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1.
Nat Commun ; 15(1): 5052, 2024 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-38871692

RESUMO

With increasingly intense marine heatwaves affecting nearshore regions, foundation species are coming under increasing stress. To better understand their impacts, we examine responses of critical, habitat-forming foundation species (macroalgae, seagrass, corals) to marine heatwaves in 1322 shallow coastal areas located across 85 marine ecoregions. We find compelling evidence that intense, summer marine heatwaves play a significant role in the decline of foundation species globally. Critically, detrimental effects increase towards species warm-range edges and over time. We also identify several ecoregions where foundation species don't respond to marine heatwaves, suggestive of some resilience to warming events. Cumulative marine heatwave intensity, absolute temperature, and location within a species' range are key factors mediating impacts. Our results suggest many coastal ecosystems are losing foundation species, potentially impacting associated biodiversity, ecological function, and ecosystem services provision. Understanding relationships between marine heatwaves and foundation species offers the potential to predict impacts that are critical for developing management and adaptation approaches.


Assuntos
Ecossistema , Animais , Biodiversidade , Antozoários/fisiologia , Alga Marinha/fisiologia , Organismos Aquáticos/fisiologia , Temperatura Alta , Aquecimento Global , Estações do Ano , Mudança Climática
2.
Heliyon ; 9(11): e21298, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-38053872

RESUMO

Introduction: In care settings across the globe non-clinical staff are involved in filtering patients to the most appropriate source of care. This includes primary care where general practice receptionists are key in facilitating access to individual surgeries and the wider National Health Service. Despite the complexity and significance of their role little is known of how the decision-making behaviors of receptionists impact policy implementation and service delivery. By combining the agent-based implementation theory of street-level bureaucracy with a tri-level analytical framework this work acknowledges the impact of the decisions made by receptionists as street-level bureaucrats and demonstrates the benefits of using the novel framework to provide practical insight of the factors influencing those decisions. Methods: A secondary analysis of qualitative data gathered from a series of semi-structured interviews conducted with 19 receptionists in the United Kingdom in 2019 was used to populate a tri-level framework: the micro-level relates to influences on decision making acting at an individual level, the meso-level influences at group and organizational levels, and the macro-level influences at a societal or policy level. Results: At the micro-level we determined how receptionists are influenced by the level of rapport developed with patients and would use common sense to interpret urgency. At the meso-level, influences included their position at the forefront of premises, the culture of the workplace, and the processes and protocols used by their practice. At the macro-level, participants described the impact of limited health service capacity, the lack of mandatory training, and the growth in the use of digital technologies. Conclusions: Street-level bureaucracy, complemented with a tri-level contextual analysis, is a useful theoretical framework to understand how health workers, such as receptionists, attempt to provide universality without sufficient resource, and could potentially be applied to other kinds of public service workers in this way. This theoretical framework also benefits from being an accessible foundation on which to base practice and policy changes.

3.
Harmful Algae ; 129: 102512, 2023 11.
Artigo em Inglês | MEDLINE | ID: mdl-37951607

RESUMO

The effects of nutrient effluents from fish cage aquaculture are an important eutrophication concern. It has been proposed that marine fish farm derived nutrients have the potential to increase phytoplankton abundance and lead to intensification of Harmful Algal Blooms (HABs), and that these blooms may negatively impact both the finfish and the shellfish industry. This study addressed this hypothesis using farmed salmon biomass in Scottish marine waters (as a proxy for nutrient load added to the water column as a consequence of fish farming) cell abundance of HAB taxa that most frequently impact shellfish farms and human health in the region (Dinophysis spp., Alexandrium spp. and Pseudo-nitzschia spp.), and cell abundance of one phytoplankton species of particular concern to the salmon farming industry (Karenia mikimotoi). Data from a 15-year weekly HAB monitoring programme and parallel national monitoring data relating to salmon farm stocking biomass were summarised in 5 km per 5 km aggregation boxes. Linear regression models were used to assess (i) inter-annual variation in cell abundance and total annual farmed salmon biomass; (ii) intra-annual (monthly) variation in harmful phytoplankton cell abundance and salmon biomass; (iii) a further analysis included seasonal effects within the intra-annual analysis. Farmed salmon biomass alone had a non-significant effect on cell abundance of any of the studied phytoplankton taxa. In contrast, a significant effect on cell abundance was found when using location, month or season as the predictive variable. Despite the non-significant impact of fish biomass on phytoplankton counts, the relationship varied seasonally, with a different response of Dinophysis spp. indicating a taxa specific interaction. A possible explanation for the lack of a significant relationship between farmed salmon and harmful phytoplankton cell abundance is that aquaculture farms are generally located in hydrodynamically energetic locations where recurrent flushing likely allows efficient dilution of nutrients. Overall, the analyses suggest that current levels of salmon farming activities do not markedly impact the abundance of routinely monitored biotoxin producing or fish killing phytoplankton taxa in Scottish waters.


