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Content ArticleThe aim of this study from Choi et al. was to investigate the scope and severity of the second victim problem among nurses in South Korea by examining the experiences and effects of patient safety incidents (PSIs) on them. The study found a considerable number of nurses experienced psychological difficulties due to PSIs at levels that could interfere with their work. The effect of PSIs on nurses with direct experience of PSIs was greater compared with those with indirect experience. There need to be psychological support programmes for nurses to alleviate the negative effects of PSIs.
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Content ArticleLast week a letter signed by 435 GP practice staff on access to GP practices was published in The Times. The letter was drafted by a group of grass root GPs, in response to the recent misleading allegations that GPs have been “closed” during the pandemic. These headlines damage the reputation and morale of the workforce. Responsible media reporting is a patient safety issue, as those patients who believe this false rhetoric may not seek help for worrying symptoms. We have already seen reduced rates of cancer diagnosis during the pandemic by around 40%, along with reduced presentations of other major non-covid illnesses. Irresponsible media may also cause inappropriate use of emergency departments and the NHS 111 helpline, which adds further pressure on our secondary care colleagues at a critical time for the NHS. GPs Simon Hodes and Neena Jha discuss this further in this BMJ Opinion article.
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Content ArticleIn September this year, as part of World Patient Safety Day, Patient Safety Learning asked people, via social media and the hub, to name three things staff most needed to be safe. We gathered your responses and are now pleased to present an image which shows the most common themes. According to the responses we received, the four themes that became most obvious – the four things you think staff most need to be safe – are: Compassionate leaders and role models who prioritise their staff’s wellbeing A respectful, supportive team with good communication and united by a common purpose A safe and just culture that invites staff to speak up Psychological safety, protecting staff from burnout.
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Content ArticleWith the possibility of a spike in COVID-19 cases this winter, doctors, nurses and medical staff may be coming in feeling already depleted from an uncontrolled pandemic. Guest host Dan Gorenstein of the Tradeoffs podcast talks with Dr Albert Wu, co-director of RISE (Resilience in Stressful Events) which provides emotional support to health system staff. Gorenstein and Wu talk about why health care workers may have low reserves right now, how COVID may be changing perceived stigma around mental health support for frontline workers and what institutions can do to ensure the well-being and resilience of all staff."Asking people to be heroic over and over again, to run back into the fire multiple times, gets harder each time" (Dr Wu).This is a podcast called Public Health on Call, produced by John Hopkins Bloomberg School of Public Health.
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Content ArticleCOVID-19 brings an enormous set of challenges to hospitals around the world. One challenge in particular, the current mental state of healthcare workers, is now taking centre stage as clinicians face delivering difficult news to patients and their families about what is happening, what to expect, and how to prepare. ECRI and RLDatix came together to deliver a special webcast led by Dr Tim McDonald, an expert on Communication and Optimal Resolution (CANDOR). A recording of the webinar can be viewed below.
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Content ArticleStaff burnout was concern number 3 from ECRI’s Top 10 Patient Safety Concerns for 2019. This paper discusses staff burnout and the impact this can have on patient safety.
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Content ArticleGuy's and St Thomas' has shared a downloadable version of the 'Big 5'.
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Content ArticleOlder people and people with an intellectual disability who receive long-term care are considered particularly vulnerable to infection outbreaks, such as the current coronavirus pandemic. The combination of healthcare concerns and infection-related restrictions may result in specific challenges for long-term care staff serving these populations during infection outbreaks. This review from Embregts et al. aimed to: (1) provide insight about the potential impact of infection outbreaks on the psychological state of healthcare staff and (2) explore suggestions to support and protect their psychological well-being. They found that research into support for long-term care staff during an infection outbreak is scarce. Without conscious management, policy and research focus, the needs of this professional group may remain underexposed in current and future infection outbreaks. The content synthesis and reflection on it in this article provide starting points for new research and contribute to the preparation for future infection outbreaks.
