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Showing results for tags 'Personal reflection'.
Found 72 results
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Content ArticleClinical decisions rarely occur in isolation. We must consider the social contexts in clinical environments and draw on theories of social emotion to help us better understand the influence of others’ emotion on our own thoughts, feelings and, ultimately, our ability to deliver safe care. In their Editorial in BMJ Quality & Safety, Jane Heyhoe and Rebecca Lawton explorie the role of social emotion in patient safety and looks at the recent research in this emerging area. They call on the patient safety community to embrace the idea that emotions and emotional contexts exert important impacts on healthcare delivery. Characterising these impacts will inform strategies for supporting staff and delivering safer and more effective care to patients.
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Content ArticleThe perspective of Megha Prasad, a New York cardiologist leading a COVID-19 infections disease service, discusses leadership qualities of being available, communication, adaptability, humility and gratitude as key to effective leadership during challenging times.
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Content Article
NES: Safety culture discussion cards
PatientSafetyLearning Team posted an article in Good practice
Safety culture can be described as our: 1. Values (what is important) 2. Behaviours (the way we do things around here) 3. Beliefs (how things work). Safety culture has been shown to be a key predictor of safety performance in several industries. It is the difference between a safe organisation and an accident waiting to happen. Thinking and talking about our safety culture is essential for us to understand what we do well, and where we need to improve. NHS Education for Scotland (NES) has adapted these safety culture discussion cards (designed by EUROCONTROL) to help us to do this. Follow the link below to download the cards.- Posted
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Content ArticleClaire Cox, Patient Safety Learning's Associate Director of Patient Safety, chats to Harriet Baker, a matron on secondment at Ashford and St Peter's Hospitals NHS Foundation Trust, about the Schwartz Rounds model and the positive impact it can have on staff well-being. Harriet explains how to get the ball rolling if you would like to implement Schwartz Rounds locally.
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Content ArticleIn part two of the BMJ Supportive and Palliative Care article, Dr Tavabie and Dr Ball explore the themes from frontline palliative care staff during the pandemic. In the time since their previous article, the news reports of escalating numbers of people dying from the virus, inadequate personal protective Equipment (PPE) provision and continued discussions of an impending ‘peak’ for the outbreak has painted a worrying picture. Further conversations with clinicians working to help patients dying from COVID-19 will hopefully provide readers with a diary and a window into the experiences of people working through the pandemic as the tide rises in the UK. Read part one of this article
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Content Article
Words of courage for medical students and residents
Patient Safety Learning posted an article in Blogs
Deborah Edberg, a family physician, reflects on her experiences working with the dying and offers advice and reassurance to the medical students fast-tracking graduation and the young residents moving into high need areas to fight the pandemic of COVID-19. -
Content Article
Looking after each other in times of change
Sally Howard posted an article in Blogs
In her latest blog, Sally Howard, talks about our changing world, why transitions are so difficult and what we can do to look after each other along the way.- Posted
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Content Article
COVID-19: what are you wearing? Working in a soup of droplets
Patient Safety Learning posted an article in Blogs
Blog series from Claire, a critical care outreach nurse, reflecting her experiences, thoughts and fears during the coronavirus pandemic.- Posted
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News Article
"They don’t hide from the coronavirus, they confront it"
Patient Safety Learning posted a news article in News
As the world writhes in the grip of Covid-19, the epidemic has revealed something majestic and inspiring: millions of health care workers running to where they are needed, on duty, sometimes risking their own lives. In his article in the New York Times, Don Berwick says he has never before seen such an extensive, voluntary outpouring of medical help at such a global scale. Millions of health care workers are running to where they are needed, sometimes risking their lives. Intensive care doctors in Seattle connect with intensive care doctors in Wuhan to gather specific intelligence on what the Chinese have learned: details of diagnostic strategies, the physiology of the disease, approaches to managing lung failure, and more. City by city, hospitals mobilise creatively to get ready for the possible deluge: bring in retired staff members, train nurses and doctors in real time, share data on supplies around the region, set up special isolation units and scale up capacity by a factor of 100 or 1000. "We are witnessing professionalism in its highest form, skilled people putting the interests of those they serve above their own interests." Read full article Source: New York Times, 23 March 2020 -
Content ArticleIn this half hour lecture, Suzanne Gordon, journalist and author, describes her vision for nurses to find their voice and articulate this value. So that the public understands what nurses do and what a critical role they play in the healthcare system.
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Content ArticleThe Secret Midwife is a heart-breaking, engrossing and important book. Joyful and profoundly shocking, this is the story of birth, straight from the delivery room. The author argues that the system which is supposed to support the midwives and the women they care for is starting to crumble. Short-staffed, over worked and underappreciated – these crippling conditions are taking their toll on the dedicated staff doing their utmost to uphold our NHS, and the consequences are very serious indeed.
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Content ArticleMaternal mortality rates in the US are rising, particularly among black women. Feeley and Torres, in this article published by the Institute for Healthcare Improvement, describes three things health care leaders can do to understand the contributing causes of mortality, including racism, and factors to reduce inequities and improve safety in maternal health.
