Making Healthcare Work: Understanding Root Causes

2016 ◽  
pp. 21-31
Keyword(s):  
Healthcare Work

Illuminating the decision-making strategies of anesthesia providers in challenging cases

2020 ◽  
Vol 64 (1) ◽  
pp. 653-657
Author(s):  
Joshua Biro ◽  
David M. Neyens ◽  
Candace Jaruzel ◽  
Catherine D. Tobin ◽  
Myrtede Alfred ◽  
...  
Keyword(s):  
Decision Making ◽  
Work Environment ◽  
Medication Errors ◽  
Information Seeking ◽  
Best Practice ◽  
Practice Recommendations ◽  
Medication Delivery ◽  
Anesthesia Providers ◽  
Healthcare Work ◽  
Realistic View

Medication errors and error-related scenarios in anesthesia remain an important area of research. Interventions and best practice recommendations in anesthesia are often based in the work-as-imagined healthcare system, remaining under-used due to a range of unforeseen complexities in healthcare work-as- done. In order to design adaptable anesthesia medication delivery systems, a better understanding of clinical cognition within the context of anesthesia work is needed. Fourteen interviews probing anesthesia providers’ decision making were performed. The results revealed three overarching themes: (1) anesthesia providers find cases challenging when they have incomplete information, (2) decision-making begins with information seeking, and (3) attributes such as expertise, experience, and work environment influence anesthesia providers’ information seeking and synthesis of tasks. These themes and the context within this data help create a more realistic view of work-as-done and generate insights into what potential medication error reducing interventions should look to avoid and what they could help facilitate.

An interprofessional perspective on healthcare work: physicians and nurses co-constructing identities and spaces of action

2019 ◽  
pp. 1-17
Author(s):  
Erika Lokatt ◽  
Charlotte Holgersson ◽  
Monica Lindgren ◽  
Johann Packendorff ◽  
Louise Hagander
Keyword(s):  
Participant Observation ◽  
Theoretical Perspective ◽  
Knowledge Bases ◽  
Healthcare Sector ◽  
Professional Identities ◽  
Healthcare Operations ◽  
Negotiated Order ◽  
Interprofessional Teamwork ◽  
Everyday Work ◽  
Healthcare Work

Abstract In this article we develop a theoretical perspective of how professional identities in multi-professional organisational settings are co-constructed in daily interactions. The research reported here is located in a healthcare context where overlapping knowledge bases, unclear divisions of responsibilities, and an increased managerialist emphasis on teamwork make interprofessional boundaries in healthcare operations more complex and blurred than ever. We thereby build on a research tradition that recognises the healthcare sector as a negotiated order, specifically studying how professional identities are invoked, constructed, and re-constructed in everyday work interactions. The perspective is employed in an analysis of qualitative data from interviews and participant observation at a large Swedish hospital, in which we find three main processes in the construction of space of action: hierarchical, inclusive, and pseudo-inclusive. In most of the interactions, existing inter-professional divides and power relations are sustained, preventing developments towards integrated interprofessional teamwork.

scholarly journals Analyzing the concept of disruptive behavior in healthcare work: an integrative review*

2016 ◽  
Vol 50 (4) ◽  
pp. 695-704 ◽  
Author(s):  
Roberta Meneses Oliveira ◽  
Lucilane Maria Sales da Silva ◽  
Maria Vilani Cavalcante Guedes ◽  
Adriana Catarina de Souza Oliveira ◽  
Rosario Gómez Sánchez ◽  
...  
Keyword(s):  
Disruptive Behavior ◽  
Mental Distress ◽  
Health Workers ◽  
Concept Development ◽  
Integrative Review ◽  
Psychological Violence ◽  
Healthcare Work ◽  
Theoretical Stage ◽  
Work Method ◽  
Sciverse Scopus

Abstract OBJECTIVE To analyze the concept of disruptive behavior in healthcare work. METHOD An integrative review carried out in the theoretical phase of a qualitative research substantiated by the theoretical framework of the Hybrid Model of Concept Development. The search for articles was conducted in the CINAHL, LILACS, PsycINFO, PubMed and SciVerse Scopus databases in 2013. RESULTS 70 scientific articles answered the guiding question and lead to attributes of disruptive behavior, being: incivility, psychological violence and physical/sexual violence; with their main antecedents (intrapersonal, interpersonal and organizational) being: personality characteristics, stress and work overload; and consequences of: workers' moral/mental distress, compromised patient safety, labor loss, and disruption of communication, collaboration and teamwork. CONCLUSION Analysis of the disruptive behavior concept in healthcare work showed a construct in its theoretical stage that encompasses different disrespectful conduct adopted by health workers in the hospital context, which deserve the attention of leadership for better recognition and proper handling of cases and their consequences.

scholarly journals EFFICIENCY MEASUREMENT IN HEALTHCARE WORK MANAGEMENT USING MALMQUIST INDICES

2016 ◽  
Vol 13 (1) ◽  
pp. 168-180 ◽  
Author(s):  
Robert Stefko ◽  
◽  
Beata Gavurova ◽  
Samuel Korony ◽  
◽  
...  
Keyword(s):  
Efficiency Measurement ◽  
Healthcare Work ◽  
Malmquist Indices ◽  
Work Management

Healthcare work environments

2001 ◽  
pp. 439-444 ◽  
Author(s):  
Rudolf H. Moos ◽  
Jeanne A. Schaefer ◽  
Bernice S. Moos
Keyword(s):  
Work Environments ◽  
Healthcare Work

scholarly journals Sexually Harassing Behaviors from Patients or Clients and Care Workers’ Mental Health: Development and Validation of a Measure

2020 ◽  
Vol 17 (7) ◽  
pp. 2570
Author(s):  
Sylvie Vincent-Höper ◽  
Mareike Adler ◽  
Maie Stein ◽  
Claudia Vaupel ◽  
Albert Nienhaus
Keyword(s):  
Mental Health ◽  
Factor Analysis ◽  
Sexual Harassment ◽  
Theoretical Framework ◽  
Heterogeneous Samples ◽  
Care Workers ◽  
Calibration Sample ◽  
Confirmatory Factor ◽  
Healthcare Work ◽  
Development And Validation

Although evidence reveals severe effects of sexual harassment on care workers’ mental health, there is a scarcity of studies that investigate care workers’ experiences of sexually inappropriate behavior from patients or clients. One reason for this lack of research is that validated measures that assess different types of sexual harassment experienced by employees working with patients or clients are lacking. In this study, we seek to establish a conceptual framework for investigating extraorganizational sexual harassment in healthcare work. Based on this theoretical framework, we developed and validated a measure for assessing sexually harassing behaviors from patients or clients. Data were gathered from heterogeneous samples of employees working in a variety of settings in healthcare. To evaluate the factorial structure of the measure, we conducted exploratory factor analysis (EFA) using a calibration sample (N = 179) and confirmatory factor analysis (CFA) using a cross-validation sample (N = 305). The construct validity of the measure was demonstrated by investigating relationships with indicators of care workers’ mental health. EFA revealed three factors, namely, nonverbal, verbal, and physical acts of sexual harassment. Examination of the measure comprising 14 items revealed acceptable internal consistencies and substantial correlations with indicators of care workers’ mental health. This study provides a useful and sound measure for assessing sexual harassment from patients or clients and paves the way for the development of a comprehensive theoretical framework for the assessment of sexual harassment. Furthermore, it facilitates future investigations of risk factors for sexual harassment and protective factors helping healthcare workers cope with sexual harassment from patients or clients.

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