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Doctor wellbeing

Salla Atkins, Sophie Marsden, Vishal Diwan, Merrick Zwarenstein
BACKGROUND: Research capacity enhancement is needed in low- and middle-income countries (LMICs) for improved health, wellbeing, and health systems' development. In this article, we discuss two capacity-building projects, the African/Asian Regional Capacity Development (ARCADE) in Health Systems and Services Research (HSSR) and Research on Social Determinants of Health (RSDH), implemented from 2011 to 2015. The two projects focussed on providing courses in HSSR and social determinants of health research, and on developing collaborations between universities, along with capacity in LMIC universities to manage research grant submissions, financing, and reporting...
2016: Global Health Action
Jane Frawley, David Sibbritt, Amie Steel, Sungwon Chang, Jon Adams
OBJECTIVE: To examine the relationship between health status and health service utilisation (including conventional and complementary and alternative medicine (CAM)) accessed by women experiencing urinary incontinence. While a high number of younger women report symptoms of urinary incontinence (UI), such as leaking urine, only a small proportion seek help for these symptoms. METHODS: The Australian Longitudinal Study on Women's Health (ALSWH) is a large nationally representative study that investigates the health and wellbeing of women...
October 5, 2016: Urology
Penelope Abbott, Joyce Davison, Parker J Magin, Wendy Hu
BACKGROUND: Nearly half of the people leaving prison see a general practitioner (GP) within a month of release, which provides an opportunity to promote health for this vulnerable group. OBJECTIVE: The objective of this article is to examine the expectations and experiences of GP care of women leaving prison. METHODS: Semi-structured interviews pre-release and post-release from prison were analysed using inductive thematic analysis. RESULTS: Sixty-nine interviews were conducted with 40 women while they were still in prison and 29 of these women after they were released...
October 2016: Australian Family Physician
Corinna Klingler, Georg Marckmann
BACKGROUND: With Germany facing a shortage of doctors, hospitals have been increasingly recruiting physicians from abroad. Studies in other countries have shown that migrant physicians experience various difficulties in their work, which might impact the quality of patient care, physician job satisfaction, and, accordingly, retention. The experiences of migrant doctors in Germany have not been systematically studied so far and will likely differ from experiences migrant physicians make in other contexts...
2016: Human Resources for Health
Faye Gishen, Sophia Whitman, Deborah Gill, Rhiannon Barker, Steven Walker
BACKGROUND: Training to be a doctor and caring for patients are recognized as being stressful and demanding. The wellbeing of healthcare professionals impacts upon the wellbeing and care of patients. Schwartz Centre Rounds (SCRs), multidisciplinary meetings led by a trained facilitator and designed for hospital staff, were introduced to enhance communication and compassion, and have since been widely adopted as a way of fostering compassion. The continuum of education suggests that medical students need to develop these attributes in conjunction with resilience and maintaining empathy...
2016: BMC Medical Education
Deanne S Soares, Lewis Chan
BACKGROUND: Stress in doctors adversely affects decision-making, memory, information-recall and attention, thereby negatively impacting upon the provision of safe and high quality patient care. As such, stress in doctors has been subject to increasing scientific scrutiny and has amassed greater public awareness in recent years. The aims of this study are to describe stress levels and the psychological wellbeing of current junior medical officers (JMOs), and to compare this to their predecessors, American surgical residents and population norms...
July 19, 2016: BMC Medical Education
Tom Bourne, Joke Vanderhaegen, Renilt Vranken, Laure Wynants, Bavo De Cock, Mike Peters, Dirk Timmerman, Ben Van Calster, Maria Jalmbrant, Chantal Van Audenhove
OBJECTIVES: To examine doctors' experiences of complaints, including which aspects are most stressful. We also investigated how doctors felt complaints processes could be improved. DESIGN AND METHODS: A qualitative study based on a cross-sectional survey of members of the British Medical Association (BMA). We asked the following: (1) Try to summarise as best as you can your experience of the complaints process and how it made you feel. (2) What were the most stressful aspects of the complaint? (3) What would you improve in the complaints system? PARTICIPANTS: We sent the survey to 95 636 doctors, and received 10 930 (11...
