Exploring the complexity of conflict and organising in the time of Covid-19
The following is a post by member of DMan faculty Professor Karen Norman which speaks into the theme of the conference:
Exploring the complexity of conflict in organising in the time of Covid: washing our hands of a problem?
Infection prevention and control (IPC) in hospitals is essential at the best of times, but especially so in a time of Covid. From my previous experience as a Board Director responsible for Infection Control in hospitals, I understand the challenges facing staff in maintaining high IPC standards. In 2003, I was involved in a national initiative to reduce the incidence of hospital acquired Methicillin Resistant Staphylococcus Auereus, (MRSA) bacteraemias, because 9% of hospital inpatients had infections acquired whilst in hospital, equating to100,000 incidents a year, costing the National Health Service (NHS) around £1 billion (N.A.O. 2000). The term ‘hospital acquired infection’ sits uncomfortably with me, given Florence Nightingales’ founding values that hospitals should ‘do the sick no harm.’ A significant causal factor in their spread cited was the poor hand hygiene of the health professionals when caring for patients. Thankfully, progress has been made in recent years, with the hospital I refer to in this blog meeting their target of zero cases of avoidable MRSA in the last year. But what I have noticed amidst the intense discussions we have been having of late with regard to stopping the spread of Covid, is how similar problems are re-surfacing to those we faced when reducing the spread of MRSA, most notably with regard to compliance with ‘best practice’ as set out in our IPC policies and procedures. I share the following narrative to help think about why implementing corporate values such as ‘patient safety’, or ‘doing no harm’ might not be so easy as people seem to think.Continue reading