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1.
Texto & contexto enferm ; 29: e20180104, Jan.-Dec. 2020. graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1101981

RESUMO

ABSTRACT Objective: To identify work aspects that generate satisfaction for the professionals who work in the Family Health Strategy. Method: This was a qualitative, descriptive study that involved five geographical regions of Brazil, and 27 Family Health Teams from six municipalities. The data were collected from 76 health professionals using semi-structured interviews, and were analyzed articulating the three phases of content analysis using Atlas.ti software resources. Results: The findings showed 129 statement excerpts, with 14 codes, grouped into three categories related to satisfaction. The category, Job Identification and Family Health Strategy Principles, represented 40.3%, with the codes: team work, job affinity, health model, completeness of care, and longitudinality of care. The category, Relationship with Family Health Strategy patients, represented 32.6%, with the following codes: bonding with patient, resoluteness of care, patient satisfaction, and patient care. Finally, the category, Professional and Working Aspects related to the Family Health Strategy, represented 27.1%, with the following codes: relationship with professionals, work recognition, enjoying the profession, team organization, and employment relationship. Conclusion: Professional satisfaction is associated with the work principles of the Family Health Strategy, and with the relationships that are established between patients, professionals and health management. It also has a subjective dimension, with a strong relationship with characteristics of the work process, how it is organized, and under what conditions and relationships this work occurs.


RESUMEN Objetivo: Identificar los aspectos del trabajo, que generan satisfacción en los profesionales de salud que actúan en la estrategia de salud familiar. Método: Estudio cualitativo que incluye 5 regiones geográficas del Brasil, 27 equipos de salud familiar de 6 municipios. Los datos fueron obtenidos, a través de 76 profesionales de salud por medio de entrevistas semi estructuradas y analizados, articulando las tres frases de Análisis del Contenido y los recursos del software Atlas ti. Resultados: Seleccionaron 129 extractos de conversaciones, 14 códigos agrupados en 3 categorías relacionadas a la satisfacción. La categoría Identificación con el trabajo y principios de la Estrategia salud de la familia, representó 40,3%; tuvo los códigos: trabajo en equipo, afinidad con el trabajo, modelo de salud, integralidad de la asistencia, longitudinalidad del cuidado. La categoría, Relación con los Usuarios en la Estrategia salud de la familia, representó el 32,6% con los siguientes códigos: vinculo con el usuario, resolutividad de la asistencia, satisfacción del usuario y asistencia al usuario. Finalmente, la categoría Aspectos Profesionales y de Trabajo, relacionados con la estrategia salud de la familia, representó 27,1% con los siguientes códigos: Relación con los profesionales, reconocimiento del trabajo, gusto por la profesión, organización del equipo, vinculo del trabajo. Conclusión: La satisfacción del profesional está asociada a los principios del trabajo en la Estrategia Salud de la Familia, a las relaciones que se establecen entre usuarios, profesionales y gestión de la salud. También posee una dimensión subjetiva, fuertemente relacionada con las características del proceso de trabajo, como se encuentra organizado, sus condiciones y relaciones.


RESUMO Objetivo: Identificar os aspectos do trabalho que são geradores de satisfação para os profissionais que atuam na Estratégia Saúde da Família. Método: Estudo qualitativo do tipo descritivo que envolveu 5 regiões geográficas do Brasil, 27 equipes de Saúde da Família de 6 municípios. Os dados foram coletados com 76 profissionais de saúde por meio de entrevistas semiestruturadas e analisados articulando as três fases da Análise de Conteúdo e dos recursos do software Atlas.ti. Resultados: Indicaram 129 trechos de falas e 14 códigos agrupados em 3 categorias relacionadas à satisfação. A categoria Identificação com o trabalho e princípios da Estratégia Saúde da Família representou 40,3% e teve os códigos: trabalho em equipe, afinidade com o trabalho, modelo de saúde, integralidade da assistência, longitudinalidade do cuidado. A categoria relações com os usuários na Estratégia Saúde da Família representou 32,6% com os seguintes códigos: vínculo com o usuário, resolutividade da assistência, satisfação do usuário, assistência ao usuário. Por fim, a categoria aspectos profissionais e trabalhistas relacionados à Estratégia Saúde da Família, representou 27,1% com os seguintes códigos: relação com os profissionais, reconhecimento do trabalho, gostar da profissão, organização da equipe, vínculo de trabalho. Conclusão: A satisfação profissional está associada aos princípios do trabalho na Estratégia Saúde da Família, as conexões que se estabelecem entre usuários, profissionais e gestão em saúde. Possui ainda uma dimensão subjetiva, possuindo forte vínculo com características do processo de trabalho, como esse é organizado e sob que condições e relações o trabalho acontece