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Content ArticleIf psychological safety is the number one variable in team performance then how do you improve it? Where do you start? What are the key actions you can take to increase the level of psychological safety in your environment? This guide from Leader Factor has 120+ behaviours you can use to have a higher level of psychological safety. You can download the guide by filling in the online form.
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Content Article"The night shift in A&E started off as normal: routine heart attacks, head injuries, road traffic accidents, an array of minor injuries. It was what happened next that has stayed with me for 25 years, long after I left my job as a doctor in the NHS." In this blog for the Guardian, a doctor reflects on the impact a traumatic night in A&E has had on them and their concerns for the mental health and wellbeing of all frontline staff during this global pandemic. Their hope is that immediate funding for a national framework of in-house support and counselling will stem the tsunami of mental ill health among frontline workers that is coming, and shed light on the ultimate medical taboo that is the mental health of our healthcare staff.
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Content ArticleRight now, healthcare workers are facing an extremely challenging situation, doing important and difficult work. Taking care of your mental health and managing feelings might be taking a back seat. 'Our Frontline' offers round-the-clock one-to-one support, along with a collection of resources, tips and ideas chosen to support your mental health as you do your work to protect us all and keep the country going. To talk by text, text FRONTLINE to 85258 any time. To talk by phone for free, call 0800 069 6222 from 7am to 11pm if you’re in England, or call 116 123 any time if you’re elsewhere in the UK. It’s all in confidence, with trained volunteers. The link below gives some more details about the help that’s available, and some other things that Our Frontline think you’ll find useful.
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Content ArticleThis checklist is the first step in identifying and prioritizing areas of action for improving the protection of health and safety of health workers in line with WHO–ILO Global Framework for National Occupational Health Programmes for Health Workers. It is designed to be filled out in discussion with management, responsible officers for occupational health, environmental health, infection prevention and control, human resources and representatives of workers in the health facility. This participatory approach will provide a variety of perspectives and a more comprehensive basis for identifying the existing preventive measures, possible problems and solutions for continuous improvement. Using this checklist to begin this process will give you an overview of areas where you can propose to take action and help you determine what to prioritize. These priorities guide you in planning for improvements.
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Content ArticleHealth is a universal human right and a main contributor to well-being, economic development, growth, wealth and prosperity for all. Health systems play a key role in protecting, restoring and maintaining the health of patients and populations. A well-trained, motivated and supported health workforce is the backbone of every health system and without them, there would be no healthcare. Health workers around the world are at the front line of the daily battle to contain diseases and to save lives while often risking their own health and lives. Poor and unsafe working conditions increase the risk of occupational diseases and injuries among health workers and jeopardize patient safety, quality of care and the overall resilience of health systems. The coronavirus disease (COVID-19) pandemic has drawn attention to significant gaps in the protection of health workers, emphasising the need to ensure that the occupational safety and health of health workers is a priority. This is fundamental if they are to be enabled to do their jobs and to protect the health of patients and populations. The development and implementation of national programmes for protecting the health and safety of all health workers is an effective way to ensure the application of national occupational safety and health legislation and policies tailored to the needs of the health sector. This World Health Organization (WHO) policy brief is intended to provide a short overview on the issues and recommendations for policy decision-makers in ministries of health and ministries of employment and labour; local authorities; managers of health facilities; professional associations of the various groups of health workers; and organizations of workers and employers in the health sector.
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Content ArticleOxSTaR (Oxford Simulation, Teaching and Research) is based at the John Radcliffe Hospital. The centre provides a state of the art environment where medical students and multidisciplinary healthcare professionals can use adult and paediatric high fidelity patient simulators to rehearse a wide variety of medical scenarios. The information in the link below is designed for healthcare professionals caring for patients with COVID-19 and has been developed in collaboration with Oxford University Hospitals Foundation Trust (OUH FT). Contents of the OxSTaR website such as text, graphics, images, videos and other material contained in the webinars and online lectures are for educational purposes and information only. The content is not intended to be a substitute for face-to-face training. Whilst great care has been taken to ensure the accuracy of the information provided on this website, please be advised that the contributors to the OxSTaR website are not responsible for the continued currency of the information, or any errors or omissions on the website that result from this rapidly evolving field.
