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Are you aware of your habits?

When the car is stopped at the lights you often put your fingers in your mouth.  Are you aware?

A habit is defined as:

Something that you do often and regularly, sometimes without knowing that you are doing it. Cambridge dictionary

A ritual is defined as:

A set of fixed actions and sometimes words performed regularly, especially as part of a ceremony. Cambridge dictionary

Habits can become a problem. Like doing the same thing for everyone who asks for your help with the ‘same’ issue.There is no thinking in habitual behavior. There are many habits that are unhelpful.

A ritual on the other hand can be chosen and practiced so that they are a part of your repertoire when you are faced with a particular challenge- like hand washing before greeting a patient if you are a healthcare professional. A ritual is performed with mindfulness and awareness. A ritual is deliberate and ceremonial, usually done with reverence and respect. So much better than picking your nose!

  • List your habits, including the nail biting.
  • List the rituals that might make you better at your job.

Picture by Michael W May

What did you think about on the way to work?

What did you think about as you made your way to work? Were you already at work in your head? Ruminating on the past? Worrying about the future? Did you grumble to yourself about the commute? The unreliable public transport? The traffic jam? The ‘idiot’ who cut you off at the junction? Did you read the ‘fake news’? Did you look at Instagram posts or catch up on Facebook? Were you one of those people yelling into your phone on the bus or tram?

Immediately following their regular commute to work, participants completed questionnaires regarding state driver stress and anger during that commute. Then, immediately following completion of that work day, they completed a state version of the Workplace Aggression Scale. As state driver stress increased, the frequency of both expressed hostility and obstructionism increased (independently) during that work day, but only among male employees. In contrast, overt aggression during that work day was greatest among males who were higher in physical aggressiveness as a general trait characteristic. The present study highlights the interactive nature of traffic and workplace environments, in that negative experiences in the traffic environment may spill over for some individuals to influence non driving events

Journal of Applied Social Psychology Dwight A. Hennessy

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Will you be able to do this in ten years time?

As I trudged through the wards at 2am my body screamed its disapproval at being dragged out of bed in the small hours of the morning. That wasn’t for me. Is what you do today sustainable over the long haul? If not what are you doing about it? Your patients, clients or customers deserve the best. They need you to take responsibility for the decisions only you have the power to make. Either you are in or you have an exit strategy- but if you are in, then you have decided it is sustainable and you have made the call. No victim statement permissible.

Picture by Kevin Lawver

Are you sure they can help?

One of the key roles in healthcare is to refer people to other sources of help. The list of therapists, specialists and clinics is as long as any phone directory. However off loading someone elsewhere is hardly worthwhile if it’s a waste of time and money.

The goal should always be the initiation of a discussion about a patient’s needs and the beginning of a triaging process to address these, rather than problem identification being an end‐goal itself. Gemma Skaczkowski

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Did this person need those pills?

No matter what business you are in you might ask yourself if whatever you just sold to your customer is what they really needed. If you are a doctor that question cuts deeper- did you really identify  that person’s problem or did your prescription just get them out the door?

Inappropriate prescriptions are known to pose health risks for older adults, leading to unnecessary hospitalisations and undue cost. Budnitz et al

Picture by Brent Matthew Lillard

Are you sure you will focus on the right problem?

In any business where you are paid to solve problems you need to be clear that you are indeed solving the right problem. Doctors can frame the problem in many ways- if their patient has been brought in after a car accident then ‘the problem’ is  clearly the broken leg or the bleeding wound. What’s much less obvious is the problem that needs to be solved in all other circumstances.

In the moment you are sitting in front of the doctor the problem isn’t the runny nose, the headache, the sore throat or the anxiety. Being told it’s just a virus won’t help. You need that  doctor to give you their undivided attention and to see the context in which you are experiencing that discomfort. To acknowledge your distress. There is ‘no cure’ for a viral upper respiratory tract infection and you knew that before you walked into that office. Right?

Pcture by Luis Sarabia

Are you persuasive?

If your job involves advising- are you a credible source of advice? How do you know?  What can you do to make yourself a more influential? Apart from giving credible advice is there something you can do to make your advice more likely to persuade?

There’s a critical insight in all this for those of us who want to learn to be more influential. The best persuaders become the best through pre-suasion – the process of arranging for recipients to be receptive to a message before they encounter it. To persuade optimally, then, it’s necessary to pre-suade optimally. But how?

In part, the answer involves an essential but poorly appreciated tenet of all communication: what we present first changes the way people experience what we present to them next.
Robert B. Cialdini, Pre-Suasion: A Revolutionary Way to Influence and Persuade

Picture by  Cabinet Office

 

How do you frame your solutions?

How do you frame a suggested solution to someone’s problem? Do you mention the possibility that your suggestion won’t help? If you are a doctor do you speak of the number need to treat? We know that not everyone is helped by a medicine or intervention — some benefit, some are harmed, and some are unaffected. One of the commonest reasons that patients consult doctors are for sore throat. How many people with a sore throat should be treated for one person to be free of the sore throat at day 3 of their illness? At day 7 of the illness?

Protecting individuals with sore throat against suppurative and non-suppurative complications in modern Western society can only be achieved by treating many with antibiotics, most of whom will derive no benefit. Cochrane Primary care

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What do people see on your desk?

Okay so you might not have chosen the wall paper, the carpet or the size of your office but what’s on display on your desk? What impression is created at a glance? Do you look organised? Do you look like you’ve got the time to give your visitors some attention?

There are six reasons to clean off your desk and as Catherine Conlan suggests:

Remember, your workspace speaks for you even when you’re not there.

Picture by Andrew Tarvin

What’s your vibe?

Do the people who seek your help sense that you are distinctive in some way? How? Is there anything remarkable about you? Your blue shirts? Your leather boots? Something that they immediately recognize as your ‘trademark’. According to Dana Lynch image consultant, your style matters for three reasons:

  1. People for impressions of you within a mere 3 seconds!

2. Your style makes you memorable.

3. Your style allows you to express who you are, which ultimately leads to an improved self-image and confidence.

If you are a doctor your patients will likely decide within seconds if they are going to take your advice.

Picture by Ronald Menti