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Found 1,173 results
  1. Content Article
    A study from Chamberlain et al. examined post-traumatic stress disorder (PTSD) symptoms in 13 049 survivors of suspected or confirmed COVID-19, from the UK general population, as a function of severity and hospital admission status. Compared with mild COVID-19, significantly elevated rates of PTSD symptoms were identified in those requiring medical support at home, those requiring hospital admission without ventilation and those requiring hospital admission with ventilator support. Intrusive images were the most prominent elevated symptom. Adequate psychiatric provision for such individuals will be of paramount importance.
  2. Content Article
    This handbook from the Samaritans provides a set of principles upon which wellbeing initiatives for men should be based, drawn from what men have said is important to them. By following these principles, wellbeing initiatives are more likely to be effective for, and appeal to, men going through tough times before reaching crisis point.  This handbook is for anyone commissioning, designing, evaluating or delivering initiatives, services or activities aimed at improving the wellbeing of men.
  3. Content Article
    One of the many Covid challenges is that there hasn’t been an opportunity for frontline staff to pause for breath and pay even a small amount of attention to looking after themselves. And when times are really tricky we only have so much energy. So this is just about you and three things that may help you keep going and keep your brilliant light shining.
  4. Content Article
    Moral injury occurs following a morally injurious event, this can lead to negative thoughts about oneself or others developing, alongside feelings of shame, guilt or disgust. This is one of a series of films to help healthcare workers think through some of the emotional and psychological challenges that may arise especially, but not limited, to a pandemic. Moral Injury chapters: 0:00 Start 0:52 What does Moral Injury actually mean? 4:03 What might it look like to me & my colleagues? 6:18 Will everyone eventually become injured? 8:09 What can I do to help myself & others?
  5. Content Article
    Despite it being 20 years since the Institute of Medicine reported poor quality and high variability in healthcare delivery, there are still significant opportunities for clinical quality improvement (QI). As frontline clinicians and future healthcare leaders tasked with driving these changes, resident physicians are an important cohort to equip with knowledge, skills, and experience in QI and patient safety.  In this article, Mitchel and Li review the barriers to resident engagement, leadership and success with QI initiatives and propose potential solutions. Several barriers are unique to psychiatric training. The barriers described are broadly categorised as either structural or process-related, a distinction derived from Donabedian who described a framework for understanding the causal relationship between structures, processes, and outcomes in QI. In addition, the authors provide an example of a resident-led QI initiative to illustrate the proposed solutions.
  6. Content Article
    The global coronavirus (COVID-19) pandemic has taken a dramatic toll on virtually all aspects of life, from the economy, to employment, relationships, public health, and personal health.  In the United States, more than 200,000 individuals have died of the coronavirus. As of October, hundreds of thousands of Americans are filing unemployment claims each week. For all of us, the pandemic has become a time marked by uncertainty, fear, and grief.  According to a survey conducted by the Centers for Disease Control and Prevention (CDC), about 40 percent of US adults reported struggling with mental health or substance use issues.  Although much of the general population has admitted to feeling more anxious and depressed during the pandemic, those with substance use and mental health issues face unique challenges.
  7. Content Article
    How are we ensuring that patient and staff safety is being prioritised during the pandemic? Watch the recording of the 'Leadership for patient safety during COVID-19' webinar that took place on 7 December 2020.
  8. Content Article
    The Irish College of General Practitioners (ICGP) Doctors' Health in Practice Programme aims to promote and support the good physical health, occupational health, psychological health and wellbeing of GPs. It encourages primary health care for doctors' healthcare in the first instance and supports the aim that every GP and GP Trainee should have a GP. You can find a list of directories, contacts and supports for doctors and your families, and resources that can be used for personal self-reflection, education, research or to help colleagues.
  9. Content Article
    The COVID-19 pandemic is a traumatic event for many, particularly those in the caring professions. Experts are predicting a significant “second curve” of mental health problems among both healthcare workers and the public related to prolonged social isolation, loss of economic opportunity, grief from losing loved ones, among other causes. While there has been no shortage of resources and recommendations designed to help healthcare workers manage stress during the pandemic, there’s a tendency to place the burden on the individual. At a minimum, it is important that remedies acknowledge the shared responsibility of the healthcare system for creating the conditions for fear, anxiety, and burnout in the first place. In an effort to streamline, provide sensemaking, and support care teams during this critical time, the Institute for Healthcare Improvement (IHI) synthesised themes from several key publications, expert interviews, and five years of experience gained by partnering with health systems around the world to address staff well-being and joy in work. Three key areas to focus on have emerged, along with specific actions healthcare leaders can take to support their workforce and address the more immediate and longer-term effects of the pandemic.
  10. Content Article
    If you’re a mental health professional helping frontline healthcare workers who are providing care to people affected by COVID 19, Professor Neil Greenberg, from Kings College London, offers three important things to think about: How do you prevent staff from developing mental health difficulties? How do you find out really early on in order that you can provide simple interventions? How do you provide treatment for people who unfortunately do go on and develop mental health difficulties?
  11. Content Article
    Editorial from Liam J Donaldson and Neelam Dhingra in the Journal of Patient Safety and Risk Management for World Patient Safety Day.
  12. Content Article
    The rate at which nursing and ambulance staff are leaving the NHS is increasing. The number of nurse vacancies has risen to over 40,000 – a record high. The ambulance service has recorded an 80% per cent increase in staff leaving the profession since 2010. These rates are unequally distributed across professions, specialties and geographical regions, introducing inevitable inequalities in patient care. This Efficiency Research project aims to use this variation to detect underlying contributory factors for better or worse nurse and ambulance staff retention, and determine its effect on patient outcomes. A research team from Staffordshire University will use their experience of applying ‘big data’ analytics and unifying large datasets from three previous studies on the effect of nurse staffing on patient safety. Projects began in 2019 and will run until December 2023.
