Being Complained About: Good Practice Guidelines

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Nursing Students’ Perception of the Stigma of Mental Illness

Background: Mental health disorders are highly prevalent in the U.S. Nursing students’ perceptions regarding the stigma of mental illness will impact the quality of care delivered and the patients’ outcomes. Method: Data was collected from 64 sophomore students. Five open ended questions were distributed to the students during the first class. All the surveys were collected by a volunteer student and were placed in the instructor’s mailbox in a sealed envelope. Results: The results revealed three categories: students ‘perceptions of the causes of mental illness stigmatization, their own perception of mental illness, and their perception on how to break the cycle of stigmatization of mental illness. Conclusion: Nursing students provided insightful perceptions regarding the causes of the stigma and possible interventions. Collaborative efforts to break the stigma of mental illness include: education, acceptance, increasing awareness, and better portrayal in the media

From Salvation to Damnation: A Case Study on the Role of a System Sponsor in Strategic Downfall

The positive impact of champions on systems implementation and adoption is well established. The term systems evangelist describes another common but less understood sponsor role beyond systems adoption. Subtle champion to evangelist role changes may hurt company performance, particularly when an executive fills the role. Through a historical case study using the capability building and entrepreneurial action model, the impact of an executive sponsor with daily IS management responsibility is examined. Beyond the champion phase, consistent with theory, the sponsor operates as a system evangelist, promoting use of a system poorly suited to its changing environment. Firm performance consequently suffers. This initial test of the theory demonstrates that system evangelists not only may, but are likely, to drive continued use of performanceimpeding systems. Strategies to limit negative evangelist impacts while preserving their benefits are presented. Finally, other executive sponsorship cases that appear to unfold similarly are identified for future study

Defining Consumer Ombudsmen: A Report for Ombudsman Services

This report seeks to describe consumer ombudsmen as they have developed in the United Kingdom. The recent European Union Directive on Consumer Alternative Dispute Resolution (2013/11/EU) defines consumer dispute resolution mechanisms in general, but does not distinguish between them individually. It does not, for instance, distinguish between consumer ombudsmen, arbitrators and adjudication schemes. Other existing approaches to definition, such as the Ombudsman Association's criteria for 'ombudsman membership', provide principles for ombudsmen in general, but do not distinguish between public ombudsmen and consumer ombudsmen. Our task in this report, therefore, has been to describe the distinguishing features of consumer ombudsmen. Our approach, rather than seeking to provide a definition, has been to describe the key characteristics of consumer ombudsmen through comparison with other forms of dispute resolution and to situate consumer ombudsmen within the broader consumer protection landscape. Our view is that the fundamentally hybrid nature of consumer ombudsmen, combined with broader developments in the ombudsman and consumer dispute resolution landscape, have led to a lack of clarity and confusion in relation to the nature of consumer ombudsmen.div_BaMpub4556pu

Models of Alternative Dispute Resolution (ADR): A report for the Legal Ombudsman

The aim of this research was to investigate what the Legal Ombudsman can learn from other Alternative Dispute Resolution (ADR) providers. The research was commissioned by the Legal Ombudsman to help it review and develop its dispute resolution model and ensure it remains fit-for-purpose. The research involved a case study design and fieldwork was conducted with ten organisations: four in the UK, one in Ireland, two in New Zealand, one in Australia, one in Canada and one in the USA. The research highlighted a range of dispute resolution practices and illustrated some of the key design choices that ADR providers need to make when designing or reviewing a dispute resolution scheme. These fell within four areas: the use of online dispute resolution; the early stages of dispute resolution processes; mediation approaches; and the later stages of dispute resolution and building influence.div_BaMpub3584pu

The Outcome of Complaints

The main focus of this project is the outcome and impact of complaint investigations on individual complainants in care services and on the services complained against. The aim is to ensure that people receive high quality care and to support and encourage the development of better ways of delivering care services. While there have been some studies of the process of investigating complaints, there has been little or no research of its impact on services. This project seeks to identify the difference a complaint investigation makes to outcomes for people using the service.div_BaMpub3277pu

The Outcome of Complaints

The main focus of this project is the outcome and impact of complaint investigations on individual complainants in care services and on the services complained against. The aim is to ensure that people receive high quality care and to support and encourage the development of better ways of delivering care services. While there have been some studies of the process of investigating complaints, there has been little or no research of its impact on services. This project seeks to identify the difference a complaint investigation makes to outcomes for people using the service.div_BaMpub3277pu

Dysfunctional accountability in complaint systems: The effects of complaints on public service employees

Item previously deposited in University of Glasgow repository on 14 Jun 2019: http://eprints.gla.ac.uk/188357/This article examines the effect that being complained about has on public service employees. The volume of complaints about public bodies is significant: an estimated 543,000 complaints a year are made about central government, while the English NHS was subject to 208,415 complaints in 2016-2017. Despite the significant expansion of complaint procedures following the Citizen’s Charter reforms in the 1990s, there has been no empirical research into the way in which complaints affect employees outwith the healthcare sector. Most scholarly debate has focused on whether complaints procedures within government have improved customer service or been useful for service improvement. Little attention has been paid to the experience of being subject to a complaint and the influence this has on work practice. In this respect, the public accountability literature suggests that significant dysfunctional effects may result from accountability regimes, including: defensive practices, tick-box compliance, excessive formality, and reduced innovation. In the healthcare setting, negative effects arising from being complained about include defensive medical practice, avoidance behaviours, wariness towards service users, and reduced wellbeing. While some positive effects have been reported, the thrust of healthcare studies is that complaints have harmful effects on professionals. To date, however, the effects of complaint systems outwith the healthcare context remain uncharted: we do not know whether other public services are affected in similar ways.https://www.sweetandmaxwell.co.uk/Catalogue/ProductDetails.aspx?recordid=469&productid=7106pubpu

Chronic obstructive pulmonary disease in older persons: A comparison of two spirometric definitions

SummaryBackgroundAmong older persons, we previously endorsed a two-step spirometric definition of chronic obstructive pulmonary disease (COPD) that requires a ratio of forced expiratory volume in 1sec to forced vital capacity (FEV1/FVC) below .70, and an FEV1 below the 5th or 10th standardized residual percentile (“SR-tile strategy”).ObjectiveTo evaluate the clinical validity of an SR-tile strategy, compared to a current definition of COPD, as published by the Global Initiative for Obstructive Lung Disease (GOLD-COPD), in older persons.MethodsWe assessed national data from 2480 persons aged 65–80 years. In separate analyses, we evaluated the association of an SR-tile strategy with mortality and respiratory symptoms, relative to GOLD-COPD. As per convention, GOLD-COPD was defined solely by an FEV1/FVC<.70, with severity staged according to FEV1 cut-points at 80 and 50 percent predicted (%Pred).ResultsAmong 831 participants with GOLD-COPD, the risk of death was elevated only in 179 (21.5%) of those who also had an FEV1<5th SR-tile; and the odds of having respiratory symptoms were elevated only in 310 (37.4%) of those who also had an FEV1<10th SR-tile. In contrast, GOLD-COPD staged at an FEV1 50–79%Pred led to misclassification (overestimation) in terms of 209 (66.4%) and 77 (24.6%) participants, respectively, not having an increased risk of death or likelihood of respiratory symptoms.ConclusionRelative to an SR-tile strategy, the majority of older persons with GOLD-COPD had neither an increased risk of death nor an increased likelihood of respiratory symptoms. These results raise concerns about the clinical validity of GOLD guidelines in older persons