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https://www.readbyqxmd.com/read/29331976/concealment-of-type-1-diabetes-at-work-in-finland-a-mixed-method-study
#1
Pirjo Hakkarainen, Fehmidah Munir, Leena Moilanen, Kimmo Räsänen, Vilma Hänninen
OBJECTIVES: To explore the possible reasons for concealing type 1 diabetes (T1D) at work. METHODS: The main set of data came from a cross-sectional survey (response rate 49.3%), the participants of which were 688 wage earners with T1D. Concealment of T1D was measured by asking respondents have they ever during their working career hidden their diabetes from their (A) colleagues and (B) line manager. Furthermore, semistructured interviews (n=20) were conducted to obtain deeper understanding...
January 13, 2018: BMJ Open
https://www.readbyqxmd.com/read/29331802/hair-cortisol-and-work-stress-importance-of-workload-and-stress-model-jdcs-or-eri
#2
Leander van der Meij, Nikkie Gubbels, Jaap Schaveling, Mercedes Almela, Mark van Vugt
Hair cortisol concentrations (HCCs) are a potential physiological indicator of work related stress. However, studies that tested the relationship between HCC and self-reported stress in a work setting show mixed findings. This may be because few studies used worker samples that experience prolonged stress. Therefore, we compared a high workload sample (n = 81) and a normal workload sample (n = 91) and studied whether HCC was related to: (i) high job demands, low control, and low social support (JDCS model), and (ii) high effort, low reward, and high overcommitment (ERI model)...
December 26, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29331707/the-mediation-effect-of-ptsd-perceived-job-stress-and-resilience-on-the-relationship-between-trauma-exposure-and-the-development-of-depression-and-alcohol-use-problems-in-korean-firefighters-a-cross-sectional-study
#3
Johanna Inhyang Kim, Heyeon Park, Jeong-Hyun Kim
BACKGROUND: Firefighters constitute a high-risk group for depression and alcohol use disorders (AUDs) due to frequent exposure to trauma. Perceived job stress and resilience are powerful factors affecting the occurrence of depression and AUDs; however, research on this subject is scarce. METHODS: We investigated the relationship of perceived job stress and resilience with depression or AUDs in firefighters. A total of 7151 Korean firefighters were included for analysis...
December 29, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29331655/what-makes-it-so-difficult-for-nurses-to-coach-patients-in-shared-decision-making-a-process-evaluation
#4
Stephanie Anna Lenzen, Ramon Daniëls, Marloes Amantia van Bokhoven, Trudy van der Weijden, Anna Beurskens
BACKGROUND: Primary care nurses play a crucial role in coaching patients in shared decision making about goals and actions. This presents a challenge to practice nurses, who are frequently used to protocol-based working routines. Therefore, an approach was developed to support nurses to coach patients in shared decision making. OBJECTIVES: To investigate how the approach was implemented and experienced by practice nurses and patients. DESIGN: A process evaluation was conducted using quantitative and qualitative methods...
December 16, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29330842/self-perceived-long-term-transfer-of-learning-after-postpartum-hemorrhage-simulation-training
#5
Brena C P Melo, Ana R Falbo, Jette Led Sorensen, Jeroen J G van Merriënboer, Cees van der Vleuten
OBJECTIVE: To explore long-term transfer (application of acquired knowledge and skills on the job) after postpartum hemorrhage simulation training based on either instructional design (ID) principles or conventional best practice. METHODS: In this qualitative study, semi-structured interviews with obstetrics and gynecology healthcare practitioners were conducted between August 7 and September 26, 2015, in Recife, Brazil. The participants were randomly selected from each of two postpartum hemorrhage simulations attended 2 years earlier (one ID and one conventional best practice)...
