Children[ edit ] Alfred Harmsworth had four acknowledged children by two different women. Asquith , forcing Asquith to form a coalition government the other causal event was the resignation of Admiral Fisher as First Sea Lord. Lloyd George offered Lord Northcliffe a job in his cabinet, but Northcliffe refused and was appointed director for propaganda. On 6 April , Lloyd George made an excoriating attack on Harmsworth, terming his arrogance "diseased vanity".
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My article on self-harm was reported on the Nursing Times site a couple of weeks ago. From the literature reviewed I found that a main focus was on a lack of training.
The response to this report has not changed that intrigue. Some of the readers comments made in response to the report confirmed for me that negative attitudes are not a rarity; people make these statements suggesting that people are not worthy of care and appear to be fairly certain that others will follow suit.
Being non-judgemental is a key requirement of being a nurse and is clearly stated in the NMC code of professional conduct. We are taught within our nursing education and practice placements that the care we offer has to reflect diversity and equality and yet it appears to me that people who have self-harmed are excluded from this. The literature review looked at 19 research papers and following analysis we found 6 key themes: education and training needs; role expectation and clinical need;perception of health need; dissatisfaction with care; education and training use and knowledge of self harm.
Of these, 4 are related to education and training - the main message from this review. Where training has been provided, healthcare professionals are reporting greater knowledge and understanding, which they believe has improved their own attitudes towards the profession.
However, as I previously mentioned, the comments made in response to the report suggest that discussing a negative attitude towards self-harm is seen as acceptable. The people who have received treatment following self-harm report dissatisfaction with the care they received; in fact, in my search there were no reports concluding service-user satisfaction.
The level of dissatisfaction felt by some respondents in the research covered has meant that some would not return for treatment in the future. When this is considered alongside the fact that people who have been seen in hospital settings are 66 times more likely to commit suicide in the year following, it does not offer a reassuring insight into care provision. What I found particularly intriguing in the litearature search was how little service-user evaluations of care had been consulted.
For me, it seems difficult to meet expectations of care when these are not actively identified. Where service-users expectations have been mentioned, these have been skills or practice that nurses will consider fundamental - being listened to and being able to provide adequate pain relief. This does not feel a lot to offer people who have been in distress. Role expectation and clinical culture was the final theme identified, which in particular related to differences between expected roles and actual roles.
Both mental health and general nurses felt that their clinical areas were not set up for dealing with people who had self-harmed. And if we will encounter them then we need to be prepared, which brings us back round to training and education: it should be mandatory and it should be for all.
New Harmsworth Self-Educator
Alfred Harmsworth, 1st Viscount Northcliffe