The Impact of the Attitude of Medical Staff From Burnout on the Level of Ongoing Medical Services

2022 ◽  
pp. 1408-1434
Author(s):  
Anita Wójcik

This chapter describes how contemporary, dynamic development in all available human areas is unavoidable and necessary. However, along with the benefits and progress made by civilization, there is also a growing margin of vulnerability and unfavorable price developments. Professional burnout is becoming a global problem. It identifies the limits of current human capabilities to the serious phenomenon. In particular, nurses and medical rescuers, who are in direct contact with the patient, experience unpleasant symptoms of burnout.

Author(s):  
Anita Wójcik

This chapter describes how contemporary, dynamic development in all available human areas is unavoidable and necessary. However, along with the benefits and progress made by civilization, there is also a growing margin of vulnerability and unfavorable price developments. Professional burnout is becoming a global problem. It identifies the limits of current human capabilities to the serious phenomenon. In particular, nurses and medical rescuers, who are in direct contact with the patient, experience unpleasant symptoms of burnout.


Author(s):  
Anita Wójcik

This chapter describes how contemporary, dynamic development in all available human areas is unavoidable and necessary. However, along with the benefits and progress made by civilization, there is also a growing margin of vulnerability and unfavorable price developments. Professional burnout is becoming a global problem. It identifies the limits of current human capabilities to the serious phenomenon. In particular, nurses and medical rescuers, who are in direct contact with the patient, experience unpleasant symptoms of burnout.


2021 ◽  
Vol 11 (9) ◽  
pp. 170-179
Author(s):  
Martyna Nowińska ◽  
Justyna Dziekońska ◽  
Paulina Grabowy ◽  
Martyna Drożak ◽  
Joanna Milanowska

Introduction: The COVID-19 pandemic broke out in Wuhan, China, in December 2019. Coronavirus disease is commonly transmitted through contact transmission and direct contact. Considering the transmission mechanism of the virus, healthcare workers are at high risk of becoming infected. SARS-CoV-2 has became a major stressor for medical staff, that can lead to burnout.The aim of the study: Paying attention to the correlation between COVID-19 pandemic and burnout among healthcare workers.Material and method: The research was done by the usage of the PubMed and Google Scholar articles about the topic of: burnout; healthcare workers, COVID-19 pandemic, mental health, stress.Description of the state of knowledge: According to various studies, the COVID-19 pandemic may have negative impact on the mental health of healthcare workers. Worsening systemic stressors may lead to professional burnout. Latest research has identified associations between burnout and inadequate psychological support, direct contact with infected patients, and working in the nursing profession.Summary: The results from all studies proved that the COVID-19 pandemic has tremendous impact on professional burnout among medical staff. It is essential to pay attention to the psychological wellbeing of healthcare workers.


Author(s):  
Dr. Khaled Albustanji

This study aimed to identify the effect of continuous improvement of medical services provided to patients , represented by the computerized Hakim medical program from the point of view of the medical staff workers, which is an applied study on KhreibetAl-Souq Comprehensive Medical Center after using the Hakim program. The researcher distributed (28) questionnaires on the study sample, i.e. approximately (40%) of the study population of (70) staff employees. (26) questionnaires were retrieved, and after checking the retrieved questionnaires, two questionnaires were excluded because they were not valid for statistical analysis, and accordingly, the number retrieved and valid for statistical analysis reached (24) questionnaires. The study reached several conclusions, the most important of which is that there is a statistically significant impact of continuous improvement represented by Hakim's computerized medical program on medical services provided to patients from the point of view of the medical staff, and that continuing to make improvements in work processes and procedures will lead to providing medical services to patients and beneficiaries, according to the requirements of both the beneficiaries and the medical employees, and will also lead to (more effective) arrangement, speed up and organization of work procedures and saves time and effort for both the medical workers and the beneficiaries, KEYWORDS: continuous improvement, hakim medical program, medical services, medical computing company, requirements of clients


