Prolonged Length of Stay as a Contributor to Burnout, Interprofessional Conflict and System Fatigue: A Qualitative Study of Inpatient Team Perspectives.
{"title":"Prolonged Length of Stay as a Contributor to Burnout, Interprofessional Conflict and System Fatigue: A Qualitative Study of Inpatient Team Perspectives.","authors":"Lucy Gao, Robert Fogerty, Gretchen K Berland","doi":"10.1080/00185868.2022.2140731","DOIUrl":null,"url":null,"abstract":"<p><p>Prolonged lengths of stay (PLOS) impact patient outcomes, healthcare spending, and bed availability. Many patients stay beyond medical necessity due to complex barriers to discharge, including conservatorship applications and insurance coverage, shifting the provision of care from acute to chronic on medicine wards. We aim to understand the impact of this shift on healthcare staff workflow, interactions, and wellbeing through 23 key informant interviews analyzed using grounded theory. Our findings highlight PLOS as a contributor to burnout, with implications for patient care and staff job satisfaction that necessitate additional support for caring for this vulnerable patient population.</p>","PeriodicalId":55886,"journal":{"name":"Hospital Topics","volume":"1 1","pages":"1-9"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hospital Topics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/00185868.2022.2140731","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/11/3 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Prolonged lengths of stay (PLOS) impact patient outcomes, healthcare spending, and bed availability. Many patients stay beyond medical necessity due to complex barriers to discharge, including conservatorship applications and insurance coverage, shifting the provision of care from acute to chronic on medicine wards. We aim to understand the impact of this shift on healthcare staff workflow, interactions, and wellbeing through 23 key informant interviews analyzed using grounded theory. Our findings highlight PLOS as a contributor to burnout, with implications for patient care and staff job satisfaction that necessitate additional support for caring for this vulnerable patient population.
期刊介绍:
Hospital Topics is the longest continuously published healthcare journal in the United States. Since 1922, Hospital Topics has provided healthcare professionals with research they can apply to improve the quality of access, management, and delivery of healthcare. Dedicated to those who bring healthcare to the public, Hospital Topics spans the whole spectrum of healthcare issues including, but not limited to information systems, fatigue management, medication errors, nursing compensation, midwifery, job satisfaction among managers, team building, and bringing primary care to rural areas. Through articles on theory, applied research, and practice, Hospital Topics addresses the central concerns of today"s healthcare professional and leader.