Key Elements of the Critical Care Work Environment Associated With Burnout and Compassion Satisfaction

2021 ◽  
Vol 30 (2) ◽  
pp. 113-120
Author(s):  
Lesly A. Kelly ◽  
Karen L. Johnson ◽  
R. Curtis Bay ◽  
Michael Todd
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Critical Care ◽  
Work Environment ◽  
Compassion Satisfaction ◽  
Well Being ◽  
Nurse Turnover ◽  
Effective Decision ◽  
Effective Decision Making ◽  
The Impact

Background As the role of a health care system’s influence on nurse burnout becomes better understood, an under-standing of the impact of a nurses’ work environment on burnout and well-being is also imperative. Objective To identify the key elements of a healthy work environment associated with burnout, secondary trauma, and compassion satisfaction, as well as the effect of burnout and the work environment on nurse turnover. Methods A total of 779 nurses in 24 critical care units at 13 hospitals completed a survey measuring burnout and quality of the work environment. Actual unit-level data for nurse turnover during a 5-month period were queried and compared with the survey results. Results Among nurses in the sample, 61% experience moderate burnout. In models controlling for key nurse characteristics including age, level of education, and professional recognition, 3 key elements of the work environment emerged as significant predictors of burnout: staffing, meaningful recognition, and effective decision-making. The latter 2 elements also predicted more compassion satisfaction among critical care nurses. In line with previous research, these findings affirm that younger age is associated with more burnout and less compassion satisfaction. Conclusions Efforts are recommended on these 3 elements of the work environment (staffing, meaningful recognition, effective decision-making) as part of a holistic, systems-based approach to addressing burnout and well-being. Such efforts, in addition to supporting personal resilience-building activities, should be undertaken especially with younger members of the workforce in order to begin to address the crisis of burnout in health care.

Strategies for Improving Dialysis Decision Making

1991 ◽  
Vol 11 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Anne Campbell
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Professionals ◽  
Medical Management ◽  
Quality Care ◽  
Thought Processes ◽  
Treatment Termination ◽  
Effective Decision ◽  
Effective Decision Making ◽  
Esrd Patients

It is important that every professional involved with guiding ESRD patients through the maze of dialysis decision making critically analyze his or her own behaviors, possible biases and thought processes influencing discussions with patients. Health care professionals need to continue to strive to improve their skills for assuring optimal assistance to their patients in making decisions about the best types of treatments for them. In this era of evermore challenging patients and technologies, the skills for informing patients and assisting them with effective decision making about issues such as medical management, dialysis, transplantation or treatment termination are vita! for assuring quality care.

Partnership for a Healthy Work Environment

2012 ◽  
Vol 23 (3) ◽  
pp. 289-301 ◽  
Author(s):  
Susan F. Goran ◽  
Margaret Mullen-Fortino
Keyword(s):  
Decision Making ◽  
Patient Care ◽  
Work Environment ◽  
Remote Monitoring System ◽  
Healthy Work Environment ◽  
Partnership Model ◽  
Additional Layer ◽  
Effective Decision ◽  
Healthy Work ◽  
Effective Decision Making

The tele–intensive care unit (ICU) provides a remote monitoring system that adds an additional layer of support for critically ill patients. However, to optimize contributions, the bedside team must incorporate this resource into the patient’s plan of care. Using the American Association of Critical-Care Nurses’ Healthy Work Environment Standards as a platform, we can create and nurture a new partnership model. Strategies that embrace the standards of skilled communication, true collaboration, and effective decision making become mutual goals for improving patient safety and outcomes. Joint communication guidelines facilitate timely and meaningful communication. Trust and the desire to cooperate encourage provider engagement to strengthen collaboration. The use of tele-ICU technology can assist in the interpretation and transformation of data to affect decision making at all levels to influence patient care. Through the lens of the healthy work environment, the tele-ICU/ICU partnership provides enhanced opportunities for improved patient care and team satisfaction.

scholarly journals Test the impact of elements of strategic intelligence on the effectiveness of decision making: إختبار أثر عناصر الذكاء الإستراتيجي على فاعلية إتخاذ القرارات

2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Muzmal Ali Mohamed Osman
Keyword(s):  
Decision Making ◽  
Strategic Alliances ◽  
Executive Management ◽  
Strategic Intelligence ◽  
Dependent Variables ◽  
Effective Decision ◽  
Effective Decision Making ◽  
The Impact ◽  
Test Impact ◽  
Development And Evolution

The study aimed to test impact of elements of strategic intelligence on the making effectiveness of decisions – Dammam – Saudi Arabia , and stand over the importance attached by this institution to strategic  intelligence and its elements of where (foresight – strategic vision – motivate employees – strategic alliances – systemic thinking  ) and its impact on effective decision  making  and we have been using descriptive and analytical method and we was design a questionnaire to collect data for the study from top administration and executive management , and it has been distributed (55) questionnaires and it was retrieved (50) questionnaires , it has been using amount of statistical methods in the study like arithmetical average , standard deviation , Cronbach's alpha , coefficient analysis , Pearson's correlation coefficient and regression analysis . The study has been reached to that there is statistically significant correlation between the elements of strategic intelligence (independent variables) and effective decision making (dependent variables),the study also presented some of a recommendations, the most important is  : attention of strategy intelligence because it is effect of decision making , and make strategic intelligence part of establishment culture , in addition to development and evolution elements of strategic intelligence , because it is effects on decision inside and outside of the establishment. 

