How physicians cope with extreme overwork: an exploratory study of French public-sector healthcare professionals

Grima, François; Georgescu, Irène; Prud'homme, Lionel

doi:10.1080/14719037.2019.1638440

Cited by 21 publications

(11 citation statements)

References 73 publications

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“…Frontline health workers’ work environment can be described as “extreme work” [ 12 , 13 ], and their experiences of work during COVID-19 exacerbated work-life imbalance, impacted their personal lives, and presented a range of work-based challenges. In recounting the challenges they experienced during the COVID-19 pandemic, frontline health workers identified that their concerns reflected broader workforce concerns as work intensified and at the same time became more challenging.…”

Section: Discussionmentioning

confidence: 99%

“…Particular tensions were evident in challenges about working from home and the provision of a safe working environment, exacerbated by inconsistencies in decision making. In exposing cracks in the health system, it is evident that a key challenge for frontline health workers is the experience of “extreme work” [ 12 ] in its many forms—excess work hours, unpredictable workflow, expanded work duties, and workplace risk—all of which were noted by participants. International research indicates similar findings: that health workers working throughout the pandemic faced increased workplace stressors such as longer shifts [ 37 ], increased workload [ 17 , 38 ], and increased work demands [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, as Scambler [ 10 ] notes, the consequent effects on preparedness for crises, such as a pandemic, have been severe. The emphasis on efficiency, privatisation, accountability, and austerity all contribute to a work environment where there is little “organisational slack” [ 11 ] and where work becomes “intensified”, with potentially negative consequences for job satisfaction among health workers and for patient care [ 12 ]. The experience of such intensified work conditions can be described as “extreme work”.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

“Covid Just Amplified the Cracks of the System”: Working as a Frontline Health Worker during the COVID-19 Pandemic

Willis

Ezer

Lewis

et al. 2021

IJERPH

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The COVID-19 pandemic has intensified existing workplace stresses and created new challenges for people working on the healthcare frontline, including rapid workplace changes and increasing uncertainty at work, along with fear of contracting the virus. The purpose of this study is to examine the workplace challenges described by Australian frontline health workers during the pandemic. Drawing on a national online anonymous survey of 9518 healthcare workers, we analysed free-text responses to the question: “What did you find to be the main challenges that you faced during the pandemic?” A qualitative content analysis was undertaken. We identified five key themes relating to participant experiences of workplace challenges. These were: Work-life imbalance; Following orders or caring for patients; Unpredictability, disruption, and inconsistency at work; The right to be safe at work; and (Un)preparedness in the workplace. We argue that working during the COVID-19 pandemic illuminated existing occupational health and safety issues that have serious implications for job satisfaction, health workforce retention, and ultimately, patient care.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

“Covid Just Amplified the Cracks of the System”: Working as a Frontline Health Worker during the COVID-19 Pandemic

Willis

Ezer

Lewis

et al. 2021

IJERPH

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“…In addition to the increased clinical workload, physicians also have to handle more administrative tasks, cf. managerial reforms, than previously (Grima et al, 2020;Noordegraaf, 2011). Furthermore, communication about discharges from hospitals to local services also appears to be deteriorating (Norlyk et al, 2020).…”

Section: Discussionmentioning

confidence: 97%

Structural disavowal and personal inundation of responsibility – a local perspective on pressure on mental health front-line professionalsStrukturell ansvarsfraskrivelse og individuell ansvarsoversvømmelse – kommunalt perspektiv på dilemmaer i profesjonelt arbeidet med rus og psykisk helse

