Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-t7fkt Total loading time: 0 Render date: 2024-11-22T07:17:47.220Z Has data issue: false hasContentIssue false

Chapter 9 - Digital Wellbeing

Using Technology Well

Published online by Cambridge University Press:  23 November 2023

Rob Waller
Affiliation:
NHS Lothian
Omer S. Moghraby
Affiliation:
South London & Maudsley NHS Foundation Trust
Mark Lovell
Affiliation:
Esk and Wear Valleys NHS Foundation Trust
Get access

Summary

Digital processes need to have wellbeing at their core. Rather than focusing on burnout and distress, digital can be considered as an enabler of wellness. Using key concepts such as user-centred design, reimagining processes and education, digital can enhance the lives of staff and patients. Many solutions to digital distress involve taking a break from technology. These solutions are temporary and do not address the root cause of the issue. As technology embeds itself into every facet of our lives, we have an opportunity to take control of how we engage with digital. Instead of translating paper processes into digital equivalents there is an opportunity to leverage the power digital brings to reduce the burden rather than add to it. Clinician and patient engagement are key to digital wellbeing and the success of digital in our healthcare systems. Increasing autonomy and providing flexible support can reduce burnout with digital systems. Involvement must be meaningful and not acceptability testing at the end of system design. Critically, we must remember that people are the most important determinant of the success of any digital project.

