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derek malley

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Comments (7)

  • Comment on: Nurses face 'real time' league table for patient experience

    derek malley's comment 22 February, 2012 6:32 pm

    I have seen these healthcare based metrics used in a positive and negative way. In the U.S. they are obsessed with these measurements which patients can use online measuring anything from food quality to mortality rates for pneumonia. They never take into account the innumerable variables from staff turnover to the state of health of the local population.
    Unfortunately it does turn competitive, one local journalist published mortality rates from pneumonia at our hospital without disclosing the high number of admits from multiple nursing homes. The effect was very damaging. Alternatively we started a noise abatement programme after multiple complaints about the noise level at night.
    watching the near obsession with patient satisfaction surveys over the past 4 yrs the attention to staff concerns are overlooked.Morale has plummeted in recent times as patients realise they only have to raise the slightest concern to have administration jumping through hoops. Any problems concerning care at any level should be examined from all angles, patients should be able to raise concerns expecting a realistic solution bearing in mind the pressures exerted on healthcare workers.
    We are neither a hotel nor an airline in direct competition with each other for your business because our pillows are fluffy. Shame on the U.K for following the U.S route on this

  • Comment on: Nurses' 'lack of trust in diagnosis' presents barrier to organ donation

    derek malley's comment 27 January, 2012 7:23 pm

    I find much of the content of this forum alarming on many levels. If any professional disagrees with the findings on brain stem criteria then they are morally bound to intervene. Posting after someone expires does not help anyone unless you can substantiate this with written documentation.
    Having considerable neuro-icu experience i have witnessed the sensitivity and respect shown to both family and patient on many occasions. All it took was one article of someone waking from a coma after 5 yrs and everyone became a neurologist overnight. The terri schiavo case in the U.S being the best example.
    There are criteria to be met before someone can be declared brain dead. I urge the staff in this forum to familiarize yourself with this procedure and what signs may be misconstrued as purely reflexive.
    There are literally thousands of desperately ill people whose only last ditch chance may be the donation of an organ. Alarmist comments may set this program back a considerable way if members of the public thought the process to procure these organs under extremely tragic circumstances was somehow ad hoc. If there are anomalies document and report this.

  • Comment on: Thousands of nurses expecting to lose jobs - RCN

    derek malley's comment 10 October, 2011 6:19 pm

    The solution is contained within the article. Why are staff feeding the problem by working extra hours ?. Stop working extra hours the hospitals will have to employ more staff. I worked in a unit where all the staff agreed on this, within 2 weeks of absolute mayhem they relented. The cost of bringing in agency staff became apparent very soon.

  • Comment on: Female nurses reduce burnout in ICU teams

    derek malley's comment 2 September, 2011 4:43 am

    So why in 15 years of critical care in 5 different countries do i hear the same phrase," i'm glad there are male staff on", or " i prefer working with men". The authors must have a sample population in the gulag archipelago !!!!!!!!!!!

  • Comment on: Religious beliefs affect end-of-life care decisions

    derek malley's comment 30 August, 2010 8:16 pm

    Having recently studied palliative care modules i find this article very poorly stated. It may provoke an unfair bias towards physicians who may be agnostic, though excellent practitioners. End of life care is an extremely complex area with both spiritual and moral empowerment at it's core. A great many healthcare staff are battling unfounded bias from uninformed media outlets. The terms " hasten" ,or "speed up" are alarming and sensationalistic. It is disappointing to find this poor example of editorial standards in a national nursing magazine.

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