Search the hub
Showing results for tags 'Staff factors'.
Found 844 results
-
Content ArticleBMA policy recommendations on how to reduce bullying and harassment and create a more positive culture in the NHS and medical profession.
-
Content ArticleIn this powerful article, GP Katie Musgrave, says that the profession is overwhelmed and under resourced. She argues that they are unable to provide the service that patients deserve and that action is needed to prevent patents from suffering harm. Her suggestions include:A COVID-pressures support fund, where part time GPs can be offered extra protected sessions in their own surgeriesThe extension of the ARRS to cover nurse practitioners or GPsA suspension of all but the most crucial bureaucracy: we certainly don’t need to be thinking about QOF this winter.
-
Content ArticleResearch has shown differential attainment by ethnicity in the medical workforce across all measures of training and career progression. In this editorial, published in the BMJ, Victor Adebowale and Mala Rao argue that a race equality observatory is needed to provide leadership and data.
-
Content Article
.jpg.acbff7c2775e5da1325093aa973605d1.jpg)
17 September 2020 marks the second annual World Patient Safety Day. The theme this year is 'Health Worker Safety: A Priority for Patient Safety'. In the run up to this special event, Patient Safety Learning are publishing a series of interviews with staff from across the health and care system to highlight key issues in staff safety and gain a clearer idea of the kind of change that needs to take place to keep staff, and ultimately patients, safe. In this interview, Yvonne Coghill, Director, Workforce Race Equality, NHS London and nurse by background, shares her insight. -
Content ArticleWe all have to deal with pressure. Sometimes it's minor like "do I go left or right at the roundabout?". Sometimes it's the difference between life and death. But how can we manage and work with that pressure, rather than against it? Dr Stephen Hearns is a critical care doctor and search and rescue specialist in Scotland, who has spent his career understanding what pressure is and how he can try to handle it in stressful times. His new book 'Peak performance under pressure' goes into detail about the tools and techniques we can all use to manage stress when the going gets tough. In this podcast, produced by eeast (East of England Ambulance Service) General Broadcast, Stephen talks about why pressure is sometimes good for us, how to recognise stress in other and what to do when you're maxed out.
-
Content ArticleThis 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.
-
Content ArticleThis paper from Helen Hughes presents a proposal to improve the safety of patients and the effectiveness of healthcare using Human Factors methods.
-
Content ArticleThe purpose of this study, published in the European Journal of Hospital Pharmacy, was to ascertain the views, beliefs and attitudes of hospital staff to incorrect penicillin allergy records in order to determine healthcare worker motivation for the implementation of a penicillin de-labelling antibiotic stewardship intervention at the study hospital. Findings showed that virtually all staff in this study, had encountered patients who believed themselves to be penicillin allergic, but felt the patient’s belief to be erroneous. Therefore, a penicillin allergy de-labelling intervention might be of benefit to ensure that patients who were not allergic were able to have the correct antibiotic.
-
Content ArticleRacial discrimination still exists in NHS organisations but can be eradicated if the attitudes and processes used to improve patient safety are adopted, says Roger Kline.
-
Content ArticleIn this commentary piece, published in BMJ Leader, Suzanne Shale draws attention to a broader notion of moral injury found in moral philosophy. In this version, a moral wound can be experienced by anyone. It arises from sources that include injustice, cruelty, status degradation and profound breaches of moral expectations. The moral-philosophical version of moral injury associates it with moral and psychological anguish, and feelings such as bewilderment, humiliation and resentment. According to this formulation of moral injury, it could affect patients, service users, families and loved ones as well as care staff. Suzanne highlights that experiences of moral injury among the wider public, as well as staff, will call for attention from care leaders long after the pandemic surge.
-
Content ArticleHealthcare staff have had to adapt their way of working as a result of the pandemic, which has made pre-COVID guidance obsolete. Different Trusts are doing different things. Associate Director of Patient Safety Learning and Critical Care Outreach Nurse, Claire Cox, outlines the challenges and asks, what is the solution?
-
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.
-
Content ArticleIn this candid blog, 'The Secret Midwife', gives her account of the pressure and lack of resource and support that makes it so difficult to provide safe care.