Assuntos
Dinoflagellida , Salmo salar , Animais , Humanos , Proliferação Nociva de Algas/fisiologia , Dinoflagellida/fisiologia , Fitoplâncton , Aquicultura
5.
Ecol Evol ; 13(6): e10146, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37351476

RESUMO

Coastal habitats are increasingly recognized as fundamentally important components of global carbon cycles, but the rates of carbon flow associated with marine macrophytes are not well resolved for many species in many regions. We quantified density, rates of primary productivity, and detritus production of intertidal stands of two common intertidal kelp species-Laminaria digitata (oarweed) and Saccharina latissima (sugar kelp)-on four NE Atlantic rocky shores over 22 months. The density of L. digitata was greater at exposed compared to moderately exposed shores but remained consistently low for S. latissima throughout the survey period. Individual productivity and erosion rates of L. digitata did not differ between exposed and moderately exposed shores but differed across exposure levels throughout the year at moderately exposed sites only. Productivity and erosion of S. latissima remained low on moderately exposed shores and showed no clear seasonal pattern. Patterns of productivity and total detrital production (erosion and dislodgement) per m2 of both L. digitata and S. latissima followed closely that of densities per m2, peaking in May during both survey years. Temperature and light were key factors affecting the productivity rates of L. digitata and S. latissima. Erosion rates of L. digitata were affected by wave exposure, temperature, light, grazing, and epiphyte cover, but only temperature-affected erosion of S. latissima. Production of biomass and detritus was greater in L. digitata than in S. latissima and exceeded previous estimates for subtidal and warmer-water affinity kelp populations (e.g., Laminaria ochroleuca). These biogenic habitats are clearly important contributors to the coastal carbon cycle that have been overlooked previously and should be included in future ecosystem models. Further work is required to determine the areal extent of kelp stands in intertidal and shallow subtidal habitats, which is needed to scale up local production estimates to entire coastlines.

6.
Glob Chang Biol ; 29(1): 7-9, 2023 01.
Artigo em Inglês | MEDLINE | ID: mdl-36217697

RESUMO

Anthropogenic climate change along with the more frequent extreme weather it prompts, are having direct and indirect effects on distributions and abundance of species with consequence for community structure-especially if habitat providers are lost. Rocky shores have long been recognized as tractable experimental arenas for ecology contributing to theory. They have also emerged as important sentinel systems for tracking climate change responses of marine biodiversity and ecosystems, capitalizing on both historic broadscale surveys and time series. Combining these twin traditions is a powerful approach for better understanding and forecasting climate change impacts. Sustained observing allows extreme events to be detected and explored by in-parallel experimentation.


Assuntos
Mudança Climática , Ecossistema , Biodiversidade , Ecologia
7.
Glob Chang Biol ; 29(3): 631-647, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36394183

RESUMO

Distributional shifts in species ranges provide critical evidence of ecological responses to climate change. Assessments of climate-driven changes typically focus on broad-scale range shifts (e.g. poleward or upward), with ecological consequences at regional and local scales commonly overlooked. While these changes are informative for species presenting continuous geographic ranges, many species have discontinuous distributions-both natural (e.g. mountain or coastal species) or human-induced (e.g. species inhabiting fragmented landscapes)-where within-range changes can be significant. Here, we use an ecosystem engineer species (Sabellaria alveolata) with a naturally fragmented distribution as a case study to assess climate-driven changes in within-range occupancy across its entire global distribution. To this end, we applied landscape ecology metrics to outputs from species distribution modelling (SDM) in a novel unified framework. SDM predicted a 27.5% overall increase in the area of potentially suitable habitat under RCP 4.5 by 2050, which taken in isolation would have led to the classification of the species as a climate change winner. SDM further revealed that the latitudinal range is predicted to shrink because of decreased habitat suitability in the equatorward part of the range, not compensated by a poleward expansion. The use of landscape ecology metrics provided additional insights by identifying regions that are predicted to become increasingly fragmented in the future, potentially increasing extirpation risk by jeopardising metapopulation dynamics. This increased range fragmentation could have dramatic consequences for ecosystem structure and functioning. Importantly, the proposed framework-which brings together SDM and landscape metrics-can be widely used to study currently overlooked climate-driven changes in species internal range structure, without requiring detailed empirical knowledge of the modelled species. This approach represents an important advancement beyond predictive envelope approaches and could reveal itself as paramount for managers whose spatial scale of action usually ranges from local to regional.


