Background: Despite the prevalence of “professsional exhaustion syndrome” or “burnout”, very few intervention programs for healthcare professionals have been proposed, and even fewer have been evaluated. The Catal...Background: Despite the prevalence of “professsional exhaustion syndrome” or “burnout”, very few intervention programs for healthcare professionals have been proposed, and even fewer have been evaluated. The Catalan Health Institute requested an intervention that would be preventive, integrated, and would differentiate between those affected by burnout and those with established psychopathologic disorders requiring specific treatment. Aims: To describe the experience and initial reflections from the first cohort of primary care physicians in the Barcelona public health system to participate in a program designed to prevent burnout. Methods: Descriptive analysis of the characteristics of this secondary prevention program: design, cost estimates, recruitment and screening, and activities (training, organization, and group techniques). Particular emphasis on the process of identifying potentially affected professionals, how they were offered the opportunity to participate, and the coordinated and confidential nature of the program. Results: Of a target population of 969 family doctors and pediatricians in public primary care services in Barcelona, 6 (0.61%) applied for full program participation. All of them, along with 2 non-medical professionals in primary care services who joined the program, met the clinical and psychometric criteria (Shirom-Melamed Burnout Measure, General Health Questionnaire, and the 16 Personality Factors Questionnaire) of the desired participant profile. Conclusions: The level of participation could suggest defects in program design or, alternatively, problems in the concept of burnout. This construct may be more useful for detecting stress attributed to occupational contexts than for facilitating participation in activities related to its prevention or treatment.展开更多
Background: Diabetes is a chronic disease that is associated with high cost and health care utilization. Attitudes of healthcare professionals (HCPs) toward diabetes have a significant impact on quality of diabetes ca...Background: Diabetes is a chronic disease that is associated with high cost and health care utilization. Attitudes of healthcare professionals (HCPs) toward diabetes have a significant impact on quality of diabetes care. Although the prevalence of diabetes in the Arabian Gulf region is alarming, little is known about attitudes of HCPs toward the disease. Methods: This study evaluates the attitudes of 337 HCPs toward diabetes in United Arab Emirates (UAE) including physicians, pharmacists, nurses and dietitians using the Diabetes Attitudes Scale (DAS-3). Data were analyzed descriptively and one way analysis of variance (ANOVA) was used for comparative analyses. Overall, HCPs groups demonstrated relatively adequate attitudes toward diabetes (mean = 3.80, SD = 0.45). Results: The highest score reported by HCPs groups was on the need for special training subscale (M = 4.49, SD = 0.38) and the lowest score was seen on patient autonomy subscale (M = 3.31, SD = 0.45). Physicians showed significantly higher positive attitudes on need for special training, seriousness of diabetes, value of tight glycemic control, and psychosocial aspects of diabetes than other HCPs groups (P values < 0.005);whereas nurses scored the highest on patient autonomy subscale. Pharmacists demonstrated the lowest negative attitudes among HCPs groups on all diabetes attitudes subscales. Conclusions: We recommend conducting more continuing education programs (CEPs) on diabetes care in the UAE, with greater emphasis on patient autonomy. An interdisciplinary approach that is patients’ centered is needed to provide efficient diabetes care.展开更多
<strong><em>Objective: </em></strong>The purpose of the studies is to analyze and identify the level of competency, which includes knowledge and skills between SCDP nurses (Residence Program) a...<strong><em>Objective: </em></strong>The purpose of the studies is to analyze and identify the level of competency, which includes knowledge and skills between SCDP nurses (Residence Program) and newly graduate nurses (Non-residence) in Saudi Arabia. <strong> <em>Methods: </em></strong>A survey uses an open-ended question conducted among the participant. The data is collected by using tape recording during the interview session. Newly graduate nurses and SCDP nurses were included in this study. (5) Resident nurses vs. (5) non-resident were included in this study making 10 sample size of qualitative study. <strong><em>Results: </em></strong>Findings of the study show significant differences between nonresident and resident in their journey of orientation, competency development and their learning opportunities. Residents are more likely feel less distress and more satisfied about their experience entering the residence program. <em> <strong>Conclusion: </strong></em>Nursing Residency program helps in supporting nurses to build a future leader. Hence, it helps in their critical thinking, skills and knowledge, which elevate their confidence level.展开更多
Curriculum has achieved a varied record of success in influencing health based practices and developing professional skills. Designing and implementing an effective radiologic technology educational program curriculum...Curriculum has achieved a varied record of success in influencing health based practices and developing professional skills. Designing and implementing an effective radiologic technology educational program curriculum requires a disciplined pedagogical approach where the instructor performs a thorough situational analysis, develops a theory based and pragmatic learning plan, and implements a course of study in accordance with the established educational guidelines and requirements. Diligent efforts are needed to enhance the relationship amongst curriculum developers and evaluators. The collection of information at the formative stage: followed by process evaluation to assess implementation as the curriculum progresses, and summative evaluation to assess impact is required for accreditation of program in the United States by the Joint Review Committee for Education in Radiologic Technology. Formative evaluation research is used to enhance effectiveness of the curriculum, guide development of teaching and learning strategies, and reveal promising and ineffective components of curriculum. This review of literature provides evidence as to what is considered to be the best practice in the program evaluation/accreditation process.展开更多
