Alex Christen, senior associate at Capital Law, explains how changes to the UK's points-based visa system impacts the eligibility of overseas health and social care workers, and how this could affect the NHS.
Capital Law高级助理Alex Christen解释了英国计分签证制度的变化如何影响海外医疗和社会护理工作者的资格，以及这将如何影响NHS。
{"title":"The UK's points-based system immigration and its impact on the healthcare sector","authors":"Alex Christen","doi":"10.12968/bjhc.2022.0119","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0119","url":null,"abstract":"Alex Christen, senior associate at Capital Law, explains how changes to the UK's points-based visa system impacts the eligibility of overseas health and social care workers, and how this could affect the NHS.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48890909","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}
As one of the coordinators of a peer support group for LGBTQ+ people and their partners who have been affected by prostate cancer, Dave Wardell discusses measures that could be implemented to help clinicians better understand and support this group.
{"title":"How can healthcare services support LGBTQ+ patients with prostate cancer?","authors":"David B. Wardell","doi":"10.12968/bjhc.2022.0087","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0087","url":null,"abstract":"As one of the coordinators of a peer support group for LGBTQ+ people and their partners who have been affected by prostate cancer, Dave Wardell discusses measures that could be implemented to help clinicians better understand and support this group.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42715237","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}
M. Aurelio, Nicola Ballingall, Auzewell Chitewe, Catherine Heaney, Amar J. Shah
Staff wellbeing is increasingly linked to good outcomes for service users in healthcare. Therefore, it is important for organisations to find ways to focus on wellbeing and staff experience at work. This article shares learning from 5 years of using the Institute for Healthcare Improvement's joy in work framework, coupled with quality improvement methods to enhance staff experience and wellbeing. This demonstrates how teams were brought together in a collaborative learning system to apply quality improvement to enhance joy in work. Key steps are shared for other organisations wanting to undertake this work, including the application of improvement methods to empower teams locally to develop, design and test change ideas, and measure their impact. The design of systems and structures required to meaningfully bring teams together and the type of leadership that enhances this work are also considered. Key learning points for other organisations include the need for improvement principles to iterate the organisational approach, make measurement simple, encourage a bias to action and make the work fun.
{"title":"Using quality improvement to deliver a systematic organisational approach to enjoying work in healthcare","authors":"M. Aurelio, Nicola Ballingall, Auzewell Chitewe, Catherine Heaney, Amar J. Shah","doi":"10.12968/bjhc.2022.0072","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0072","url":null,"abstract":"Staff wellbeing is increasingly linked to good outcomes for service users in healthcare. Therefore, it is important for organisations to find ways to focus on wellbeing and staff experience at work. This article shares learning from 5 years of using the Institute for Healthcare Improvement's joy in work framework, coupled with quality improvement methods to enhance staff experience and wellbeing. This demonstrates how teams were brought together in a collaborative learning system to apply quality improvement to enhance joy in work. Key steps are shared for other organisations wanting to undertake this work, including the application of improvement methods to empower teams locally to develop, design and test change ideas, and measure their impact. The design of systems and structures required to meaningfully bring teams together and the type of leadership that enhances this work are also considered. Key learning points for other organisations include the need for improvement principles to iterate the organisational approach, make measurement simple, encourage a bias to action and make the work fun.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41941558","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}
Research has demonstrated that there are several models of teleconsultation, and that these can be effective and acceptable to patients. At the start of the COVID-19 pandemic, there was a sudden shift to phone consultations in community mental health services. This study assessed the impact of this change from the patient perspective and thus determined how this mode of delivery can be optimised going forwards. Data were collected using a semi-structured, self-reporting patient satisfaction questionnaire with 17 items, which was sent to 200 patients who had received both an in-person and telephone consultation from a community mental health team in Wales. The themes covered in the questionnaire were communication, interpersonal manner, technical quality, convenience and general satisfaction. A total of 114 respondents rated their agreement with the items on a 5-point Likert scale, and free-text boxes were provided for suggestions and comments. Quantitative data were summarised using descriptive statistics and free-text comments were analysed thematically. The majority of the patients gave positive responses, with 70–94% either agreeing or strongly agreeing with the positive statements regarding the communication, interpersonal manner, technical quality and length of consultation that they experienced. Overall, 74% agreed or strongly agreed that they were generally satisfied. However, only 52% believed that telephone consultations were more convenient than in-person hospital appointments, and nearly one-quarter (24%) did not want to continue with telephone consultations in the future. Suggested improvements included the use of video consultations, provision of extra time for consultations and a general increase in the services available. Telephone consultations were generally perceived as acceptable, useful and effective, helping patients to access ongoing mental health care. This suggests that telephone consultations could be an effective method of care delivery in the future. However, there is a need for further research and development in the remote delivery of mental health services.
