Addressing burnout and fatigue in surgical services: Leveraging external partnerships and institutional support
Bibliographic record
Abstract
Burnout and fatigue are significant challenges in healthcare, especially within our surgical services. Our remote location, frequent leadership turnover, chronic understaffing, and misalignment between operating room hours and community needs have led to excessive overtime, exhaustion, and sick leave. A sustainability plan was co-developed with stakeholders. The plan addresses human factors through department stabilization, expanded operating hours, increased baseline staffing, and training via a partnership with the Association of periOperative Registered Nurse perioperative certification program. The plan was assessed using a project analysis approach. Our objective is to demonstrate how institutional support and partnerships can reduce burnout and fatigue in surgical services. This article offers practical lessons for health leaders and other professionals seeking sustainable solutions. Six-month review showed a substantial decrease in overtime among operating room nurses and a reduction in agency nurse use. Leveraging institutional supports supported a more sustainable work-life balance and reduced burnout.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.011 | 0.017 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.006 | 0.002 |
| Scholarly communication | 0.006 | 0.003 |
| Open science | 0.001 | 0.014 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".