Assuntos
Humanos , Adulto , Pessoa de Meia-Idade , Atenção Primária à Saúde , Condições de Trabalho , Estratégia Saúde da Família , Pesquisa Qualitativa , Satisfação no Emprego , Equipe de Assistência ao Paciente , Trabalho , Sistema Único de Saúde , Saúde da Família , Pessoal de Saúde , Continuidade da Assistência ao Paciente , Gestão em Saúde , Assistência ao Paciente , Recursos em Saúde
2.
Rev Med Suisse ; 16(709): 1881-1885, 2020 Oct 07.
Artigo em Francês | MEDLINE | ID: mdl-33026732

RESUMO

Prevalence of burnout in physicians is increasing, affecting their health and satisfaction at work as well as quality and security of healthcare. Several causes have been identified, of which growing intensity of work, loss of meaning and feeling that healthcare structure reforms prevent one's job being done properly are the main reasons. New data shows an association between burnout and use of the yet widespread electronic health record. It has a proven impact on the multiple aspects of physician's work, and users' satisfaction is often mediocre. Hence, among the broad prevention field of physicians' burnout, specific measures related to the digital domain are needed.


Assuntos
Esgotamento Profissional , Registros Eletrônicos de Saúde , Satisfação no Emprego , Médicos/psicologia , Esgotamento Psicológico , Humanos
3.
Medicine (Baltimore) ; 99(35): e21919, 2020 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-32871926

RESUMO

Pharmacists with long experience and low personal satisfaction from work are at higher risk of burnout, but the role of specific personality traits is less well understood. In addition, the medical system in China is different from that of other countries, and the characteristics of pharmacist burnout might be different from that of other countries. This study evaluated the roles played by personality, working environment, and work characteristics on burnout and job satisfaction among Chinese hospital pharmacists.This was a cross-sectional study undertaken between April 28 and 30, 2017. The questionnaires were completed at the "National Academic Conference of the Chinese Society of Clinical Pharmacy". Questionnaires were handed out to 1786 pharmacists, and 1394 valid questionnaires were analyzed using structural equation modeling techniques.The final structural model showed that, as expected, personality and working environment factors directly or indirectly predicted burnout dimensions (emotional exhaustion, depersonalization, and reduction of personal accomplishment) and job satisfaction variables. The analyses were consistent with the features of pharmacists' work characteristics, including job demands, job control, and workload playing mediating roles between antecedent variables (personality and working environment) and emotional outcomes (burnout and job satisfaction). On the other hand, job control and workload did not predict emotional exhaustion.This study indicates that personality is a negative predictor of 2 dimensions of burnout (emotional exhaustion and depersonalization), while the working environment, especially job demand, is a predictor of burnout and greater emotional exhaustion. Work characteristics are positively related to job satisfaction and play a protective role against burnout.


Assuntos
Esgotamento Profissional/psicologia , Satisfação no Emprego , Farmacêuticos/psicologia , Serviço de Farmácia Hospitalar , Adulto , China , Estudos Transversais , Despersonalização , Ajustamento Emocional , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Personalidade , Inquéritos e Questionários , Local de Trabalho , Adulto Jovem
4.
Med Lav ; 111(4): 306-320, 2020 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-32869767

RESUMO

BACKGROUND: A high level of organizational well-being improves employee performance and influences the physical and mental health of healthcare providers and students. OBJECTIVE: This study investigates the relationship between the work context, organizational well-being, and the psychophysical health of healthcare providers. METHODS: A multicentre cross-sectional descriptive study was conducted on a sample of healthcare providers (physicians and nurses) and healthcare students (medical students and nursing students). A self-report questionnaire was administered between September and November 2016. -Results: Of the 300 questionnaires administered, 201 (67%) were correctly completed. Overall, both the physical and mental health of the healthcare providers and students are explained by the variables of the organizational context: organizational well-being and socio-demographic/work characteristics. In particular, the results show a dependence on gender and age. Furthermore, decision latitude had a positive effect on physical health (b=.134) while job demands had a negative effect (b=-.160) explaining 21% of the PCS of the healthcare providers and students (R2=.209). Mental health improved via the satisfaction (b=.345), and positivity (b=.222) of healthcare professionals and students of these disciplines. DISCUSSION: The results are significant because they directly impact the quality of care provided as well as patient safety.


