How I Learned Empathy as a Nurse

I recently received the same question at two different post-speech Q&A sessions and during an interview with the Philadelphia Inquirer:

What about your experience as a nurse prepared you to be CEO?

Well, firstly, that question kind of makes it seem like I was a staff nurse one day and the next day I was appointed CEO. In fact, my career journey took several turns from my start as a pediatric nurse in an infant and toddler unit to my current position. Still, I appreciate this question because it gives me an opportunity to talk about empathy.

As a nurse, I learned the importance of having empathy to do one’s job well. When you’re trying to teach a family how to care for a child with a new diagnosis, you want the best possible outcome for everyone involved. You try to understand how the family is coping emotionally as they recover from a health crisis in their child and are beginning to accept a potentially life-changing diagnosis. You need to try to understand their family dynamic, their knowledge and systems of childcare, their culture surrounding children. Challenges to good health are often multi-faceted, and no two families are exactly alike. Nurses regularly use empathy skills to know how an individual patient and his or her family will hear and respond to the healthcare provider’s message and use that to determine what the patient needs going forward.

Empathy and effective performance as a leader go hand in hand. As a leader in my organization, I try to put myself in the shoes of not only CHOP’s patients and families but its staff as well. I ask, how can I better enable them and support them to do their best work? Part of my mission is to get out of my office and hear from CHOP’s front line employees so that I can better understand the challenges they face and work to improve how we function.

I can also use that opportunity to tell them about important issues I see and bring the big picture of the organization to them. Together in these conversations, we figure out how they fit into that big picture and what we both need to do to get better. In order to make these effective discussions and not just opportunities for glad-handing, you have to start with empathy — an ability to listen and learn how people hear your message.

So many executive leaders don’t think about how their message will be received. They perfect their stump speeches and leave it at that. But understanding what your employees are going through is essential. When I give a talk, I do my best to find out who the audience will be, why they are coming, and what issues are important to them so I can bring nuance to my message. If I’m to give a talk on quality and value in healthcare, I’m not going to give the same talk to medical students as I do to senior medical staff. I will try to think about what the students know and what their world is about.

Put simply, I try to connect with them. And I learned how to do that as a nurse.

What is a ‘Leadership Platform’ and Why is it Important?

What is a ‘Leadership Platform’ and Why is it Important?

[Photo courtesy of The Children’s Hospital of Philadelphia]

Every leader, whether they’re leading four people or four thousand, needs a platform — a set of values for which you are (or will become) known. A leadership platform drives the culture of your team or department or organization; it is your internal roadmap that will guide you and for which you will hold yourself accountable going forward.

How do you develop your leadership platform?

One way to begin is to ask yourself:

  • What legacy do I want to leave?
  • What do I want people to say about who I am as a leader?
  • What do I want to be known for or associated with?

For people in positions of power, attention is currency. What you are saying with your leadership platform is, I’m going to pay attention to this. This is what is important to me. If you have a boss, you are telling him or her that these are the markers for which you can be held accountable. So it is important to revisit your leadership platform during your tenure in that role. It can serve as your guide and return your attention to what is important if it has strayed.

Here are a few items on my leadership platform as CEO of CHOP. In a nutshell:

  • Promoting a safe environment by reducing events of preventable harm
  • Promoting a culture of respect, including diversity and inclusivity in the workplace
  • The best ideas come from the front lines, meaning good managerial decision-making starts closest to the actual work
  • Commitment to innovation
  • Holding leadership accountable, including myself

Leaders are deliberate in their leadership. They are not only at the head of projects and the day-to-day business, they are creating the culture and making changes where change is needed.

Leaders are also talked about by employees; this is natural and to be expected. In fact, it can be a good thing, if what they’re saying helps further your agenda. For example, let’s say two employees are planning to bring an issue to their boss (that’s you), and one of them says, “Let’s not talk to her until we’ve done all of our homework. She is known for asking the following questions… and I know she will hold us accountable for the answers”. That’s your leadership platform in action!

Not only does this platform help establish your reputation, it enables you to be less wishy-washy as a leader because everyone, including yourself, knows where you stand. As you go forward in your role, your leadership platform becomes an effective guide and measure for your actions and the progress of your team.