Tutorial 2 - Sustainability, Resilience and Occupational Health Flashcards
oxford dictionary defintion of resilience
the capacity to recover quickly from difficulties; toughness, or the ability of a substance or object to spring back into shape; elasticity
what is resilience
an emotion competence or a characterisitic that deals with negative effects of stree and promotes adaptation
principles encompassed by resilience
self-efficiency, self-control, self-regulation, planning and perseverance
TRUE/FALSE resilience is an acquired virtue/behaviour that requires continuous improvement
true
personal strengths underpinning resilience
- high frustration tolerance
- self acceptance
- self belief
- humour
- perspective
- curiosity
- adaptability
- meaning
behaviours supporting resilience
- having and building support networks
- ability to reflect
- assertiveness
- avoiding procrastination
- developing goals
- time management
- work/life balance
sources of burnout
personal
- perfectionism, denial, avoidance, unwilling to seek help, being too conscientious
professional
- culture of invulnerability and presenteeism, blame culture
systemic
- overwork, chaotic work environments and lack of teamwork
signs of burnout in students
- repeatedly failing or nearly failing
- handing in work late
- poor attendance
- absence due to illness
- behavioural issues
- FtP issues
- lack of engagement with course
- poor communication with staff and peers
outcomes of resilience in practice
reflection
improvement
returning wiser and better
inital reactions in face of professional adversity
doubt, anger, fear, worry, misunderstood, sorrow, regret
factors aiding resilience
- intellectual interest
- self awareness and reflection
- time managemnt and work/life balance
- continuing professional developement
- supportive relationships
- mentors
3 targets of non-personal changes that can improve resilience
professional attitudes, societal attitude and structural changes
what model says that “doctors need to be suppported not trained in resilience”
unified model - a coping reserve that can be filled or emptied, personality and temperament form the internal structure
what is an occupational history
a chronological list of all the patient’s employment with the intention of determingin whether work has causes ill health, excerbated an existing health problem or has ill health impacted their capacity to work
what is a fit note
evidence of assessment by a doctor as to whether a patient is fit to work in general (i.e. not job specific).
after how long an absence is a fit note required
7 days
purpose of a fit note
to facilitate earlier discussion about returning to work and about rehabilitation
purpose of occupational health
- prevent work-related ill health
- advise on fitness for work and workplace safety
- improve attendance and performance in the workplace
- provide rehabilitation to help people return to work and advise of alternative work
- promote health in the workplace and healthy lifestyles
- conduct researhc into work related health issues
- ensure compliance with health and safety regulations
members of occupational health team
doctors, nurses, ergonomists, hygienists, physios, psychiatrists, therapists
what can a doctor recommend to an employer in a fit note
- phased return to work
- altered hours
- amended duties
- workplace adaptation
effect of unemployment on health
higher mortality, poorer general health, long-standing illnness, poorer mental health, pyschological distress, higher medical consultation
definition of sustainability
ability to continue over a period of time
national policy document about sustainability in the NHS
Realistic Medicine
how to make the NHS more environmentally sustainable (Low Carbon Clinical Care)
- substitute harmful chemical with safer alternatives
- reduce and safely dispose of waste
- switch to renewable energy
- reduce water consumption
- buy and serve sustainably grown food
- safely manage and dispoe of pharmaceuticals
benefits of low carbon clinical care
prevention of conditions worldwide
give patients greater responsibility in managing their health
leaner service design
use the lowest carbon technologies
ways to reduce the need to travel
- videoconferencing
- one stop clinics for consultation, diagnosis and management plan
- multiple clinics on the same day
better ways to travel
car pooling, hybrid or electric, public transport or cycling
features of The New GP Contract 2018
reduced workload
improved recruitment
additional members in practice team
effect is to reduce risk and promote sustainability
suggested new definition of health
resilience, adaptation and self management in the face of physica, social and emotional challenges
