title: An unsafe environment: the reflection of a clinical manager.
abstract: This reflection considers of the actions of the author, a junior ward sister working on a cardiology ward. The reflection is triggered by the unsafe environment found when arriving on the ward unexpectedly, and the report from a staff member. It explores the actions taken in relation to the staff involved, considers the implications of being an advocate for both patients and staff in practice, and focuses on creating an environment where staff feel they can speak out.
authors.affiliation: Chase Farm Hospital NHS Trust, Enfield, London.
authors.forename: R
authors.initials: R
authors.lastname: Melifonwu
mesh_terms: D004647:Employee Discipline; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D016294:Models, Nursing; D009741:Nursing Staff, Hospital / Q000592:standards*; D009745:Nursing, Supervisory / Q000458:organization & administration*; D009936:Organizational Innovation; D010344:Patient Advocacy; D011787:Quality of Health Care; D012308:Risk Management; D012449:Safety