Author: Remo Aguilar

  • Emotional Intelligence in Healthcare: Why It Matters for Teams.

    Emotional Intelligence in Healthcare: Why It Matters for Teams.

    Emotional intelligence (EQ) is increasingly recognized as a vital skill in healthcare. With high-pressure environments, complex patient interactions, and interdisciplinary teamwork, healthcare professionals must navigate emotions effectively to ensure quality care and workplace harmony. In #HealthXPh’s upcoming chat, we explore three critical questions: What is emotional intelligence? Why do healthcare teams need it? And how can EQ be developed within healthcare settings?


    T1. What is Emotional Intelligence (EQ) for you?

    In healthcare, EQ is the ability to recognize, manage, and utilize emotions to foster effective communication and teamwork while providing compassionate patient care.

    Emotional intelligence, as defined by psychologist Daniel Goleman, consists of five core components:

    Key Components of EQ in Healthcare:

    • Self-Awareness: Understanding one’s emotions and their impact on decision-making.
    • Self-Regulation: Managing stress, emotions, and reactions in high-pressure situations.
    • Motivation: Maintaining resilience and commitment despite challenges.
    • Empathy: Understanding patients’ and colleagues’ emotions and responding appropriately.
    • Social Skills: Communicating effectively, resolving conflicts, and fostering teamwork.

    Which among this five key components is more important than the other, I don’t know. I’m still learning all five. I had spectacular failures in my clinical and administrative practice. All attributable to lack of these core components.

    Research has shown that EQ is a better predictor of professional success in healthcare than IQ alone (Mayer, Salovey, & Caruso, 2004). Medical professionals with high EQ exhibit better clinical decision-making, interpersonal relationships, and patient satisfaction (Cherry et al., 2018).


    T2. Why Do Healthcare Teams Need Emotional Intelligence?

    Healthcare environments are emotionally demanding, and EQ plays a pivotal role in team effectiveness, patient care, and professional well-being. In my experience, here’s why EQ matters in healthcare.

    Enhancing Team Communication and Collaboration

    Effective healthcare teams rely on clear communication and collaboration. Physicians, nurses, and allied health professionals must navigate complex cases while ensuring seamless coordination. As an orthopedic surgeon, collaboration and communication within and outside our team is crucial. Breakdown in communication almost always some form of a complication. High EQ fosters an environment where team members actively listen, provide constructive feedback, and resolve conflicts efficiently (West et al., 2014).

    Improving Patient Care and Satisfaction

    Patients often experience stress, fear, or uncertainty about their health. Healthcare providers with strong empathy and communication skills can build trust, ease anxiety, and improve adherence to treatment plans. Studies suggest that physicians with higher EQ scores receive better patient satisfaction ratings (Weng et al., 2008).

    Reducing Burnout and Enhancing Well-being

    Emotional exhaustion and burnout are prevalent in healthcare. EQ helps professionals manage stress, maintain resilience, and develop coping mechanisms to sustain long-term career satisfaction. Research highlights that EQ training significantly reduces burnout symptoms among healthcare workers (Codier et al., 2010).


    T3. How Can Healthcare Teams Develop Emotional Intelligence?

    Building EQ is an ongoing process that requires self-reflection, practice (lots of ), and organizational support. Self reflection and practice is an individual “skill” to develop. In our healthcare environment and culture, finding organizational support is the hardest. Here are some strategies for enhancing EQ within healthcare teams:

    1. Encourage Self-Awareness Practices

    • Use mindfulness and self-reflection exercises to recognize emotional triggers.
    • Implement 360-degree feedback assessments to gain insight into personal strengths and weaknesses.

    2. Promote Empathy and Patient-Centered Care

    • Train healthcare professionals in active listening and compassionate communication.
    • Encourage providers to put themselves in patients’ and colleagues’ perspectives.

    3. Develop Stress Management and Resilience Skills

    • Introduce mindfulness training, meditation, or stress-reduction techniques.
    • Support peer mentoring programs to build emotional support networks.

    4. Enhance Communication and Conflict Resolution Skills

    • Provide training on de-escalation techniques for high-tension situations.
    • Foster an open, psychologically safe environment where team members can express concerns without fear.