Assuntos
Pessoal de Saúde , Satisfação no Emprego , Local de Trabalho , Atitude do Pessoal de Saúde , Estudos Transversais , Pessoal de Saúde/psicologia , Humanos , Inquéritos e Questionários
5.
Ann Agric Environ Med ; 27(3): 456-468, 2020 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-32955230

RESUMO

INTRODUCTION AND OBJECTIVE: Numerous studies have found that doctors are exposed to stress and burnout at work. In consequence, these processes lead to a decrease in the quality of life. The study aimed to determine whether professional burnout, understood as a cognitive existential process, is related to stress at work and if any of the four dimensions of burnout are its predictor. The study also analyzed relations between organizational-professional and non-professional-social factors and burnout and stress at work. MATERIAL AND METHODS: 318 doctors (210 women, 108 men), aged 27 - 8, participated in the study. Link Burnout Questionnaire (LBQ) was used to measure burnout, and the Perceived Stress Scale (PSS-10) to measure the variable describing the current level of stress. RESULTS: Occupational burnout is related to stress. Two of its symptoms: exhaustion and lack of a sense of professional effectiveness, are important predictors for the sense of stress experienced by the examined group of doctors. The individuals who are in a partner relationship (but not marriage) experienced a stronger sense of non-professional effectiveness than those who were single. Being in an informal relationship is related to the level of stress and lack of a sense of professional effectiveness. The level of stress, as well as all burnout indicators, are connected with the function of a team leader and having passion. The frequency of taking leave and using social networks is related to the level of stress and burnout. CONCLUSIONS: Problems related to burnout in doctors, and therefore people professionally involved in helping and treating, must not be underestimated, as evidenced by the results of the presented study Professional burnout of doctors leads to somatic and psychological problems. Doctors suffering from occupational burnout need support and psychological assistance the same as any other professional group.


Assuntos
Esgotamento Profissional/epidemiologia , Satisfação no Emprego , Médicos/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Esgotamento Profissional/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polônia/epidemiologia , Carga de Trabalho
6.
PLoS One ; 15(9): e0236255, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32881867

RESUMO

Community Health Workers (CHWs) play a vital role delivering health services to vulnerable populations in low resource settings. In Rwanda, CHWs provide village-level care focused on maternal/child health, control of infectious diseases, and health education, but do not receive salaries for these services. CHWs make up the largest single group involved in health delivery in the country; however, limited information is available regarding the socio-economic circumstances and satisfaction levels of this workforce. Such information can support governments aiming to control infectious diseases and alleviate poverty through enhanced healthcare delivery. The objectives of this study were to (1) evaluate CHW opportunity costs, (2) identify drivers for CHW motivation, job satisfaction and care provision, and (3) report CHW ideas for improving retention and service delivery. In this mixed-methods study, our team conducted in-depth interviews with 145 CHWs from three districts (Kirehe, Kayonza, Burera) to collect information on household economics and experiences in delivering healthcare. Across the three districts, CHWs contributed approximately four hours of volunteer work per day (range: 0-12 hrs/day), which translated to 127 684 RWF per year (range: 2 359-2 247 807 RWF/yr) in lost personal income. CHW out-of-pocket expenditures (e.g. patient transportation) were estimated at 36 228 RWF per year (range: 3 600-364 800 RWF/yr). Participants identified many benefits to being CHWs, including free healthcare training, improved social status, and the satisfaction of helping others. They also identified challenges, such as aging equipment, discrepancies in financial reimbursements, poverty, and lack of formal workspaces or working hours. Lastly, CHWs provided perspectives on reasonable and feasible improvements to village-level health programming that could improve conditions and equity for those providing and using the CHW system.


