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Provider Burnout

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1381. Communication skills training in cancer care: where are we and where are we going?

outcomes that the studies had to include in order to be considered for inclusion. The main outcomes of the review appeared to be improved communication skills and knowledge, satisfaction among health care workers and patients, and stress and burnout. How were decisions on the relevance of primary studies made? The authors did not state how the papers were selected for the review, or how many reviewers performed the selection. Assessment of study quality The authors did not state that they assessed (...) validity. Data extraction The authors did not state how the data were extracted for the review, or how many reviewers performed the data extraction. Methods of synthesis How were the studies combined? The authors tabulated findings from all studies and provided a narrative summary, focusing mainly on the randomised trials. How were differences between studies investigated? The authors provided a narrative summary, grouped under headings such as interventions, skills taught, assessment methods

2005 DARE.

1382. Clinical practice guidelines for the management of women with epithelial ovarian cancer

Research Council at its 152 nd Session on 18 March 2004, under section 14A of the National Health and Medical Research Council Act 1992. Approval for the guidelines by NHMRC is granted for a period not exceeding ?ve years, at which date the approval expires. The NHMRC expects that all guidelines will be reviewed no less than once every ?ve years. Readers should check with the National Breast Cancer Centre for any reviews or updates of these guidelines. The strategic intent of the NHMRC is to provide (...) leadership and work with other relevant organisations to improve the health of all Australians by: • fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health ethics and related issues. This document is a general guide to appropriate practice, to be followed

2004 Cancer Australia

1383. Clinical practice guidelines for the psychosocial care of adults with cancer

for any reviews or updates of these guidelines. The strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians by: • fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health (...) ethics and related issues. This document is a general guide to appropriate practice, to be followed subject to the clinician’s judgement and the patient’s preference in each individual case. The guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of publication. This is the first edition of the Clinical practice guidelines for the psychosocial care of adults with cancer. These guidelines are based on the Psychosocial

2003 National Breast and Ovarian Cancer Centre

1384. Interventions to reduce overcrowding in emergency departments

S, Friesen C, Innes G, Yoon P, Curry G, Holroyd B, Rowe B. Interventions to reduce overcrowding in emergency departments. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Technology Report Issue 67.4. 2006 Authors' objectives The main objective of this report was to systematically review the effects of interventions designed to reduce or control overcrowding in the emergency department (ED). Secondary objectives were to provide a descriptive overview of all studies assessing (...) MeSH Attitude of Health Personnel; Bed Occupancy; Burnout, Professional; Canada; Crowding; Efficiency, Organizational; Emergency Medicine /manpower; Emergency Service, Hospital /organization & Health Services Needs and Demand; Models, Organizational; Nurse's Role; Patient Satisfaction; Systems Analysis; Triage; Workload; administration /utilization Language Published English Country of organisation Canada Province or state Ontario Address for correspondence 600-865 Carling Avenue, Ottawa, ON K1S

2006 Health Technology Assessment (HTA) Database.

1385. Emergency department overcrowding in Canada: what are the issues and what can be done?

reports that together provide a comprehensive picture of the state of overcrowding in Canadian emergency departments (EDs), the capability of EDs and health regions to measure and document ED overcrowding, and the existing evidence for effective interventions to alleviate it. The four reports are: Ospina MB, Bond K, Schull M, Innes G, Blitz S, Friesen C, Rowe BH. Measuring overcrowding in emergency departments: A call for standardization; Rowe BH, Bond K, Ospina MB, Blitz S, Schull M, Sinclair D (...) interventions in Canada. These include float nurse pools, senior ED physician flow shifts, home or community care workers assigned on site to the ED, overcensus on wards, orphan clinics, "coloured" codes to decongest ED, and "overload" units for in-patients. Project page URL INAHTA brief and checklist Indexing Status Subject indexing assigned by CRD MeSH Attitude of Health Personnel; Bed Occupancy; Burnout, Professional; Canada; Crowding; Efficiency, Organizational; Emergency Medicine /manpower; Emergency

