Michael Sykes's activity

In group: Measurement for Improvement

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    Michael Sykes posted an update in the group Measurement for Improvement 2 years, 9 months ago

    Sharing the below animation and paper describing the discomforting issue of punitive feedback and its impacts upon patient care, staff wellbeing, improvement, assurance and cost: https://twitter.com/Msykes09/status/1408675290176491521?s=20

    I very much welcome comments, particularly on what might reduce the use of punitive feedback for some guidance I am developing with the RCN. Thanks!! Michael

    • Profile picture of Andrea McGuinness
      Andrea McGuinness replied 2 years, 9 months ago

      Hi Michael, I liked the info video thank you for sharing the link. I have found and seen the positive impact Appreciative Inquiry has on providing feedback that supports improvement and better outcomes for patients and staff. I am very happy to talk with you more and share some of this if that helps? The Learning from Excellence group and Joy in Work Group (Q groups) are also very successful in sharing insight, learning and results in this approach too. It is not about pretending everything is perfect and is about helping to reframe and reflect on how we can learn safely and in a manner that allows reflection rather than punitive and negative messages. I am very interested in your work and happy to be involved if it would be any help. Direct message me or just email me
      andrea.mcguinness@srft.nhs.uk

      • Profile picture of Michael Sykes
        Michael Sykes replied 2 years, 9 months ago

        Thanks hugely, I will email, but in order to encourage others to join the discussion, here are some very early thoughts from me:
        One challenge for the studied ward audit would be working out where is doing well, as all sites looked so good – as a result of anticipated punishment if they weren’t ‘green’. So it would be important to undertake multi-level work to reduce the fear of punitive feedback as part of a move towards greater use of appreciative inquiry, and reduce the use of punitive feedback to move towards greater psychological safety and staff wellbeing.
        This is a sensitive subject, but an important one to talk about. What do group members think would reduce the fear and use of punitive feedback?
        One challenge is that people balance different goals: Punitive feedback led to green results, so it meets the goal of high performance but not the goal of high quality care. How could that inconsistency be addressed?
        Michael.sykes@northumbria.ac.uk