Assuntos
Mudança Climática , Ecossistema , Humanos
8.
Ann Rev Mar Sci ; 15: 119-145, 2023 01 16.
Artigo em Inglês | MEDLINE | ID: mdl-35977411

RESUMO

Climatic extremes are becoming increasingly common against a background trend of global warming. In the oceans, marine heatwaves (MHWs)-discrete periods of anomalously warm water-have intensified and become more frequent over the past century, impacting the integrity of marine ecosystems globally. We review and synthesize current understanding of MHW impacts at the individual, population, and community levels. We then examine how these impacts affect broader ecosystem services and discuss the current state of research on biological impacts of MHWs. Finally, we explore current and emergent approaches to predicting the occurrence andimpacts of future events, along with adaptation and management approaches. With further increases in intensity and frequency projected for coming decades, MHWs are emerging as pervasive stressors to marine ecosystems globally. A deeper mechanistic understanding of their biological impacts is needed to better predict and adapt to increased MHW activity in the Anthropocene.


Assuntos
Ecossistema , Aquecimento Global , Oceanos e Mares , Adaptação Fisiológica , Aclimatação , Mudança Climática
9.
BMC Prim Care ; 23(1): 230, 2022 09 09.
Artigo em Inglês | MEDLINE | ID: mdl-36085008

RESUMO

INTRODUCTION: The significance of the role of receptionists during the recent shift to remote triage has been widely recognised and they will have a significant role to play in UK general practice as it continues to cope with a huge increase in demand exacerbated by the COVID-19 pandemic. To maximise their contribution, it is important the social and occupational characteristics of the modern receptionist are understood, alongside their attitudes towards the role and their perceptions of the support and training they receive . METHODS: We used convenience and cross-sectional sampling to survey the demographic characteristics of receptionists and various aspects of their role and responsibilities. This included the training received, specific tasks performed, job satisfaction, the importance of the role, and their interaction with clinical and non-clinical colleagues. We also captured data on the characteristics of their practice including the number of GPs and location. RESULTS: A total of 70 participants completed the survey (16 postal and 54 online responses) of whom the majority were white (97.2%), female (98.6%), and aged 40 and over (56.7%). The majority of the training focussed on customer service (72.9%), telephone (64.3%), and medical administration skills (58.6%). Just over a quarter had received training in basic triage (25.7%). A standard multiple regression model revealed that the strongest predictor of satisfaction was support from practice GPs (ß = .65, p <.001) there were also significant positive correlations between satisfaction and appreciation from GPs, r(68) = .609, p < .001. CONCLUSION: This study has provided a much-needed update on the demographics, duties, and job satisfaction of GP receptionists. The need for diversification of the workforce to reflect the range of primary care patients warrants consideration in light of continuing variation in access along lines of gender andethnicity. Training continues to focus on administrative duties not on the clinically relevant aspects of their role such as triage.


Assuntos
COVID-19 , Medicina Geral , Adulto , COVID-19/epidemiologia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Pandemias , Inquéritos e Questionários , Recursos Humanos
10.
Sci Adv ; 8(37): eabn2465, 2022 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-36103524

RESUMO

The magnitude and distribution of net primary production (NPP) in the coastal ocean remains poorly constrained, particularly for shallow marine vegetation. Here, using a compilation of in situ annual NPP measurements across >400 sites in 72 geographic ecoregions, we provide global predictions of the productivity of seaweed habitats, which form the largest vegetated coastal biome on the planet. We find that seaweed NPP is strongly coupled to climatic variables, peaks at temperate latitudes, and is dominated by forests of large brown seaweeds. Seaweed forests exhibit exceptionally high per-area production rates (a global average of 656 and 1711 gC m-2 year-1 in the subtidal and intertidal, respectively), being up to 10 times higher than coastal phytoplankton in temperate and polar seas. Our results show that seaweed NPP is a strong driver of production in the coastal ocean and call for its integration in the oceanic carbon cycle, where it has traditionally been overlooked.

