Before 2020, North Manchester General Hospital had a history of poor feedback from junior doctors, regarding both their overall experience and access to non-clinical development opportunities. The circumstances of the COVID-19 pandemic resulted in the medical leadership team giving junior doctors the opportunity to lead the reorganisation of services and redeployment. The aim of this was to increase engagement, representation and development opportunities. This led to the formation of the Junior Doctor Leaders Group, using similar principles as the ‘shadow boards’ seen in the corporate sector. This article reviews the impact of the group. Analysis was conducted using internal key performance indicators, identifying improvement initiatives generated by the Junior Doctor Leaders Group and surveying group members. Initial results suggest that junior doctors felt their voices had gained recognition in the organisation, with 95% of group members stating that it increased junior doctor representation and 90% agreeing that the group made them feel more confident representing and advocating for their colleagues. Increased transparency and trust between junior and senior staff facilitated escalation of concerns to higher management, and the design and implementation of solutions. Members of the Junior Doctor Leaders Group also reported improvements to their work and educational experiences. In the first year after the group was established, members led or co-led a total of 14 organisation-wide improvement projects. Results from the General Medical Council training survey showed improvement across almost all indicators. Therefore, the authors believe that the Junior Doctor Leaders Group offers a novel approach to improving junior doctor engagement and experience, and can be beneficial to both the cohort of junior doctors and the wider organisation.
{"title":"The junior doctor shadow board","authors":"Joseph Home, A. Bidgood, S. Kalipershad","doi":"10.12968/bjhc.2022.0043","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0043","url":null,"abstract":"Before 2020, North Manchester General Hospital had a history of poor feedback from junior doctors, regarding both their overall experience and access to non-clinical development opportunities. The circumstances of the COVID-19 pandemic resulted in the medical leadership team giving junior doctors the opportunity to lead the reorganisation of services and redeployment. The aim of this was to increase engagement, representation and development opportunities. This led to the formation of the Junior Doctor Leaders Group, using similar principles as the ‘shadow boards’ seen in the corporate sector. This article reviews the impact of the group. Analysis was conducted using internal key performance indicators, identifying improvement initiatives generated by the Junior Doctor Leaders Group and surveying group members. Initial results suggest that junior doctors felt their voices had gained recognition in the organisation, with 95% of group members stating that it increased junior doctor representation and 90% agreeing that the group made them feel more confident representing and advocating for their colleagues. Increased transparency and trust between junior and senior staff facilitated escalation of concerns to higher management, and the design and implementation of solutions. Members of the Junior Doctor Leaders Group also reported improvements to their work and educational experiences. In the first year after the group was established, members led or co-led a total of 14 organisation-wide improvement projects. Results from the General Medical Council training survey showed improvement across almost all indicators. Therefore, the authors believe that the Junior Doctor Leaders Group offers a novel approach to improving junior doctor engagement and experience, and can be beneficial to both the cohort of junior doctors and the wider organisation.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42171337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Burnout is one of the most insidious challenges for healthcare professionals, and has been exacerbated by the COVID-19 pandemic. Gratitude is emerging as an intervention to reduce burnout. However, to the authors' best knowledge, no systematic review has previously been carried out to explore the impact of gratitude on burnout among healthcare professionals. The present study aimed to address this gap. A total of 95 publications were identified, of which 13 were included in the review. These studies provide preliminary evidence for the inverse association between gratitude and burnout, and the effectiveness of gratitude interventions in reducing burnout among healthcare professionals. Limitations of the current research and future directions are discussed, along with the implications for practice.
{"title":"Gratitude as a protective factor against burnout in healthcare professionals: a systematic review","authors":"J. Burke, Róisín O’Donovan","doi":"10.12968/bjhc.2021.0163","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0163","url":null,"abstract":"Burnout is one of the most insidious challenges for healthcare professionals, and has been exacerbated by the COVID-19 pandemic. Gratitude is emerging as an intervention to reduce burnout. However, to the authors' best knowledge, no systematic review has previously been carried out to explore the impact of gratitude on burnout among healthcare professionals. The present study aimed to address this gap. A total of 95 publications were identified, of which 13 were included in the review. These studies provide preliminary evidence for the inverse association between gratitude and burnout, and the effectiveness of gratitude interventions in reducing burnout among healthcare professionals. Limitations of the current research and future directions are discussed, along with the implications for practice.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42107953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Boosting morale among NHS staff: what can managers do?","authors":"R. Conway","doi":"10.12968/bjhc.2023.0032","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0032","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47388681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
With huge demands being placed on mental healthcare services, innovative solutions are required to address this growing need. Digital solutions offer wider accessibility and a patient-focused process for a range of people with mental ill health, freeing healthcare staff to focus on those with the most severe mental health needs and The National Institute for Health and Care Excellence has now issued conditional recommendations on technologies which can be used.
