Employee Management
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The Darkest Hour: Little PPE, No Vaccine Led to Moral Injury
A fascinating and disturbing study captures the emotions and attitudes of healthcare workers in 2020 when COVID-19 emerged. Personal protective equipment was in short supply, and the first COVID-19 vaccines would not be available until the end of the year. There was a general despairing feeling in this period that there was not “enough” of anything, including reliable information.
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Moral Injury in HCWs at Level of Combat Vets
Moral injury is a fairly well-established syndrome in combat soldiers, but researchers found healthcare workers suffered a comparable level of mental turmoil and ethical conflict during the first two years of the pandemic.
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Dealing with Toxic Employees
Everyone has met him or her — and would prefer not to meet them again. But there they are when you arrive for duty: The toxic co-worker.
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Survey: 87% of Acute Care Sites Short of Nurses
Healthcare delivery is at a critical tipping point due to a nursing shortage crisis that is projected to get worse, and no clear consensus on new labor models to meet the crisis, according to a survey and report by two companies involved in medical education and labor solutions. Even before the pandemic drove workers from the clinical bedside, experts projected 1 million more nurses would be needed by 2030.
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Healthcare Workers Likely Will Be Offered New Vaccine
Healthcare workers likely will be offered a new COVID-19 vaccine the FDA is pushing to roll out for this fall and winter. The FDA Vaccines and Related Biological Products Advisory Committee approved “the inclusion of a SARS-CoV-2 omicron component for COVID-19 booster vaccines in the United States.”
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Returning to In-Person Case Management
As the country begins to pull out of the COVID-19 pandemic, the opportunity for case managers to return to the bedside provides the welcome relief of meeting with the interdisciplinary team, patients, and families in person. But for many people, returning from a remote environment after several months is another challenging shift to experience.
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The Joint Commission Puts Providers on Notice Regarding Diagnostic Overshadowing
When patients present with existing diagnoses or disabilities, clinicians might attribute any symptoms to the existing condition. This is called diagnostic overshadowing, a type of cognitive bias that can cause unnecessary suffering, unsafe care, and adverse events related to missed or delayed diagnoses. Unfortunately, the problem occurs more often among groups already experiencing healthcare disparities.
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Legal Risks if Psychiatric History Clouds Medical Decision-Making
Patients with these life-threatening medical conditions may report mood swings, personality changes, irritability or aggression, depressed mood, anxiety, or trouble concentrating. If appropriate history, physical exam, and diagnostic testing are not completed, medical emergencies can be missed. This is particularly common if physical exam findings are subtle.
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Med/Mal Concerns if ‘Float’ Nurses Cover the Department
Of 2,575 nurses from 50 states and Washington, DC, 26.5% reported they were “floated” or reassigned to a clinical care area that required new skills or that was outside their competency, according to a survey. Almost half reported receiving no education or preparation before they were assigned to the new unit.
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Report: Patients Sicker Now Than Before the COVID-19 Pandemic
Delayed care also driving longer lengths of stay, price increases for labor and supplies.