{"title":"Patient satisfaction with telephone consultations at a community mental health service: a descriptive survey","authors":"K. Naik, Lucy Allen, Muthukkumaar Gnanavel","doi":"10.12968/bjhc.2021.0115","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0115","url":null,"abstract":"Research has demonstrated that there are several models of teleconsultation, and that these can be effective and acceptable to patients. At the start of the COVID-19 pandemic, there was a sudden shift to phone consultations in community mental health services. This study assessed the impact of this change from the patient perspective and thus determined how this mode of delivery can be optimised going forwards. Data were collected using a semi-structured, self-reporting patient satisfaction questionnaire with 17 items, which was sent to 200 patients who had received both an in-person and telephone consultation from a community mental health team in Wales. The themes covered in the questionnaire were communication, interpersonal manner, technical quality, convenience and general satisfaction. A total of 114 respondents rated their agreement with the items on a 5-point Likert scale, and free-text boxes were provided for suggestions and comments. Quantitative data were summarised using descriptive statistics and free-text comments were analysed thematically. The majority of the patients gave positive responses, with 70–94% either agreeing or strongly agreeing with the positive statements regarding the communication, interpersonal manner, technical quality and length of consultation that they experienced. Overall, 74% agreed or strongly agreed that they were generally satisfied. However, only 52% believed that telephone consultations were more convenient than in-person hospital appointments, and nearly one-quarter (24%) did not want to continue with telephone consultations in the future. Suggested improvements included the use of video consultations, provision of extra time for consultations and a general increase in the services available. Telephone consultations were generally perceived as acceptable, useful and effective, helping patients to access ongoing mental health care. This suggests that telephone consultations could be an effective method of care delivery in the future. However, there is a need for further research and development in the remote delivery of mental health services.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44071652","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}
In developing countries, healthcare-associated infections are a major problem. Nurses play a pivotal role in preventing these infections. The aim of this study was to assess emergency care nurses' knowledge regarding the management of healthcare-associated infections in Georgia. A descriptive, cross-sectional study was conducted. A self-administered questionnaire was sent to 150 nurses, who were chosen through randomised selection. Participants rated their agreement to statements regarding infection prevention and management using a 5-point Likert scale. Associations between variables were assessed using a Chi-square test. Most of the nurses had adequate knowledge regarding the management of healthcare-associated infections, but their practice to reduce the spread of infection was not at a satisfactory level. There was a significant relationship between work experience and knowledge about healthcare-associated infection management, including attendance at training courses (P<0.05). However, only 53.7% of participants reported taking recommendations to reduce the incidence of healthcare-associated infections into account, and only 54.5% practiced hand hygiene after touching the patient. Adequate education in healthcare-associated infection management and prevention is essential for healthcare workers. The majority of participants had sufficient knowledge of healthcare-associated infection management measures, but needed further improvement through regular educational programmes and implementation of infection management practices to maximise quality of care.