Bjørkquist

Ramsdal

2021

European Journal of Social Work

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This article examines how professionals in front-line mental health and addiction services respond to the dilemmas of implementing policies at the local level of the service system. In their daily work, front-line health and social work professionals must find ways to cope with challenges balancing limited resources, professional ethical standards and client needs for varied and flexible services. Front-line professionals have significant space for discretion in finding ways to cope with these dilemmas. We discuss these ways as a drift towards moral dispositions. Drawing on qualitative interviews with local managers and professionals, we find that front-line professionals find themselves at the bottom of the service line where one cannot 'decentralise' responsibilities any more. We describe and denote this as 'structural disavowal of responsibility', as patients with severe mental health diagnoses are often discharged from specialist services to primary care that lacks the necessary resources. Furthermore, front-line professionals improvise by including measures found in the local community and even their private lives, making their work exceedingly stressful. This is denoted 'personal inundation of responsibility'. We argue that the moral disposition of front-line professionals hence should be extended to encompass personal inundation as one perversion of their responsibilities. SAMMENDRAG Denne artikkelen undersøker hvordan profesjonelle i førstelinjen i rus-og psykisk helsetjenester responderer på dilemmaer ved implementering av nasjonal politikk på kommunalt nivå. Profesjonelle i førstelinjen må daglig finne måter å håndtere dilemmaer på som inkluderer begrensede ressurser, yrkesetiske standarder og brukernes behov for ulike og fleksible tjenester. De profesjonelle har betydelig rom for skjønn når de skal finne måter å håndtere disse dilemmaene på. Vi diskuterer disse måtene som et driv mot 'moral dispositions'. På bakgrunn av kvalitative intervjuer med ledere og ansatte på kommunalt nivå, finner vi at profesjonelle i førstelinjen befinner seg på bunnen av tjenestelinjen KEYWORDS Discretion; front-line professionals; health and social work; mental health; organisation of services NØKKELORD skjønn; profesjonelle i førstelinje; organisering av tjenester; psykisk helse helse; sosialt arbeid

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“…Relying on the JD-R model, which suggests that job demands can moderate the relationships between job resources and employees’ outcomes (Bakker & Demerouti, 2008, 2017), our study also proposes the moderating role of workload in the indirect relationship between trust and extra-role behavior. Workload is a common issue in the public workplace due to increasing public demands and multiple public sector reform initiatives (Audenaert et al, 2019; Grima et al, 2020; Joyce & Pattison, 2010). Therefore, studying workload as a moderator provides practical implications for public managers to effectively utilize trust to activate extra-role behavior.…”

Section: Introductionmentioning

confidence: 99%

Trust in Multi-Level Managers and Employee Extra-Role Behavior in the US Federal Government: The Role of Psychological Well-Being and Workload

Nguyen

2020

Review of Public Personnel Administration

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Extant research on trust in public administration focuses on trust in a specific level of management, ignoring the connection of trust in different management levels and their effects on employees. Building on the trickle-down and trickle-up models, this study proposes that employee trust in senior leaders fosters their trust in direct supervisors and vice versa. Also, drawing on the job demands-resources model, we argue that trust in senior leaders and direct supervisors indirectly affects extra-role behavior through psychological well-being, and that workload moderates the above effects. Moreover, as leaders and supervisors play complementary roles, we predict that trust in senior leaders and trust in direct supervisors positively interact to enhance psychological well-being. Using the latent moderated structural model with data from the 2019 Federal Employee Viewpoint Survey, we find empirical support for our hypotheses. This study broadens scholarly knowledge about the connection of trust in multi-level managers and their effects on employees’ attitudinal and behavioral outcomes.

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How physicians cope with extreme overwork: an exploratory study of French public-sector healthcare professionals

Cited by 21 publications

References 73 publications

“Covid Just Amplified the Cracks of the System”: Working as a Frontline Health Worker during the COVID-19 Pandemic

“Covid Just Amplified the Cracks of the System”: Working as a Frontline Health Worker during the COVID-19 Pandemic

Structural disavowal and personal inundation of responsibility – a local perspective on pressure on mental health front-line professionalsStrukturell ansvarsfraskrivelse og individuell ansvarsoversvømmelse – kommunalt perspektiv på dilemmaer i profesjonelt arbeidet med rus og psykisk helse

Trust in Multi-Level Managers and Employee Extra-Role Behavior in the US Federal Government: The Role of Psychological Well-Being and Workload

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