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" ... Another factor is various work-design features that pressure workers to attend when sick, including work overload, lack of backup, and understaffing. Some occupational cultures have the same effect, glorifying “toughing it out” as an indicator of work commitment. Finally, we can’t discount the fact that some people attend when ill because they love their jobs and are highly work-engaged. ... "
" ... The category of safety culture Press Ganey found most in decline is “Resources and Teamwork,” which covers communication and collaboration between physicians, nurses, and others, as well as overall staffing levels and job stress. Gandhi says this reflects the unique demands of Covid-19, but it is alarming nonetheless. Breakdowns in communications, as well as understaffing and job stress, are rapid and persistent drivers of safety problems and extremely dangerous to patients—and to workers themselves. ... "