    5. Implement EQ Training in Leadership Development

    • Equip healthcare leaders with the skills to inspire, motivate, and support their teams.
    • Encourage emotionally intelligent leadership styles that prioritize employee well-being and collaboration.

    The Future of EQ in Healthcare

    As healthcare continues to evolve, emotional intelligence will remain a crucial factor in improving patient care, team dynamics, and professional well-being. Organizations that invest in EQ training can expect better communication, reduced burnout, and more effective leadership.

    By fostering an emotionally intelligent workforce, healthcare teams can create a more compassionate, resilient, and high-functioning environment—ultimately leading to better outcomes for both patients and providers.

    Don’t forget to join #Healthxph conversation on this topic, now on bluesky at March 15, 2025 9PM Manila time. See you all!

    References:

    • Cherry, M. G., Fletcher, I., O’Sullivan, H., & Dornan, T. (2018). Emotional intelligence in medical education: A critical review. Medical Education, 52(2), 231-242.
    • Codier, E., Kooker, B. M., & Shoultz, J. (2010). Measuring the emotional intelligence of clinical staff nurses. Nursing Administration Quarterly, 34(1), 8-14.
    • Mayer, J. D., Salovey, P., & Caruso, D. R. (2004). Emotional intelligence: Theory, findings, and implications. Psychological Inquiry, 15(3), 197-215.
    • West, M. A., Lyubovnikova, J., Eckert, R., & Denis, J. L. (2014). Collective leadership for cultures of high quality health care. Journal of Organizational Effectiveness: People and Performance, 1(3), 240-260.
    • Weng, H. C., Steed, J. F., Yu, S. W., Liu, Y. T., Hsu, C. C., Yu, T. J., & Chen, W. (2008). The effect of surgeon empathy and emotional intelligence on patient satisfaction. Advances in Health Sciences Education, 13(4), 527-540.

    Image by freepik

  • Photography Love: The Role of Photography in Promoting Wellness

    Photography Love: The Role of Photography in Promoting Wellness

    Exploring the Therapeutic and Psychological Benefits of Photography

    Introduction

    “A picture is worth a thousand words, but can it also be worth a thousand moments of peace?”

    Absolutely! Before I dive into the “how”, let me answer one question about this topic:

    “I’m not a photographer. I couldn’t even take a decent photo using my mobile phone. Could I possibly take photos that are “worth a thousand moments of peace”?

    Based on my experience, I have no doubt anyone can, and should take photos that gives ” a moment of peace”. Here’s my premise:

    Photography serves as a tool for mindfulness, self-expression, and emotional healing, and thus play a significant role in one’s overall wellness.

    That’s from a hobby, self-taught photographer, outdoors man and a orthopedists, who had 15 plus, playful years exploring photography and how it contributes to his mental, emotional and social experience.

    So, in this Feb 15, 2025 version of #Healthxph chat, (hi yeah! We’re on Bluesky now!) let’s explore how photography contribute to one’s mental, emotional, and social well-being.


    T1. Based on your experience, is there a connection between one’s wellness and photography?

    Understanding Wellness and Its Connection to Photography

    Definition of Wellness

    World Health Organization (WHO) defines “wellness” as a holistic state of well-being encompassing physical, mental, and social aspects (WHO, 2022). Keyes (2002) highlighted the importance of creative expression in achieving wellness. Many of us in healthcare dabble in “creative expressions” outside (but often related to) our work, labelling these as “hobbies” unless its your primary source of putting food on your table. I’m a hobby photographer and my foremost excuse for doing so is creative expression. The habit of photography recharges me after working in a very stressful environment of healthcare.

    Photography as a Therapeutic Medium

    According to Gibson et al. (2018), photography combines creativity and mindfulness, promoting relaxation and self-awareness. Mindfulness involves focusing on the present moment with non-judgmental awareness. Photographers pay close attention to their surroundings, lighting, colors, and subjects. This process shifts attention away from stressors, helping individuals stay grounded in the present and reducing anxiety. This is very true for many of us in landscape photography, as we fully immerse in the changing light of sunsets/rise, the tides, background and foreground, the sky colors, clouds, among many things. We usually prepare and wait for hours, completely immersed in what we do, for at most, a window of 8-10 minutes for sunsets/rise in the Philippines.

