Conflicts are bound to happen – but how you deal with them is crucial
Differences of opinion, friction and conflicts are part of everyday working life. All companies have found ways to deal with them. Internationally recruited nurses will also be involved in conflict-loaded situations. How conflicts are dealt with depends not only on someone’s personality but also the culture they come from. And in Germany too, there is not always a unified and fair culture of conflict. However, it is advantageous to weigh up rules and boundaries, and to be able to see things from the perspective of mainstream society.
Culturalisation and ethnicisation of conflicts
International migration is a controversial topic of debate in Germany. This is reflected in everyday working life. It could be that existing colleagues do not agree with the international recruitment. Those in need of care and their relatives can also be hostile to nurses from abroad and express this with derogatory comments. In the process, factual problems or easily solvable misunderstandings can be culturalised or ethnicised. For example: “That’s a colleague from the Philippines, they are simply like that ‘there’ – the situation will never change, either.” One consequence of such an assumption is that these colleagues are easily kept out of decision-making processes because they are denied a dynamic of change.
A company that recruits employees internationally must also be responsible for dealing with conflicts associated with migration, culture and religion within the company. Particularly with this issue, it becomes apparent how resilient the welcome culture in the company really is. Especially in the case of cultural misunderstandings, an integration manager can simply act as a contact person.
Establish procedures – make the rules of the game transparent
So as not to give way to arbitrariness here, it is a good idea to check existing requirements, also with regard to racist and xenophobic characteristics. For example, in the event of team conflicts or conflicts with people in need of care and their relatives. To whom are such incidents reported, who is involved in conflict resolution and what criteria are followed during the procedure?
These questions can be discussed within the company’s own quality management procedure and appropriate answers can be decided upon. Through this kind of proactive approach to these topics, those affected feel more encouraged to address relevant incidents – and can prepare for what will follow. This transparency offers security.
Regular training for managers on legal requirements such as the AGG is equally important.
Develop language skills
Experience shows that language comprehension difficulties in particular are often misinterpreted as a lack of professional expertise or even a general weakness. Employers who want to empower their employees who are still relatively new to living and working in Germany should therefore consider how they can promote German language skills beyond the B2 language test, for example by financing further language courses. This also helps to strengthen employees’ confidence.
In addition to language courses, mentoring and sponsorship programs can also facilitate integration and language learning. Read more about this in the “Buddies and mentoring programmes” section:
Involve the works council at an early stage
Works councils can also play an important role in the operational, professional and social integration of internationally recruited nurses.
As an institutionalised employee representation in the company, works councils can play a role in involving the new colleagues in operational co-determination structures and inviting them to help shape work-related decisions. Works councils also represent the interests and perspectives of new colleagues recruited from abroad to their employers – both in terms of contractual terms for new hires and in conflicts between employer and employee.
In addition, the works council can act as a mediator within the workforce, for example, if conflicts arise between regular employees and newly recruited ones.
It is advisable for employers to get in touch with the works council at an early stage – when the international recruitment of specialists is first being considered as a recruitment strategy, as well as when the operational integration management concept is being developed.
Talking about racism – also in the workplace!
Racism is a complex social problem that can quickly become overwhelming when discussed. Many people find it difficult to talk about. Those affected often have to fight for recognition of their experiences and risk being retraumatized. Meanwhile, people from the majority society or those not affected may feel forced into a “role” with which they do not identify or which they have not yet come to terms with.
This makes it all the more important to consider and address this issue transparently and sensitively. The German government has published a proposal for a working definition of “racism” that ministries, authorities, and public administrations can use to identify and counteract racist practices and structures. To the brochure.
Care and healthcare companies can also actively work with this definition, incorporating it into their corporate integration management concept or using it in training courses and workshops. It helps to understand racism as a structural problem and creates a helpful basis for dealing constructively with uncertainties or defensive attitudes.
Racism is often understood as intentional, malicious, and individual behavior. In fact, it is often unreflective patterns of thought and behavior, stereotypical attributions, unconscious prejudices, and deeply rooted structures that constitute racism in everyday life. Unfortunately, this leads to repeated incidents of racist discrimination and prejudice in the workplace, including in everyday nursing care. A patient may not want to be treated by a nurse with a migrant background if derogatory or racist comments are made among colleagues or if a person’s medical qualifications are denied because of their social, cultural, or ethnic origin.
At the same time, it is important to communicate that coming to terms with one’s own position and the privileges associated with it is an individual process that takes time. This helps to set realistic expectations and reduce pressure on individuals. Integration managers and executives in particular play a crucial role here.
They can create structures, develop preventive measures, and promote a diversity-oriented corporate culture in order to consciously manage racism in the workplace—and in doing so, lead by example.
