Search results

1 – 10 of 13
Per page
102050
Citations:
Loading...
Access Restricted. View access options
Article
Publication date: 1 April 1989

Thomas R. Knight and David C. McPhillips

The scope and extent of collective bargaining over technologicalchange in Canada is analysed. The public policy context in Canada iscompared with that of the United States. Data…

705

Abstract

The scope and extent of collective bargaining over technological change in Canada is analysed. The public policy context in Canada is compared with that of the United States. Data on collective agreement provisions regarding notice of technological change, income and employment security, training, and joint union‐management technology committees are reported. These include variations in provision frequencies across Canadian jurisdictions, industries and bargaining unit structures. Canadian labour′s responses to the effects and uses of microelectronic technology are addressed. It is concluded that, although Canadian unions have negotiated significantly more anticipatory contract provisions than exist in the US, widespread coverage of technological change remains a goal in collective bargaining. This is especially true regarding the health and control issues raised by microelectronic technologies.

Details

Employee Relations, vol. 11 no. 4
Type: Research Article
ISSN: 0142-5455

Keywords

Access Restricted. View access options
Article
Publication date: 6 December 2023

David Phillip Wood, Catherine A. Robinson, Rajan Nathan and Rebecca McPhillips

The need to develop effective approaches for responding to healthcare incidents for the purpose of learning and improving patient safety has been recognised in current national…

147

Abstract

Purpose

The need to develop effective approaches for responding to healthcare incidents for the purpose of learning and improving patient safety has been recognised in current national policy. However, research into this topic is limited. This study aims to explore the perspectives of professionals in mental health trusts in England about what works well and what could be done better when implementing serious incident management systems.

Design/methodology/approach

This was a qualitative study using semi-structured interviews. In total, 15 participants were recruited, comprising patient safety managers, serious incident investigators and executive directors, from five mental health trusts in England. The interview data were analysed using a qualitative-descriptive approach to develop meaningful themes. Quotes were selected and presented based on their representation of the data.

Findings

Participants were dissatisfied with current systems to manage serious incidents, including the root cause analysis approach, which they felt were not adequate for assisting learning and improvement. They described concerns about the capability of serious incident investigators, which was felt to impact on the quality of investigations. Processes to support people adversely affected by serious incidents were felt to be an important part of incident management systems to maximise the learning impact of investigations.

Originality/value

Findings of this study provide translatable implications for mental health trusts and policymakers, informed by insights into how current approaches for learning from healthcare incidents can be transformed. Further research will build a more comprehensive understanding of mechanisms for responding to healthcare incidents.

Details

Mental Health Review Journal, vol. 29 no. 1
Type: Research Article
ISSN: 1361-9322

Keywords

Access Restricted. View access options
Article
Publication date: 12 December 2023

David P. Wood, Rajan Nathan, Catherine A. Robinson and Rebecca McPhillips

The current national patient safety strategy for the National Health Service (NHS) in England states that actions need to be taken to support the development of a patient safety…

129

Abstract

Purpose

The current national patient safety strategy for the National Health Service (NHS) in England states that actions need to be taken to support the development of a patient safety culture. This includes that local systems should seek to understand staff perceptions of the fairness and effectiveness of serious incident management. This study aims to explore the perspectives of patient safety professionals about what works well and what could be done better to support a patient safety culture at the level of Trust strategy and serious incident governance.

Design/methodology/approach

A total of 15 professionals with a role in serious incident management, from five mental health trusts in England, were interviewed using a semi-structured interview guide. Thematic analysis and qualitative description were used to analyse the data.

Findings

Participants felt that actions to support a patient safety culture were challenging and required long-term and clinical commitment. Broadening the scope of serious incident investigations was felt to be one way to better understand patient safety culture issues. Organisational influences during the serious incident management process were highlighted, informing approaches to maximise the fairness and objectivity of investigation findings.

