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Journal of Primary Health Care Journal of Primary Health Care Society
Journal of The Royal New Zealand College of General Practitioners
RESEARCH ARTICLE (Open Access)

Self-care of Canterbury general practitioners, nurse practitioners, practice nurses and community pharmacists

Caroline Christie 1 , Susan Bidwell 1 , Andrea Copeland 1 , Ben Hudson 1
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1 Pegasus Health (Charitable) Ltd, Christchurch, New Zealand

Correspondence to: Caroline Christie, Pegasus Health (Charitable) Ltd, PO Box 741, Christchurch 8140 (401 Madras Street, Christchurch 8013), New Zealand. Email: caroline.christie@pegasus.org.nz

Journal of Primary Health Care 9(4) 286-291 https://doi.org/10.1071/HC17034
Published: 13 October 2017

Journal Compilation © Royal New Zealand College of General Practitioners 2017.
This is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Abstract

INTRODUCTION: Pastoral care is recognised as an important aspect of a mature primary care network. Pegasus Health is now in its 25th year and has had a formal Pastoral Care Programme for doctors since 2009.

AIM: This study aimed to collect local data on the self-care of Canterbury (Christchurch, New Zealand) general practitioners (GPs), nurse practitioners (NPs), practice nurses (PNs) and community pharmacists (CPs).

METHODS: The survey was open to all participants in the Pegasus Small Group Education Programme in Canterbury. From a survey circulated to approximately 1100 primary care professionals, 504 responses were collected either electronically or as hard copies.

RESULTS: The themes that emerged were similar among all the health professional groups. A significant proportion of health professionals took minimal annual leave and even more worked while ill. CPs were the group with the highest rates in both these areas. Reasons given for this focused largely on a lack of locum cover.

DISCUSSION: Locum cover is a significant issue in Canterbury for all health professional groups in the study. The issue of locums is now being reviewed in Canterbury partly as a result of this study. Consideration is also being given to how the Pastoral Care Programme can be made more widely available.


References

[1]  Arigoni F, Bovier PA, Sappino AP. Trend of burnout among Swiss doctors. Swiss Med Wkly. 2010; 140 w13070
| 1:STN:280:DC%2BC3cjpt1CgsA%3D%3D&md5=cdf6b74dab7f031541af57b1d1155ed7CAS |

[2]  Halbesleben JR, Rathert C. Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients. Health Care Manage Rev. 2008; 33 29–39.
Linking physician burnout and patient outcomes: exploring the dyadic relationship between physicians and patients.Crossref | GoogleScholarGoogle Scholar |

[3]  Kay MP, Mitchell GK, Del Mar CB. Doctors do not adequately look after their own physical health. Med J Aust. 2004; 181 368–70.

[4]  Pejuškovic B, Lecic-Tosevski D, Priebe S, et al. Burnout syndrome among physicians – the role of personality dimensions and coping strategies. Psychiatr Danub. 2011; 23 389–95.

[5]  Riley GJ. Understanding the stresses and strains of being a doctor. Med J Aust. 2004; 181 350–3.

[6]  Rø KE, Gude T, Tyssen R, et al. Counselling for burnout in Norwegian doctors: one year cohort study. BMJ. 2008; 337 a2004
Counselling for burnout in Norwegian doctors: one year cohort study.Crossref | GoogleScholarGoogle Scholar |

[7]  Gidman W. Increasing community pharmacy workloads in England: causes and consequences. Int J Clin Pharm. 2011; 33 512–20.
Increasing community pharmacy workloads in England: causes and consequences.Crossref | GoogleScholarGoogle Scholar |

[8]  Gidman WK, Hassell K, Day J, et al. The impact of increasing workloads and role expansion on female community pharmacists in the United Kingdom. Res Social Adm Pharm. 2007; 3 285–302.
The impact of increasing workloads and role expansion on female community pharmacists in the United Kingdom.Crossref | GoogleScholarGoogle Scholar |

[9]  Gaither CA, Kahaleh AA, Doucette WR, et al. A modified model of pharmacists’ job stress: the role of organizational, extra-role, and individual factors on work-related outcomes. Res Social Adm Pharm. 2008; 4 231–43.
A modified model of pharmacists’ job stress: the role of organizational, extra-role, and individual factors on work-related outcomes.Crossref | GoogleScholarGoogle Scholar |

[10]  Leiter MP, Maslach C. Nurse turnover: the mediating role of burnout. J Nurs Manag. 2009; 17 331–9.
Nurse turnover: the mediating role of burnout.Crossref | GoogleScholarGoogle Scholar |

[11]  Health P. Clinical quality and education. Christchurch: Pegasus Health 2016. [cited 2017 March 31]. Available from: http://www.pegasus.health.nz/clinical-quality-and-education.

[12]  Institute of Medicine. Preventing Medication Errors. Washington, DC: Institute of Medicine; 2006.

[13]  Shanafelt TD, Sloan JA, Habermann TM. The well-being of physicians. Am J Med. 2003; 114 513–9.
The well-being of physicians.Crossref | GoogleScholarGoogle Scholar |

[14]  Rosvold EO, Bjertness E. Physicians who do not take sick leave: hazardous heroes? Scand J Public Health. 2001; 29 71–5.
Physicians who do not take sick leave: hazardous heroes?Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD38%2FhtVWksg%3D%3D&md5=4aecb5ab1cce37d7332324ea023ca12cCAS |

[15]  RNZCGP. Self care: caring for yourself and your colleagues. Wellington: Royal New Zealand College of General Practitioners; 2016.

[16]  Cook JV, Dickinson HO, Eccles MP. Response raters in postal surveys of healthcare professionals between 1996 and 2005: an observational study. BMC Health Serv Res. 2009; 9 160
Response raters in postal surveys of healthcare professionals between 1996 and 2005: an observational study.Crossref | GoogleScholarGoogle Scholar |

[17]  VanGeest JB, Johnson TP, Welch VL. Methodologies for improving response rates in surveys of physicians: a systematic review. Eval Health Prof. 2007; 30 303–21.
Methodologies for improving response rates in surveys of physicians: a systematic review.Crossref | GoogleScholarGoogle Scholar |