Tag Archives: Local Ward Cultures

Refusal and Resistance to Care in People With Dementia in Acute Hospitals (Patient Experience Library / NIHR / International Journal of Nursing Studies)

Posted on August 16, 2019 by Dementia and Elderly Care News

Summary Patients with dementia often have a poor experience of care in hospitals. Some hospitals are better than others, almost certainly, thanks to improvements in dementia-friendly hospital care, appropriate staff training and dementia awareness raising; however certain problems may persist … Continue reading →

Posted in Acute Hospitals, Commissioning, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Integrated Care, Management of Condition, Mental Health, Models of Dementia Care, NHS, NIHR, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Quick Insights, UK, Universal Interest, Wales | Tagged Abuse of Vulnerable Adults, Acute Care, Acute Hospital Care, Acute Hospitals, Acute Medical Ward for Dementia, Adult Safeguarding, Aneurin Bevan University Health Board, Avoidable Harm, Avoidable Hospital Mortality, Avoiding Long Hospital Stays, Cardiff, Cardiff University, Carers UK, Compassionate Care, Culture of Compassionate Care Versus Routine-Based Ward Culture, De Montfort University, De-Escalation Techniques, Deconditioning in Hospital, Delivering Safe and Compassionate Care, Dementia Awareness, Dementia Awareness Training, Dementia Training, Dementia Training for NHS Staff, Dementia UK, Department of Medicine for Older People Rehabilitation and Stroke: Portsmouth Hospitals NHS Trust, Deprivation of Liberty Safeguards, Deprivation of Liberty Safeguards (DoLS), DoLS in Hospitals, Education and Staff Training, Emergency Readmissions, Emergency Readmissions to Hospital, Ethical Considerations, Ethical Dilemmas, Ethnographic Research, Faculty of Health Sciences: University of Southampton, Fixed Timetables of Care (Potential Harms), Hermeneutic Approaches, Hospital Culture, Hospital-Acquired Deconditioning, Hospital-Associated Deconditioning, Hospital-Related Deconditioning, Improving Patient Experience, Improving Patient Safety, International Journal of Nursing Studies, Length of Hospital Stay, Length of Stay (LoS), Local Ward Cultures, Long Hospital Stays, National Institute for Health Research (NIHR), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), NIHR CLAHRC Wessex, NIHR CLAHRC Wessex: Innovation Centre, NIHR Health Services Delivery Research, NIHR Journals Library, NIHR Service Delivery and Organisation Programme, Patient Expectations, Patient Experience, Patient Experience Library, Patient Safety, Planned Personal Care (Timetabled), Qualitative Health Research, Qualitative Research, Qualitative Studies, Queen Alexandra Hospital: Portsmouth Hospitals NHS Trust, Re-Admissions to Hospitals, Readmissions to Hospital, Reducing Avoidable Harm, Reducing Avoidable Premature Mortality, Reducing Health Inequalities, Reducing Length of Hospital Stay, Reducing Re-Admissions to NHS Hospitals, Refusal and Resistance to Care Among People With Dementia in Acute Hospitals, Research and Innovation Department: Portsmouth Hospitals NHS Trust, Resistance Refusal or Rejection of Care by People Living With Dementia, Restraint, Restraint and Restrictions, Restraint in Hospital Settings, Restrictive Practices, Rigid Routines, Routines-Based Hospitals Culture, Safeguarding, Safeguarding Adults at Risk, School of Allied Health Sciences: De Montfort University, School of Health Sciences and Social Work: University of Portsmouth, School of Health Sciences: University of Southampton, School of Healthcare Sciences: Cardiff University, Timetabled Mealtimes, Timetabled Medication Rounds, Training and Education, Understanding Refusal and Resistance to Care, University of Portsmouth, University of Southampton, Workforce Education | Leave a comment

More on Barriers to Effective Whistleblowing (BBC News / Patients First / Health Select Committee)

