{"id":"https://openalex.org/W2521711971","doi":"https://doi.org/10.1186/s40639-016-0025-8","title":"Stress in NHS staff triggers defensive inward-focussing and an associated loss of connection with colleagues: this is reversed by Schwartz Rounds","display_name":"Stress in NHS staff triggers defensive inward-focussing and an associated loss of connection with colleagues: this is reversed by Schwartz Rounds","publication_year":2016,"publication_date":"2016-09-23","ids":{"openalex":"https://openalex.org/W2521711971","doi":"https://doi.org/10.1186/s40639-016-0025-8","mag":"2521711971"},"language":"en","primary_location":{"id":"doi:10.1186/s40639-016-0025-8","doi":"https://doi.org/10.1186/s40639-016-0025-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40639-016-0025-8","pdf_url":"https://jcompassionatehc.biomedcentral.com/track/pdf/10.1186/s40639-016-0025-8","source":{"id":"https://openalex.org/S2736462396","display_name":"Journal of Compassionate Health Care","issn_l":"2053-2393","issn":["2053-2393"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Compassionate Health Care","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://jcompassionatehc.biomedcentral.com/track/pdf/10.1186/s40639-016-0025-8","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5004402146","display_name":"Melanie S. George","orcid":"https://orcid.org/0000-0001-8371-7311","observed_orcids":["https://orcid.org/0000-0001-8371-7311"]},"institutions":[{"id":"https://openalex.org/I79619799","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70","country_code":"GB","type":"education","lineage":["https://openalex.org/I79619799"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Melanie S. George","raw_affiliation_strings":["University of Birmingham, Birmingham, UK"],"raw_orcid":"https://orcid.org/0000-0001-8371-7311","affiliations":[{"raw_affiliation_string":"University of Birmingham, Birmingham, UK","institution_ids":["https://openalex.org/I79619799"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5004402146"],"corresponding_institution_ids":["https://openalex.org/I79619799"],"apc_list":null,"apc_paid":null,"fwci":6.812,"has_fulltext":true,"cited_by_count":46,"citation_normalized_percentile":{"value":0.96709489,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":88,"max":99},"biblio":{"volume":"3","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.8583999872207642,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10795","display_name":"Healthcare professionals\u2019 stress and burnout","score":0.8583999872207642,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12704","display_name":"Stress and Burnout Research","score":0.0640999972820282,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12869","display_name":"Occupational Health and Burnout","score":0.05570000037550926,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/schwartz-rounds","display_name":"Schwartz Rounds","score":0.9390000104904175},{"id":"https://openalex.org/keywords/occupational-stress","display_name":"occupational stress","score":0.7329999804496765},{"id":"https://openalex.org/keywords/emotional-labor","display_name":"emotional labor","score":0.9169999957084656},{"id":"https://openalex.org/keywords/burnout","display_name":"burnout","score":0.6809999942779541},{"id":"https://openalex.org/keywords/dehumanization","display_name":"dehumanization","score":0.7149999737739563},{"id":"https://openalex.org/keywords/empathy","display_name":"empathy","score":0.4740000069141388},{"id":"https://openalex.org/keywords/employee-support","display_name":"staff support","score":0.6769999861717224},{"id":"https://openalex.org/keywords/performance-management","display_name":"performance management","score":0.6840000152587891},{"id":"https://openalex.org/keywords/occupational-health","display_name":"occupational health","score":0.5540000200271606},{"id":"https://openalex.org/keywords/organizational-culture","display_name":"organizational culture","score":0.5410000085830688}],"concepts":[{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.7432559132575989},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6304441094398499},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.5486867427825928},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5400515198707581},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.4484180212020874},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4431793689727783},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.44001686573028564},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.31433290243148804},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3020469844341278},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.23703670501708984},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1186/s40639-016-0025-8","doi":"https://doi.org/10.1186/s40639-016-0025-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40639-016-0025-8","pdf_url":"https://jcompassionatehc.biomedcentral.com/track/pdf/10.1186/s40639-016-0025-8","source":{"id":"https://openalex.org/S2736462396","display_name":"Journal