ArticleBMC health services research2024
A qualitative co-design-based approach to identify sources of workplace-related distress and develop well-being strategies for cardiovascular nurses, allied health professionals, and physicians.
Article in BMC health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Enhancing hospital workforce planning, scheduling, and performance evaluation through an AI-driven human resource management system.Scientific reports · 2026Article
- User-Centred Interaction Design for Enhancing Professional Well-Being in Healthcare Environments.Healthcare (Basel, Switzerland) · 2026Article
- Escaping voluntary confinement: A framework to address Stockholm syndrome in cardiac nursing.ARYA atherosclerosis · 2026Article
- Qualitative Research-What You Need to Know (For Now).Acta anaesthesiologica Scandinavica · 2026Article
- From devolution to post-COVID-19 UHC scoping review of human resource for health reforms in Kenya: a signalling and sensemaking analysis.Frontiers in health services · 2026Article
- Current status of career adaptability among Chinese cardiovascular specialist nurses: a latent profile analysis.BMC nursing · 2025Article
- Physician Attributes That Matter Most: Results from a Qualitative Inquiry of Oncologists, Patients Receiving Oncological Care, and Medical Students.Current oncology (Toronto, Ont.) · 2025Article
- Burnout Trends Among US Health Care Workers.JAMA network open · 2025Article
- Creating Organisational Working Conditions Where Nurses Can Thrive: An International Action Research Study.Nursing reports (Pavia, Italy) · 2025Article
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5 authors.
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Abstract
objectiveClinician distress is a multidimensional condition that includes burnout, decreased meaning in work, severe fatigue, poor work-life integration, reduced quality of life, and suicidal ideation. It has negative impacts on patients, providers, and healthcare systems. In this three-phase qualitative investigation, we identified workplace-related factors that drive clinician distress and co-designed actionable interventions with inter-professional cardiovascular clinicians to decrease their distress and improve well-being within a Canadian quaternary hospital network.
methodsBetween October 2021 and May 2022, we invited nurses, allied health professionals, and physicians to participate in a three-phase qualitative investigation. Phases 1 and 2 included individual interviews and focus groups to identify workplace-related factors contributing to distress. Phase 3 involved co-design workshops that engaged inter-professional clinicians to develop interventions addressing drivers of distress identified. Qualitative information was analyzed using descriptive thematic analysis.
resultsFifty-one clinicians (24 nurses, 10 allied health professionals, and 17 physicians) participated. Insights from Phases 1 and 2 identified five key thematic drivers of distress: inadequate support within inter-professional teams, decreased joy in work, unsustainable workloads, limited opportunities for learning and professional growth, and a lack of transparent leadership communication. Phase 3 co-design workshops yielded four actionable interventions to mitigate clinician distress in the workplace: re-designing daily safety huddles, formalizing a nursing coaching and mentorship program, creating a value-added program e-newsletter, and implementing an employee experience platform.
conclusionThis study increases our understanding on workplace-related factors that contribute to clinician distress, as shared by inter-professional clinicians specializing in cardiovascular care. Healthcare organizations can develop effective interventions to mitigate clinician distress by actively engaging healthcare workers in identifying workplace drivers of distress and collaboratively designing tailored, practical interventions that directly address these challenges.
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