Christopher (Chris) Donaldson and Jacqueline (Jackie) Hamilton
In this chapter, we explore the role of a values-based approach in supporting successful quality assurance. Specifically, the values of trust, transparency, honesty, and empathy…
Abstract
In this chapter, we explore the role of a values-based approach in supporting successful quality assurance. Specifically, the values of trust, transparency, honesty, and empathy and how they facilitate meaningful connections and enact change are examined. Drawing from practitioner experiences, the impact of developing these values is demonstrated. Throughout the chapter, we argue this approach helps shift a culture of quality compliance to a culture focused on quality enhancement, leading to authentic and engaged continuous program improvement. We conclude with key questions for practitioners in the quality assurance field to consider in their own work.
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Teresa Corbett, Ninna Meier and Jackie Bridges
The study aims to explore how healthcare workers (HCWs) navigate and experience time when caring for older cancer patients living with other illnesses.
Abstract
Purpose
The study aims to explore how healthcare workers (HCWs) navigate and experience time when caring for older cancer patients living with other illnesses.
Design/methodology/approach
This paper presents findings from a qualitative study of how HCWs conceptualise and navigate the temporal aspects of delivering personalised care to older people living with multimorbidity. Building on research from organisation studies and the sociology of time, we interviewed 19 UK HCWs about their experiences of delivering care to this patient group.
Findings
Our findings illustrate how the delivery of personalised care contradicts contemporary models for healthcare delivery defined by efficiency and standardisation. We found that HCWs engage with time as both a valuable commodity to be rationed and prioritised within a constrained context and as a malleable resource for managing workload and overcoming “turbulence” in the system. However, participants in this study also shared how the simultaneous multiplicity and lack of time had a profoundly personal impact on them through the emotional toll associated with “time debt” and “lost” time.
Originality/value
This research presents a unique analysis of how time is conceptualised and navigated in contemporary healthcare, offering valuable insights for policy improvement. We conclude that personalised models of healthcare are incompatible with many current temporal structures of treatment trajectories and work-practices, by nature of being centred around the person and not the system of delivery.