Assuntos
Agentes Comunitários de Saúde , Adulto , Agentes Comunitários de Saúde/economia , Agentes Comunitários de Saúde/educação , Agentes Comunitários de Saúde/psicologia , Estudos Transversais , Assistência à Saúde/economia , Feminino , Humanos , Renda , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Motivação , Ruanda , Adulto Jovem
7.
J Med Internet Res ; 22(10): e22146, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-32903195

RESUMO

BACKGROUND: As the COVID-19 pandemic disrupted medical practice, telemedicine emerged as an alternative to outpatient visits. However, it is not known how patients and physicians responded to an accelerated implementation of this model of medical care. OBJECTIVE: The aim of this study is to report the system-wide accelerated implementation of telemedicine, compare patient satisfaction between telemedicine and in-person visits, and report provider perceptions. METHODS: This study was conducted at the UC Christus Health Network, a large private academic health network in Santiago, Chile. The satisfaction of patients receiving telemedicine care in March and April 2020 was compared to those receiving in-person care during the same period (concurrent control group) as well as in March and April 2019 (retrospective control group). Patient satisfaction with in-person care was measured using the Net Promoter Score (NPS) survey. Patient satisfaction with telemedicine was assessed with an online survey assessing similar domains. Providers rated their satisfaction and responded to open-ended questions assessing challenges, strategies used to address challenges, the diagnostic process, treatment, and the patient-provider relationship. RESULTS: A total of 3962 patients receiving telemedicine, 1187 patients from the concurrent control group, and 1848 patients from the retrospective control group completed the surveys. Satisfaction was very high with both telemedicine and in-person services. Overall, 263 physicians from over 41 specialties responded to the survey. During telemedicine visits, most providers felt their clinical skills were challenged (61.8%). Female providers felt more challenged than male providers (70.7% versus 50.9%, P=.002). Surgeons, obstetricians, and gynecologists felt their clinical skills were challenged the least, compared to providers from nonsurgical specialties (P<.001). Challenges related to the delivery modality, diagnostic process, and patient-provider relationship differed by provider specialty (P=.046, P<.001, and P=.02, respectively). CONCLUSIONS: Telemedicine implemented in response to the COVID-19 pandemic produced high patient and provider satisfaction. Specialty groups perceived the impact of this new mode of clinical practice differently.


Assuntos
Infecções por Coronavirus/epidemiologia , Satisfação do Paciente , Pneumonia Viral/epidemiologia , Telemedicina/métodos , Centros Médicos Acadêmicos , Adolescente , Adulto , Idoso , Betacoronavirus , Criança , Pré-Escolar , Chile/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Pandemias , Pesquisa Qualitativa , Projetos de Pesquisa , Estudos Retrospectivos , Inquéritos e Questionários , Telemedicina/tendências , Adulto Jovem
8.
Rev Lat Am Enfermagem ; 28: e3336, 2020.
Artigo em Português, Espanhol, Inglês | MEDLINE | ID: mdl-32876293

RESUMO

OBJECTIVE: to identify biopsychosocial factors at work associated with the Burnout Syndrome in mental health professionals. METHOD: a cross-sectional study with a quantitative approach conducted with a sample of 293 mental health service workers from the public network of a municipality in the inland of the state of São Paulo, Brazil. An instrument composed of three self-administered questionnaires was applied, namely: biosocial data form, the Job Stress Scale (JSS) and the Maslach Burnout Inventory (MBI- HSS). The data were analyzed through the application of the Chi-squared and logistic regression tests, with the adoption of a 5% significance level. RESULTS: Burnout Syndrome prevalence was 7% with a predominance of nursing professionals and was associated with the work sector, the use of psychotropic drugs, low satisfaction with the manager and with the low control over the work activity. Among the professionals with Burnout Syndrome, twelve performed functions considered of high wear, six performed passive work and two were in low wear activity. CONCLUSION: low control was the main psychosocial factor at work associated with Burnout Syndrome, making it necessary to develop actions that promote worker autonomy and improve the management of stress-triggering psychosocial factors.


Assuntos
Esgotamento Profissional/epidemiologia , Saúde Mental , Brasil/epidemiologia , Estudos Transversais , Pessoal de Saúde , Humanos , Satisfação no Emprego , Inquéritos e Questionários
9.
Rev Med Suisse ; 16(707): 1767-1770, 2020 Sep 23.
Artigo em Francês | MEDLINE | ID: mdl-32969615

RESUMO

Since the creation of Balint groups in the 1950s, the concept of meeting among doctors to discuss difficult clinical situations has spread widely, whether or not in line with Michael Balint's initial model. While the latter had thought of these groups as training, their therapeutic role was quickly questioned in the medical literature. At a time when we are seeing and concerned about the poor mental health of primary care doctors, we wanted to show that the added value provided by participation in a practice exchange group is both formative and therapeutic. In this sense, the participation of GP in such a group is part of the recommendations to improve the quality of care, prevent caregivers from burnout, and improve their professional satisfaction.


