Workforce Race Equality Standard survey in general practice: Lewisham 2019

2020 ◽  
Vol 70 (suppl 1) ◽  
pp. bjgp20X711125
Author(s):  
Sebastian Kalwij
Keyword(s):  
General Practice ◽  
Response Rate ◽  
Zero Tolerance ◽  
Diverse Workforce ◽  
The Public ◽  
Staff Members ◽  
Zero Tolerance Policy ◽  
Minority Ethnic ◽  
Equality Standard ◽  
Improve Health

BackgroundThe NHS Workforce Race Equality Standard (WRES) was introduced in 2015 and is mandatory for NHS trusts. Nine indicators have been created to evaluate the experiences of black and minority ethnic (BME) staff compared with the rest of the workforce. The trust data published showed a poor experience of BME staff compared with non BME staff.AimTo introduce the concept of WRES into general practice and create a baseline from which improvement can be made. A diverse workforce will better serve its population and this will improve health outcomes.MethodWe conducted a survey among all general practice staff members, clinicians, and non-clinicians and asked open-ended questions built around four WRES indicators most applicable to general practice, over a 6-week period in August and September 2019.ResultsWe collected 151 responses out of a total workforce of around 550. The response rate between clinicians and non-clinicians was equal 50.6% versus 49.4%. The distribution of non BME staff 51% versus BME staff 49% mirrors the diverse population of Lewisham. 54% of BME staff experienced bullying from patients, their relatives, and members of the public. 25% experienced bullying from a colleague or staff member in the workplace and 22% of BME staff changed jobs as a result of this.ConclusionBME staff in general practice report high levels of racism, especially from service users. In 22% this led to a career change. A zero-tolerance policy needs to be enforced and a multi-pronged approach is required to address this.

Crystallising the official narrative: News discourses about the killings from the Philippine government’s campaign against illegal drugs

Journalism ◽  
2019 ◽  
pp. 146488491986782 ◽  
Author(s):  
Cheryll Ruth R Soriano ◽  
Clarissa C David ◽  
Jenna Mae Atun
Keyword(s):  
Zero Tolerance ◽  
Television News ◽  
Public Perceptions ◽  
The Public ◽  
News Stories ◽  
Zero Tolerance Policy ◽  
The Media ◽  
State Responses ◽  
Selection Of

News media’s construction of crime and drugs can shape and change public perceptions and influence popular acceptance of policy and state responses. In this way, media, through selection of sources and framing of narratives, act as important agents of social control, either independently or indirectly by state actors. This article examines how the Philippine government’s anti-drug campaign, and the thousands of deaths resulting from them, has been depicted by the media to the public. We conducted a discourse analysis of television news stories to extract dominant frames and narratives, finding a pattern of over-privileging of State authority as a source, resulting in a monolithic message of justifying the killing of suspects. Furthermore, the ‘event-focused’ slant, which dominates the character of reports by media, inevitably solidifies the narrative that the deaths are a necessary consequence of a national public safety campaign. By relying almost exclusively on this narrative, to the exclusion of alternative frames, the media amplifies and crystallises the state’s narrative. As we critically examine how drugs, drug use and the zero-tolerance policy are positioned through discourse in news texts, the article raises important implications to the ethics and role of journalism in politics and provides explanations relating to crime-reporting norms, values and media organisation realities in the country.

Developmental Disorders in Canada

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Sarah Palmeter
Keyword(s):  
Public Health ◽  
Developmental Disorders ◽  
Health Agency ◽  
The Public ◽  
Age Of Diagnosis ◽  
High Level ◽  
Project Objectives ◽  
Disability Severity ◽  
Occupational Function ◽  
Improve Health

In the completion of my practicum at the Public Health Agency of Canada (PHAC) this summer, I worked to develop a surveillance knowledge product to support the national surveillance of developmental disorders. This project used Statistics Canada’s 2017 Canadian Survey on Disability to investigate the burden of developmental disorders in Canada. Developmental disorders are conditions with onset in the developmental period. They are associated with developmental deficits and impairments of personal, social, academic, and occupational function. The project objectives are to estimate the prevalence of developmental disorders in Canadians 15 years of age or older, overall and by age and sex, as well as report on the age of diagnosis, disability severity, and disability co-occurrence in those with developmental disorders. The majority of the analysis has been completed and preliminary results completed, which cannot be released prior to PHAC publication. Although not highly prevalent, developmental disorders are associated with a high level of disability in young Canadians. Early detection and interventions have been shown to improve health and social outcomes among affected individuals. Understanding the burden of developmental disorders in Canada is essential to the development of public health policies and services.

