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Burnout and teamwork

B A Stott, S Moosa
BACKGROUND: Primary health care worldwide faces large numbers of patients daily. Poor waiting times, low patient satisfaction and staff burnout are some problems facing such facilities. Limited research has been done on sorting patients in non-emergency settings in Africa. This research looked at community health centres (CHCs) in Gauteng Province, South Africa where queues appear to be poorly managed and patients waiting for hours. This study explores the views of clinicians in CHCs across Gauteng on sorting systems in the non-emergency ambulatory setting...
January 7, 2019: BMC Family Practice
Heidrun Sturm, Monika A Rieger, Peter Martus, Esther Ueding, Anke Wagner, Martin Holderried, Jens Maschmann
BACKGROUND: Workload and demands on hospital staff have been growing over recent years. To ensure patient and occupational safety, hospitals increasingly survey staff about perceived working conditions and safety culture. At the same time, routine data are used to manage resources and performance. This study aims to understand the relation between survey-derived measures of how staff perceive their work-related stress and strain and patient safety on the one hand, and routine data measures of workload and quality of care (patient safety) on the other...
2019: PloS One
Kathryn C Adair, Krystina Quow, Allan Frankel, Paul J Mosca, Jochen Profit, Allison Hadley, Michael Leonard, J Bryan Sexton
BACKGROUND: Quality improvement efforts are inextricably linked to the readiness of healthcare workers to take them on. The current study aims to clarify the nature and measurement of Improvement Readiness (IR) by 1) examining the psychometric properties of a novel IR scale, 2) assessing relationships between IR and other safety culture domains 3) exploring whether IR differs by healthcare worker demographic factors, and 4) examining linguistic differences in word type use between high and low scoring IR work settings from their free text responses...
December 17, 2018: BMC Health Services Research
Mary Hellyar, Catherina Madani, Sarah Yeaman, Kelly OʼConnor, Kim M Kerr, Judy E Davidson
Prevention of burnout is a national imperative, and blame-free investigations of clinical events are advocated. Reflective inquiry techniques are helpful in processing adverse events while minimizing blame. The purpose of this project was to develop an interprofessional peer review program (Case Study Investigation) to process emotions, improve teamwork, and optimize patient outcomes. This evidence-based practice project was conducted in a 12-bed intensive care unit using reflective inquiry techniques to perform peer case review across disciplines...
January 2019: Critical Care Nursing Quarterly
Kristine Olson, Christine Sinsky, Seppo T Rinne, Theodore Long, Ronald Vender, Sandip Mukherjee, Michael Bennick, Mark Linzer
Rising physician burnout has adverse effects on healthcare. This study aimed to identify remediable stressors associated with burnout using the 10-item Mini-Z and the Maslach Burnout Inventory (MBI), and to compare performance of the Mini-Z's single-item burnout metric against the 22-item MBI. Surveys were emailed to 4118 clinicians affiliated with an academic health system; 1252 clicked the link, and 557 responded (completion rate 44%). Four hundred seventy-five practicing physicians were included: academic faculty (372), hospital employed (52), and private practitioners (81)...
November 22, 2018: Stress and Health: Journal of the International Society for the Investigation of Stress
Page West, Perry M Gee
At Dignity Health, one of the nation's largest healthcare systems, we believe that all people deserve access to quality medical care regardless of their background, ethnicity, or circumstances. Healing is our calling, and "Hello humankindness" is our brand purpose, which supports our mission to deliver compassionate, high-quality, and affordable patient-centered care with special attention to the poor and underserved. Through teamwork and innovation, faith and compassion, and advocacy and action, we endeavor every day to keep our patients and staff members healthy and fulfilled...
2018: Frontiers of Health Services Management
Jay A Harolds
Discussion groups are one of the methods advocated to help prevent burnout and help in recovery from burnout. Balint groups, Schwartz Rounds, narrative medicine and reflection groups, discussion workshops to gain certain skills, and general support groups are examples of these groups. Participation in these groups produces other positive ramifications for health care providers and health care systems including promoting teamwork, collegiality, support networking, decreasing stress, and finding meaning in work...