11.
PLoS Biol ; 20(8): e3001702, 2022 08.
Artigo em Inglês | MEDLINE | ID: mdl-35925899

RESUMO

Cycling of organic carbon in the ocean has the potential to mitigate or exacerbate global climate change, but major questions remain about the environmental controls on organic carbon flux in the coastal zone. Here, we used a field experiment distributed across 28° of latitude, and the entire range of 2 dominant kelp species in the northern hemisphere, to measure decomposition rates of kelp detritus on the seafloor in relation to local environmental factors. Detritus decomposition in both species were strongly related to ocean temperature and initial carbon content, with higher rates of biomass loss at lower latitudes with warmer temperatures. Our experiment showed slow overall decomposition and turnover of kelp detritus and modeling of coastal residence times at our study sites revealed that a significant portion of this production can remain intact long enough to reach deep marine sinks. The results suggest that decomposition of these kelp species could accelerate with ocean warming and that low-latitude kelp forests could experience the greatest increase in remineralization with a 9% to 42% reduced potential for transport to long-term ocean sinks under short-term (RCP4.5) and long-term (RCP8.5) warming scenarios. However, slow decomposition at high latitudes, where kelp abundance is predicted to expand, indicates potential for increasing kelp-carbon sinks in cooler (northern) regions. Our findings reveal an important latitudinal gradient in coastal ecosystem function that provides an improved capacity to predict the implications of ocean warming on carbon cycling. Broad-scale patterns in organic carbon decomposition revealed here can be used to identify hotspots of carbon sequestration potential and resolve relationships between carbon cycling processes and ocean climate at a global scale.


Assuntos
Kelp , Carbono , Sequestro de Carbono , Mudança Climática , Ecossistema
12.
Science ; 374(6566): eabj3593, 2021 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-34672757

RESUMO

Extreme climatic events, including marine heatwaves (MHWs), are altering ecosystems globally, often with profound socioeconomic impacts. We examine how MHWs have affected the provision of ecosystem services and evaluate the socioeconomic consequences for human society. Ecological impacts range from harmful algal blooms and mass mortality events to reconfigurations of entire ecosystems, affecting provisioning, habitat, regulating, and cultural ecosystem services globally. Reported economic costs of individual MHW events exceed US$800 million in direct losses or >US$3.1 billion in indirect losses of ecosystem services for multiple years. However, biological responses to MHWs can also increase human-ocean interactions, providing opportunities for coastal societies. Our study provides a global perspective on the far-reaching impacts of MHWs on human societies and highlights the urgent need to develop robust approaches to mitigation and adaptation.

13.
PLoS One ; 16(10): e0258184, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34606498

RESUMO

Understanding and predicting the response of marine communities to climate change at large spatial scales, and distilling this information for policymakers, are prerequisites for ecosystem-based management. Changes in thermal habitat suitability across species' distributions are especially concerning because of their implications for abundance, affecting species' conservation, trophic interactions and fisheries. However, most predictive studies of the effects of climate change have tended to be sub-global in scale and focused on shifts in species' range edges or commercially exploited species. Here, we develop a widely applicable methodology based on climate response curves to predict global-scale changes in thermal habitat suitability. We apply the approach across the distributions of 2,293 shallow-water fish species under Representative Concentration Pathways 4.5 and 8.5 by 2050-2100. We find a clear pattern of predicted declines in thermal habitat suitability in the tropics versus general increases at higher latitudes. The Indo-Pacific, the Caribbean and western Africa emerge as the areas of most concern, where high species richness and the strongest declines in thermal habitat suitability coincide. This reflects a pattern of consistently narrow thermal ranges, with most species in these regions already exposed to temperatures above inferred thermal optima. In contrast, in temperate regions, such as northern Europe, where most species live below thermal optima and thermal ranges are wider, positive changes in thermal habitat suitability suggest that these areas are likely to emerge as the greatest beneficiaries of climate change, despite strong predicted temperature increases.


Assuntos
Organismos Aquáticos/fisiologia , Mudança Climática , Ecossistema , Peixes/fisiologia , Internacionalidade , Água , Animais , Distribuição Normal , Especificidade da Espécie , Temperatura
14.
Mar Environ Res ; 170: 105410, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34271484

RESUMO

Quantifying scale-dependent patterns and linking ecological to environmental variation is required to understand mechanisms regulating biodiversity. We conducted a large-scale survey in rocky shores along the SE Brazilian coast to examine spatial variability in body size and density of an intertidal barnacle (Chthamalus bisinuatus) and its relationships with benthic and oceanographic predictors. Both the size and density of barnacles showed most variation at the smallest spatial scales. On average, barnacle body size was larger on shores located in areas characterised by higher chlorophyll levels, colder waters, low wave action and low influence of freshwater. Barnacles were more abundant at wave-exposed shores. We identified critical scales of spatial variation of an important species and linked population patterns to essential environmental predictors. Our results show that populations of this barnacle are coupled to scale-dependent oceanographic variation. This study offers insights into the mechanisms regulating coastal populations along a little studied coastline.