January 13, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29330608/environmental-performance-information-use-by-conservation-agency-staff
#6
Chloe Bradley Wardropper
Performance-based conservation has long been recognized as crucial to improving program effectiveness, particularly when environmental conditions are dynamic. Yet few studies have investigated the use of environmental performance information by staff of conservation organizations. This article identifies attitudinal, policy and organizational factors influencing the use of a type of performance information-water quality information-by Soil and Water Conservation District staff in the Upper Mississippi River Basin region...
January 12, 2018: Environmental Management
https://www.readbyqxmd.com/read/29330230/reducing-sedentary-behaviour-to-decrease-chronic-low-back-pain-the-stand-back-randomised-trial
#7
Bethany Barone Gibbs, Andrea L Hergenroeder, Sophy J Perdomo, Robert J Kowalsky, Anthony Delitto, John M Jakicic
OBJECTIVE: The Stand Back study evaluated the feasibility and effects of a multicomponent intervention targeting reduced prolonged sitting and pain self-management in desk workers with chronic low back pain (LBP). METHODS: This randomised controlled trial recruited 27 individuals with chronic LBP, Oswestry Disability Index (ODI) >10% and desk jobs (sitting ≥20 hours/week). Participants were randomised within strata of ODI (>10%-<20%, ≥20%) to receive bimonthly behavioural counselling (in-person and telephone), a sit-stand desk attachment, a wrist-worn activity-prompting device and cognitive behavioural therapy for LBP self-management or control...
January 12, 2018: Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29330163/affective-stimuli-in-behavioural-interventions-soliciting-for-health-check-up-services-and-the-service-users-socioeconomic-statuses-a-study-at-japanese-pachinko-parlours
#8
Naoki Kondo, Yoshiki Ishikawa
BACKGROUND: Socioeconomically vulnerable people are likely to have more health risks because of inadequate behaviour choices related to chronic social stresses. Brain science suggests that stress causes cognitively biased automatic decision making, preferring instant stress relief and pleasure (eg, smoking, alcohol use and drug abuse) as opposed to reflectively seeking health-maintenance services (eg, health check-ups). As such, hedonic stimuli that nudge people towards preventive actions could reduce health behaviour disparities...
January 12, 2018: Journal of Epidemiology and Community Health
https://www.readbyqxmd.com/read/29329146/national-prevalence-and-effects-of-multiple-chemical-sensitivities
#9
Anne Steinemann
OBJECTIVE: To assess the prevalence of multiple chemical sensitivities (MCS), its co-occurrence with asthma and fragrance sensitivity, and effects from exposure to fragranced consumer products. METHODS: A nationally representative cross-sectional population-based sample of adult Americans (n = 1,137) was surveyed in June 2016. RESULTS: Among the population, 12.8% report medically diagnosed MCS and 25.9% report chemical sensitivity. Of those with MCS, 86...
January 11, 2018: Journal of Occupational and Environmental Medicine
https://www.readbyqxmd.com/read/29328983/social-and-cognitive-control-skills-in-long-life-occupation-activities-modulate-the-brain-reserve-in-the-behavioural-variant-of-frontotemporal-dementia
#10
Alessandra Dodich, Giulia Carli, Chiara Cerami, Sandro Iannaccone, Giuseppe Magnani, Daniela Perani
BACKGROUND: Cognitive reserve may delay disease onset and mitigate symptoms presentation in neurodegenerative dementias. Although high occupation levels can be associated with higher cognitive reserve in the behavioural variant of frontotemporal dementia (bvFTD), it was never addressed how specific occupation profiles involving social interaction, executive and attention abilities can modulate neural reserve in bvFTD. MATERIALS AND METHODS: We retrospectively included thirty-seven bvFTD patients with clinical-neuropsychological and FDG-PET brain metabolic data...