{"title":"Digital solutions to the mental healthcare crisis","authors":"Mark Haddad, K. Gournay, I. Clough","doi":"10.12968/bjhc.2023.0031","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0031","url":null,"abstract":"With huge demands being placed on mental healthcare services, innovative solutions are required to address this growing need. Digital solutions offer wider accessibility and a patient-focused process for a range of people with mental ill health, freeing healthcare staff to focus on those with the most severe mental health needs and The National Institute for Health and Care Excellence has now issued conditional recommendations on technologies which can be used.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42549291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Consultant dietitians Anne Holdoway and Mhairi Donald, and teenage and young adult nurse specialist Sam Bartlett, highlight the need to make nutrition a priority in cancer services for young people.
{"title":"The value of nutrition in improving outcomes for young people with cancer","authors":"A. Holdoway, M. Donald, S. Bartlett","doi":"10.12968/bjhc.2022.0125","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0125","url":null,"abstract":"Consultant dietitians Anne Holdoway and Mhairi Donald, and teenage and young adult nurse specialist Sam Bartlett, highlight the need to make nutrition a priority in cancer services for young people.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43686534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychological wellbeing inside and outside NHS mental health services","authors":"I. Clough","doi":"10.12968/bjhc.2023.0021","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0021","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42699810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maintaining staff satisfaction is a major ambition for healthcare leaders worldwide, as it is directly linked with patient outcomes. Despite this, there is a dearth of literature on the job satisfaction of radiographers. This study aimed to explore the job satisfaction and role perceptions of radiographers and assistant practitioners at a local district general hospital. All radiographers and assistant practitioners (n=39) working in the general X-ray department of a small-medium sized NHS trust were invited to complete either an online or physical copy of a semi-structured, mixed-methods questionnaire regarding their job satisfaction and perceptions of their role. Items included quantitative (multiple choice) and qualitative (free-text) questions. Quantitative data were analysed using descriptive statistics while qualitative data were analysed using content analysis. A total of 21 individuals completed the questionnaire, giving a 53.8% response rate. The mean score for happiness in their current role was fairly high at 7.3/10, but staff with more experience had lower average happiness scores relating to their role and working hours. Respondents were confident working in most clinical areas, including mobile units, but lacked confidence working in computed tomography and fluoroscopy. Strategies are needed to understand and address issues that may be causing more experienced radiography staff to experience less happiness in their job role. Lack of experience in computed tomography and fluoroscopy also needs to be addressed, possibly by ensuring that radiography staff regularly work in these areas to build their confidence.
{"title":"Job satisfaction among general radiographers and assistant practitioners: a mixed-methods survey","authors":"R. Milner, M. Akhtar","doi":"10.12968/bjhc.2022.0124","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0124","url":null,"abstract":"Maintaining staff satisfaction is a major ambition for healthcare leaders worldwide, as it is directly linked with patient outcomes. Despite this, there is a dearth of literature on the job satisfaction of radiographers. This study aimed to explore the job satisfaction and role perceptions of radiographers and assistant practitioners at a local district general hospital. All radiographers and assistant practitioners (n=39) working in the general X-ray department of a small-medium sized NHS trust were invited to complete either an online or physical copy of a semi-structured, mixed-methods questionnaire regarding their job satisfaction and perceptions of their role. Items included quantitative (multiple choice) and qualitative (free-text) questions. Quantitative data were analysed using descriptive statistics while qualitative data were analysed using content analysis. A total of 21 individuals completed the questionnaire, giving a 53.8% response rate. The mean score for happiness in their current role was fairly high at 7.3/10, but staff with more experience had lower average happiness scores relating to their role and working hours. Respondents were confident working in most clinical areas, including mobile units, but lacked confidence working in computed tomography and fluoroscopy. Strategies are needed to understand and address issues that may be causing more experienced radiography staff to experience less happiness in their job role. Lack of experience in computed tomography and fluoroscopy also needs to be addressed, possibly by ensuring that radiography staff regularly work in these areas to build their confidence.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45224835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Naeem Ahmed, consultant radiologist at Chelsea and Westminster NHS Foundation Trust, discusses workforce transformation in radiology and the actions that leaders are taking to help services adapt to rising demand.
