vandalism, theft, and bullying. Would be interesting to see research on the downstream effects on quality & safety #MEQAPI |
| MEQAPI @meqapi @Elizabe85727641 So effectively undermined the mission? #MEQAPI |
| MEQAPI @meqapi RT @ShereesePubHlth: @mloxton They think they're exerting authority but in reality, they're embarrassing the practice. #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth Interesting phrase "embarrassing the practice" #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton @drlfarrell Whooa, nice patient-smackdown! Did it result in you getting it in the neck even more later on? #MEQAPI |
| MEQAPI @meqapi #MEQAPI T5: What effect does good or bad management or leadership have on care Safety, Timeliness, Effectiveness, Efficiency, Equitability, Patient-Centeredness, or Affordability? |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba @mloxton Definitely because those bosses set the culture for the organization and create the unspoken behavior allowances #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton T4 during pracs, my (very senior) examiner asked me after peds CPR demo "and what would you say is the capacity of a neonates lungs?" Me: abt 100cc Her: and you blew in abt how much? Me: 1500cc? Her, Ok then :) #GoodBoss #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 T5 It either makes work easy, fun & possible, or adds more misery/conflict to work that lowers outcomes & productivity. #meqapi |
| Matthew Loxton is also on Mastodon @mloxton In comparison, one of the other examiners was bellowing at any mistakes. The students of the #BadBoss didn't learn much other than to avoid that person, but I never forgot the lesson my examiner gave me. #MEQAPI |
| MEQAPI @meqapi @Elizabe85727641 So this is a really core issue: do people work better - safer, more effectively, more efficiently, etc when they are terrified or when they are happy? Ford thought they needed to be bribed and bullied (Theory X) New thought is happy workers are better workers (Theory y) #MEQAPI |
| MEQAPI @meqapi @Elizabe85727641 Douglas McGregor at the MIT Sloan School of Management (1957) https://t.co/5RhcbJRJj8 #MEQAPI |
| MEQAPI @meqapi #MEQAPI Closing Thoughts (CT) What should we do differently about toxic bosses - what will YOU do differently? |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba RT @meqapi: #MEQAPI Closing Thoughts (CT) What should we do differently about toxic bosses - what will YOU do differently? |
| MEQAPI @meqapi @susanwoolner Yes! ;) Theory Y Douglas McGregor at the MIT Sloan School of Management https://t.co/5RhcbJRJj8 #MEQAPI |
| MEQAPI @meqapi #MEQAPI https://t.co/hT1JUSiSO0 |
| Shereese Maynard, MS; MBA 😷 She/Her @ShereeseMayMba Closing thoughts: Call them out through systemic means. Protect the rights of others. #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton CT we really need to look at how bad bossing escapes attention, because it has a very detrimental effect on staff engagement and retention, and probably has massive quality, safety, and cost implications. I need to study that a bit! #MEQAPI |
| ElizabethKelly, Ph.D @Elizabe85727641 CT Encourage individuals to trust what see overtime, back observations with research, & use both to spell up & speak out. Silence is not golden, courage is needed. #meqapi |
| MEQAPI @meqapi .. and that's a wrap! Thanks for joining #MEQAPI to chat about toxic bosses in healthcare! Please watch https://t.co/PyTLnDQ4YJ for upcoming chats https://t.co/kCFEK4vbRj |
| Matthew Loxton is also on Mastodon @mloxton @Elizabe85727641 @meqapi The big mystery is why Theory X still persists. McGregor is part of pretty much every MBA program on the planet, and yet we still see Theory X in practice across the board! #MEQAPI |
| Matthew Loxton is also on Mastodon @mloxton Great entreaty on #SpeakingUp #MEQAPI https://t.co/uwD4BFnkvL |
| Matthew Loxton is also on Mastodon @mloxton @ShereesePubHlth ... and culture eats policy, proceedure, and protocol :/ #MEQAPI |
| MEQAPI @meqapi #MEQAPI https://t.co/xWPeGqR0sD |
#MEQAPI content from Twitter.