scholarly journals Experiences of returning to work and maintaining work 7 to 8 years after a stroke: a qualitative interview study in Sweden

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021182 ◽  
Author(s):  
Annie Palstam ◽  
Marie Törnbom ◽  
Katharina Stibrant Sunnerhagen
Keyword(s):  
University Hospital ◽  
Stroke Severity ◽  
Work Situation ◽  
Individual Interviews ◽  
Work Related ◽  
Analysis Process ◽  
Qualitative Interview Study ◽  
Mixed Feelings ◽  
Returning To Work ◽  
Related Stress

ObjectiveTo explore how persons experienced return to work (RTW) and their work situation 7 to 8 years after a stroke.DesignAn explorative qualitative design with individual interviews. The data analysis was inductive thematic and three researchers collaborated during the analysis process.ParticipantsThe study population included five women and eight men who had a stroke during 2009–2010, received care at the Sahlgrenska University Hospital in Gothenburg, Sweden and RTW after stroke and it was a heterogenic sample based on age, occupation, stroke severity and time to RTW.ResultsThe analysis led to four themes;motivated and RTW while struggling with impairments,mixed feelings in the RTW process, still at work though restrictedandsocial support for a sustainable work situation.The themes revealed that participants were motivated to RTW while struggling with impairments. The RTW process evoked mixed feelings of worry and grief over lost functions but also acceptance and gratitude for being able to work. Although maintaining work 7 to 8 years after experiencing a stroke, most were restricted in some way. Fatigue and cognitive impairments meant having to set limits, omit work tasks and rest at work, but also rest during free time and refraining from social activities in order to manage work. Participants avoided work-related stress if they could because of aggravated symptoms and/or fear of a new stroke. Support from supervisors and colleagues was often crucial for a sustainable work situation.ConclusionMaintaining work can be a continuous struggle with invisible impairments many years after a stroke. Strategies for managing work are dependent on each individual work situation, where support and understanding at work seem to be crucial for a sustainable work situation.

scholarly journals Psychosocial impact on frontline health and social care professionals in the UK during the COVID-19 pandemic: a qualitative interview study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e047353
Author(s):  
Henry Aughterson ◽  
Alison R McKinlay ◽  
Daisy Fancourt ◽  
Alexandra Burton
Keyword(s):  
Personal Growth ◽  
Social Care ◽  
Well Being ◽  
Work Conditions ◽  
Individual Interviews ◽  
Work Related ◽  
Qualitative Interview Study ◽  
Health And Social Care ◽  
Communication Challenges ◽  
The Uk

ObjectivesTo explore the psychosocial well-being of health and social care professionals working during the COVID-19 pandemic.DesignThis was a qualitative study deploying in-depth, individual interviews, which were audio-recorded and transcribed verbatim. Thematic analysis was used for coding.ParticipantsThis study involved 25 participants from a range of frontline professions in health and social care.SettingInterviews were conducted over the phone or video call, depending on participant preference.ResultsFrom the analysis, we identified 5 overarching themes: communication challenges, work-related stressors, support structures, personal growth and individual resilience. The participants expressed difficulties such as communication challenges and changing work conditions, but also positive factors such as increased team unity at work, and a greater reflection on what matters in life.ConclusionsThis study provides evidence on the support needs of health and social care professionals amid continued and future disruptions caused by the pandemic. It also elucidates some of the successful strategies (such as mindfulness, hobbies, restricting news intake, virtual socialising activities) deployed by health and social care professionals that can support their resilience and well-being and be used to guide future interventions.

scholarly journals A Cross-Cultural Comparison of Nurses' Ethical Concerns

2008 ◽  
Vol 15 (6) ◽  
pp. 745-760 ◽  
Author(s):  
Barbro Wadensten ◽  
Stig Wenneberg ◽  
Marit Silén ◽  
Ping Fen Tang ◽  
Gerd Ahlström
Keyword(s):  
Ethical Dilemmas ◽  
Health Care Systems ◽  
Empirical Studies ◽  
Qualitative Interviews ◽  
Work Situation ◽  
Work Related ◽  
Cross Cultural Comparison ◽  
Care Systems ◽  
Related Stress ◽  
Seriously Ill Patients

