JoAnne Reifsnyder PhD, MSN, MBA, RN, FAAN
- To effectively change human behavior, we need to understand the person’s unique circumstances and intervene with compassion. Education alone is not usually enough to change complex human behavior.
- When talking to staff, use stories over statistics and immediate over long-term benefits. Frame discussions in terms of protection from loss. Use social networks and trusted advisors. Make the right thing to do the easy thing to do. Seek commitment and avoid an avalanche of information.
- For example:
- Provide pat on the back to reinstill pride – leadership acknowledges individual efforts in public forums (eg, spoken in huddles, written on white boards); peers schedule gratitude moments in daily huddles for peers to celebrate one another; residents are empowered along with families to offer thanks with gratitude certificates. These are carrots that add positivity to counterbalance sticks and break up the mundane nature of adherence.
- Create a sense of team: create cross-departmental contests (eg, t-shirt design) for localized swag and generate amity with unique activity (eg, staff-nominated song of the week handwashing lyrics). Generate cooperation from celebrated tier-based status such as QAPI audits and display success notably in-center.
- Provide small tokens to celebrate wins – surprise and delight with unexpected offerings. Use variable reinforcement, such as align QAPI audits with unpredictable seasonalized rewards (eg, state fair food truck, Halloween candy provisions, Thanksgiving turkeys).
- Consider wall signage – a place for people to post pictures or thoughts completing the phrase, “We vaccinate for…”