Dr Rekha Elaswarapu Independent Dignity Adviser Board member National Dignity Council Dignity at work Evidence suggests that if staff are treated with dignity and respect then they would in turn treat patients with dignity respect and compassion ID: 544421
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Slide1
Dignity at work
Dr Rekha Elaswarapu
Independent Dignity Adviser
Board member, National Dignity CouncilSlide2
Dignity at work
Evidence suggests that if staff are treated with dignity and respect then they would in turn treat patients with dignity, respect and compassion
.
This
has led to the concept of ‘Dignity at Work’ which protects and enables the staff to be treated with dignity at their workplace. Slide3
Dignity at work
Every individual who comes into contact with the NHS and organisations providing health services should always be treated with respect and dignity, regardless of whether they are a patient, carer or member of staff.
This value seeks to ensure that organisations value and respect different needs, aspirations and priorities, and take them into account when designing and delivering services.
The NHS aims to foster a spirit of candour and a culture of humility, openness and honesty, where staff communicate clearly and openly with patients, relatives and carers.
(NHS Constitution)Slide4
Dignity at work
Dignity at work involves ensuring that staff are valued and counted in their work environment.
Staff
and employers
should
build a workplace culture that promotes respect for all.
No
staff member should be subjected to bullying and harassment in any respect.Slide5
Bullying
The
BMA defines bullying as where an individual or group abuses a position of power or authority over another person or persons that leaves the victim(s) feeling hurt, vulnerable, angry, or powerlessSlide6
Harassment
'It
is any behaviour, whether verbal, non-verbal, or physical, which has the purpose or effect of violating an individual’s dignity or creating an intimidating, humiliating or offensive environment for that individual or
group.
NHS Employers- Briefing 74:, The Equality Act 2010Slide7
Impact of bullying
Workplace
bullying
can lead to
lost productivity, fraud, worker abuse and more
.
Lack of dignity at work can affect an
individual's emotional, psychological and physiological
health. These affects can extend to their interaction with family and friends too.
Slide8
Impact of bullying – Mental health
Debilitating Anxiety (80
%)
Panic Attacks (52
%)
Clinical Depression: new to person or exacerbated condition previously controlled (49
%)
Post-traumatic Stress (PTSD) from deliberate human-inflicted abuse (30
%)
Shame (the desired result of humiliating tactics by the bully) - sense of deserving a bad
fate
Guilt (for having "allowed" the bully to control you
)
Overwhelming sense of Injustice (Equity - the unfairness of targeting you who works so hard; Procedural - the inadequacy of the employer's response to your complaint
)
Slide9
Impact of bullying - Physical health
Cardiovascular Problems: Hypertension (60%) to Strokes, Heart
Attacks
Adverse Neurological Changes: Neurotransmitter Disruption, Hippocampus and Amygdala
atrophy
Gastrointestinal: IBD,
colitis
Immunological Impairment: More frequent infections of greater
severity
Auto-immune
disorders
Fibromyalgia (21%),
Chronic
Fatigue Syndrome (33%)
Diabetes
(10
%)
Skin
Disorders (17
%)Slide10
Stress related problems resulting from bullying or harassment
✦
sickness absence
✦ erratic or poor timekeeping
✦ increases in patient complaints
✦ increase in number of employees taking counselling
✦ increase in grievances
✦ poor working relationships
✦ conflict between
colleagues
Source: RCN: Bullying and harassment at work – a guide for RCN managers and negotiatorsSlide11
Impact of bullying – Economic harm
Lost
skills due to people leaving jobs
Forced to transfer from loved job, often a punitive transfer (13
%)
Constructively discharged without reasonable cause (24
%)
Lost productivity due to stress related sicknessSlide12
NHS staff survey 2014
Sixty-five percent of staff reported that they had attended work in the previous three months despite not feeling well enough to perform duties
Of those who had attended work while unwell, 91% stated that they had put themselves under pressure to attend; 30% felt under pressure from their manager and 23% from other colleagues to attend.
Thirty-nine percent of NHS staff reported that during the last 12 months they have felt unwell as a result of work related stress.
Around 3% of all staff said they had experienced physical violence from other staff. Twenty-four percent of staff reported they had experienced bullying, harassment or abuse from either their line manager or other colleagues.
Two thirds (66%) of incidents of physical violence and 44% of bullying, harassment or abuse cases were reportedSlide13
Dignity at
work policies: ACAS guidance (1)
statement
of commitment from senior
management
acknowledgement that bullying and harassment are problems for the
organisation
clear statement that bullying and harassment is unlawful, will not be tolerated and that decisions should not be taken on the basis or whether someone submitted to or rejected a particular instance of
harassment
examples of unacceptable
behaviour
statement that bullying and harassment may be treated as disciplinary
offences
the steps the organisation takes to prevent bullying and
harassmentSlide14
Dignity at
work policies: ACAS guidance (2)
responsibilities
of supervisors and
managers
confidentiality for any
complainant
reference to grievance procedures (formal and informal), including timescales
for action
investigation procedures, including timescales for
action
reference to disciplinary procedures, including timescales for action counselling and support availability
training for
managers
protection from
victimisation
how the policy is to be implemented, reviewed and monitored.Slide15
Overarching themes integral to the effective function of an organisation particularly for ensuring dignity at work for
staff
Culture
Leadership
Accessibility of the
policy
Handling of
concerns
Support for staff during and after the
investigation
TrainingSlide16
Key success factors for ensuring a bullying free culture
Acknowledge
bullying and harassment culture
exists
Respond
quickly
Don’t be
defensive
Be openSlide17
Effective leadership
Lead by
example
Lead from the
front
Non-negotiable
values
Practice the values
and
behaviours
Create a staff friendly
culture
Set the standards and ensure its adherence at all
times
Robust governance
framework
Good
communication including minding the tone
Give
feedback
professionally
Value your staffSlide18
Thank you for listening
Dr Rekha Elaswarapu
Independent Dignity Adviser
Board member, National Dignity
Council
rekha_elaswarapu@yahoo.co.uk
Dignity is everyone’s business