Moving an Evidence-Based Policy Agenda Forward: Leadership Tips From the Field

2018 ◽  
Vol 33 (3) ◽  
pp. 158-159 ◽  
Author(s):  
Teresa Garrett
Keyword(s):  
Change Process ◽  
Nursing Profession ◽  
Evidence Based ◽  
Policy Agenda ◽  
Policy Changes ◽  
The Public ◽  
Leverage Point ◽  
Evidence Based Policy ◽  
The Individual ◽  
Improve Health

Advancing evidence-based policy change is a leadership challenge that nurses should embrace. Key tips to ensure that evidence-based policy changes are successful at the individual, community, and population levels are offered to help nurses through the change process. The public trust in the nursing profession is a leverage point that should be used to advance the use of evidence, expedite change, and improve health for students and across communities.

scholarly journals A comparative assessment of two tools designed to support patient safety culture in UK general practice

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ian Litchfield ◽  
Kate Marsden ◽  
Lucy Doos ◽  
Katherine Perryman ◽  
Anthony Avery ◽  
...  
Keyword(s):  
General Practice ◽  
Patient Safety ◽  
Focus Group ◽  
Safety Culture ◽  
Improve Patient Safety ◽  
Patient Safety Culture ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Staff Members ◽  
Practice Team

Abstract Background The NHS has recognised the importance of a high quality patient safety culture in the delivery of primary health care in the rapidly evolving environment of general practice. Two tools, PC-SafeQuest and MapSaf, were developed with the intention of assessing and improving patient safety culture in this setting. Both have been made widely available through their inclusion in the Royal College of General Practitioners’ Patient Safety Toolkit and our work offerss a timely exploration of the tools to inform practice staff as to how each might be usefully applied and in which circumstances. Here we present a comparative analysis of their content, and describe the perspectives of staff on their design, outputs and the feasibility of their sustained use. Methods We have used a content analysis to provide the context for the qualitative study of staff experiences of using the tools at a representative range of practices recruited from across the Midlands (UK). Data was collected through moderated focus groups using an identical topic guide. Results A total of nine practices used the PC-SafeQuest tool and four the MapSaf tool. A total of 159 staff completed the PC-SafeQuest tool 52 of whom took part in the subsequent focus group discussions, and 25 staff completed the MapSaf tool all of whom contributed to the focus group discussions. PC-SafeQuest was perceived as quick and easy to use with direct questions pertinent to the work of GP practices providing useful quantitative insight into important areas of safety culture. Though MaPSaF was more logistically challenging, it created a forum for synchronous cross- practice discussions raising awareness of perceptions of safety culture across the practice team. Conclusions Both tools were able to promote reflective and reflexive practice either in individual staff members or across the broader practice team and the oversight they granted provided useful direction for senior staff looking to improve patient safety. Because PC SafeQuest can be easily disseminated and independently completed it is logistically suited to larger practice organisations, whereas the MapSaf tool lends itself to smaller practices where assembling staff in a single workshop is more readily achieved.

I dannati delle carceri. Una pronuncia della Corte Suprema degli Stati Uniti: una lezione da seguire

2012 ◽  
pp. 72-83
Author(s):  
Elisabetta Grande
Keyword(s):  
Public Safety ◽  
Zero Tolerance ◽  
Prison Population ◽  
Zero Tolerance Policy ◽  
Prison Overcrowding ◽  
Ultimate Failure ◽  
The U.S

Building new prisons is not a solution for prison overcrowding; to the contrary, it is part of the problem. This is the U.S. Supreme Court's lesson in one of its most recent decisions, Brown v. Plata, confirming the previous order of a three-judge court to reduce California's prison population by around 40.000 persons within two years. Finding cruel and unusual the punishment imposed to prisoners in California, because of the terrible conditions in serving their sentence, the Court shows the ultimate failure of a sentencing system based upon incapacitation and a zero tolerance policy. Public safety is better served without rather than with prisons: this seems to be the message that Brown v. Plata is sending to legislators, administrators and citizens. It is a message that Europeans and Italians should listen to very carefully.