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Content Article
Keep your light shining bright – three tips from Sally Howard
Sally Howard posted an article in Blogs
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.- Posted
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- Mental health
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Content Article
Hidden wounds
Stephanie O'Donohue posted an article in Staff safety
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Content ArticleMoral 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?
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Content ArticleFollowing the publication of Donna Ockenden’s first report: Emerging Findings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospitals NHS Trust on 11 December 2020, the NHS has issued this latest update. Read previous letter update
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Content ArticleThis report from the Healthcare Safety Investigation Branch (HSIB) outlines the most important factors for supporting staff in the wake of safety incidents, against the backdrop of the COVID-19 pandemic. The report reinforces the importance of effective staff support for those suffering high levels of psychological harm, as it has a direct impact on patient care. While focusing on patient safety incidents overall, the report also provides valuable insight that could help organisations develop their own programmes of support for any situation. The report features a first-hand account from a junior doctor which charts the impact that a patient safety incident had on his life and his experiences of support. Excerpts from the story emphasise the importance of creating a ‘normalised’ culture around accessing support.
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- Patient safety incident
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Content ArticleThis learning resource has been designed for frontline clinical staff who are caring for critically ill patients during the COVID-19 pandemic. This includes a wide range of healthcare professionals in acute care, from many different clinical speciality backgrounds. You may have some previous critical care experience or none. The information in this resource will support those refreshing critical care knowledge and skills, newly qualified doctors, those who are upskilling, and those returning to acute clinical services during the COVID-19 pandemic.
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Content ArticleIn this joint open letter, the UK’s Chief Nursing Officers write about how they are supporting professionals during the pandemic. They encourage the profession to “speak up” if they feel unsafe at work amid the latest surge of COVID-19. The letter also includes information on: supporting to deliver care helping to strengthen the workforce capacity supporting the roll-out of vaccines support for health and wellbeing.
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Content ArticleThe Patient Safety Learning hub has provided the vehicle through which I’ve shared my personal journey as I sought to establish and embed a second victim support initiative at the trust where I worked until my recent retirement. Four years ago SISOS was set up to ensure that colleagues affected by safety incidents received emotional support as soon as possible. A lot of lessons have been learned along the way and positive actions taken. These are my personal thoughts.
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- Safety culture
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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.
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Content ArticleThe COVID-19 pandemic has put the UK health and care workforce under unprecedented pressure. The workforce had been struggling to cope even before the pandemic took hold. Staff stress, absenteeism, turnover and intentions to quit had reached alarmingly high levels in 2019, with large numbers of nurse and midwife vacancies across the health and care system. The impact of the pandemic on the nursing and midwifery workforce has been unprecedented and will be felt for a long time to come. The crisis has also laid bare and exacerbated longstanding problems faced by nurses and midwives, including inequalities, inadequate working conditions and chronic excessive work pressures. The health and wellbeing of nurses and midwives are essential to the quality of care they can provide for people and communities, affecting their compassion, professionalism and effectiveness. This review, from the Kings Fund, investigated how to transform nurses’ and midwives’ workplaces so that they can thrive and flourish and are better able to provide the compassionate, high-quality care that they wish to offer. Nurse and midwives have three core work needs that must be met to ensure wellbeing and motivation at work, and to minimise workplace stress: autonomy, belonging and contribution. This report sets out eight key recommendations designed to meet these three core work needs. These recommendations focus on: authority, empowerment and influence; justice and fairness; work conditions and working schedules; teamworking; culture and leadership; workload; management and supervision; and learning, education and development.
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