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What is the main problem you need to solve ?

What things have led to the problem arising ?

Follow this simple example:

In a healthcare setting, a patient has fallen from their bed & is found on the floor.

1. Why did Mrs Jones fall out of the hospital bed ?

Because she was trying to reach some water.

2. Why was the water placed out of her reach?

Because staff were busy & did not notice.

3. Why didn’t she use her staff call button?

Because she didn’t like to bother the staff – they are so busy!

4. Why are they so busy?

They are short 2 members of staff from their recommended staffing level.

5. Why are they 2 members of staff short?

Because they are not being replaced, due to new spending cuts.

You can now perhaps argue, that patient safety is being compromised by cost cutting measures – what to do? More staff would help, but cost money & may not be available. Less patients improves the staff : patient ratio, but it reduces the capacity of the unit to meet public need. Staff could try different work patterns, but what are they & how may they react (change management) .....

From a simple event, you have a topic for reasoned discussion & analysis. This takes you from being simply a 'cog in the machine', to an instrument of change - it could help your career & let you take a more active role in your workplace. It will also help you develop the analytical skills you need in professional & academic life.







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