Posted on September 22, 2014 by Dementia and Elderly Care News

Summary Whistleblowers who “speak out” about their concerns concerning care standards in the health service may still face obstacles, problems and intimidation, despite recent progress in the creation of a more open and transparent NHS culture. Patients First has submitted … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, Department of Health, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, Quick Insights, Standards, UK, Universal Interest | Tagged Ann Clwyd MP, BBC Health News, Behaviours to Enable Whistleblowing, Cathy James: Chief Executive of Public Concern, Closed Ranks Culture (Mid Staffordshire Public Inquiry), Clwyd and Hart Review Into Hospital Complaints, Complaint Advocacy Services, Complaint Handling, Complaint Handling by Providers, Complaint Handling in Social Care, Complaints and Raising Concerns, Complaints Handling in Primary Care, Complaints Matter, Complaints Programme Board (CPB), Complaints Wales, Culture, Culture Change, Defensive Leadership, Duty of Candour, Failure to Act, Fear of Raising Concerns About Care, Francis Inquiry, Francis Inquiry Report, Francis Report, Freedom and Responsibility to Speak Up (Francis Review Whistleblowing), Freedom To Speak Up Review (Sir Robert Francis QC), Freedom to Speak Up? (Whistleblowing Review), Gagging Orders, General Medical Council (GMC), Handling of Complaints by Commissioners, Harassment of Whistleblowers, Hard Truths, Health Select Committee (HSC), Health Service Ombudsman, Healthwatch and Public Involvement Association (HAPIA), Healthwatch England: Power to Act as Supercomplainant on Behalf of Consumers, Honesty, House of Commons Health Committee, House of Commons Health Committee Report on Complaints and Raising Concerns, House of Commons Health Select Committee, Implications of the Francis Inquiry Report, Incident Reporting, Katherine Murphy: Chief Executive of the Patients Association, Local Ward Cultures, Mid Staffordshire NHS Foundation Trust Public Inquiry, Mistreatment of Whistleblowers, Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Managerial Self-Interest, No Wrong Door Policy, Nurse Helene Donnelly, Nursing and Midwifery Council (NMC), Nursing and Midwifery Council’s Raising Concerns, Open and Honest Incident Reporting, Open Culture, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, PALS and NHS Complaints Advocacy Arrangements, Parliamentary and Health Service Ombudsman, Patient Advice and Liaison Service (PALS), Patients First (Support Organisation), Patients First and Foremost, Positive Culture, Principles of Good Complaint Handling, Professional Regulators and Complaints, Professor Sir Mike Richards: Former Chief Inspector of Hospitals (CQC), Programme to Identify Whistleblowers Who Have Suffered Detriment, Proposal for Single Complaints Gateway for Health and Social Care, Proposal for Single Health and Social Care Ombudsman for England, Public Administration Select Committee (PASC), Public Concern at Work, Public Interest Disclosure Act (PIDA), Public Services Ombudsman for Wales, Putting Patients First, Raising Concerns, Raising Concerns Policy, Raising Standards, Relatives and Residents Association, Reluctance to Raise Concerns About Care, Repercussions From the Francis Inquiry Report, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Role of Commissioners in Complaints, Sarah Wollaston: Chair of the House of Commons Health Select Committee, Shaping Culture, Sir Robert Francis QC, Staff Awareness, Staffordshire & Stoke on Trent Partnership NHS Trust, Statutory Duty of Candour, Structures to Enable Whistleblowing, Supercomplainant on Behalf of Consumers, Systems to Support Whistleblowing, Treatment of Staff Raising Concerns, Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the NHS, Whistleblowing in the Public Sector | Leave a comment

Whistleblowing in the NHS: Theory Versus Practice? (BBC News / Whistleblowing Helpline / NAO / SCIE)

Posted on April 18, 2014 by Dementia and Elderly Care News

Summary Dr Raj Mattu, a heart specialist was dismissed by University Hospital of Coventry and Warwickshire NHS Trust in 2010, after almost a decade of alleged unfair treatment by his employers, since exposing the cases of two patients who had … Continue reading →

Posted in Acute Hospitals, BBC News, In the News, National, National Audit Office, NHS, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged BBC Health News, BBC News: Coventry & Warwickshire, BBC News: Today (Radio 4), BBC Radio 4: Today Programme, Behaviours to Enable Whistleblowing, Bullying of Whistleblowers, Candour, Character Assassination of Whistleblowers, Corporate Self-Interest (Ahead of Patients), Culture of Delay and Denial, Defensive Leadership, Dr Raj Mattu (Consultant), Fear of Raising Concerns About Care, Flowchart of Whistleblowing Process, Freedom To Speak Up Review (Sir Robert Francis QC), Goldman Sachs, Harassment of Whistleblowers, HMRC, Honesty, House of Commons, House of Commons Committee of Public Accounts, Improving Patient Safety, Incentivising Candour, Local Ward Cultures, Margaret Hodge, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, National Audit Office (NAO), Negative Culture, NHS Constitution, NHS Constitution and Whistleblowing, NHS Corporate Self-Interest, NHS Culture, NHS Hospitals Complaints System, NHS Managerial Self-Interest, Openness, Openness and Transparency, Organisational and Professional Cultures, Organisational Culture and Climate, Parliamentarians, Patient Safety, Patient Safety Incidents, Patients First and Foremost, Public Accounts Committee, Public Concern at Work, Public Disclosure Act (1988), Public Interest Disclosure Act 1998 (PIDA), Putting Patients First, Qualtrics, Raising Concerns, Raising Concerns Around Deaths, Raising Concerns Policy, Reluctance to Raise Concerns About Care, SCIE Social Care TV, Shaping Culture, Sir Robert Francis QC, Social Care Code of Conduct, Social Care Commitment, Social Care TV, Speaking Out, Staff Awareness, Stages in Raising Concerns, Structures to Enable Whistleblowing, Systems to Support Whistleblowing, Treatment of Whistleblowers (Shoddy), Trust Blame and the Culture of Defensiveness, Victimisation of Whistleblowers, Whistleblowing, Whistleblowing Guidance, Whistleblowing Helpline, Whistleblowing in the Public Sector, Whistleblowing In the Wind, Whistleblowing Policy, Winterbourne View Hospital, Workplace Culture, Zero Tolerance Approaches | Leave a comment

