When Whistle-blowers Become the Story: The Problem of the ‘Third Victim’; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations”
In the healthcare context, whistleblowing has come to the fore of political, professional and public attention in the wake of major service scandals and mounting evidence of the routine threats to safety that patients face in their care. This paper offers a commentary and wider contextualisation of Mannion and Davies, ‘Cultures of silence and cultures of voice: the role of whistleblowing in healthcare organisations.’ It argues that closer attention is needed to the way in which whistle-blowers can become the focus and victim of raising concerns and speaking up.
Department of Health. An Organisation with a Memory. London: TSO; 2000.
Francis R. Freedom to Speak Up. London: TSO; 2015.
Kennedy I. The Report of the Public Inquiry into children’s heart surgery at the Bristol Royal Information 1984-1995: learning from Bristol. London: TSO; 2000.
Ullstrom S, Sachs MA, Hansso J, Ovretveit J, Brommels M. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23:325-331. doi:10.1136/bmjqs-2013-002035
Francis R. The Report of the Mid-Staffordshire NHS Foundation Trust Public Inquiry. London: TSO; 2013.
Mannion R, Davies HT. Cultures of silence and cultures of voice: the role of whistleblowing in healthcare organisations. Int J Health Policy Manag 2015;4(8):503-505. doi:10.15171/ijhpm.2015.120
Douglas M. Risk and Blame. London: Routledge; 1992.
Waring JJ. Constructing and re-constructing narratives of patient safety. Soc Sci Med. 2009;69(12):1722-1731. Doi:10.1016/j.socscimed.2009.09.052
Jones A, Kelly D. Whistle‐blowing and workplace culture in older peoples' care: qualitative insights from the healthcare and social care workforce. Sociol Health Illn. 2014;36(7):986-1002. doi:10.1111/1467-9566.12137
Goffman E. The Presentation of the Self in Everday Life. London: Penguin; 1990.
Waring JJ. Beyond blame: cultural barriers to medical incident reporting. Soc Sci Med. 2005;60(9):1927-1935.doi:10.1016/j.socscimed.2004.08.055
Ehrich K. Telling cultures: ‘cultural’ issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Illn. 2006;28(7):903-926. doi:10.1111/j.1467-9566.2006.00512.x
Waring JJ, Bishop S. “Water cooler” learning: Knowledge sharing at the clinical “backstage” and its contribution to patient safety. J Health Organ Manag. 2010;24(4):325-342. doi:10.1108/14777261011064968
Waring, J. (2016). When Whistle-blowers Become the Story: The Problem of the ‘Third Victim’; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations”. International Journal of Health Policy and Management, 5(2), 133-135. doi: 10.15171/ijhpm.2015.197
MLA
Justin Waring. "When Whistle-blowers Become the Story: The Problem of the ‘Third Victim’; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations”", International Journal of Health Policy and Management, 5, 2, 2016, 133-135. doi: 10.15171/ijhpm.2015.197
HARVARD
Waring, J. (2016). 'When Whistle-blowers Become the Story: The Problem of the ‘Third Victim’; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations”', International Journal of Health Policy and Management, 5(2), pp. 133-135. doi: 10.15171/ijhpm.2015.197
VANCOUVER
Waring, J. When Whistle-blowers Become the Story: The Problem of the ‘Third Victim’; Comment on “Cultures of Silence and Cultures of Voice: The Role of Whistleblowing in Healthcare Organisations”. International Journal of Health Policy and Management, 2016; 5(2): 133-135. doi: 10.15171/ijhpm.2015.197