title: Messy conversations and the willingness to be disturbed.
abstract: We all long for a sense of community in our professional lives where we can bring our spirit, passion, and whole selves to work. When we work in environments of tribal warfare and clans carrying out subversive activities, we will choose to leave our souls at home to protect them from the toxicity of the work environment. For anyone who has been cared for by nurses who have left their soul at home, you have experienced the outcome of negative environments that cannot have effective conversations. Recently a nurse told about her experience of realizing one day that she had the right to be happy at work so that she could more effectively take care of her 5-year-old daughter when she returned home. When she saw this as a right, she made a decision to leave her organization and look for a place that valued conversations and harmony rather than aggression and lack of trust. The only way to improve the world is through relationships, and conversations are the prelude to creating that change. Having the courage to reach out and start the dialogue knowing full well that it might be very messy is the only way to end the fragmentation and loss of community we experience in our organizations. Wheatley (2002) describes the experience of "...sacred as a feeling that I belong here" (p. 133). In the process of conversations, we can explore and appreciate our differences but also feel more connected and one with each other as a result of having the courage to converse. When we see each other as equals, we also free ourselves to open up to new learning and relationships which can lead to excellence in clinical outcomes. It's all about the courage of conversations.$
authors.affiliation: Clarian Health, Indianapolis, IN, USA.
authors.forename: Karlene
authors.initials: K
authors.lastname: Kerfoot
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003299:Cooperative Behavior; D017144:Focus Groups; D006126:Group Processes; D006801:Humans; D007600:Judgment; D009718:Nurse Administrators / Q000458:organization & administration / Q000523:psychology*; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D015279:Organizational Culture; D011340:Problem Solving; D012309:Risk-Taking; D012944:Social Support; D018511:Systems Integration; D035502:Trust