Arrow ImageAcute, PICU and Rapid Response

Event Details

Date of Event: 15th October 2024

Time of Event: 09:30 to 17:30 BST

Location of Event: Online via Zoom

Background

Improving wellbeing and stabilising the workforce are key priorities for healthcare. A growing body of research confirms that occupational distress arises not from individual factors, but from organisational climate and culture. Perceived betrayals and transgressions of moral and ethical frameworks increase workers' risk of moral injury and intent to leave. Consequently, solutions must focus on the complex moral and ethical environments in healthcare, and on developing healthy workplace leadership and cultures, rather than centring individually focused interventions. 

 The 4th International Occupational Distress and Moral Injury Online Conference brings together experts from UK, US and Europe to present 10 live papers and a panel discussion on systems-targeted solutions to these challenges, focusing on the roles of moral injury, preventative approaches and complex ethical decision making that are inherent in healthcare. The first series of papers focus on the critical relationship between moral injury and functioning, before making a case for adopting non-pathologizing responses to clinician distress. The second symposia offers examples of successful systems interventions that acknowledge and contextualize the unavoidably complex moral and ethical terrain of healthcare. The third symposia outlines the pioneering developments of ‘Just Cultures’ in healthcare, a review of interventions that improve wellbeing, and training programmes for navigating the moral and ethical complexities of healthcare environments.

The conference will be of interest to a broad audience of healthcare stakeholders - clinicians, administrators and executive decision-makers - concerned about workforce well-being and retention.


Conference Flyer

Below you can download our conference flyer

MI 2024 Conference Flyer
Dr Kirsty Abbas

I’m a Clinical Psychologist and have been a member of the Great Ormond Street Hospital (GOSH) Clinical Ethics Committee for the last 9 years. My clinical background is primarily in Paediatric and Neonatal Intensive Care (P/NICU) and Palliative Care. Since December 2023 I’ve been working in a Hub Neonatal Psychology role across North Central and East London, helping Neonatal units to embed Trauma Informed Care and to become Psychologically Informed Environments. I still work at Great Ormond Street Hospital one day a week.

All my clinical roles have involved offering staff support, teaching and training to my MDT colleagues. This is in the context of moral injury, burnout, and the impact of traumatic events on staff groups.

I greatly enjoy being a member of the GOSH ethics committee. I’m passionate about bringing a psychosocial perspective to ethical discussions, ensuring that we consider the holistic perspective whilst also exploring the impact of ethical decision making and modern medicine on both families and staff.

Professor Joe Rafferty, CEO Mersey Care NHS Foundation Trust

KEYNOTE

Professor Joe Rafferty,

CEO Mersey Care NHS Foundation Trust

Joe was appointed Chief Executive of Mersey Care NHS Foundation Trust in September 2012. During his tenure, he has led a significant expansion of the organisation, almost trebling it in size. The trust is now one of the largest specialised integrated care providers in the NHS and includes inpatient and community mental health, community physical health and learning disability and addictions services. Awarded a Ph.D. in molecular genetics at Queen’s University Belfast in 1987, he spent the next 12 years researching drug resistance in cancer and published more than 50 peer review articles on this and related areas, before a career change. Before joining the trust, he held a series of senior NHS leadership roles as regional director (NHS North West) of strategy and commissioning and chief executive of a primary care trust. For the past five years, he has been named one of the top 50 NHS CEOs by the Health Service Journal (HSJ) and has appeared in the HSJ100 most influential people in healthcare in the UK. He is a founder member of the Zero Suicide Alliance UK and was named a Commander of the Order of the British Empire (CBE) in the New Year’s Honours List 2020 for his work on suicide prevention. Joe was also made an honorary professor at the University of Liverpool Institute for Population Health Sciences in March 2021.

Professor Gill Maben

   

Professor Gill Maben

 

Gill is a nurse and social scientist and her research focuses on supporting staff to care well for patients. Jill qualified as a Registered nurse at Addenbrookes in Cambridge and studied History at UCL, before undertaking her Masters in Nursing at King's College London and completing her PhD at the University of Southampton.

She completed her PGCE at the London School of Hygiene and Tropical Medicine in 2007. Jill was deputy Director (2007-2010) and Director (2011-2014) of the Policy Research Programme's National Nursing Research Unit at King's College London.

