131–140 of 335 posts
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That's a really interesting point I'd never thought of before. Do you know of any discussions/articles on this topic? Would be interested to learn more, I always just assumed long doctor shifts was a combination of lack of workers and stinginess.
This article has pretty good data on the patient safety impacts of doctor shift length. https://www.nejm.org/doi/full/10.1056/NEJMoa1900669
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I think you're underplaying non-financial incentives. I would rather have a job that pays $X but offers flexible work hours and vacation time that allows me to be a better parent, than a job that pays $1.5X but won't let me take a day or afternoon off to (e.g.) take my kid to the doctor, etc. Granted, that probably applies more to WFH desk jobs than front-line nurses.
The disgruntled nurses I know don't want more money anywhere near as much as they want things like lunch and bathroom breaks. Money can't buy happiness, but not being able to take care of your basic bodily needs can absolutely buy unhappiness.
No but not having enough will make you unhappy, and keep you trapped there.
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That's a really interesting point I'd never thought of before. Do you know of any discussions/articles on this topic? Would be interested to learn more, I always just assumed long doctor shifts was a combination of lack of workers and stinginess.
As a follow up question, I know I’ve read a lot about the handover issue in the general sense. Does anyone know of any research that has been done to see if the long shifts exacerbate the issue? It wouldn’t surprise me if handover would go more smoothly if the people weren’t at the end of such massive shifts, but it’s equally possible that intuition is wrong. What I don’t know is if there exist places where they trie…
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Most people who fall under "health care workers" don't have a medical degree. Many, including techs and nursing assistants, don't have a bachelor's degree either. So, that population isn't really all that different from the general U.S. population in many ways. Among physicians and medical researchers with PhDs, though, you'll find very little resistance to vaccines.
So we are down the rabbit hole of the credentials fallacy, no one can be creditable or have valid concerns / issues unless they have a MD or PhD?
All the people who hate the masks and hate the vaccines never really have any answer to this, what happens when the hospitals fill to capacity or the staff give up from exhaustion. No answers.
I think it's better to say you don't have answers than to keep being wrong: * no human-to-human transmision * masks don't work -> masks hurt you -> masks are mandatory * transmitted by a pangolin -> we don't know what the intermediary was * it's racist to say it came from a lab -> it probably came from a lab * restrictions for a few weeks -> restrictions for months, and maybe brought back seasonally * it will all be…
Were those statements published in a book titled "Pure and Incontrovertible Truths" or were they, like all human knowledge, subject to learning and changing? No?
That's because the universe is a complex place that humans don't have all the answers for.
I like that science gets better and better. I mean, feel free to put dung and leeches on your open wounds -- because that's how it USED to be, darnit! -- I'll stick to antiseptics and antibacterial ointments. And when science figures out something better and proves it, we'll use that!
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That's a really interesting point I'd never thought of before. Do you know of any discussions/articles on this topic? Would be interested to learn more, I always just assumed long doctor shifts was a combination of lack of workers and stinginess.
This article has pretty good data on the patient safety impacts of doctor shift length. https://www.nejm.org/doi/full/10.1056/NEJMoa1900669
In a secondary analysis that was adjusted for the number of patients per resident physician as a potential confounder, intervention schedules were no longer associated with an increase in errors.
I am an EMT and talk to a lot of nurses, PAs, and physicians in various circles. This wave is worse for a few reasons. - Healthcare staff have great animosity towards the unvaccinated patients. They aren't victims here, they did this to themselves. Nobody can muster any more compassion, especially for these people. Patients and people at large, not even just the total-nutjob anti-vaxxers, are tired of restrictions. "…
> Healthcare staff have great animosity towards the unvaccinated patients. They aren't victims here, they did this to themselves. That seems strange to me considering there are TONS of diseases that are completely the victims fault. Diabetes, heart diseases, lung issues, etc can all be caused because someone chose to make unfortunate decisions. Why would you get into a profession where you're in contact with this kin…
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This is very reductive and I assume means you've never worked somewhere with an actually decent culture. I understand your cynicism: there are indeed a lot of bullshitters out there. But there are some good places to work here and there, places where the bosses listen and respect the humanity and autonomy of the people around them. Frequently this occurs at a local level rather than across an entire company, but it d…
I would say that money is more than just personal pay. It’s paying for enough personnel that people aren’t overworked, and can safely take a day or two off if they need it for mental health. Its in paying for the items and tools and spaces to make the job easier/less stressful for the employees, instead of nickel and diming. I agree that there are culture people who aren’t just bullshitters out there, but a lot of th…
I've never worked as a nurse or doctor but it's hard to imagine what they go through. Every day they deal with people in serious pain, people with traumatic injuries, rude people, rude people with traumatic injuries, screaming children and babies. Apparently nurses in particular are also routinely disrespected by higher-ups, put in danger by higher-ups, and don't get paid much. In college I heard insane stories from…
I find it absurd that we allow medical staff to work 24 hour shifts. We don't let pilots do that. We don't let truckers do that.