December 19, 2017: Cortex; a Journal Devoted to the Study of the Nervous System and Behavior
https://www.readbyqxmd.com/read/29327599/motor-skills-cognition-and-work-performance-of-people-with-severe-mental-illness
#11
Lena Lipskaya-Velikovsky, Dikla Elgerisi, Adam Easterbrook, Navah Z Ratzon
PURPOSE: Employment offers many benefits to people with mental illness, yet their employment rate is much lower than that of the general population. We investigated the effect of work-related motor skills, neurocognition, and job attitudes on the work performance of people with mental illness, comparing those working in sheltered workshops, with controls working in similar jobs. METHODS: Twenty-nine adults with severe mental illness and 27 controls matched by gender and age were enrolled into the study using convenience sampling...
January 12, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29327495/challenge-and-hindrance-demands-lead-to-employees-health-and-behaviours-through-intrinsic-motivation
#12
Minseo Kim, Terry A Beehr
Based on the job demand-resource theory, this study examined the differential relationships of two types of job demands, challenge and hindrance stressors, with three outcomes: ill health, organizational citizenship behaviour, and work engagement. These relationships were mediated by two personal resources: psychological empowerment and organization-based self-esteem (OBSE). Data were collected at two separate points, 2 weeks apart. With 336 full-time U.S. employees, results from path analysis indicated that the challenge stressor, workload, was positively related to psychological empowerment and OBSE, both of which were in turn positively related to good work behaviours as well as negatively related to ill health, an indication that employees experienced physical symptoms and psychological strains...
January 12, 2018: Stress and Health: Journal of the International Society for the Investigation of Stress
https://www.readbyqxmd.com/read/29327478/interventions-to-improve-working-conditions-of-nursing-staff-in-acute-care-hospitals-scoping-review
#13
Sergio Barrientos-Trigo, Laura Vega-Vázquez, Rocío De Diego-Cordero, Bárbara Badanta-Romero, Ana M Porcel-Gálvez
AIM: To conduct a scoping review to examine and map the interventions proposed for the improvement of the working conditions of nursing staff in acute care hospitals. BACKGROUND: The Registered Nurse Forecasting (RN4CAST) project and other studies have determined the impact that the nursing staff has on the quality of care. The nursing staff's higher levels of burnout, job dissatisfaction and negative perception of the quality of care provided caused worse health outcomes...
January 11, 2018: Journal of Nursing Management
https://www.readbyqxmd.com/read/29327468/why-do-people-become-health-workers-analysis-from-life-histories-in-4-post-conflict-and-post-crisis-countries
#14
Sophie Witter, Haja Wurie, Justine Namakula, Wilson Mashange, Yotamu Chirwa, Alvaro Alonso-Garbayo
While there is a growing body of literature on how to attract and retain health workers once they are trained, there is much less published on what motivates people to train as health professions in the first place in low- and middle-income countries and what difference this makes to later retention. In this article, we examine patterns in expressed motivation to join the profession across different cadres, based on 103 life history interviews conducted in northern Uganda, Sierra Leone, Cambodia, and Zimbabwe...
January 12, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29327351/negotiating-inter-professional-interaction-playing-the-general-practitioner-pharmacist-game
#15
Fay Bradley, Darren M Ashcroft, Nick Crossley
Despite a mutual interest in optimising the benefits of medication for patients, the general practitioner (GP) and community pharmacist (CP) often work in isolation from one another, both physically and figuratively. Sources of tension include pharmacy's 'shopkeeper' image, traditional medical hierarchies and potential encroachment on professional boundaries. This article examines GP and CP perceptions of their interactions and negotiations and, drawing on the works of Stein and Goffman, identifies a set of 'unwritten' rules, termed the 'GP-pharmacist game', which involves the concept of 'face-work'...
