Learn: Learn

Matrons Handbook (January 2020)

Mon, 06 Jan 2020 08:20:00 +0000

Alison Leary: The healthcare workforce should be shaped by outcomes, rather than outputs (31 May 2019)

Sat, 04 Jan 2020 11:08:00 +0000

Improving access to safe anesthetic care in rural and remote communities in affluent countries (July 2019)

Wed, 01 Jan 2020 14:31:00 +0000

MedLed: Breaking the burnout cycle

Mon, 16 Dec 2019 08:34:33 +0000

Safety-I, Safety-II and burnout: how complexity science can help clinician wellness (June 2019)

Sat, 30 Nov 2019 08:59:00 +0000

Caring for doctors, caring for patients (November 2019)

Thu, 28 Nov 2019 10:06:00 +0000

In two studies, researchers found that doctors with high levels of burnout had between 45% and 63% higher odds of making a major medical error in the following three months, compared with those who had low levels.

To ensure well-being and motivation at work, and to minimise workplace stress, people have three core needs, and all three must be met.

A - Autonomy/control – the need to have control over our work lives, and to act consistently with our work and life values.

B - Belonging – the need to be connected to, cared for, and caring of others around us in the workplace and to feel valued, respected and supported.

C - Competence – the need to experience effectiveness and deliver valued outcomes, such as high-quality care.

The review identified inspiring examples of organisations that meet these three core needs for doctors. An integrated, coherent intervention strategy will transform the work lives of doctors, their productivity and effectiveness, and thereby patient care and patient safety.

Healthcare professionals’ perspectives on working conditions, leadership, and safety climate: a cross-sectional study (January 2019)

Sun, 20 Oct 2019 10:25:00 +0000

The WorkSafeMed study combined the assessment of the four topics psychosocial working conditions, leadership, patient safety climate, and occupational safety climate in hospitals. Looking at the four topics provides an overview of where improvements in hospitals may be needed for nurses and physicians. Based on these results, improvements in working conditions, patient safety climate, and occupational safety climate are required for health care professionals in German university hospitals – especially for nurses.

Tackling 'imposter syndrome': working with third sector leaders

Mon, 23 Sep 2019 09:30:00 +0000

In this blog, David Naylor, a senior leadership consultant at The King’s Fund, reflects on ‘imposter syndrome’, considering its impact on third sector leaders and beyond.

What is the British Medical Association (BMA)?

Fri, 20 Sep 2019 11:05:00 +0000

This website links with some of the work that the BMA do:

Trade union representation.
Individual support and advice.
Lobbying.
Legal and financial services.
Patient information - signposting on how the NHS works.

What is the Royal College of Nursing (RCN)?

Fri, 20 Sep 2019 10:07:00 +0000

This website will give more information on what the RCN does and services for its union members.

NHS Improvment: Demand and capacity high complexity model (last updated July 2019)

Fri, 13 Sep 2019 12:59:00 +0000

The high complexity model is intended for services that have more complex pathways e.g. chronic (more than one year) services in acute, mental health or community services, where patients may return for several follow up appointments at intervals which may change depending on how their condition progresses.

You can use this model to inform decision making and planning, in supporting delivery of timely care to patients.

This web page includes the following tools:

high complexity model user guidance
demand and capacity: high complexity model (blank)
demand and capacity: high complexity model (populated).

NHS Improvement: Eliminating agency spend on healthcare support workers (September 2019)

Fri, 13 Sep 2019 11:25:00 +0000

This case study includes:

solution
challenges faced
results
learning points
sustainability.

For nature cannot be fooled. Why we need to talk about fatigue (5 July 2017)

Sat, 07 Sep 2019 08:56:00 +0000

This editorial by Dr Michael Farquhar, published in Anaesthesia, explains the importance of taking breaks while on shift and ensuring a good sleep between shifts and the inextricable link between sleep and patient safety.

Nurses in Maternity Care: Royal College of Nursing report (July 2019)

Thu, 15 Aug 2019 08:15:00 +0000

The aim of the UK-wide survey was to obtain a snapshot of the structure of, and role-specific training and CPD provision for, the non medical, non-midwifery maternity workforce. The objectives were to:

determine the ratio of unregistered staff to registered midwives in the maternity services
determine the number of maternity services where nursing associates were employed
determine the number of maternity services where registered nurses were employed in areas other than neonatal care
determine the areas of work for registered nurses in maternity care
gather information about the role-specific training offered to non-midwives at induction and as CPD during employment.

This survey is intended to add to the conversation on some aspects of the workforce and skill mix in maternity services. As a result of the findings the following recommendations are made:

the opportunity should be created for a stakeholder engagement event to disseminate findings and consider aspects requiring further exploration, which may include:
- future training needs analysis work to explore role-specific training for non-midwifery staff (registered or unregistered) in maternity services, to clarify what should be provided.
to look at utilising these findings in the wider work being carried out within the RCN safe and effective staffing campaign (RCN 2019). Although the RCN campaign is focused on nursing, these survey results may inform work on both midwifery and nursing staffing.

Professional wellbeing: Effective management of staff fatigue during the night shift

Wed, 14 Aug 2019 11:29:00 +0000

This project will involve an action research, whole team approach to effective management of fatigue in theatre and labour ward teams during the night shift. The interventions will involve educating night shift workers about the impact of fatigue on work performance, and holding focus groups to explore experiences of fatigue, and suggested ways of mitigating night shift tiredness. Ideas will then be tested out, before the strategy is finalised and implemented.

During the testing, staff will use wearable activity monitors and an app, which will help demonstrate the impact of new processes.

This participatory approach and the interventions should improve team working at night, with breaks and powernaps built into the work schedule. This may improve decision-making, the management of emergencies, patient and staff safety, and staff morale.

This project is currently underway and will be completed in March 2020.

Integrated Urgent Care/NHS 111 Workforce Blueprint - 2018

Wed, 26 Jun 2019 13:02:00 +0000

NHS Improvement: A guide to support maternity safety champions (February 2018)

Wed, 26 Jun 2019 13:01:00 +0000

What can I learn?

The role and responsibilities of maternity safety champions.
How to build relationships at board-level and with stakeholders.
Suggested activities to promote best practice.
Signposting to existing safety initiatives and improvements that can offer support.

Are you a maternity safety champion? Share your experience and discuss your work with other maternity safety champions on the hub.