Preventing occupational stress in healthcare workers

Ruotsalainen, Jani; Verbeek, Jos; Albert, Matthew L.; Serra, Consol

doi:10.1002/14651858.cd002892.pub3

Cited by 156 publications

(196 citation statements)

References 147 publications

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“…Strategies to cope with stressors included behavioural techniques, cognitive therapies and mindfulness‐based therapies. Low‐level evidence suggested that changing one's work schedule could reduce healthcare professional stress.…”

Section: Discussionmentioning

confidence: 99%

Systematic review of the impact of patient death on surgeons

Joliat

Demartines

Uldry

2019

British Journal of Surgery

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Background: The death of a patient is experienced at some time by most surgeons. The aim of this review was to use existing literature to establish how surgeons have dealt with the death of patients.Methods: A systematic review of the medical literature was performed. MEDLINE/PubMed, Ovid, Web of Science, Embase, and Google Scholar were searched for qualitative and quantitative studies on surgeon reactions when facing death or a dying patient. This systematic review was performed following the recommendations of the Cochrane collaboration and reported following the PRISMA guidelines. Individual and interview-based opinions were summarized and synthesized.Results: An initial search found 652 articles. After exclusion of articles that did not satisfy the inclusion criteria, 20 articles remained and seven were included. Two of these articles were personal opinion of the author and five were interviews or surveys. The main findings were that facing death routinely induces a strong psychological burden and that surgeons are more at risk than the general population to develop psychological morbidity.Conclusion: Although it is a frequent and emotional subject in the surgical world, the impact of patient death on surgeons is not abundantly studied in the literature. Dealing with patient death or taking care of a dying patient might have long-lasting psychological impact on surgeons.

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Section: Discussionmentioning

confidence: 99%

Systematic review of the impact of patient death on surgeons

Joliat

Demartines

Uldry

2019

British Journal of Surgery

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“…Combination of understaffing, high-pressure working environment and lack of anti-bully support services such as counselling, bullying and harassment helpline, use of impartial mediators and external agencies are linked with development of a bullying culture; 85 a sentiment that strongly resonates with case-study participants and well supported in the literature. 7 An effective occupational health services could act as a buffer to prevent nurses from stress-at-workplace; 86 however, its effectiveness, easy accessibility, and impartiality have been seriously criticised by case-study participants. The direct plea from participants echoes with Boorman's 1 recommendation that healthcare organisation must strengthen occupational health services; making it proactive, consistent, comprehensive, and self-referral rather than being reactive, variable, fragmented, and management-referral.…”

Section: Discussionmentioning

confidence: 99%

“…48 Instead of being active, positive and proactive, healthcare leaders have been rather reactive and responsive in their efforts to promote staff well-being; only to meet their legal and regulatory obligations. 7 It could be argued that healthcare leaders are paying little attention to actively promoting staff health and well-being through encouraging healthier life-style choices (subsidised healthier meals options, gymnasium services, etc. ), fostering stress-free working environment (adequate resource provisions, flexible working hours, fair shift patterns, etc.…”

Section: Staff Well-being and Healthcare Organisationsmentioning

confidence: 99%

“…5 In the USA, there is increasing recognition that taking 'care for the healthcare worker' approach is essential in ensuring that staff are thriving rather than struggling or suffering at workplace 6 ; unfortunately, current evidence suggest that this ideal remains elusive. 7 One of the major changes that have occurred in healthcare industry recent decades is that healthcare is now delivered by multi-professional team(s) rather than individual clinicians and it is acknowledged that quality of care delivered to patients is proportional to effectiveness of such multi-professional teams. 8,9 Moreover, it is also accredited that effective team-working promotes staff well-being.…”

Section: Introductionmentioning

confidence: 99%

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Staff well-being in high-risk operating room environment: Definition, facilitators, stressors, leadership, and team-working—A case-study from a large teaching hospital

Ahmed

2017

International Journal of Healthcare Management

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Purpose: The purpose of this case-study is to critically evaluate the relationship between healthcare staff well-being and effective team-working in high-risk operating rooms (OR) environment. Background: Evidence suggests that positive staff well-being is associated with better patient care. However, healthcare organisations are lagging behind in prioritising staff well-being. It is acknowledged that delivery of multi-disciplinary care is proportional to effective team-working. The input-process-output (IPO) model theorises the relationship between staff well-being and effective team-working; however, the model's applicability has not been studied in high-risk OR environment. Methodology: Qualitative data were gathered, through semi-structured interviews, from OR nurses working in a large teaching hospital and content analysis was used to identify themes in the written responses. Findings: Five main themes emerged from the data; (i) participants linked well-being with happiness, job satisfaction, and being valued and recognised, (ii) participants held that unscrupulous organisational culture rears negative well-being, (iii) participants strongly argued that healthcare organisation must invest in staff well-being otherwise patient care will suffer, (iv) effective leadership is key to positive well-being and bad leadership behaviours are responsible for negative well-being and low-morale and (v) participants unanimously agreed that well-being drives effective team-working and not the converse. Value: The case-study identifies emotional well-being a key driver for effective team-working and ascertains that strong organisational support and compassionate leadership are critical to nurturing staff well-being. It challenges the widely held IPO model's notion that effective team-working promotes well-being in high-risk OR environment. Implications for nursing management: Case-study invites nurse managers to re-evaluate widely used three-staged (IPO) system approach towards creating an effective team-working in high-risk OR environment. ARTICLE HISTORY

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“…1,2 Although some stress is inherent in any activity, excessive stress in the workplace has a negative effect on productivity and on an individual's health. In medicine, burnout describes a physician who has simply had enough of the profession and has lost the ability to cope or face the daily activities of being a health care provider.…”

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confidence: 99%