2006 Health Technology Assessment (HTA) Database.

1386. Developing and Sustaining Effective Staffing and Workload Practices

to provide quality care. As the financial restrictions tightened, many nurses felt increasing stress and dissatisfaction with their work. Aiken et al. 41 noted that more than 33% of nurses in Canada were in the high burnout category at the time. The evidence suggests that significant and immediate changes regarding staffing and workloads must be made to improve the quality of working lives for nurses and ensure that patients/clients receive safe, effective and ethical care, consistent with quality (...) Practice Guidelines (BPGs) on Healthy Work Environments (HWE), developed by the nursing community. The aim of these guidelines is to provide the best available evidence to support the creation of thriving work environments. Evidence-based HWE BPGs, when applied, will serve to support the excellence in service that nurses are committed to delivering in their day-to-day practice. RNAO is delighted to be able to provide this key resource to you. We offer our endless gratitude to the many individuals

2007 Registered Nurses' Association of Ontario

1387. What are the lessons learnt by countries that have had dramatic reductions of their hospital bed capacity?

What are the lessons learnt by countries that have had dramatic reductions of their hospital bed capacity? WHO/Europe | What are the lessons learnt by countries that have had dramatic reductions of their hospital bed capacity? S Français Deutsch Pусский M search Databases Interactive atlases Evidence resources European health report Our flagship report maps health trends, charts progress towards achieving health goals and provides an advance base for health policy Resources Social media Events (...) . The evidence largely examines impacts on staff, access to care, and terminal care. There is extensive evidence that reductions in hospital capacity adversely affect the remaining staff – especially those transferred to other facilities – mainly because of poor communication and increased workload. However, there is some evidence that careful relocation of staff can lead to improved job satisfaction and decreased burnout. Prediction of the impact of bed reductions on patients is critically dependent

2003 WHO Health Evidence Network

1388. Workplace interventions for people with common mental health problems

health problems – reflects BOHRF’s mission and purpose. It builds on earlier work (Carter 1999) that reviewed the literature on mental health and employment to identify evidence-based interventions that support the effective management of common mental health problems at work and also gaps in the literature that could be filled by future studies. The current BOHRF project was designed to provide evidence-based answers, for the first time, on key questions related to the largest, and growing, cause (...) . This systematic review is designed to provide evidence-based answers on key questions related to mental ill health in the workplace. It is intended to assist managers, occupational health professionals and other interested parties in making management decisions and offering advice in the confidence that they are based on the most robust evidence available. Where evidence does not exist or is not robust recommendations are made for further research in areas that appear promising or of interest. Research

2005 British Occupational Health Research Foundation

1389. Clinical practice guidelines for the management of advanced breast cancer

is copyright. Apart from any use as permitted under the Copyright Act 1968, no part may be reproduced by any process without prior written permission from AusInfo. Requests and enquiries concerning reproduction and rights should be addressed to the Manager, Legislative Services, AusInfo, GPO Box 1920, Canberra ACT 2601. Email address: Cwealthcopyright@dofa.gov.au The strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians (...) by: • fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health ethics and related issues. NHMRC web address: http://www.nhmrc.health.gov.au This document was prepared by the iSource National Breast Cancer Centre Advanced Breast Cancer Working Group. The current

2000 Cancer Australia

1390. Clinical practice guidelines for the psychosocial care of adults with cancer

for any reviews or updates of these guidelines. The strategic intent of the NHMRC is to provide leadership and work with other relevant organisations to improve the health of all Australians by: • fostering and supporting a high quality and internationally recognised research base; • providing evidence based advice; • applying research evidence to health issues thus translating research into better health practice and outcomes; and • promoting informed debate on health and medical research, health (...) ethics and related issues. This document is a general guide to appropriate practice, to be followed subject to the clinician’s judgement and the patient’s preference in each individual case. The guidelines are designed to provide information to assist decision-making and are based on the best evidence available at the time of publication. This is the first edition of the Clinical practice guidelines for the psychosocial care of adults with cancer. These guidelines are based on the Psychosocial