But what if those who bear this responsibility are themselves affected by racism? They often find themselves in a particularly difficult dual role. On the one hand, they are expected to act as role models and address the issue of racism openly, but on the other hand, they may face resistance from company management or colleagues, which makes it difficult or even impossible to discuss the issue openly. In such cases, it is important that the individuals affected are not left alone. It can therefore be useful to appoint a trained contact person or set up a separate office that offers a safe space for all employees to ask questions, express concerns, and report racist incidents. This can help to reduce uncertainty and promote constructive discussion—not only reactively, but also proactively. As an employer, it is important to establish fundamental anti-discrimination structures, for example in the form of guidelines against racism or company agreements.
There should also be trustworthy points of contact for discrimination-related issues that those affected can turn to. This can be in the human resources department, the works council, or in larger companies even in the form of an anti-discrimination office. Preventive work through continuing education, such as joint company training courses to improve skills, can also be an effective method of combating racism in the workplace. The goal should always be to raise awareness of the problem among the workforce and to credibly reflect a zero-tolerance policy toward racism and xenophobia within the company. This can also be reflected in the selection of personnel. However, it is important to encourage employees to openly and directly oppose racism and to reinforce this with appropriate and noticeable (disciplinary) measures within the company.
Podcast: Gut versorgt?! – Empowerment für Diversität ©PODCAST EINS
As part of the „Empowerment für Diversität“ project at Charité – Universitätsmedizin Berlin (funded by Stiftung Mercator), this podcast series is dedicated to the challenges of racism and various forms of discrimination in healthcare.
Experts from the fields of medicine, science, politics and civil society provide valuable insights into how fair and diversity-sensitive healthcare can succeed.
Using real-life case studies, the podcast highlights where discrimination makes participation more difficult and what systemic changes are needed to create equal opportunities. It also sheds light on the integration of internationally recruited care professionals, who make a decisive contribution to the provision of care. Successful integration requires diversity-oriented organizational development with a racism-critical perspective. In addition to linguistic and organizational support, there is a particular need to raise awareness of exclusion mechanisms in the operational context, which can be both an obstacle and a lever for sustainable integration.
to the Podcast „Gut versorgt?! – Empowerment für Diversität“
(in german language)
Particularly relevant for those responsible in the care sector:
Hospitals in dialog – the health policy podcast of the Deutsche Krankenhausgesellschaft – Episode 32
In this episode, Dr. Gerald Gaß, Chairman of the Board of the German Hospital Federation (Deutsche Krankenhausgesellschaft, DKG), welcomes Dr. Sidra Khan-Gökkaya, Board Representative for Migration, Integration and Antiracism at the University Medical Center Hamburg-Eppendorf (UKE).
Dr. Khan-Gökkaya reports on her unique tasks at the UKE, which aim to promote diversity in the hospital landscape and counteract discrimination and racism. She discusses with Dr. Gaß how hospitals need to change to accommodate increasing diversity and sheds light on the importance of migration and integration in the healthcare sector. The conversation also focuses on the immigration of nurses, the importance of language and workplace integration in hospitals.
The podcast offers insights into the challenges and opportunities associated with promoting diversity and operational integration of professionals in hospitals.
You can find the podcast here.
Countering the spread of hate speech, targeted disinformation and conspiracy narratives
Business Council for Democracy (BC4D)
offers employees free training on the topics of hate speech, targeted disinformation and conspiracy narratives. Participants learn how these phenomena arise, how they spread and what measures they can take to counter them. The aim is to empower people to deal critically with information and to take an active stance against disinformation and hate in the digital space.
You can find all information here.
Protection against discrimination in the workplace through a good organisational culture / BGW-Forum 2023 “Kulturelle Vielfalt”
Dr Sidra Khan-Gökkaya, Integration and Anti-Racism Officer, University Medical Center Hamburg-Eppendorf and Sinja Friedl, Nursing Centre Management, University Medical Center Hamburg-Eppendorf show a good example of this in this video excerpt from the BGW Forum, the importance of structurally anchoring processes in relation to dealing with (racial) discrimination and that management responsibility is particularly important in conflict resolution (in German only):
Diagnose Diskriminierung* (Diagnosis of discrimination*)
Counseling and complaint options for experiences of discrimination in the healthcare sector
The study, which was carried out as part of a research project on behalf of the Federal Anti-Discrimination Agency, looks at what happens when people turn to a contact point after experiencing discrimination in the healthcare sector. Those affected do not always find the necessary support structures there. However, there are also many positive examples that provide guidance for good practice:
To the study “Diagnose Diskriminierung*
(only in German language available)
Intercept conflicts before they happen
In addition to the development of intercultural competencies in the team and at management level, an anti-discriminatory organisation culture and the structural anchoring of a process for recording complaints, it is also advisable for companies to reflect on their own processes at regular intervals and to obtain feedback on them in order to promote early recognition of conflicts and action.
