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When Clinicians Drop Out and Start Over after Adverse Events
Joint Commission Journal on Quality and Patient Safety
|March 4, 2018
Summary
Adverse clinical events deeply affect healthcare workers, sometimes leading to career changes. Many clinicians desire more transparency and support to recover from such events and prevent burnout.
Area of Science:
- Healthcare worker well-being
- Medical error impact
- Professional resilience
Background:
- Adverse clinical events significantly impact healthcare professionals, causing self-doubt and questioning of career choices.
- Previous research indicates a pattern of inadequate support following such incidents.
- This study explores the experiences of healthcare providers who altered their career paths post-adverse event.
Purpose of the Study:
- To investigate the experiences of healthcare providers who changed careers after adverse clinical events.
- To understand the influence of institutional responses and support systems on career decisions.
- To identify factors contributing to burnout, role changes, or career redirection.
Main Methods:
- A 39-question survey was administered to healthcare providers.
- Data collected included demographics, recall of the event, lived experiences, institutional responses, and influences on future employment.
- The survey also explored insights into potential interventional strategies.
Main Results:
- Clinicians reported insufficient social support post-event, consistent with prior research.
- Emotional labor was a significant factor for those who transitioned to different roles.
- While some clinicians found less meaning in new roles, others advanced patient safety and peer support.
Conclusions:
- Suppressed emotions due to organizational expectations may contribute to burnout and career changes.
- Healthcare providers desire greater transparency and support for recovery after adverse events.
- Enhanced support systems are crucial for clinicians involved in adverse clinical events.
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