Factors Influencing Client's Decision-Making Process In Private Health Care Institutions In Nigeria

2020 ◽  
Vol 11 (1) ◽  
pp. 102-102
Author(s):  
VB Akponah Chinomona ◽  
Emeritus NE Mazibuko ◽  
J Kruger
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Services ◽  
Well Being ◽  
Decision Making Process ◽  
Private Health Care ◽  
Seek Health Care ◽  
Care Services ◽  
Health Care Institutions ◽  
The Impact

The impact of the health care sector and economic vitality plays a major role in the upliftment of the welfare of the society. A country's stability and sustainability will depend on how healthy its population is (Patry, Morris & Leatherman, 2010). Therefore, the reduction in mortality rate and an increase in healthy work force that performs work duties are likely to promote economic activities which will in turn increase the country's wealth. Clients seek health care services that can improve the state of their well-being. Since health care services are needed to promote well-being, clients are particular about how and where they purchase health care services from (Akponah, Mazibuko & Krüger, 2015:153). Numerous researchers have studied the factors that determine clients' decision-making in the utilization of health care services. Andersen and Newman (2005:14) put forward that predisposing, enabling and illness level influence the clients' decision to utilize health care services. Mekonnen and Mekonnen (2002:2) report that gender as a demographic factor influences the decision-making of clients regarding the utilization of health care services. However, Williams (2005:35) maintains that client attitudes regarding their decisions to utilize and access health care services from private health care institutions are influenced by their social structure, occupation, education, ethnicity, cultural, attitudes and beliefs relating to values, knowledge and attitudes from past experience. This study investigates and answers the following questions: What factors influences clients' decision-making regarding the utilization of private health care institutions? Keywords: Health care services; decision-making process; health care institutions; health insurance; clients.

Autonomy as a Goal of Psychotherapy

2019 ◽  
Author(s):  
Paul Biegler
Keyword(s):  
Decision Making ◽  
Informed Consent ◽  
Personal Autonomy ◽  
Well Being ◽  
Psychological Disorder ◽  
Self Determination ◽  
Major Threat ◽  
Effective Decision ◽  
Effective Decision Making ◽  
Therapeutic Privilege

Personal autonomy describes the exercise of self-determination through informed and rational decisions that reflect an agent’s authentic values. The nexus between autonomy and psychotherapy is broad, with both respect for client autonomy through informed consent, and promotion of client autonomy through therapy itself representing key instances of the significance of autonomy in the consulting room. While inadequate disclosure of information poses a major threat to personal autonomy, so too do unjustified paternalism, coercion, and the injudicious use of therapeutic privilege. The capacity of psychotherapy to promote client autonomy, evidenced by more effective decision-making during periods where the risk of recurrent illness is high, is argued to be a key advantage of psychotherapy over treatment with medication alone. Ultimately, enhanced autonomy is a goal of treatment grounded in a more defensible conception of well-being for people with psychological disorder and, it is concluded, should be sought specifically through psychotherapy.

Randomized Controlled Trial to Evaluate an Abuse Prevention Curriculum for Women and Men With Intellectual and Developmental Disabilities

2015 ◽  
Vol 120 (6) ◽  
pp. 490-503 ◽  
Author(s):  
Linda Hickson ◽  
Ishita Khemka ◽  
Harriet Golden ◽  
Aikaterini Chatzistyli
Keyword(s):  
Decision Making ◽  
Developmental Disabilities ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Intellectual And Developmental Disabilities ◽  
Effective Decision ◽  
Effective Decision Making ◽  
Problem Awareness ◽  
The Impact

Abstract This study was designed (a) to assess the impact of the ESCAPE-DD curriculum on the decision-making skills of adults with intellectual and developmental disabilities (IDD) in hypothetical situations of abuse, (b) to examine the role of problem awareness, and (c) to identify factors associated with posttest decision-making performance. Fifty-eight women and men with IDD were randomly assigned to an intervention group or a wait-list control group. Participants who experienced ESCAPE-DD made significantly greater gains on measures of overall effective decision making and safe-now effective decision-making relative to participants in the control group. Problem awareness was related to decision making, but it did not improve as a result of the intervention. Implications of the findings for future curriculum-development efforts are discussed.

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