This is a report by a vascular unit in London on the initiation of a central venous line service for patients with COVID-19 undergoing ventilation during the initial UK peak. It includes views on management, workload, and overall outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929224 | PMC |
| http://dx.doi.org/10.1093/bjs/znaa106 | DOI Listing |
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Maintaining operability at a high personal cost - a mixed method study on maternal healthcare workers' experiences during the COVID-19 pandemic.
BMC Health Serv Res
January 2025
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Introduction: The COVID-19 pandemic forced leaders and employees in health care services to take difficult decisions to manage risks associated with employee health and the organizations' functioning. This study aims to identify the changes in employee working routines, job demands, and job resources within Swedish maternal healthcare during the COVID-19 pandemic, and how these changes affected workload and health.
Methods: Data were derived from the longitudinal COPE Staff study involving midwives and physicians within maternal healthcare.
Organisational factors associated with burnout among emergency and internal medicine physicians: a qualitative study.
BMJ Open
January 2025
Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Objective: To identify physician perspectives on factors associated with physician burnout, protective factors against burnout, and to seek potential solutions for this pervasive problem.
Design: A qualitative study with semistructured focus group interviews using a systematic framework analysis.
Setting And Participants: Physicians from general internal medicine (GIM) and the emergency department (ED) at two urban tertiary care hospitals in Vancouver, Canada, were recruited.
Widening access to isotretinoin in primary care: an evaluation of New Zealand national dispensing data for isotretinoin for acne, 2008-2023.
BMJ Open
January 2025
General Practice and Primary Health Care, The University of Auckland Faculty of Medical and Health Sciences, Auckland, New Zealand
Objectives: To identify what changes in the prescribing of isotretinoin have occurred since funded prescriber access was widened in 2009 from 'dermatologist only' prescribing to include 'general practitioners (GPs) and nurse practitioners working within their scope of practice'.
Design: Evaluation of isotretinoin dispensing data from 2008 to 2023 using the national annual prescribing data obtained from the New Zealand Pharmaceutical National Collection database.
Setting: All New Zealand citizens prescribed and dispensed funded isotretinoin for acne from 2008 to 2023 were included.
Enhancing overall performances of large constructed wetlands using an integrated approach of numerical simulation and response surface method--Taking Bagong hybrid CWs as an example.
J Environ Manage
January 2025
College of Environment, Hohai University, Nanjing, 210098, China.
Constructed wetlands (CWs) with low carbon properties represented an effective approach for treating low-polluted water and improving water quality. Here, a research scheme was proposed to achieve maximum operation benefits of the large-scale CWs through parameter identification, operation simulation, evaluation, and analysis of the water quality process. Based on the two-dimensional water hydrodynamic model coupling with the Eco-Lab water quality module (with nutrients), simulation for Bagong hybrid CWs was successfully conducted.
View Article and Find Full Text PDFExploring Individual and Team Resilience Among Dutch Hospital Nurses: A Survey Study.
J Adv Nurs
January 2025
Netherlands Institute for Health Services Research (NIVEL), Organization and Quality of Care, Utrecht, The Netherlands.
Background: Nurses confront substantial daily workloads. Coping mechanisms, including resilient behaviours at both individual and team levels, are pivotal in managing these challenges. Factors like work experience can significantly influence individual resilience.
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