Tackling Undermining & Bullying in the NHS

Murphy, P. (Participant), Eunice Minford (Participant), Sophie Davidson (Participant)

Activity: Participating in or organising an event types › Participation in conference

Description

Convened by the Royal College of Obstetricians and Gynecologists, and the Royal College of Surgeons of Edinburgh

'An interdisciplinary approach to addressing undermining and bullying'

Who should attend: healthcare professionals interested in innovative approaches to addressing BUHD.

Level: Intermediate

Background:

This workshop emerges from interdisciplinary collaboration between healthcare professionals at Antrim Hospital and academic teachers and researchers at Queen’s University Belfast. The shared focus is on how to address bulling, undermining, harassment and discrimination (BUHD). In the workshop, the presenters will share their experience of addressing BUHD through person-centred training and simulation-based education. The workshop will involve in situ simulation involving performances from healthcare professionals.

Intended Learning Outcomes:

After this workshop participants will have:

1. Learned how simulation-based training can address BUHD.
2. Learned about BUHD from the perspective of the person suffering from negative behaviour.
3. Learned how to translate this knowledge into their own professional practice.

Structure of workshop:

1. General introductions, ‘ground rules’ and overview of session.
2. First simulation of a scenario where a senior surgeon bullies a junior surgeon.
3. Debrief and discussion.
4. Second simulation involving a role-reversal of the first simulation where the actors embody the emotional state of the ‘other’ to demonstrate the impact of negative behaviour.
5. Debrief and discussion.
6. Conclusion, wrap up and take forward messages.

Educational Methods to be used:

1. In situ simulation involving performances from healthcare professionals.
2. Debriefing sessions following simulations in which participants can engage in detailed discussion about the nuances of high-fidelity, person-centred simulation apropos the potential for addressing BUHD.
Murphy P 1 , Minford E 2 , Davidson S 2,
1 Queen's University Belfast, Belfast Antrim, United Kingdom
2 Antrim Hospital, Antrim, United Kingdom

Period	13 Feb 2020
Event type	Conference
Location	Belfast, United Kingdom
Degree of Recognition	National

Documents & Links

The NHS Staff Survey for England reported that almost a quarter of all NHS staff experienced harassment, bullying or abuse from colleagues in the last 12 months. Not only does this have a devastating impact on individuals and the teams within which they work, but it can have dire consequences for patient care. Disruptive behaviour has an impact upon patient safety and does not align with the General Medical Council's Good Medical Practice guidance or the Nursing and Midwifery Council Code of Practice 2015. Bullying, undermining and abuse also drains limited NHS resources, and is estimated to cost the NHS in England at least £2.3bn a year in sickness absence, employee turnover, productivity and employment relations. Moreover, studies in the US have attributed disruptive behaviour in the perioperative area alone to 67% of adverse events, 71% of medical errors, and 27% of perioperative deaths. The Royal College of Surgeons of Edinburgh is committed to eradicating bullying and undermining from the surgical and dental professions. We continue to: Have a zero tolerance approach to bullying, undermining, producing a series of Professional Standards we expect RCSEd Fellows and Members to uphold Provide free access to our anti-bullying toolkit, learning e-module and other supporting materials offered by partner organisations Offer Trusts and Health Boards an on-site workshop on Conflict Resolution Skills in Healthcare, and an eModule that suggests ways of managing our own behaviour. Both are CPD accredited Work with partners from across healthcare professions to host events, offer advice and other initiatives, such as the anti-bullying Alliance, aimed at developing practical solutions to address bullying in the medical workplace Lead the debate on this issue in the press and on social media. Develop key performance indicators to determine the effectiveness of interventions and collaborations targeting bullying and undermining