This volume delineates the ways in which key areas of healthcare, well-being, patient safety and organisational change overlap with and contribute to unhealthy workplaces for healthcare professionals. There is a growing realisation within healthcare that healthcare worker well-being, patient outcomes and organisational change are symbiotically linked. Burnout and stress in healthcare workers and toxic organisational cultures can lead to a cycle of patient neglect, medical errors, sub-optimal care and further stress. This topical volume therefore outlines the ways in which worker well-being, patient outcomes and organisational change can be aligned to contribute to a healthy workplace and therefore better medical care. The volume includes an array of authors from different disciplines including primary care, clinical medicine, psychology, sociology, management, clinical governance, health policy and health services research. It succeeds in integrating different voices and reaches meaningful conclusions to address the challenges facing the healthcare workforce.
Table of Content
1. Connecting Health Care Worker Well-being, Patient Safety and Organizational Change: The Triple Challenge (Anthony J. Montgomery, Margot Van der Doef, Efharis Panagopoulou, Michael P. Leiter).- Section I. Linking Organisational Factors, Health Care Worker Well-being, and Patient Outcomes.- 2. Job Strain, Burnout, Wellbeing and Patient Safety in Healthcare Professionals (Daryl B. O’Connor, Louise H. Hall & Judith Johnson).- 3. Missed Nursing Care: the Impact on Patients, Nurses and Organisations (Marcia Kirwan and Anne Matthews).- 4. Linking Organisational Factors and Patient Care: Does Healthcare Workers’ Well-being Matter? (Kevin Teoh and Juliet Hassard).- 5. Burnout in Primary Care Workforce (Anli Yue Zhou, Maria Panagioti, Henry Galleta-Williams, Aneez Esmail).- Section II. Zooming in on the health Care Context.- 6. Between Balance and Burnout: Contrasting the Working-time Conditions of Irish-trained Hospital Doctors in Ireland and Australia (John-Paul Byrne, Edel Conway, Aoife M.Mc Dermott, Richard W. Costello, Lucia Prihodova, Anne Matthews, and Niamh Humphries).- 7. Doctors Well-Being, Quality of Patient Care and Organizational Change –Norwegian Experiences (Karin Isaksson Rø, Judith Rosta, Reidar Tyssen & Fredrik Bååthe).- 8. The Relationship Between Employee Engagement and Organisational Outcomes in the English National Health Service: An Analysis of Employee and Employer Data in 28 Healthcare Organisations (Christian van Stolk and Marco Hafner).- 9. Governing Health Care Provision – Clinicians’ Experiences (Berit Bringedal, Inger-Lise Teig IL, and Kristine Bærøe).- 10. Speaking up About Bullying and Harassment in Healthcare: Reflections Following the Introduction of an Innovative “Speak up” Role in NHSEngland (Jones A, Blake J, Banks C, Adams M, Kelly D, Mannion R and Maben J).- Section III. Developing Cultures that Enable Organisational Change.- 11. Between Taking Care of Others and Yourself: The Role of Work Recovery in Health Professionals (Claudia L. Rus, Cristina C. Vâjâean, Cătălina Oţoiu, Adriana Băban).- 12. Creating Optimal Clinical Workplaces by Transforming Leadership and Empowering Clinicians (Paul De Chant, Paul De Chant & Diane Shannon).- 13. Compassionate and Collective Leadership for Cultures of High-quality Care (Michael A. West & Senior Visiting Fellow).- 14. Workforce and Excellence in Nursing Care: Challenges for Leaders and Professionals (Van Bogaert P, Timmermans O, Slootmans S, Goossens E, Franck E).- 15. Mindful Practice: Organizational Change and Health Professional Flourishing Through Cultivating Presence and Courageous Conversations (Michael S Krasner & Ronald Epstein).- Section IV. Towards Individual- and Organisation-Focused Interventions and their Effectiveness.- 16. Training as a Facilitator of Organizational Change in Health Care: The Input-Mediator/Moderator-Outcome-Input Model (Megan E. Gregory, Clayton D. Rothwell &Ann Scheck Mc Alearney).- 17. Schwartz Center Rounds: an Intervention to Enhance Staff Well-being and Promote Organisational Change (Professor Jill Maben and Dr Cath Taylor).- 18. How Healthcare Worker Well-being Intersects with Safety Culture, Workforce Engagement, and Operational Outcomes (Kathryn C. Adair, Kyle Rehder, J. Bryan Sexton).- 19. Mindfulness as a Way to Improve Well-being in Healthcare Professionals: Separating the Wheat from the Chaff (Anthony Montgomery, Katerina Georganta, Ashvirni Gilbeth, Yugan Subramaniam, Karen Morgan).- 20. Using Transformative Learning to Develop Skills for Managing Conflict: Lessons Learnt over Ten Years (Eva Doherty).- 21. Well-Being, Patient Safety and Organizational Change: Quo Vadis? (Anthony J. Montgomery).
