The great resignation—how do we support and retain staff already stretched to their limit?

Sheather, Julian; Slattery, Dubhfeasa

doi:10.1136/bmj.n2533

Cited by 84 publications

(80 citation statements)

References 4 publications

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“…The pandemic brought on severe mental health impacts and unprecedented job losses, as well as delays in significant career milestones for individuals globally. 49 , 50 Hence respondents to this study may have had altered perceptions about their job and career satisfaction which may not have been the case had the data been collected pre-pandemic. However, this study has provided thought-provoking results, which are useful for future research and aiding the implementation of policies to improve satisfaction levels for early-career pharmacists and pharmaceutical scientists.…”

Section: Discussionmentioning

confidence: 99%

A global study on job and career satisfaction of early-career pharmacists and pharmaceutical scientists

Meilianti

Matuluko

Ibrahim³

et al. 2022

Exploratory Research in Clinical and Social Pharmacy

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Section: Discussionmentioning

confidence: 99%

A global study on job and career satisfaction of early-career pharmacists and pharmaceutical scientists

Meilianti

Matuluko

Ibrahim³

et al. 2022

Exploratory Research in Clinical and Social Pharmacy

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“…52 Prevailing discourses of being ‘at war’ with COVID-19, and the narrative of heroism, have been criticised as dehumanising, and silencing of HCWs’ concerns about working conditions and mental health, thus disenfranchising their collective anger, grief 53 and exhaustion. 52 Listening to, and learning from the lived experiences of the diverse healthcare workforce contending with extraordinarily challenging working conditions is crucial to inform the development of compassionate, culturally sensitive 48 workplace policies to support HCW wellbeing and mental health. However, considering the pressures on the entire workforce, policymakers must acknowledge that sustainable improvements in staff wellbeing will only be possible alongside investment in NHS recruitment, retention and fair remuneration, to ensure adequate staffing.…”

Section: Discussionmentioning

confidence: 99%

“…6 There is a moral imperative of caring for HCWs' wellbeing both during the COVID-19 pandemic and beyond, which includes tackling structural inequities at work; predictions of workforce attrition also underline the practical imperative of doing so. 52 Prevailing discourses of being 'at war' with COVID-19, and the narrative of heroism, have been criticised as dehumanising, and silencing of HCWs' concerns about working conditions and mental health, thus disenfranchising their collective anger, grief 53 and exhaustion. 52 Listening to, and learning from the lived experiences of the diverse healthcare workforce contending with extraordinarily challenging working conditions is crucial to inform the development of compassionate, culturally sensitive 48 workplace policies to support HCW wellbeing and mental health.…”

Section: Discussionmentioning

confidence: 99%

Mental health in a diverse sample of healthcare workers during the COVID-19 pandemic: cross-sectional analysis of the UK-REACH study

