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TED Talks Daily

How to speak up — even when you don’t want to | Sarah Crawford-Bohl

25 Apr 2025

Transcription

Chapter 1: What is the main topic discussed in this episode?

0.031 - 19.336 Unknown

Tiesitkö, että joka neljäs yli 40-vuotias mies kokee virtsan karkailua? Se on todella yleistä, mutta siitä ei silti juuri puhuta. Tenamen suojat on suunniteltu erityisesti miehille. Huomaamattomat, varmat ja luotettavat. Ota tilanne haltuun Tenamenin avulla.

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Chapter 2: What prevents us from speaking up in difficult situations?

29.63 - 59.617 Elise Hu

You're listening to TED Talks Daily, where we bring you new ideas and conversations to spark your curiosity every day. I'm your host, Elise Hu. Why is it that for so many of us, silence in the face of an uncomfortable interaction feels like the easier path forward, even when we're dying to speak up? In her talk, healthcare executive Sarah Crawford-Bowl shares why we often struggle with confidence in challenging situations, and offers steps for finding the courage to lean into tricky conversations.

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59.617 - 85.537 Sarah Crawford-Bohl

Silence. It can be a needed moment of peace and contemplation. But what happens when silence becomes a barrier? A barrier that muffles the voice of truth, of advocacy, of change.

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87.072 - 115.304 Sarah Crawford-Bohl

Speak up. Advocate for yourself. Stand up for what you believe in. That's what they say, right? Well, even though I know they're right, it's easier said than done. I'm sure we can all think of a time when we faced a crossroads. Perhaps the precipice of an uncomfortable conversation. When speaking up felt like the right, if not even essential path.

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116.317 - 143.755 Sarah Crawford-Bohl

but silence seemed safer. I can vividly see and feel myself being in those moments, times when I stood red-faced, embarrassed or offended, frustrated or angry, with a sinking feeling in my stomach, unable to find my voice and unsure if I had the courage, confidence or will

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144.413 - 171.127 Sarah Crawford-Bohl

to face the difficult conversation before me. Sound familiar? We're not alone. Research from VitalSmarts, a global leader in organizational performance and leadership, tells us people would rather quit their jobs than address a challenging situation. In this post-pandemic time, with baby boomers retiring and a wave of quiet resignation upon us,

171.616 - 190.415 Sarah Crawford-Bohl

The world seems to be working short-staffed. I'm a nurse and I've worked in healthcare leadership for a long time. And I'm here to tell you, in this profession, we can't risk losing anyone. Especially not for the reason of avoiding a challenging conversation.

192.119 - 216.183 Sarah Crawford-Bohl

In a world where we are experiencing increasingly rapid cycles of change, we can expect difficult conversations, particularly in the workplace, to happen more often than ever before. Moments such as sharing feedback, identifying mistakes, or calling out disrespect. They're not always easy, but often critical to the performance of both individuals and a team.

218.107 - 246.895 Sarah Crawford-Bohl

In healthcare where stakes are high, our willingness to raise concerns can be vital to the quality of care we provide, but also to the safety of patients and the care team. In fact, research also tells us that when we do speak up, we experience more job satisfaction, increased team morale, and in my world, support better patient outcomes. I've experienced this for myself.

248.178 - 272.967 Sarah Crawford-Bohl

I don't have all the answers and I don't always get it right. In fact, I make a mess of it sometimes. But often I've found it's a bit like cardio or weightlifting. Well, we feel a bit vulnerable at the time. With practice, we start to experience the benefits. It gets easier and we get better at it.

Chapter 3: How can we find the courage to engage in uncomfortable conversations?

274.182 - 304.051 Sarah Crawford-Bohl

We need to find a path to help us get past that initial fight, flight or freeze response to get us to the table and make leaning into uncomfortable conversations the desired action for our own benefit as well as to benefit those around us. Now, I was fortunate. I had some amazing role modeling by parents who encouraged me to use my voice, specifically when I knew I should but didn't want to.

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305.789 - 334.679 Sarah Crawford-Bohl

My mom, an intensive care nurse for many years, had a special ability to address tough topics. Traumas, embarrassing bodily functions, or sharing critical feedback. She always created airtime for normally avoided matters. With a fierce moral compass that was sometimes incredibly frustrating, she advocated for what was right.

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335.523 - 363.839 Sarah Crawford-Bohl

Showing me the importance of standing up for oneself and others, even when uncomfortable to do so. My mom, she died a long time ago now, and I still miss her desperately. Something I think I miss the most, though, is her always knowing the right thing to do and the way she guided me with that moral compass. And despite having a couple of degrees under my belt,

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365.105 - 386.013 Sarah Crawford-Bohl

Tutkimukset siitä moraalista rauhaa tuottavat minua enemmän kuin jokaisen minun normaalin oppimiseni. Hän näytti minulle, että osallistujat, ja tarkoitan kaikkia, sekä normaaleja että informaaleja, tekevät tärkeän roolin käsittelemään rauhallisia keskusteluja ja luomaan turvallinen paikka, jotta toiset tekevät saman.

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387.481 - 414.329 Sarah Crawford-Bohl

It's probably her strong commitment in this area that inspired me to go into healthcare leadership, a path that often puts me in an area of high conflict and tricky conversations. But in doing so, exposes me to innovation, change making and meaningful work. It's an incredible career that I'm honored to be a part of, and I owe it to my mom and myself to do it well.

