Taking Action Against Clinician Burnout A Systems Approach to Professional Well-Being (2019) / Chapter Skim
Currently Skimming:
1 Introduction
1 Introduction
Pages 21-36
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 21... ...
depends in large part on clinicians, the health care professionals who provide direct patient care.2 Delivering safe, patient-centered, high-quality, and high-value health care requires a clinical workforce that is functioning at the highest level. However, there is growing recognition among health 1 Excerpted from the National Academy of Medicine's Expressions of Clinician Well Being: An Art Exhibition.
|
From page 22... ...
As the committee summarizes in the report, many mounting system pressures have contributed to overwhelming job demands for clinicians (e.g., workload, time pressures, technology challenges, moral and ethical dilemmas) and insufficient job resources and supports such as adequate job control, alignment of professional and personal values, and manageable work–life integration.
|
From page 23... ...
These and other consequences of burnout are further discussed in Chapters 3 and 8. There is growing momentum for taking action to improve the quality and safety of health care by addressing clinician and learner burnout (Aiken et al., 2002a; Dzau et al., 2018; Jha et al., 2019; Lake et al., 2019; Noseworthy et al., 2017; Perni, 2017; Shanafelt et al., 2017b)
|
From page 24... ...
Many factors over time have contributed to the current state. "Fixing" a single variable in the system, such as the electronic health record, will not solve the burnout problem by itself, nor will it be sufficient to gain the deep understanding necessary for a comprehensive solution.
|
From page 25... ...
. Systems-oriented strategies will need to include making improvements in clinician workload and clinical workflow, providing more usable technologies that are focused on clinicians' needs, and developing organizational structures and processes that better support clinicians and the interdisciplinary care teams in which they work (Andela et al., 2017; Bodenheimer and Willard-Grace, 2016; Catt et al., 2005)
|
From page 26... ...
. An independent committee was appointed with a broad range of expertise, including in clinical care, health care systems and administration, health information technology, health care quality, health professional education, systems engineering/organizational science, human-systems integration, human factors and ergonomics, health care policy and financing, oversight of clinical documentation, burnout, research methodology, implementation science, and medical ethics.
|
From page 27... ...
The speakers provided valuable input to the committee on a broad range of topics, including burnout, moral distress, resilience, workplace health and safety, the nursing work environment, patient safety, technology in health care, clinical documentation requirements, administrative burden, and the usability of electronic health records. A number of experts and organizations provided written input to the committee on an array of topics.
|
From page 28... ...
The committee will identify promising tools and approaches to support clinician well-being, identify gaps in the evidence base, and propose a research agenda to address areas of uncertainty. In developing its report, the committee will consider key components of the health care system, including • factors that influence clinical workflow, workload, and human–systems interactions; • the training, composition, and function of interdisciplinary care teams; • the ongoing movement toward outcomes-based payment and quality improvement programs; • current and potential use and impact of technologies and tools such as electronic health records and other informatics applications; and • regulations, guidance, policies, and accreditation standards that define clinical documentation and coding requirements, as well as institutional expectations and interpretations of those requirements.
|
From page 29... ...
Target Population, Health Care Organizations, and Educational Institutions Clinicians and Learners The Statement of Task refers to "all clinicians and trainees on the care team." In the committee's framework, the term "clinicians" is used to refer to health care professionals who provide direct patient care. The term "learners" includes students and trainees, who learn and work within various and diverse settings, including classrooms, laboratories, and clinical settings.
|
From page 30... ...
All HCOs comprise people, processes, and resources that are part of a system that delivers care services to meet the health needs of patients. "Health professions educational institutions" refers to organizations that provide health care professional education and training (e.g., professional schools, undergraduate and graduate programs, sponsoring health care organizations)
|
From page 31... ...
We couldn't help but notice the … medical students and resi dents were under pressure to learn and perform, magnified by daunting hours and exhaustion. We watched the pressures on my mother's care team, as they searched for ways to manage her disease while giving her hope … and patiently listening to anxious loved ones as they tried to cope.
|
From page 32... ...
Chapter 4 describes the contributing factors of clinician burnout and professional well-being in terms of job demands and job resources as well as the individual clinician factors that mediate burnout. Chapter 5 focuses on health care organizations, interventions that target burnout in the workplace, and the principles with which health care organizations can design well-being systems.
|
From page 33... ...
Journal of Graduate Medical Education 4(3)
|
From page 34... ...
2016. An official Critical Care Societies Collaborative statement: Burnout syndrome in critical care healthcare profes sionals: A call for action.
|
From page 35... ...
2017. Executive leadership and physician well-being: Nine organizational strategies to promote engagement and reduce burnout.
|
From page 36... ...
2006. Association of perceived medical errors with resident distress and empa thy: A prospective longitudinal study.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.