A Positive Approach
April 30, 2019
What’s your first thought when you hear someone throw the word “feedback” around? If you’re like many people, you may have a less-than-positive reaction. Though you probably realize it’s important for others to evaluate your work, you may have anxiety over hearing about all the things you did incorrectly. After all, who likes getting chewed out?
A quick visit to merriam-webster.com reveals that the online dictionary defines feedback as “the transmission of evaluative or corrective information about an action, event, or process to the original or controlling source.”
Feedback is generally regarded as a corrective action. Does this make it sound as though when you receive feedback, someone is going to put you in your place so you can get with the program and get up to speed?
Of course, you probably realize that in both professional and personal settings, feedback doesn’t have to be—and ultimately shouldn’t be—a negative concept. It’s possible and preferable to give positive feedback to someone, though this doesn’t always happen.
Writing for the online version of Forbes Magazine, Cord Himelstein suggested, “Positive feedback loops are a fundamental concept in psychology, and the science behind them is simple: Give people feedback about their actions in a timely manner without fear of reprisal, and it gives them a healthy opportunity to work toward better behaviors. Strong feedback loops strengthen relationships on the whole, making them more resilient to change or adversity. [They are] much more effective at encouraging behavior change than giving orders or reprimands.”1
Does this make more sense than sitting down with a manager who gives you a long list of all the mistakes you’ve made or who even chides you for all the areas in which you’ve come up short?
After more than two years of studying feedback and evaluation, the International Academies of Emergency Dispatch® made some recent changes to the way Q’s evaluate emergency dispatchers in the QA/QI process. These new methods are part of the Performance Standards 10th Edition.
A new era of case review and quality management
In May 2018, the IAED™ rolled out the Performance Standards 10th Edition as the latest set of performance requirements for medical, police, and fire emergency calltaking. Fully integrated into AQUA® Ascent, these standards are used when communication center Q’s review recorded emergency calls for quality.
Perhaps the biggest change to this update and the most significant aspect of the Performance Standards 10th Edition is that case review and quality management are no longer just about deviations from established standards, but allow the reviewer to discuss overall performance with the emergency dispatcher.
This approach does away with anxiety-filled evaluations and introduces a strengths-based way to review calls and provide feedback. What results is a much more positive meeting where the emergency dispatcher can move forward knowing what he or she is doing well in addition to ways in which improvement can come.
Standards in this update are also more succinct and clear. This helps ED-Qs not only review calls more quickly but also more accurately. In fact, this innovative approach cuts down on the total number of cases your center has to review.
Brian Dale, Associate Director of Medical Control and Quality Processes for the IAED, said, “Standards 10 makes it possible for management, ED-Qs, and emergency dispatchers to focus on improving the system, both of the calltakers and the software they’re using.”
Early feedback about the Performance Standards 10th Edition following NAVIGATOR 2018 in Las Vegas, Nevada, (USA), was overwhelmingly positive, and QA/QI professionals in agencies everywhere continue to heap praise on the new feedback direction.
Out with the old
If you’ve ever dreaded meeting with an ED-Q™ to discuss QA/QI, you’re not alone. In the past, it has been common for emergency dispatchers to look at these review sessions with trepidation and nervousness. These case review meetings may have even been painful, leaving you with feelings of failure.
For Q’s, the review process has been challenging as well. The old system required them to point out INSIGNIFICANT errors and call out even the most minor mistakes in calltaking. This made interactions with emergency dispatchers awkward and could even sour relationships with increased tension and negativity. ED-Qs have faced a full plate of thankless assignments and often worked themselves into exhaustion with the frustrating tasks of delivering negative feedback.
Things have changed for the better.
The Performance Standards 10th Edition helps foster more positive dialogue between Q’s and emergency dispatchers. Now, these professionals can have a meaningful, productive discussion about the person’s performance without focusing on deviations. The simplified, streamlined standards are clearer and better outline expectations.
Is negative feedback ever OK?
An emergency communication center is a unique place, different from most other workplaces. Each day, you speak with emotionally charged callers on the worst days of their lives.
During the course of a typical day, you could experience the lows of knowing a patient didn’t survive despite a caller’s CPR attempts, and you could go through the highs of helping bring a new baby into the world through over-the-phone delivery instructions. Your feelings could move from fear, shock, grief, or pain to elation, relief, or gratitude in a matter of minutes.