Jill was awarded an OBE in June 2014 for services to nursing and healthcare. In 2013 she was in the Health Services Journal ‘Top 100 leaders’ and was also included on Health Service Journal’s inaugural list of Most Inspirational Women in Healthcare the same year. Jill is passionate about creating positive practice environments for NHS staff and supporting staff in the work they do caring for patients and her programme of research has highlighted the links between staff experiences of work and patient experiences of care- Jill's doctoral work examined what supported and what prevented newly qualified nurses implementing their ideals and values in practice, highlighting how ideals and values of new nursing students can become compromised and crushed in poor work environments. She also recently completed the first national evaluation of Schwartz Centre Rounds in the UK: “A Longitudinal National Evaluation of Schwartz Centre Rounds®: an intervention to enhance compassion in relationships between staff and patients through providing support for staff and promoting their wellbeing” Other recent studies include an evaluation of patient and staff experiences and safety outcomes of a move to 100% single hospital bedrooms. ] and interventions to support healthcare staff including Schwartz Center Rounds and to improve relational care for older people in hospital The single room evaluation work is now being replicated in Australia; Holland and Denmark.

Dr Tine Molendijk

   

 Dr Tine Molendijk

Tine Molendijk is an interdisciplinary-minded cultural anthropologist specialized in the topics of violence, military culture and mental health, in particular post-traumatic stress disorder (PTSD) and moral injury.

She currently works on a NWO-funded research project on 'moral injury', as project leader and principal investigator. This research project is a collaboration between the Radboud University Nijmegen, the Netherlands Defense Academy, the Netherlands Police Acadamy, the Netherlands Veterans Institute and the Center of Excellence on War, Persecution and Violence of the ARQ National Psychotrauma Center. Also, she is Assistant Professor at the Netherlands Defense Academy (NLDA). Prior to that, she obtained her PhD at the Radboud University Nijmegen, examining moral and sociopolitical dimensions of 'moral injury'. Also, she worked as a junior teacher in Cultural anthropology at the University of Amsterdam, and as a junior researcher at the VUmc

Matthew Ramsey, MD Orthopedic Surgeon Rothman Institute

   

Matthew Ramsey, MD Orthopedic Surgeon Rothman Institute

Dr. Ramsey is a board certified shoulder & elbow specialist. An extensive number of publications and invitational lectures before the American Academy of Orthopaedic Surgeons and the International Congress on Surgery of the Shoulder solidify Dr. Ramsey as a key physician among his medical peers.

Ira Bedzow, PhD

   

Ira Bedzow, PhD

 

Ira Bedzow is Director of The MirYam Institute Project in International Ethics and Leadership at the Center for the Study of Law and Religion, Emory University, and Head of the Unit of the International Chair in Bioethics, World Medical Association Cooperation Centre

He holds a PhD in Religion from Emory University and a Masters degree from University of Chicago. His interests relate to understanding the ethical implications of biotechnology and healthcare policy as well as how organizations can create an ethical culture through values-driven leadership. When it comes to ethical leadership, he tries to show that making a values-driven decision and implementing it effectively consist of different skills and face different challenges. Understanding the difference between asking “what to do” and “how can I act on my values successfully” is key to leadership and organizational success. Bedzow is also Senior Scholar of the Aspen Center for Social Values, co-director of the Maimonides Institute for Medicine, Ethics and the Holocaust (MIMEH), a contributor at the MirYam Institute, and a regular contributor in Forbes for their Diversity, Equity and Inclusion section. He is also an Orthodox rabbi (yoreh yoreh, yadin yadin).

Sara Walker- PhD

   

Sara Walker- PhD

I have worked with individuals across the lifespan, with those who are seeking neuropsychological evaluation for diverse reasons. I grew up in Portland and began my study of psychology at the University of Oregon. I later completed my masters degree (counseling psychology) and Ph.D. (clinical psychology) at the University of California, Santa Barbara. I specialized in clinical neuropsychology during my internship at the VA Ann Arbor Healthcare System, and further specialized in clinical neuropsychology with a two-year post-doctoral fellowship at the University of Michigan Medical School.

Among the wide variety of individuals I have met throughout my training, I have had specific clinical experience in evaluating adults with psychiatric illnesses, substance use disorders, head injury, and chronic medical illnesses (e.g., diabetes, hepatitis). Although my work is quite different from the therapy often provided in psychologists’ offices, I believe that the experience of a neuropsychological evaluation can be a therapeutic one. Neuropsychological evaluation can provide helpful information about cognitive and emotional functioning to patients, their families, and their healthcare treatment teams. I work closely with my patients to provide answers to their individual questions, as well as to inform general healthcare treatment planning.

Dr Lucy Frith

   

Dr Lucy Frith

My research sits at the interface of bioethics, medical sociology and health services research and focuses on improving health-care decision-making and policy with a particular interest in combining empirical methods with ethical analysis. I have an expertise in empirical ethics, qualitative research methods and public patient involvement in research, service design and health policy.

