Management’s openness to feedback is an illusion, as are its efforts to promote diversity, equity, and inclusion. Patient voices – especially those from communities that have been historically targeted by coercive reproductive healthcare practices – are significantly underrepresented in leadership. I repeatedly witnessed and encountered resistance and retaliation in the workplace when this was called out. It's demoralizing for staff who were hired for their "diverse background" not to see themselves and their experiences reflected in positions of power. Furthermore, it often becomes the responsibility of those same individuals to advocate for their inclusion and growth within the organization.
There are no growth opportunities or workplace flexibility for non-exempt, hourly staff. It’s a top heavy structure, and managers have very little support or training. As the organization expands, more levels of management and bureaucracy are built into teams.