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257127
Author(s):  
Jinglin Song ◽  
Chen Chen ◽  
Shaoyang Zhao ◽  
Leming Zhou ◽  
Hong Chen

In China, overcrowding at hospitals increases the workload of medical staff, which may negatively impact the quality of medical services. This study empirically examined the impact of hospital admissions on the quality of healthcare services in Chinese hospitals. Specifically, we estimated the impact of the number of hospital admissions per day on a patient’s length of stay (LOS) and hospital mortality rate using both ordinary least squares (OLS) and instrumental variable (IV) methods. To deal with potential endogeneity problems and accurately identify the impact of medical staff configuration on medical quality, the daily air quality index was selected as the IV. Furthermore, we examined the differential effects of hospital admissions on the quality of care across different hospital tiers. We used the data from a random sample of 10% of inpatients from a city in China, covering the period from January 2014 to June 2019. Our final regression analysis included a sample of 167 disease types (as per the ICD-10 classification list) and 862,722 patient cases from 517 hospitals. According to our results, the LOS decreased and hospital mortality rate increased with an increasing number of admissions. Using the IV method, for every additional hospital admission, there was a 6.22% (p < 0.01) decrease in LOS and a 1.86% (p < 0.01) increase in hospital mortality. The impact of healthcare staffing levels on the quality of care varied between different hospital tiers. The quality of care in secondary hospitals was most affected by the number of admissions, with the average decrease of 18.60% (p < 0.05) in LOS and the increase of 6.05% (p < 0.01) in hospital mortality for every additional hospital admission in our sample. The findings suggested that the supply of medical services in China should be increased and a hierarchical diagnosis and treatment system should be actively promoted.


Author(s):  
Crispin Coombs ◽  
Donald Hislop ◽  
Stanimira Taneva ◽  
Sarah Barnard

One of the most significant recent technological developments concerns the application of intelligent machines to jobs that up to now have been considered safe from automation. These changes have generated considerable debate regarding the impacts that the widespread adoption of intelligent machines could have on the nature of work. This chapter provides a thematic review, across multiple academic disciplines, of the current state of academic knowledge regarding the impact of intelligent machines on knowledge and service work. Adopting a work-practice perspective, the chapter reviews the extant literature concerning changing relations between workers and intelligent machines, the adoption and acceptance of intelligent machines, and ethical issues associated with greater machine human collaboration. A key finding is that much of the research discusses intelligent machines complementing and extending human capabilities rather than removing humans from work processes. The concept of augmentation of humans and human work, rather than wholesale replacement from automation, flows through the literature across a range of domains. The chapter concludes with a discussion of the main gaps in existing knowledge and ways in which future research may provide a deeper understanding of how people (currently and in the near future) experience intelligent machines in their day-to-day work practice. These include the need for multi-disciplinary research, the role of contexts, the need for more and better empirical research, the changing relationships between humans and intelligent machines, the adoption and acceptance of the technology, and ethical issues.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
M. P. Pomey ◽  
M. de Guise ◽  
M. Desforges ◽  
K. Bouchard ◽  
C. Vialaron ◽  
...  