Assuntos
Esgotamento Profissional/prevenção & controle , Processos Grupais , Médicos de Atenção Primária/educação , Médicos de Atenção Primária/psicologia , Humanos , Satisfação no Emprego
11.
J Appl Psychol ; 105(10): 1073-1087, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32866024

RESUMO

Employees around the world have experienced sudden, significant changes in their work and family roles due to the COVID-19 pandemic. However, applied psychologists have limited understanding of how employee experiences of work-family conflict and enrichment have been affected by this event and what organizations can do to ensure better employee functioning during such societal crises. Adopting a person-centered approach, we examine transitions in employees' work-family interfaces from before COVID-19 to after its onset. First, in Study 1, using latent profile analysis (N = 379; nonpandemic data), we identify profiles of bidirectional conflict and enrichment, including beneficial (low conflict and high enrichment), active (medium conflict and enrichment), and passive (low conflict and enrichment). In Study 2, with data collected before and during the COVID-19 pandemic, we replicate Study 1 profiles and explore whether employees transition between work-family profiles during the pandemic. Results suggest that although many remain in prepandemic profiles, positive (from active/passive to beneficial) and negative (from beneficial to active/passive) transitions occurred for a meaningful proportion of respondents. People were more likely to go through negative transitions if they had high segmentation preferences, engaged in emotion-focused coping, experienced higher technostress, and had less compassionate supervisors. In turn, negative transitions were associated with negative employee consequences during the pandemic (e.g., lower job satisfaction and job performance, and higher turnover intent). We discuss implications for future research and for managing during societal crises, both present and future. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Conflito Familiar/psicologia , Satisfação no Emprego , Pneumonia Viral/psicologia , Estresse Psicológico/psicologia , Desempenho Profissional/estatística & dados numéricos , Adaptação Psicológica , Adulto , Infecções por Coronavirus/complicações , Empatia , Feminino , Humanos , Análise de Classes Latentes , Masculino , Pessoa de Meia-Idade , Pandemias , Reorganização de Recursos Humanos/estatística & dados numéricos , Pneumonia Viral/complicações , Estresse Psicológico/etiologia
12.
Artigo em Inglês | MEDLINE | ID: mdl-32872321

RESUMO

Evidence about the characterization of home workers in terms of both work-related outcomes and health issues is lacking. The purpose of this cross-sectional study was to examine the impact of home working on perceived job productivity and satisfaction, work-related stress, and musculoskeletal (MSK) issues. We included 51 mobile workers, collecting data about demographic characteristics, working experience, job productivity, and stress. Job satisfaction was assessed through the Utrecht Work Engagement Scale (UWES), while MSK pain was investigated by the Brief Pain Inventory (BPI) and Fear Avoidance Beliefs Questionnaire (FABQ). Moreover, a home workplace analysis had to be carried out according to current Italian regulations. Participants declared that they were less productive (39.2%) but less stressed (39.2%) and equally satisfied (51%) compared to the time of office working. Regarding MSK disorders, low back pain (LBP) was referred by 41.2% of home workers and neck pain by 23.5% of them. Neck pain worsened in 50% of home workers, while LBP did not exacerbate in 47.6% of cases. Home workers with MSK pain reported a lower job satisfaction. Depending on our data, the home environment seems to be not adequate in the mobile worker population, with an increased risk for mental health and MSK problems, particularly affecting the spine. Addressing these issues can significantly reduce risks for health, thus, improving job productivity and satisfaction and reducing cost.


