The im impact of bullying on patient experience. Id Ideas for change . 12.9.18
Welcome to the meeting Jon Restell Workforce Issues Group Co-Chairs Simon Arden-Davis
Workforce Is Issues Group - Priority Areas • To identify, share and promote good practice where organisations have supported and developed Line Managers to tackle bullying • To identify and raise awareness of the impact of bullying on patient care, working in partnership to share findings from organisations. Identifying potential gaps in knowledge and commissioning new research with support from partners. • Connecting more of the system to itself, staying aware of actions being taken by ALBs, Trade Unions and Regional Social Partnership Forums that may be shared to inspire further activity.
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Aims of Today - To consider the evidence base for how bullying in the workplace affects patient experience - To identify, share and promote good practice where organisations have tackled bullying and improved patient care - To identify key points to share with the wider NHS
What does the evidence say? • Bullying threatens patient safety by inhibiting team work, obstructing communication and delaying new practices being implemented. Disruptive behavior can lead to an increase in errors (1) • Bullying has significant direct and indirect effects on adverse events and perceptions of patient care quality and increased patient safety risk (2) • Being a target of aggression may prompt an impulsive aggressive References: response with likely impact on the quality of care provided to patients 1. Bullying in Healthcare: A Disruptive Force Linked (3) to Compromised Patient Safety (Wallace & Gibson, 2017) • Bullying affected fall rates, medication or treatment errors, adverse 2. Impact of workplace mistreatment on patient events and communication (4) safety risk and nurse-assessed patient outcomes (Laschinger, 2014) • The kind of improvements needed in patient safety cannot be 3. ‘First, Do No Harm’: The Role of Negative Emotions and Moral Disengagement in achieved if talented people are lost (5) Understanding the Relationship Between 4. Workplace Aggression and Misbehavior (Fida et al, • Bullying behaviour can have a significant impact on patient outcomes 2018) and safety, putting staff at greater risk of making mistakes. Bullying 5. Patient Safety and Workplace Bullying: An increases the risk of medication errors (6) Integrative Review (Houck & Colbert, 2017) 6. Workplace bullying in emergency nursing: Development of a grounded theory using situational analysis. (Wolf et al, 2017) Bullying in the Healthcare Industry (Dalton, 2016)
Social Partnership Forum – Tackling Bullying, creating positive cultures Tackling - Bullying Building conflict competence NHS Staff Survey Workplace conflict can: results 2016 - the • result in staff suffering percentage of staff Northumbria Healthcare NHS Foundation Trust (NHFT) undue stress and sickness experiencing • impact on team working harassment, bullying • lead to grievances or abuse from staff • have a financial cost to an in the last 12 organisation • months in NHFT was Key indicators used to identify Research by Latreille and • detrimental impact on 16 per cent (the best stress ‘hotspots’ Saundry on behalf of ACAS patient care. • mediation service for staff (2015) revealed perceived score for an acute • conflict resolution training causes of conflict at NHFT and trust). The national NHFT is enabling its staff to • line manager training highlighted how time- average for acute better manage conflict in the • trusts is 25 per cent. values-based recruitment consuming conflict could be. workplace. An internal What you put in place • organisational policies and workplace mediation service, strategies linked to conflict The research concluded that part of a wider ‘culture of competence NHFT ‘provides a unique resolution’ is having a positive • key stakeholders embed the example of an organisation that impact in the trust. organisation’s commitment to has adopted a strategic and conflict management. systematic approach to conflict Get In touch management.’ Teresa Jennings, consultant clinical psychologist For more info, see NHFT case study: in occupational health, NHFT, www.nhsemployers.org/case- Teresa.Jennings@northumbria- healthcare.nhs.uk studies-and-resources 10
Social Partnership Forum – Creating Positive Cultures Tackling - Bullying Partnership Focus on Bullying & Harassment • We will evaluate the impact of • We know that bullying Plymouth Hospitals NHS Trust this partnership & harassment can staff focus but have serious we are consequences for encouraged affected staff and can already by the • We designed a series of also lead to poorer commitment of • Our aim, through these events to seek the views of patient care. everyone conversations, is to develop our staff on bullying & involved to harassment, to be run in a better understanding of • We wanted to make partnership by HR, Trade collectively work the most effective ways of sure that any staff Unions and our Freedom to together in supporting staff and member feels safe to Speak Up Guardians. partnership on improve our processes and and knows how to • Events will include a stand What you put in place this important interventions to tackle speak up about in main hospital foyer on issue for our bullying and harassment, 16/2/17 as part of Fab bullying & harassment staff. and ensure that staff feel Change Week for staff to issues. talk to us, a series of drop able to speak up. in clinics led by HR, Guardians or TU reps to • We anticipate this may lead share experiences or ask Get In touch to an increase in awareness questions, and staff will be and concerns being raised. Martin Bamber, Deputy Director of HR invited to hold a 1-1 martinbamber@nhs.net conversation with 01752 432027 11 nominated contact points.
Sharing our experiences Questions to think about • How did you know patient experience was being impacted? • What did you do? • What was the outcome? • What did you learn?
What do we share?
Next xt Steps • Follow up with volunteers who would like to tell their stories in more detail • Share key points with wider NHS colleagues • Shift focus to wider system
JOIN OUR NEXT VIRTUAL MEETINGS: Tuesday 29 January, 10.30 – 12:00 Connecting the system and sharing our stories
EVALUATION
Thanks for being part of the meeting today.
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