Spreading the load
Guidelines are being produced to help health service managers cope with staff who have mental health problems. Staff often feel they have to keep their problems secret because they are the carer; not the patient. One nurse was sent to a mental health ward because of mental health problems. She was reluctant to accept she had problems but began to join therapeutic groups and talk about herself. It was a relief to learn that others shared her feelings. Staff need to accept that mental illness can affect them too and be prepared to help colleagues get help and then be able to return to work.
Publication Name: Nursing Times
Trust: key to acculturation in corporatized health care environments
Trust creates organizations in which workers feel empowered. Trust is a reliance on others to perform as they should. Low-trust organizations assume the employee requires rigid supervision and control to produce. This tends to be a self-fulfilling prophecy. Lack of trust impedes communication, cooperation, and commitment. Trust encourages risk-taking and innovation. Nurse administrators must determine whether their organization is low or high trust and work to increase trust or at least minimize damage in low-trust organizations.
Publication Name: Nursing Administration Quarterly
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