415.713 - 443.033 Sarah Crawford-Bohl

So when I find myself needing courage and confidence, making that moment a step into the abyss of a difficult conversation, I try to remember my mom's moral compass and the principles she worked so hard to nurture in me. I imagine holding a compass in my hand, the cool metal upon my skin, taking a breath, a moment to pause and ground myself.

444.805 - 472.733 Sarah Crawford-Bohl

I see the directions of north, south, east and west as symbols, reminders of her core teachings. North. I think about the North Star, a guide towards the good and right thing to do. In tricky situations, I remember my mom's voice. Be the best version of yourself. Take the high road. Say what needs to be said. South.

474.168 - 500.982 Sarah Crawford-Bohl

The S in South reminds me of support. When people support me, I feel seen, cared for. When it comes to supporting others, I try to do the same. Leaning into tricky conversations with kindness and an intention of helping people grow. And East? The E stands for empathy. Empathy sets the tone for a conversation.

502.872 - 530.682 Sarah Crawford-Bohl

As a leader, I want people to feel safe coming to me. I try to understand their feelings and create a safe place for them to be themselves. And West, the W stands for wonder. Getting curious about what might be going on for the other person. I ask questions and listen. So I understand before trying to be understood.

Chapter 4: What role does a moral compass play in difficult discussions?

554.341 - 582.337 Sarah Crawford-Bohl

And while the work was complex and bumpy, I was proud of myself. I was writing good stuff, inspiring hearts and minds. Or so I thought. One day a physician came into the office where I was meeting with my boss, my boss's boss, and a number of other leaders. He had one of my newsletters printed out and was waving it in the air. Who's the cheerleader sending out this stuff? As an optimist...

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583.754 - 613.015 Sarah Crawford-Bohl

Sometimes to a fault. I knew right away that cheerleader was me. While I was embarrassed, I had a split second to decide. Stay silent or speak up. The compass came in handy in that moment. North Star. What was the good and right thing to do? Well, I needed to own my work. Take the feedback. So I said, that would be me.

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615.091 - 641.365 Sarah Crawford-Bohl

He lowered his arm and said, well, this is too positive, not an accurate representation of what we're going through. While still defensive, I remembered support and empathy. I wanted to create a safe place where he could feel seen and heard. So I suggested we sit down together so he could better understand his concerns. Next step, wonder.

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642.445 - 670.829 Sarah Crawford-Bohl

We went to his office and I asked curious questions. And over some tea, he told me his story. He got out a red pen and circled the nine times I'd mentioned something positive in that article. I acknowledged. It was too many, understandably devaluing. I then asked if we could look for times I'd mentioned challenges. To his surprise, and frankly my own,

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671.15 - 693.003 Sarah Crawford-Bohl

18 kertaa. 18. Minä mainitsin asioista, joita pitäisi ratkaista. Olin voinut antaa häneltä tietoa, että olin yllättynyt kutsumaan ympärilleni. Ja hän kertoi. Tiedätkö, se aikaa, jonka käsitimme yhdessä, oli tärkeää minulle. Ja luulen, että me molemmat otimme jotain tärkeää pois.

694.387 - 720.492 Sarah Crawford-Bohl

So I always remember the moral compass. North, north star. South, support. East, empathy. And west, wonder. I know when I'm true to my compass, I'm courageous, confident. The person I want to be, and I think the daughter my parents would be proud of.

722.062 - 748.538 Sarah Crawford-Bohl

and with my husband and our two daughters, I get the chance to pay it forward. So I hope you'll join me in leaning into tricky conversations, not only finding our voices, but understanding the imperative to use them. Stand up against the wrong, champion the right, and be the voice for those who cannot speak for themselves.

Chapter 5: How can empathy and support improve communication?

749.821 - 766.088 Sarah Crawford-Bohl

No matter how shaky or unsure, we can be a powerful instrument of change and advocacy, leaving all people involved stronger as a result. Thank you.

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773.581 - 780.685 Elise Hu

That was Sarah Crawford-Bowl at TEDxRRU, Royal Roads University in Victoria, Canada in 2024.

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781.327 - 807.297 Elise Hu

If you're curious about TED's curation, find out more at TED.com slash curation guidelines. And that's it for today's show. TED Talks Daily is part of the TED Audio Collective. This episode was produced and edited by our team, Martha Estefanos, Oliver Friedman, Brian Green, Lucy Little, Alejandra Salazar, and Tonsika Sarmarnivon. It was mixed by Christopher Faisy-Bogan. Additional support from Emma Taubner and Daniela Balarezo.

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807.297 - 812.14 Elise Hu

I'm Elise Hu. I'll be back tomorrow with a fresh idea for your feed. Thanks for listening.

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820.628 - 839.68 Unknown

Tiesitkö, että joka neljäs yli 40-vuotias mies kokee virtsan karkailua? Se on todella yleistä, mutta siitä ei silti juuri puhuta. Tenamen suojat on suunniteltu erityisesti miehille. Huomaamattomat, varmat ja luotettavat. Ota tilanne haltuun Tenamenin avulla.

841.739 - 854.429 Elise Hu

Looking for a fun challenge to share with your friends and family? TED now has games designed to keep your mind sharp while having fun. Visit TED.com slash games to explore the joy and wonder of TED Games.

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