LEADERSHIP THOUGHTS Rethinking silos: A vision of transparency and collaboration.

By Ashley Kellish, DNP, RN, CCNS, NEA-BC

In today's increasingly complex and interconnected world, I often hear the call to stop working in silos throughout organizations as we discuss how to improve collaboration and innovation, and I always pause to think about what these words mean. The concept of eliminating silos became popular in management literature in the 1990's and 2000's. At the same time, the rise of team-based work cultures and interdisciplinary collaboration was gaining traction. This phrase visually represents the importance of breaking down barriers between different areas within organizations to improve communication, innovation, and overall effectiveness.

Although it's essential to break down the walls that isolate us, I believe there's value in recognizing and calling out the expertise within each of these so-called silos Rather than dismantling silos entirely, what if we rethink their structure? Envisioning them not as rigid, metal barriers but as clear test tubes that allow us to see into one another's worlds?

Autonomy And Collaboration

Imagine a system in which interprofessional experts continue to work within their own domains, contributing their specialized knowledge. Whether in nursing, medicine, finance, information technology, or another field within a transparent framework.

Like a scientist working with test tubes in a lab, we could see what others are doing, the reactions they are testing, and the discoveries they're making. Their perspectives would be accessible when developing new processes or ensuring best practices If our silos were transparent. We could easily share insights, resources, and collaborative opportunities without losing the focus and integrity of our own expertise that we bring to the healthcare environment.

When collaboration is needed, we could look at the work of groups, teams, and experts around us and pass knowledge and tools through these clear boundaries, testing how our expertise combines with that of others. Just as chemists create reactions to yield new solutions, professionals across different sectors could work together to create innovative outcomes that go beyond what any one field could achieve alone. The key is to keep these boundaries open, so we know who's working on what and recognize when it's time to join forces and think collaboratively. This approach would foster both autonomy and collaboration, respecting the integrity of specialized work while ensuring that we remain connected to one another's efforts. Transparent test tubes enable a dynamic balance, honoring expertise, keeping the doors to collaboration open, and building trust among teams that will strengthen over time

WORKING TOGETHER TOWARD CHANGE.

By reimagining silos, we can strengthen interdisciplinary cooperation, spark creativity, and solve complex problems in ways that no single team or department could do on its own Where are your silos? How can you open them up for visibility? What would it take? One team I was supporting created transparency between the hospital quality team and the nursing quality team. In one meeting, they started to ask about the responsibilities of each team and how they could work together What had been a closed and inaccessible relationship that sparked distrust easily became a collaborative engine driving quality together It sounds simple because it is!

Now is the time for healthcare leaders, educators, and inter professionals to re imagine how we work together Let?s commit to fostering transparency in our organizations, encouraging interdisciplinary dialogue, and ensuring that our silos remain visible and accessible. By doing so, we can unlock the potential for groundbreaking innovation and better patient outcomes I've seen tremendous shifts toward collaboration when we stop resisting our own expertise and working off false assumptions. Instead, we should invite our teams to gain insight into our work and collaborate with openness and transparency.

This article is a reprint from the Nursing Management (Springhouse) 56(2):p 54, February 2025

Ashley Kellish is founder and president of The HIVE Network Group, LLC, in Pittsboro, N C and an American Nurses Association senior consultant. This article is considered expert opinion and wasn't subject to peer review The author has disclosed no financial relationships related to this article .