The Francis Inquiry Re-Interpreted in the Light of Classic Social Psychology Experiments

Posted on January 25, 2014 by Dementia and Elderly Care News

Summary The Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry goes into some detail when considering the impact of social influences on nursing staff and other NHS employees. Volume 3, in particular, has large sections dedicated to NHS culture and values. … Continue reading →

Posted in For Nurses and Therapists (mostly), For Researchers (mostly), International, Quick Insights, Standards, Universal Interest | Tagged Australia, Care and Compassion, Clinical Excellence, Communication, Compassion and Care, Compassionate Care, Culture, Culture of Compassionate Care, Dignity in Care, Dignity on the Ward, Francis Inquiry, Francis Inquiry Report, Francis Inquiry Report: Full Report, Group Pressure, History of Psychology, Inhumane Behaviour, Leadership and Culture, Liberating Effects of Group Pressure, Local Ward Cultures, Medical Professionalism, Mid Staffordshire NHS Foundation Trust Public Inquiry, Milgram and Zimbardo's Studies, Milgram's Obedience Research, Negative Culture, NHS Culture, NHS Values, Nursing Times, Obedience and Conformity, Obedience to Authority, Organisational Culture, Organizational Culture Profile, Peer Pressure, Philip Zimbardo’s Stanford Prison Experiment, PLoS Biology, Professionalism, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Safe and Compassionate Care, Scotland, Social Conformity, Social Influences, Social Psychology, Stanley Milgram, Target-Chasing (Hitting the Target Missing the Point), Target-Driven Behaviour, United States, University of Queensland, University of St Andrews, USA, Values, Values and Behaviours, York St John University, Zimbardo's Stanford Prison Experiment | Leave a comment

Whistleblowing Helpline (Bridging the Gap Campaign)

Posted on February 22, 2013 by Dementia and Elderly Care News

Summary Although 89% of staff in the NHS believe they know about whistleblowing, only 73% of staff would feel safe when speaking-up. Hundreds of thousands of voices may effectively be held silent. “Not only is this an indicator of poor morale and a less … Continue reading →

Posted in Acute Hospitals, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Avoiding Litigation, Awareness, Awareness Raising, Bridging the Gap Campaign, Care Home Culture, Culture, Culture Change, Defensive Leadership, Francis Inquiry, Francis Inquiry Report, Francis Report, Local Ward Cultures, NHS Constitution and Whistleblowing, NHS Culture, Organisational and Professional Cultures, Organisational Culture and Climate, Positive Culture, Shaping Culture, Staff Awareness, Trust Blame and the Culture of Defensiveness, Whistleblowing, Whistleblowing Helpline | Leave a comment

Assuring High Quality Care in the NHS (NHS Confederation)

Posted on February 13, 2013 by Dementia and Elderly Care News

Summary This NHS Confederation discussion paper pursues the debate arising from the Francis report. The focus is now firmly on developing concrete proposals on how poor standards of patient care can be tackled in practice. Suggestions are offered on ways … Continue reading →

Posted in Acute Hospitals, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, NHS Confederation, Patient Care Pathway, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospitals, Behind the Headlines, Care in General Hospitals, Care Quality, Care Quality Commission (CQC), Commission for Patient and Public Involvement in Health (CPPIH), Culture, Culture Change, Foundation Trust Status, Francis Inquiry, Francis Inquiry Report: Executive Summary, Francis Report, Fundamental Standards, General Hospitals, General Medical Council, Health and Safety Executive (HSE), Health Protection Agency (HPA), Hospital Standardised Mortality Ratios (HSMRs), Leadership, LINks, Local Involvement Networks (LINks), Local Ward Cultures, Mandate to the NHS Commissioning Board, Mid Staffordshire NHS Foundation Trust, Mid Staffordshire NHS Foundation Trust Inquiry, Mid-Staffordshire NHS Trust, National Patient Safety Agency, Negative Culture, Negative Licensing, NHS Constitution, NHS Culture, NHS Litigation Authority (NHSLA), Nursing Standards, Openness, Oversight, Patient and Public Involvement Forums (PPIFs), Patient Experience, Patients Not Heard, Poor Governance, Positive Culture, Professional Disengagement, Quality Accounts, Quality Improvement, Regulation, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry, Scrutiny, Shaping Culture, Shropshire and Staffordshire Strategic Health Authority (SaSSHA), Sir Robert Francis QC, Somebody Else's Problem (SEP), South Staffordshire PCT (SSPCT), Stafford, Strategic Health Authorities (SHAs), Time-Task Culture, Transparency, Transparency and Accountability, Warning Signs, West Midlands, West Midlands SHA (WMSHA), Whistleblowing, Wrong Priorities | Leave a comment

