Peer Feedback for Solution 3 – Olga Sawatzky – Culture Change

I’m really curious about your choice of choosing a spiritual care staff as part of your solution. I haven’t worked in acute care in 15 years so, just the role of a spiritual care staff when supporting staff in the hospital, that’s the part I just haven’t seen. And so, what was the rationale behind that? And then if these sessions are talking about ethical dilemmas, especially in nursing practice, then is that in the scope of practice for the spiritual care staff? To me, that seems like an iffy zone, and then how can that be managed, in terms of ethical dilemmas? Maybe clients being brought up in those circles and the confidentiality around that? 

Olga answered the question thoroughly and confidently. In terms of patient confidentiality, she clearly pointed out that spiritual care staff are hospital employees and are bound by privacy and confidentiality policies. She described spiritual care practitioners’ diverse training backgrounds, including counseling, highlighting their role in supporting patients and staff as well as in program development and implementation. She also shared her personal positive experience with spiritual care professionals, which effectively answered my question about the rationale for their involvement in her proposed solution.

Olga’s presentation style was very engaging. She began by posing a question to the audience and effectively used a figure of speech to explain the importance of buy-in. Olga’s slides effectively highlighted her key points using emphasis from multiple font styles, such as red. This approach clearly communicated her ideas, particularly regarding how change management failed during the decriminalization of substances. The slides were not text-heavy and included visuals that complemented her verbal content well. The rationale and strengths of her solution were delivered with impact, supported by good examples drawn from both practice and research. 

Olga’s presentation was considerably over the time limit of 10 minutes, which can detract from the overall effectiveness and audience engagement. While all the content of her presentation was interesting and relevant to the wicked problem of decriminalization and the proposed solution, further synthesizing and editing of the information could have improved her time management.  

Olga identified important challenges with her solution such as time considerations for nurses and risk of re-traumatization or nurses feeling triggered. However, she did not provide a recommendation to address these specific challenges. The recommendations she offered applied more to the general implementation of the solution, rather than mitigating the identified risks.

1. Edit the presentation to the required 10-minute timeframe. Olga could have further synthesized the material to fit the required 10 minutes. This involves identifying and removing redundancies (information repeated across slides or spoken word) and non-essential details. Specifically, the introductory portion that further described the “wicked problem” could have been streamlined or eliminated, allowing for adequate time and focus on the proposed solution.
2. Shift focus from problem description to solution description. Olga spent approximately seven minutes detailing the problem, consuming valuable time. The problem could have been minimized to provide necessary context. Her content on the problem could have been appropriately moved to the beginning group portion of the overall presentation, allowing Olga’s individual segment to start with the audience already understanding the challenge of additions to nurses’ workloads. This change would immediately improve time management and allow for a deeper explanation of how the solution works. 
3. Link recommendations to identified challenges. While challenges were noted (e.g., nurse time constraints, risk of re-traumatization), the subsequent recommendations did not directly address these specific issues. Addressing the identified challenges and their consequences explicitly would have strengthened the feasibility of the solution.