Regular feedback meetings can help here. These should be well prepared for and absolutely take place on equal terms. At the same time, you should also be aware that not everyone feels comfortable expressing verbal feedback directly. In comparison, it is noticeable that in professional contexts in Germany, criticism is often expressed very directly, conflicts are openly addressed and an equally open and honest reaction to them is expected. In other countries, this may be different and the handling of criticism or feedback may be different. You should be aware of this and offer your new colleagues different ways to express themselves and give feedback.
Below there is a video clip from an interview with Grace Lugert-Jose. She is an intercultural trainer and adviser, and explains how employers can systematically gather feedback and suggestions with the help of the anonymous “ZEIP” questionnaire tool (not free-of-charge), without choosing a direct questioning approach.
You can find the full version of the interview with Ms Lugert-Jose here
Comprehensive assistance
and suitable material on the topic of diversity awareness in the world of work is also available in the Charta der Vielfalt (charter of diversity)
Online toolbox for anti-racist awareness-raising
In addition, together with experts from anti-racism work and diversity staff networks, an online toolbox for anti-racist awareness-raising was developed especially for companies and organisations.
Online toolbox for anti-racist awareness-raising
The project was funded by the Federal Government Commissioner for Migration, Refugees and Integration (Beauftragte der Bundesregierung für Migration, Flüchtlinge und Integration) and the Federal Government Commissioner for Anti-Racism (Beauftragte der Bundesregierung für Antirassismus).
The brochure „Widersprechen und sich positionieren“ (Contradict and take a stand) provides effective conversation strategies for confidently countering discriminatory and right-wing statements in everyday life, remaining capable of acting, and taking a clear stance.
Develop new skills in conflict management
For many managers, it will also be a new experience to proactively address issues related to international migration and to behave confidently and fairly. It is worth taking a look at the training and education market. Under keywords such as diversity management, intercultural openness, and intercultural competence, there are a wide range of offerings to help companies proactively adapt to an immigrant society, a globalized nursing labor market, and modern human resource management.
In addition, diversity skills and diversity-oriented organizational development should be understood as holistic cross-functional tasks. They affect all areas of the company and form the basis for equal opportunities and sustainable integration in the workplace. This creates a fair, appreciative, and discrimination-sensitive working environment. Training courses on the AGG, intercultural communication, and conflict management should also be mandatory for managers.
You can find further information about this here:
Information and advice
in issues about the rights and obligations in an employment relationship and problems in your job:
Operational integration of nurses from abroad
A study by the Hans Böckler Stiftung
On the basis of an analysis of the operational integration process of migrated nurses, tension relationships that arise between newly migrated and existing employees at the workplace are revealed and solution strategies are shown here.
Podcasts on the topic of resolving conflicts
BGW-Podcast: “Herzschlag – Für ein gesundes Berufsleben” (“Heartbeat – For a healthy working life”) in German language
In this podcast series from the Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege (BGW) (German Social Accident Insurance Institution for the health and welfare services), experts discuss how to stay fit, healthy and motivated at work.
Conflicts are inevitable in everyday working life, especially in stressful professions such as nursing. Of course, this not only affects international nursing staff, but the team as a whole. The individual podcast episodes provide answers to how conflicts can best be resolved.
#88 Konflikte im Team lösen: Welche Rolle spielen Hierarchie und unterschiedliche Generationen? (Resolving conflicts in a team: What role do hierarchy and different generations play?) This is how important a healthy working atmosphere is. What conflicts are there? And how conflicts can best be resolved.
to the Podcast #88 in German language
#89 Konflikte im Team lösen: Konflikte im Team lösen: – der richtige Umgang mit Sexismus und Rassismus. (Resolving conflicts in a team: Resolving conflicts in the team: – the right way to deal with sexism and racism.) What is the best way to deal with it? Where are the boundaries? And who can I turn to if I am confronted with it?
to the Podcast #89 in German language
#85 Kulturelle Vielfalt in der Pflege – Sichere und gesunde Integration von Fachkräften. (Cultural diversity in care – Safe and healthy integration of skilled workers.) With nurses from abroad, more and more cultures are coming together in the workplace. This is precisely why exchange is particularly important.
to the Podcast #85 in German language
The most important things for your to-do list
As an employer, you are responsible for actively addressing conflicts reported to you and preventing them as far as possible by means of mature quality management.
Introduce AGG-compliant guidelines and policy statements on anti-discrimination and diversity.
Establish a complaint management system and set up contact points to prevent discrimination and enable a consistent response in the event of incidents.
Introduce training on the AGG, intercultural communication, and conflict management as mandatory components for managers.
Offer psychological support to employees affected by discrimination
Continue to promote language training as a form of empowerment
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