"Incredibly distressing and incredibly dangerous"- David Miliband on healthcare attacks, and staff turnover effect on patient outcomes
Dec 4, 2024
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David Miliband, the President of the International Rescue Committee and former UK Foreign Secretary, shares insights on the geopolitical factors affecting healthcare. He discusses the urgent need for humanitarian support in crisis zones like Sudan and Gaza. Giuseppe Moscelli, an economics expert from the University of Surrey, dives into new research linking staff turnover to negative patient outcomes, especially in the NHS. The conversation underscores the critical need for healthcare reforms and the importance of retaining skilled professionals for better patient care.
High nurse turnover significantly affects patient outcomes, leading to increased mortality rates, especially in emergency settings.
Healthcare delivery in conflict zones is critically undermined by consistent attacks on facilities and personnel, challenging humanitarian laws enforcement.
Deep dives
The Role of Nurses in Patient Outcomes
Research indicates that nurse turnover significantly impacts patient outcomes, particularly in emergency settings. An increase of one standard deviation in nurse turnover is associated with an additional 35 deaths per 100,000 patients admitted to the hospital. This highlights the critical role that nurses play in patient care, as they are responsible for much of the preoperative and postoperative support. The findings suggest that maintaining a stable nursing workforce is vital for enhancing patient safety and care quality.
The Impact of Conflict on Healthcare
Conflict zones pose severe challenges to healthcare delivery, with increasing attacks on medical facilities and personnel. The discussion emphasizes that humanitarian laws, such as the Geneva Conventions, are often ignored, leading to a concerning trend of impunity in these regions. Such violations not only threaten healthcare professionals but also compromise the care provided to vulnerable populations. Addressing the root causes of conflict and enforcing existing international laws are critical steps to safeguard healthcare in these areas.
The Role of the International Rescue Committee
The International Rescue Committee (IRC) focuses on providing aid and support in conflict areas, with a strong emphasis on health initiatives. Approximately 40% of their work is dedicated to health, recognizing it as a fundamental human need, especially in emergencies. The IRC has a history of implementing innovative programs backed by rigorous research to ensure effectiveness and accountability in their operations. By prioritizing evidence-based approaches, the organization aims to maximize its impact and resources in addressing global health challenges.
Addressing the Challenges of Staff Turnover
Staff turnover, particularly in healthcare, has become a pressing issue due to the global shortages of healthcare workers. A study reveals the importance of not only maintaining adequate staffing levels but also ensuring continuity of care to improve patient outcomes. Engaging healthcare staff and creating a supportive work environment are critical strategies for retention. This approach can ultimately lead to better patient care and help curb the detrimental effects associated with high turnover rates.
In today’s episode, new research, which has looked at the impact staff turnover is having on patient outcomes. Giuseppe Moscelli, associate professor at the University of Surrey joins Navjoyt Ladher to explain more.
Also, every year the BMJ has a Christmas appeal - and this year we have chosen the International Rescue Committee as our partner. To talk more about what they do, and to give us some insight into how geopolitics are affecting health we're joined David Milliband, president and chief executive officer of the International Rescue Committee, and former UK foreign secretary.