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Showing results for tags 'Team culture'.
Found 259 results
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Content Articlehe NHS needs every one of its 1.4 million staff, but nobody is perfect every day of their career. Human factors have a huge impact on staff and patients. After witnessing poor behaviour in the workplace, co-workers are less effective and patients have worse outcomes. An unpleasant working culture also reduces camaraderie in teams and can lead to resignations. This is a vicious cycle of overwork and burnout that the NHS can’t afford. We need to nurture our workforce. In this BMJ opinion article, Scarlett McNally suggests focusing on three areas: expecting a minimum standard of behaviour at all times rather than perfectionism; identifying when intense focus is needed; and building effective teams. The minimum standard should be an expectation of “respect” at all times.
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Content ArticleGaslighting at work can take many forms and is often subtle, causing the victim to question their perception. This blog gives some examples of gaslighting at work and suggests ways to deal with it if you believe you are experiencing gaslighting from a colleague.
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Content ArticleAn infographic shared on LinkedIn by Kenny Gibson, Deputy Director for NHS Safeguarding, on spotting the red flag in colleagues.
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Content ArticleIn this blog, After Action Review (AAR) specialist Judy Walker shares an account of a successful AAR that took place amongst a surgical team. The AAR was called after a near-miss where the anaesthetist was prevented from injecting spinal block medication into the wrong side of a patient's spine by an operating department practitioner (ODP). The story demonstrates the benefits of AAR, including accelerated learning, a no-blame approach, flattening staff hierarchy and a significant reduction in the time it takes to investigate an incident.
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Content Article
Igniting your inner spirit – a blog by Sally Howard
Sally Howard posted an article in Leadership for patient safety
NHS and social care continues to have significant challenges. This blog cannot change that but it offers food for thought on how to stay afloat. -
Content ArticleSocial movement action for knowledge uptake and sustainability can be defined as individuals, groups, or organisations that, as voluntary and intrinsically motivated change agents, mobilise around a common cause to improve outcomes through knowledge uptake and sustainability. This article in the International Journal of Nursing Sciences shares a concept analysis of social movement aimed at advancing its application to evidence uptake and sustainability in healthcare. The authors concluded that social movement action can provide a lens through which to view implementation science. Collective action and collective identity–concepts less frequently canvassed in implementation science literature–can lend insight into grassroots approaches to uptake and sustainability. The concept analysis resulted in the development of the Social Movement Action Framework.
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Content ArticleThis article for Forbes looks at new data suggesting that for almost 70% of people, their manager has more impact on their mental health than their therapist or their doctor—and it’s equal to the impact of their partner. It outlines leadership approaches to improve employees' mental health, including self-management, impact recognition, fostering connection, offering choice and providing challenge.
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Content Article
Kindness in healthcare website
Patient Safety Learning posted an article in Good practice
This 'Kindness in healthcare' website is the home for ‘conversation for kindness’, which is a monthly meeting that was set up in the summer of 2020 by a group of colleagues and friends working in healthcare across Sweden, the UK and the USA. The initial purpose of getting together was to have some time together to continue some initial conversations around kindness, and to explore its role at the ‘business end’ of healthcare. As the conversation has developed, interest in this work has grown and it now has contributors from almost 30 different countries across the globe. The monthly virtual call takes place the 3rd Thursday of every month (6-7pm GMT) and its focus is on listening, learning, thinking differently and mobilising for action It's an open culture of sharing of resources, energy and ideas. -
Content Article
This guidance on implementing human factors in anaesthesia has been produced by the Difficult Airway Society and the Association of Anaesthetists. Human factors is an evidence-based scientific discipline used in safety critical industries to improve safety and worker wellbeing; implementing human factors strategies in anaesthesia has the potential to reduce the reliance on exceptional personal and team performance to provide safe and high-quality patient care. A three-stage Delphi process was used to formulate a set of 12 recommendations: these are described using a ‘hierarchy of controls’ model and classified into design, barriers, mitigations and education and training strategies. -
Content ArticleIn this blog, Judy Walker, Senior Business Consultant at iTS Leadership, describes an After Action Review (AAR) that took place at a large London hospital following the first wave of Covid-19. As part of the AAR, Emergency Department porter Aaron described his experience of the first Covid 19 surge—wheeling large numbers of patients who had died through an empty hospital. Judy describes the value of staff listening to different perspectives as a way to reflect on their own experiences and understand the impact events have on different individuals. She highlights the importance of listening to the process of learning for individuals and teams.