Abstract Background Quebec is one of the Canadian provinces with the highest rates of cancer incidence and prevalence. A study by the Rossy Cancer Network (RCN) of McGill university assessed six aspects of the patient experience among cancer patients and found that emotional support is the aspect most lacking. To improve this support, trained patient advisors (PAs) can be included as full-fledged members of the healthcare team, given that PA can rely on their knowledge with experiencing the disease and from using health and social care services to accompany cancer patients, they could help to round out the health and social care services offer in oncology. However, the feasibility of integrating PAs in clinical oncology teams has not been studied. In this multisite study, we will explore how to integrate PAs in clinical oncology teams and, under what conditions this can be successfully done. We aim to better understand effects of this PA intervention on patients, on the PAs themselves, the health and social care team, the administrators, and on the organization of services and to identify associated ethical and legal issues. Methods/design We will conduct six mixed methods longitudinal case studies. Qualitative data will be used to study the integration of the PAs into clinical oncology teams and to identify the factors that are facilitators and inhibitors of the process, the associated ethical and legal issues, and the challenges that the PAs experience. Quantitative data will be used to assess effects on patients, PAs and team members, if any, of the PA intervention. The results will be used to support oncology programs in the integration of PAs into their healthcare teams and to design a future randomized pragmatic trial to evaluate the impact of PAs as full-fledged members of clinical oncology teams on cancer patients’ experience of emotional support throughout their care trajectory. Discussion This study will be the first to integrate PAs as full-fledged members of the clinical oncology team and to assess possible clinical and organizational level effects. Given the unique role of PAs, this study will complement the body of research on peer support and patient navigation. An additional innovative aspect of this study will be consideration of the ethical and legal issues at stake and how to address them in the health care organizations.


2021 ◽  
Vol 8 ◽  
pp. 237437352110114
Author(s):  
Andrew Nyce ◽  
Snehal Gandhi ◽  
Brian Freeze ◽  
Joshua Bosire ◽  
Terry Ricca ◽  
...  

Prolonged waiting times are associated with worse patient experience in patients discharged from the emergency department (ED). However, it is unclear which component of the waiting times is most impactful to the patient experience and the impact on hospitalized patients. We performed a retrospective analysis of ED patients between July 2018 and March 30, 2020. In all, 3278 patients were included: 1477 patients were discharged from the ED, and 1680 were admitted. Discharged patients had a longer door-to-first provider and door-to-doctor time, but a shorter doctor-to-disposition, disposition-to-departure, and total ED time when compared to admitted patients. Some, but not all, components of waiting times were significantly higher in patients with suboptimal experience (<100th percentile). Prolonged door-to-doctor time was significantly associated with worse patient experience in discharged patients and in patients with hospital length of stay ≤4 days. Prolonged ED waiting times were significantly associated with worse patient experience in patients who were discharged from the ED and in inpatients with short length of stay. Door-to-doctor time seems to have the highest impact on the patient’s experience of these 2 groups.


Author(s):  
Rayner Kay Jin Tan ◽  
Vanessa Ho ◽  
Sherry Sherqueshaa ◽  
Wany Dee ◽  
Jane Mingjie Lim ◽  
...  

AbstractWe evaluated the impact of the coronavirus disease (COVID-19) on the sex work industry and assessed how it has impacted the health and social conditions of sex workers in Singapore. We conducted a sequential exploratory mixed methods study amidst the COVID-19 pandemic from April to October 2020, including in-depth interviews with 24 stakeholders from the sex work industry and surveyor-administered structured surveys with 171 sex workers. COVID-19 had a substantial impact on sex workers' income. The illegality of sex work, stigma, and the lack of work documentation were cited as exclusionary factors for access to alternative jobs or government relief. Sex workers had experienced an increase in food insecurity (57.3%), housing insecurity (32.8%), and sexual compromise (8.2%), as well as a decrease in access to medical services (16.4%). Being transgender female was positively associated with increased food insecurity (aPR = 1.23, 95% CI [1.08, 1.41]), housing insecurity (aPR = 1.28, 95% CI [1.03, 1.60]), and decreased access to medical services (aPR = 1.74, 95% CI [1.23, 2.46]); being a venue-based sex worker was positively associated with increased food insecurity (aPR = 1.46, 95% CI [1.00, 2.13]), and being a non-Singaporean citizen or permanent resident was positively associated with increased housing insecurity (aPR = 2.59, 95% CI [1.73, 3.85]). Our findings suggest that COVID-19 has led to a loss of income for sex workers, greater food and housing insecurity, increased sexual compromise, and reduced access to medical services for sex workers. A lack of access to government relief among sex workers exacerbated such conditions. Efforts to address such population health inequities should be implemented.


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