Lifestyle Medicine Case Manager Nurses for Type Two Diabetes Patients: An Overview of a Job Description Framework—A Narrative Review

Diabetology, Journal Year: 2024, Volume and Issue: 5(4), P. 375 - 388

Published: Aug. 23, 2024

Background: Lifestyle medicine (LM) is a contemporary scientific discipline with multidisciplinary approach. Case Management offers viable alternative for the care of patients Type 2 Diabetes (T2D). This study aimed to identify role and clinical applications lifestyle case manager nurse (LMCMN) T2D internationally analyze specialist nurses in Italy through narrative review. A secondary objective was define job description (JD) future Delphi method. Methods: review literature conducted using PubMed/Medline, Scopus, grey sources international Italian regulatory contexts. Subsequently, JD LMCMN developed application Study. Results: Nurses play strategic managing T2D, LM approach has demonstrated strong evidence effectiveness. specific suitable both Conclusions: The still underdeveloped internationally. In context territorial assistance chronic disease management, this professional crucial delivering quality shaping health policies that meet community needs.

Language: Английский

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Impact of School Nurse on Managing Pediatric Type 1 Diabetes with Technological Devices Support: A Systematic Review

Diseases, Journal Year: 2024, Volume and Issue: 12(8), P. 173 - 173

Published: Aug. 1, 2024

Introduction: Type 1 diabetes (T1D) is a disease that primarily occurs in pediatric populations. A school nurse (SN) can provide valuable support the setting for minors affected by this condition. Methods: The main objective of study was to evaluate impact nursing care provided adolescents and children with T1D using technological devices school. Qualitative quantitative outcomes considered included studies were collected discussed. systematic review conducted PubMed, CINAHL, Scopus databases reported thought PRISMA guidelines. Results: Eleven included. results showed SNs need enhance both their skills organization effectively manage young patients technology. response population caregivers management SN has been positive. Conclusions: chronic diseases one most urgent public health issues, especially Western healthcare systems. Proper at level definitely an aspect policymakers managers should consider improve quality life extremely vulnerable population, particularly those T1D.

Language: Английский

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Perceived work stressors and the transition to burnout among nurses in response to the pandemic: implications for healthcare organizations

Scandinavian Journal of Work Environment & Health, Journal Year: 2024, Volume and Issue: 50(3), P. 158 - 167

Published: March 13, 2024

OBJECTIVES: This study aimed to assess the associations of pre-pandemic perceived work stressors and satisfaction among nurses, including nurse assistants, with burnout profiles their transitions in response pandemic. METHODS: Three hundred thirty-seven nurses working an Italian University hospital participated a longitudinal survey August 2019 investigating (assessed using HSE Indicator Tool), (Work Satisfaction Scale), (Maslach Burnout Inventory), second December 2020 assessing burnout. Using latent transition analysis, we identified then estimated between on transitions. RESULTS: We three profiles, namely engaged (67%), ineffective (15%), (18%); pandemic (37%), exhausted (51%), severe (12%). The profile consisted 70% classified before Overall, were associated both profiles. Among not prior COVID-19, hostile relationships increased [odds ratio (OR) 1.19, 95% confidence interval (CI) 1.05–1.34] decreased (OR 0.82, CI 0.68–0.98) probability exhausted. Moreover, 0.54, 0.32–0.91) participation organization 0.69, 0.51–0.93) protected from transitioning association peer support needs further investigation. CONCLUSIONS: Pre-pandemic To enhance preparedness for future crises, healthcare managers should carefully tackle work-related constraints affecting nurses.

