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Showing results for tags 'Fatigue / exhaustion'.
Found 337 results
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Content Article
Hospitals are rejecting GP referrals for investigations and outpatient treatment at an increasing rate. In this blog, Patient Safety Learning looks at the patient safety issues caused by rejected referrals and lack of capacity in outpatient specialities. We call for the government and NHS leaders to investigate the problem and take action to mitigate risks to patient safety. -
Content ArticleThis issue of Hindsight concerns ‘the new reality’ that we are facing. It includes a wide variety of articles from frontline staff and specialists in safety, human factors, psychology, aeromedical, and human and organisational performance in aviation. There are also insights from healthcare, shipping, rail, community development and psychotherapy.
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Content ArticlePrimary care is a crucial part of every healthcare system, but the US spends less on primary care and more on specialty care than other high-income countries. The results of this are burnout, high staff turnover and physician shortages. These were all major problems before Covid-19, that have been worsened by the pandemic. In this episode of The Commonwealth Foundation's podcast The Dose, host Shanoor Seervai asks Asaf Bitton, MD, executive director of the health innovation center at Ariadne Labs, what it will take to rebuild the USA's broken primary care system.
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Content Article
BMA - On the edge: GPs in despair (18 March 2022)
Patient-Safety-Learning posted an article in GP and primary care
This article by the British Medical Association (BMA) looks at the pressures GPs face that are leading to an increasing number leaving the profession. Several GPs from around the UK share their personal experience of unsustainable workloads and burnout, and the impact this has had on their health and wellbeing. The article highlights the impact of changes to the system on doctors at different career stages, including the increasing number of older GPs who are retiring early due to the intense pressure of their role. -
Content ArticleThis briefing from the British Medical Association (BMA) highlights why doctors are at risk of fatigue and the acute and long-term impacts this can have. It also presents a framework for how Government, organisations and doctors themselves can manage this risk.
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Content ArticleThis US study in The Journal of Nursing Care Quality examined the relationship between nurse-reported patient safety grades and both burnout and the nursing work environment. It found that healthcare organisations may reduce negative patient safety ratings by reducing nurse burnout and improving the work environment at an organisation-wide level.
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Content ArticleThis research gives insights into the views of doctors who were previously practising in the UK but who are not currently doing so, in terms of their characteristics, motivations and likelihood to return to clinical practice in the UK. A survey of over 13,000 doctors was carried out between 21 January 2020 and 10 March 2020. This report was developed in partnership between the General Medical Council (GMC), Health Education England (HEE), The Department of Health (Northern Ireland), NHS Education for Scotland (NES) and Health Education and Improvement Wales (HEIW).
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Content ArticleFocused practice is an approach to primary care where a family doctor or GP chooses one or more specific clinical areas as a major part-time or full-time component of their practice. In recent years, there has been a global increase in focused practice and a decline in offering a comprehensive scope of practice in primary care. This Canadian study in the British Journal of General Practice looked at factors influencing family doctors' decisions to work in focused practice. The authors of the study concluded that: both early-career and resident family doctors unanimously saw focused practice as a way to avoid the burnout or exhaustion they associated with comprehensive practice in the current structure of the healthcare system. more research is needed to understand the implications of family physician choices of focused practice within the physician workforce.
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Content ArticleThis systematic review in the BJGP aimed to review literature published up to December 2020 on the prevalence of burnout among GPs in general practice, and to determine GP burnout estimates worldwide. The review found: there is moderate to high GP burnout around the world. substantial variations in how burnout is defined, which has resulted in considerable variation in GP burnout prevalence estimates. that this variation presents a challenge in developing a uniform approach that considering GPs' work contexts will allow better understanding and definition of burnout.
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Content ArticleEmployees—physicians and fast-food workers, teachers and hotel staff—are resigning in unprecedented numbers, often in distress. Managers are at a loss for how to respond. Attempts to address employee dissatisfaction and burnout with bonuses, mindfulness, and extra time off do not seem to be working well enough; employees continue to quit, sometimes angrily and dramatically, airing a range of grievances on social media. But what if the problem we typically call “burnout” is not just burnout? What if it is not the other “usual suspects”—depression or anxiety—either? What if it is something that may appear similar, but has a different cause and, if incorrectly addressed, can make individuals feel increasingly worse? Appropriately dealing with the epidemic of employee anguish and quitting requires correctly identifying its causes and using precise terminology to describe it. And while burnout is by far the most popular explanation of employee distress, in many cases, the problem might be a less known, but more insidious: moral injury.
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Content Article
Burnout in nursing: a theoretical review (5 June 2020)
Patient Safety Learning posted an article in Staff safety
Workforce studies often identify burnout as a nursing ‘outcome’. Yet, burnout itself—what constitutes it, what factors contribute to its development, and what the wider consequences are for individuals, organisations, or their patients—is rarely made explicit. Dall'Ora et al. aimed to provide a comprehensive summary of research that examines theorised relationships between burnout and other variables, in order to determine what is known (and not known) about the causes and consequences of burnout in nursing, and how this relates to theories of burnout. -
Content ArticleThis blog by consultancy firm Gallup highlights seven questions leaders should ask to about their huddles, to ensure they are effective in improving patient safety and preventing staff burnout.
