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Tackling the primary healthcare workforce crisis: time to talk about health systems and governance-a comparative assessment of nine countries in the WHO European region.
Hum Resour Health
December 2024
Department of Public Health, University of Aarhus, Aarhus, Denmark.
Background: Primary healthcare has emerged as a powerful global concept, but little attention has been directed towards the pivotal role of the healthcare workforce and the diverse institutional setting in which they work. This study aims to bridge the gap between the primary healthcare policy and the ongoing healthcare workforce crisis debate by introducing a health system and governance approach to identify capacities that may help respond effectively to the HCWF crisis in health system contexts.
Methods: A qualitative comparative methodology was employed, and a rapid assessment of the primary healthcare workforce was conducted across nine countries: Denmark, Germany, Kazakhstan, Netherlands, Portugal, Romania, Serbia, Switzerland, and the United Kingdom/ England.
Assessing the Power of the HEXACO to Predict Professional Burnout Among Catholic Priests in Italy.
J Relig Health
December 2024
World Religions and Education Research Unit, Bishop Grosseteste University, Lincoln, UK.
This study tests the application of the HEXACO among Catholic priests and the power of this six factor model of personality to predict scores on the Francis Burnout Inventory among priests. Data provided by 264 priests serving in Italy lead to two conclusions. In this population three of the six scales of the HEXACO failed to display adequate levels of internal consistency reliability (emotionality, agreeableness, openness to experience).
View Article and Find Full Text PDFRe-visiting professional ethics in psychotherapy: reflections on the use of talking therapies as a supportive adjunct for myalgic encephalomyelitis/chronic fatigue syndrome and 'medically unexplained symptoms'.
J Med Ethics
December 2024
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Following years of debate over the effectiveness of cognitive behavioural therapy for myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), public health bodies in the UK and beyond have determined that no psychotherapy is clinically proven for this patient group. In the field of ME/CFS and the wider arena of 'medically unexplained symptoms' (MUS), patient survey data and qualitative research capturing patient experiences and psychotherapist attitudes suggest that therapeutic practice may sometimes fall short of required ethical standards. This raises questions about how psychotherapists can safely support, as opposed to treat, people with these debilitating conditions.
View Article and Find Full Text PDFFrom Moral Distress to Moral Integrity: Qualitative Evaluation of a New Moral Conflict Assessment Tool.
Am J Crit Care
January 2025
Peter Dodek is a professor emeritus, Division of Critical Care Medicine and Center for Advancing Health Outcomes, St Paul's Hospital and University of British Columbia, Vancouver.
Background: Moral distress affects the well-being of health care professionals and can lead to burnout and attrition. Assessing moral distress and taking action based on this assessment are important. A new moral conflict assessment (MCA) designed to prompt action was developed and tested.
View Article and Find Full Text PDFEthics and community nursing.
Br J Community Nurs
January 2025
Deputy Dean, Health and Social Care, University of South Wales, UK.
Iwan Dowie explores the critical role of ethics in community nursing, where nurses often make autonomous decisions in the home care of patients. Nurses are tasked with balancing individual patient rights with the broader needs of society, guided by ethical principles such as autonomy, beneficence, nonmaleficence and justice.
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