The aim of this study was to compare Swedish and Chinese nurses' experiences of ethical dilemmas and workplace distress in order to deepen understanding of the challenges neuroscience nurses encounter in different cultures. Qualitative interviews from two previously performed empirical studies in Sweden and China were the basis of this comparative study. Four common content areas were identified in both studies: ethical dilemmas, workplace distress, quality of nursing and managing distress. The themes formulated within each content area were compared and synthesized into novel constellations by means of aggregated concept analysis. Despite wide differences in the two health care systems, the nurse participants had similar experiences with regard to work stress and a demanding work situation. They were struggling with similar ethical dilemmas, which concerned seriously ill patients and the possibilities of providing good care. This indicates the importance of providing nurses with the tools to influence their own work situation and thereby reducing their work-related stress.

scholarly journals Women and partners’ experiences of critical perinatal events: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e037932
Author(s):  
Laura Emdal Navne ◽  
Stinne Høgh ◽  
Marianne Johansen ◽  
Mette Nordahl Svendsen ◽  
Jette Led Sorensen
Keyword(s):  
Parental Involvement ◽  
Healthcare Professionals ◽  
Postnatal Period ◽  
University Hospital ◽  
Individual Interviews ◽  
The Past ◽  
Qualitative Interview Study ◽  
Professional Resources ◽  
High Degree

ObjectiveThe aim of this study was to explore women and partners’ experiences following critical perinatal events.DesignThis is a qualitative interview study. We conducted semistructured individual interviews with women and their partners in separate rooms. Interviews were analysed thematically and validated by a transdisciplinary group of anthropologists, obstetricians and a midwife.SettingDepartment of obstetrics at a tertiary referral university hospital in Denmark.ParticipantsWomen and partners who had experienced a critical perinatal event within the past 3–12 months.ResultsWe conducted 17 interviews and identified three main themes: (1) ambivalence towards medicalisation, (2) the extended temporality of a critical birth and (3) postnatal loss of attention from healthcare professionals. Overall, participants expressed a high degree of trust in and quality of provided healthcare during the critical perinatal events. They experienced medicalisation (obstetric interventions) as a necessity, linking them to the safety of the child and their new role as responsible parents. However, some women experienced disempowerment when healthcare professionals overlooked their ability to stay actively involved during birth events. Postnatally, women and their partners experienced shortages of healthcare professional resources, absent healthcare and lack of attention.ConclusionsWomen and their partners’ experiences of critical perinatal events begin long before and end long after the actual moment of childbirth, challenging conventional ideas about the birth as being the pivotal event in making families. In future healthcare planning, it is important to to align expectations and guide parental involvement in birth events and to acknowledge the postnatal period as equally crucial.

scholarly journals Exploring Drivers of Work-Related Stress in General Practice Teams as an Example for Small and Medium-Sized Enterprises: Protocol for an Integrated Ethnographic Approach of Social Research Methods

10.2196/15809 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e15809 ◽  
Author(s):  
Esther Rind ◽  
Sigrid Emerich ◽  
Christine Preiser ◽  
Elena Tsarouha ◽  
Monika A Rieger ◽  
...  
Keyword(s):  
General Practice ◽  
Research Methods ◽  
Social Research ◽  
Well Being ◽  
University Hospital ◽  
Theory Approach ◽  
Work Related Stress ◽  
Work Related ◽  
Ethnographic Approach ◽  
Related Stress