2002 Cancer Australia

1391. Effectiveness reviews in health promotion

of Health, England. ISBN 0854735852 Content Executive Summary i Part I The need for effectiveness reviews in health promotion 1 Chapter 1 Background and purpose of the study 1.1 What are effectiveness reviews? 1 1.2 Purpose of this study 2 1.3 Outline of the report 5 Chapter 2 Consultation with users … 6 2.1 Information needs of purchasers and providers … 6 2.2 Value and use of effectiveness reviews 9 2.3 Conclusions 11 Chapter 3 Effectiveness reviews in health promotion for older people: a case study (...) undertaken in relation to the need for effectiveness reviews. Recommendations for the production and presentation of effectiveness reviews were based on the findings of each phase. Firstly, the research team convened two meetings with commissioners, purchasers and providers of health promotion services to inform this study. At the first meeting reviews of effectiveness were discussed in terms of their value; what they should include; how they should be presented; and their implications for health

1999 EPPI Centre

1392. Burnout in the Medical Profession

support. Use colleagues, friends, partners or any other appropriate person to provide support to help cope with job stress and feelings of burnout. Assess interests, skills and passions. An honest assessment can help to decide whether an alternative job should be considered, such as one that's less demanding or one that better matches interests and core values. Develop outside interests. Regular physical exercise, such as walking or cycling, can help a person improve the way they deal with stress (...) . 2010 Feb78(2):184-90. doi: 10.1016/j.pec.2009.04.008. Epub 2009 May 20. ; Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2014 Dec 812:CD002892. doi: 10.1002/14651858.CD002892.pub4. ; Exposure to aggressive behaviour and burnout in direct support providers: The role of positive work factors. Res Dev Disabil. 2014 Nov 1136C:404-412. doi: 10.1016/j.ridd.2014.10.033. l have constant loose bowel movements and weight loss and loss of appetite. my doctor has put me

2008 Mentor

1393. Crisis Intervention

as an expedient “short-cut” for the longer-term service needed by some, with an increase in crime a frequent costly result. This guideline’s attention to organizational and administrative support contributes to avoiding such “penny-wise and pound-foolish” policy and practice. Burnout and other burdens are the further price paid by even the most skilled crisis workers, who lack institutional support of their work. Nurses and other appropriately trained health providers know when the crisis model is either (...) practice. We offer our endless thanks to the many institutions and individuals that are making RNAO’s vision for Nursing Best Practice Guidelines (NBPGs) a reality . The Ontario Ministry of Health and Long-Term Care recognized RNAO’s ability to lead this project and is providing multi-year funding. Tazim Virani --NBPG project director-- with her fearless determination and skills, is moving the project forward faster and stronger than ever imagined. The nursing community, with its commitment and passion

2002 Registered Nurses' Association of Ontario

1394. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. (PubMed)

metrics.Prospective longitudinal cohort study of categorical and preliminary internal medicine residents at Mayo Clinic Rochester. Data were provided by 184 (84%) of 219 eligible residents. Participants began training in the 2003-2004, 2004-2005, and 2005-2006 academic years and completed surveys quarterly through May 2006. Surveys included self-assessment of medical errors and linear analog scale assessment of quality of life every 3 months, and the Maslach Burnout Inventory (depersonalization, emotional (...) Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Medical errors are associated with feelings of distress in physicians, but little is known about the magnitude and direction of these associations.To assess the frequency of self-perceived medical errors among resident physicians and to determine the association of self-perceived medical errors with resident quality of life, burnout, depression, and empathy using validated

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2006 JAMA

1395. Effects of a nursing intervention program on disabled patients and their caregivers. (PubMed)

, and (3) onset of disability prior to study was less than 2 years. A total of 126 participants were transferred from several hospitals to the community to be cared for by caregivers. Patients were divided into two groups: control group (n=56), and intervention group (n=70). In the control group, caregivers were not provided with any special training and patients were just evaluated at the beginning and end of the program. In the intervention group, caregivers were given intensive training in care (...) for the disabled and completed eight home-visits. The outcomes were measured before and after program using Barthel ADL index, life satisfaction scale (LSS) and caregiver's burnout scale (CBS). The results showed that improvements in ADL, LSS and CBS were significantly greater in the intervention group, compared to the control group. Multiple linear regression models showed that improvements in ADL were higher among patients with early-stage (onset of disability was less than 6 months before the start