I have published widely on a range of issues in bioethics and carried out research on pregnancy and childbirth; research ethics (clinical trials and public involvement and cross-cultural issues in consent); the organisation and funding of health care provision (priority setting); and the use of evidence in practice and policy and has a long-standing interest in the social and ethical aspects of reproductive technologies. Expertise related to UN Sustainable Development Goals. In 2015, UN member states agreed to 17 global Sustainable Development Goals (SDGs) to end poverty, protect the planet and ensure prosperity for all. This person’s work contributes towards the following SDG(s):

Dr Esther Murray Senior Lecturer, Queen Mary College, University of London

Dr Esther Murray Senior Lecturer, Queen Mary College, University of London

I am a Chartered and Registered Health Psychologist with an interest in moral injury and the psychological wellbeing of healthcare professionals, childhood obesity, social inequalities in health and doctor patient communication. I currently teach Health Psychology at Barts and the London School of Medicine and Dentistry at Queen Mary University. Prior to that, I ran a Master's in Health Psychology at London Metropolitan University. I have a background in psychological intervention in cardiac care and in training NHS staff in communication skills.

Dr Wendy Dean, MD

 

Dr Wendy Dean, MD

Cofounder and CEO FixMoralinjury.org

Dr. Dean practiced as a psychiatrist for a decade, worked in medical product development for the Department of Defense, and then as an executive for a half-billion dollar non-profit.

Since 2019, she has focused solely on reducing workforce distress.

Dr. Dean left clinical medicine when generating revenue crowded out the patient-centered priorities of her practice. Her focus since has been on finding innovative ways to make medicine better for both patients and physicians through technology, ethics, and systems change.

Dr. Dean practiced for 15 years as an emergency room physician and then as a psychiatrist. After leaving clinical practice, she spent eight years in leadership positions, overseeing medical research funding for the U.S. Army, and as a senior executive at a large nonprofit in Washington, D.C., supporting novel strategies to restore form, function and appearance to ill and injured service members. She turned her full attention to addressing moral injury in 2019.

Dr. Dean is a regular contributor to Medscape’s Business of Medicine, blogs on Psychology Today, and continues to work in innovative fields with NASA, the American Society of Reconstructive Transplantation, and the Transplant Ethics and Policy Working Group at New York University Langone Medical Center.

 

Recent publications

Publications — Fix Moral Injury

Co-Author

If I Betray These Words : Moral Injury in Medicine and Why It’s So Hard for Clinicians to Put Patients First

Wendy Dean, MD & Simon Talbot MD

". . . a critical read for all in healthcare." - Lydia Dugdale, MD, author of The Lost Art of Dying: Reviving Forgotten Wisdom, and Director of the Center for Clinical Medical Ethics at Columbia University

"Wendy Dean opens the door for the layman to see how physically taxing and mentally draining the practice of medicine can be, while allowing physician readers to recognize themselves in the scenarios she depicts." - Joseph Caravalho, Jr., MD, Major General, US Army (Retired), and President and CEO of the Henry M. Jackson Foundation for the Advancement of Military Medicine

"A brilliantly conceived and executed masterpiece." - Thom Mayer, MD, Medical Director of the NFL Players Association

"An important call to action." - Booklist

"Required reading for all in healthcare." - Danielle Ofri, MD, PhD, author of When We Do Harm: A Doctor Confronts Medical Error

Elanor Webb

Since graduating from University with degrees in psychology and clinical psychology research, Elanor has worked at St Andrew’s Healthcare, in a research capacity. Currently, she works within the Centre for Developmental and Complex Trauma as a Research Associate and Lecturer. Her publications have been predominantly within the field of psychological trauma, with a particular focus on  moral injury and wellbeing in secure mental healthcare.

Outside of this role, Elanor is completing her PhD at the University of Central Lancashire. Her programme of research focuses on the conceptualisation of moral injury and underlying developmental and cognitive mechanisms in staff working in secure mental healthcare settings.

Dr Deborah Morris

     

Dr Deborah Morris (Scientific Committee and Co-Chair) Director, Centre for Developmental and Complex Trauma, UK Director of Postgraduate programmes in trauma, Faculty of Medicine and Health Sciences, University of Buckingham Deborah is the director for the Centre for Developmental and Complex Trauma and the Director of Post graduate programmes in trauma, University of Buckingham.

A Consultant Clinical Psychologist by training, Deborah has worked clinically with adults with complex personality disorder, neurodevelopmental, forensic and mental health needs in the community, assertive outreach, crisis, residential, prison and inpatient settings.