    I’m no psychiatrist or a psychologist but “Phototherapy”- the use of personal photographs, images, and photo-taking as a tool for psychological healing and self-exploration, a concept in clinical psychology pioneered by Weiser (2016) is very interesting. Phototherapy is a structured technique where photographs are used to trigger emotions, memories, and self-reflection, aiding in therapeutic conversations and interventions.


    T2. Is there a psychological benefit to photography? Give examples.

    The Psychological Benefits of Photography

    Photography and Mindfulness

    I’ve been a hobby photographer for over 15 years and started mindfulness practice for close to ten years. I don’t know if there is a relation or what triggered which among these, but I’m very sure there are moments when I’m completely immersed and focused on photography. My buddies (unlucky partners including) often tell me I’m a complete “snob and deaf ” when I’m shooting landscapes. I almost got hit by a passing truck while doing a “slow shutter photography” the side of a road. This is technically different from “Slow Photography” of Thomson (2020), which overall, emphasizes intentional, immersive, and mindful engagement with the photographic process . That may sound paradoxical to “living in the present moment”, but Williams et al (2018) posits photography as encouraging living in the moment and thus reduce stress and anxiety. Of course, not if you are hit by a speeding car in my case.

    Photography as a Tool for Emotional Expression

    Social media is loaded with photos serving as “tools” for emotional expression. Weiser (2016) stated that photos helps individuals process emotions and trauma through visual storytelling. Mine is much less of trauma but more on emotions- health, wellness, fun, excitement among other things. Note that my visual storytelling is often more of a “self-talk”.

    Photography and Memory Enhancement

    There are cognitive benefits to photography, if we are to believe Henkel (2014). In her study “Point-and-Shoot Memories: The Influence of Taking Photos on Memory”, she explores how photography can impact cognitive functions, particularly memory retention, recall accuracy, and perceptual awareness. The research examines both the positive and negative effects of taking photographs on memory and perception. My experience on this is mainly on portraiture and travel photography. Directing the angle, position of and lighting conditions of a model makes me remember more the shape of her face, the shades of light etc. Taking pictures of architectures and landmarks reminds me of its location, shape, significance and other nuances.


    T3. What is the connection between photography and social or community wellness?

    Social and Community Wellness through Photography

    Photography and Social Connection

    This is interesting. Let me focus on the “positive connections” between photography and community wellness. Negativity, in my opinion, predominate in many social media platforms. Chalfen (2020) mentioned that photography encourages engagement and shared experiences. Just look at the many social media communities sharing photos and videos. Many revolved around photos about the people and activities related to that community. The currency is the content which are commonly, photographs. My running and healthy lifestyle community have around 10-20 photo post in a day. Even in healthcare, engagement and connectedness is often thru photos shared by both patients and providers alike.

    Photography in Expressing Cultural Identity and Empowerment

    In many respect, a photographer often understand culture and identities through the photographic process. In my place, marginalized communities share their stories mostly through photographs (Azoulay, 2012). Capturing images of the cultural minorities made me more sensitive and thus became respectful of their practices and traditions.

    Street, agricultural and landscape photography contest made me aware of the potential of photography for social change (Wang & Burris, 1997). Powerful images often highlights social concerns that have it not for this participatory photography (photowalks), no one would dare open their beyond their horizons.

    Ecotherapy and Nature Photography

    Bratman et al. (2019) explored the psychological and physiological benefits of “forest bathing”, also known as Shinrin-Yoku, a Japanese practice that involves immersing oneself in nature to reduce stress and enhance well-being. When combined with photography, this practice becomes an even more effective tool for mindfulness, relaxation, and emotional healing. When paired with photography, this experience encourages individuals to disconnect from digital stress and enter a state of calm and relaxation. I mentioned earlier that for many landscape photographers actively observe and capture natural details (e.g., leaves, flowing water, light patterns), often engaged in sensory awareness while framing shot for a long period of time.


    T4. Give recommendations on how to use photography for wellness.

    Practical Applications: How to Use Photography for Wellness

    1. Engaging in Daily Photography as a Mindfulness Practice
      • Techniques: Photo journaling, gratitude photography, and “one-photo-a-day” projects.
    2. Using Photography in Therapy and Self-Care
      • Photovoice technique in mental health interventions (Wang & Burris, 1997).
      • Art therapy programs incorporating photography (Hagedorn, 2020).
    3. Encouraging Participation in Community Photography Projects
      • Example: The Everyday Project and community-based storytelling (Everyday Africa, 2015).