{"title":"Knowledge of healthcare-associated infection management among emergency care nurses","authors":"T. Verulava, R. Jorbenadze, Ana Ghonghadze","doi":"10.12968/bjhc.2021.0134","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0134","url":null,"abstract":"In developing countries, healthcare-associated infections are a major problem. Nurses play a pivotal role in preventing these infections. The aim of this study was to assess emergency care nurses' knowledge regarding the management of healthcare-associated infections in Georgia. A descriptive, cross-sectional study was conducted. A self-administered questionnaire was sent to 150 nurses, who were chosen through randomised selection. Participants rated their agreement to statements regarding infection prevention and management using a 5-point Likert scale. Associations between variables were assessed using a Chi-square test. Most of the nurses had adequate knowledge regarding the management of healthcare-associated infections, but their practice to reduce the spread of infection was not at a satisfactory level. There was a significant relationship between work experience and knowledge about healthcare-associated infection management, including attendance at training courses (P<0.05). However, only 53.7% of participants reported taking recommendations to reduce the incidence of healthcare-associated infections into account, and only 54.5% practiced hand hygiene after touching the patient. Adequate education in healthcare-associated infection management and prevention is essential for healthcare workers. The majority of participants had sufficient knowledge of healthcare-associated infection management measures, but needed further improvement through regular educational programmes and implementation of infection management practices to maximise quality of care.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42023200","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":"Working practices in healthcare: to boldly go…","authors":"I. Cohen","doi":"10.12968/bjhc.2022.0117","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0117","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42757867","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}
In this second article of a two-part series, John Edmonstone discusses developments in organisation development since the late 1980s, and suggests how practitioners can re-focus this discipline towards it original philosophy.
{"title":"The genesis of organisation development in the NHS: part two—present challenges","authors":"J. Edmonstone","doi":"10.12968/bjhc.2021.0094","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0094","url":null,"abstract":"In this second article of a two-part series, John Edmonstone discusses developments in organisation development since the late 1980s, and suggests how practitioners can re-focus this discipline towards it original philosophy.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43135700","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}
Retired brigadier Professor Robin G Simpson, veterans' champion at the Royal College of General Practitioners, discusses the veteran-friendly GP practice accreditation programme, and how it can improve care for veterans.
{"title":"The GP and the veteran: the Royal College of General Practitioners' veteran-friendly programme","authors":"R. Simpson","doi":"10.12968/bjhc.2022.0078","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0078","url":null,"abstract":"Retired brigadier Professor Robin G Simpson, veterans' champion at the Royal College of General Practitioners, discusses the veteran-friendly GP practice accreditation programme, and how it can improve care for veterans.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46939900","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}
Anas Haroun, Omar Ayaad, Majeda A Al-Ruzzieh, Malik Ayyad
Total quality management refers to efforts at all levels of an organisation to create and sustain an atmosphere in which employees can continuously develop their ability to provide on-demand products and/or services that customers find especially valuable. Total quality management has been used in the healthcare sector since the late 1980s. This study explores the impact of total quality management on patient experiences and outcomes, considering the different dimensions of total quality management: customer focus, total employee involvement, integrated systems, continual improvement, fact-based decision making and communication. Overall, total quality management was found to have a positive impact on patients, although further evaluation is needed regarding how total quality management has improved patient outcomes and experiences, and can continue to do so in the future.
{"title":"The role of total quality management in improving patient experiences and outcomes","authors":"Anas Haroun, Omar Ayaad, Majeda A Al-Ruzzieh, Malik Ayyad","doi":"10.12968/bjhc.2021.0082","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0082","url":null,"abstract":"Total quality management refers to efforts at all levels of an organisation to create and sustain an atmosphere in which employees can continuously develop their ability to provide on-demand products and/or services that customers find especially valuable. Total quality management has been used in the healthcare sector since the late 1980s. This study explores the impact of total quality management on patient experiences and outcomes, considering the different dimensions of total quality management: customer focus, total employee involvement, integrated systems, continual improvement, fact-based decision making and communication. Overall, total quality management was found to have a positive impact on patients, although further evaluation is needed regarding how total quality management has improved patient outcomes and experiences, and can continue to do so in the future.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44687204","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}
Stephen Bilham and Carol Barron review organisational policy on tattoos for NHS staff in England, explaining how these dress codes reflect views of tattoos that may be out of touch with today's society.
Stephen Bilham和Carol Barron回顾了英国国家医疗服务体系工作人员纹身的组织政策，解释了这些着装规范如何反映出人们对纹身的看法，这些看法可能与当今社会脱节。
{"title":"NHS staff tattoo policies in England: time for an update?","authors":"S. Bilham, C. Barron","doi":"10.12968/bjhc.2022.0029","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0029","url":null,"abstract":"Stephen Bilham and Carol Barron review organisational policy on tattoos for NHS staff in England, explaining how these dress codes reflect views of tattoos that may be out of touch with today's society.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45364940","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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