Assuntos
Infecções por Coronavirus/epidemiologia , Dor Lombar/epidemiologia , Cervicalgia/epidemiologia , Estresse Ocupacional/epidemiologia , Pneumonia Viral/epidemiologia , Local de Trabalho , Betacoronavirus , Estudos Transversais , Humanos , Satisfação no Emprego , Pandemias , Inquéritos e Questionários
13.
J Nurs Adm ; 50(10): 508-514, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32889974

RESUMO

OBJECTIVE: The purpose of this study was to describe generation Y nurses' perceptions of their nurse managers' servant leadership characteristics as well as the relationship between these characteristics and intent to stay on the job. BACKGROUND: To attract and retain generation Y nurses, organizational leaders need to develop an understanding of this generation's perspectives around workplace loyalty and commitment. METHOD: This study had a quantitative correlational research design. The Servant Leadership Survey (SLS) measured 116 generation Y nurses' perception of their manager's use of servant leadership. RESULTS: Generation Y nurses' most positively rated servant leadership characteristic of their managers was accountability; the lowest was forgiveness. Significant positive relationships were found between the overall SLS score and intent to stay and between the SLS dimensions of standing back, empowerment, authenticity, humility, and stewardship, and intent to stay on the job. CONCLUSIONS: Generation Y nurses are seeking characteristics in their nurse managers that will attract them to stay on the job; if these characteristics are lacking, they may leave.


Assuntos
Relação entre Gerações , Satisfação no Emprego , Enfermeiras Administradoras/psicologia , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Liderança , Masculino , New York , Reorganização de Recursos Humanos
14.
Pain Physician ; 23(4S): S271-S282, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32942787

RESUMO

BACKGROUND: Burnout has been a commonly discussed issue for the past ten years among physicians and other health care workers. A survey of interventional pain physicians published in 2016 reported high levels of emotional exhaustion, often considered the most taxing aspect of burnout. Job dissatisfaction appeared to be the leading agent in the development of burnout in pain medicine physicians in the United States. The COVID-19 pandemic has drastically affected the entire health care workforce and interventional pain management, with other surgical specialties, has been affected significantly. The COVID-19 pandemic has placed several physical and emotional stressors on interventional pain management physicians and this may lead to increased physician burnout. OBJECTIVE: To assess the presence of burnout specific to COVID-19 pandemic among practicing interventional pain physicians. METHODS: American Society of Interventional Pain Physicians (ASIPP) administered a 32 question survey to their members by contacting them via commercially available online marketing company platform. The survey was completed on www.constantcontact.com. RESULTS: Of 179 surveys sent, 100 responses were obtained. The data from the survey demonstrated that 98% of physician practices were affected by COVID and 91% of physicians felt it had a significant financial impact. Sixty seven percent of the physicians responded that in-house billing was responsible for their increased level of burnout, whereas 73% responded that electronic medical records (EMRs) were one of the causes. Overall, 78% were very concerned. Almost all respondents have been affected with a reduction in interventional procedures. 60% had a negative opinion about the future of their practice, whereas 66% were negative about the entire health care industry. LIMITATIONS: The survey included only a small number of member physicians. Consequently, it may not be generalized for other specialties or even pain medicine. However, it does represent the sentiment and present status of interventional pain management. CONCLUSION: The COVID-19 pandemic has put interventional pain practices throughout the United States under considerable financial and psychological stress. It is essential to quantify the extent of economic loss, offer strategies to actively manage provider practice/wellbeing, and minimize risk to personnel to keep patients safe.


Assuntos
Esgotamento Profissional/epidemiologia , Infecções por Coronavirus , Manejo da Dor/psicologia , Pandemias , Pneumonia Viral , Betacoronavirus , Humanos , Satisfação no Emprego , Pessoa de Meia-Idade , Médicos/psicologia , Estresse Psicológico/epidemiologia , Estresse Psicológico/etiologia , Inquéritos e Questionários , Estados Unidos
15.
PLoS One ; 15(8): e0236952, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32780751

RESUMO

Rotation schedules for residents must balance individual preferences, compliance with Accreditation Council for Graduate Medical Education guidelines, and institutional staffing requirements. Automation has the potential to improve the consistency and quality of schedules. We designed a novel rotation scheduling tool, the Automated Internal Medicine Scheduler (AIMS), and evaluated schedule quality and resident satisfaction and perceptions of fairness after implementation. We compared schedule uniformity, fulfillment of resident preferences, and conflicting shift assignments for the hand-made 2017-2018 schedule, and the AIMS-generated 2018-2019 schedule. Residents were surveyed in September 2018 to assess perception of schedule quality and fairness. With AIMS, 71/74 (96.0%) interns and 66/82 (80.5%) residents were assigned to their first-choice rotation, a significant increase from the 50/72 (69.4%) interns and 25/82 (30.5%) residents assigned their first-choice in the 2017-2018 academic year. AIMS also yielded significant improvements in the number of night shift/day shift conflicts at the time of rotation switches for interns, with a significant decrease to 0.3 conflicts per intern compared to 0.7 with the prior manual schedule. Twenty-two of 82 residents (27%) completed the survey, and average satisfaction and perception of fairness were 0.7 and 0.9 points higher on a 5-point Likert scale for the AIMS-generated schedule when compared to the non-AIMS schedule. There was no significant difference in the preference for assigned vacation blocks, or in variance for night or ICU rotations. Automated scheduling improved several metrics of schedule quality, as well as resident satisfaction. Future directions include evaluation of the tool in other residency programs and comparison with alternative scheduling algorithms.


