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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

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Published on: August 5, 2020

Enough's enough: conversations with myself and other practitioners.

Angela Southall¹

¹Midlands Psychology CIC, 43 Temple Row, Birmingham B2 5LS, UK. angela.southall@midlandspsychology.co.uk

Clinical Child Psychology and Psychiatry

|September 18, 2009

Summary

Child mental health staff in the UK National Health Service (NHS) experience high stress due to feeling undervalued and overwhelmed by non-clinical tasks. Coping strategies may inadvertently increase stress, highlighting a disconnect with senior management.

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Area of Science:

Healthcare Management
Clinical Psychology
Organizational Behavior

Background:

Media attention often focuses on health service personnel leaving their jobs.
Organizational stress significantly impacts healthcare professionals.
Child mental health services face unique pressures within the UK National Health Service (NHS).

Purpose of the Study:

To explore coping mechanisms of child mental health professionals facing organizational stress.
To understand the experiences of clinical staff within the NHS.
To identify factors contributing to conflict between clinical staff and senior management.

Main Methods:

Qualitative interviews with child mental health colleagues.
Thematic analysis of interview data.
Application of cognitive dissonance and systemic theories for interpretation.

Main Results:

Clinical staff feel disconnected from senior management regarding the primary task of patient care.
Practitioners report feeling undervalued and burdened by non-clinical responsibilities.
Observed coping mechanisms appear to sustain, rather than alleviate, high stress levels.

Conclusions:

A disconnect exists between clinical priorities and senior management in child mental health services.
Practitioner experiences may be explained by cognitive dissonance, leading to increased effort under perceived oppression.
Systemic theories can illuminate the ongoing conflict between clinical and management groups.