Language: Английский

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Systematic Violence Monitoring to Reduce Underreporting and to Better Inform Workplace Violence Prevention Among Health Care Workers: Before-and-After Prospective Study

JMIR Public Health and Surveillance, Journal Year: 2023, Volume and Issue: 9, P. e47377 - e47377

Published: Nov. 13, 2023

Background Monitoring workplace violence (WPV) against health care workers (HCWs) through incident reporting is crucial to drive prevention, but the actual implementation spotty and experiences underreporting. Objective This study aims introduce a systematic WPV surveillance in 2 public referral hospitals Italy assess underreporting, annual rates, attributes “before” (2016-2020) “after” its (November 2021 2022). Methods During 2016-2020, was based on procedures data collection forms that were neither standardized between nor specific for aggressions. We planned implemented (1) an report form immediate event notification, adopting international standards definitions; (2) second-level root cause analysis with dedicated psychologist, assessing determinants impacts offering psychological counseling; (3) web-based platform centralized collection; (4) periodic training workforce coordinators newly hired workers. used from reports estimate defined as observed-to-expected (from literature period) ratio less than 1, 12-month rates (per 100 HCWs) periods. latter period, we separately estimated first recurrent events. Results In yearly ratios consistently below 1 low 0.27, suggesting substantial underreporting of up 73%. declined hospital 1.92 2016 0.57 2020) rose other 0.52 1.0), divergence being attributable trends Available poorly informative identify at-risk HCW subgroups. 1.14 compared 1.91 both hospitals. The rate 2.08 (95% CI 1.79-2.42; 1.52 2.35 hospitals); one-fifth (0.41/2.08, 19.7%) due recurrences. Among HCWs, youngest group (3.79; P<.001), nurses (3.19; male HCWs (2.62; P=.008) reported highest rates. Emergency departments psychiatric wards areas at increased risk. Physical assaults more likely female HWCs (45/67, 67.2% vs 62/130, 47.7%; P=.01), experienced mental consequences (46/130, 35.4% 13/67, 19.4%; P=.02). Overall, 40.8% (53/130) recognized sociocultural (eg, linguistic or cultural) barriers contributing factors aggression, 30.8% (40/130) involved visitors perpetrators. Conclusions A reduced identification high-risk characterization patterns can better inform priorities contents preventive policies. Our evaluation provides useful information large-scale WPV-monitoring programs.

Language: Английский

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The independent and interactive effects of changes in overtime and night shifts during the COVID-19 pandemic on burnout among nurses: a longitudinal study

Scandinavian Journal of Work Environment & Health, Journal Year: 2024, Volume and Issue: 50(6), P. 475 - 484

Published: July 6, 2024

OBJECTIVES: This study aimed to evaluate the independent and interactive effects of changes in overtime night shifts on burnout among nurses during COVID-19 pandemic. METHODS: Nurses working an Italian university hospital (N=317) completed Maslach Burnout Inventory September 2019 again December 2020. Based administrative data, same years were categorized into three groups each. Linear regressions used estimate 2020 differences between exposure groups, controlling for levels, demographic work-related characteristics, test interaction two exposures. RESULTS: onset high group had higher emotional exhaustion [4.33, 95% confidence interval (CI) 1.74−6.92], depersonalization (2.10, CI 0.49−3.71), poor personal accomplishment (2.64, 0.55−4.74) compared stable low nurses. increase lower (-4.49, -7.46− -1.52) no shift Interaction analyses revealed that this apparently paradoxical effect was limited only. Moreover, increases associated with group. CONCLUSIONS: Increase is risk factor nurses, highlighting need specific regulations actions address it. Long-standing guidelines assignment might have contributed attenuate impact their nurses’ mental health.

Language: Английский

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Stress, Burnout, and General Mental Health among Healthcare Workers in Poland during the Long-Lasting COVID-19 Pandemic

