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Strengthening open disclosure in maternity services in the English NHS: the DISCERN realist evaluation study.

Health Soc Care Deliv Res

August 2024

Department of Women and Children's Health, School of Life Course and Population Sciences, King's College London, London, UK.

Article Synopsis
  • - There is a push within NHS maternity services to enhance open disclosure for families affected by harm, yet there is limited guidance on achieving this improvement.
  • - The study employs a three-phase qualitative approach to identify key factors for better open disclosure from the perspectives of families and healthcare providers, and aims to create practical recommendations for service enhancement.
  • - Findings reveal a shift towards recognizing harmed families as active participants in learning from incidents, but still highlight a need for actionable strategies and effective interventions to support open disclosure in maternity settings.
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For the first time in its 130-year history, the American Psychological Association formally admitted to its ugly racist past and acknowledged how White supremacy continues to pervade the profession. Although the apology spans the entire field of psychology, the primary focus of this article is on how the profession of counseling and psychotherapy has reinforced and contributed to the oppression of people of color. First, we contend that psychology mirrors cultural racism/White supremacy and represents the major framework from which psychologists and other social scientists with power and privilege located the source of problems within people of color, their family values/structures, and their communities.

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Health equity and antiracism can contribute to enhanced patient safety in healthcare settings. The Oath of the Pharmacist states, "I will promote inclusion, embrace diversity, and advocate for justice to advance health equity." Part of this commitment means upholding these principles in patient care settings.

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After a transgression, people often use neutralizations to account for their behavior, for instance, by apologizing or offering a justification. Previous research has mostly centered around the intrapersonal effects of neutralizations on actors. Consequently, we know very little of the effects of neutralizations on observers' perceptions and judgments.

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Orthodontic treatment has popularized in Taiwan. Healthcare institutions can be responsive in their coping strategies and determine whether third-party intervention should take place involving medical disputes related to orthodontics in order to repair patient trust. This study draws on orthodontic treatment to explore the effect of various trust repair strategies employed by healthcare institutions and third-party involvement positively affecting outcomes related to trust repair.

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