Publications by authors named "R Middleton"

Background: Burnout is among the greatest challenges facing healthcare today. Healthcare providers have been found to experience burnout at significant rates, with COVID-19 exacerbating the challenge. Burnout in the healthcare setting has been associated with decreases in job satisfaction, productivity, professionalism, quality of care, and patient satisfaction, as well as increases in career choice regret, intent to leave, and patient safety incidents.

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Purpose: Both local tumor control and distant metastasis are important indicators of the efficacy of radiation therapy treatment. Synchrotron microbeam radiation therapy (MRT), spatially fractionated radiation delivered at ultrahigh dose rates, shows remarkable normal tissue sparing with excellent local control in some models. Some MRT regimens trigger an antitumor immune response that contributes not only to the local but also to systemic treatment efficacy.

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Aim: To explore how postgraduate leadership education is translated into practice and how leadership practices and behaviours are sustained following completion of a leadership program.

Design: A qualitative exploratory study using an appreciative inquiry approach.

Methods: A single Health District, partnered with a regional university, offering a 12-month leadership program, the Effective Leadership in Health Program.

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Article Synopsis
  • The paper aims to explore the challenges rural nurses face during resuscitations, highlighting how this contributes to their professional isolation, and to propose strategies to alleviate these issues.
  • It emphasizes that professional isolation is prevalent in low-resourced rural healthcare settings, particularly where small emergency departments are located far from major hospitals, and notes a lack of research on effective interventions.
  • The findings suggest that professional isolation hinders skill development and career intent among rural nurses, and recommends solutions like leadership training, mentorship, and debriefing sessions to help improve their professional experiences and connections.
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Introduction: Various techniques have been described for restoring leg length and offset during total hip arthroplasty (THA). We herein describe a novel "Quartered Head Technique" (QHT) involving a series of femoral osteotomies.

Methods: 124 hips were included in the analysis.

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