Every ward is a ‘Nut Island’? Preventing good health-care teams ‘going bad’

A recent shift towards more collective leadership in the NHS can help to achieve a culture of safety, particularly through encouraging frontline staff to participate and take responsibility for improving safety through learning from error and near misses. Leaders must ensure that they provide psychological safety, organizational fairness and learning systems for staff to feel confident in raising concerns, that they have the autonomy and skills to lead continual improvement, and that they have responsibility for spreading this learning within and across organizations.

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Every ward is a ‘Nut Island’? Preventing good health-care teams ‘going bad’

Abstract: This article explores how Levy's 'Nut Island effect' can be used to help identify health-care teams at risk of becoming isolated, disenchanted and separated physically and psychologically from senior management. Such isolation can lead to disastrous effects.

Cited by 2 publications

References 6 publications

Leadership in learning organizations: a strategy for improvement

Leadership in learning organizations: a strategy for improvement

Learning from error: leading a culture of safety

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