Workplace Issues

Sleep and Recovery in Physicians on Night Call: a Longitudinal Field Study

The aim of the present study was to examine whether a 16-hour night-call schedule allowed for sufficient recovery in anaesthesiologists compared with other physician specialists handling less life-threatening conditions, when on call. [from abstract]

Not All Coping Strategies are Created Equal: a Mixed Methods Study Exploring Physicians' Self Reported Coping Strategies

The primary goal of this paper is to use interview data to explore physicians’ self reported coping strategies. In addition, questionnaire data is utilized to explore the degree to which the coping strategies are used and are associated with feelings of emotional exhaustion, a key symptom of burnout. [from abstract]

Monitoring the Newly Qualified Nurses in Swede: the Longitudinal Analysis of Nursing Education (LANE) Study

The LANE study aims to longitudinally examine a wide variety of individual and work-related variables related to psychological and physical health, as well as rates of employee and occupational turnover, and professional development among nursing students in the process of becoming registered nurses and entering working life. The aim of this paper is to present the LANE study, to estimate representativeness and analyse response rates over time, and also to describe common career pathways and life transitions during the first years of working life. [adapted from abstract]

Sector Specific Components that Contribute to Positive Work Environments and Job Satisfaction for Nurses/Issues in Long-Term Care and Community Care

This study explored sector specific components that contribute to positive work environments and job satisfaction for nurses working outside of the acute care sector. Specifically, this study examined the recruitment and retention initiatives being implemented by nursing employers in the community, public health and long-term care sectors in various geographic areas of Ontario. [from summary]

Can Interprofessional Collaboration Provide Health Human Resources Solutions? A Knowledge Synthesis

Evidence indicates that lack of communication and collaboration between health providers can seriously harm patients. To solve these issues, we need to change how health services are delivered and how providers interact with each other. This project examined interprofessional interventions and how they impact the health workforce and workplace quality. [adapted from summary]

Caring for the Carers: Wellness Centers for Health Care Workers and Their Families

Very few innovations look at providing services for health care workers and the creation of wellness centres is a real innovation. The centres have opened the door to improved retention practices, better health and an increased sense of being valued for African health workers, who toil daily on the front lines of the battle against HIV and AIDS, TB and other infectious diseases. [from author]

Preventive Staff-Support Interventions for Health Workers

Healthcare workers need to be supported to maintain sufficient levels of motivation and productivity, and to prevent the debilitating effects of stress on mental and physical well-being. The objective of this study was to assess the effects of preventive staff-support interventions to healthcare workers. [adapted from abstract]

Aggression and Violence Against Health Care Workers in Germany: a Cross Sectional Retrospective Survey

The aim of this study was to examine the frequency and consequences of aggressive behaviour towards nurses and health care workers in different health sectors in Germany and to assess the need for preventive measures. [from abstract]

Medicine in Australia: Balancing Employement and Life (MABEL) Longitudinal Survey: Protocol and Baseline Data for a Prospective Cohort Study of Australian Doctors' Workforce Participation

While there is considerable research on medical workforce supply trends, there is little research examining the determinants of labour supply decisions for the medical workforce. The MABEL study investigates workforce participation patterns and their determinants using a longitudinal survey of Australian doctors. It aims to generate evidence to support developing effective policy responses to workforce issues such as shortages and maldistribution. This paper describes the study protocol and baseline cohort, including an analysis of response rates and response bias. [from abstract]

Challenges Facing the Tanzanian Health Workforce in the Era of HIV/AIDS

The need for documenting how the AIDS epidemic is affecting the health care personnel has long been recognized. In the specific case of Tanzania which already has a Health Sector HIV/AIDS Strategy it is imperative to have information on how the health system and the health personnel who are expected to spearhead the implementation of that strategy are being affected. This can guide preventive and remedial measures to ensure that the capacity of the system and its personnel for the effective implementation of the Strategy is not unduly compromised. [from author]

Referrals for Positive Tuberculin Tests in New health Care Workers and Students: a Retrospective Cohort Study

Documentation of test results for latent tuberculosis infection is important for health care workers and students before they begin work. A negative result provides a baseline for comparison with future tests. A positive result affords a potential opportunity for treatment of latent infection when appropriate. This study sought to evaluate the yield of the referral process for positive baseline tuberculin tests, among persons beginning health care work or studies. [from abstract]

Effectiveness of a Training Programme to Improve Hand Hygiene Compliance in Primary Healthcare

The main objective of this study was to evaluate the effect of a training program on hand hygiene for the reduction of healthcare-associated infections for primary healthcare workers. [adapted from author]

Physician Wellness: a Missing Quality Indicator

When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems. [from summary]

Preventing the Spread of Influenza A H1N1 to Health-Care Workers

This article relects on influenza transmission and how best to reduce the risk of infection among health-care workers. [adapted from author]

Workplace Violence and Gender Discrimination in the Health Sector in Rwanda

As the Capacity Project has worked to strengthen HRH systems to implement quality health programs in developing countries, it has systematically focused on how differences and inequalities affect women’s and men’s opportunities for education, training and occupational choice. In Rwanda, the Project helped the government follow through on its national policy commitments to gender equality by conducting a study of workplace violence and gender discrimination as barriers to workforce participation. [from author]

Factors Predicting Team Climate and Its Relationship with Quality of Care in General Practice

Quality of care in general practice may be affected by the team climate perceived by its health and non-health professionals. This study aimed to explore individual and practice factors that were associated with team climate, and to explore the relationship between team climate and quality of care. [from abstract]

Physicians' Working Conditions and Job Satisfaction: Does Hospital Ownership in Germany Make a Difference?