    Conclusion

    • Summary: Photography is more than just an artistic hobby; it is a valuable tool for promoting mental, emotional, and social well-being.
    • Let’s incorporate photography into our self-care routines.
    • Closing Thought: “Wellness is a journey—why not capture it along the way?”

    Don’t forget to join #Healthxph conversation on this topic, now on bluesky at February 15, 2025 9PM Manila time. See you all!


    References

    • Azoulay, A. (2012). The Civil Contract of Photography. Zone Books.
    • Bohlmeijer, E. et al. (2021). “Photography in Reminiscence Therapy: A Cognitive Boost for the Elderly.” Journal of Aging Studies.
    • Bratman, G. N., et al. (2019). “The Benefits of Nature Exposure on Mental Health.” Science Advances, 5(7).
    • Chalfen, R. (2020). Snapshot Versions of Life: The Role of Photography in Society. Bowling Green State University.
    • Fletcher, G., & Cambre, C. (2021). “Social Media Photography and Well-Being.” Journal of Digital Culture Studies.
    • Gibson, R. et al. (2018). “The Therapeutic Effects of Photography.” Psychology of Aesthetics, Creativity, and the Arts, 12(4).
    • Hagedorn, M. (2020). Photography and Art Therapy: A Creative Healing Practice. Routledge.
    • Henkel, L. A. (2014). “Point-and-Shoot Memories: The Influence of Taking Photos on Memory.” Psychological Science, 25(2).
    • Kaplan, R., & Kaplan, S. (1989). The Experience of Nature: A Psychological Perspective. Cambridge University Press.
    • Smith, J., et al. (2019). “Photography as a PTSD Coping Mechanism Among Veterans.” Journal of Military Psychology, 32(1).
    • Thompson, R. (2020). Slow Photography: Mindful Media Practices. Bloomsbury.
    • Wang, C., & Burris, M. (1997). “Photovoice: Concept, Methodology, and Use in Participatory Needs Assessment.” Health Education & Behavior, 24(3).
    • Weiser, J. (2016). Phototherapy Techniques: Exploring the Secrets of Personal Snapshots and Family Albums. Routledge.
    • WHO (2022). “Wellness and Mental Health Promotion.” World Health Organization Report.
    • Williams, A., et al. (2018). “Mindful Photography as a Psychological Intervention.” Journal of Positive Psychology, 13(5).

  • Contextualizing Conflict Resolution in Healthcare

    Contextualizing Conflict Resolution in Healthcare

    Yes, the fact that we’re tackling this issue again here at #HealthXPh makes you wonder- what’s with conflict resolution very difficult in healthcare? The last #Healthxph chat on this topic gathered significant feedback from within and outside the healthcare community. The chat itself yielded quite a number of responses and tips from our community. Yet, the act of conflict resolution pains me more than the other desirable traits of a physician .

    Conflict is nothing new in healthcare. The myriad of factors and stakeholders interests in complex systems like healthcare meant resolving conflicts is never easy. Conflicts- with patients, colleagues and the institutions we’re in also negatively impacts desired health outcomes! So let’s dig in deeper into conflict resolution this Saturday 9PM Manila time.

    T1. How do you resolve conflicts with patients?

    This may sound “what the ???” but disagreements between healthcare professionals and patients do happen. This could either be the silent and slightly verbal “argh huh, yes yes doc!”to sometimes frank fisticuffs. In some institutions, these are as entertaining and depressing at the same time.

    T2. How do you resolve conflicts with colleagues?

    Healthcare professionals are one of the most respected and patient individual on earth. They live through years of continuous stress and stressful working environment and have developed adaptive coping abilities for this. Our hippocratic oath “prescribed”a positive collegial existence with peers. Yet, we are just humans. Resolving conflicts with colleagues one of the hardest if not the hardest conflict resolution in healthcare.

    T3. How do you resolve conflicts with superiors in the academe or institutions?

    Take note, storming out doesn’t count as “conflict resolution”. Conflict resolution in this case maybe as mild as negotiation for better work environment, the more extreme as work stoppage and boycotts. I’ve seen many of these in our healthcare system I’m curious if this resolves anything? Your thoughts?

