Good #death and #storytelling: we need to talk about our lives, the beginnings, middles and endings, griefs and hopes, collectively...
https://t.co/vCzbbnJuwu
@doctorcaldwell@nialldowney@iDrSunny Same in other sectors too, frontline has been hailed as the heart of the organisation, where the purpose of the organisation really materialises, but in reality treated as second rate.
@doctorcaldwell@iDrSunny The system is built on assuming that for every presentation a benign possible cause may be at the root first before hypotheses escalate. Similarly on the assumption that the patient is exaggerating, not 'patient' or reasonable enough, or best placed to judge their health status.
Signs of a leadership culture problem:
- status & grade are everything
- high staff turnover, especially staff who ask questions 🙋♀️
- bright people go quiet 🤐
- good ideas are claimed by seniors
- rule followers are the ones who stay
- leaders can’t see there’s a problem 🤷♂️
@StevenShorrock@ElissaNoves The thing is, inclusive education costs, needs smaller classes, better trained & supported staff and flexibility in the system. With teacher numbers so low, council budgets slashed and the individualism agenda, demand outstrips supply, easy for populists to pick on.
Nigel Minns Strategic Director @ WCC explaining where all the SEND children were when the Cllrs were at school:
"We had a medicalised model where children...were deemed unsuitable for education... many of these children weren't in school but were in institutions"
No one wants to be landed with a problem when the day to day emphasis is hitting performance targets and reporting upward that "all is fine". People fear for their careers if they become the problem and the management structure above their head turns against them 4/9
@charlie_psych@brigidrussell51 So many people are walking sound bites nowadays, reciting key words from fad to fad without spending time to inquire, to understand meaning, links and implications. Sometimes I think, who needs Chat GTP, people are good at parroting already.
@alisonleary1@sotonDSN Super interesting. So much tendency nowadays to attribute health status to all things lifestyle and patient lack of compliance with little time spent listening and connecting the dots.
In the accompanying commentary paper, @POL_Research reflects on the importance of studying work alienation in the context of healthcare organisations and the responsibility of organisations to foster belonging in the workplace: https://t.co/sxJrSKwOaR
In a new paper, Zohourparvaz & Vagharseyyedin explore the effects of feeling alienated in the workplace on Iranian nurses' job retention and ability to balance occupational demands during the COVID-19 pandemic: https://t.co/tOmjhDG1hQ
@charlie_psych As well as the multitude of our traits and behaviours that can span continua, we exist, learn and develop in a context and contexts come in many varieties too and somethings that work in one may not work in another. Or some contexts may put much pressure that good selves struggle
@charlie_psych Interesting that the staunch supporters of the system were homegrown staff who were invested so much in the organisation that they couldn't tell what's right and wrong. As well as the politically dependent head figure whose tenure was replying on appeasement.
@charlie_psych People from the third sector are good at talking to statutory partners like that but the reality of implementation may be different. Surely closer working and cross sector learning is a must, but idolisation should be avoided.
Delighted to share our review for @TheLancetEndo on early-onset type 2 diabetes
We use evidence from both adolescents & young adults to provide a contemporary review of type 2 diabetes in people aged <40 years, highlighting latest data & evidence gaps
https://t.co/K7sES5Hosv