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Showing results for tags 'Staff support'.
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Content ArticleFindings from the APPG for Whisltblowing's report show that whistleblowing cases continue to have a low success rate, with whistleblowers suffering more and for longer than before, writes Mary Robinson. Whilst there are laws in place to protect whistleblowers, the overwhelming evidence is that they have failed to address the principal issues they face. Politicians have a duty to confront the most difficult things, including the barriers to justice and the fear of retaliation that make it impossible or futile for people across all sectors to speak up safely. Mary, the Conservative MP for Cheadle and chair of the APPG for whistleblowing, says that a system that works with whistleblowers instead of against them, would serve to protect employees and would empower them to do the right thing. Although the UK was the first in Europe to introduce legislation with Public Interest Disclosure Act 1998, we are in danger of falling behind global best practice. In this blog, Mary proposes and urgent reform of existing legislation and the introduction of an Office of the Whistleblower is needed to reset the gold standard.
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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.
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Content ArticleBetween 30 June and 5 July 2020, the Royal College of Anaesthetists conducted a survey to assess its members' views on the current preparedness to restart planned services. The results found that doctors are not confident their hospitals would cope with a second COVID-19 surge and that more anaesthetists are suffering mental distress than ever before as morale drops.
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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?
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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.
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- Obstetrics and gynaecology/ Maternity
- Maternity
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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.- Posted
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Maintaining emotional safety: From a nurse's perspective
Claire Cox posted an article in Cancers
Kay Bell, from the Royal Marsden Hospital, speaks to ecancer at the 2019 UKONS meeting about the importance of emotional safety for nurses. She gives an overview of the key messages of this session, which include taking the time to pause and reflect on a situation. Kay also discusses the support available for nurses currently which include clinical supervision, mentoring support from different professional organisations.- Posted
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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.
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Content ArticleAs I mentioned in my previous blog (part 3), the number of staff using the SISOS calm zone as a safe space to take time out was surprising because of the sheer volume and also the average time it was used for (15 minutes). Certain factors contribute to the success of a safe space: management buy-in, location and, to a degree, ambiance. At Chase Farm Hospital, we have been fully supported locally and at a trust level. However, in any organisation there will always be people who are averse to change. In this blog I will share with you some of the negative experiences I encountered, because anyone thinking of setting up a similar initiative needs to be aware that it is not always plain sailing and unfortunately not everyone sees the need to support staff. I will also share with you how SISOS is evolving to meet our staff's needs.
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- Second victim
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Whistleblowers’ support scheme
Patient Safety Learning posted an article in Whistle blowing
The Whistleblowers' support scheme helps current and former NHS workers who are having difficulty finding suitable employment in the NHS as a result of raising a concern in the public interest. It offers tailored support to help participants develop the skills and confidence needed to remain in or get back into employment. This could include career coaching, advice, CV writing and interview skill practice and work shadowing and work placements. The NHS Improvement web page outlines the eligibility criteria and application form.- Posted
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Content ArticleSchool mental healthcare often is provided by teams contracted from community mental health agencies. The team members that provide this care, however, do not typically receive training in how to work effectively in a team-based context. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) provides a promising, evidence-based strategy for improving communication and climate in school-based teams. The authors of this study adapted and piloted TeamSTEPPS for use with school mental health teams. TeamSTEPPS was feasible and acceptable to implement, and leadership emerged as an important facilitator. Barriers to implementation success included staff turnover, lack of resources, and challenges in the school mental health team relationship. Results suggest that TeamSTEPPS is promising for school mental health teams but additional modifications are likely needed.
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- Mental health
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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.- Posted
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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.
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- Fatigue / exhaustion
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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.- Posted
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- Patient harmed
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What is restorative justice?
Claire Cox posted an article in Harmed care patient pathways/post-incident pathways
Restorative justice brings those harmed by crime or conflict and those responsible for the harm into communication, enabling everyone affected by a particular incident to play a part in repairing the harm and finding a positive way forward. This is part of a wider field called restorative practice. Restorative practice can be used anywhere to prevent conflict, build relationships and repair harm by enabling people to communicate effectively and positively. Restorative practice is increasingly being used in schools, children’s services, workplaces, hospitals, communities and the criminal justice system. Could this be something that we could utilise as a new approach in healthcare?- Posted
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- Patient
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Content ArticleMedical errors rank as the eighth leading cause of death in the U.S. Clearly medical errors are an epidemic that needs to be contained. Despite these numbers, patient safety and medical errors remain an issue for physicians and other clinicians. This book bridges the issues related to patient safety by providing clinically relevant, vignette-based description of the areas where most problems occur. Each vignette highlights a particular issue such as communication, human factors, electronic health records, and provides tools and strategies for improving quality in these areas and creating a safer environment for patients.
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- Quality improvement
- System safety
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Content ArticleStaff at C.S. Mott Children’s Hospital and Von Voigtlander Women’s Hospital, Michigan are adopting a new approach to safety. By picking up near misses, close calls, deviation off protocol and investigating each one via a daily huddle, they are able to enable change system wide.
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- Hospital ward
- Nurse
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Content ArticleThe South Thames Paediatric Network's aim is to enable children within the South Thames region (South London, Kent, Surrey and Sussex) to have access to high-quality specialist paediatric care in the place most suitable to their needs, at the appropriate time with a focus on surgery in children, critical care, long term ventilation and gastroenterology.
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- Treatment
- Paediatrics
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Content ArticleDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust Patient Safety Team won the Patient Safety Learning Award 2019 for Shared learning. In this blog, Cindy Storer describes her experience of the Patient Safety Learning Annual Conference and winning the award.
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- Team culture
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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.- Posted
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Consent: Maternity
Claire Cox posted an article in Consent issues
This area of the Royal College of Obstetricians and Gynaecologists website provides guidance for healthcare professionals on obtaining consent from women within obstetrics and gynaecology services. It provides easy access to all procedure-specific consent documentation and gives advice on how best to support women’s decision-making about their care.- Posted
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Content Article
Put an end to cannula site infections!
Claire Cox posted an article in Other hospital-based clinical areas
This presentation written by Dr Gordon Caldwell, a Consultant Physician at Lorn and Islands Hospital, Oban, Argyll, Scotland, highlights the importance of surveillance and actions to be taken around prevention of infection of cannlula sites.- Posted
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- Patient
- Healthcare associated infection
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Content ArticleMy previous blog talked about how the idea for SISOS (Safety Incident Supporting Our Staff) – an initiative to support staff involved in safety incidents – came about at Chase Farm Hospital. The SISOS team provide confidential, emotional support in a safe environment and make other support, including professional help more easily accessible. It is important to recognise that we are 'Listeners' and not professional counsellors. My second blog continues this journey.
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- Safety culture
- Team culture
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