  13. Content Article
    The University of Leeds have developed and tested the first mechanism for gathering real-time feedback from patients in acute mental health settings, about how safe they feel, and explored how this might be used to manage ward safety.
  14. Content Article
    Many mental health service providers around England are meeting complex challenges with exceptional innovation, energy and creativity. NHS Improvement has drawn on this experience, skill and expertise to develop a national model to support continuous improvement in service delivery. This practical resource offers experience from those that have travelled the journey already, in the hope of supporting and encouraging other mental health trusts or any healthcare provider wishing to improve its services.  Chapter 7 looks specifically at safety, clinical audit and clinical governance. It shows that a structured approach to improvement supported by an open and just culture can make safer ways of working part of an organisation’s DNA. It recognises that organisations also need robust and transparent governance to keep services safe during major change.
  15. Content Article
    In advance of the second annual World Patient Safety Day on 17 September 2020, the theme of which is Health Worker Safety: A Priority for Patient Safety’, this blog from Patient Safety Learning looks at how staff safety relates to patient safety. 
  16. Content Article
    The COVID-19 pandemic has placed an enormous strain on health care workers, and its potential impact has implications for the physical and emotional well-being of the workforce. As hospital systems run well over capacity, facing possible shortages of critical care medical resources and personal protective equipment as well as clinician deaths, the psychological stressors necessitate a strong well-being support model for staff. In this commentary, Ripp et al. describe how an MSHS Employee, Faculty, and Trainee Crisis Support Task Force—created in early March 2020 and composed of behavioural health, human resources, and well-being leaders from across the health system—used a rapid needs assessment model to capture the concerns of the workforce related to the COVID-19 pandemic. The task force identified 3 priority areas central to promoting and maintaining the well-being of the entire MSHS workforce during the pandemic: meeting basic daily needs; enhancing communications for delivery of current, reliable, and reassuring messages; and developing robust psychosocial and mental health support options. Using a work group strategy, the task force operationalised the rollout of support initiatives for each priority area. Attending to the emotional well-being of health care workers has emerged as a central element in the MSHS COVID-19 response, which continues to be committed to the physical and emotional needs of a workforce that courageously faces this crisis.
  17. Content Article
    During the COVID-19 pandemic, you might experience immense pressure and stressors. The World Health Organization has provided an infographic highlighting what stress is, how it might affect you and practical tips on what you can do.
  18. Content Article
    This case will be of interest to capacity assessors, practitioners, healthcare providers and commissioners because it provides further guidance on the Court of Protection’s approach to capacity and best interests in relation to clinically assisted nutrition and hydration for victims of abuse and trauma.
  19. Content Article

    Faded rainbows

    Claire Cox
    As the colourful rainbows in people's windows are beginning to fade, is the public support for our frontline workers also fading? Has gratitude and thank you's been replaced with frustration and anger from the public? In her latest blog, critical care outreach nurse Claire reflects on the impact this is having on the wellbeing of already exhausted frontline staff.
  20. Content Article
    The emergence of the SARS-CoV-2 virus led to immediate concerns about the impact of infection on pregnant women. In response to the SARS-CoV-2 pandemic the MBRRACE-UK team instituted rapid notification of maternal deaths associated with SARS-CoV-2, following which notifications of SARS-CoV-2-associated maternal deaths were received in early April 2020. Expedited reviews were conducted into all deaths of women with confirmed or suspected SARS-CoV-2 infection during or up to one year after pregnancy, and any deaths of women who died from mental health-related causes or domestic violence, which might have been influenced by public health measures introduced to control the epidemic such as lockdown. This rapid report aims to identify lessons learned to guide future care and pathway changes in the context of infection transmission and the need for public health and NHS service measures to prevent infection.
  21. Content Article
    This project, led by a team of researchers, aims to give a voice back to the critical care nurse so that there is a much greater understanding of the mental challenges of the profession and so that appropriate supportive measures can be developed that improve working conditions.  In order to carry out the research, the team need volunteers to participate and share their own views and experiences of mental health and well-being in the profession. We are looking for any active critical care nurse who is open to discussing mental health and well-being to shed light on what is a too often ignored and overlooked subject.  Find out more about the project and how to sign up via the link below.
  22. Content Article
    In her latest blog for the hub, topic lead Eve Mitchell discusses the impact COVID-19 is having on the mental health and wellbeing of healthcare staff who are now having to absorb the anger of the public, patients, and their carers. 
  23. Content Article
    When recovering from COVID-19 people may still be coming to terms with the impact the virus has had on both their body and mind. Your COVID Recovery is a digital resource that has been developed by the NHS to help people understand what has happened and what they might expect as part of their recovery. Content includes: Managing the effects Wellbeing Exercises When to seek help Information for family, friends and carers.
  24. Content Article
    The coronavirus (Covid-19) pandemic will leave a deep and lasting scar on the mental health of millions in this country. The devastating loss of life, the impact of lockdown and loneliness, and the inevitable recession that lies ahead will affect all of us. New mental health problems have developed as a result of the pandemic and existing mental health problems have gotten worse. To understand how they can best support people during this uncertain time, Mind carried out research to understand the experiences of people with pre-existing mental health problems, the challenges that they are facing, the coping strategies that they are using, and the support they would like to receive.
  25. Content Article
    It’s just as important to look after our mental health as it is our physical health. There are simple steps we can take to do this for ourselves and for other people. This short guide, from the Centre for Mental Health, provides practical tips about mental health at this time. Also attached is a PowerPoint presentation, looking at the impact of the pandemic on mental health, those most at risk of poor mental health and what would help to prevent or address difficulties.
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