文摘Background: Despite the prevalence of “professsional exhaustion syndrome” or “burnout”, very few intervention programs for healthcare professionals have been proposed, and even fewer have been evaluated. The Catalan Health Institute requested an intervention that would be preventive, integrated, and would differentiate between those affected by burnout and those with established psychopathologic disorders requiring specific treatment. Aims: To describe the experience and initial reflections from the first cohort of primary care physicians in the Barcelona public health system to participate in a program designed to prevent burnout. Methods: Descriptive analysis of the characteristics of this secondary prevention program: design, cost estimates, recruitment and screening, and activities (training, organization, and group techniques). Particular emphasis on the process of identifying potentially affected professionals, how they were offered the opportunity to participate, and the coordinated and confidential nature of the program. Results: Of a target population of 969 family doctors and pediatricians in public primary care services in Barcelona, 6 (0.61%) applied for full program participation. All of them, along with 2 non-medical professionals in primary care services who joined the program, met the clinical and psychometric criteria (Shirom-Melamed Burnout Measure, General Health Questionnaire, and the 16 Personality Factors Questionnaire) of the desired participant profile. Conclusions: The level of participation could suggest defects in program design or, alternatively, problems in the concept of burnout. This construct may be more useful for detecting stress attributed to occupational contexts than for facilitating participation in activities related to its prevention or treatment.
文摘Background: Diabetes is a chronic disease that is associated with high cost and health care utilization. Attitudes of healthcare professionals (HCPs) toward diabetes have a significant impact on quality of diabetes care. Although the prevalence of diabetes in the Arabian Gulf region is alarming, little is known about attitudes of HCPs toward the disease. Methods: This study evaluates the attitudes of 337 HCPs toward diabetes in United Arab Emirates (UAE) including physicians, pharmacists, nurses and dietitians using the Diabetes Attitudes Scale (DAS-3). Data were analyzed descriptively and one way analysis of variance (ANOVA) was used for comparative analyses. Overall, HCPs groups demonstrated relatively adequate attitudes toward diabetes (mean = 3.80, SD = 0.45). Results: The highest score reported by HCPs groups was on the need for special training subscale (M = 4.49, SD = 0.38) and the lowest score was seen on patient autonomy subscale (M = 3.31, SD = 0.45). Physicians showed significantly higher positive attitudes on need for special training, seriousness of diabetes, value of tight glycemic control, and psychosocial aspects of diabetes than other HCPs groups (P values < 0.005);whereas nurses scored the highest on patient autonomy subscale. Pharmacists demonstrated the lowest negative attitudes among HCPs groups on all diabetes attitudes subscales. Conclusions: We recommend conducting more continuing education programs (CEPs) on diabetes care in the UAE, with greater emphasis on patient autonomy. An interdisciplinary approach that is patients’ centered is needed to provide efficient diabetes care.
文摘<strong><em>Objective: </em></strong>The purpose of the studies is to analyze and identify the level of competency, which includes knowledge and skills between SCDP nurses (Residence Program) and newly graduate nurses (Non-residence) in Saudi Arabia. <strong> <em>Methods: </em></strong>A survey uses an open-ended question conducted among the participant. The data is collected by using tape recording during the interview session. Newly graduate nurses and SCDP nurses were included in this study. (5) Resident nurses vs. (5) non-resident were included in this study making 10 sample size of qualitative study. <strong><em>Results: </em></strong>Findings of the study show significant differences between nonresident and resident in their journey of orientation, competency development and their learning opportunities. Residents are more likely feel less distress and more satisfied about their experience entering the residence program. <em> <strong>Conclusion: </strong></em>Nursing Residency program helps in supporting nurses to build a future leader. Hence, it helps in their critical thinking, skills and knowledge, which elevate their confidence level.
文摘Curriculum has achieved a varied record of success in influencing health based practices and developing professional skills. Designing and implementing an effective radiologic technology educational program curriculum requires a disciplined pedagogical approach where the instructor performs a thorough situational analysis, develops a theory based and pragmatic learning plan, and implements a course of study in accordance with the established educational guidelines and requirements. Diligent efforts are needed to enhance the relationship amongst curriculum developers and evaluators. The collection of information at the formative stage: followed by process evaluation to assess implementation as the curriculum progresses, and summative evaluation to assess impact is required for accreditation of program in the United States by the Joint Review Committee for Education in Radiologic Technology. Formative evaluation research is used to enhance effectiveness of the curriculum, guide development of teaching and learning strategies, and reveal promising and ineffective components of curriculum. This review of literature provides evidence as to what is considered to be the best practice in the program evaluation/accreditation process.