What Makes a Healthcare Worker Happy?
Healthcare workers are an interesting group. We’re broad. We’re diverse. We have different needs and aspirations.
And the other day a reader me an interesting question.
Anonymous said:
As a young teen who aspires to be someone in the medical field, I have a question that’s not exactly medical related. Auntie, would you say you’re happy with what you do?
So I wanted to talk about this in terms of your characters. What will make your characters happy, or unhappy, with their healthcare jobs?
What Makes Up Job Satisfaction?
I’ll give you a hint: it’s about not the money.
Or at least, it’s not all about the money.
Characters who take jobs in healthcare are extremely diverse, but they’re all bound together by the idea of helping others. So there are a few fundamental questions you should have about your characters:
Are they helping others in a meaningful way?
Are they appreciated by their peers and managers?
Are they appreciated by their patients? How does their workplace respond if they’re abused?
Are they a good fit for the culture where they work?
Are they properly rewarded–financially and otherwise–for their work?
Do people notice when they do something good, or only when they make a mistake?
Do their stresses outweigh their joys?
Are They Helping Others in a Meaningful Way?
This question is deceptive, because first your characters need to decide what’s meaningful for them. What’s the gold-standard for a “meaningful” impact? Is it resuscitating a cardiac arrest? Is it helping usher a newborn into the world? Is it helping a burn survivor recover their appearance?
If your character wants to resuscitate people, for example, but they’re “trapped” in a job on a routine medicine floor or in a clinic, they’re likely to be unhappy. However, they may attain happiness either by finding a job that’s closer to what they want, or by changing their worldview. They may not be “saving lives”, but they’re helping sick people get better every day. Is that enough for them?
Are They Appreciated by Their Peers and Managers?
Nothing says “crap job” like busting your butt all day for patients and getting zero appreciation for it.
Unfortunately, that’s the way a lot of healthcare institutions run. Good work is ignored or belittled. Bad work is reprimanded or, in many cases, perversely rewarded.
Not all institutions are good places to work, my friends.
This is where a positive coworker, or a manager who sees and says your character’s good deeds, can make or break their day. Many people have good supervisors and bad ones; when the good ones are around their day can run great, but a bad supervisor can suck all the energy out of a unit right quick.
Are They Appreciated by Their Patients? How Does Their Workplace Handle Abuse? (Are They Safe?)
Patients can be great. I’ve met literally thousands of kind, sweet, wonderful people, and it’s been a real joy to serve and help them. I’ve gotten people who try to give us tips, who definitely give us hugs. I’ve gotten happy waves from kids on the street who want to be paramedics when they grow up.
Patients can be absolute monsters. I’ve spent 45-minute ambulance rides literally curled up in the captain’s chair in the fetal position doing my very best to not let the bastard have the satisfaction of hearing me cry. I’ve had my race, ethnicity, gender, sexual orientation, intelligence, compassion, and candidacy for “being a person” challenged by the same patient. And because of policies in place at work, because of the repercussion if I opened my mouth to reply, I was forced into a situation where I just had to sit there and take it.
That last part, that lack of support if I said anything they could use to go on the attack, is actually the hardest part. ERs can throw patients out who are disruptive or abusive; if I did it I would be breaking actual laws.
I’ve also been groped on the job. Again, my right to defend myself comes second to my employer’s concern with patient satisfaction and keeping down complaints.
So this question has huge psychological implications as to how safe your character feels at work.
Are They a Good Fit for the Culture Where They Work?
I’ll give you an example. I work two jobs right now. One is full-time. I’ve been there for ten years. And I’m preparing to leave, and try to make my part-time job my full-time job. (I’ll need another part-time job, because life is costly, but that’s another story.)
I have good coworkers, good bosses, and I make more than I will at my part time / new full time job. Shit, I work with my best friend! (see my recent reblog of A (Yester)Day in the Life of Aunt Scripty.
So why the hell would I leave?
Because I don’t belong there. I’ve never belonged there.
One job I have sees EMS as a first response agency that happens to be involved in medicine.
The other job sees EMS as a medical job that happens to involve first response.
And no matter how good the one job is, no matter how much I love it, it’s not right for me. Because we have fundamentally different views on what I do for a living.
Is nerd-dom accepted, or is it a bro-y jock culture? Does your character’s orientation and values align with the organization’s? Are they a liberal in a conservative organization? A conservative in a liberal one? Are they the only one of (subgroup X) who works there?
For what it’s worth, until your character works at multiple agencies/hospitals/clinics/etc., they may not realize the depth of the cultural divide between them and their employers, or assume that it’s natural. Sometimes we need contrast to understand what we need.
Are they properly rewarded–financially and otherwise–for their work?
Do people notice when they do something good, or only when they make a mistake? Do patients leave thank-you cards, return to the unit with gift baskets, and things like that, or are they unlikely to know the fruits of their labors?
Do their stresses outweigh their joys?
I think this is the ultimate question that discusses one of the most important questions in healthcare: burnout.
Burnout is real, and it is debilitating. It attacks us at the core of being. It hits us where we live. It’s how good, kind, compassionate people become, frankly, salty old jerks sometimes.
Much is expected of healthcare workers, particularly when it comes to compassion. And providers suffer a lot from compassion fatigue, where our ability to be compassionate to the needs of others erodes as it’s overused.
There is a moment, a line, where patients can go from being a person with needs to being a needy person. Where lines of reasonableness are being crossed, or are perceived to be crossed by the provider in question. What shifts is not the patient’s request, but how that request is interpreted.
Reasonable requests, like “Can I get another blanket?”, can feel like someone specifically trying to irritate the provider by adding to their workload or asking for something “frivolous”. And, no doubt, there are people who will make frivolous requests all day long – I actually had a patient ask me for a blanket and then throw it on the floor just to see what I would do, and tell me that that’s why he did it. But even when good people ask for the same thing, it can feel like a demand, like a stress.
Just as a heads up, this isn’t a complete list, and writers need to consider additional factors to a character’s happiness such as depression and PTSD from repeated exposure to trauma.
But Aunt Scripty, You Didn’t Answer the Question!
I know. Sometimes the answer to “Are you happy?” is “I don’t know.” There are elements that make me very happy about my jobs. There are elements that make me very unhappy about my jobs.
It’s very, very possible to also be in a position where you love the work and hate the workplace – either with bad coworkers, bad management, or bad policies.
Personally, I have two jobs. I’m happier at one than at the other, for a lot of reasons. I wish I was paid what I’m worth at either one–medics are drastically undervalued financially, and that puts real stress on my real life.
But I think the answer to “are you happy with what you DO” is yes. The work itself makes me happy. I’m proud to be a paramedic. I’m happy when people rely on me for their darkest moments. I’m less proud of when they rely on me to drag Drunk #5 off to the hospital again. But I never roll out of bed and question whether what I do is necessary or good. So there’s that.
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