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FOPC > Year Three - Sustainability, Resilience and Occupational Health > Flashcards

Year Three - Sustainability, Resilience and Occupational Health Flashcards

1
Q

What is resilience ?

A

The capacity to recover quickly from difficulties

An emotional competence or a personality characteristic that deals with negative effects of stress and promotes adaptation

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2
Q

How is resilience obtained?

A

Acquired through life experience

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3
Q

What other characteristics does resilience encompass?

A

self-efficiency; self- control; self-regulation; planning and perseverance

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4
Q

What personal strengths underpin resilience?

A
  • High frustration tolerance
  • Self acceptance
  • Self belief
  • Humour
  • Perspective
  • Curiosity
  • Adaptability
  • Meaning
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5
Q

What behaviours support resilience?

A
  • Building/ having support networks- positive relationships
  • Reflective ability
  • Assertiveness
  • Avoiding procrastination
  • Developing goals- realistic plans and ability / motivation to follow them through
  • Time management
  • Work-life balance
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6
Q

What are the personal sources of burn out ?

A

Perfectionism, denial, avoidance, micromanaging, unwilling to seek help, being too conscientious

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7
Q

What are the professional sources of burn out?

A

Culture of invulnerability
Culture of presenteeism
Blame culture
Silence

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8
Q

What are the systemic sources of burn out?

A 
Over worked
Shift work
Lack of oversight
Chaotic work environments
Lack of teamwork, fractured training
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9
Q

What are the initial reactions to situations which may need resilience ?

A 
o	Doubt
o	Anger
o	Fear
o	Worry
o	Misunderstood
o	Unappreciated
o	Sorrow
o	Regret
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10
Q

What are the benefits of resilience?

A

May lead to reflection which leads to improvement which allows us to learn from our mistakes an return wiser and better than before

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11
Q

What factors aid resilience?

A
  • Intellectual interest: job satisfaction, career progression, variability (if wanted), capacity to develop special interest
  • Self-awareness and self-reflection: recognise and accept personal limits, establish boundaries in doctor-patient relationship, less self-critical. Aided by mindfulness based stress reduction
  • Time management and work life balance: ensuring time for hobbies, leisure, relaxation, self-expression
  • Continuing professional development
  • Support including team working: supportive relationships within and out with medicine
  • Mentors: help trainees adapt to change and react to stress
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12
Q

How may professional attitudes aid resilience?

A

o Changing sense of perfectionism, presenteeism, culture of silence
o Better support for those struggling or after difficult events

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13
Q

How may societal attitudes aid resilience?

A

o Changing culture of blame, reduce perceived threat of complaints
o Public acceptance of mistakes? Patients personal responsibility for health?

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14
Q

How may structural changes aid resilience?

A

o Improved shift pattern, better work-life balance, less fractures training, regular breaks, a cup of tea

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15
Q

What is an occupational history?

A

An occupational history is a history of an employers experience in the work force thus far

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16
Q

What can be identified in an occupational histroy?

A

Identifies exposure to hazards or stresses
Identifies symptomatic pattern in relation to work
Determines duration and intensity of exposure to hazards
Identifies if PPE was used/misused
Identifies protective measures that are put in place
Identifies whether other people are suffering similar sumptoms

17
Q

What is the fit note?

A

• Evidence of assessment by a doctor (often their GP) as to whether a patient is fit to work in general; not job specific

18
Q

What is the purpose of the fit note?

A

to facilitate early discussion about returning to work and rehabilitation

19
Q

When is a sick note required?

A

If the patient has been off for more than 7 days

20
Q

What are the options for fit notes?

A

o Phased return to work: start with reduced hours each day and build up- help build capacity and allow time for rehab
o Altered hours: work at different times in the day eg are mornings harder?
o Amended duties: changed in work practice or content eg less time sitting/ breaking up the day differently to allow more movement- shorter surgeries, built in breaks etc
o Workplace adaptations eg changes to seating to support better back

21
Q

What is the role of an OH specialist?

A

• Occupational health specialists support and help people stay in work and live full and healthy lives
• They ensure the health and well being of the working population by preventing work-related ill health and providing specialist rehabilitation advice
• They provide independent, impartial advice to employers and employees on the effects of work on health and the effects of health on work
• Help prevent work related ill health
• Advise on fitness to work, workplace safety, the prevention of occupational injuries and disease
• Recommend appropriate adjustments in the workplace to help people stay in work
• Improve the attendance and performance of the workforce- eg assisting in the management of sick absence
• Provide rehabilitation to help people return to work, and give advice on alternative suitable work for people with health problems
• Promote health in the workplace and healthy life styles
• Recommend and implement appropriate policies to maintain a safe and healthy work place
• Conduct research into work related health issues
• Ensure compliance with health and safety regulations including minimising and eliminating workplace hazards
• Advise on medical health and ill-health retirement
• Modern occupational health requires a multi
disciplinary approach where doctors work alongside a range of associated healthcare professional including nurses, ergonomists, hygienists, occupational health advisors, physiotherapists, psychiatrist, psychologists and therapists

22
Q

What is the effect of unenployment on health?

A

Higher mortality
Poorer general health and longstanding illness
Poorer mental health
Higher hospital admission rates/use of healthcare services

23
Q

What might re-employment do for a person?

A

Increase self-esteem, general health, mental health, confidence and self worth

24
Q

Define sustainability?

A

The ability to continue over a long period of time

25
Q

How is the NHS becoming more sustainable?

A

Substitute harmful chemicals with safer alternatives
Use renewable energy and reduce water consumption
Purchase sustainably grown food
Safely manage and dispose of pharmaceuticals
Adopt greener design and construction

26
Q

What is the NHS carbon reduction strategy?

A

based on national targets set by the Climate Change Act 2008, commits the health service to more than 80% reduction in emissions over the next 30 years. So the health sector will be forced to reduce its carbon emissions.

27
Q

How is the NHS focusing on improving transport?

A

Reduces healthcare workers need to travel by using teleconfrencing
One stop clinics in which consultation, diagnostics and treatment are given on same day in one facility
Promoting car pooling
Improving health care service transport (i.e busses)
Providing more facilities for cyclists
Reduce car spaces

28
Q

What is health?

A

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

29
Q

What percentage of the population experience mental health issues at any one time?

A

15-25%

30
Q

How is resilience promoted in in medical schools?

A

Group teaching exercises on how to deal with stress

Online resources

Mindfulness and meditation sessions

31
Q

What is phased return to work?

A

Start with reduced hours each day and build up – help build capacity again and allow time for rehab

32
Q

What is an altered hours fit note?

A

Suggests employee work at different time of day

33
Q

What is an amended duties fir note?

A

Note that suggests a change in work practice or practice

34
Q

What is work placed adaption fit note?

A

Change to the employees work space e.g. altered seating to support an injured back

FOPC (6 decks)

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