Assuntos
Medicina Interna/educação , Internato e Residência , Admissão e Escalonamento de Pessoal , Automação , Connecticut , Feminino , Humanos , Satisfação no Emprego , Masculino , Admissão e Escalonamento de Pessoal/normas , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Jornada de Trabalho em Turnos/normas , Jornada de Trabalho em Turnos/estatística & dados numéricos , Software , Inquéritos e Questionários , Estados Unidos , Tolerância ao Trabalho Programado
16.
Am J Occup Ther ; 74(5): 7405205090p1-7405205090p8, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32804627

RESUMO

IMPORTANCE: Practitioners working in school settings have a variety of job-related responsibilities in addition to direct service provision. Models of best practice indicate that a workload approach to service delivery allows practitioners to provide effective and productive interventions in the school setting; however, current information related to service delivery by school-based practitioners in the United States is lacking. OBJECTIVE: To explore current caseloads, service delivery models, implementation of workload models, knowledge of state and local policies, and job satisfaction of school-based occupational therapy practitioners and how they relate to best practice. DESIGN: Web-based survey. SETTING: School-based practice. PARTICIPANTS: Three hundred seventy-one school-based practitioners from across the United States completed the study. OUTCOMES AND MEASURES: Investigator-developed survey with both closed- and open-ended questions. RESULTS: School-based practitioners recruited via social media platforms and snowball sampling completed an online survey. Results indicate that practitioners wanted to move their practice to a workload model but cited lack of administrative support, time, procedural knowledge, and decreased advocacy skills as barriers to implementation. Moreover, despite current philosophy regarding best practice, occupational therapy practitioners continue to provide services outside of the classroom and other natural settings. CONCLUSIONS AND RELEVANCE: There seems to be a disconnect between intent (e.g., service delivery in natural settings, expanding the scope of practice) and current practice trends. Practitioners need support to advocate for and implement alternative service delivery models and to incorporate a workload approach to meet the diverse needs of students in educational settings. WHAT THIS ARTICLE ADDS: Practical resources related to caseload and workload guidelines and implementation, service delivery models, and methods of advocacy and negotiation skills are needed to support practitioners as they advocate for changes in their practice.


Assuntos
Instituições Acadêmicas , Carga de Trabalho , Humanos , Satisfação no Emprego , Estudantes , Inquéritos e Questionários , Estados Unidos
18.
PLoS One ; 15(8): e0237250, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32776992

RESUMO

Job crafting is beneficial for employees and organizations. To better predict these behaviors, we introduce the concept of job crafting self-efficacy (JCSE) and define it as an individual's beliefs about their capability to modify the demands and resources of their job to better fit their needs. This article describes the development and validation of a scale to measure JCSE. We conducted a qualitative study to design and four quantitative studies to test the psychometric properties of this scale among Polish and American employees in both paper-and-pencil and online versions. Three independent (N1 = 364; N2 = 432; N3 = 403) confirmatory factor analyses demonstrated a good fit to a 3-factor solution comprising JCSE beliefs about increasing (a) structural job resources, (b) social job resources, and (c) challenging job demands. The 9-item JCSE Scale had good internal consistency, high time stability, and good validity. It correlated positively with general self-efficacy. JCSE explained unique variance in job crafting behaviors over and above general self-efficacy, and was more important in predicting job crafting than contextual factors. We demonstrate the role of social cognitions in shaping job redesign behaviors and provide a useful tool to evaluate the effectiveness of interventions dedicated to empowering JCSE.