of Compassionate Health Care","issn_l":"2053-2393","issn":["2053-2393"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Compassionate Health Care","raw_type":"journal-article"},{"id":"mag:2741803262","doi":null,"is_oa":false,"landing_page_url":"https://jcompassionatehc.biomedcentral.com/track/pdf/10.1186/s40639-016-0025-8?site=jcompassionatehc.biomedcentral.com","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"doi:10.1186/s40639-016-0025-8","doi":"https://doi.org/10.1186/s40639-016-0025-8","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40639-016-0025-8","pdf_url":"https://jcompassionatehc.biomedcentral.com/track/pdf/10.1186/s40639-016-0025-8","source":{"id":"https://openalex.org/S2736462396","display_name":"Journal of Compassionate Health Care","issn_l":"2053-2393","issn":["2053-2393"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":"https://openalex.org/P4310319900","host_organization_name":"Springer Science+Business Media","host_organization_lineage":["https://openalex.org/P4310319900","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Science+Business Media","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Compassionate Health Care","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.9476000070571899,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320320339","display_name":"University of Birmingham","ror":"https://ror.org/03angcq70"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2521711971.pdf","grobid_xml":"https://content.openalex.org/works/W2521711971.grobid-xml"},"referenced_works_count":87,"referenced_works":["https://openalex.org/W1874513","https://openalex.org/W46840467","https://openalex.org/W69941018","https://openalex.org/W126404556","https://openalex.org/W176279103","https://openalex.org/W619303103","https://openalex.org/W963098972","https://openalex.org/W1505331214","https://openalex.org/W1509634755","https://openalex.org/W1514497019","https://openalex.org/W1517190443","https://openalex.org/W1576460547","https://openalex.org/W1584039995","https://openalex.org/W1585516222","https://openalex.org/W1589275176","https://openalex.org/W1607032158","https://openalex.org/W1693731968","https://openalex.org/W1714723801","https://openalex.org/W1746025821","https://openalex.org/W1947845323","https://openalex.org/W1999383880","https://openalex.org/W2000981422","https://openalex.org/W2012435098","https://openalex.org/W2021472414","https://openalex.org/W2022472850","https://openalex.org/W2022714796","https://openalex.org/W2034953542","https://openalex.org/W2040150143","https://openalex.org/W2043733974","https://openalex.org/W2052393455","https://openalex.org/W2056657101","https://openalex.org/W2056738644","https://openalex.org/W2063229930","https://openalex.org/W2064068790","https://openalex.org/W2071256705","https://openalex.org/W2083397456","https://openalex.org/W2085703442","https://openalex.org/W2088728958","https://openalex.org/W2091298142","https://openalex.org/W2091413411","https://openalex.org/W2096685607","https://openalex.org/W2097108140","https://openalex.org/W2098038440","https://openalex.org/W2106928369","https://openalex.org/W2113258979","https://openalex.org/W2119639475","https://openalex.org/W2122587854","https://openalex.org/W2129899786","https://openalex.org/W2131919497","https://openalex.org/W2132428519","https://openalex.org/W2137690875","https://openalex.org/W2140225297","https://openalex.org/W2144093039","https://openalex.org/W2151477381","https://openalex.org/W2161039990","https://openalex.org/W2165153810","https://openalex.org/W2169671134","https://openalex.org/W2241134919","https://openalex.org/W2280296868","https://openalex.org/W2295612391","https://openalex.org/W2320990764","https://openalex.org/W2323294627","https://openalex.org/W2333649201","https://openalex.org/W2401608302","https://openalex.org/W2411948116","https://openalex.org/W2412100770","https://openalex.org/W2413760985","https://openalex.org/W2419787400","https://openalex.org/W2488713770","https://openalex.org/W2552501277","https://openalex.org/W2562135732","https://openalex.org/W2592351186","https://openalex.org/W2623161780","https://openalex.org/W2727139193","https://openalex.org/W2775561279","https://openalex.org/W2794419252","https://openalex.org/W2799042264","