Originality/value

The findings of this study offer original insights that the NHS safety system can use to facilitate progression of the patient safety culture agenda. In particular, local mental health trusts could consider the findings in the context of their current strategic objectives related to patient safety culture and operational delivery of serious incident management frameworks.

Details

Mental Health Review Journal, vol. 29 no. 1
Type: Research Article
ISSN: 1361-9322

Keywords

Access Restricted. View access options
Article
Publication date: 21 April 2023

David Wood, Catherine Robinson, Rajan Nathan and Rebecca McPhillips

New patient safety frameworks are being implemented to improve the impact of incident reporting and management across the National Health Service (NHS) in England. This study aims…

290

Abstract

Purpose

New patient safety frameworks are being implemented to improve the impact of incident reporting and management across the National Health Service (NHS) in England. This study aims to examine the current practices in this domain of patient safety in a sample of mental health trusts, a setting in which limitations in the current practice of serious incident management have been reported. The authors present key recommendations to maximise the opportunities to improve current incident reporting and management practice.

Design/methodology/approach

Ethical approval for the study was granted. A Web-based questionnaire was designed to examine current practices concerning incident reporting and management. It was refined based on consultation. Patient safety incident managers within mental health trusts in England were recruited. Twenty-nine mental health trusts responded, from a total of 51. The questionnaire study data were analysed in Statistical Package for the Social Sciences.

Findings

Current approaches used to report and manage incidents have been established and variation in practice demonstrated. A key finding for attention is that the training and education that investigators of serious incidents receive falls short of the recommended minimum national standard of 15 h, with a sample mean of 10.3 h and median of 8.0 h.

Originality/value

Recommendations at a local and national level are presented, which, if implemented, can maximise the impact of incident reporting and management practices in mental health trusts. Future qualitative research is indicated, to understand the perceptual experience and meaning behind the findings across a wider group of stakeholders.

Details

The Journal of Mental Health Training, Education and Practice, vol. 18 no. 3
Type: Research Article
ISSN: 1755-6228

Keywords

Access Restricted. View access options
Article
Publication date: 18 March 2022

David Phillip Wood, Catherine A. Robinson, Rajan Nathan and Rebecca McPhillips

Despite repeated policy initiatives, progress in improving patient safety in the National Health Service (NHS) in England over the past two decades has been slow. The NHS Patient…

760

Abstract

Purpose

Despite repeated policy initiatives, progress in improving patient safety in the National Health Service (NHS) in England over the past two decades has been slow. The NHS Patient Safety Strategy (NHS England and NHS Improvement, 2019), which is being implemented currently, aims to address this problem. The purpose of this study is to identify learning from the implementation of past patient safety policies and thereby suggest means of supporting the NHS in delivering the current policy initiative successfully.

Design/methodology/approach

The authors identified key health policies in the domain of patient safety, published since 2000, by searching the United Kingdom (UK) government website. Discussion papers from the research literature concerning these policies were collated and reviewed. The authors then used a thematic analysis approach to identify themes discussed within these papers. These themes represent factors that support the effective delivery of patient safety policy initiatives.

Findings

Within the discussion papers the authors collated, concerning 11 patient safety policies implemented between 2000 and 2017, five inter-related core themes of capability, culture, systems, candour and leadership were identified. By evaluating these themes and identifying composite sub-themes, a conceptual framework is presented that can be used to support the delivery of patient safety policy initiatives to maximise their impact.

Originality/value

The conceptual framework the authors illustrate, arising from this new contribution to the body of knowledge, can be translated into a novel self-assessment for individual NHS trusts to understand organisational development areas in the domain of patient safety improvement.

