Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong

Aled Jones*, Daniel Kelly

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

<jats:p>Several public inquiries into healthcare failings in the UK have noted that employees of failing organizations attempt to raise concerns about shortcomings in care, often over a prolonged period of time, only for those concerns to be ignored. However, healthcare literature has largely focused on how organizations and their employees are silent in the face of such failings, positioning employees as daring not to speak in response to serious workplace problems or issues. We argue that only focussing on organizational silence is a critical mistake which misrepresents actual events and overly-simplifies the complexities of workplace culture. The disregard shown by academics, practitioners and policy makers to employee voice strategies, which do not amount to whistle-blowing, but equally cannot either be defined as “silence”, results in signals being ignored that can be effective in preventing and ending wrongdoing by others. In addition to understanding silence we suggest therefore that better understanding of why organizations are deaf to, or disregard, employee concerns are needed. We propose that a virtuous cycle is possible, whereby the introduction of systems that result in better listening and valuing of employee concerns reinforces a culture of speaking up and, in turn, organizational learning. Similarly, organizations that disregard employees concerns are destined not to learn, ultimately falling silent and failing.</jats:p>
Original languageEnglish
Pages (from-to)709-713
Number of pages0
JournalBMJ Quality &amp; Safety
Volume23
Issue number9
Early online date11 Jul 2014
DOIs
Publication statusPublished - Sept 2014

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