Defensive Inward-Focusreversed by Schwartz Rounds

Defensive inward-focusreversed by Schwartz Rounds

Additional file 1

Appendix 1: / The Organisational Response to Emotions Scale (ORES)
Appendix 2: / XXXXXGAP Trial Set-up Form
Appendix 3: / The trust’s proposal form
Appendix 4: / The Organisation’s approval for the study
Appendix 5: / Components of the ORES
Appendix 6: / Letter to Schwartz Round attendees
Appendix 7: / Staff support form
Appendix 8: / Dates and topics discussed at the Schwartz Rounds
Appendix 9: / Staff stress results provided by OH for 2014
Appendix 10: / Staff stress results provided by OH for 2013
Appendix 11: / The National Staff Survey results for the trust
Appendix 12: / Results from interviews with nursing and HCA staff
Appendix 13: / ORES data
Appendix 14: / Team vs Schwartz Round attendee ORES data

Appendix 1: The Organisational Response to Emotions Scale (ORES)

For office use only
Form no:
PLEASE COMPLETE THIS FORM BEFORE THE ROUND STARTS

Organizational Response to Emotions Scale (ORES)

Dear colleagues,

My name is xxxxx and I am a member of the steering committee for the Schwartz Rounds. I have worked at xxxx since 2011; I work full time on xxxx ward, an acute neurorehabilitation ward.

I should be most grateful if you would complete this anonymous questionnaire at the beginning and end of today’s session. The aim of the questionnaire is to evaluate the impact of the Schwartz Rounds. The data will be stored in a large password-protected database on a secure server and will only be seen by me. The study has been approved by the trust’s Caldicott Guardian and medical director.

Background and equality monitoring questions (You will only be asked these once)

Today’s date / 17th November 2015
Is this your first Schwartz Round? / Yes/ No
If you answered no, please tell us how many Schwartz Rounds you have previously attended (please circle) / 1 2 3 4 5 6 7 8 9 10
What is your role? (please circle or state) / Health care assistant, nurse, staff nurse, ward manager, non-clinical manager, medical doctor, medical consultant, ward clerk, dietician, occupational therapist, physiotherapist, speech and language therapist, psychologist, counsellor, administration, non-clinical manager, estates
other (please state)………………………….
How long have you worked in this role? (Please add up all of your positions- not just the time spent working in this trust).
ETHNICITY / CARING
RESPONSIBILITIES
White
English / Welsh / Scottish / ...... Northern Irish / British
Irish......
Gypsy / Roma / Irish Traveller......
Any other White background......
Please specify
Mixed / Multiple ethnic group
White and Black Caribbean......
White and Black African......
White and Asian......
Any Other Mixed / multiple ethnic ......
Please specify
Asian or Asian British
Indian......
Pakistani......
Bangladeshi......
Chinese......
Any other Asian background ......
Please specify
Black or Black British
African ......
Caribbean ......
Any other Black background ......
Please specify
Other
Arab ......
Any other ethnic background ......
Please specify / No......
Yes ......
SEXUAL ORIENTATION
Bisexual ......
Gay man ......
Gay woman / Lesbian ......
Heterosexual / Straight ......
Other ......
please specify
I would prefer not to say…………………..
RELIGION AND BELIEF
Buddhist ......
Christian ...... (including Church of England, Catholic, Protestant and all other Christian denominations)
Hindu ......
Jewish ......
Muslim ......
None ......
Sikh ......
Other religion or belief ......
please specify
I would prefer not to say…………………
SEX
Female......
Male......
Other ......
please specify
LANGUAGE / DISABILITY
What is your main
language?
English ......
Other ......
please specify
British Sign Language.
Other sign language..
please specify / Do you consider yourself to be a disabled
Yes......
No ......
If yes, please choose all the relevant options.
Learning disability / difficulty......
Long-standing illness or health condition......
Memory impairment......
Mental health condition......
Physical impairment......
Sensory impairment......
Visibly different ......
Any other impairment......
GENDER IDENTITY
Is your gender identity the same as the gender you were originally assigned at birth?
Yes…………………...
No……………………
MARITAL / CIVIL PARTNERSHIP STATUS
Divorced or dissolved civil partnership......
Living with someone ......
Married or in a civil partnership ......
Separated, but still legally married
Single ......
Surviving partner from a civil partnership......
Widow or widower......
AGE
0 – 9 10 – 19
20 – 29 30 – 39
40 – 49 50 – 59
60 – 69 70 – 79
80 & over

Questions about you

In my experience, frontline care work involves providing a high level of emotional support to people who are frightened or distressed. (2)