Details

Journal of Health Organization and Management, vol. 36 no. 5
Type: Research Article
ISSN: 1477-7266

Keywords

Abstract

Details

Histories of Punishment and Social Control in Ireland: Perspectives from a Periphery
Type: Book
ISBN: 978-1-80043-607-7

Available. Content available
Book part
Publication date: 30 April 2024

Natalie Wall

Free Access. Free Access

Abstract

Details

Black Expression and White Generosity
Type: Book
ISBN: 978-1-80382-758-2

Access Restricted. View access options
Article
Publication date: 1 December 2001

Jean Stubbs and Camilla Haw

This article examines the issues involved in the treatment with antipsychotic medication of forensic patients with schizophrenia. Poor compliance with medication may lead to a…

129

Abstract

This article examines the issues involved in the treatment with antipsychotic medication of forensic patients with schizophrenia. Poor compliance with medication may lead to a worsening of positive psychotic symptoms and increase the risk of re‐offending. Nurses and other members of the forensic multidisciplinary team spend long periods of time with patients and may form close therapeutic alliances with them. These staff have an important role in helping patients with medication‐related issues, thereby improving treatment outcome.

Details

The British Journal of Forensic Practice, vol. 3 no. 4
Type: Research Article
ISSN: 1463-6646

Access Restricted. View access options
Article
Publication date: 3 April 2020

David Fowler, Jon Musgrave and Jill Musgrave

This organizational climate empirical case study involves a religious organization in the United States of America, which has experienced a substantial decline in membership and…

640

Abstract

Purpose

This organizational climate empirical case study involves a religious organization in the United States of America, which has experienced a substantial decline in membership and weekly service participation numbers over the previous five years. The purpose of this qualitative case study is to reveal motivating factors that drive parishioners to leave or stay within a traditional protestant congregation and to uncover the strengths and weaknesses within the organization.

Design/methodology/approach

The methodology behind the study considers personal observation by the author and engages current and former members of the organization as well as front-line employees and senior leadership. Qualitative essays were completed through Qualtrics by participants and analyzed with the use of MAXQDA software for thematic frequency and organization.

Findings

During analysis, correlations were found to exist between the church's membership decline and ineffectiveness of senior leadership. Also, it is quite evident that the church's strengths were found in the quality of its members and the relationships they developed. This was found to be a significant motivation to stay within the organization.

Originality/value

The study provides value to practitioners within organizational development fields. Usage of this knowledge could assist in providing insights into possible reasons why religious organizations falter under ineffective leadership, which in turn could provide opportunities to implement improvements based on discoveries.

Details

International Journal of Organization Theory & Behavior, vol. 23 no. 3
Type: Research Article
ISSN: 1093-4537

Keywords

Access Restricted. View access options
Article
Publication date: 10 June 2014

David B. Menkes and Gillian A. Bendelow

Police in England and Wales are empowered, under Section 136 of the Mental Health Act 1983 (s136), to detain individuals thought to be a danger to themselves or to others. Use of…

924

Abstract

Purpose

Police in England and Wales are empowered, under Section 136 of the Mental Health Act 1983 (s136), to detain individuals thought to be a danger to themselves or to others. Use of this authority is widespread, but varies across districts and attracts controversy because of inconsistent application and the fact that it requires police to make judgements about mental health. The purpose of this paper is to examine police attitudes to and criteria for using s136.

Design/methodology/approach

The authors conducted focus groups with 30 officers in urban and rural areas of three different regions across England and Wales. Group interviews were audio-recorded, transcribed, and analysed using open and axial coding.

Findings

Use of s136 authority has major implications for police work; liaison with mental health services is seen as desirable but often ineffective due to resource constraints and the latter's lack of availability. The decision to invoke s136 depends on social context and other particulars of individual cases.

Research limitations/implications

Although the findings have limitations with respect to generalisability across the whole of the UK, there are patterns of responses which have major implications for policy recommendations.

Practical implications

Police decisions to apply s136 reflect an implicit values-based classification of and response to emotionally disturbed behaviour, in light of available institutional and social supports.

Social implications

Tasked primarily with protecting the public and keeping the peace, police “diagnoses” of risk often contrast with that of mental health professionals.

Originality/value

A highly original piece of research which has attracted further funding from BA/Leverhulme.

Details

Journal of Public Mental Health, vol. 13 no. 2
Type: Research Article
ISSN: 1746-5729

Keywords

1 – 10 of 13
Per page
102050