October 27, 2018: Clinical Nuclear Medicine
Gracielle Pereira Aires Garcia, Maria Helena Palucci Marziale
OBJECTIVE: to analyze the indicators of burnout peculiar to health workers from units of Primary Health Care. METHOD: integrative review of the literature structured in the stages: guiding question; search; categorization of studies; assessment; discussion; and interpretation of results, and synthesis of knowledge. Search for original articles and reviews published from 2000 to 2016, in Portuguese, English and Spanish, in the main databases of the health area. Descriptors used: Nursing, Burnout and Primary Health Care...
2018: Revista Brasileira de Enfermagem
Stephanie P Schwartz, Kathryn C Adair, Jonathan Bae, Kyle J Rehder, Tait D Shanafelt, Jochen Profit, J Bryan Sexton
BACKGROUND: Healthcare is approaching a tipping point as burnout and dissatisfaction with work-life integration (WLI) in healthcare workers continue to increase. A scale evaluating common behaviours as actionable examples of WLI was introduced to measure work-life balance. OBJECTIVES: (1) Explore differences in WLI behaviours by role, specialty and other respondent demographics in a large healthcare system. (2) Evaluate the psychometric properties of the work-life climate scale, and the extent to which it acts like a climate, or group-level norm when used at the work setting level...
October 11, 2018: BMJ Quality & Safety
Marc H Willis, Ellen M Friedman, Lane F Donnelly
Disruptive behaviors impede delivery of high-value health care by negatively impacting patient outcomes and increasing costs. Health care is brimming with potential triggers of disruptive behavior. Given omnipresent environmental and cultural factors such as constrained resources, stressful environments, commercialization, fatigue, unrealistic expectation of perfectionism, and burdensome documentation, a burnout epidemic is raging, and medical providers are understandably at tremendous risk to succumb and manifest these unprofessional behaviors...
October 2018: Radiographics: a Review Publication of the Radiological Society of North America, Inc
Alison Dilig-Ruiz, Ibo MacDonald, Melissa Demery Varin, Amanda Vandyk, Ian D Graham, Janet E Squires
BACKGROUND: Nursing shortages, particularly in critical care units, are a major concern worldwide. Job satisfaction is a key factor associated with the high turnover of critical care nurses. OBJECTIVES: The purpose of this systematic review was to synthesize the evidence on critical care nurses' job satisfaction. Specific research questions were: 1. How is job satisfaction defined and measured in studies of critical care nurses? 2a. What is the level of job satisfaction among critical care nurses? 2b...
September 1, 2018: International Journal of Nursing Studies
Jana Brown, Glendora A Hochstetler, Sarah A Rode, Samuel P Abraham, Deborah R Gillum
The aim of this qualitative phenomenological research study was to gain insight on the lived experiences of newly licensed nurses. First-year nurses describe poor experiences and struggle in their first year of practice, leading to high turnover and burnout. In-depth interviews were conducted with 12 newly licensed registered nurses. Major themes identified were (1) the impact of nursing school, (2) hospital orientation of a new nurse, (3) environment that promotes teamwork, (4) taking time for self-care, (5) confidence, and (6) expectations versus reality in doctor interactions...
October 2018: Health Care Manager
F Murden, D Bailey, F Mackenzie, R S Oeppen, P A Brennan
Medicine and surgery can be demanding professions with high levels of burnout, but few healthcare professionals are given training or education in the management of stress, and the ability of individuals to cope with work and other pressures is often taken for granted. Emotional resilience - the ability to recover from a stressful event, whether at work or at home - is influenced by factors that are both within and outside our control. In this review, we provide an overview of emotional resilience for surgeons and other healthcare professionals, and focus on the factors that can be modulated to help us cope with difficult or complex situations...