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News Article
Toxic workplaces pushing GPs out of UK practice
Patient Safety Learning posted a news article in News
GPs are leaving UK practice over workplace incidents rather than due to falling ‘out of love’ with the profession, the General Medical Council (GMC) has warned. Speaking to the NHS Providers conference (16 November), chief executive Charlie Massey said that many specialty and associate specialist (SAS) and locally employed (LE) doctors feel their careers are being ‘curtailed’ and that they ‘can’t tolerate the environments’ in which they work. He cited new GMC research into doctors’ migration which identified poor workplace conditions and ‘negative experiences with colleagues’ as a ‘far more impactful’ as a trigger compared to poor experiences with patients. According to the research, bullying at work, lack of respect from line managers and experiences of favouritism ‘provided the nudge for them to consider making a change and migrating abroad’. Mr Massey said: "This is a senseless waste of talent, not least because these issues are preventable. With a focus on compassionate, supportive cultures, they can be put right. This will not only improve doctors’ wellbeing, but also their productivity. Happier workers are better workers, and they deliver better results." Read full story Source: Healthcare Leader, 16 November 2022 -
Content ArticleThe NHS Patient Safety Strategy aims to monitor and support the development of a strong patient safety culture within the NHS, creating an environment where individuals feel they will be treated fairly and compassionately if they speak up. In this publication, NHS England collates insights from focus groups held with NHS organisations that are rated by the Care Quality Commission as outstanding or good for its ‘Safe’ assessment domain. The insights reflect what they have done to support a patient safety culture within their organisations.
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Content ArticleTeamwork is critical in delivering quality medical care, and failures in team communication and coordination are substantial contributors to medical errors. This study in JAMA Internal Medicine aimed to determine the effectiveness of increased familiarity between medical resident doctors and nurses on team performance, psychological safety and communication. The authors found that increased familiarity between nurses and residents promoted rapid improvement of nursing perception of team relationships and, over time, led to higher team performance on complex cognitive tasks in medical simulations. They argue that medical systems should consider increasing team familiarity as a way to improve doctor-nursing teamwork and patient care.
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Content Article
Five tips to improve wellbeing and communication
Patient Safety Learning posted an article in Good practice
Here are five simple tips on how to improve wellbeing and communication by changing how you start and end each day and week positively. Shared by Robin Davis on Twitter. -
Content ArticleThis editorial in BMJ Quality & Safety examines literature that looks at the negative side effects of quality improvement (QI) approaches and initiatives, arguing that QI can contribute to staff burnout, stress and reduced engagement. The authors make a number of recommendations for avoiding the negative side effects of QI.
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Content ArticleThe Patient Safety Incident Response Framework (PSIRF) sets out the NHS’s approach to developing and maintaining effective systems and processes for responding to patient safety incidents for the purpose of learning and improving patient safety. In this video, Megan Pontin, Patient Safety Incident Investigator at West Suffolk NHS Foundation Trust, talks about her experience as an early adopter of PSIRF. She describes the process of engaging staff, patients and families in incident investigations, and how PSIRF enables people to share what happened from their perspective. She talks about the open way in which investigation reports are compiled and reviewed to ensure everyone involved is happy with the way events are presented.
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Content ArticleConversations that leaders have with their team members are the drivers of psychological safety. In this blog, Tanmay Vora looks at how to start conversations that build psychological safety in teams. He includes two infographics which highlight suggested conversation starters for team leaders and team members.
