Abstract
This issue of Workplace Health & Safety contains a Continuing Nursing Education Module for 1.0 contact hour of continuing nursing education credit will be awarded by AAOHN upon successful completion of the posttest and evaluation.
A certificate will be awarded when the following requirements are met by the participant: (1) Participant logs on to the AAOHN LMS website at www.aaohn.org/education/online-learning-center and enrolls in the course ($10 members; $15 non-members); (2) The completed posttest and course evaluation are entered online at http://www.aaohn.org by December 2023; (3) A score of 75% (6 correct answers) is achieved by the participant.
Upon completion of this lesson, the occupational health nurse will be able to:
Understand the concept of clinician (physician) workflow and its relationship to positive work-related attitudes and job performance.
Identify the associations of flow experience by age group and physician specialty.
List common clinical “flow thieves” highlighted in this investigation.
The American Association of Occupational Health Nurses, Inc. is an Approved Provider of continuing nursing education by the American Association of Occupational Health Nurses, Inc., an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. The American Association of Occupational Health Nurses, Inc. is additionally approved as a CNE provider by the California Board of Registered Nursing (#CEP9283).
Contact hours received for successful completion of the posttest and evaluation may be used for relicensure, certification, and re-certification.
It is linked with peak performance and positive work performance It is associated with superior levels of well-being and personal growth High levels of flow increase patient through-put and increase revenue Flow reduces mental focus leading to absorption Both a. & b. are correct
Loss of revenue More malpractice litigation Poor mental health Skipping meals
Work tasks, relationships, and structure Work structure, process, and outcomes Work hierarchy, tasks, and salary Absorption, work enjoyment and work motivation
May forget everything around them, including personal obligations May make more medical errors May be able to work more quickly without errors May appear to be in an altered state of consciousness
Burnout and physical illness Positive feelings about a job and peak performance Re-evaluation of a worker’s social network and life goals Accommodation of multiple interruptions
Interruptions, insufficient supplies, patient documentation requirements Interruptions, continuing education presentations, delays in meal delivery Interruptions, cumbersome electronic medical records, drug cabinet locks None of the above
Experience few interruptions because of the organization of the department Experience interruptions at a rate three times that experienced by primary care physicians Experience few interruptions because they can delegate tasks to nurses Experience the highest level of “flow thieves”, particularly in academic settings Both b. and d. are correct
Oncologists Ophthalmologists Primary Care physicians Pediatricians
Lower levels of flow absorption and flow fulfillment Higher levels of interruptions and “flow thieves” Higher levels of flow absorption and flow fulfillment Levels of flow absorption and flow fulfillment equal to younger physicians
Costly and cumbersome Interventions to improve physician workflow Departmental policies limiting “flow thieves” to enhance physician well-being and improve patient care Process improvement projects to compare interventions to facilitate physician workflow Separate work areas for physicians to limit interruptions and improve flow