{"title":"Making high-quality radiology services accessible to all","authors":"Na'eem Ahmed","doi":"10.12968/bjhc.2023.0017","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0017","url":null,"abstract":"Naeem Ahmed, consultant radiologist at Chelsea and Westminster NHS Foundation Trust, discusses workforce transformation in radiology and the actions that leaders are taking to help services adapt to rising demand.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41670924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The British Journal of Healthcare Management's editor discusses the potential benefits of community diagnostic centres for patients and the wider NHS, along with key considerations to drive this model forward.
{"title":"Community diagnostic centres: what, where and why?","authors":"I. Clough","doi":"10.12968/bjhc.2023.0012","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0012","url":null,"abstract":"The British Journal of Healthcare Management's editor discusses the potential benefits of community diagnostic centres for patients and the wider NHS, along with key considerations to drive this model forward.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41282578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Majumder, Sreekumar R. Nair, Anumita Saha, Cherry Choudhury
Evidence has highlighted dissatisfaction among patients with the process of transitioning from child and adolescent mental health services (CAMHS) to adult mental health services. This study aimed to evaluate compliance with and the impact of recommendations made at a mental health trust to improve the transition process after an audit carried out in 2015. A nine-item audit tool was developed based on National Institute for Health and Care Excellence guidelines for transition from CAMHS to adult mental health services. Patient records were obtained from the trust's health informatics service and analysed for the calendar year of 2015, looking at compliance with the guidance. The results were used to implement recommendations to improve the transition process, then the audit was repeated for the calendar year of 2017. Data were analysed using descriptive statistics to compare the two periods and identify areas of improvement, or lack thereof. A total of 52 and 75 case records were audited in the 2015 and 2017 evaluations respectively. Some improvements were seen in some areas over the 2-year period, such as the introduction of a named transition worker and more joint working between child and adolescent and adult mental health services. However, several domains of practice still had low levels of compliance with recommendations in the 2017 audit, particularly items relating to information sharing and communication with patients and their caregivers. Further work is needed to improve compliance with recommendations for transitional care in mental health services, particularly in terms of communication and involvement of the patient during this process. More research is needed into the barriers to effective transition and any strategies implemented to improve this process should be evaluated using robust methods. Successful strategies will likely require investment in staff recruitment and retention.
{"title":"Transition from child and adolescent to adult mental health services: an evaluation","authors":"P. Majumder, Sreekumar R. Nair, Anumita Saha, Cherry Choudhury","doi":"10.12968/bjhc.2022.0046","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0046","url":null,"abstract":"Evidence has highlighted dissatisfaction among patients with the process of transitioning from child and adolescent mental health services (CAMHS) to adult mental health services. This study aimed to evaluate compliance with and the impact of recommendations made at a mental health trust to improve the transition process after an audit carried out in 2015. A nine-item audit tool was developed based on National Institute for Health and Care Excellence guidelines for transition from CAMHS to adult mental health services. Patient records were obtained from the trust's health informatics service and analysed for the calendar year of 2015, looking at compliance with the guidance. The results were used to implement recommendations to improve the transition process, then the audit was repeated for the calendar year of 2017. Data were analysed using descriptive statistics to compare the two periods and identify areas of improvement, or lack thereof. A total of 52 and 75 case records were audited in the 2015 and 2017 evaluations respectively. Some improvements were seen in some areas over the 2-year period, such as the introduction of a named transition worker and more joint working between child and adolescent and adult mental health services. However, several domains of practice still had low levels of compliance with recommendations in the 2017 audit, particularly items relating to information sharing and communication with patients and their caregivers. Further work is needed to improve compliance with recommendations for transitional care in mental health services, particularly in terms of communication and involvement of the patient during this process. More research is needed into the barriers to effective transition and any strategies implemented to improve this process should be evaluated using robust methods. Successful strategies will likely require investment in staff recruitment and retention.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41882624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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