2003 Archives of gerontology and geriatrics

1396. Comprehensive Police Fatigue Management Program

and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00246051 Recruitment Status : Completed First Posted : October 31, 2005 Last Update Posted : August 15, 2013 Sponsor: Brigham and Women's Hospital Information provided by (Responsible Party): Charles Andrew Czeisler, MD, PhD, Brigham and Women's Hospital Study Details (...) : Testing the Effectiveness of a Comprehensive Fatigue Management for the Police Study Start Date : November 2005 Actual Primary Completion Date : December 2009 Actual Study Completion Date : December 2010 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Sleep Hygiene Education Behavioral: Sleep Hygiene Education An education program, consisting of materials from experts in the field of fatigue management

2005 Clinical Trials

1397. Ability to Cope With Type 1 Diabetes

of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00206362 Recruitment Status : Completed First Posted : September 21, 2005 Last Update Posted : July 20, 2016 Sponsor: Baylor College of Medicine Collaborator: Texas Children's Hospital Information provided by (Responsible Party): Rubina Heptulla, MD, Baylor College of Medicine Study Details (...) it requires constant attention to several responsibilities such as daily glucose monitoring, multiple daily insulin doses, and strict diet and exercise. Several studies have shown that increased rates of poorer glucose control are a result of struggling to cope with type 1 diabetes. This may be due to the fact that many type 1 diabetics experience a feeling of exhaustion, or "burnout," after a certain period of time due to an overwhelming amount of responsibility. In our study we would like to determine

2005 Clinical Trials

1398. Ability to Cope With Type 1 Diabetes

of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00206349 Recruitment Status : Completed First Posted : September 21, 2005 Last Update Posted : July 14, 2016 Sponsor: Baylor College of Medicine Information provided by (Responsible Party): Sponsored Programs, Baylor College of Medicine Study Details Study Description Go to Brief Summary (...) responsibilities such as daily glucose monitoring, multiple daily insulin doses, and strict diet and exercise. Several studies have shown that increased rates of poorer glucose control are a result of struggling to cope with type 1 diabetes. This may be due to the fact that many type 1 diabetics experience a feeling of exhaustion, or "burnout," after a certain period of time due to an overwhelming amount of responsibility. In our study we would like to determine how children's ability to cope with diabetes

2005 Clinical Trials

1399. Sleep Disorders Management, Health and Safety in Police

Outcome Measures : Job satisfaction [ Time Frame: 05/2005 - 07/2009 ] Burnout [ Time Frame: 05/2005 - 07/2009 ] Works hours [ Time Frame: 05/2005 - 07/2009 ] Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided (...) in Police The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00207285 Recruitment Status : Completed First Posted : September 21, 2005 Last Update Posted : March 17, 2016 Sponsor: Brigham and Women's Hospital Information provided by (Responsible Party): Charles Andrew Czeisler, MD, PhD, Brigham and Women's

2005 Clinical Trials

1400. Interest in Spirituality and Oncology: Is It An International Phenomenon?

in Spirituality and Oncology: Is It An International Phenomenon? The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT00429117 Recruitment Status : Withdrawn First Posted : January 31, 2007 Last Update Posted : November 18, 2011 Sponsor: M.D. Anderson Cancer Center Information provided by (Responsible Party): M.D (...) . Anderson Cancer Center Study Details Study Description Go to Brief Summary: Primary Objective: -To assess correlations between spiritual and religious beliefs and physician burnout using the Work Related Stress Inventory. Secondary Objectives: To assess relationships between a physician's spiritual/religious beliefs and age, race, sex, marital status, and nationality. To explore differences in survey responses among oncologists from different countries: Duke University Religion Index (DUREL), Hoge

2007 Clinical Trials

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