Through The eyes of The Workforce - National Patient Safety ...

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THROUGH THE EYES OF THE WORKFORCECreating Joy, Meaning, and Safer Health CareINVITED EXPERTS (continued)Pamela A. Thompson, MS, RN, FAANCEO, American Organization of Nurse ExecutivesImmediate Past Chair, NPSF Board of DirectorsEx-Officio Member, Lucian Leape InstituteTimothy Vogus, PhDAssistant Professor of ManagementOwen Graduate School of ManagementVanderbilt UniversityMODERATORBrian F. Shea, BSPharm, PharmD, FCCPSenior Manager, Accenture Health PracticeAccentureMEMBERS OF THE LUCIAN LEAPE INSTITUTEat the National Patient Safety FoundationLucian L. Leape, MDChair, Lucian Leape InstituteAdjunct Professor of Health PolicyHarvard School of Public HealthCarolyn M. Clancy, MDDirectorAgency for Healthcare Research and QualityJanet M. Corrigan, PhD, MBAFormer President and CEONational Quality ForumSusan Edgman-Levitan, PAExecutive DirectorJohn D. Stoeckle Center for Primary Care InnovationMassachusetts General HospitalGary S. Kaplan, MD, FACMPEChairman and CEO, Virginia MasonMedical CenterJulianne M. Morath, RN, MSChief Quality and Safety OfficerVanderbilt University Medical CenterDennis S. O’Leary, MDPresident EmeritusThe Joint CommissionPaul O’NeillFormer Chairman and CEO, Alcoa72nd Secretary of the US TreasuryDiane C. Pinakiewicz, MBA, CPPSPresident, Lucian Leape InstituteDistinguished Advisor, National Patient SafetyFoundationRobert M. Wachter, MDAssociate ChairDepartment of MedicineUniversity of California San FranciscoThe Lucian Leape Institute gratefully acknowledges professors Rangaraj Ramanujam, PhD, andTimothy Vogus, PhD, and MBA graduate students in the Owen Graduate School of Managementat Vanderbilt University for their assistance in research and staffing for the Roundtable sessions.Additionally, the Institute acknowledges the technical writing support of Amie T. Hollis, JD, andManuel Benegas Jr., JD, from the Vanderbilt University Medical Center.NPSF STAFFDavid ColettaSenior Vice PresidentStrategic AlliancesPatricia McGaffigan, RN, MSInterim PresidentElma Sanders, PhDCommunications ManagerAnita Spielman, CPPSDirector, InformationResources and ResearchJennifer WalkerDirector, AdministrationThe Lucian Leape Institute at the National Patient Safety Foundation sincerely thanksSEIU Healthcarefor its support of the LLI Roundtable on Joy and Meaning in Work and Workforce Safety.v
THROUGH THE EYES OF THE WORKFORCECreating Joy, Meaning, and Safer Health CareEXECUTIVE SUMMARYThe health care workforce is composed of wellintentioned,well-prepared people in a variety ofroles and clinical disciplines who do their best everyday to ensure that patients are well cared for. It isfrom this mission of caring for people in times oftheir greatest vulnerability and need that health careworkers find meaning in their work, as well as theirexperience of joy.Yet many health care workers suffer harm—emotional and physical—in the course of providingcare. Many are subjected to being bullied, harassed,demeaned, ignored, and in the most extreme cases,physically assaulted. They are also physicallyinjured by working in conditions of known and preventableenvironmental risk. In addition, productionand cost pressures have reduced complex, intimate,caregiving relationships into a series of demandingtasks performed under severe time constraints.Under these conditions, it is difficult for caregiversto find purpose and joy in their work, or to meet thechallenge of making health care safe for patientsthey serve.Vulnerable WorkplacesThe basic precondition of a safe workplace is protectionof the physical and psychological safety of theworkforce. Both are conspicuously absent or consideredoptional in many care-delivery organizations.The prevalence of physical harm experienced by thehealth care workforce is striking, much higher thanin other industries. Up to a third of nurses experienceback or musculoskeletal injuries in a year, andmany have unprotected contact with blood-bornepathogens.Psychological harm is also common. In manyhealth care organizations, staff are not treated withrespect—or, worse yet, they are routinely treatedwith disrespect. Emotional abuse, bullying, and eventhreats of physical assault and learning by humiliationare all often accepted as “normal” conditions ofthe health care workplace, creating a culture of fearand intimidation that saps joy and meaning fromwork.The absence of cultural norms that create thepreconditions of psychological and physical safetyobscures meaning of work and drains motivation.The costs of burnout, litigation, lost work hours,EXECUTIVE SUMMARY • ES1
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