Handbook of Corporate Communication and Public ... - Blogs Unpad
Handbook of Corporate Communication and Public ... - Blogs Unpad Handbook of Corporate Communication and Public ... - Blogs Unpad
whom a communication breakdown may occur. In other words, we need to understand the nature of typical media reports and relate them to specific communication efforts required to satisfy the needs and expectations of stakeholders affected by any category of media reporting. As media reports alter stakeholders’ perceptions, we need to identify the key stakeholders affected by each category so that we can plan preventative measures and procedures. Emerging from empirical data, (Moreira, 2003; Henry, 2002) we identify a number of critical hospital press reports. An introduction to these is presented below. Management failures These represent a form of media coverage in which hospitals (especially NHS hospitals) are reported to have failed to achieve one or more of their major social purposes. A hospital may have failed to grant access to healthcare (e.g., being unsuccessful in granting this fundamental human right by extensive and long waiting lists), or may have fallen short of its social accountability (e.g. unexplained financial mismanagement) or even been accused of wasting resources (thus questioning its contribution to solidarity). Keeping Table 7.1 Categories of press reports Category Categories of critical media reports Key stakeholders (with whom to prevent communication breakdown) A Management failures Patients and service users This includes: waiting time, waiting lists, financial Organizations representing users mismanagement and waste Purchasers/contractors B Clinical errors Patients and service users Including iatrogenesis (clinically induced health Organizations representing users problems) Purchasers/contractors C Professional corporate conflicts Unions and professional associations Patients and service users D Staff shortage Labour market Professional associations E Community relations Organizations representing patients and service users Purchasers/contractors F Corporate events Organizations representing patients and service users Labour market G Human stories (features) Media Patients and service users H Community abnormal accidents Patients and service users I Community violence Patients and service users J Introduction of new hospital technologies, therapies Patients and service users or clinical pathways Organizations representing users Purchasers/contractors Suppliers K Hospital originated pollution All stakeholders © 2004 Sandra Oliver for editorial matter and selection; individual chapters, the contributors
patients and service users (and their representative organizations) updated on the real capacity of the hospital will help in disseminating realistic expectations. For this purpose, specific corporate media development will be fundamental (e.g. waiting list newsletters) as well as implementing open proactive information flow procedures directed at the media (especially local) so as to disseminate what the evolution of waiting lists/waiting times is in the various hospital departments. The fact that the media may compare one hospital’s data with that of other hospitals will demand an argumentative capacity to justify and place progress in the local context (e.g. refer to local epidemiological data). This approach enhances the purpose of accountability. Concerning the scarce resources dilemma, reports may originate from the reaction of some stakeholder to a change in the balance of the hospital dependencies (see previous section). However, the perception of solidarity should never be questioned. All resource reallocation must be explained under the patient’s best interest and, if the media are to report on it, it needs to be presented from the patients’ and service users’ point of view. Complex management points of view are very unlikely to be conveyed by media reports. Clinical errors These are usually grave reports on events affecting a particular individual. Events may be perceived to have been caused by poor clinical performance undertaken by one (or more) hospital healthcare professional. The role of the corporate communication person in these cases may be to gather specific data on the case (e.g. already published), help clinical staff to prepare a public clinical explanation adding a possible announcement of clinical/legal measures to be taken and/or invite the individuals involved (e.g. patient or family) for a meeting at the hospital so that personalized first-hand information on their case may be provided (rather than inform them through the media). However, a whole set of legal constraints which regulate these cases need to be taken into account. Professional corporate conflicts Strikes are the most acute instance of such typical media reports. Often this type of conflict occurs at national level (e.g. the unions versus the health minister) so it may not involve any hospital in particular (except on reports confirming how many professionals adhered to the strike at that hospital). On other occasions, however, conflict may occur at hospital level between a group of professionals and its board of directors. In these situations we face a divided hospital and a complex challenge to practice: whose side are we going to be perceived to be on From whose point of view are we to pass information to the media Are there any views likely to ignite conflict and involve other stakeholders Staff shortage This type of media reporting is broad and general. Media usually refer to it as a national issue although sometimes may refer to the situation at one particular hospital as the evidence of one such national problem. Nurses, some medical specialists and specialized technicians are amongst the professionals usually reported to be in shortage. Again the principles presented in the previous section suggest possible strategies the hospital may adopt to overcome this particular resource scarcity. Disseminating an interest in working at our © 2004 Sandra Oliver for editorial matter and selection; individual chapters, the contributors
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whom a communication breakdown may<br />
occur. In other words, we need to underst<strong>and</strong><br />
the nature <strong>of</strong> typical media reports <strong>and</strong> relate<br />
them to specific communication efforts<br />
required to satisfy the needs <strong>and</strong> expectations<br />
<strong>of</strong> stakeholders affected by any category <strong>of</strong><br />
media reporting. As media reports alter stakeholders’<br />
perceptions, we need to identify the<br />
key stakeholders affected by each category so<br />
that we can plan preventative measures <strong>and</strong><br />
procedures. Emerging from empirical data,<br />
(Moreira, 2003; Henry, 2002) we identify a<br />
number <strong>of</strong> critical hospital press reports. An<br />
introduction to these is presented below.<br />
Management failures<br />
These represent a form <strong>of</strong> media coverage in<br />
which hospitals (especially NHS hospitals) are<br />
reported to have failed to achieve one or<br />
more <strong>of</strong> their major social purposes. A hospital<br />
may have failed to grant access to healthcare<br />
(e.g., being unsuccessful in granting this<br />
fundamental human right by extensive <strong>and</strong><br />
long waiting lists), or may have fallen short <strong>of</strong><br />
its social accountability (e.g. unexplained<br />
financial mismanagement) or even been<br />
accused <strong>of</strong> wasting resources (thus questioning<br />
its contribution to solidarity). Keeping<br />
Table 7.1 Categories <strong>of</strong> press reports<br />
Category Categories <strong>of</strong> critical media reports Key stakeholders (with whom to prevent<br />
communication breakdown)<br />
A Management failures Patients <strong>and</strong> service users<br />
This includes: waiting time, waiting lists, financial Organizations representing users<br />
mismanagement <strong>and</strong> waste<br />
Purchasers/contractors<br />
B Clinical errors Patients <strong>and</strong> service users<br />
Including iatrogenesis (clinically induced health Organizations representing users<br />
problems)<br />
Purchasers/contractors<br />
C Pr<strong>of</strong>essional corporate conflicts Unions <strong>and</strong> pr<strong>of</strong>essional associations<br />
Patients <strong>and</strong> service users<br />
D Staff shortage Labour market<br />
Pr<strong>of</strong>essional associations<br />
E Community relations Organizations representing patients <strong>and</strong><br />
service users<br />
Purchasers/contractors<br />
F <strong>Corporate</strong> events Organizations representing patients <strong>and</strong><br />
service users<br />
Labour market<br />
G Human stories (features) Media<br />
Patients <strong>and</strong> service users<br />
H Community abnormal accidents Patients <strong>and</strong> service users<br />
I Community violence Patients <strong>and</strong> service users<br />
J Introduction <strong>of</strong> new hospital technologies, therapies Patients <strong>and</strong> service users<br />
or clinical pathways<br />
Organizations representing users<br />
Purchasers/contractors<br />
Suppliers<br />
K Hospital originated pollution All stakeholders<br />
© 2004 S<strong>and</strong>ra Oliver for editorial matter <strong>and</strong> selection;<br />
individual chapters, the contributors