NHS Reforms and the Working Lives of Midwives and Physiotherapists (original) (raw)
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British Medical Bulletin, 2022
Background High rates of poor mental health in healthcare staff threatens the quality and sustainability of healthcare delivery. Multi-factorial causes include the nature and structure of work. We conducted a critical review of UK NHS (England) data pertaining to: doctors, nurses, midwives and paramedics. Sources of data Key demographic, service architecture (structural features of work) and well-being indicators were identified and reviewed by a stakeholder group. Data searching prioritized NHS whole workforce sources (focusing on hospital and community health services staff), which were rated according to strength of evidence. Findings Key differences between professions were: (i) demographics: gender (nursing and midwifery female-dominated, doctors and paramedics more balanced); age (professions other than doctors had ageing workforces); ethnicity (greater diversity among doctors and nurses); (ii) service architecture: despite net staffing growth, turnover and retention were prob...
The perceptions of occupational health in primary care
A random sample of general practitioners (GPs), practice nurses (PNs) and practice managers (PMs) in Sheffield and Manchester was recruited into a study to evaluate the perceptions of occupational health (OH) in primary care.
Career Development of Female Physiotherapists: Stage Four of a Longitudinal Survey
Australian Journal of Physiotherapy, 1985
Career development of 62 female physiotherapists was surveyed 5 years after graduation, in this fourth stage of a longitudinal study: 87.1 per cent were currently employed. Job satisfaction was high as was work involvement. About half had specialized and the majority had attended short courses, workshops and seminars. Work pressure (too much to do and too little time) was the most frequently rated work stressor. The physiotherapists reported themselves being in good health, experiencing little role conflict and moderate satisfaction from various areas of their lives. As in previous surveys they indicated that they planned to have an average of 3 children and interrupt their careers while the children were young.
Workplace stressors experienced by physiotherapists working in regional public hospitals
Australian Journal of Rural Health, 2008
Objective: To identify and measure the effects of workplace stressors experienced by Victorian regional physiotherapists. Design: Survey questionnaire. Setting and participants: A questionnaire was distributed to three Victorian regional public physiotherapy departments and data were collected from 80 physiotherapists. Main outcome measures: The type and frequency of workplace stressors, the nature and frequency of common signs and symptoms of stress and the amount of leave taken as a result of stress were measured. Results: Caseload quantity, complexity of patients, constant excessive workload, covering staff on leave and staff shortages, were reported as key workplace stressors. Physiotherapists aged between 20 and 29 years were significantly more likely to report a higher number of workplace stressors (F = 4.173, n = 80, P = 0.009). Inpatient rehabilitation physiotherapists were significantly more likely to report stress at a higher frequency than physiotherapists working in other areas (c 2 = 14.359, n = 73, P = 0.002). Eleven per cent of all respondents reported taking leave from work as a result of stress with no significant difference identified between those who took leave and those who did not. There was, however, a trend identified with senior staff (Z = 1.792, n = 80, P = 0.073) and those who work in inpatient rehabilitation (c 2 = 6.926, n = 80, P = 0.074) being more likely to take leave as a result of stress. Many of these physiotherapists did not make their employers aware of the reasons for the leave (77%, n = 9). Conclusions: High caseloads, periods of increased activity and staff shortages are some of the factors that contribute to stress in regional physiotherapists. Younger therapists were more likely to identify stressors with greater frequency. Strategies to monitor, prevent and manage stress should be implemented to minimise burnout in regional physiotherapists.
Victorian Allied Health Workforce Research Program Occupational Therapy Environmental Scan
The Victorian Allied Health Workforce Research Program (the Program) aims to build the evidence base about 27 selected Victorian allied health professions in the public, private and not-for-profit sectors in Victoria. The data will inform the policies and programs of the Victorian Department of Health and Human Services, provide a platform of evidence to build further understanding and development of the allied health workforce and guide improvements associated with education and training. The first stage of the Program involved an environmental scan of the 27 allied health professions in Victoria. This was a substantial scoping exercise designed to ascertain existing levels of data, information resources and contexts for each profession to assist with future data collection for the Program and other planning activities. We are now surveying the psychology workforce in Victoria and their employers and managers. For more information or to participate in the project, please follow this link. The key findings from the 2015 environmental scan of the occupational therapy workforce are summarised below. • Occupational therapy is a large, well-established, allied health profession, registerable under the National Registration and Accreditation Scheme. • The profession has a young, highly feminised workforce with a high attrition rate. • A high inflow of students is placing pressure on clinical training and early career employment. • There is an inadequate supply of senior professionals with experience and specialised skills. • In recent years there has been significant development of advanced and extended scope roles and increasing specialisation. • There are opportunities to improve patient outcomes through occupational therapy models of care and funding arrangements that facilitate timely, full scope, community-based care. • The National Disability Insurance Scheme presents an opportunity for improved service access for people with disability, but workforce shortages may limit this potential being fully realised.