September 13, 2018: British Journal of Oral & Maxillofacial Surgery
Silvia De Simone, Gianfranco Cicotto, Laura Borgogni
BACKGROUND: Several empirical studies have investigated Job Burnout and its predictors, underlining the role of situational and organizational factors. The Perceptions of Context construct (PoC) has yet to be studied in healthcare contexts. OBJECTIVES: The aim of the study is to broaden the knowledge of the Job Burnout determinants focusing on the dimensions of the context and to integrate research in this field with a construct that emphasizes the relational dimension, the Interpersonal Strain...
August 28, 2018: La Medicina del Lavoro
Chih-Hsuan Huang, Hsin-Hung Wu, Cindy Yunhsin Chou, Huayong Dai, Yii-Ching Lee
Background: Physicians and nurses are core staff who are the first points of contact in care provision to patients. We aimed to examine physicians' and nurses' perceptions of patient safety in a case hospital by administering the Chinese Safety Attitude Questionnaire (CSAQ), developed from the Taiwan Joint Commission on Hospital Accreditation, in order to provide the patients with a safe environment and excellent medical service. Methods: An intra-organizational online survey was conducted...
June 2018: Iranian Journal of Public Health
Sabine Kaiser, Joshua Patras, Monica Martinussen
The aim of this meta-analysis of studies of workers in the health and social care sector was to examine the relationship between interprofessional work and employee outcomes of job stress, autonomy, burnout, engagement, job satisfaction, turnover intention, and perceived service quality, and to examine the influence of different moderators on those relationships. A systematic literature search of the PsycInfo, Embase, Medline, and the Cumulative Index to Nursing and Allied Health Literature databases was conducted to identify relevant articles...
June 2018: Research in Nursing & Health
Beth A Lown
Compassion, the foundation of Nursing, is a source of both healing for those who suffer and of purpose and meaning for those who seek to heal others. Increasingly, however, the fast pace and volume of care and documentation requirements diminish time with patients and families and hinder the enactment of compassion. These issues and other aspects of the work environment decrease the satisfaction and well-being of professional caregivers and are contributing to a rising tide of burnout. Research suggests that employee engagement emerges from their satisfaction and well-being; however, it is difficult for an individual to engage when she or he feels depleted and unsupported...
July 2018: Nursing Administration Quarterly
Valerie Gribben, Alyssa Bogetz, Laura Bachrach, Rebecca Blankenburg
BACKGROUND: A supportive working environment can be protective against burnout in residency training. To help foster a positive culture, we developed the 'Golden Ticket Project' (GTP) and evaluated it as a tool for peer appreciation. METHODS: In October 2013-July 2014, all paediatric residents (n = 83) at a paediatric residency programme were invited to participate in the GTP. Through an electronic form, residents could award a co-resident with a 'Golden Ticket' for any behaviour that they were grateful for...
May 28, 2018: Clinical Teacher
Caleb Leung, Amanda Lucas, Peter Brindley, Shellie Anderson, Jason Park, Ashley Vergis, Lawrence M Gillman
INTRODUCTION: Research in healthcare leadership has focused on leaders. In contrast, organizational success may be more influenced by followers. Kelley described five followership styles based on two characteristics: active engagement and independent critical thinking. We examined the literature on the association between followership style and workplace outcomes. METHODS: Articles from MEDLINE, CINAHL, and EMBASE were searched. Given the paucity of studies, we expanded our search to non-healthcare databases...
August 2018: Journal of Critical Care
Allen P Anandarajah, Timothy E Quill, Michael R Privitera
BACKGROUND: The high rates of burnout among medical professionals in the United States are well documented. The reasons for burnout and the factors that contribute to physician resilience among health care providers in academic centers, however, are less well studied. METHODS: Health care providers at a large academic center were surveyed to measure their degree of burnout and callousness and identify associated factors. Additional questions evaluated features linked to resilience...
August 2018: American Journal of Medicine
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