Purpose & teamwork
Turning personal purpose into shared responsibility
A founder’s motivation can begin a story. The daily work of a care organization also depends on how people learn, communicate, and share responsibility.
“Any success I have is only a reflection of my brilliant, caring team.”
Abdullah Boulad, in ReVamp
Pankhuri Bhutani interviews Abdullah Boulad, founder of THE BALANCE Healthcare Group, about his personal experience and the organization’s development.
ReVamp’s August 2024 interview with Abdullah Boulad connects his personal motivation with the development of THE BALANCE and the contribution of its team. A founder’s purpose can explain why an organization begins. The continuing work depends on how that purpose is shared among people with different expertise, responsibilities, and ways of seeing a problem.
This editorial explores that shared work through practical questions about learning and communication. How does one person’s observation reach someone who can act on it? How is a decision explained to the colleague who will carry it forward? How can a person receiving care raise a question that cuts across several roles? These are ordinary organizational questions with a human purpose. They help turn a broad commitment to attentive care into a process people can understand, contribute to, and improve without asking any one individual to hold the whole picture alone.
Four questions to prepare
What does the shared purpose require each person to do in an ordinary situation?
How do colleagues pass on the context needed to understand a task or a decision?
Where can differences in professional perspective be discussed and resolved appropriately?
How does the person receiving care contribute questions and feedback to the team's understanding?
Pass on the context as well as the task
A handover can identify what needs doing without explaining why it matters. That missing context may lead the next person to interpret the task differently. Ask what the receiving colleague needs to know: the purpose, the current status, the relevant preference, and the decision that remains open. Keep the information appropriate to the role and the permissions involved.
Imagine a practical request to move a conversation. The person arranging it needs to know whether the timing is flexible, whether another professional must approve the change, and how the individual will be informed. Without those details, the request may circulate through several people while nobody knows what can be confirmed. A clear handover identifies the route to an answer.
The receiver also has a role in checking understanding. They can summarize the next step, ask about missing information, and confirm when they will provide an update. This is especially useful when several tasks sound similar but carry different requirements. A handover should leave the work in a usable state, with enough context for the next person to proceed and a clear route for questions that remain beyond their responsibility.
Make differences in perspective discussable
People with different responsibilities may notice different aspects of the same situation. A practical coordinator may see a timing problem, while a clinician sees a consideration that affects the plan. The difference is useful information when there is a clear process for bringing it together. Ask who should be involved and who has authority for the decision that follows.
Begin by describing the issue in terms each person can understand. What has been observed? What is being proposed? Which information is missing? This keeps the discussion focused on the question rather than on defending professional territory. Where clinical judgment is required, it belongs with the appropriately qualified professionals responsible for that judgment.
Disagreement does not need to be hidden behind a vague statement that the team has discussed the matter. The person affected should receive an understandable explanation of the resulting recommendation and the opportunity to ask questions. They do not need every detail of an internal debate, but they should know what has been decided and what it means for them. A shared process is useful when it produces a clear, appropriately owned next step.
Help the next colleague understand the work
Organizational knowledge can become trapped in habits that experienced people no longer explain. A new colleague may be shown what usually happens without understanding the reason or the exceptions. Teaching the work therefore involves more than repeating a sequence. It includes explaining the purpose, the boundaries of the role, and the situations that require another person's involvement.
Use ordinary examples when introducing a process. What happens when information is missing? Who can authorize a change? How should a concern be recorded and passed on? These questions help distinguish routine steps from decisions that require judgment. They also give a new colleague permission to ask before an assumption becomes part of the process.
Learning should remain possible after induction. A team can invite colleagues to identify instructions that are unclear, information that is difficult to find, or explanations that people repeatedly misunderstand. The observation should lead to a named next step where appropriate. This turns curiosity into useful organizational work rather than an abstract preference for continual improvement. It also makes knowledge easier to share as people change roles, join the team, or encounter circumstances the original instructions did not anticipate.
Keep the person's questions visible across roles
A question from the person receiving care may not fit neatly into one team's responsibilities. They may be asking about the purpose of the schedule, the involvement of a supporter, or a recommendation that affects daily arrangements. Identify the part that requires clinical explanation, the part that concerns logistics, and who will bring the response together.
Avoid making the person repeat the entire concern at every handover when the relevant information can be shared appropriately. Ask how their question is recorded, who has received it, and when they should expect a response. The process should remain understandable from their perspective. Internal activity alone does not tell them whether the question is being addressed.
After responding, check whether the answer addressed the concern that was actually raised. A detailed explanation can still miss the point if the original request was misunderstood. The person may need another example, a practical adjustment, or a different conversation. Keeping that possibility open allows their perspective to shape the team's understanding. Shared responsibility includes responsibility for making the response usable, rather than assuming that providing information automatically creates clarity.
Review one change and explain what was learned
A team can learn from a specific difficulty without redesigning every process at once. Choose an issue that has been clearly described, identify the proposed change, and agree on what would show whether it helped. The review might concern a handover, a written explanation, or a practical route for questions. Keep the scope proportionate to the problem.
Include the people who experience the process as well as those who manage it. A new instruction may look clear to its author while leaving the receiver uncertain. Ask what became easier, what remains confusing, and whether the change created work elsewhere. This helps the team assess the whole arrangement rather than only the part most visible from one role.
Consider a team reviewing an instruction that people frequently ask to have explained again. The first response might be to repeat it more slowly. A more useful review could examine the wording, the moment it is given, and whether the person receiving it knows what action is expected. Ask someone unfamiliar with the instruction to describe what they think it means, using an appropriate example that does not disclose private information. Their interpretation may reveal an assumption the authors no longer notice. The team can then revise the explanation and check whether the intended action is clearer. This is a small example of shared learning: one observation becomes a question, several perspectives inform the review, and a practical change is assessed in use rather than accepted because it sounds convincing in an internal planning conversation.
Record the decision and share the relevant learning. If the change is retained, explain how it will become part of ordinary practice. If it is revised, describe what prompted the revision. Personal purpose can start an organization, but shared responsibility gives it continuity. The daily work is carried through these modest connections: a clear task, a useful handover, a question reaching the right person, and a team willing to learn from what happens next.