January 12, 2018: Sociology of Health & Illness
https://www.readbyqxmd.com/read/29327214/interaction-effect-of-job-insecurity-and-role-ambiguity-on-psychological-distress-in-japanese-employees-a-cross-sectional-study
#16
Akiomi Inoue, Norito Kawakami, Hisashi Eguchi, Akizumi Tsutsumi
PURPOSE: We examined the interaction effect of job insecurity (JI) and role ambiguity (RA) on psychological distress in Japanese employees. METHODS: Overall, 2184 male and 805 female employees from two factories of a manufacturing company in Japan completed a self-administered questionnaire comprising the scales measuring JI (Job Content Questionnaire), RA (National Institute for Occupational Safety and Health Generic Job Stress Questionnaire), psychological distress (K6 scale), and potential confounders (i...
January 11, 2018: International Archives of Occupational and Environmental Health
https://www.readbyqxmd.com/read/29326408/-association-between-emotional-labor-emotional-dissonance-burnout-and-turnover-intention-in-clinical-nurses-a-multiple-group-path-analysis-across-job-satisfaction
#17
Chi Yun Back, Dae Sung Hyun, Sei Jin Chang
PURPOSE: This study was conducted to investigate the influence of emotional labor, emotional dissonance, and burnout on nurse's turnover intention and examine the effect of job satisfaction on the relationships among emotional labor, emotional dissonance, burnout, and turnover intention. METHODS: The sample consisted of 350 nurses recruited from 6 general hospitals in 2 cities in Korea. A multiple-group analysis was utilized. Data were analyzed using SPSS statistics 23 and AMOS 20...
December 2017: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/29326195/why-do-gps-leave-direct-patient-care-and-what-might-help-to-retain-them-a-qualitative-study-of-gps-in-south-west-england
#18
Anna Sansom, Rohini Terry, Emily Fletcher, Chris Salisbury, Linda Long, Suzanne H Richards, Alex Aylward, Jo Welsman, Laura Sims, John L Campbell, Sarah G Dean
OBJECTIVE: To identify factors influencing general practitioners' (GPs') decisions about whether or not to remain in direct patient care in general practice and what might help to retain them in that role. DESIGN: Qualitative, in-depth, individual interviews exploring factors related to GPs leaving, remaining in and returning to direct patient care. SETTING: South West England, UK. PARTICIPANTS: 41 GPs: 7 retired; 8 intending to take early retirement; 11 who were on or intending to take a career break; 9 aged under 50 years who had left or were intending to leave direct patient care and 6 who were not intending to leave or to take a career break...
January 10, 2018: BMJ Open
https://www.readbyqxmd.com/read/29326181/what-are-the-sources-of-stress-and-distress-for-general-practitioners-working-in-england-a-qualitative-study
#19
Ruth Riley, Johanna Spiers, Marta Buszewicz, Anna Kathryn Taylor, Gail Thornton, Carolyn Anne Chew-Graham
OBJECTIVES: This paper reports the sources of stress and distress experienced by general practitioners (GP) as part of a wider study exploring the barriers and facilitators to help-seeking for mental illness and burnout among this medical population. DESIGN: Qualitative study using in-depth interviews with 47 GP participants. The interviews were audio-recorded, transcribed, anonymised and imported into NVivo V.11 to facilitate data management. Data were analysed using a thematic analysis employing the constant comparative method...
January 11, 2018: BMJ Open
https://www.readbyqxmd.com/read/29325589/catastrophic-total-costs-in-tuberculosis-affected-households-and-their-determinants-since-indonesia-s-implementation-of-universal-health-coverage
#20
Ahmad Fuady, Tanja A J Houweling, Muchtaruddin Mansyur, Jan Hendrik Richardus
BACKGROUND: As well as imposing an economic burden on affected households, the high costs related to tuberculosis (TB) can create access and adherence barriers. This highlights the particular urgency of achieving one of the End TB Strategy's targets: that no TB-affected households have to face catastrophic costs by 2020. In Indonesia, as elsewhere, there is also an emerging need to provide social protection by implementing universal health coverage (UHC). We therefore assessed the incidence of catastrophic total costs due to TB, and their determinants since the implementation of UHC...
January 12, 2018: Infectious Diseases of Poverty
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