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Welcome. Fit for the Future: a message from the Royal College of Nursing. Paul Vaughan, Regional Director, RCN West Midlands. Public Inquiry 2013.
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Fit for the Future: a message from the Royal College of Nursing Paul Vaughan, Regional Director, RCN West Midlands
Public Inquiry 2013 “We need a patient centred culture, no tolerance of non compliance with fundamental standards, openness and transparency, candour to patients, strong cultural leadership and caring, compassionate nursing, and useful and accurate information about services” Robert Francis (2013)
Hospital patients routinely treated in storerooms Nearly two-thirds of nurses in poll say patients treated in areas not designed for clinical care, from cupboards to kitchen. Guardian , Tuesday 9 March 2010
Human factors: Silence kills • Poor/no understanding of accountability • Failure to connect ethical conscience to professional practice • Lack of psychological safety • Stress, burn out, depression leading to ‘detachment’ • Hierarchies within and across professional groups • Poor team relations – collection of individuals versus team • Culture – gender issues • Ineffective or poor leadership • Disempowerment/fear • Someone else’s job
If you describe someone as a person, what do they deserve? What does a person deserve by being a person? What do they deserve from you?
‘To survive and actually thrive in nursing, we will all need to pull together as a profession and begin by working together at the bedside and being great team players willing to support each other. Something magical happens when we give to others; wonderful things begin to come back to us in far greater ways than what we have originally given.’ Val Gokenback (2012) The Vaughan Challenge Paul Vaughan, Regional Director, RCN West Midlands
The Vaughan Challenge • Reflect – what could you do differently? • Now you have decided what you are going to do differently – WHO are you going to tell? • Tell people at home what you are going to do! • Tell people at work what you are going to be doing differently The Vaughan Challenge: When you go back to your workplace, give people permission to challenge you and ask for permission to challenge them
The BIG Conversation Francis Inquiry: what does it mean for you and your practice?
Compassion ‘Compassionate action involves working with ourselves as much as working with others’ PemaChodron