Sharing workload in group practices: unfairness and early experience colour perception of inequality.
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Humans↗
Biomedical subjects
Jenny Firth-Cozens
Publications and source records attributed to Jenny Firth-Cozens.
Bullying among doctors in training: cross sectional questionnaire survey.
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Cross-Sectional Studies↗
Sickness absence and the organization of nursing care among hospital nurses.
OBJECTIVES: Primary nursing and team nursing are two different ways of organizing nurses' work in hospital wards. This study examined whether primary nursing is associated with lower sickness absence rates than team nursing is. METHODS: Altogether 1213 nurses from 13 primary nursing wards and 13 team nursing wards participated in a 3-year observational study. The nurses' sickness absence records were linked with information on the organization of nursing in the wards. RESULTS: After adjustment for demographic and ward characteristics, primary nursing, compared with team nursing, was associated with 26-42% higher annual rates of short (1-3 days) spells of sickness absence (P<0.05). The corresponding adjusted excess rates varied between 26% and 36% for the long (>3 days) absences, depending on the year (P<0.05). Among the primary and team nurses who had no sickness absence in the first year, primary nursing was associated with a 41% higher incidence of short-term sickness absence in the second year and a 56% higher incidence in the third year. CONCLUSIONS: The expected benefits of primary nursing for nurses' health are not supported by data on recorded sickness absences. Recommendations to implement primary nursing in team nursing wards cannot be justified simply on the basis of potentially favorable effects on employee health.
Adult↗
Doctors, their wellbeing, and their stress.
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Humans↗
After the Omagh bomb: posttraumatic stress disorder in health service staff.
In this postal survey of 1064 health service staff working closest to the Omagh bombing in Northern Ireland, approximately half reported having professional orcivilian involvement. Types of involvement and posttraumatic stress disorder (PTSD) levels varied between staff groups. Staff involved both professionally and as a civilian, particularly those who witnessed the trauma, or those who had experienced previous emotional problems and trauma, had the highest levels of symptomatology. Although staff with higher PTSD symptoms were more likely to seek professional help, only a minority contacted professionals for support.
Adult↗
What might encourage later retirement among general practitioners?
More GPs are needed, but there are concerns about retaining the existing workforce quite apart from recruiting new doctors. This survey of GP principals in the Northern deanery aged over 45, identified factors potentially encouraging them to take early retirement (before 60) or to work on beyond 60. Over a third of those with retirement plans intended to retire early. Perceived undesirable changes in the NHS and workload were the main factors influencing intentions to retire. Reducing hours and administrative duties, and improving managerial support were factors that may encourage later retirement. Financial incentives in the form of increased pensions were most attractive to those already planning later retirement. A total of 35 per cent scored above threshold for significant psychological distress, and the higher psychological distress the earlier GPs wanted to retire. Interventions encouraging later retirement should be targeted at reducing workload and administration. Interventions to reduce stress could also encourage later retirement.
Age Factors↗
Effects of the Omagh bombing on medical staff working in the local NHS trust: a longitudinal survey.
This article investigates post-traumatic stress disorder (PTSD) symptoms reported by doctors working in the aftermath of the Omagh bombing. Doctors responding to surveys 4 and 17 months after the incident reported the lowest symptom levels compared with other health service staff, with only 12% (2) above PTSD threshold at 17 months. Junior doctors had higher mean PTSD scores than seniors, although numbers are too small to test significance. Possible explanations are discussed and recommendations made.
Adaptation, Psychological↗