Stress

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December 2017
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New protocol helps identify signs of burnout

Editor's Note Inspired by aviation and medical best practices for handling crises, researchers have developed a Stress-APGAR protocol to help managers anticipate burnout in employees, according to the April 26 Harvard Business Review. The Stress-APGAR acronym includes five key areas: Appearance: How does the employee look−overly tired, changes in weight,…

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By: Judy Mathias
May 1, 2017
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Conference speaker advocates a ‘drama-free’ OR

Creating a harmonious work environment can only be achieved through effective leadership that discourages conflict and negativity. “Ditching the drama, restoring sanity to the workplace, and turning excuses into results” is how Cy Wakeman, MS, BSW, describes her leadership philosophy. “Circumstances are not the reasons we can’t succeed—they are the…

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By: Paula DeJohn
April 21, 2017
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Impact of role stressors on nurse managers’ health

Editor's Note This Canadian study finds that nurse managers’ coping strategies may be inadequate and could negatively impact their long-term health. Interviews with 23 nurse managers and 1 focus group found that nurse managers have severely high levels of role stressors that include: Working with limited resources (budget and staff).…

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By: Judy Mathias
March 6, 2017
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Study: Nurses’ stress, coping behaviors after CPR fails

Editor's Note A survey of critical care nurses found moderate levels of postcode stress and posttraumatic stress disorder (PTSD) symptoms after unsuccessful cardiopulmonary resuscitation (CPR) of patients. In 490 nurses surveyed, four coping behaviors (ie, denial, self-distraction, self-blame, and behavioral disengagement) were significant predictors of PTSD symptom severity. Nurses who…

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By: Judy Mathias
March 1, 2017
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Harvard study assesses surgeon as second victim

Editor's Note Intraoperative adverse events (iAEs) occur often and have a significant negative impact on surgeons’ wellbeing, this study finds. Barriers to transparency include fear of litigation and absence of a well-defined reporting system. A survey was conducted of all surgeons at three major teaching hospitals connected with the Harvard…

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By: Judy Mathias
January 18, 2017
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Effect of shift-related sleep deprivation on heart function

Editor's Note Twenty-four hour, shift-related, short-term sleep deprivation leads to a significant increase in cardiac contractility, blood pressure, heart rate, and stress hormone secretion, finds this study presented December 2 at the Radiological Society of North America's annual meeting. The study included 20 healthy radiologist volunteers. Their heart function was…

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By: Judy Mathias
December 6, 2016
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Half of physicians dissatisfied

Editor's Note A new survey by The Physicians Foundation finds that half of physicians have reached a tipping point and plan to retire, cut back on work hours, or seek nonclinical roles. Physicians identified regulatory/paperwork burdens and loss of autonomy as the primary sources of their dissatisfaction. Nearly 60% say…

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By: Judy Mathias
October 11, 2016
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Researchers identify interventions for physician burnout

Editor's Note In this meta-analysis, Mayo Clinic researchers identify solutions that are being used to prevent or lessen physician burnout. Effective individual-focused strategies include mindfulness training, stress management training, and small group sessions. Organizational changes include limiting physician duty hours and a range of care delivery process changes in hospitals…

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By: Judy Mathias
October 5, 2016
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New Joint Commission resource center on workplace violence

Editor's Note The Joint Commission on October 4 launched an online resource center to prevent workplace violence in healthcare settings. “Workplace Violence Prevention Resources” includes policies, procedures, guidelines, research, case studies, white papers, toolkits, and other material focused on workplace violence prevention and preparedness. The Joint Commission developed the resource…

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By: Judy Mathias
October 5, 2016
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Burnout increases after patient safety incident

Editor's Note Physicians and nurses involved in a patient safety incident experience significant negative outcomes, this study finds. Of 5,788 nurses and physicians analyzed, 9% had been involved in an incident during the prior 6 months. Involvement in a patient safety incident was linked to: a greater risk of burnout…

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By: Judy Mathias
September 15, 2016
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