Ewch i’r prif gynnwys
Dr Aled Jones

Dr Aled Jones

Darllennydd: Diogelwch Claf ac Ansawdd Gofal Iechyd

Ysgol y Gwyddorau Gofal Iechyd

Email:
jonesa97@cardiff.ac.uk
Telephone:
+44 (0)29 206 88570
Location:
Yst 13.15, Tŷ Eastgate, Heol Casnewydd, Caerdydd, CF24 0AB
Siarad Cymraeg
Ar gael fel goruchwyliwr ôl-raddedig

RESEARCH SUMMARY

My research focuses on two specific dimensions of healthcare quality, namely patient centeredness and patient safety. In particular, my current research activity focusses on employee “speaking up” (also referred to as whistle-blowing/raising concerns) about poor patient care and other breaches to patient safety.

“Speaking up” about safety concerns and poor care

Healthcare organisations internationally have a poor track record of supporting staff to speak up about poor care, or of not responding adequately and helpfully when staff do speak up. I am interested in understanding more about how workplace cultures restrict or enhance the act of speaking up by employees. A further question of interest is what interventions can be designed and implemented to help employees to speak up and to respond to speaking up by colleagues. I mostly use qualitative research and sociological approaches and theories to better understand speaking up in the workplace.

Findings from this research have been published in a variety of highly regarded social science and healthcare specific journals, including Sociology of Health and Illness, BMJ Quality & Safety and the International Journal of Nursing Studies.

Patient Safety and Healthcare Quality

Other research interests include questions relating to achieving safe nurse staffing levels and workforce planning. I have also published widely on patient safety communication and aspects of patient centred care.

TEACHING SUMMARY

Module leader: Critical perspectives on healthcare quality and safety (Profesional Doctorate module) - NRT 172; Health Policy and Health Economics (Masters module) -  NRT 177

Other Teaching commitments: Patient Safety & Clinical Risk (Masters module) - NRT 073; Research methods (Masters module) HCT 118; Pre-registration nursing and midwifery Quality and Safety Teaching.

After a career in mental health and adult nursing I entered nurse education in 1997 as a Tutor (Nursing) in Swansea University. A 2 year secondment as a RCBC post-doctoral Fellow followed the award of my PhD in 2006. Upon my return to Swansea University I was the Health Sciences Director of Postgraduate Studies from 2008 until my move to Cardiff University in the summer of 2011.

Other activities

Network Lead

Quality Improvement & Patient Safety Education Network (QuIPSEN), funded by the Health Foundation.

Project Advisory Group Member

Qualitative Enquiry Supporting Trials (QUEST) $acirc;   QUEST is NISCHR funded body which advises the West Wales Organisation for Rigorous Trials in Health (WWORTH) on qualitative research within clinical trials.

Planning for Recovery Study (P4R): Assessing mental health recovery, care and treament planning in social care. 2013-2015 NISCHR funded.

Member of the Cardiff and Vale NHS UHB Faculty for Quality Improvement $acirc;   the Faculty was recently awarded an NHS Wales 2012 Award for $acirc;  Promoting Clinical Research and Application to Practice$acirc;  .

Editorial Advisory Board Member - for the journal Nursing Management (RCN Publications).

International Science Advisory Panel member $acirc;   for the Royal College of Nursing International Research Conference.

Peer reviewer NISCHR Research and Development grant scheme.

Peer reviewer: Sage books, McGraw-Hill, BMJ Quality and Safety; Journal of Interprofessional Care, Journal of Advanced Nursing, Time and Society, International Journal of Nursing Studies, Discourse and Society.

External examiner

University of Chester (2011 to 2013) $acirc;   Professional Doctorate, MSc Advanced Practice, PG Cert Oncology.

PhD External Examiner: Bangor University, University of Bath, Salford University.

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Teaching

I lead the Masters Module in Health Policy and Health Economics (NRT177) which runs January to April and do sessional lectures on advanced practice modules such as documentation and clinical assessment; team working and complex systems; patient safety and risk; research methods. In addition I supervise Masters students’ dissertations.

I also lead the Professional Doctorate Module “Critical Perspectives on Patient Safety and Quality), next running January 2018.

I teach patient safety and quality improvement as well as research methods on a range of courses from undergraduate to doctoral level. I am a faculty member of NHS Wales 1000 Lives Improvement and of the UK & Ireland IHI Open School. As faculty member I advise on how best to design, deliver and support education programmes to improve healthcare

RESEARCH TOPICS

Employees “speaking up”, raising concerns and whistleblowing (funded by the Older People’s Commissioner for Wales and the General Nursing Council Trust)

Employees who “speak-up” or “raise concerns” about problems with healthcare services are often referred to as “whistleblowers”. Although whistleblowing makes an important contribution to patient safety in the NHS, whistleblowers have not always been treated well, often suffering professional and person reprisals from colleagues and the public for their efforts. The Francis Report in 2013 into serious patient care failures at Stafford Hospital is one of many inquiries into poor practice in the NHS which describe how whistleblowers were often ignored and mistreated by colleagues to the detriment of safe patient care.

