Journal of Behavioral Medicine, Journal Year: 2022, Volume and Issue: 46(1-2), P. 167 - 178
Published: April 30, 2022
Language: Английский
Journal of Psychiatric Research, Journal Year: 2024, Volume and Issue: 173, P. 232 - 238
Published: March 27, 2024
Language: Английский
Citations
1
Primary Health Care Research & Development, Journal Year: 2024, Volume and Issue: 25
Published: Jan. 1, 2024
Abstract Aim: To explore the views of general practitioners (GPs) and nurses on type 2 diabetes (T2D) management, including use recently funded T2D medications in New Zealand (NZ) their perceived barriers to providing optimal care. Background: is a significant health concern NZ, particularly among Māori Pacific adults. Characterised by prolonged hyperglycaemia, generally progressive condition requiring long-term Methods: Semi-structured interviews were conducted between July December 2022 with 21 primary care clinicians (10 GPs 11 nurses/nurse prescribers) from nine different practice clinics across Auckland Waikato regions NZ. Framework analysis was identify common themes clinicians’ perceptions experiences management. Findings: Three identified: health-system factors, new medications, solution-based approaches. Lack clinician time, healthcare funding, staff shortages, burn-out identified as management under factors. The two newly empagliflozin dulaglutide, deemed be positive change for that they improved patient satisfaction clinical outcomes, but several hesitant prescribe these medications. Participants suggested additional education specialist support would helpful inform medication prescribing better multi-disciplinary team (clinical staff) could reducing workload, addressing cultural gaps delivery, burnout. An work environment, appropriate professional development value collaboration non-regulated workforce, may required facilitate Future research should focus interventions increase both teams patients while adopting culturally approach improve outcomes.
Language: Английский
Citations
1
BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)
Published: Nov. 5, 2024
The health workplace is fraught with fluctuations and uncertainties, creating a volatile, uncertain, complex, ambiguous (VUCA) environment, particularly impacting frontline healthcare workers (HCWs) leading to an epidemic of stress, burnout issues, exacerbated by the COVID-19 pandemic. This paper aims explore multifaceted aspects HCWs wellbeing, address challenges arising due VUCA highlight innovative approaches within systems enhance quality life HCWs. A systematic review was conducted using PubMed Scopus search terms including 'VUCA,' 'health personnel,' 'frontline workers,' 'psychological wellbeing.' Grey literature focusing on Australia Nigeria also included. Search limited titles "COVID-19", articles published in English, from inception 11th March 2024. Initial generated hundreds thousands literatures but after limitations COVID-19, 32 were screened 22 selected for critical review. Seven other grey included focus Nigeria. summary findings indicate disruptiveness VUCA, associated need improve workers' resilience this calls further research. report highlights complex and/or view wellbeing. Intentional organizational support strategies along personal coping should be explored towards improving
Language: Английский
Citations
1
BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)
Published: Dec. 24, 2024
Abstract Background The COVID-19 pandemic exposed critical gaps in health system preparedness. This study, guided by a ecological model, examines the experiences of primary and community services Aotearoa New Zealand during pandemic, focusing on their response to older people unpaid caregivers. study aims identify effective strategies for resilience. It addresses question, what can we learn from organisations supporting caregivers COVID-19, prepare other similar (emergency health) situations? Methods A multidisciplinary research team conducted cross-sectional qualitative through semi-structured telephone interviews with service providers (SPs) delivering or home-based across Zealand. SPs included national organisations, Māori, Pacific, rural dementia services. Data were collected between July October 2020. Notes taken using Rapid Appraisal Procedure grid, which later revised validated participants. analysed hybrid deductive-inductive thematic analysis, following COREQ guidelines. Results Twenty staff (Chief Executive Officers representatives) ( N = 4), Māori 3), Pacific 5), regional 4) interviewed. demonstrated resilience collaboration, adapting delivery models, upskilling staff. Key challenges involved inconsistent identification vulnerable clients, limited access aged residential care, barriers relating digital disproportionately affected adults staff, clients areas. Workforce shortages, unclear public policy concerning travel regions further complicated delivery, highlighting interaction policy, community, interpersonal, individual factors. Conclusions managed effectively, but areas improvement government absorptive swift actions, including lockdowns clear communication, while exhibited adaptive modifying protocols. Knowledge gained this contribute transformative Long-term strategic changes are necessary improve emergency planning, such as developing unified framework inform ‘Priority List’, enhancing workforce capacity, addressing exclusion. These steps strengthen robustness preparedness future crises.
Language: Английский
Citations
1
Journal of Behavioral Medicine, Journal Year: 2022, Volume and Issue: 46(1-2), P. 167 - 178
Published: April 30, 2022
Language: Английский
Citations
7