Facilitators, barriers and opportunities in workplace wellbeing: A national survey of emergency department staff.

INTRODUCTION: Emergency department (ED) staff face daily exposure to the illness, injury, intoxication, violence and distress of others. Rates of clinician burnout are high and associated with poor patient outcomes. This study sought to measure the prevalence of burnout in ED personnel as well as determine the important facilitators of and barriers to workplace wellbeing. METHOD: An anonymous online survey including six open-ended questions on workplace wellbeing was completed by 1372 volunteer participants employed as nurses, doctors, allied health or nonclinical roles at 22 EDs in Aotearoa, New Zealand in 2020. Responses to the questions were analysed using a general inductive approach. RESULTS: The three key themes that characterise what matters most to participants' workplace wellbeing are: (1) Supportive team culture (2) Delivering excellent patient-centred care and (3) Professional development opportunities. Opportunities to improve wellbeing also focused on enhancements in these three areas. CONCLUSION: In order to optimise workplace wellbeing, emergency departments staff value adequate resourcing for high-quality patient care, supportive and cohesive teams and professional development opportunities. Initiatives in these areas may facilitate staff wellbeing as well as improving safety and quality of patient care.

Workplace wellbeing in emergency departments in Aotearoa New Zealand 2020.

AIM: To quantify staff burnout and wellbeing in emergency departments (EDs) throughout New Zealand (NZ). METHODS: A national cross sectional electronic survey of New Zealand clinical and non-clinical ED staff was conducted between 9 March and 3 April 2020. Burnout and wellbeing were assessed using the Copenhagen Burnout Inventory (CBI) and a variety of quantitative measures. Differences between measures were assessed by demography and work role using univariate analyses. Multivariate analyses assessed associations between burnout and wellbeing. RESULTS: 1,372 staff responded from 22 EDs around New Zealand (response rate 43%). Most were female (n=678, 63%), NZ European (n=799, 59%), aged 20-39 years (n=743, 54%) and nurses (n=711, 52%). The overall prevalence of personal burnout was 60%, work-related burnout 55% and patient-related burnout 19%. There was a wide variation of burnout across all EDs. Females and nurses showed the highest degree of burnout by gender and role, respectively. Measures of wellbeing with significant negative correlations with burnout were work-related happiness, work-life balance, job satisfaction and perceived workplace excellence. Work stress had significant positive correlation with burnout. CONCLUSION: New Zealand ED staff have a high degree of burnout. Safety, financial sustainability and quality of care are likely being adversely affected. Stakeholders can be informed by findings from this study to inspire meaningful interventions in EDs and throughout the New Zealand healthcare system.

Osteoporosis--diagnosis and treatment in a general practice population.

BACKGROUND: Osteoporosis may be underdiagnosed and undertreated. General practitioners are best placed to redress this. METHODS: The research group invited all GPs in Bendigo (Victoria) (60) to attend an educational evening about osteoporosis, and also to engage in subsequent research involving data extraction from their electronic medical records for 2003. Twenty-three GPs accepted the invitation to participate. The research group calculated the proportion of patients with osteoporosis recorded as a diagnosis in their medical record, and compared them with national prevalence estimates based on radiological diagnosis. RESULTS: The research group assessed 29 356 patient records of the 23 participating GPs, identifying 593 cases of osteoporosis. In patients aged over 59 years, osteoporosis was diagnosed in 12.6% of women and 3.8% of men. Of identified cases, 53.4% were prescribed antiresorptive drugs. DISCUSSION: The occurrence of a diagnosis of osteoporosis was well below radiologically estimated prevalence. Implementation of learning opportunities designed to improve GP recognition and treatment of osteoporosis could be beneficial. Electronic medical records can provide useful research data with privacy protected.