Assuntos
Ecossistema , Thoracica , Animais , Biodiversidade , Invertebrados , Dinâmica Populacional
15.
Commun Biol ; 4(1): 644, 2021 05 31.
Artigo em Inglês | MEDLINE | ID: mdl-34059795

RESUMO

In the North Atlantic, euphausiids (krill) form a major link between primary production and predators including commercially exploited fish. This basin is warming very rapidly, with species expected to shift northwards following their thermal tolerances. Here we show, however, that there has been a 50% decline in surface krill abundance over the last 60 years that occurred in situ, with no associated range shift. While we relate these changes to the warming climate, our study is the first to document an in situ squeeze on living space within this system. The warmer isotherms are shifting measurably northwards but cooler isotherms have remained relatively static, stalled by the subpolar fronts in the NW Atlantic. Consequently the two temperatures defining the core of krill distribution (7-13 °C) were 8° of latitude apart 60 years ago but are presently only 4° apart. Over the 60 year period the core latitudinal distribution of euphausiids has remained relatively stable so a 'habitat squeeze', with loss of 4° of latitude in living space, could explain the decline in krill. This highlights that, as the temperature warms, not all species can track isotherms and shift northward at the same rate with both losers and winners emerging under the 'Atlantification' of the sub-Arctic.


Assuntos
Euphausiacea/crescimento & desenvolvimento , Euphausiacea/metabolismo , Animais , Regiões Árticas , Oceano Atlântico , Mudança Climática/estatística & dados numéricos , Ecossistema , Peixes , Dinâmica Populacional , Temperatura
16.
Mar Environ Res ; 169: 105344, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34015675

RESUMO

Data that can be used to monitor biodiversity through time are essential for conservation and management. The reef-forming worm, Sabellaria alveolata (L. 1767) is currently classed as 'Data Deficient' due to an imbalance in the spread of data on its distribution. Little is known about the distribution of this species around Ireland. Using data archaeology, we collated past and present distribution records and discovered that S. alveolata has a discontinuous distribution with large gaps between populations. Many regions lack data and should be targeted for sampling. Biodiversity surveys revealed that S. alveolata supported diverse epibiotic algal communities. Retrograding (declining) reefs supported greater infaunal diversity than prograding (growing) reefs or sand, suggesting that S. alveolata is a dynamic ecosystem engineer that has a lasting legacy effect. Similar research should be carried out for other Data Deficient species, habitats and regions. Such data are invaluable resources for management and conservation.


Assuntos
Alveolados , Poliquetos , Animais , Biodiversidade , Conservação dos Recursos Naturais , Recifes de Corais , Ecossistema , Irlanda
17.
Ecol Lett ; 24(4): 708-718, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33583096

RESUMO

Understanding how community composition is reshaped by changing climate is important for interpreting and predicting patterns of community assembly through time or across space. Community composition often does not perfectly correspond to expectations from current environmental conditions, leading to community-climate mismatches. Here, we combine data analysis and theory development to explore how species climate response curves affect the community response to climate change. We show that strong mismatches between community and climate can appear in the absence of demographic delays or limited species pools. Communities simulated using species response curves showed temporal changes of similar magnitude to those observed in natural communities of fishes and plankton, suggesting no overall delays in community change despite substantial unexplained variation from community assembly and other processes. Our approach can be considered as a null model that will be important to use when interpreting observed community responses to climate change and variability.


Assuntos
Mudança Climática , Peixes , Animais , Ecossistema , Plâncton
18.
Sci Rep ; 10(1): 19359, 2020 11 09.
Artigo em Inglês | MEDLINE | ID: mdl-33168858