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Content Article
Psychological safety Padlet board
Patient-Safety-Learning posted an article in Culture
Psychological safety refers to creating and maintaining an environment in which members of a team feel able to speak up without fear of negative consequences. It allows healthcare professionals to take the interpersonal risks needed to engage in effective teamwork and to maintain patient safety. This Padlet board set up by Becky Thomas is a place to post resources and articles related to promoting psychological safety. -
Content ArticleSince 2018, Nicola Burgess has led a team from Warwick Business School that evaluated the partnership between the English NHS and the Virginia Mason Institute in the USA. The partnership aimed to implement a systematic approach to quality improvement (QI) in five English NHS trusts and learn lessons about how to foster a culture of continuous improvement across the wider health and care system. In this blog, she summarises six key lessons from the evaluation report for health and care leaders looking to build a systematic approach to QI. Build cultural readiness as the foundation for better QI outcomes Embed QI routines and practices into everyday practice Leaders show the way and light the path for others Relationships aren’t a priority, they’re a prerequisite Holding each other to account for behaviours, not just outcomes The rule of the golden thread: not all improvement matters in the same way
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Content ArticleThis study in the SA Journal of Human Resource Management aimed to develop a conceptual framework that identifies the critical success factors that affect the implementation of team coaching in organisations. The results indicate that to integrate successful team coaching into any organisation, effective analysis of an organisational context is required. This includes leadership stakeholders, team effectiveness, competency of a coach and employee engagement. The study also identified constraints that may prevent successful implementation of team coaching.
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Event
Human Factors in your work and your team
Patient Safety Learning posted an event in Community Calendar
This virtual masterclass will guide you in how to use Human Factors in your workplace. All medical and non-medical staff should attend. Leadership in the NHS is the responsibility of all staff. Understanding human factors will allow healthcare to enhance performance, culture and organisation. It can be used to assess why things go wrong and how to implement change to prevent it from happening again or mitigate the risks. The course is facilitated by Perbinder Grewal, a General & Vascular Surgeon, Human Factors & Patient Safety Trainer, and Emotional Intelligence Practitioner; leads on medical education both locally and nationally; Member of the Faculty of Surgical Trainers at the Royal College of Surgeons of Edinburgh; formerly lead for e-learning for healthcare for the Royal College of Surgeons of England; experienced trainer and coach who uses new insights to develop patient safety, staff engagement and psychological safety; has Postgraduate Certificates in Leadership and Coaching. Register hub members receive a 20% discount. Email info@pslhub.org for discount code. -
Content ArticleDaily huddles with staff are used to support incident reporting and learning in healthcare. This study considers a Safety-II-inspired model for safety huddles developed and implemented at the Neonatal Care Unit at a regional hospital in Sweden.
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Content ArticleIn this episode of The Mind Full Medic podcast, host Cheryl Martin talks to Dr Chris Turner, a consultant in Emergency Medicine at University Hospitals of Coventry and Warwickshire. Chris is also the co-founder of Civility Saves Lives, an organisation dedicated to raising awareness of the impact behaviour has on individuals, teams and organisations. In this conversation, Chris discusses his own professional journey and experience as a healthcare leader and safety and quality lead. He talks about the challenging start to his consultant career, the powerful impact of a trusted mentor and critical friend, and how this experience has informed his future work. He also describes the spectrum of approaches to improving safety and quality in the challenging, complex healthcare environment, including the Safety I and Safety II approaches.
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Content Article
Communication in the operating theatre (14 November 2013)
Patient-Safety-Learning posted an article in Surgery
Communication is extremely important to ensure safe and effective clinical practice. This systematic literature review of observational studies addressing communication in the operating theatre aimed to gain an understanding of actual communication practices, rather than what was reported through recollections and interviews. In all of the studies reviewed, communication was found to affect operating theatre practices. Further detailed observational research is needed to gain a better understanding of how to improve the working environment and patient safety in theatre. -
Content ArticleWelcome to the being better together podcast, from Learning from Excellence and Civility Saves Lives. This podcast from Learning from Excellence and Civility Saves Lives is a series of conversations with people who inspire us, about making healthcare a better place to work. It covers a wealth of topics, from workplace cultures, through inspiration, laughter and joy, to appreciative inquiry and how do work safely.