    Join #HealthXPh on this conversation at “X” (twitter) this Saturday Jan 18, 2025 9PM Manila time, with this topic, “Contextualizing Conflict Resolution in Healthcare”, with these guide questions. Don’t forget to append “#HealthXPh” to every tweet/answers you make in the conversation. See you!

  • How Healthcare Professionals Celebrate the Holidays: A Balancing Act

    How Healthcare Professionals Celebrate the Holidays: A Balancing Act

    The holiday season is celebration time for many, filled with festive decorations, gatherings, food and moments of reflection. For healthcare workers however, the holidays often bring a unique blend of professional obligations and personal celebrations. Balancing the demands of the medical field with the joys of the season requires creativity, resilience, and an appreciation for life’s small, meaningful moments. For this edition of #Healthxph chat, let’s explore how healthcare workers celebrate Christmas and New Year’s and the ways they infuse holiday spirit into their busy lives.

    A Balancing Act: Work and Celebration

    T1. “How do you manage to balance work and holiday traditions during this busy season?”

    For many physicians, the holidays are business as usual, as hospitals and clinics never truly close. Emergency care, surgeries, and other critical medical needs persist regardless of the season. However, this doesn’t mean doctors miss out on the holiday spirit. Here’s how they celebrate:

    1. Holiday-Themed Workspaces: Hospitals often decorate creatively usually with clean, recyclable hospital- used, stuff. Many healthcare professionals participate in spreading cheer by decorating their own workspaces or organizing festive activities for patients and staff.
    2. Creative Scheduling: Physicians often trade shifts with colleagues to spend time with their families. While some work Christmas Day or New Year’s Eve, they may celebrate on alternate days, ensuring quality time with loved ones.
    3. On-the-Go Celebrations: Doctors on call often bring holiday treats to work, participate in gift exchanges with colleagues, or connect virtually with family during downtime.

    Personal Traditions Amidst Busy Schedules

    T2. “What’s one memorable holiday moment you’ve had as a healthcare worker?”

    Even with hectic schedules, many healthcare workers prioritize holiday traditions:

    • Family Meals: Whether on Christmas Eve, Christmas Day, or New Year’s Day, family dinners remain a cherished tradition. For some, it’s as simple as a potluck shared after a long shift.
    • Volunteerism: Many healthcare workers extend their holiday spirit by volunteering at shelters or participating in charity events. Giving back to the community is a meaningful way to celebrate.
    • Reflection and Goal-Setting: New Year’s is a time for healthcare professionals to reflect on their accomplishments and set professional and personal goals for the coming year.

    T3. “Do you have any special ways of celebrating the New Year, whether at work or with family?”

    Join #healthxph holiday season chat this Saturday 9PM Manila time. Share personal goals, unique traditions, or resolutions, to celebrate and prepare for the new year. Append your replies with #healthxph to join this convo! Se you all there!

    Image by KamranAydinov on Freepik

  • Determining working hours for healthcare professionals: What works and what kills.

    Determining working hours for healthcare professionals: What works and what kills.

    I might be a bit exaggerating, but the never ending debate about healthcare workers workload and burnout comes to mind whenever I’m negotiating, find appropriate or schedule “working hours” for my practice. Ever since starting medical practice, my priority in choosing when, where and how I deliver care to patients, is the quality (not just quantity) of time I spent with patients. This may seem impossible in healthcare, in trauma orthopedics for example, where patient load demands are 24/7, 365 days a year. But I say, after 20+ years in practice, healthcare workers do have the power or influence over what work time fits their individual context.

    This might not be true for every healthcare professionals out there, since personal considerations and working environments is probably different than what I have. Or that there are other unique factors affecting their decisions in choosing appropriate working time. Morever, factors also differ how healthworkers evaluate or assess if their schedules indeed work for or is slowly killing. This is the topic of the #HealthXPh chat this Saturday Nov 23, 2024 9PM Manila time. Guide questions for this chat are as follows:

    T1. What are your personal considerations when choosing appropriate work schedules?

    T2. What are your work environment considerations when choosing appropriate work schedules?

    T3. In your year of practice as health worker, which among these considerations heavily influenced your work schedule?

    Please append #Healthxph to all your replies/chat to this copnversation. See you all!