Type
Chapter
Information
Digital Mental Health
From Theory to Practice
, pp. 108 - 121
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adler-Milstein, J. NHS Digital Academy. 2018. Residential lecture to the first cohort of the NHS Digital academy. Permission provided by personal correspondence.Google Scholar
World Health Organization. Mental Health Atlas 2017. Geneva: World Health Organization. 2018.Google Scholar
Gawande, A. Why doctors hate their computers. The New Yorker Magazine, 5 November 2018. Available at: www.newyorker.com/magazine/2018/11/12/why-doctors-hate-their-computers (accessed 23 June 2023).Google Scholar
Rao, S. K., Kimball, A. B., Lehrhoff, S. R. et al. The impact of administrative burden on academic physicians: results of a hospital-wide physician survey. Acad. Med. 2017;92: 237–43.CrossRefGoogle ScholarPubMed
Freudenberger, H. J. Staff burn‐out. J. Soc. Issues. 1974;30: 159–65.CrossRefGoogle Scholar
The Lancet. Physician burnout: a global crisis. Lancet. 2019;394: 93.Google Scholar
Summers, R. F., Gorrindo, T., Hwang, S., Aggarwal, R., Guille, C. Well-being, burnout, and depression among North American psychiatrists: the state of our profession. Am. J. Psychiatry. 2020;177: 955–64.CrossRefGoogle ScholarPubMed
Nuss, P., Tessier, C., Masson, M. et al. Factors associated with a higher score of burnout in a population of 860 French psychiatrists. Front. Psychiatry. 2020;11: 1.CrossRefGoogle Scholar
Sarma, P. G. Burnout in Indian psychiatrists. Indian J. Psychol. Med. 2018;40: 156–60.CrossRefGoogle ScholarPubMed
Perlo, J., Balik, B., Swenson, S. et al. IHI framework for improving joy in work. IHI White Pap. 2017;42: 821.Google Scholar
Summers, R. F. The elephant in the room: what burnout is and what it is not. Am. J. Psychiatry. 2020;177: 898–9.CrossRefGoogle ScholarPubMed
Bhugra, D., Sauerteig, S. O., Bland, D. et al. A descriptive study of mental health and wellbeing of doctors and medical students in the UK. Int. Rev. Psychiatry. 2019;31: 563–8.Google Scholar
Shanafelt, T. D., West, C. P., Sinsky, C. et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin. Proc. 2019;94: 1681–94.CrossRefGoogle ScholarPubMed
Locke, T. Medscape Global physicians’ burnout and lifestyle comparisons. Medscape. 2019. Available at: www.medscape.com/slideshow/2019-global-burnout-comparison-6011180%233 (accessed 12 December 2020).Google Scholar
Shanafelt, T. D., Dyrbye, L. N., Sinsky, C. et al. Relationship between clerical burden and characteristics of the electronic environment with physician burnout and professional satisfaction. Mayo Clin. Proc. 2016;91: 836–48.Google Scholar
Downing, N. L., Bates, D. W., Longhurst, C. A. Physician burnout in the electronic health record era: are we ignoring the real cause? Ann. Intern. Med. 2018;169(1): 50–1. https://doi.org/7326/M18-0139.CrossRefGoogle ScholarPubMed
NHS England. The NHS Long Term Plan. 2019. Available at: www.longtermplan.nhs.uk/ (accessed 23 June 2023).Google Scholar
Greenhalgh, T., Wherton, J., Papoutsi, C. et al. Beyond adoption: a new framework for theorizing and evaluating nonadoption, abandonment, and challenges to the scale-up, spread, and sustainability of health and care technologies. J. Med. Internet. Res. 2017;19(11): e367.CrossRefGoogle Scholar
Health Education England. NHS Staff and Learners’ Mental Wellbeing Commission. Heal. Educ. Engl. 2019; 196. Available at: www.hee.nhs.uk/our-work/mental-wellbeing-report (accessed 23 June 2023).Google Scholar
Health Education England. The National Education and Training Survey. 2020. Available at: www.hee.nhs.uk/our-work/quality/national-education-training-survey (accessed 28 March 2021).Google Scholar
World Health Organization. Electronic health records. 2016. Available at: www.who.int/gho/goe/electronic%5Fhealth%5Frecords/en/ (accessed 30 March 2021).Google Scholar
Tawfik, D. S., Scheid, A., Profit, J. et al. Evidence relating health care provider burnout and quality of care a systematic review and meta-analysis. Ann. Intern. Med. 2019;171: 555–67.CrossRefGoogle ScholarPubMed
Lovell, M. Chief Clinical Information Officer discussion group. 2019.Google Scholar
NHS Digital. NHS sickness absence rates August 2020. 2020. Available at: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-sickness-absence-rates/august-2020 (accessed: 23 March 2021).Google Scholar
Bandelow, B., Michaelis, S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin. Neurosci. 2015;17: 327–35.Google Scholar
Haidt, J., Twenge, J. Is there an increase in adolescent mood disorders, self-harm, and suicide since 2010 in the USA and UK? A review. 2021. Available at: https://docs.google.com/document/d/1diMvsMeRphUH7E6D1d%5FJ7R6WbDdgnzFHDHPx9HXzR5o/edit (accessed 22 March 2021).Google Scholar
Haidt, J., Allen, N. Scrutinizing the effects of digital technology on mental health. Nature. 2020;578: 226–7.Google Scholar
Przybylski, A. K., Murayama, K., Dehaan, C. R., Gladwell, V. Motivational, emotional, and behavioral correlates of fear of missing out. Comput. Human Behav. 2013;29: 1841–8.Google Scholar
Dolan, P. Happiness by Design: Finding Pleasure and Purpose in Everyday Life. London: Penguin. 2014.Google Scholar
Pilling, R., Wadsworth, D. Creating joy in work is the only way to save the NHS. BMJ Opin. 2018. Available at: https://blogs.bmj.com/bmj/2018/10/12/creating-joy-in-work-is-the-only-way-to-save-the-nhs/ (accessed 21 December 2020).Google Scholar
Civility Saves Lives. n.d. Available at: www.civilitysaveslives.com/ (accessed 28 March 2021).Google Scholar
Granger, K. Hello My Name Is: a campaign for more compassionate care. Hellomynameis.Org.Uk. 2013. Available at: www.hellomynameis.org.uk/ (accessed 28 March 2021).Google Scholar
B2U. Crossing the chasm in technology adoption life cycle. 2020. Available at: www.business-to-you.com/crossing-the-chasm-technology-adoption-life-cycle/ (accessed 23 March 2021).Google Scholar
Hammond, R. ‘If it’s not going to matter in 5 years…’ Nursing Times, 24 October 2017. Available at: www.nursingtimes.net/students/if-its-not-going-to-matter-in-5-years-24-10-2017/ (accessed: 23 March 2021).Google Scholar
Longhurst, C. A., Davis, T., Maneker, A. et al. Local investment in training drives electronic health record user satisfaction. Appl. Clin. Inform. 2019;10: 331–5.Google ScholarPubMed
Criado-Perez, C. Invisible Women: Exposing Data Bias in a World Designed for Men. London: Vintage Publishing. 2019.Google Scholar
RCPsych. RCPsych Workforce Strategy 2020–2023. 2020. Available at: www.rcpsych.ac.uk/docs/default-source/improving-care/workforce/rcpsych-workforce-strategic-plan-2020-2023.pdf (accessed 20 September 2020).Google Scholar
Sinsky, C. A. Willard-Grace, R., Schutzbank, A. M. et al. In search of joy in practice: a report of 23 high-functioning primary care practices. Ann. Fam. Med. 2013;11: 272–8.Google Scholar
Linzer, M., Sinsky, C. A., Poplau, S. et al. Joy in medical practice: clinician satisfaction in the healthy work place trial. Health Aff. 2017;36: 1808–14.CrossRefGoogle ScholarPubMed
Global Digital Health Partnership. Clinical Engagement in Digital Health: An International Overview of Enablers and Barriers. 2019. Available at: https://s3-ap-southeast-2.amazonaws.com/ehq-production-australia/53772b23aabfdac950fe9e0e217592030439c3b2/documents/attachments/000/102/275/original/GDHP%5FClinConEngage%5F2.06.pdf (accessed 23 June 2023).Google Scholar
World Health Organization. The Case for Investing in Public Health. 2014. Available at https://apps.who.int/iris/handle/10665/170471 (accessed 20 June 2023).Google Scholar
Khan, L., Parsonage, M., Stubbs, J. Investing in children’s mental health: a review of evidence on the costs and benefits of increased service provision. Cent. Ment. Heal. January 2015: 124. Available at: www.researchgate.net/publication/308084274_Investing_in_children’s_mental_health_a_review_of_evidence_on_the_costs_and_benefits_of_increased_service_provision (accessed 23 June 2023).Google Scholar
Thomas, T. Difficult journeys to digital maturity: why learning what not to do with a redprint could be your best route to successful transformation. In Healthcare Efficiency Through Technology. Expo 2021.Google Scholar
Bravata, D. M., Watts, S. A., Keefer, A. L. et al. Prevalence, predictors, and treatment of impostor syndrome: a systematic review. J. Gen. Intern. Med. 2020;35: 1252–75.Google Scholar
Foley, T., Woollard, J. The Digital Future of Mental Healthcare and Its Workforce: A Report on a Mental Health Stakeholder Engagement to Inform the Topol Review. 2019. Available at https://topol.hee.nhs.uk/downloads/digital-future-of-mental-healthcare-report/ (accessed 23 June 2023).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×