Background An increasing shortage of skilled personnel, including medical personnel, has been reported in many postindustrial economies. Persisting and growing trends in absenteeism and incapacity to work due to mental disorders are concerning and have increased political, economic, and scientific interest in better understanding and management of determinants related to the work environment and health. Objective This study protocol describes an integrated approach of social research methods to explore determinants of work-related stress in general practice teams as an example for micro, small, and medium-sized enterprises (SMEs). Methods The methods applied will allow an in-depth exploration of work practices and experiences relating to psychological well-being in general practice teams. An ethnographic approach will be used to develop an in-depth understanding of the drivers of work-related stress in general practice teams. We will combine participating observation and individual interviews with five to seven general practitioners (GPs), and five to seven focus group discussions with the nonphysician staff (3-4 participants per group) in approximately four GP group practices and one single practice in Germany. Data collection and analysis will follow a grounded theory approach. Results The Ethics Committee of the Medical Faculty, University Hospital of Tuebingen, Germany, has approved this study (reference number: 640/2017BO2). Recruitment has commenced with study completion anticipated in mid-2020. Conclusions The data from this project will be used in follow-up projects to develop and test an intervention to reduce and prevent work-related stress in GP practices and other SMEs. International Registered Report Identifier (IRRID) DERR1-10.2196/15809

scholarly journals Resilience and Work-Related Stress May Affect Depressive Symptoms in Nursing Professionals during the COVID-19 Pandemic Era

2021 ◽  
Vol 18 (4) ◽  
pp. 357-363
Author(s):  
Youjin Hong ◽  
Jukab Lee ◽  
Hyuk Joo Lee ◽  
Kyumin Kim ◽  
Inn-Kyu Cho ◽  
...  
Keyword(s):  
Online Survey ◽  
Medical Center ◽  
University Hospital ◽  
Work Related Stress ◽  
General Anxiety ◽  
Low Level ◽  
Work Related ◽  
Related Stress ◽  
High Level ◽  
Nursing Professionals

Objective We aimed to investigate the effect of nursing professionals’ resilience on their mental health, work-related stress, and anxiety in response to the COVID-19 pandemic.Methods We conducted an online survey in the Asan Medical Center and Ulsan University Hospital, South Korea. We extracted data of 824 nursing professionals who consented to participate, including demographic variables and the Stress and Anxiety to Viral Epidemics-9 (SAVE-9), PHQ-9, GAD-7, and Brief Resilience Scale scores.Results Resilience was negatively correlated with Patient Health Questionnaire-9 (PHQ-9) (rho=-0.23), Generalized Anxiety Scale-7 items (GAD-7) (rho=-0.25), Stress and Anxiety to Viral Epidem-ics-6 items (SAVE-6) (rho=-0.15), and Stress And anxiety to Viral Epidemics-3 items (SAVE-3) (rho=-0.13, all, p<0.001). Logistic regression analysis adjusting age, marital status, and years of employment revealed that high level of general anxiety [adjusted odds ratio (aOR)=1.40, 95% confidence interval (CI)=1.31–1.50], work-related stress during viral epidemics (aOR=1.16, 95% CI=1.03–1.29), and a low level of resilience (aOR=0.91, 95% CI=0.85–0.97) were expecting variables for the depression of healthcare workers.Conclusion Nursing professionals’ level of resilience may be associated with low level of work-related stress and anxiety induced by a viral epidemic. We need to explore further the possibility of resilience as coping strategy of healthcare workers in this pandemic era.

Sources of work stress in veterinary practice in the UK

2019 ◽  
Vol 184 (19) ◽  
pp. 588-588 ◽  
Author(s):  
Elinor O’Connor
Keyword(s):  
Stress Management ◽  
Injury Risk ◽  
Interactive Effects ◽  
Systematic Research ◽  
Veterinary Practice ◽  
Work Related ◽  
Management Interventions ◽  
Qualitative Interview Study ◽  
Related Stress ◽  
The Uk