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Content ArticleIn his blog, Danny Tucker, Associate Professor in Obstetrics & Gynaecology and Director of Clinical Training, describes how clinicians experience two types of learning: firstly, incremental learning – they study new facts, medical knowledge and technical skills. Through incremental learning, individuals align habits with established norms, conform to ideals laid out by experts and reinforce existing power structures. Incremental learning involves the process of deliberate practice. Mezirow introduced the concept of transformative learning. This is a deeper, developmental shift, where situations and dilemmas challenge underlying assumptions and beliefs about the world. Clinicians grow through reflective engagement with their experiences, the people they meet - particularly patients - and by testing new mental models of how the world works. Transformative learning changes perspectives and relationships, laying the foundation for personal growth and innovation. It requires curiosity, attention, and courage. Danny offers practical steps that can be taken to encourage and inspire transformative learning for doctors in training.
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Content ArticlePeter Duffy, consultant surgeon writes of his 35 years of experience on the front-line of the NHS. Charting his career pathway from auxiliary nurse and unskilled operating theatre orderly, he takes us through his progress to senior consultant surgeon and head of department. In 2015, and after blowing the whistle on a series of near misses, he reluctantly reported an avoidable death, cover-up and ongoing surgical risk-taking to the Care Quality Commission. Within months he was out of work and unemployed. Via avoidable deaths and errors, cover-ups, misuse of public funds, bullying, abuse and victimisation the author charts out in searing detail his demotion, punishments and exile from both family and NHS and the subsequent brutal legal process that followed his illegal dismissal.
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Content ArticleThis book is an account of the life of a surgeon: what it is like to cut into people's bodies and the life and death decisions that have to be made.
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Content ArticleThe term “racism” is rarely used in the medical literature. Most physicians are not explicitly racist and are committed to treating all patients equally. However, they operate in an inherently racist system. Structural racism is insidious, and a large and growing body of literature documents disparate outcomes for different races despite the best efforts of individual healthcare professionals. If we aim to curtail systematic violence and premature death, clinicians and researchers will have to take an active role in addressing the root cause. Structural racism, the systems-level factors related to, yet distinct from, interpersonal racism, leads to increased rates of premature death and reduced levels of overall health and well-being. Like other epidemics, structural racism is causing widespread suffering, not only for black people and other communities of colour but for our society as a whole. It is a threat to the physical, emotional, and social well-being of every person in a society that allocates privilege on the basis of race. Hardeman et al. believe that as clinicians and researchers, we wield power, privilege, and responsibility for dismantling structural racism — and in this New England Journal of Medicine article the authors highlight recommendations for clinicians and researchers who wish to do so.
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Content ArticleProf. Robert Kegan questions why there is a gap between a person's real intention to change and what the person actually does. He recalls an illustration in which heart doctors advise their patients to take their medications as prescribed or they would die. The follow up research shows that only 1/7 actually go on to take their medications. The other six have just as great a desire to stay alive and yet risk death by not following their doctor's advice.
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Content ArticleMike Robbins is an expert in teamwork, leadership, and emotional intelligence who delivers keynote addresses to audiences throughout the world. In this talk at TEDxBellevue, Mike talks about the power of appreciation. As Mike discusses, there is an important distinction between 'recognition' and 'appreciation'. Leaders, teams, organisations and individuals who understand this distinction can have much more impact, meaning, and productivity in their lives and with the people around them. He also discusses some important research in the field of positive psychology that exemplifies the importance of appreciation.
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Content Article
Healthcare Safety Investigation Branch: Annual Review 2018/19
Claire Cox posted an article in HSSIB investigations
The Healthcare Safety Investigation Branch (HSIB) conducts independent investigations into patient safety concerns in NHS-funded care across England. Formed in April 2017, they are funded by the Department of Health and Social Care (DHSC) and hosted by NHS Improvement , but operate independently. -
Content Article
Why should health agencies refer to restorative justice?
Claire Cox posted an article in Second victim
‘Victim wellbeing’ is a phrase often linked to restorative justice, but what does that look like in practice? In this article, Greg Smith (restorative justice development manager at Thames Valley Restorative Justice Service (TVRJS)), Diana Batchelor (PhD researcher at Oxford University and independent evaluation researcher for TVRJS) and Becci Seaborne (assistant director for restorative justice at TVRJS) consider why, and how, restorative justice could become a default option for health service providers. -
Content Article
Medical professionals can change their behaviour: study
Patient Safety Learning posted an article in Good practice
Disrespectful and unsafe behavior by physicians and advanced practice medical professionals can undermine health care teams, but research shows that often a simple conversation to make an individual aware of their action can promote self-reflection and change. A Vanderbilt University Medical Center study published in The Joint Commission Journal on Quality and Patient Safety examined data from the Co-worker Observation Reporting System (CORS), a system of peer reporting of perceived disrespectful and unsafe conduct that was established at VUMC in 2011. -
Content ArticleThe Culture Change Toolbox is a collection of tools and interventions for changing culture. It’s full of ideas, examples, and exercises. For each tool there are tips on how to apply it and a description of which components of culture it helps to improve. This latest version includes: the latest evidence on culture change a refreshed format with an improved flow for learning new activities and resources for teams examples from across the continuum of care.