Assuntos
Satisfação no Emprego , Psicometria , Autoeficácia , Engajamento no Trabalho , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicologia Industrial/métodos , Psicometria/métodos , Adulto Jovem
19.
Am J Perinatol ; 37(12): 1271-1279, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32757185

RESUMO

OBJECTIVE: This study was aimed to describe the hospitalization and early postpartum psychological experience for asymptomatic obstetric patients tested for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) as part of a universal testing program and report the impact of this program on labor and delivery health care workers' job satisfaction and workplace anxiety. STUDY DESIGN: This is a cohort study of asymptomatic pregnant women who underwent SARS-CoV-2 testing between April 13, 2020 and April 26, 2020. Semistructured interviews were conducted via telephone at 1 and 2 weeks posthospitalization to assess maternal mental health. Depression screening was conducted using the patient health questionnaire-2 (PHQ-2). An online survey of labor and delivery health care workers assessed job satisfaction and job-related anxiety before and during the novel coronavirus disease 2019 (COVID-19) pandemic, as well as employees' subjective experience with universal testing. Patient and employee responses were analyzed for recurring themes. RESULTS: A total of 318 asymptomatic women underwent SARS-CoV-2 testing during this 2-week period. Six of the eight women (75%) who tested positive reported negative in-hospital experiences secondary to perceived lack of provider and partner support and neonatal separation after birth. Among the 310 women who tested negative, 34.4% of multiparous women reported increased postpartum anxiety compared with their prior deliveries due to concerns about infectious exposure in the hospital and lack of social support. Only 27.6% of women, tested negative, found their test result to be reassuring. Job satisfaction and job-related anxiety among health care workers were negatively affected. Universal testing was viewed favorably by the majority of health care workers despite concerns about delays or alterations in patient care and maternal and neonatal separation. CONCLUSION: Universal testing for SARS-CoV-2 in obstetric units has mixed effects on maternal mental health but is viewed favorably by labor and delivery employees. Ongoing evaluation of new testing protocols is paramount to balance staff and patient safety with quality and equality of care. KEY POINTS: · Women with SARS-CoV-2 had a negative hospital experience.. · A negative SARS-CoV-2 test was not reassuring for patients.. · COVID-19 negatively impacts healthcare workers' well-being..


Assuntos
Atitude Frente a Saúde , Infecções por Coronavirus/diagnóstico , Pessoal de Saúde/psicologia , Programas de Rastreamento/psicologia , Isolamento de Pacientes/psicologia , Pneumonia Viral/diagnóstico , Período Pós-Parto/psicologia , Gestantes/psicologia , Apoio Social , Adulto , Ansiedade , Infecções Assintomáticas/psicologia , Atitude do Pessoal de Saúde , Betacoronavirus , Técnicas de Laboratório Clínico , Feminino , Hospitalização , Humanos , Recém-Nascido , Satisfação no Emprego , Tocologia , Enfermeiras e Enfermeiros/psicologia , Enfermagem Obstétrica , Estresse Ocupacional/psicologia , Pandemias , Parto , Questionário de Saúde do Paciente , Médicos/psicologia , Gravidez
20.
PLoS One ; 15(8): e0236029, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32760082

RESUMO

Health is a critical factor for the generation of value by workers. Companies bear substantial costs associated with absenteeism and presenteeism among their employees. This study investigates the impact of the environmental conditions in the workplace on the health and job satisfaction of employees, as core factors of productivity. We provide evidence based on a natural experiment, in which 70% of the workforce of a municipality in the Netherlands was relocated to a building with a design focused on sustainability and health and well-being. We construct a longitudinal dataset based on individual surveys of the entire municipality workforce and include measures before and after the move. The estimation results show a significant improvement in the perceived environmental conditions, as well as in the health and well-being of the relocated workers, measured by the drop in incidence of sick building syndrome symptoms. Results are heterogeneous based on age: older groups of employees enjoy larger health impacts. The relocation effects remain persistent in the medium term (two years after the moving date). Importantly, a mediation analysis suggests that the achieved improvements in health and well-being lead to significantly enhanced job satisfaction and a 2% reduction in the prevalence of sick leave.


Assuntos
Arquitetura de Instituições de Saúde , Satisfação no Emprego , Saúde do Trabalhador/economia , Síndrome do Edifício Doente/epidemiologia , Local de Trabalho , Absenteísmo , Adulto , Feminino , Nível de Saúde , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Países Baixos/epidemiologia , Presenteísmo/economia , Presenteísmo/estatística & dados numéricos , Síndrome do Edifício Doente/economia , Licença Médica/economia , Licença Médica/estatística & dados numéricos , Desenvolvimento Sustentável
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