Before the hospital-initiated improvement efforts, operations at the A&E were characterized by unstable processes, unclear work methods, and a poor appreciation of demand and capacity.
The high level of psychosocial stress described by the participants agrees with earlier research that has shown that time pressure, poor control and unclear work roles lead to stress and low work satisfaction [ 16].
However, this appeared to be an accepted condition in work in health care: " "I can't take pauses, no, I can't leave the children's group"." A high psychosocial workload in terms of time pressure, low ability to control work and unclear work tasks increased insecurity and stress.
Several studies suggested that adverse working conditions in eldercare, such as work-related violence, 6 bullying, threats and unwanted sexual attention, 7 8 emotional demands, 5 detachment problems, 9 care orientation 10 and time pressure and unclear work demands 11 12 may contribute to risk of reduced psychological health.
15 Overall, 90 day mortality is known to be higher than 30 day mortality after cystectomy, 16 but whether this differs across providers is unclear; work on this and longer term cancer specific survival should consider postoperative structural and process of care factors such as ancillary services for oncology.
Although the answer was unclear, Ailes worked himself into a lather.
Three years in it's still unclear if it's working.
It is unclear whether Carlyle is working with another private equity firm.
There were fire sensors in the barn, but it was unclear whether they were working, an investigator said.