-
Content Article
Civility Saves Lives
PatientSafetyLearning Team posted an article in Good practice
Civility Saves Lives are a collective voice for the importance of respect, professional courtesy and valuing each other. They aim to raise awareness of the negative impact that rudeness (incivility) can have in healthcare, so that we can understand the impact of our behaviours. Their goal is to disseminate the science of the impact of incivility in healthcare. They also strive to research and collaborate on data about the impact of incivility. -
Content Article
Why I ‘walk on by’
Anonymous posted an article in Florence in the Machine
I recently read the blog on the hub ‘Walk on by...’ by a junior doctor. What a fantastic doctor, if only we had more of these people in our healthcare service. I wanted to respond to this blog by writing about my own experiences in ‘walking on by’. It’s been a difficult write as it has questioned my integrity, my motivation and my career.- Posted
- 1 comment
-
- (and 4 more)
-
Content ArticleInformation overload can be defined as a difficulty a person can have in comprehending issue and making judgments that are caused by the presence of too much information. Information overload occurs when the amount of input to a system surpasses its processing capability. Decision-makers have a limited cognitive processing ability. Consequently, when information overload happens, it is possible that a decline in decision quality will take place. Decision-makers, such as medical consultants, have fairly limited cognitive processing capacity. Consequently, when information overload occurs, it is likely that a reduction in decision quality will occur. The aim of this study, originally published by the Journal of Biosciences and Medicines, is to assess the impact of information overload on medical consultants’ life, its causes, and potential ways to deal with it.
-
Content ArticleThe Magnet Recognition Program designates organisations worldwide where nursing leaders successfully align their nursing strategic goals to improve the organisation's patient outcomes. The Magnet Recognition Program provides a road map to nursing excellence. Research has documented an association between hospitals with Magnet recognition and better outcomes for nurses and patients. However, little longitudinal evidence exists to support a causal link between Magnet recognition and outcomes. This study compares changes over time in surgical patient outcomes, nurse-reported quality, and nurse outcomes in a sample of hospitals that attained Magnet recognition between 1999 and 2007 with hospitals that remained non-Magnet.
-
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.
-
Content ArticleWhen the Harvard Business Review (HBR) asked Robert Sutton for suggestions for its annual list of Breakthrough Ideas, he told them that the best business practice he knew of was 'the no asshole rule'. Sutton's piece became one of the most popular articles ever to appear in the HBR. Spurred on by the fear and despair that people expressed and the tricks they used to survive with dignity, Sutton was persuaded to write this book. He believes passionately that civilised workplaces are not a naive dream, that they do exist, do bolster performance and that widespread contempt can be erased and replaced with mutual respect when a team or organisation is managed right. There is a huge temptation by executives and those in positions of authority to overlook this trait especially when exhibited by so-called producers, but Sutton shows how overall productivity suffers when the workplace is subjected to this kind of stress.
-
Content ArticleIncivility chips away at people, organisations, and our economy. Slights, insensitivities, and rude behaviors can cut deeply. Moreover, incivility hijacks focus. Even if people want to perform well, they can't. Customers too are less likely to buy from a company with an employee who is perceived as rude. In this book, Christine Porath shows how people can enhance their influence and effectiveness with civility. Combining scientific research with fascinating evidence from popular culture and fields such as neuroscience, medicine, and psychology, this book reminds managers and employers what they can do right now to improve the quality of their workplaces.
-
Content ArticleIn this presentation on improving patient safety and reducing alarm fatigue, the panellists discuss the right and wrong way to use continuous surveillance monitoring.
-
Content ArticleThe ‘Productive Ward: Releasing Time to Care’ programme is a quality improvement (QI) intervention introduced in English acute hospitals a decade ago to: increase time nurses spend in direct patient care improve safety and reliability of care improve experience for staff and patients make changes to physical environments to improve efficiency. The objective of this paper, published in BMJ Quality & Safety, was to explore how timing of adoption, local implementation strategies and processes of assimilation into day-to-day practice relate to one another and shape any sustained impact and wider legacies of a large-scale quality improvement intervention.
-
Content ArticleThe current crisis of clinician burnout is a complex problem. As rates of burnout (the workplace syndrome consisting of emotional exhaustion, depersonalisation and loss of meaning) reach disturbing levels among clinicians, we continue to struggle to understand how to address workplace suffering. An under-examined area of burnout is how the increasing complexity of healthcare, combined with our tentative recognition of complexity science (the study of systems governed by interactions, dependencies and relationships), impacts the well-being of clinicians. Please note this article, published in BMJ Quality and Safety, is paywalled.
-
Content ArticleIn recent years, there has been an increasing focus on the role of safety culture in preventing incidents such as medication errors and falls. However, research and developments in safety culture has predominantly taken place in hospital settings, with relatively less attention given to establishing a safety culture in care homes. Despite safety culture being accepted as an important quality indicator across all health and social care settings, the understanding of culture within social care settings remains far less developed than within hospitals. It is therefore important that the existing evidence base is gathered and reviewed in order to understand safety culture in care homes.
-
Content Article
MedLed: Breaking the burnout cycle
PatientSafetyLearning Team posted an article in Workforce and resources
This article looks a some of the research into clinician burnout and the importance of early intervention. Perhaps the 72% of doctors, in a study in 2018, who said that they would go to work even when unwell or not resilient enough to work safely provides the most powerful evidence of this being both an organisational and individual problem that needs immediate attention.
.jpg.acbff7c2775e5da1325093aa973605d1.jpg)