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Content ArticleIn this blog, PC Barry Calder, Lead of the Metropolitan Police Service Disability Staff Association COVID Peer Support Group, raises concerns about the potential impact of long COVID on staff and organisations. He highlights that organisations can take proactive steps to mitigate the consequences of staff being affected by long COVID, such as staff absences and changes to job roles. He recommends that organisations: introduce regular contingency planning activities (such as COVID Resilience meetings) ensure managers are trained to support staff living with long COVID ensure occupational health and staff wellbeing services include support relevant to long COVID consider establishing peer support groups for affected staff.
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Content ArticleDisruptive and unprofessional behaviours occur frequently in healthcare and adversely affect patient care and health #care worker job satisfaction. These behaviours have rarely been evaluated at a work setting level, nor do we fully understand how disruptive behaviours (DBs) are associated with important metrics such as teamwork and safety climate, work-life balance, burnout and depression. Using a cross-sectional survey of all health ]care workers in a large US health system, this study from Redher et al. aimed to introduce a brief scale for evaluating DBs at a work setting level, evaluate the scale’s psychometric properties and provide benchmarking prevalence data from the health care system, and investigate associations between DBs and other validated measures of safety culture and well-being.
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Content ArticleSession recordings from the ISQua 'Hospital Workers' Wellbeing Matters' conference.
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Content ArticleHospitals across the US are grappling with nurse shortages as the pandemic continues to change the healthcare system as we know it. Two intensive care unit nurses who left their jobs shared their experiences in Becker's Hospital Review.
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Content Article
Working under pressure: Performance infographics
Patient Safety Learning posted an article in Good practice
Core Cognition have produced some helpful infographics for staff working under pressure, including fatigue and cognitive performance, cognitive biases and diagnostic error and8 tools to improve communication under pressure, -
Content Article
Fatigue and alertness: Keeping the rail industry alert
Patient Safety Learning posted an article in Techniques
Whether you work in an office or on the front line, drive your car home from work or a train full of passengers, you need to be awake and alert to do your job safely and efficiently. Managing fatigue is everybody’s responsibility. RSSB's aim is to make sure that everyone, at all levels, understands their role in managing fatigue. Based on their research and consultation with the rail industry, RSSB have put together a range of resources to help with this. -
Content ArticleThis guide from RSSB povides a practical illustration of how fatigue risks can be systematically managed to improve the health and safety of the workforce and operations. Although for the rail industry, it can be applied to other organisations. It sets out key elements of effective fatigue management and illustrates how these can be incorporated into a company's overarching safety management arrangements.
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Content ArticleIn this blog, Shawn Achor and Michelle Gielan discuss resilience, the importance of recovery and how we can build resilience.
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Content ArticleContinuing Professor Martin Langham's 'Why investigate' blog series, colleague Bobbie Enright turns to the topic of fatigue, looking at the causes and preventions, how it can impact on our work and how we can manage it.
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Content ArticleThis study by Hall et al. looked at whether there is an association between healthcare professionals’ wellbeing and burnout, with patient safety. The authors found that poor wellbeing and moderate to high levels of burnout are associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors, however the lack of prospective studies reduces the ability to determine causality. Further prospective studies, research in primary care, conducted within the UK, and a clearer definition of healthcare staff wellbeing are needed.
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Content ArticleCOVID-19 presents many challenges to healthcare systems internationally, none more so than the significant reporting among healthcare workers (HCWs) of occupational fatigue and burnout or Long COVID related symptoms. Consensus on the extent of HCW fatigue during the pandemic remains largely unknown, as levels of Long COVID related fatigue in HCWs appears to be on the rise. What is known is that, among current levels, impacts of fatigue on HCW well-being and performance is likely. Developing strategies to mitigate fatigue are the responsibilities of all healthcare system stakeholders. Leadership that goes beyond organisational efforts of mitigating fatigue through mandated working hour limits alone are needed.
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Content ArticleIn conditions of intensive therapy, where the patients treated are in a critical condition, alarms are omnipresent. Nurses, as they spend most of their time with patients, monitoring their condition 24 h, are particularly exposed to so-called alarm fatigue. The purpose of this study from Lewandowska et al. is to review the literature available on the perception of clinical alarms by nursing personnel and its impact on work in the ICU environment.
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Content ArticleIt will take years to unpack how badly the pandemic damaged our collective mental health. But what we know now is no one is immune. Healthcare providers, grocery store workers, executives, stay-at-home parents, food service workers: We’re all suffering in some way. In 2019, 10.8% of adults in the United States reported symptoms of anxiety or depression. By December 2020, that number had skyrocketed to 42.4%. Regina Hoffman, Director of Patient Safety Authority, talks about the importance of self-care and gives her top three tips.