Nursing Leader Makes Proposals For Health Trusts, Staffing Levels and Professional Culture (BBC News)

Posted on December 4, 2012 by Dementia and Elderly Care News

Summary Jane Cummings, Chief Nursing Officer for England, is proposing that health trusts should publish and justify their staffing levels at least twice a year. Her call, to be made at a conference in Manchester today, is an attempt to address concerns over neglect and abuse … Continue reading →

Posted in Acute Hospitals, BBC News, Community Care, Department of Health, For Carers (mostly), For Nurses and Therapists (mostly), For Social Workers (mostly), In the News, National, NHS, Person-Centred Care, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged 6 C’s of Nursing, Care and Compassion, Communication, Compassion, Compassion and Care, Compassionate Care in Acute Hospital Settings, Culture Change, Dignity, Dignity and Respect, Dignity on the Ward, Enabling Compassionate Care in Acute Hospital Settings, Engagement, FFT: Friends and Family Test, Friends and Family Test (NHS), Jane Cummings: Chief Nursing Officer for England, Local Ward Cultures, NHS Commissioning Board, NHS Friends and Family Test, NHS Values, Nurse Education, Nursing Older People, Nursing Practice, Patient Experience, Patient Feedback, Patient to Nurse Ratios, Professionalism, Respect, Shaping Culture, Six C’s of Nursing, Staff Motivation, Staffing Levels, The 6 Cs, User Experience | Leave a comment

Elderly Treated as Objects by Hospital Staff (NAPC GP Bulletin / Cardiff University)

Posted on November 18, 2012 by Dementia and Elderly Care News

Summary Research conducted on NHS wards concludes that hospital staff are sometimes unaware of how they “ignore vulnerable elderly patients, patronise them and treat them as objects”. The researchers, from Cardiff University, have made a training video called “Dignity: A Tale of … Continue reading →

Posted in Acute Hospitals, For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, National, NHS, NIHR, NIHRSDO, Nutrition, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Acute Care, Acute Hospital Care, Acute Hospitals, Ageism, Balancing of Interests, Being Ignored, Being Informed, Cardiff University, Cardiff University: Centre for the Economic and Social Aspects of Genomics (cesagen), Care and Compassion, Care of Older Adults in Acute NHS Trusts, Care Quality, Caring Division of Labour, Caring Roles, Centre for the Economic and Social Aspects of Genomics (cesagen): Cardiff University, Communication, Continuity of Care, Creating Dementia Friendly Hospitals, Dementia Care in Acute General Hospitals, Dementia Care in Acute Settings, Dementia Care in General Hospitals, Dementia-Friendly Communities, Dementia-Friendly Wards, Dignified Care, Dignity, Dignity and Respect, Dignity in Dementia, Dignity in Practice Report, Dignity on the Ward, Dignity: A Tale of Two Wards, Dignity: Whose Interests Matter?, Disempowering Spaces for Older People, Elder Abuse, Elderly Human Rights, Fiona Phillips, General Hospital Care, General Hospitals, Hospitals as Dangerous Places, Hospitals as Hazardous Places, Human Rights, Human Rights and Nursing, Impact of the Environment on Dignified Care, Influences on Dignified Care, Local Ward Cultures, National Association of Primary Care (NAPC GP Bulletin), National Association of Primary Care (NAPC), National Institute for Health Research (NIHR) Service Delivery and Organisation (SDO), Non-Involvement, PANICOA, PANICOA (Prevention of Abuse and Neglect in the Institutional Care of Older Adults), Patient Experience, Patient Involvement, Patient Referred to as a Task or as a Number, Patronising Older People, Policy Research Programme (PRP), Power in Place, Privacy, Protocols of Care, Respectful Communication, Right Place Wrong Patient, Seeing The Person, Seeing the Task, Service User Involvement, Staff Dignity, Staffing Levels, Task-Centred Care, Toilet Problems, Trade Offs, Trust Blame and the Culture of Defensiveness, Unintended Consequences, University of Kent, User Involvement, Using the Toilet, Views of Relatives, Washing and Dressing, Working the System and Unintended Consequences | Leave a comment

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