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G204(P) Promoting positive practice – Using an alternative approach to organisational learning to improve care
BackgroundLearning in the NHS has evolved to focus on the analyses of mistakes: adverse incident reporting; serious incidents requiring investigation; complaints. An alternative approach, focussing on the behaviours, processes and systems, which deliver safe, high quality care often in complex, time pressured and resource-constrained settings does exist [1]. As yet this approach, Safety II, is underused in the NHS. While we recognise that it is essential to learn when things go wrong, we hope to balance the culture of learning in the NHS by promoting the recognition and reinforcement of positive practice.MethodWe have adapted the Favourable Event Reporting Form (FERF) initiative from a neighbouring trust [2]. A FERF (see Figure 1) can be written by anyone (from porter to patient to professor) who notes an event that has made a positive difference to a patient’s care (see Figure 2: FERFs Submitted and Received by members of the MDT). We collect data from all FERFs completed for further evaluation. Events are collated monthly into clinical and practice themes as well as quality domains and trust values. Summaries are displayed on the FERF notice boards and fed back via departmental meetings. When named, teams and individuals receive a letter of recognition.Abstract G204(P) Figure 1 A FERF Abstract G204(P) Figure 2FERFs submitted and received by membeers of the MDTAbstract G204(P) Figure 3Practice themes identified by FEREFResultsBetween January and August 2015 sixty seven favourable events were reported. Managing the sick child and deteriorating child escalation have been the most common clinical situations. The most frequent practice themes are team work, preparedness and ensuring a positive experience of care (see Figure 3 Practice themes identified by FERF). Patient centred care is by far the most popular quality domain. As a division we are commencing root cause analysis on some FERFs each month to fully understand why things went well and how we can ensure replication of such positive events.DiscussionPositive deviance and appreciative enquiry approaches such as this encourage organisations to emphasise and learn from positives, transforming the culture into one where positive becomes the norm [3–5]. The recognition of positive events undoubtedly raises morale and our initiative has been well supported. The next stage is to determine how we measure the impact in improving patient care and staff morale.
Journal Article
Employee engagement for dummies
Learn to implement the necessary plans to create and sustain an engaging culture for your employees. This guide shows you how to attract and retain the best people while boosting their productivity, morale, and creativity.
Book
RIFUGIATI: MINORANZE SENZA PROPRIETÀ?
Questo studio si propone di esaminare il tema del “Diritto di Proprietà”, espresso particolarmente nei due primi articoli della questione 66 (II-II) della Somma Teologica di San Tommaso, che è ripreso, nel secolo XX, dal filosofo francese Emmanuel Mounier. La riflessione cerca, prima di tutto, di situare la questione 66, che tratta “Del Furto e della Rapina”, sia nella visione più ampia di tutta la Somma, come nel contesto specifico della parte morale della medesima opera. Subito dopo si analizzano i due articoli della Somma sul “Diritto di Proprietà”. Poi si studia un capitolo dell’opera “Dalla proprietà capitalista alla proprietà umana” di Mounier, che fa valere la dottrina tomista nel contesto della crisi mondiale della sua epoca. Si pretende così, a partire da un autore clássico, analizzare il tema del “Diritto di Proprietá”, con la possibilità di mostrare, come Mounier, un percorso che indichi la sua funzione sociale. Significativa è pure la ripresa della posizione tomista nella Dottrina sociale della Chiesa, che, in documenti ufficiali, dei quali si indicano due, a titolo do esempio, cita espressamente la stessa questione 66 (II-II) della Somma Teologica, su cui basa il suo insegnamento. La ripresa di questo problema è applicada alla situazione dei profughi, in particolare in Europa, al fine di mostrare il \"diritto di proprietà\" che essi possiedono, in una situazione di estrema necessità. E, molto significativo in questo senso, é il recente messaggio di Papa Francesco per la giornata del migrante e del Rifugiato.
Journal Article
Les femmes sont des salopes, les hommes sont des don Juan : sexisme, double morale sexuelle et éléments de langage
Montreynaud se préoccupe aussi des hommes violents sexuellement, qui profitent de l'indulgence populaire, alors que le trop grand désir éprouvé par certaines femmes est associé à la nymphomanie, qualifiée de trouble mental. Montreynaud invite également à choisir les mots pertinents pour parler des violences sexuelles masculines puisque les termes employés « contribuent à façonner un monde de justice et d'égalité » (p. 117). Enfin, Montreynaud considère que « [l]e seul coupable, c'est l'agresseur » et qu'il faut le désigner comme tel, car c'est « l'unique moyen de faire évoluer les mentalités » (p. 131). Enfin, l'autrice croit que les femmes doivent avoir une très grande force intérieure pour départager l'estime de soi de l'opinion d'autrui et pour argumenter contre les injonctions machistes de l'environnement familial et social (p. 160).
Journal Article
Soul of the organization : how to ignite employee engagement and productivity
Some organizations struggle to provide their employees with satisfying work environments, and their organizational performance suffers as a result. Other organizations do sustain high levels of performance, thanks to employees who are engaged in their work, take pride in their workplace, and believe in what their employer does. This book explores how eleven organizations turn on their employees at all levels, allowing them to contribute more meaningfully, substantially, and effectively to their place of employment.
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