We all think we’re self-aware – just like we all think we’re above-average drivers.
Dr Liz Crowe explores the myths and blind spots of self-awareness in healthcare, and why genuine feedback (not just praise) is vital for safe practice – as well as knowing the face you pull when you lose your temper.
A highlight from the 2024 PAC Conference in Adelaide.
Speaker biography:
Liz is a staff wellbeing specialist and organisational solutionist who works at the RBWH. After decades in the paediatric critical care specialising in trauma and grief, Liz did a PhD examining the risk and protective factors for staff wellbeing. Liz is an academic, a podcaster, an educator, a debriefing advocate, a disruptor and clinically supports staff day to day.
Insights:
(powered by OpenAI)
- Self-Awareness in Healthcare Teams:
Most clinicians believe they are self-aware – yet research shows less than 10% truly are.
Without external feedback, reflection becomes a “database of one,” and blind spots go unchecked.
- The Feedback Illusion:
Healthcare professionals often ask for more feedback but are subconsciously seeking affirmation.
True feedback requires psychological safety and openness to discomfort – not just praise.
- The Impact of Low Self-Awareness:
Lack of self-awareness in senior or influential team members can destabilise entire teams.
People work around “difficult” colleagues, leading to hidden fractures, reduced communication, and patient safety risks.
- Everyday Behaviours and Psychological Safety:
Seemingly small acts – like eye-rolling or dismissive comments – can undermine trust as deeply as overt misconduct.
Teams must recognise that safety depends on empathy, authenticity, and consistent behaviour.
- Cognitive Bias and Team Dynamics:
We judge ourselves by our intentions but others by their behaviour, reinforcing misunderstanding and tension.
Addressing these biases is essential for genuine collaboration and effective teamwork.
- Conflict Roles and the Drama Triangle:
In conflict, people tend to adopt roles of victim, rescuer, or perpetrator – often shifting between them.
Recognising these patterns helps teams move from reactive dynamics to constructive communication.
- Practical Self-Awareness Strategies:
Ask trusted colleagues or loved ones how they perceive your reactions and listening habits.
Noticing subtle cues – like the “face you pull” before losing your temper – can build emotional control and relational awareness.
- Culture of Reflection and Learning:
Debriefing should occur after every shift, not just after adverse events.
Regular, non-punitive reflection strengthens resilience, trust, and learning across teams.
- Authenticity and Emotional Intelligence:
Technical skill alone is not enough; authenticity and empathy make expertise accessible.
Clinicians who balance competence with kindness create safer, more connected workplaces.
These insights remind us that healthcare is as much about self-knowledge as it is about skill – that awareness, humility, and empathy are what truly keep teams, and patients, safe.
From the 2024 APLS Paediatric Acute Care Conference in Adelaide.