Healthcare, Journal Year: 2023, Volume and Issue: 11(19), P. 2617 - 2617

Published: Sept. 24, 2023

Medical professions are characterized by a great responsibility for human health and life; they also vulnerable to burnout. The outbreak of the COVID-19 pandemic has brought new challenges threats. This study aimed assess mental healthcare workers after year half working in conditions. Perceived Stress Scale (PSS-10), Link Burnout Questionnaire (LBQ), General Health (GHQ-28) were utilized this cross-sectional investigation. A total 335 employees from Polish hospitals (median age 44 years) filled out online questionnaires between 16 August 2021 30 March 2022. Most sample was female (86%). In study, 40.0% surveyed reported high stress intensity. 9.6% workers, most frequently experienced symptom psychophysical exhaustion. Almost (49.6%) disorders at both physiological levels. Interestingly, ward did not significantly differentiate any evaluated variables: PSS-10 (gr. F = 1.21; gr. B 0.71; p > 0.05), LBQ 1.89, 0.94, 1.08, 2.57; 0.32, 1.14, 0.77, 0.36; GHQ-28 0.85, 0.52, 0.57, 0.31; 0.31, 0.06, 0.54; 0.05). Furthermore, there no statistically significant differences compared occupational groups workers: (F 1.08; 0.05) 1.78; 0.85; 0.62; is alarming, conditions can affect quality work relations with patients. Psychological care workplaces workshops that build resources dealing difficult situations necessary.

Language: Английский

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Interconnected mental health symptoms: network analysis of depression, anxiety, stress, and burnout among psychiatric nurses in the context of the COVID-19 pandemic

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Oct. 28, 2024

Background Mental health symptoms such as anxiety, depression, stress, and burnout are common among healthcare workers. However, the interconnections them remain under-explored. This study aimed to address interrelationships these in psychiatric nurses. Methods We conducted a nationwide survey early stage of COVID-19 pandemic (January March 2021) investigate interconnectedness Using network analysis, we identified central symptoms, important bridge correlations symptoms. Results Of 9,224 nurses (79.2% female) included statistical analyses, 27.6% reported clinically significant 31.2% 14.5% 23.8% burnout. Network analysis revealed that stress had highest expected influence (EI) value (0.920) strength all nodes. The node for depression scored both closeness betweenness. Emotional exhaustion (EE) (BEI) 0.340, with strongest intergroup association between EE depression. No differences were found gender or frontline work experience (all p &gt; 0.05). Conclusions Burnout, relatively context pandemic. While anxiety was most prevalent, emerged core symptom, an bridging node. Interventions targeting nodes may improve mental

Language: Английский

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Emergency Services During the SARS-CoV-2 Pandemic: A Gender Comparison of Burnout Risk and Personality Traits in the Kharkiv City Sample

Healthcare, Journal Year: 2024, Volume and Issue: 12(23), P. 2356 - 2356

Published: Nov. 25, 2024

: The SARS-CoV-2 pandemic presented unique challenges to the health-care system and prehospital emergency medical services. An increasing prevalence of burnout has been described, which in turn is associated with mental illness. aim this paper was evaluate through a sex comparison analyze associations personality traits during pandemic.

Language: Английский

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Prevalence and the associated factors of burnout among the critical healthcare professionals during the post-pandemic era: a multi-institutional survey in Taiwan with a systematic review of the Asian literatures

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Dec. 18, 2024

Burnout is a global concern, and critical healthcare professionals have been identified as high-risk population of burnout. Early identification crucial, but the prevalence burnout its risk factors demonstrate significant geographical variations. This study aims to investigate among explore potential during post-pandemic era in Taiwan. A web-based questionnaire survey was conducted from December 1, 2023, January 31, 2024, targeting employed selected medical institutions affiliated with Chang Gung Memorial Hospital Foundation, one Taiwan's largest organizations. Demographic information, Subjective Happiness Scale (SHS), current work stressors self-reported general health data were collected. The utilized Maslach Inventory Human Services Survey for Medical Personnel (MBI-MP). Univariate multivariate logistic regression association between each subscales. systematic review Asian literature concerning care practitioners also conducted. In our study, 254 participants enrolled, an overall rate 35.4%. high emotional exhaustion (EE) 70.9%, depersonalization (DP) 56.3%, low personal accomplishment (PA) 60.6%. Young, unmarried populations, individuals limited experience, longer working hours, night shifts are vulnerable groups susceptible top three excessive workload, burden administrative tasks, shortage vacation time. Our included 20 studies on same issue, variable ranging 16.3 82.1%. Taiwan, particularly affecting younger, populations more shifts. influence pandemic-related has decreased. Regional variations observed across Asia, highlighting need further research identify local protect well-being quality.

Language: Английский

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