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Provider Burnout

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1441. A systematic review of stress and stress management interventions for mental health nurses

, and psychosocial interventions. Participants included in the review Studies of mental health nurses were eligible for inclusion. Outcomes assessed in the review Studies reporting stress outcomes were eligible for inclusion. The outcomes reported included levels of sickness, burnout, job satisfaction, psychological distress, and coping. A variety of scales and questionnaires were used to assess the outcome measures in the included studies. How were decisions on the relevance of primary studies made? Two (...) reviewers assessed the relevance of each article independently. Where disagreements occurred, the articles were reassessed by the reviewers. Assessment of study quality The authors did not state that they assessed validity. They provided some details of the 'rigour' of the included studies, which gave some indication of their quality, althuogh they did not state how this assessment was performed. Data extraction The authors did not state how the data were extracted for the review, or how many reviewers

2003 DARE.

1442. 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

1443. 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

1444. 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

1445. 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

1446. Establishing Therapeutic Relationships

rela- tionships. Restructuring has had many impacts such as lower number of professional nurses to patients, replacement of professional with non-regulated health providers, increasing casual and part-time nurses, and decreased support mechanisms such as nurse educators and nurse managers. These impacts have resulted in decreased patient and nurse satisfaction, emotional burnout, increased length of stay (Aiken et al., 2001), decreased quality of care as seen in outcomes such as functional (...) to deliver in our day-to-day 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

2002 Registered Nurses' Association of Ontario

1447. 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

1448. Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. Full Text available with Trip Pro

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

2006 JAMA

1449. Optimizing Adherence and Glycemia in Youth With New Insulin-dependent Diabetes Mellitus (IDDM)

: Joslin Diabetes Center Collaborator: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Information provided by (Responsible Party): Lori Laffel, Joslin Diabetes Center Study Details Study Description Go to Brief Summary: This 2-year randomized, controlled trial examined the impact of a clinic-based, family teamwork intervention on glycemic control in youth with recently diagnosed type 1 diabetes. Condition or disease Intervention/treatment Phase Type 1 Diabetes Mellitus (...) Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental: Teamwork Group Families randomized to the Teamwork Group received the behavioral family teamwork intervention. Behavioral: Family Teamwork Intervention Families in the teamwork group received quarterly psychoeducational interventions at regular clinic visits, focusing on promoting family teamwork and reducing diabetes-specific family conflict

2008 Clinical Trials

1450. Ramelteon (ROZEREM) in the Treatment of Sleep Disturbances Associated With Parkinson's Disease

11, 2010 Sponsor: Southern California Institute for Research and Education Information provided by: Southern California Institute for Research and Education Study Details Study Description Go to Brief Summary: Patients with Parkinson's disease represent a significant proportion of VA elderly patients. Sleep disturbances and caregiver burnout association with this condition represent a significant problem. In this study, the investigators propose to perform an evaluation of a fixed doe (...) Phase 4 Detailed Description: It is well established that sleep disturbances are common in patients with neurodegenerative disorders such as Parkinson's disease. Together with psychosis and other behavioral abnormalities they contribute to the stress, anxiety and cognitive decline of patients, caregiver burnout and depression, as well as health care provider frustration. The mechanisms of the sleep disturbances in these conditions are still poorly understood and no rational or effective treatments

2007 Clinical Trials

1451. 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

1452. 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

1453. 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

1454. 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

1455. 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

1456. Enhancing meaning in palliative care practice: a meaning-centered intervention to promote job satisfaction. (Abstract)