You often reach the brink of human capacity when it comes to managing your emotions. It’s one thing to stay on the line with a frantic caller who’s involved in a life-or-death struggle or to take the relentless barrage of verbal abuse that often comes from frightened, angry people. But receiving negative feedback from a supervisor or Q might be the last thing you want to hear in the middle of another challenging day under the headset.
However, in the workplace, there are times when a manager may need to sit down with an employee and discuss the need for improvement. In fact, some people respond well to such direction and use it as a catalyst for positive change.
Houston Chronicle writer Jared Lewis points out, “Other employees not only change their behavior in response to negative feedback, but also feed off the feedback as a source of motivation. Those who are either angered or at least driven to do a better job can use the negative feedback as a means of improvement in terms of performance. Some people approach negative feedback with the attitude that they will show the employer that the feedback he provided was wrong. With these employees, the ‘I'll show you’ attitude usually prevails.”2
Lewis further argues that other workers reflect deeply on negative feedback and allow it to shape their attitudes and govern the way they approach their work going forward.
“Some employees respond to negative feedback in a less emotional and more cerebral manner,” he said. “These employees assess the feedback as an opportunity for self-reflection and a learning opportunity. These eternal optimists see the feedback as an indication that they need to pay closer attention to their own performance and behavior so that they can do a better job in the future. In this sense, negative feedback inspires change.”3
The harmful consequences of negative feedback
The effects of negatively focused feedback can be detrimental in the comm. center to Q’s, managers, emergency dispatchers, and to the workplace as a whole.
In a counter-argument to Lewis’ viewpoint, fellow Houston Chronicle business writer Lisa Mooney asserts, “Giving negative feedback to an employee is one way of addressing an issue, but it is often one laden with repercussions that are harmful to your business.”4
While it’s true that presenting an employee with a list of things to do better or with a rundown of all the things he or she does incorrectly can inspire some people, Mooney said this approach won’t produce the long-term impact management ultimately wants.
“This strategy does not encourage the worker to replace the unwanted behavior with a new positive behavior,” she said. “While an employer must do what is needed to stop adverse behavior, he should be prepared to provide positive feedback where possible. Giving positive feedback increases the employee's desire to exhibit more positive behavior—resulting in more productivity and a happier workplace.”5
Mooney offers four potential results in an office where negative feedback flows freely: low self-esteem, fear, poor job satisfaction, and resentment.
- Low self-esteem
- Job satisfaction
A better way
Thankfully, with the Performance Standards 10th Edition, Q’s and emergency dispatchers alike can avoid many of the challenges other organizations face with evaluations and reviews. While there is certainly no infallible system, the Performance Standards 10th Edition helps remove the barriers to positive communication by recognizing performance more than highlighting mistakes.
The Council of Standards approved this new direction after the IAED received input from members across the globe. In summary, here are the key details of the Performance Standards 10th Edition:
- Simplified and streamlined performance requirements
- The focus is on emergency dispatcher performance, not deviations and errors
- Research based
- Q’s are to review fewer cases
- Built into AQUA 7 Ascent for a faster and easier case review process
- ED-Qs and management can focus on improving system performance
- ED-Qs now look for excellent calls and can give them exemplary status
- Does away with INSIGNIFICANT errors
1 Himelstein C. “The Importance Of the Employee Feedback Loop.” Forbes. Forbes Media LLC. 2018; Aug. 1. https://www.forbes.com/sites/forbescommunicationscouncil/2018/08/01/the-importance-of-the-employee-feedback-loop/#1e3e82562026 (accessed Jan. 8, 2019).
2 Lewis J. “How Negative Feedback Affects Employees.” Chron. Hearst Newspapers, LLC. 2019. https://smallbusiness.chron.com/negative-feedback-affects-employees-26262.html (accessed Jan. 9, 2019).
3 See note 3.
4 Mooney L. “The Influence of Negative Feedback on Employees.” Chron. Hearst Newspapers, LLC. 2019. https://smallbusiness.chron.com/influence-negative-feedback-employees-12588.html (accessed Jan. 9, 2019).
5 See note 4.
6 Alexander DM. “How Do 360 Degree Performance Reviews Affect Employee Attitudes, Effectiveness and Performance?” Schmidt Labor Research Center Seminar Research Series. 2006. https://digitalcommons.uri.edu/cgi/viewcontent.cgi?referer=https://www.google.com/&httpsredir=1&article=1014&context=lrc_paper_series (accessed Jan. 9, 2019).
AED Use In Infants
Emphasis should be on ventilations and compressions initially
Aspirin Administration By EMDs
Equation calculates staggering amount of time saved not waiting for possibly lifesaving aspirin