Lowest On The Totem Pole: Clinician Stress and Burnout Related to Overuse
Jane Muir
University of Virginia School of Nursing
K. Jane Muir, RN, BSN is a nurse in the Emergency Department at the University of Virginia Medical Center. At the University of Virginia, she received her Bachelor of Science in Nursing degree and second major in Spanish Language. As an undergraduate student, Jane served as a project manager for the Compassionate Care Initiative, where she developed the STudent Ambassadors of Resiliency (STAR) program, engaging medical and students in conversations about self-care practices and avoiding overuse as future practitioners. She currently serves as a clinical ambassador for the Compassionate Care Initiative, incorporating compassion projects into the workplace at the UVA Medical Center.
Abstract
Overuse in health care is a significant problem that stems from many sources including clinician distraction, the burden of competing demands, fast pace work environments, limited time with patients, and heavy workloads. In... [ view full abstract ]
Overuse in health care is a significant problem that stems from many sources including clinician distraction, the burden of competing demands, fast pace work environments, limited time with patients, and heavy workloads. In addition to threats to patient safety, overuse has also been shown to take a financial toll on the healthcare system.
A program entitled STudent Ambassadors of Resiliency (STAR) was conducted at the University of Virginia with 23 medical and nursing students over a three-month period in 2015. Educational and experiential sessions were formulated around the themes of interprofessional collaboration, shared decision-making, mindfulness and awareness, wisdom in medicine and appreciate inquiry. The study used a one group, pre-post design and the analysis was descriptive and qualitative using pre and post-intervention reflective writings by the participations. The design was considered suitable for capturing student-clinician experiences of overuse in the clinical setting. Anonymous written stories of students’ experience with overuse were collected at the beginning of the program and at the summative retreat (the final day of the program).
Six themes emerged in the analysis of students’ writings, including: lack of clarity, generalized powerlessness, moral distress, retrospective clarity, values and empowerment to make change. The STAR program revealed students’ experiences in discovering a lack of communication with regards to goals of care between patients, clinicians and family members. Additionally, students identified how awareness practices can lead to decreased error in patient interactions and improved communication amongst the care team in contributing to shared decisonmaking. Students were able to gain insight into what they see as instances of overuse, what values they take away from these experiences and how they strive to act in the clinical setting as future clinicians.
Authors
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Jane Muir
(University of Virginia School of Nursing)
Topic Areas
Shared decision making and patient-reported outcomes , Organizational factors (such as structure and culture) that drive overuse
Session
AS-1A » Abstract Slams: Drivers of Overuse (12:00 - Friday, 5th May, Salons 1, 2, & 3)
Presentation Files
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