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Date: April 30, 2024 Tue
Time: 1:38 am
Time: 1:38 am
Results for hospital patients
1 results foundAuthor: Royal College of Psychiatrists Title: Healthcare Commission National Audit of Violence 2006-7: Final Report -- Older People's Services Summary: This report describes the findings from the 2006/7 phase of the National Audit of Violence which was funded by the Healthcare Commission and managed by the Royal College of Psychiatrists' Centre for Quality Improvement. A total of 69 NHS trusts and independent sector organisations took part in the programme, representing 78% of all eligible participants in England and Wales. Work focused on two specialties – older people’s services and acute services. Data was collected between October 2006 and March 2007. This report presents the findings from older people's services. • The Health and Safety at Work Act (1974) states that 'It shall be the duty of every employer to ensure, so far as is reasonably practicable, the health, safety and welfare at work of all his employees'. The audit found that 64% of nurses on older people's wards reported that they had been physically assaulted. These figures were higher than any other staff group in this specialty, or in services for adults of working age. As one nurse explained, "Sometimes it feels very much part of the daily routine to be either verbally or physically abused by patients." There are many causes of violence on wards. Trusts must use their local audit findings to develop plans that address their problems. • The Government expects that ‘Healthcare services are provided in environments which promote effective care and optimise health outcomes by being a safe and secure environment which protects patients, staff, visitors and their property, and the physical assets of the organisation’ (Core Standard C20a), yet over 40% of staff did not have access to a personal alarm, and 25% of nurses described the emergency alarm system on their ward as ineffective. Many environmental precipitants to violence are amenable to improvement and should be tackled as a matter of urgency. • The NICE Guideline (2005) details the training that those involved in preventing and managing violence on wards should receive: the audit revealed that staff in older people's services were less likely than their colleagues in services for working age adults, to have been trained. For example: although almost 80% of nurses were involved in managing incidents, only 66% of those had received the recommended training; many staff complained that their training was not tailored to the particular needs of older people’s services. Trusts must deal with shortfalls in training as a priority. • The Government’s Core Standard C13a requires that healthcare organisations have systems in place to ensure that staff treat patients, their relatives and carers with dignity and respect. The audit found high levels of compliance with the associated standards: 92% of patients reported that they had been cared for in a dignified manner; only 5% felt that their religious or cultural need had not been respected. Trusts should commend their staffs’ good practice. The NSF for Older People (2001) expects that older people will be treated as individuals and enabled to make choices about their own care. The audit revealed high levels of satisfaction with their experiences: 81% of carers reported that they had been asked to share information about their relative/friend’s likes, dislikes and fears; 98% said that they had witnessed staff caring for patients in a meaningful, person-centred way. This good practice should be shared between organisations. Local and national reports have been sent out to all participating wards and regional action planning workshops were held to support local teams to take forward service improvements. A series of 'change management' workshops are also being held to train staff to lead change within their services. The full report contains detailed findings and many quotations from participants that can help those who need to take action to get to the heart of the problems. Details: London: Royal College of Psychiatrists, 2008. 146p. Source: Internet Resource: Accessed November 28, 2016 at: http://www.rcpsych.ac.uk/PDF/OP%20Nat%20Report%20final%20for%20Leads.pdf Year: 2008 Country: United Kingdom URL: http://www.rcpsych.ac.uk/PDF/OP%20Nat%20Report%20final%20for%20Leads.pdf Shelf Number: 147913 Keywords: Healthcare OrganizationsHospital PatientsViolenceWorkplace Violence |