Primary Care, Burnout, and Patient Safety: Way to Eliminate Avoidable Harm

Nishimura, Yoshito

doi:10.3390/ijerph191610112

Cited by 3 publications

(3 citation statements)

References 13 publications

(11 reference statements)

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“…A 2022 systemic review on the wellbeing of GPs during the COVID-19 pandemic reported that numerous GPs suffered from reduced work satisfaction, anxiety, symptoms of depression or burnout, and physical symptoms during COVID-19 [35]. Poor wellbeing among those working in PC has been linked to patient safety issues [36,37].…”

Section: Main Findingsmentioning

confidence: 99%

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Van Poel,

van Loenen,

Collins

et al. 2023

Healthcare

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Addressing equity in healthcare is fundamental for delivering safe care to vulnerable patients, especially during COVID-19. This paper aims to identify barriers and enabling factors for general practitioners (GPs) in delivering safe and equitable care during the COVID-19 pandemic. Semi-structured interviews took place during May–July 2020 among 18 Flemish and 16 Dutch GPs. Thematic analysis of the interviews demonstrated that while GPs acknowledged a smooth information flow by governments and professional organizations on care guidelines, the fast-changing information challenged them to stay up to date. Media communication facilitated information dissemination but also fueled misinformation and miscommunication, creating unrealistic patient expectations. Certain guidelines and patient reluctance delayed necessary care. A shortage of personal protective equipment made GPs concerned about patient safety during face-to-face contacts. Teleconsultations became a popular alternative, but posed increased patient safety risks. GPs struggled to identify and reach vulnerable patients. Equitable care was hindered by time constraints; thus, having the appropriate materials facilitated such care. An interprofessional collaboration involving paramedical, social, and city services benefited patient safety and equity in healthcare. However, limitations in this collaboration pressured GPs. The unprecedented and resource-constrained environment challenged GPs’ capacity to provide the healthcare quality they aspired to deliver. A well-structured collaborative network involving all stakeholders could benefit safe and equitable care in future pandemics.

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Section: Main Findingsmentioning

confidence: 99%

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Van Poel,

van Loenen,

Collins

et al. 2023

Healthcare

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“…Fatigue has been defined as an overwhelming sense of tiredness and exhaustion, with a lack of energy and associated impaired physical and/or mental functioning [25]. Burnout, fatigue and poor wellbeing among healthcare professionals are associated with reduced performance and patient-safety outcomes [26][27][28][29][30], yet burnout among GPs is consistently high across the globe [26,27,[31][32][33][34][35][36]. Workload and job pressures are key contributors to burnout and fatigue [26,27,[31][32][33][34][35][36][37], with primary care workload increasing in recent years due to a mismatch between capacity and demand [38,39].…”

Section: Introductionmentioning

confidence: 99%

“…Burnout, fatigue and poor wellbeing among healthcare professionals are associated with reduced performance and patient-safety outcomes [26][27][28][29][30], yet burnout among GPs is consistently high across the globe [26,27,[31][32][33][34][35][36]. Workload and job pressures are key contributors to burnout and fatigue [26,27,[31][32][33][34][35][36][37], with primary care workload increasing in recent years due to a mismatch between capacity and demand [38,39]. With primary care workload unlikely to reduce in the immediate future, it is important to consider other factors that can influence burnout and fatigue among GPs.…”

Section: Introductionmentioning

confidence: 99%

The relationship between general practitioner movement behaviours with burnout and fatigue

Mayne,

Biddle,

Edwardson

et al. 2024

BMC Prim. Care

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Background Physical inactivity is associated with feelings of burnout and fatigue, which in turn are associated with reduced performance among healthcare practitioners. This study explored movement behaviours of general practitioners (GPs) and the association between these behaviours with burnout and fatigue. Methods GPs in Northern Ireland were asked to wear a thigh-worn accelerometer for seven days and complete validated questionnaires to assess the association between daily number of steps, time spent sitting and standing with feelings of burnout and fatigue. Results Valid accelerometer data were obtained from 47 (77.0%) participants. Average workday sitting time, standing time and number of steps were 10.6 h (SD 1.5), 3.8 h (SD 1.3), and 7796 steps (SD 3116) respectively. Participants were less sedentary (8.0 h (SD 1.6)) and more active (4.7 h (SD 1.4) standing time and 12,408 steps (SD 4496)) on non-workdays. Fourteen (30.4%) participants reported burnout and sixteen (34.8%) reported severe fatigue. There were no significant associations between sitting, standing and step counts with burnout or fatigue (p > 0.05). Conclusion GPs were less active on workdays compared to non-workdays and exhibited high levels of sitting. Feelings of burnout and fatigue were highly prevalent, however movement behaviours were not found to be associated with burnout and fatigue. Given the increased sedentariness among GPs on workdays compared to non-workdays, GPs should consider how they can improve their movement behaviours on workdays to help optimise their wellbeing.

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Innovations in Robotic-Assisted Physiotherapy

Aziz,

Siddiqui,

Sundus

et al. 2024

Analyzing Current Digital Healthcare Trends Using Social Networks

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Earlier robotic physiotherapy was constricted to specifically gait and movement training, but with recent advancement, it is expanded to dexterous hand and robotic limbs, which are not only improving patient recovery outcomes but also building maximum functional ability. Paradigm shift to incorporating robot assisted physiotherapy in practice requires a comprehensive and detailed knowledge about the same. This chapter embarks on an expedition into the convergence of robotics and physiotherapy, meticulously navigating through the avant-garde technologies and methodologies that are orchestrating a paradigmatic shift in patient care, thereby fostering a person's enhanced outcomes. By illuminating the dynamic interplay of these two domains, this chapter elucidates the transformative potential they hold in revolutionizing patient care, invigorating the trajectory of recovery, and sculpting a landscape of holistic wellness.

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Primary Care, Burnout, and Patient Safety: Way to Eliminate Avoidable Harm

Abstract: Patient safety has been a big theme in the area of global health, as represented by the resolution of the World Health Organization (WHO) on “Global action on patient safety” in 2019 and the recently published “Global Patient Safety Action Plan 2021–2030 [...]

Cited by 3 publications

References 13 publications

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

Barriers and Enablers Experienced by General Practitioners in Delivering Safe and Equitable Care during COVID-19: A Qualitative Investigation in Two Countries

The relationship between general practitioner movement behaviours with burnout and fatigue

Innovations in Robotic-Assisted Physiotherapy

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