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Building a Taxonomy to Understand Health Care Worker’s Response to Workplace ‘Pressure’ in Complex, Volatile and Emergency Situations

Bibliographic Data

ID13774665
AuthorsAlicia Zavala-Calahorrano (0000-0002-5670-7641, Pontificia Universidad Catolica del Ecuador Sede Ambato, corresponding author), David Plummer (0000-0003-4301-0068, James Cook University, Townsville, QLD, Australia), Gary Day (Griffith University. Nathan, QLD, Australia)
Year2021
Volume58
Pages469580211043646-469580211043646
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueINQUIRY The Journal of Health Care Organization Provision and Financing (JOURNAL)
Journal identifiersISSN: 0046-9580 • E-ISSN: 1945-7243
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/00469580211043646
PMID34569349
OpenAlexW3203064965
LanguageEN
References cited72

This research aims to better understand performance under pressure as experienced by health and emergency staff in the workplace. Three basic questions underpin the work: (1) how do health and emergency workers experience and make sense of the 'pressures' entailed in their jobs? (2) What impacts do these pressures have on their working lives and work performance, both positively and negatively? (3) Can we develop a useful explanatory model for 'working under pressure' in complex, volatile and emergency situations? The present article addresses the first question regarding the nature of pressure; a subsequent article will address the question of its impact on performance. Using detailed interviews with workers in a range of roles and from diverse settings across Ecuador, our analysis aims to better understand the genesis of pressure, how people respond to it and to gain insights into managing it more effectively, especially with a view to reducing workplace errors and staff burnout. Rather than imposing preformulated definitions of either 'pressure' or 'performance', we took an emic approach to gain a fresh understanding of how workers themselves experience, describe and make sense of workplace pressure. This article catalogues a wide range of pressures as experienced by our participants and maps relationships between them. We argue that while individuals are often held responsible for workplace errors, both 'pressure' and 'performance' are multifactorial, involving individuals, teams, case complexity, expertise and organizational systems and these must be considered in order to gain better understandings of performing under pressure

Burnout · Health care · Knowledge management · Political science · Public relations · Work (physics · Applied Psychology · Computer Science · Disaster Response and Management · Engineering · Medicine · Occupational Health and Safety Research · Patient Safety and Medication Errors · Psychology · Social Psychology

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