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Chapter 37 - The Moral Architecture of Healthcare Systems and Other Organisations

from Section 5 - Sustaining and Caring for Staff During Emergencies

Published online by Cambridge University Press:  11 January 2024

Richard Williams
Affiliation:
University of South Wales
Verity Kemp
Affiliation:
Independent Health Emergency Planning Consultant
Keith Porter
Affiliation:
University of Birmingham
Tim Healing
Affiliation:
Worshipful Society of Apothecaries of London
John Drury
Affiliation:
University of Sussex
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Summary

This chapter discusses the moral architecture of healthcare systems and organisations and also the organisations that work alongside healthcarers. This concept was created by Richard Williams for his Inaugural Professorial Lecture given in 2000. The concept describes a reciprocal relationship between how healthcare and rescue services staff are cared for by their employers and how they in turn care for their patients, clients, or the public. It reviews what can help staff to give of their best through support from their employing organisations, their colleagues, and their families and friends. It also offers descriptions of work undertaken to assess what helps and what does not help staff both in a broader context and during the COVID-19 pandemic.

Type
Chapter
Information
Major Incidents, Pandemics and Mental Health
The Psychosocial Aspects of Health Emergencies, Incidents, Disasters and Disease Outbreaks
, pp. 273 - 278
Publisher: Cambridge University Press
Print publication year: 2024

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References

Williams, R, Ntontis, E, Alfadhli, K, Drury, J, Amlôt, R. A social model of secondary stressors in relation to disasters, major incidents and conflict: implications for practice. Int J Disaster Risk Reduct 2021; 63: 102436.CrossRefGoogle Scholar
Murray, E, Kaufman, KR, Williams, R. Let us do better: learning lessons for recovery of healthcare professionals during and after COVID-19 BJPsych Open 2021; 7: e151.CrossRefGoogle ScholarPubMed
Hochschild, AR. The Managed Heart: Commercialization of Human Feeling. University of California Press, 1983.Google Scholar
Williams, R, Kemp, V, Neal, A. Compassionate care: leading and caring for staff of mental health services and the moral architecture of healthcare organisations. In Management for Psychiatrists (eds Bhugra, D, Bell, S, Burns, S): 377402. Royal College of Psychiatrists Publication, 2016.Google Scholar
Neal, A, Kemp, V, Williams, R. Caring for the carers. In Social Scaffolding: Applying the Lessons of Contemporary Social Science to Health and Healthcare (eds Williams, R, Kemp, V, Haslam, SA, et al.): 289303. Cambridge University Press, 2019.CrossRefGoogle Scholar
Williams, R. A cunning plan: integrating evidence, judgement and passion in mental health strategy. The Inaugural Lecture of Professor Richard Williams, delivered at the University of Glamorgan, November 2000.Google Scholar
NHS Employers. NHS Staff Survey 2020. NHS Employers, 2021 (www.england.nhs.uk/statistics/2021/03/11/2020-national-nhs-staff-survey/).Google Scholar
Bleetman, A, Sanusi, S, Dale, T, Brace, S. Human factors and error prevention in emergency medicine. Emerg Med J 2012; 29: 389–93.CrossRefGoogle ScholarPubMed
Hill, R, Sundin, E, Winder, B. Work–family enrichment of firefighters: “satellite family members”, risk, trauma and family functioning. Int J Emerg Serv 2020; 9: 395407.Google Scholar
Clark, LV, Fida, R, Skinner, J, et al. Mental health, well-being and support interventions for UK ambulance services staff: an evidence map, 2000 to 2020. Br Paramed J 2021; 5: 2539.Google Scholar
Adams, K, Shakespeare-Finch, J, Armstrong, D. An interpretative phenomenological analysis of stress and well-being in emergency medical dispatchers. J Loss Trauma 2015; 20: 430–48.Google Scholar
Coxon, A, Cropley, M, Schofield, P, Start, K, Horsfield, C, Quinn, T. ‘You’re never making just one decision’: exploring the lived experiences of ambulance Emergency Operations Centre personnel. Emerg Med J 2016; 33: 645–51.Google Scholar
Clompus, SR, Albarran, JW. Exploring the nature of resilience in paramedic practice: a psycho-social study. Int Emerg Nurs 2015; 28: 17.Google Scholar
Halpern, J, Gurevich, M, Schwartz, B, Brazeau, P. What makes an incident critical for ambulance workers? Emotional outcomes and implications for intervention. Work Stress 2009; 23: 173–89.Google Scholar
Jonsson, A, Segesten, K. Guilt, shame and need for a container: a study of post-traumatic stress among ambulance personnel. Accid Emerg Nurs 2004; 12: 215–23.CrossRefGoogle ScholarPubMed
Patterson, P, Probst, J, Leith, K, Corwin, S, Powell, P. Recruitment and retention of emergency medical technicians: a qualitative study. J Allied Health 2005; 34: 153–62.Google ScholarPubMed
Silva, DS, Gibson, JL, Sibbald, R, Connolly, E, Singer, PA. Clinical ethicists’ perspectives on organisational ethics in healthcare organisations. J Med Ethics 2008; 34: 320–23.Google Scholar
Smith, EC, Burkle, FM. Paramedic and emergency medical technician reflections on the ongoing impact of the 9/11 terrorist attacks. Prehosp Disaster Med 2019; 34: 5661.CrossRefGoogle ScholarPubMed
Stancombe, J, Williams, R, Drury, J, Collins, H, Lagan, L, Barrett, A, et al. People’s experiences of distress and psychosocial care following a terrorist attack: interviews with survivors of the Manchester Arena bombing in 2017. BJPsych Open 2022; 8: e41.Google Scholar
Drury, J, Stancombe, J, Williams, R, Collins, H, Lagan, L, Barrett, A, et al. Survivors’ experiences of informal social support in coping and recovering after the 2017 Manchester Arena bombing. BJPsych Open 2022; 8: e124.CrossRefGoogle ScholarPubMed
Greenberg, N, Weston, D, Hall, C, Caulfield, T, Williamson, V, Fong, K. Mental health of staff working in intensive care during COVID-19. Occup Med 2021; 71: 62–7.CrossRefGoogle ScholarPubMed
Montgomery, CM, Humphreys, S, McCulloch, C, et al. Critical care work during COVID-19: a qualitative study of staff experiences in the UK. BMJ Open 2021; 11: e048124.Google Scholar
Roberts, R, Dwivedi, A, Bamberry, L, Neher, A, Jenkins, S, Sutton, C, et al. The Mental Health, Wellbeing and Work Impacts of COVID-19 on First Responders and Frontline Workers in Australia. Charles Sturt University, 2021.Google Scholar
Greenberg, N. Mental health of health-care workers in the COVID-19 era. Nat Rev Nephrol 2020; 16 : 425–6.Google Scholar
House of Commons. Workforce Burnout and Resilience in the NHS and Social Care. House of Commons, 2021 (https://publications.parliament.uk/pa/cm5802/cmselect/cmhealth/22/2202.htm).Google Scholar
Williams, R, Fulford, KWM. Values-based and evidence-based policy, management and practice in child and adolescent mental health services. Clin Child Psychol Psychiatry 2007; 12: 223–42.Google Scholar
Warner, M, Williams, R. The nature of strategy and its application in statutory and non-statutory services. In Child and Adolescent Mental Health Services: Strategic Approaches to Commissioning and Delivering Child and Adolescent Mental Health Services (eds Williams, R, Kerfoot, M): 3962. Oxford University Press, 2005 .Google Scholar

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