2016: BMJ Open
Aline Aparecida Foppa, Clarice Chemello, Claudia Marcela Vargas-Peláez, Mareni Rocha Farias
BACKGROUND: Parkinson's disease (PD) is a neurodegenerative disease characterized by motor manifestations, autonomic and neurological disorders and sensorial symptoms. Medication therapy management (MTM) consists of a service undertaken by pharmacists to optimize pharmacological therapy results. This way, the pharmacist monitors the treatment prescribed by the doctor and formulates a healthcare plan to guarantee the treatment's effectiveness, safety and convenience, thereby improving the patient's quality of life (QoL)...
June 2016: Neurology and Therapy
Katherine Sachs Leventhal, Lisa M DeMaria, Jane E Gillham, Gracy Andrew, John Peabody, Steve M Leventhal
RATIONALE AND OBJECTIVES: Despite a recent proliferation of interventions to improve health, education, and livelihoods for girls in low and middle income countries, psychosocial wellbeing has been neglected. This oversight is particularly problematic as attending to psychosocial development may be important not only for psychosocial but also physical wellbeing. This study examines the physical health effects of Girls First, a combined psychosocial (Girls First Resilience Curriculum [RC]) and adolescent physical health (Girls First Health Curriculum [HC]) intervention (RC + HC) versus its individual components (i...
July 2016: Social Science & Medicine
Wendy F Bower, Deborah Christie, Mario DeGennaro, Pallavi Latthe, Ann Raes, Rodrigo L P Romao, Arash Taghizadeh, Dan Wood, Christopher R J Woodhouse, Stuart B Bauer
INTRODUCTION: Children with urinary tract disorders managed by teams, or individual pediatricians, urologists, nephrologists, gastroenterologists, neurologists, psychologists, and nurses at some point move from child-centered to adult-centered health systems. The actual physical change is referred to as the transfer whilst the process preceding this move constitutes transition of care. Our aims are twofold: to identify management and health-service problems related to children with congenital or acquired urological conditions who advance into adulthood and the clinical implications this has for long-term health and specialist care; and, to understand the issues facing both pediatric and adult-care clinicians and to develop a systems-approach model that meets the needs of young adults, their families and the clinicians working within adult services...
May 13, 2016: Neurourology and Urodynamics
(no author information available yet)
Given the media exposure of poor care, this is a timely publication. It will help those working in the care home sector to administer evidence-based practice and enhance good person-centred health care. The layout is coherent and the content well signposted. 'Inside views' addresses personal perspectives of the resident, carer and care manager, and touches on engaging in creative activity with residents. The 'outside view' demonstrates how the regulatory, funding, legislative and ethical frameworks work in the care home sector...
March 14, 2012: Nursing Standard
Chris Noone, Michael J Hogan
BACKGROUND: While most modern research focuses on the clinical benefits of mindfulness, an emerging body of work suggests that mindfulness can facilitate self-regulation of everyday thinking in typically developing individuals. This behaviour is best captured using critical thinking assessments. The aim of this paper is to describe a rigorous, pre-registered study which will investigate the effect of an online mindfulness intervention on Executive Functioning, critical thinking skills and associated thinking dispositions...
2016: BMC Psychology
Julian N Trollor, Beth Ruffell, Jane Tracy, Jennifer J Torr, Seeta Durvasula, Teresa Iacono, Claire Eagleson, Nicolas Lennox
BACKGROUND: There is a high burden of unmet health needs for people with intellectual disability. Despite experiencing significantly higher rates of morbidity and mortality compared with the general population, this group faces greater barriers to accessing healthcare. While increasing workplace capacity is one way to reduce this inequitable access, previous research indicates a scarcity of undergraduate teaching in intellectual disability. The aim of the study was to determine the extent and nature of intellectual disability content currently offered within medical degree curricula...
2016: BMC Medical Education
Georgie Haysom
BACKGROUND: There has been increased recognition in the literature of the impact that complaints can have on practitioners' health and wellbeing. OBJECTIVE: This article reviews the recent literature about the impact of complaints on practitioners and explores the experience of a medical defence organisation (MDO) assisting its members with those complaints. The article also considers proposals to improve the complaints system in order to reduce the adverse health impacts that doctors may face after receiving a complaint...
