Workplace Issues

Documentation of test results for latent tuberculosis infection is important for health care workers and students before they begin work. A negative result provides a baseline for comparison with future tests. A positive result affords a potential opportunity for treatment of latent infection when appropriate. This study sought to evaluate the yield of the referral process for positive baseline tuberculin tests, among persons beginning health care work or studies. [from abstract]

The main objective of this study was to evaluate the effect of a training program on hand hygiene for the reduction of healthcare-associated infections for primary healthcare workers. [adapted from author]

When physicians are unwell, the performance of health-care systems can be suboptimum. Physician wellness might not only benefit the individual physician, it could also be vital to the delivery of high-quality health care. We review the work stresses faced by physicians, the barriers to attending to wellness, and the consequences of unwell physicians to the individual and to health-care systems. [from summary]

This article relects on influenza transmission and how best to reduce the risk of infection among health-care workers. [adapted from author]

As the Capacity Project has worked to strengthen HRH systems to implement quality health programs in developing countries, it has systematically focused on how differences and inequalities affect women’s and men’s opportunities for education, training and occupational choice. In Rwanda, the Project helped the government follow through on its national policy commitments to gender equality by conducting a study of workplace violence and gender discrimination as barriers to workforce participation. [from author]

Quality of care in general practice may be affected by the team climate perceived by its health and non-health professionals. This study aimed to explore individual and practice factors that were associated with team climate, and to explore the relationship between team climate and quality of care. [from abstract]

This study’s purpose is to compare how physicians, working for both public and privatized hospitals, rate their respective psychosocial working conditions and job satisfaction. [from abstract]

This article details the results of a preliminary study on the activity patterns, time allocation and simultaneous activities of hospital physicians. [adapted from abstract]

Well-documented shortages of health care workers in sub-Saharan Africa are exacerbated by the increased human resource demands of rapidly expanding HIV care and treatment programmes. The successful continuation of existing programmes is threatened by health care worker burnout and HIV-related illness. This article details the results of a study conducted among health providers in the Lusaka public health sector. [adapted from abstract]

This self-audit tool can be used at any management level and is designed to help employers make a quick judgement about whether an organization’s framework for management and practice minimizes the potential for workers to be subject to violence and abuse. The tool also enables a supportive response if incidents occur. [adapted from description]

A study on workplace violence within the health sector in Rwanda was conducted in 2007 in order to determine the type, impact, context, consequences and prevention strategies of workplace violence in Rwanda; to assist the Ministries of Health, Public service and Labor (MIFOTRA) as well as other stakeholders in developing a political, legal and programmatic response to improve providers’ safety, satisfaction and retention. This study also explored the characteristics of gender-based violence, including gender-based discrimination and its relation to workplace violence. [adapted from foreword]

These guidelines target all health workers at the different levels of the health care delivery system and apply to both the formal and informal workplaces within the health sector. This document covers the basic principles that are required to ensure workplace safety and health including hazard identification, risk management, prevention and management of exposures and incidents. [from foreword]

This study explores the experience of conflict as perceived by Iranian hospital nurses in Tehran, Islamic Republic of Iran. Although conflict-control approaches have been extensively researched throughout the world, no research-based data are available on the perception of conflict and effective resolutions among hospital nurses in Iran. [adapted from abstract]

Our study aimed to explore a neglected but crucial aspect of human resources for health in Africa: the provision of a work environment that will promote motivation and performance of mid-level providers. This paper explores the work environment of mid-level providers in Malawi, and contributes to the validation of an instrument to measure the work environment of mid-level providers in low income countries. [from abstract]

This document presents a checklist of key characteristics of quality workplaces for health care professionals. It is intended for use by employers, professional organizations, regulatory bodies, government agencies as well as health sector professionals. It is designed as a reference tool to enable these groups to assess the quality of their practice environment, identify any deficiencies and develop strategies to address priority gaps. [adapted from introduction]

This presentation covers the World Health Organization’s Treat, Train and Retain activities in terms of the key elements for health worker safety and protection. [adapted from author]

The motivation for this study was to investigate how role stress among nurses could affect their job satisfaction and organizational commitment, and whether the job rotation system might encourage nurses to understand, relate to and share the vision of the organization, consequently increasing their job satisfaction and stimulating them to willingly remain in their jobs and commit themselves to the organization. [from abstract]

In health facilities across Kenya, many workers are struggling to do their jobs in less-than-ideal conditions. Work climate issues such as poor working environments, unfriendly colleagues, disorganized facility functions and ineffective supervision have been hindering workers’ performance and productivity and contributing to low retention. [from author]

This qualitative study was undertaken to explore and describe the experiences of professional nurses in their relationships with nurse managers. [from abstract]

This document discusses the in-country ownership of health initiatives from the Health Sector Strategic Plan focusing on critical areas such as retention, recruitment and occupational safety.

Epidemiological data indicate elevated psychosocial health risks for physicians, e. g., burnout, depression, marital disturbances, alcohol and substance abuse, and suicide. The purpose of this study was to identify psychosocial health resources and risk factors in profession-related behaviour and experience patterns of medical students and physicians that may serve as a basis for appropriate health promoting interventions. [from abstract]

Swaziland has taken the lead in caring for overburdened health workers with the opening of the first Wellness Centre in Manzini for them and their families. This article reports on this innovative response to the deepening crisis in human resources for health in sub-Saharan Africa. [adapted from author]

This survey is the first attempt to examine the preparedness of the health
system to implement guidelines for HIV testing in clinical settings, and to provide comprehensive AIDS management. This includes availing HIV testing in clinical settings to both adult and pediatric patients, and providing treatment for HIV disease. The survey also examines the working environment in health care facilities, with an emphasis on HIV infection control and access to post-exposure prophylaxis for health workers themselves. [from foreword]

The objective of this study was to examine how the physical environment, along with other factors such as culture and social support, impact the health and safety of the care team, effectiveness of the healthcare team in providing care and preventing medical errors, and patient and practitioner satisfaction with the experience of giving and receiving care. [adapted from abstract]

The health and well-being of the health workforce and the quality of the healthcare work environment has a profound impact on the effectiveness and efficiency of healthcare services. This resource identifies priority actions that are known to improve the workplace and that can be implemented quickly and efficiently. The actions focus on both system wide and organizational performance improvement on specific areas relating to quality work life. [from executive summary]

This presentation was given at the First Forum on Human Resources for Health in Kampala. It outlines the internal and external environmental issues for district medical officers and describes what these officers need in terms of support.

Positive practice environments are settings that support excellence and decent work. In particular, they strive to ensure the health, safety and personal well-being of staff, support quality patient care and improve the motivation, productivity and performance of individuals and organisations. [from author]

This article reflects on the state of the art in providing a safe working environment for HCWs and to consider a future path towards equitable access to its basic elements. [author’s description]

This toolkit explores the nurse/workplace interface, overlapping factors that shape nurses’ work environments, the cost of unhealthy workplaces, and the characteristics and benefits of positive practice environments. A list of recommended actions and tools to help nurses negotiate for improved environments is also included. [from introduction]

The National Health Service published guidance to help protect staff who work alone and who do not have access to immediate support from colleagues or others. This guidance provides a template from which local employers can develop procedures and systems to protect lone workers. It contains information on how technology can be used to help provide a safer environment and to help nurses feel more confident about their personal safety. The RCN wanted to find out if the situation for nurses working in the community has improved since 2005, their perception of risk, their experiences of assault and abuse, whether technology has been provided, and how incidents are handled.