Most clinicians, citing lack of support systems and wanting to help colleagues and patients, report working while sick.
JAMA Pediatr. 2015 Jul 6; [Epub ahead of print].
Reasons why physicians and advanced practice clinicians work while sick: a mixed-methods analysis.
Szymczak JE, Smathers S, Hoegg C, Klieger S, Coffin SE, Sammons JS. JAMA Pediatr. 2015 Jul 6; [Epub ahead of print].
Health care workers often work while sick. This phenomenon, known as "presenteeism," has been implicated in outbreaks of health care–associated infections and is associated with burnout. Researchers surveyed physicians and advanced practice clinicians at a children's hospital. This study found that most clinicians reported working while sick, consistent with a prior study of presenteeism among resident physicians. Cultural and system factors resulted in pressure to work while ill, including a sense of not wanting to let colleagues or patients down by being absent and lack of support systems to provide coverage for sick clinicians. The accompanying editorial acknowledges the stigma that clinicians face if they take sick leave and calls for organizations to develop transparent and equitable policies and systems to combat presenteeism.
Patient safety begins with proper planning: a quantitative method to improve hospital design.
Birnbach DJ, Nevo I, Scheinman SR, Fitzpatrick M, Shekhter I, Lombard JL. Qual Saf Health Care. 2010;19:462-465.
Twenty-four/seven: a mixed-method systematic review of the off-shift literature.
de Cordova PB, Phibbs CS, Bartel AP, Stone PW. J Adv Nurs. 2012;68:1454-1468.
Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.
Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.
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Drug shortage-associated increase in catheter-related blood stream infection in children.
Ralls MW, Blackwood RA, Arnold MA, Partipilo ML, Dimond J, Teitelbaum DH. Pediatrics. 2012;130:e1369-e1373.