substantiality, resilience and OH

Question 1

resilience

Answer 1

capacity to recover quickly from difficulty

emotional competence/personality characteristic that deals with negative effects of stress and promotres adaptation

Question 2

resilience encompasses several dimensions..

Answer 2

self efficiency
self control
self regulation 
planning 
perseverance

Question 3

personal strengths underpinning resilience

Answer 3

high fustration tolerance
self acceptance
self belief
humour
perspective
curiosity 
adaptability

Question 4

behaviours supporting resillience

Answer 4

support networks, positive relationships
reflective ability 
assertiveness
developing goals, realistic plans and ability/motivation to follow through 
time management
work-life balance

Question 5

personal sources of burnout

Answer 5

perfectionism 
denial
avoidance
unwilling to seek healp
too conscientious

Question 6

professional sources of burnout

Answer 6

culture of invulnerability
culture of presenteeim
blame culture/silence

Question 7

systemic sources of burnout

Answer 7

overwork, shiftwork
lack of oversight
chaotic work environments
lack teamwork
fracutred training

Question 8

what can resilience lead to

Answer 8

reflection
improvement
returning wiser and better

Question 9

factors aiding resilience

Answer 9

intellectual interest: job satisfaction, career progression 
self awareness and self reflection 
time management and worklife balance
continuing professional development
support, team working 
mentors

Question 10

coping reserve: positive input

Answer 10

psychosocial support
social/healthy activities
mentorship
intellectual stimulation

Question 11

coping reserve: negative input

Answer 11

stress
internal conflict
time and energy demands

Question 12

coping reserve: outcomes

Answer 12

resilience

burnout

Question 13

coping reserve: internal structure

Answer 13

personality traits
temperament
coping style

Question 14

occupational history

Answer 14

all patients employment

determine if work as caused ill health, exacerbated existing health condition or if ill health has impacted patients ability to work

Question 15

fit note

Answer 15

replaced sick note

faciliates earlier discussion about return to work
required if pt been of work 7 consecutive days

Question 16

fit note options

Answer 16

phased return to work
altered hours
amended duties
workplace adaption

Question 17

sustainabiliy

Answer 17

able to continue over a period of time

Question 18

low carbon clinical care and NHS sustainability

Answer 18

prioritise environmental health 
substitute harmful chemicals with safer alternatives
safely dispose wate
reduce water consumption 
renewable energy

Question 19

low carbon clinical care outcomes

Answer 19

be better at preventing conditions
give greater responsibility to patients to manage their health
be leaner in service design and delivery
use lowest carbon technologies

Question 20

health definition remodelling

Answer 20

complete state of physical, mental and social wellbeing and not merely absence of disease

to

resilience, adaptation and self-management in the face of physical, social and emotional challenge

Question 21

workforce sustainability

Answer 21

A sustainable workforce is one where the work environment is caring and supports employee wellbeing.

Question 22

travel ideas for improving environmental sustainability

Answer 22

teleconference, videoconferance
local food suppliers for hospital
car pooling 
fuel efficient vehicles
liase w council to promote bus links

Question 23

what can occupational health doctor do

Answer 23

• advise on fitness to work, workplace safety
• recommend appropriate workplace adjustments
• provide rehabilitation for return to work e.g. reduced hours, phased return