Search results

This paper aims to explore if health professionals share understanding of teamwork that supports collaborative ward rounds.

A purpose-designed survey was conducted in two acute medical and two rehabilitation wards from a metropolitan teaching hospital. Medical officers, nurses and allied health professionals participated. To understand characteristics that support collaborative ward rounds, questions developed from literature and industry experience asked: what are the enablers and challenges to teamwork; and what are clinicians’ experiences of positive teamwork? Descriptive and thematic analyses were applied to the dimensions of effective teamwork as a framework for deductive coding.

Seventy-seven clinicians participated (93% response rate). Findings aligned with dimensions of teamwork framework. There was no meaningful difference between clinicians or specialty. Enablers to teamwork were: effective communication, shared understanding of patient goals, and colleague’s roles. Challenges were ineffective communication, individual personalities, lack of understanding about roles and responsibilities, and organisational structure. Additional challenges included: time; uncoordinated treatment planning; and leadership. Positive teamwork was influenced by leadership and team dynamics.

Ward rounds benefit from a foundation of collaborative teamwork. Different dimensions of teamwork present during ward rounds support clinicians’ shared understanding of roles, expectations and communication.

Rounds such as structured rounding, aim to improve teamwork. Inverting this concept to first develop effective collaboration will support team adaptability and resilience. This enables teams to transition between the multiple rounding processes undertaken in a single ward. The emphasis becomes high-quality teamwork rather than a single rounding process.

The purpose of this paper is to classify and describe the purpose of ward rounds, who attends each round and their role, and participants’ perception of each other’s role during the respective ward rounds.

A literature review of face-to-face ward rounds in medical wards was conducted. Peer reviewed journals and government publications published between 2000 and 2014 were searched. Articles were classified according to the type of round described in the study. Purposes were identified using keywords in the description of why the round was carried out. Descriptions of tasks and interactions with team members defined participant roles.

Eight round classifications were identified. The most common were the generalised ward; multidisciplinary; and consultant rounds. Multidisciplinary rounds were the most collaborative round. Medical officers were the most likely discipline to attend any round. There was limited reference to allied health clinicians and patient involvement on rounds. Perceptions attendees held of each other reiterated the need to continue to investigate teamwork.

A collaborative approach to care planning can occur by ensuring clinicians and patients are aware of different ward round processes and their role in them.

Analysis fulfils a gap in the literature by identifying and analysing the different ward rounds being undertaken in acute medical wards. It identifies the complexities in the long established routine hospital processes of the ward round.

TO those who have been accustomed to think of Newcastle only as the home of coal and “The Keel Row,” its general aspect will be found disappointingly clean and brisk. Although there is a lively air of business about the place, yet its crowds of pretty and well‐dressed women, its fine shops, and imposing institutions, all contribute towards removing the wholly‐erroneous impression which most strangers cherish, that Newcastle is the home of dirt and smoke and general unloveliness. Indeed, we know of only one other town of similar size, which has been visited by the L. A. which can be compared to it for the energetic bustle of its streets, keenness of its air, and good looks of its women, and that is Aberdeen, where, if possible, the energy is more energetic, and the air even more keen. We shall not compare the ladies! Leaving the Tyne to trace its unlovely course to the sea, and dealing only with that part of the town which, for one busy week, formed the camp of all kinds of librarians, it maybe stated that the institutions of Newcastle which possess interest for librarians are many and varied. The Lit. and Phil. is one of the principal centres of literary and social activity, and its library, lecture rooms, social departments, and other features make it one of the most influential institutions in the town. Its appearance is impressive, and its well‐ordered and well‐classified shelves appeal to every librarian who has the slightest progressive instinct. It has historic memories over a century old, and in many ways attracts readers and supporters in a manner which no municipal library can as yet pretend to emulate. Perhaps the secret lies in the amount of selectness which such an institution can afford its members, and the feeling that one can mix with other subscribers without any fear of accidentally consorting with a slum‐dweller or ambitious pitman ! With all its merits, and they: are many, the Lit. and Phil. has not yet learned the supreme secret of making a conversazione attractive and bright. But this slight criticism applies to other Newcastle institutions visited by the L. A. No doubt the failures arose from a misunderstanding on the part of the local committee, in assuming too confidently that Librarians could amuse themselves. They cannot. They are the dullest dogs on earth, unless someone takes them in hand and amuses them. But this is all by the way, and may seem a little ungracious, though it is only meant as a guide for the future.

ONE of the chief elements of success in Public Library work is suitable accommodation for books and readers, and it is interesting to note that Mr. Andrew Carnegie has recognised this by granting his money, in most cases, for buildings only. This means that many new libraries will commence with the best conditions as regards accommodation, and so escape the disabilities attaching to some of the older libraries through being housed in adapted buildings. Adapted buildings are rarely a success from an administrative point of view, as I can testify from personal experience.

The chapter provides instruction on how public libraries can improve the services that they provide to community members with print-related disabilities.

A combination of methods was used (interview, survey, document analysis, usability testing, and expert inspection), to investigate the current level of service provided to community members who are blind or low vision by the Baltimore County Public Library, in five areas:

1. Web Accessibility and Maintenance

2. Staff Awareness and Training

3. Physical Environment of the Library

4. Library offerings, including databases, materials, and equipment: what we have now and what we should have

5. Marketing materials: what, how, and where to be more visible

In all five areas, there were important findings about current barriers to accessibility, and suggestions for improvement in the future were made in the chapter.