April 2016: Australian Family Physician
Sarity Dodson, Karen M Klassen, Karalyn McDonald, Tanya Millard, Richard H Osborne, Malcolm W Battersby, Christopher K Fairley, Julie A Simpson, Paula Lorgelly, Andrew Tonkin, Janine Roney, Sean Slavin, Jasminka Sterjovski, Margot Brereton, Sharon R Lewin, Levinia Crooks, Jo Watson, Michael R Kidd, Irith Williams, Julian H Elliott
BACKGROUND: The leading causes of morbidity and mortality for people in high-income countries living with HIV are now non-AIDS malignancies, cardiovascular disease and other non-communicable diseases associated with ageing. This protocol describes the trial of HealthMap, a model of care for people with HIV (PWHIV) that includes use of an interactive shared health record and self-management support. The aims of the HealthMap trial are to evaluate engagement of PWHIV and healthcare providers with the model, and its effectiveness for reducing coronary heart disease risk, enhancing self-management, and improving mental health and quality of life of PWHIV...
2016: BMC Infectious Diseases
Diana Egerton-Warburton, Andrew Gosbell, Angela Wadsworth, Katie Moore, Drew B Richardson, Daniel M Fatovich
OBJECTIVES: To survey emergency department (ED) clinical staff about their perceptions of alcohol-related presentations. DESIGN, SETTING AND PARTICIPANTS: A mixed methods online survey of ED clinicians in Australia and New Zealand, conducted from 30 May to 7 July 2014. MAIN OUTCOME MEASURES: The frequency of aggression from alcohol-affected patients or their carers experienced by ED staff; the perceived impact of alcohol-related presentations on ED function, waiting times, other patients and staff...
March 7, 2016: Medical Journal of Australia
C C M Karianne Jonkers, Carla H Bakker
The Dutch National Care for the Elderly Programme started in 2008. Eight regional networks were formed, in which more than 75 projects were carried out to improve care and wellbeing for frail elderly persons. The programme will come to an end in 2017. The results and lessons learned are being spread via the knowledge platform 'BeterOud'. In this article we describe some lessons from the programme for clinicians. The programme shows the value and the difficulties of clinicians taking the needs and wishes of frail elderly persons as the guiding principle of their care...
2015: Nederlands Tijdschrift Voor Geneeskunde
Angeliki Kerasidou, Ruth Horn
BACKGROUND: The academic and medical literature highlights the positive effects of empathy for patient care. Yet, very little attention has been given to the impact of the requirement for empathy on the physicians themselves and on their emotional wellbeing. DISCUSSION: The medical profession requires doctors to be both clinically competent and empathetic towards the patients. In practice, accommodating both requirements can be difficult for physicians. The image of the technically skilful, rational, and emotionally detached doctor dominates the profession, and inhibits physicians from engaging emotionally with their patients and their own feelings, which forms the basis for empathy...
2016: BMC Medical Ethics
N Panagiotopoulou, N Ghuman, R Sandher, M Herbert, J A Stewart
Infertility is a potential late-effect of cancer treatment, which negatively impact on young cancer survivors' quality of life. This paper aims to synthesise factors that influence patients', carers' and healthcare professionals' decision to engage in fertility preservation programmes at the time of cancer diagnosis. Four databases and grey literature were systematically searched to identify qualitative and mixed-method studies published between 2000 and 2015. Thematic framework and synthesis were used to analyse and synthesise the data...
December 17, 2015: European Journal of Cancer Care
Amanda H Goodall
OBJECTIVE: Leaders' technical competence - 'expert knowledge' - has been shown in many settings to be associated with better organizational performance. In universities, for example, there is longitudinal evidence that research-focused scholars make the best leaders; results from a hospital study show that doctors instead of professional managers are most closely associated with the best performing institutions. To explain these patterns, and raise hypotheses, a theory of expert leadership (TEL) has been developed that might explain these patterns...
June 2016: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
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