This study’s purpose is to compare how physicians, working for both public and privatized hospitals, rate their respective psychosocial working conditions and job satisfaction. [from abstract]

Participant Observation of Time Allocation, Direct Patient Contact and Simultaneous Activities in Hospital Physicians

This article details the results of a preliminary study on the activity patterns, time allocation and simultaneous activities of hospital physicians. [adapted from abstract]

Burnout and Use of HIV Services Among Health Care Workers in Lusaka District, Zambia: a Cross-Sectional Study

Well-documented shortages of health care workers in sub-Saharan Africa are exacerbated by the increased human resource demands of rapidly expanding HIV care and treatment programmes. The successful continuation of existing programmes is threatened by health care worker burnout and HIV-related illness. This article details the results of a study conducted among health providers in the Lusaka public health sector. [adapted from abstract]

Safer Place Self-Audit Tool: Combating Violence Against Social Care Staff

This self-audit tool can be used at any management level and is designed to help employers make a quick judgement about whether an organization’s framework for management and practice minimizes the potential for workers to be subject to violence and abuse. The tool also enables a supportive response if incidents occur. [adapted from description]

Study on Workplace Violence within the Health Sector in Rwanda: Final Report

A study on workplace violence within the health sector in Rwanda was conducted in 2007 in order to determine the type, impact, context, consequences and prevention strategies of workplace violence in Rwanda; to assist the Ministries of Health, Public service and Labor (MIFOTRA) as well as other stakeholders in developing a political, legal and programmatic response to improve providers’ safety, satisfaction and retention. This study also explored the characteristics of gender-based violence, including gender-based discrimination and its relation to workplace violence. [adapted from foreword]

Guidelines for Occupational Safety and Health, Including HIV in the Health Services Sector

These guidelines target all health workers at the different levels of the health care delivery system and apply to both the formal and informal workplaces within the health sector. This document covers the basic principles that are required to ensure workplace safety and health including hazard identification, risk management, prevention and management of exposures and incidents. [from foreword]

Conflict Among Iranian Hospital Nurses: a Qualitative Study

This study explores the experience of conflict as perceived by Iranian hospital nurses in Tehran, Islamic Republic of Iran. Although conflict-control approaches have been extensively researched throughout the world, no research-based data are available on the perception of conflict and effective resolutions among hospital nurses in Iran. [adapted from abstract]

Measuring and Managing the Work Environment of the Mid-Level Provider: the Neglected Human Resource

Our study aimed to explore a neglected but crucial aspect of human resources for health in Africa: the provision of a work environment that will promote motivation and performance of mid-level providers. This paper explores the work environment of mid-level providers in Malawi, and contributes to the validation of an instrument to measure the work environment of mid-level providers in low income countries. [from abstract]

Key Characteristics of Positive Practice Environments for Health Care Professionals

This document presents a checklist of key characteristics of quality workplaces for health care professionals. It is intended for use by employers, professional organizations, regulatory bodies, government agencies as well as health sector professionals. It is designed as a reference tool to enable these groups to assess the quality of their practice environment, identify any deficiencies and develop strategies to address priority gaps. [adapted from introduction]

TTR Plan and Measures to Protect Health Workers

This presentation covers the World Health Organization’s Treat, Train and Retain activities in terms of the key elements for health worker safety and protection. [adapted from author]

Effects of Job Rotation and Role Stress among Nurses on Job Satisfaction and Organizational Commitment

The motivation for this study was to investigate how role stress among nurses could affect their job satisfaction and organizational commitment, and whether the job rotation system might encourage nurses to understand, relate to and share the vision of the organization, consequently increasing their job satisfaction and stimulating them to willingly remain in their jobs and commit themselves to the organization. [from abstract]

What about the Health Workers? Improving the Work Climate at Rural Facilities in Kenya

In health facilities across Kenya, many workers are struggling to do their jobs in less-than-ideal conditions. Work climate issues such as poor working environments, unfriendly colleagues, disorganized facility functions and ineffective supervision have been hindering workers’ performance and productivity and contributing to low retention. [from author]

Relationship Experiences of Professional Nurses with Nurse Mangers

This qualitative study was undertaken to explore and describe the experiences of professional nurses in their relationships with nurse managers. [from abstract]

National Impact: Local Ownership of Health Workforce Initiatives in Uganda

This document discusses the in-country ownership of health initiatives from the Health Sector Strategic Plan focusing on critical areas such as retention, recruitment and occupational safety.