Finding a voice throug
Table of Contents
Editor Biography ix
List of Contributors x
Introduction xi
Part 1 Research 1
Chapter 1 Borrowed Words in Emergency Medicine: How ‘Moral Injury’ Makes Space for Talking 3
Esther Murray
Context 3
Description 9
Future Directions for Research and Intervention 11
References 12
Chapter 2 What Does Creative Enquiry Have to Contribute to Flourishing in Medical Education? 14
Louise Younie
Context 14
Description 16
What I Learnt 17
Student Dialogue with Patients 17
Student Dialogue with Each Other 18
Student Dialogue with Themselves 20
Future Directions 21
References 24
Chapter 3 Embracing Difference: Towards an Understanding of Queer Identities in Medicine 28
Helen Bintley and Jo Winning
Context 28
Locating the Problem 28
Being a Body 29
‘Unspeakable Things Unspoken’: Linguistic Vulnerability and the Body 30
Description 33
Challenging Values and Questioning Norms: The Medical Curriculum as Discourse 33
Future Directions 34
Towards Change 34
Notes 37
References 38
Chapter 4 Stress and Mental Well-Being in Emergency Medical Dispatchers 41
Astrid Coxon
Context 41
Description 42
Future Directions 49
References 51
Chapter 5 Paramedics’ Lived Experiences of Post-Incident Traumatic Distress and Psychosocial Support: An Interpretative Phenomenological Study 54
Joanne Mildenhall
Distress 57
Ambivalence of Talking 60
Informal and Formal Support at Work 62
Support Outside of Work 63
Discussion 64
Limitations of the Study 68
Conclusion 68
Conflicts of Interest 69
References 69
Part 2 Practice 73
Chapter 6 On Knowing, Not Knowing and Well-Being: Conversations About Practice 75
Clare Morris
Introduction 75
Context 76
Professional Learning and Well-Being 76
Organisational Culture, Learning and Well-Being 77
Implications for Educational Practice 79
Learning from Mistakes 79
Learning Through Questioning 81
Learning Through Debrief and Feedback 82
Concluding Comments 85
References 85
Chapter 7 The Complex Issues that Lead to Nurses Leaving the Emergency Department 88
Imogen Skene
Context 88
Increasing Pressure 88
Nursing Shortages 88
Workforce Retention 89
Well-being 89
Description 90
Exit Interviews 90
Why Do Nurses Leave the ED? 91
Stress 91
Burnout 91
Moral Injury 92
Debrief 93
Culture 94
Shift Work 94
Career Progression and Development 95
Lifestyle Changes 95
Future Directions 96
References 97
Chapter 8 How Do We Protect Our Healthcare Workers from the Occupational Hazard that Nobody Talks About? 100
Matthew Walton
Acknowledgements 106
References 106
Chapter 9 What is peer support? Co-Creating a Programme 109
Rebecca Connolly, Esther Murray, Andrea James,
Liz Harris and Bernice Hancox
Context 109
Introduction 109
Fitness to Practise (FtP) 111
Peer Support 112
Co-Creating the Programme – What Our Peer Support Entails 113
Experiences of Becoming Part of the Peer Support Programme – What Motivates Us? 114
Bernice Hancox – Paramedic and Psychotherapist 114
Rebecca Connolly – Advanced Clinical Practitioner and Advanced Paramedic 114
Esther Murray – Health Psychologist 115
Liz Harris – Head of Professional Standards, College of Paramedics 116
Andrea James – Solicitor 117
Future Directions 117
References 118
Part 3 Intervention 121
Chapter 10 The Theatre Wellbeing Project – Evolution From Major Incident to Pandemic 123
Tony Allnatt
Context 123
Description 125
Future Directions 129
COVID- 19 – A Post Pandemic Update 131
Chapter 11 RUOK? RU Sure UR OK?? 136
Gail Topping and Ruth Anderson
Context 136
Description 137
Future Directions 139
Reference 139
Chapter 12 The Story and the Storyteller 140
Rusty
Chapter 13 Death and Disability Meetings at London’s Air Ambulance: Working in a Just Culture 146
Danë Goodsman and Tsz Lun Ernest Wong
Context 146
LAA – The Organisation 146
Just Culture – Some Insights 147
Description 148
D&D Case Reviews 149
Extract One 150
Extract 2 151
Experiencing D&D 153
Moving Forward 154
Notes 154
References 155
Index 158