Enhancing meaning in palliative care practice: a meaning-centered intervention to promote job satisfaction. This article introduces a new meaning-centered psycho-educational group intervention, called Enhancing meaning in palliative care nursing, designed to support nurses providing palliative care. This intervention aims at increasing job satisfaction and quality of life, as well as preventing burnout in this particular population. THEORETICAL FRAMEWORKS: Its format and content are founded (...) on the meaning-centered psychotherapy approach developed for terminally ill cancer patients (Breitbart, 2001; Greenstein & Breitbart, 2000). Frankl's existential therapeutic approach, called logotherapy, serves as the underlying theoretical framework to this intervention.Following the presentation of the context and the development of the intervention, its content is described.A brief description of the ongoing randomized controlled trial testing the intervention is then provided. Finally, the way in which

2006 Palliative & supportive care

1457. Effects of flotation-restricted environmental stimulation technique on stress-related muscle pain: what makes the difference in therapy--attention-placebo or the relaxation response? (Abstract)

as having stress-related muscular pain. In addition, 16 of the participants had received the diagnosis of burnout depression. The patients were treated with flotation-restricted environmental stimulation technique for six weeks. One-half of the patients were also given special attention for 12 weeks (high attention), while the remainder received attention for only six weeks (normal attention).The participants exhibited lowered blood pressure, reduced pain, anxiety, depression, stress and negative (...) affectivity, as well as increased optimism, energy and positive affectivity. The results were largely unaffected by the degree of attention-placebo or diagnosis.It was concluded that flotation therapy is an effective, noninvasive method for treating stress-related pain, and that the method is not more affected by placebo than by other methods currently used in pain treatment. The treatment of both burnout depression and pain related to muscle tension constitutes a major challenge for the patient as well

2005 Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur

1458. A brief mindfulness-based stress reduction intervention for nurses and nurse aides. (Abstract)

at risk for stress-related health problems. This study involved the development and evaluation of a brief 4-week mindfulness intervention for one such group-nurses and nurse aides. In comparison with 14 wait-list control participants, 16 participants in the mindfulness intervention experienced significant improvements in burnout symptoms, relaxation, and life satisfaction. The results of this pilot study, together with a natural fit between mindfulness philosophy and nursing practice theory, suggest (...) that mindfulness training is a promising method for helping those in the nursing profession manage stress, even when provided in a brief format.

2006 Applied nursing research : ANR Controlled trial quality: uncertain

1459. Which doctors and with what problems contact a specialist service for doctors? A cross sectional investigation. Full Text available with Trip Pro

Which doctors and with what problems contact a specialist service for doctors? A cross sectional investigation. In the United Kingdom, specialist treatment and intervention services for doctors are underdeveloped. The MedNet programme, created in 1997 and funded by the London Deanery, aims to fill this gap by providing a self-referral, face-to-face, psychotherapeutic assessment service for doctors in London and South-East England. MedNet was designed to be a low-threshold service, targeting (...) : demographics, CORE (CORE-OM, CORE-Workplace and CORE-A) an instrument designed to evaluate the psychological difficulties of patients referred to outpatient services, Brief Symptom Inventory to quantify caseness and formal psychiatric illness, and Maslach Burnout Inventory.The most prevalent presenting problems included depression, anxiety, interpersonal, self-esteem and work-related issues. However, only 9% of the cohort were identified as severely distressed psychiatrically using this measure

2007 BMC Medicine

1460. Diabetes Complications in Youth: Qualitative Analysis of Parents' Perspectives of Family Learning and Knowledge. Full Text available with Trip Pro

focus groups revealed that participants experienced significant anxiety about diabetes complications, with a shift from concern about daily management tasks to concern about long-term complications over time. Participants desired a flexible, collaborative educational approach, especially regarding the timing and type of information, relative to the child's age and duration of diabetes. Many parents wanted more sensitive communication and emotional support from health care providers. Motivating (...) children appeared to be a particular challenge; family burnout with regard to diabetes care over time was reported. Knowledge was gained in many ways, yet misinformation was uncommon.Obtaining information about long-term complications is an important process that changes over the course of the disease and with the child's developmental level. More research is needed, especially regarding youth knowledge, learning, and beliefs about diabetes complications.

2008 Diabetes Care

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