The chapter details the steps taken by a large public library system, in a challenging budget environment, with changing leadership, to make improvements in the quality of service provided to people who are blind or low vision.

In the past, people with print-related disabilities were often referred to the Maryland State Library for the Blind and Physically Handicapped. However, over time, the nature of materials acquisitions at public libraries has changed. A large percentage of materials acquired by public libraries is now in digital format, which provides an opportunity for public libraries to start providing services to people with print disabilities.

The concept of distributed leadership within library services is explored in this chapter. It focuses on how this model of leadership, which devolves leadership functions and practice widely throughout organizations, can lead to intra- and interorganizational collaboration as a catalyst for library service development and innovation. The chapter discusses the distributed leadership approach by presenting selected results of a study of team leaders in public and university library services in the East Midlands region of the United Kingdom. The study employed an online questionnaire and individual interviews with library team leaders to identify the level and nature of collaboration taking place in library services and also to ascertain the skills needed for successful partnership work. The interviews focused primarily on how and why collaborations occurred and it emerged that the team leaders had considerable autonomy to establish and participate in partnerships, fitting well within the distributed leadership paradigm. The chapter adds to, and augments the limited literature on distributed models of leadership in libraries by exploring how this approach works in practice. It also proposes and evidences a link between distributed leadership, collaborative working, and innovation. The authors suggest that distributed leadership can help library services innovate and lead service development by freeing up the creativity of employees through a less formal, hierarchical leadership approach. The chapter ends with propositions for a research agenda to establish the best conditions and most appropriate format of distributed leadership in library services.

The purpose of this paper is to explore approaches to the regulation of healthcare complaints and disciplinary processes.

A literature review was conducted across Medline, Sociological Abstracts, Web of Science, Google Scholar and the health, law and social sciences collections of Informit, using terms tapping both the complaints process and regulation generally.

A total of 118 papers dealing with regulation of health complaints or disciplinary proceedings were located. The review reveals a shift away from self-regulation towards greater external oversight, including innovative regulatory approaches including “networked governance” and flexible or “responsive” regulation. It reports growing interest in adoption of strategic and responsive approaches to health complaints governance, by rejecting traditional legal forms in favor of more strategic and responsive forms, taking account of the complexity of adverse health events by tailoring responses to individual circumstances of complainants and their local environments.

The challenge of how to collect and harness complaints data to improve the quality of healthcare at a systemic level warrants further research. Scope also exists for researching health complaints commissions and other “meta-regulatory” bodies to explore how to make these processes fairer and better able to meet the complex needs of complainants, health professionals, health services and society.

ENGLISH literature has never been notably rich in biography. We have Boswell. We have Lockhart. We have the vigorous, piquant Aubrey, the gentle Walton, who turned a life into an elegy, the ruthless Froude who upended Carlyle. But such achievements, splendid as they are, are isolated examples. As a nation we have not, in the past, shown much comprehension of the fundamentals of the art. We had not, in fact, until Mr. Strachey published his famous preface to Eminent Victorians, realised that biography was an art. During the reign of Victoria the craft of the biographer sank to its lowest ebb. Idealism was in the air. Ruskin and Tennyson had hymned the beauty of Goodness. Carlyle had instructed the nation in the ecstasies of hero‐worship. Puritanism and antimacassars and a copy of the egregious Bowdler were in every home. Biography suffered as biography must inevitably suffer where morality has ousted plain speaking. Of biography as the process of assembling, from a mass of data, the elements essential to a shapely narrative; uniting the relevant characteristics together into a warm, living, recognisable and interesting portrait; charting the inner development of a human personality: of biography in this sense the Victorians had practically no conception. The Victorian biographer combined the duties of sexton and stonemason. He came both to bury his Cæsar and to praise him. His biography, a tissue of laudation, half‐truth and pious concealment, was one long distended epitaph. If the subject, being human, had been cursed with human fallibility, the fact was not insisted upon. If, like most of us, he had been ungodly enough to exist below the diaphragm, the defection from grace was glossed over or even concealed. Lives of great men, ran the current tradition, remind us that we can make our lives sublime; and the biographer indulged freely in hagiology and proselytism. Biographies of this sort—and the bookshelves of the period were cluttered up with them—were not only false to life. They were not only sentimental. They were, in nine cases out of ten, both ill‐composed and ill‐written. They were vast, indigestible, wersh, forbidding. They were tasks undertaken without artistic scruple or discrimination, and completed without artistic satisfaction.

The following is an introductory profile of the fastest growing firms over the three-year period of the study listed by corporate reputation ranking order. The business activities in which the firms are engaged are outlined to provide background information for the reader.

This chapter looks at Australian public libraries and how they have developed and delivered inclusive service to people with disabilities over the past decade or so. As digital technology impacts the public library sector the question of “how are libraries responding?” emerges, especially for the one in five Australians living with disabilities. This chapter is focused on how the public library network is delivering digitally inclusive services to people with disabilities.

The approach was to examine the international obligations, related governance, and professional standards that apply to Australian Public libraries; the current disability and digital inclusion related research from the past decade; and highlight some of the better examples of practice in Australian public library service.

This chapter is not a comprehensive examination but rather a summary scan of digital inclusion practice. However, it raises a number of questions for further investigation: research as to how these obligations are put into practice; how they can be better shared and learnt from; and more importantly how the aspiration of “inclusion for all” is being met.