Melbourne

Guyatt

Nellums

et al. 2022

Preprint

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ObjectivesTo investigate how ethnicity and other sociodemographic, work, and physical health factors are related to mental health in UK healthcare and ancillary workers (HCWs), and how structural inequities in these factors may contribute to differences in mental health by ethnicity.DesignCross-sectional analysis of baseline data from the UK-REACH national cohort studySettingHCWs across UK healthcare settings.Participants11,695 HCWs working between December 2020-March 2021.Main outcome measuresAnxiety or depression symptoms (4-item Patient Health Questionnaire, cut-off >3), and Post-Traumatic Stress Disorder (PTSD) symptoms (3-item civilian PTSD Checklist, cut-off >5).ResultsAsian, Black, Mixed/multiple and Other ethnic groups had greater odds of PTSD than the White ethnic group. Differences in anxiety/depression were less pronounced. Younger, female HCWs, and those who were not doctors had increased odds of symptoms of both PTSD and anxiety/depression. Ethnic minority HCWs were more likely to experience the following work factors that were also associated with mental ill-health: workplace discrimination, feeling insecure in raising workplace concerns, seeing more patients with COVID-19, reporting lack of access to personal protective equipment (PPE), and working longer hours and night shifts. Ethnic minority HCWs were also more likely to live in a deprived area and have experienced bereavement due to COVID-19. After adjusting for sociodemographic and work factors, ethnic differences in PTSD were less pronounced and ethnic minority HCWs had lower odds of anxiety/depression compared to White HCWs.ConclusionsEthnic minority HCWs were more likely to experience PTSD and disproportionately experienced work and sociodemographic factors associated with PTSD, anxiety and depression. These findings could help inform future work to develop workplace strategies to safeguard HCWs’ mental health. This will only be possible with adequate investment in staff recruitment and retention, alongside concerted efforts to address inequities due to structural discrimination.Summary boxWhat is already known on this topicThe pandemic is placing healthcare workers under immense pressure, and there is currently a mental health crisis amongst NHS staffEthnic inequities in health outcomes are driven by structural discrimination, which occurs inside and outside the workplaceInvestigating ethnic inequities in the mental health of healthcare workers requires large diverse studies, of which few existWhat this study addsIn UK-REACH (N=11,695), ethnic minority staff had higher odds of Post-Traumatic Stress Disorder symptoms; we report many other factors associated with mental-ill health, including those experienced disproportionately by ethnic minority staff, such as workplace discrimination, contact with more patients with COVID-19, and bereavement due to COVID-19These findings underline the moral and practical need to care for staff mental health and wellbeing, which includes tackling structural inequities in the workplace; improving staff mental health may also reduce workforce understaffing due to absence and attrition

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“…By 2021, global trends in the labour market presented an extraordinary phenomenon which is later called "The Great Resignation" (Sheather & Slattery, 2021). Employees around the world quit their jobs due to low wages, high cost of living, and job dissatisfaction.…”

Section: Discussionmentioning

confidence: 99%

Comparison of the burnout among medical residents before and during the pandemic

Küçükali

Türkoğlu

Hasanli

et al. 2022

Preprint

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Objective: COVID-19 pandemic was anticipated to exacerbate burnout among healthcare professionals. This study aims to compare the level of burnout syndrome in medical residents before and during the COVID-19 pandemic and identify potential risk factors. Methods: This cross-sectional study was conducted on medical residents from three different university hospitals in Turkey in March 2021, one year after the pandemic hit Turkey. Burnout is measured by the Maslach Burnout Inventory which assesses three dimensions of it: emotional exhaustion, depersonalization, and personal accomplishment. Collected data were combined and compared with the data of a previous study which was held in the same hospitals in December 2019, three months before the pandemic. Results: A total of 412 medical residents from three universities participated in this study. The mean age was 27.8±2.4 and half of them were female. Compared to pre-pandemic levels, residents have a significantly decreased feeling of personal accomplishment one year after (from 20.8±5.1 to 10.9±5, p<0.001). No significant differences in emotional exhaustion (pre: 19.0±7.6 post: 18.8±7.8) and depersonalization (pre: 7.3±4.3 post: 7.2±4.4) scores were observed. Emotional exhaustion is higher in residents who are female, have more night shifts, live with someone at the risk of severe COVID-19 and experience personal problems during COVID-19. Depersonalization increases as the age, residency year, and the number of night shifts increases and it is higher in married residents. Residents of the state university hospital feel less personal accomplishment than those of foundational universities. Conclusion: Already high pre-pandemic levels of burnout and a relative decrease in demand due to social restrictions may explain not increasing emotional exhaustion and depersonalization. However, the substantial decrease in the feeling of personal accomplishment among residents is concerning. Without immediate action, it may lead to serious consequences on human resources and the quality of health care in the short to middle term.

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The great resignation—how do we support and retain staff already stretched to their limit?

Abstract: The great resignation-how do we support and retain staff already stretched to their limit? Doctors constantly went above and beyond their ordinary obligations to respond to a threat to national and global wellbeing. But they aren't inexhaustible 1

Cited by 84 publications

References 4 publications

A global study on job and career satisfaction of early-career pharmacists and pharmaceutical scientists

A global study on job and career satisfaction of early-career pharmacists and pharmaceutical scientists

Mental health in a diverse sample of healthcare workers during the COVID-19 pandemic: cross-sectional analysis of the UK-REACH study

Comparison of the burnout among medical residents before and during the pandemic

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