About the author
Anthony Montgomery, Ph D, is a full professor of work and organizational psychology at the University of Macedonia, Thessaloniki, Greece. His expertise covers burnout, human factors and patient safety within healthcare. He has been involved (either as a Principal Investigator or collaborator) in attracting research funding to the value of 2, 912, 900 Euros. His research has contributed to: the benchmarking of burnout among healthcare professionals, developing a new measure to assess the patient perspective of quality of care, and action research interventions aimed at organizational change. Furthermore, he is examining the issue of employee in silence in healthcare, and developing mentoring solutions that address both performance and wellbeing.
Efharis Panagopoulou, Ph D, is an associate professor of health psychology at the Medical School of Aristotle University in Greece. After completing her doctoral thesis in Leiden University, The Netherlands, she joined the Medical School in 2002 with a European fellowship aimed at attracting research leaders from abroad. To date, she has coordinated several projects in the field of stress, diagnostic mistakes, and clinical decision making. Dr. Panagopoulou is the Principal Investigator of the ORCAB project:“Organisational culture, professional burnout and quality of health care” (7th Research Framework, European Union.) The project involved 10 partners from 9 European countries and the funding budget was 2.1 million Euros. Dr. Panagopoulou was the Head of the Scientific Committee for the EHPS conference in Crete (2011). From April-May 2012 she received a Fulbright scholarship to study the impact of information concealment on couples coping with cancer. She is currently the coordinator of the communication skills training program for medical doctors, and of the Personal and Professional Development program for members of the medical school. Her current research is focused on the role of emotions on clinicaldecision making and medical errors.
Margot van der Doef, Ph D, is an assistant professor (Occupational) Health Psychology at Leiden University, the Netherlands. Ever since her Ph D, her focus in research and teaching has been on employee health and wellbeing. Her research includes studies on the impact of psychosocial job conditions on employee health and well-being, with a strong emphasis on health care and educational contexts, and more recently on chronically ill employees. Furthermore, she has carried out and is currently conducting projects involving the development, implementation, and evaluation of individual- and organisational focused interventions to reduce psychosocial risks and enhance employee wellbeing. At the Institute of Psychology of Leiden University, she is coordinator and teacher of the master specialisation Occupational Health Psychology.
Michael P. Leiter, Ph D, is an organizational psychologist interested in the relationships of people with their work. He has held the Canada Research Chair in Occupational Health and served as Professor of Organizational Psychology at Acadia University in Nova Scotia, Canada and at Deakin University in Geelong, Australia. His research is focused on civility, respect and work engagement. Prof. Leiter has designed workplace interventions in the area of civility and respect that have been shown to have a lasting impact, bringing about improvements in job satisfaction, organizational commitment, trust and burnout. Together with co-author Dr. Christina Maslach, he has coined the term ‘work engagement’ as the antithesis to burnout. He consults on research and workplace interventions from Nova Scotia.
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