Today I read the write-up of this study in the BMJ of people working in a busy hospital surgical departments in Ghana. Whilst this may appear extremely different to a setting that you work in, the principles are totally applicable to many areas, particularly health and social care services in the UK:
1.
People don’t want to speak up for fear of being
asked to do even more.
2.
People don’t have time to raise issues and
people are too busy to hear them, or act upon them.
3.
Supporting ‘hearer’ courage may be as important
as speaking up in the first place!
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