Cleaning Streams in Cook County, IL: Forest Preserves, Water Pollution, and Interwar Environmentalism in the Chicago Region

2021 ◽  
pp. 153851322110462
Author(s):  
Natalie B. Vena
Keyword(s):  
Water Pollution ◽  
Sewage Treatment ◽  
Cook County ◽  
Public Works ◽  
Metropolitan Region ◽  
The Public ◽  
Staff Members ◽  
American Cities ◽  
Forest Preserves ◽  
Forest Preserve

In 1916, the Forest Preserve District of Cook County began acquiring land to create a natural retreat for Chicagoans in that booming metropolitan region. Since district officials acquired many properties along county streams, water pollution soon interfered with their mission of creating an urban wilderness for recreational pleasure. To address the problem, in 1931, county leaders appointed the Clean Streams Advisory Committee that collaborated with forest preserve staff members to pressure polluters to clean-up their operations and to persuade enforcement agencies to prosecute ongoing offenders. They also lobbied the Public Works Administration to earmark New Deal funding for sewage treatment in Cook County. Their efforts suggest that early activism against water pollution in American cities emerged not only from efforts to ensure clean drinking water, but also struggles to protect nature. The interwar campaign to clean forest preserve streams anticipated the goals of the federal Clean Water Act (1972) to make all American waterways fishable and swimmable. The movement also preceded the burst of anti-pollution activism that historians have documented in U.S. suburbs after WWII and laid the groundwork for postwar efforts to mitigate water pollution in Cook County.

scholarly journals Acceptance of animal research in our science community

F1000Research ◽  
2016 ◽  
Vol 5 ◽  
pp. 282
Author(s):  
Konstantin Bergmeister ◽  
Bruno Podesser
Keyword(s):  
Animal Research ◽  
Communication To The Public ◽  
Single Center ◽  
The Public ◽  
Staff Members ◽  
University Of Vienna ◽  
Single Center Study ◽  
Science Community ◽  
Medical University ◽  
Center Study

Animal research is debated highly controversial, as evident by the “Stop Vivi-section” initiative in 2015. Despite widespread protest to the initiative by researchers, no data is available on the European medical research community’s opinion towards animal research. In this single-center study, we investigated this question in a survey of students and staff members at the Medical University of Vienna. A total of 906 participants responded to the survey, of which 82.8% rated the relevance of animal research high and 62% would not accept a treatment without prior animals testing. Overall, animal research was considered important, but its communication to the public considered requiring improvement.

scholarly journals The same old story: Workplace violence towards healthcare providers during COVID-19 pandemic

2021 ◽  
Vol 3 (1) ◽  
pp. 006-009
Author(s):  
Ali Kemal Erenler ◽  
Seval Komut ◽  
Ahmet Baydin
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Workplace Violence ◽  
Zero Tolerance ◽  
Healthcare Providers ◽  
Public Health Problem ◽  
Intention To Leave ◽  
Physical And Mental Health ◽  
Healthcare Facilities ◽  
Zero Tolerance Policy

Workplace violence (WPV) is a growing public health problem worldwide affecting physical and mental health of healthcare providers. It has many deterious consequences such as anxiety, burnout and intention to leave the job. With the pandemic, it is assumed that the incidence of workplace violence tends to increase. Particularly, misinformation about the nature of the disease create prejudice against staff working in healthcare facilities. There are several measures to be taken for prevention of physical and mental health of healthcare providers. A “zero-tolerance policy against violence” should be implemented. Doctors and nurses should be encouraged to report incidents. Social support should be provided for the personnel. In this review, our aim was to clarify if there is an increase in the incidence of WPV against healthcare providers in the pandemic process. We also aimed to make recommendations about measures that must be taken to prevent healthcare providers from detrimental effects of WPV.

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