Our research has explored the influence of workplace culture on employee speaking up. We want to better understand how the conditions and circumstances within organisations can encourage or deter staff from speaking up. Related to this, we also want to better understand the organisational response to concerns when raised –why is it that so many organisations respond so badly when employees speak up, even though organsiations encourage this behaviour?

We have used qualitative social science approaches to better understand some of these questions. Our studies have been undertaken with staff from a range of professions and at different levels within the organisational hierarchy, from students and junior workers to executive level nurses.

Research impact: Freedom to speak up safely with Cardiff and Vale University Health Board (funded by ESRC/Cardiff University Impact Acceleration Award).

In the summer of 2016 Cardiff and Vale University Health Board launched their Freedom to Speak Up Safely (F2SUS) initiative. The initiative is designed to support employees to raise and respond to concerns about any issue that deflects from the organisation’s aim to deliver consistently excellent care. Our research and expertise in this area of practice contributed directly to the design and implementation of the F2SUS initiative

Please see the following links for further information.

https://youtu.be/k5WDwCloX2k

https://youtu.be/hRYdKkZDoyM

More information available at the following webiste

www.cardiffandvaleuhb.wales.nhs.uk/freedom-to-speak-up

Related ongoing project and areas of interest:

  • Tricia Brown PhD studentship - The mentor-student dynamic in raising concerns in clinical practice. A grounded theory study.
  • Development of a “Speak up” Survey (led by David Schwappach, Swiss Patient Safety Foundation
  • Evaluation of the Freedom to Speak Up Guardian initiative (Full application tunder review by NIHR HS&DR programme with Jill Maben, Mary Adam, Russell Mannion, Danny Kelly, Davina Allen)
  • Speaking up about poor care: the role of students, educators and HEIs (with Robin Ion and Richard Craven)

Research collaborators:

  • Daniel Kelly, Tricia Brown, Davina Allen (Cardiff University)
  • Jill Maben, Mary Adams (King’s College London)
  • Russel Mannion (University of Birmingham)
  • David Schwappach (Swiss Patient Safety Foundation)
  • Robin Ion, Richard Craven (Abertay University)

Research supervision

As a research supervisor I have secured competitive PhD studentship funding from NISCHR. I have supervised 8 PhD completions with 11 completions as supervisor of MSc research dissertations.

I have undertaken PhD external examiner duties at the Universities of Bath, Northumbria, Bangor, Chester and Salford, as well as currently being external examiner of the University of Buckinghamshire’s Professional Doctorate (2014-present). From 2009-2011 I was both Director of Postgraduate Research and Chair of the Research Ethics Committee at the College of Human and Health Sciences, Swansea University.

I am interested in supervising PhD students who would like to explore patient safety and quality improvement in health and social care contexts and any aspects of workforce research.

I have supervised 8 PhD completions with 11 completions as supervisor of MSc research dissertations.

I have undertaken PhD external examiner duties at the Universities of Bath, Northumbria, Bangor, Chester and Salford, as well as currently being external examiner of the University of Buckinghamshire’s Professional Doctorate (2014-present). From 2009-2011 I was both Director of Postgraduate Research and Chair of the Research Ethics Committee at the College of Human and Health Sciences, Swansea University.

I am interested in supervising PhD students who would like to explore patient safety and quality improvement in health and social care contexts. Applications are particularly welcomed that focus on

  • Raising concerns/speaking-up/whistleblowing by staff about failures in care - for example, what are the barriers and facilitators to effective "speaking up" by staff? What interventions/initiatives can be developed to promote speaking up culture in the workplace?
  • Workplace culture and patient safety - for example, how does workplace culture affect healthcare workers understanding of patient safety and their safety practices?
  • Optimal deployment of staffing levels - for example, projects that consider nurse staffing levels and the effects on patient outcomes (e.g. safety outcomes) and staff outcomes (e.g. retention of staff, staff well-being).

Current research students

Tricia Brown PhD studentship - The mentor-student dynamic in raising concerns in clinical practice. A grounded theory study.

Judith Benbow PhD studentship - The resilience of front-line registered nurses working in Wales.

Rene Mifsud PhD studentship - Exploring professional practice of Occupational Therapists in Malta.

Iain Harbison Professional Doctorate studentship - An exploration of the strategies and experiences of senior clinicians and the implementation and management of Emergency Department waiting time targets.

Ian Willliams Professional Doctorate studentship - How do children aged six to eleven years old living in Wales experience their quality of life following a moderate head injury?

Marianne Maraj Professional Doctorate studentship - Exploring well-being in hybrid managers in an NHS Trust

Goruchwyliaeth gyfredol

Judith Benbow

Judith Benbow

Research student

Marianne Hamer

Research student

Patricia Brown

Research student

Ian Williams

Research student

Rene Mifsud

Research student

Iain Harbison

Research student