https://openalex.org/W2889042309","https://openalex.org/W2976944711","https://openalex.org/W3032319341","https://openalex.org/W3145937639","https://openalex.org/W4213284804","https://openalex.org/W4245807199","https://openalex.org/W4253196619","https://openalex.org/W4294326487","https://openalex.org/W4298432696","https://openalex.org/W6999100280"],"related_works":["https://openalex.org/W2741803262","https://openalex.org/W4362634971","https://openalex.org/W2964908783","https://openalex.org/W7202081062","https://openalex.org/W7132222104","https://openalex.org/W2464326317","https://openalex.org/W2951729293","https://openalex.org/W2978693220","https://openalex.org/W3156837707","https://openalex.org/W4391350178"],"abstract_inverted_index":{"The":[0,30,260],"aim":[1],"of":[2,11,22,45,63,67,77,94,103,117,170,196,253,271,294,309,319],"this":[3,147,227,245],"case":[4],"study":[5],"was":[6,56,86,120,164,224,299],"to":[7,41,52,161,186,210,218,234,248,315,324],"examine":[8],"the":[9,43,59,68,115,128,132,181,194,202,242,250,258,269,276,287,301,317],"impact":[10],"Schwartz":[12,64,182,264],"Rounds":[13,183,265],"on":[14],"staff":[15,105,124,185,231,322],"wellbeing":[16],"and":[17,61,80,96,149,154,255,280],"patient":[18,272],"care.":[19],"A":[20,159],"series":[21],"interviews":[23],"were":[24,34,39,107,191],"conducted":[25],"with":[26,88,205],"staff,":[27],"regarding":[28],"stress.":[29,158],"key":[31],"themes,":[32],"which":[33],"extracted":[35],"using":[36],"Grounded":[37],"Theory,":[38],"used":[40],"inform":[42],"development":[44],"a":[46,71,89,136,172,197,291],"new":[47],"measure,":[48],"\u2018The":[49],"Organizational":[50],"Response":[51],"Emotions":[53],"Scale\u2019.":[54],"This":[55,85],"administered":[57],"at":[58,180],"beginning":[60],"end":[62],"Rounds.":[65],"Analysis":[66],"results":[69],"revealed":[70],"significant":[72],"reduction":[73],"in":[74,83,92,108,193,282,312],"attendees\u2019":[75],"appraisal":[76],"emotional":[78,206],"labour":[79],"an":[81,168,220,305],"increase":[82],"reflection.":[84],"associated":[87,204],"reported":[90],"upsurge":[91],"feelings":[93,190,237],"interconnectivity":[95],"compassion":[97],"towards":[98],"colleagues.":[99],"More":[100],"traditional":[101],"forms":[102],"individualised":[104],"support":[106,320],"contrast,":[109],"viewed":[110],"as":[111,167],"unhelpful.":[112],"In":[113,241],"particular,":[114],"offer":[116],"counselling":[118],"sessions":[119],"resented":[121],"by":[122,274],"many":[123,151],"because":[125],"it":[126],"carried":[127],"implicit":[129],"message":[130],"that":[131,174,188,223,230,263,284,289,300,321],"problem":[133,148],"arose":[134],"from":[135,238],"deficiency":[137],"or":[138],"weakness":[139],"within":[140,226,257],"them.":[141],"New":[142],"performance":[143],"management":[144],"policies":[145],"compounded":[146],"left":[150],"feeling":[152],"blamed":[153],"punished":[155],"for":[156],"their":[157,189,236,239],"referral":[160],"Occupational":[162],"Health":[163],"widely":[165],"seen":[166],"index":[169],"failure;":[171],"sign":[173],"they":[175],"could":[176,246],"not":[177],"cope.":[178],"Attendance":[179],"helped":[184],"recognise":[187],"normal":[192],"context":[195],"highly-pressured":[198],"healthcare":[199],"system.":[200],"Eradicating":[201],"stigma":[203],"responses":[207],"should":[208],"help":[209,217],"improve":[211,268],"organizational":[212],"culture.":[213],"It":[214],"may":[215,266],"also":[216],"address":[219],"emerging":[221],"phenomenon":[222],"identified":[225],"study,":[228],"namely":[229],"had":[232],"begun":[233],"hide":[235],"managers.":[240],"longer":[243],"term,":[244],"serve":[247],"mask":[249],"true":[251],"extent":[252],"stress":[254],"burnout":[256],"NHS.":[259],"findings":[261],"suggest":[262],"indirectly":[267],"quality":[270],"care":[273],"addressing":[275],"stress-induced":[277],"cognitive":[278],"narrowing":[279],"decline":[281],"empathy":[283],"precedes":[285],"withdrawal;":[286],"process":[288],"is":[290],"likely":[292],"forerunner":[293],"dehumanization.":[295],"An":[296],"additional":[297],"finding":[298],"line":[302],"manager":[303],"played":[304],"important":[306],"mediating":[307],"role":[308],"containment.":[310],"This,":[311],"turn,":[313],"appeared":[314],"influence":[316],"level":[318],"provided":[323],"each":[325],"other.":[326]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":3},{"year":2022,"cited_by_count":5},{"year":2021,"cited_by_count":10},{"year":2020,"cited_by_count":6},{"year":2019,"cited_by_count":6},{"year":2018,"cited_by_count":6},{"year":2017,"cited_by_count":3},{"year":2016,"cited_by_count":1}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2016-09-30T00:00:00"}