The veterinary profession recognises the importance of addressing work-related stress for veterinary surgeons’ wellbeing. Identifying aspects of veterinarians’ work that are sources of stress is a key step in implementing appropriate stress management interventions for the profession. However, little systematic research on the causes of stress in veterinary work has been carried out. A qualitative interview study was conducted with 18 veterinarians practising in the UK to explore aspects of their work that are stressful. Thematic analysis revealed principal stressors to be poor work-life balance, interaction with animal owners, specific aspects of euthanasia, dealing with poor animal welfare and staff management responsibilities. Injury risk, supervision arrangements for newly qualified veterinarians and lack of control over work were stressors for some. The practical implications of the findings for stress management in veterinary work are considered. Comments by several participants indicated a strong achievement focus and possible perfectionism. It is proposed that veterinarians with perfectionist traits might experience greater psychological distress in the face of some specific stressors in veterinary practice, and further investigation of possible interactive effects of work stressors and perfectionism on veterinarians’ wellbeing is merited.

scholarly journals Neonatal Intensive Care and Child Psychiatry Inpatient Care: Do Different Working Conditions Influence Stress Levels?

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Evalotte Mörelius ◽  
Per A. Gustafsson ◽  
Kerstin Ekberg ◽  
Nina Nelson
Keyword(s):  
Intensive Care ◽  
Working Conditions ◽  
Salivary Cortisol ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Work Situation ◽  
Work Related ◽  
Healthy Work ◽  
Related Stress ◽  
Health And Well Being

Introduction. Nurses often experience work-related stress. High stress can negatively affect job satisfaction and lead to emotional exhaustion with risk of burnout.Aim. To analyse possible differences in biological stress markers, psychosocial working conditions, health, and well-being between nurses working in two different departments.Methods. Stress was evaluated in nurses working in a neonatal intensive care unit (NICU) (n=33) and nurses working in a child and adolescent psychiatry inpatient ward (CAP) (n=14) using salivary cortisol and HbA1c. Salivary cortisol was measured three times a day on two consecutive days during two one-week periods, seven weeks apart (= 12 samples/person). Psychosocial working conditions, health, and well-being were measured once.Results. NICU nurses had better social support and more self-determination. CAP nurses had a lower salivary cortisol quotient, poorer general health, and higher client-related burnout scores.Conclusion. When comparing these nurses with existing norm data for Sweden, as a group their scores reflect less work-related stress than Swedes overall. However, the comparison between NICU and CAP nurses indicates a less healthy work situation for CAP nurses.Relevance to Clinical Practice. Healthcare managers need to acknowledge the less healthy work situation CAP nurses experience in order to provide optimal support and promote good health.

Work-related stress and work ability among Croatian university hospital midwives

Midwifery ◽  
2011 ◽  
Vol 27 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Bojana Knezevic ◽  
Milan Milosevic ◽  
Rajna Golubic ◽  
Ljiljana Belosevic ◽  
Andrea Russo ◽  
...  
Keyword(s):  
Work Ability ◽  
University Hospital ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

“Their needs are higher than what I can do”: Moral distress in providers working with Latino immigrant families

2020 ◽  
pp. 147332502091980
Author(s):  
Katarzyna Olcoń ◽  
Lauren E Gulbas
Keyword(s):  
Social Action ◽  
Service Provision ◽  
Moral Distress ◽  
Service Providers ◽  
Vulnerable Groups ◽  
Structural Barriers ◽  
Individual Interviews ◽  
Work Related ◽  
Action Model ◽  
Related Stress

Social service providers tasked with alleviating the problems of the most marginalized and vulnerable populations are at particular risk for work-related stress and subsequent burnout. This article aims to move beyond individualized understandings of provider burnout and render visible the structural barriers that limit providers’ capacity to authentically help their clients. Guided by the concept of moral distress, we examined the experiences of 17 service providers who deliver behavioral and mental health services to Latino immigrants in a metropolitan area in Texas. An applied thematic analysis of individual interviews collected in 2015 revealed providers’ frustration with the countless systemic issues and helplessness in their inability to make substantial changes in their clients’ lives. This emotional toll, in turn, created a cycle where providers’ capacity to envision authentic, systemic change became limited. Our findings suggest that social work needs to go beyond the recommendations for self-care to prevent provider burnout and to address the inherent paradoxes in service provision to oppressed and vulnerable groups. We urge a shift toward a social action model to show an authentic commitment to social justice and to empower both providers and the marginalized populations they serve.

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