 

Deborah has previously worked in professional and clinical lead positions and in services to support the mental health and trauma needs of healthcare professionals. Her publications and ongoing research interests include; occupational distress and trauma, treatments for personality disorder, intellectual disabilities, developmental trauma disorders, the intersection between trauma and personality disorder, moral injury, gendered approaches to trauma, adverse childhood experiences, the physical health impact of trauma, and the psychometric properties of psychological tools. In her spare time Deborah indulges her obsessions with Star Wars, scuba diving with sharks and her typically unsuccessful attempts to establish an organic allotment. She is an avid cook and enthusiastically avoids gyms and all forms of organised fitness.

How To Book

IMPORTANT INFORMATION: A completed Registration Form must be emailed at the time of making a payment

Paying by Debit/Credit Card

We use PayPal to process debit/credit card payments but you do not need a PayPal Account to pay this way.  Please use the Guest Checkout Option if you do not have a PayPal Account.

  • Step 1 - Complete a Registration Form and email it to cdct@stah.org
  • Step 2 - Make your payment using the appropriate PayPal link provided below

Paying by Invoice

  • Step 1 - Complete a Registration Form and email it to cdct@stah.org
  • Step 2 - Purchase Orders to be made payable to St Andrew's Healthcare, Billing Road, Northampton, NN1 5DG and emailed directly to cdct@stah.org

What is a purchase order? If you have not arranged this before, a purchase order (PO) is a document that the buyer sends to a supplier with a request for products or services.  Each PO will include a number for tracking the purchase order through the system, as well s the type of item, quantity, and agreed price.  Your finance team will be able to provide this document for you.  Your place on the conference cannot be confirmed until a PO is received.

Paying by Cheque

  • Step 1 - Complete a Registration Form and post it along with your cheque to CDCT, St Andrew's Healthcare, Billing Road, Northampton, NN1 5DG
  • Step 2 - Cheques to be made payable to St Andrew's Healthcare

Group Bookings

You will be sent an email confirming your booking once Payment or a Purchase Order is received.

Ticket Type

Cost

Payment

Early Bird (ends 01.09.24)

£35.00

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Standard

£45.00


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St Andrew's Employees, CDT, BPS & APA Members

£30.00

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Student in Full Time Education & Poster Presenters

£25.00

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Frequently Asked Questions

Below are a list of FAQs

We hope this will provide you with helpful information but, it you have any questions regarding any of our conferences please telephone us on 01604 608729 or email us at cdct@stah.org

Conference & Presentation Recordings

I cannot join the live conference, how do I access a recording of the presentations?

We are delighted that you are interested in joining one of our conferences.  All of our conference events are currently offered on a ‘live’ only basis. At present the technological challenges of recording and editing conferences to a level of good quality for post event distribution are yet to be resolved. 

This is a service we are looking to offer in the future and we hope to be able to meet this need with our future events.

Please do keep an eye on our conference webpage for future events we hope you will be able to join.

https://www.stah.org/who-we-are/cdct-conferences-website

PayPal Payments

I do not have a PayPal Account, how do I pay using my debit/credit card?

PayPal is the provider we use in order to process debit/credit card payments.  You do not need to have or use your PayPal account in order to pay with a company credit card or your personal debit/credit card. 

To pay for one or more tickets with a debit/credit card, simply click on the appropriate PayPal link provided and enter the quantity of tickets required.  You will then be taken to the PayPal login screen, at the bottom of this screen is the option to Check Out as a Guest.  Click on this link and it will enable you to pay with your debit/credit card without the need to have or log into a PayPal Account.  

If you would like further assistance in making your debit/credit card payment via PayPal please do telephone us on 01604608729 and we will be happy to assist you.

Invoice Payments

Can my company pay for my place via invoice? If so, how do I do this?

If you would like your company to pay for your delegate place via invoice you will first need to raise a Purchase Order (PO) number with your company's Finance or Accounts Department. 

What is a purchase order?  If you’ve not arranged this before, a purchase order (PO) is a document that the buyer sends to a supplier with a request for products or services. Each PO will include a number for tracking the purchase order through the system, as well as the type of item, quantity, and agreed price. Your finance team will be able to provide this document or number to you. 

If St Andrew's Healthcare is already an approved supplier for your company, your Finance or Accounts Department will send the PO number directly to us.

If St Andrew's Healthcare is not an approved supplier for your company, you may be asked by your Finance or Accounts Department to complete a New Supplier Form.  Simply email the New Supplier Form to us at cdct@stah.org   and we will complete and return the form to you.

Please note that we cannot confirm your delegate space on the conference until we receive either a PO number or an email from your Finance or Accounts Team confirming that a PO is forthcoming and payment is guaranteed.