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April 30, 2025 29 mins

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Culture Change RX host Sue Tetzlaff converses with guest Christen Tenbusch of Covenant Healthcare about employee engagement examples and impact. They discuss the evolution of employee experience and patient experience, the empowerment of staff through focus groups, and the significance of creating a safe space for dialogue. Christin shares insights on flipping the hierarchy to empower staff, the impact of language in leadership, and the challenges of recruitment and retention in the healthcare sector. The conversation also touches on effective onboarding strategies and the necessity of engaging the C-suite in these initiatives to foster a positive organizational culture.


  • Engaging employees is crucial for improving patient experience.
  • Focus groups empower staff and enhance their engagement.
  • Creating a safe space for dialogue fosters trust and communication.
  • Flipping the hierarchy allows frontline staff to guide decisions.
  • Language matters; changing terms can improve buy-in from staff.
  • Behavior standards that are employee created are met with better acceptance.
  • Growth and development opportunities are essential for retention.
  • Recruitment challenges persist, especially in nursing and entry-level positions.
  • Onboarding processes that include a phased approach can meet each new employees' unique needs.


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