RESUMO

Prolonged high-temperature extreme events in the ocean, marine heatwaves, can have severe and long-lasting impacts on marine ecosystems, fisheries and associated services. This study applies a marine heatwave framework to analyse a global sea surface temperature product and identify the most extreme events, based on their intensity, duration and spatial extent. Many of these events have yet to be described in terms of their physical attributes, generation mechanisms, or ecological impacts. Our synthesis identifies commonalities between marine heatwave characteristics and seasonality, links to the El Niño-Southern Oscillation, triggering processes and impacts on ocean productivity. The most intense events preferentially occur in summer, when climatological oceanic mixed layers are shallow and winds are weak, but at a time preceding climatological maximum sea surface temperatures. Most subtropical extreme marine heatwaves were triggered by persistent atmospheric high-pressure systems and anomalously weak wind speeds, associated with increased insolation, and reduced ocean heat losses. Furthermore, the most extreme events tended to coincide with reduced chlorophyll-a concentration at low and mid-latitudes. Understanding the importance of the oceanic background state, local and remote drivers and the ocean productivity response from past events are critical steps toward improving predictions of future marine heatwaves and their impacts.

19.
Sci Total Environ ; 740: 139981, 2020 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-32927565

RESUMO

The rock type used in coastal engineering structures impacts biodiversity, but its effect has been understudied to date. We report here on whether different combinations of rock material and rock mass properties can improve habitat suitability and early phase ecological outcomes on coastal engineering structures. We examine two coastal engineering schemes that used different granites during construction. At site one, Shap granite boulders with a high number of cm-dm2 surface features (e.g. ledges) were deliberately positioned during construction (called passive enhancement), to a) maximise the provision of cm-dm scale intertidal habitat and b) determine which scale of habitat is best for ecological enhancement. At site two, Norwegian granite boulders were installed without passive enhancement, allowing for a direct comparison. Passive positioning of Shap granite boulders led to an increase in limpet (Patella vulgata, Linnaeus, 1758) abundance within two years but few limpets were recorded on the non-enhanced Norwegian granite. Positioning of boulder thus exerts a strong control on the mm and mm-dm scale geomorphic features present, with clear ecological benefits when suitable features are selected for and optimally positioned (i.e. passive enhancement) to maximise habitat features. An EcoRock scoring matrix was developed to aid in the selection of the most ecologically suitable rock materials for coastal engineering worldwide; this can help improve habitat provision on engineered structures in a rapidly warming world.

20.
BMC Fam Pract ; 21(1): 138, 2020 07 10.
Artigo em Inglês | MEDLINE | ID: mdl-32650728

RESUMO

BACKGROUND: Amidst increased pressures on General Practice across England, the receptionist continues to fulfil key administrative and clinically related tasks. The need for more robust support for these key personnel to ensure they stay focussed and motivated is apparent, however, to be effective a more systematic understanding of the parameters of their work is required. Here we present a valuable insight into the tasks they fulfil, their relationship with colleagues and their organisation and their attitudes and behaviour at work collectively defined as their 'work design'. METHODS: Our aim was to quantitatively assess the various characteristics of receptionists in primary care in England using the validated Work Design Questionnaire (WDQ) a 21 point validated questionnaire, divided into four categories: task, knowledge and social characteristics and work context with a series of sub-categories within each, disseminated online and as a postal questionnaire to 100 practices nationally. RESULTS: Seventy participants completed the WDQ, 54 online and 16 using the postal questionnaire with the response rate for the latter being 3.1%. The WDQ suggested receptionists experience high levels of task variety, task significance and of information processing and knowledge demands, confirming the high cognitive load placed on receptionists by performing numerous yet significant tasks. Perhaps in relation to these substantial responsibilities a reliance on colleagues for support and feedback to help negotiate this workload was reported. CONCLUSION: The evidence of our survey suggests that the role of modern GP receptionists requires an array of skills to accommodate various administrative, communicative, problem solving, and decision-making duties. There are ways in which the role might be better supported for example devising ways to separate complex tasks to avoid the errors involved with high cognitive load, providing informal feedback, and perhaps most importantly developing training programmes.


Assuntos
Medicina Geral , Relações Interpessoais , Descrição de Cargo , Recepcionistas de Consultório Médico , Atenção Primária à Saúde , Habilidades Sociais , Inquéritos e Questionários , Desempenho Profissional/normas , Atitude do Pessoal de Saúde , Inglaterra , Feminino , Medicina Geral/organização & administração , Medicina Geral/tendências , Humanos , Masculino , Recepcionistas de Consultório Médico/psicologia , Recepcionistas de Consultório Médico/normas , Pessoa de Meia-Idade , Avaliação das Necessidades , Atenção Primária à Saúde/métodos , Atenção Primária à Saúde/normas , Papel Profissional , Responsabilidade Social , Análise e Desempenho de Tarefas , Carga de Trabalho/psicologia , Carga de Trabalho/normas
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