We remain concerned about poor care being hidden behind an excuse of short staffing. Short staffing causes a different type of poor care eg omissions. It does not cause cruelty eg stuffing paper in a patients mouth and tying her to a chair, throwing a beanbag at patients, sitting on patients, sexual abuse, shouting at patients. Nor other types such as leaving patients in wet beds or errors. Yes some errors may well be increased with short staffing. Yes some patients may be longer in a wet bed with short staffing, but it is not the only reason. Such practices have existed for years and many refuse to speak of them.Yes- more likely in certain fields of care than others (do have refs) and yes, hard to acknowledge but, if we continue to hide it, we are as bad as the perpetrators themselves. Again a main factor is attitudes which may be determined by many factors.