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Meaningful organizational routines in primary healthcare: influencing factors and their consequences for routine enactment.
J Health Organ Manag
December 2024
Umeå School of Business, Economics and Statistics, Umeå University, Umeå, Sweden.
Purpose: Based on the well-known risks associated with deviating from established routines in primary healthcare and the positive consequences of upholding them, the purpose of this study is to increase the understanding of the role of meaningfulness in the enactment of organizational routines.
Design/methodology/approach: The study is based on 24 semi-structured interviews with three different professional categories in primary healthcare in Sweden. The data were analyzed using thematic analysis on a latent level, combined with a two-factor model as sensitizing concepts.
Maternity Care Informed Consent Practices and Perspectives: A Qualitative Study at a Tertiary Maternity Unit.
Aust N Z J Obstet Gynaecol
December 2024
Western Sydney University, Penrith South, Australia.
Background: Although consent has long been accepted as necessary in maternity care, the concept of informed consent for planned vaginal birth has polarised maternity politics. The publication of the NSW Consent Manual outlines new standards of informed consent, signalling the need for examination of current maternity consent practices.
Aims: To examine informed consent and disclosure of material risks in birth in a prospective qualitative study of midwives and obstetricians.
Circulating inflammatory markers predict depressive symptomatology in COVID-19 survivors.
Cytokine
February 2025
Vita-Salute San Raffaele University, Milano, Italy; Psychiatry and Clinical Psychobiology Unit, Division of Neuroscience, IRCCS Ospedale San Raffaele, Milano, Italy.
Growing evidence suggests the neurobiological mechanism upholding post-COVID-19 depression mainly relates to immune response and subsequent unresolved low-grade inflammation. Herein we exploit a broad panel of cytokines serum levels measured in COVID-19 survivors at one- and three-month since infection to predict post-COVID-19 depression. 87 COVID survivors were screened for depressive symptomatology at one- and three-month after discharge through the Beck Depression Inventory (BDI-13) and the Zung Self-Rating Depression Scale (ZSDS) at San Raffaele Hospital.
View Article and Find Full Text PDFInformed consent in gynecological oncology: a JAGO/NOGGO survey on real-world practices in daily clinical routine.
Arch Gynecol Obstet
November 2024
Young Academy of Gynecologic Oncology (JAGO), Nord-Ostdeutsche Gesellschaft für Gynäkologische Onkologie, 13359, Berlin, Germany.
Purpose: Informed consent is a quintessential element of contemporary medicine, reflecting the fundamental right of patients to participate in decision-making regarding their health. Despite its critical importance, there is a lack of data on real-world practices regarding patient informed consent in the context of modern, high-pressure medical environments.
Methods: We conducted a multinational multicentric survey from February 24, 2022, to September 14, 2022, investigating the practices and challenges surrounding informed consent in hospitals across Germany, Austria, and Switzerland with the use of a specifically developed questionnaire.
Development will (try to) find its way: a qualitative study of Chilean adolescent mental health during and after lockdown.
Child Adolesc Psychiatry Ment Health
October 2024
Institute of Education and Child Studies, Faculty of Social and Behavioral Sciences, Leiden University, Wassenaarseweg 52, Leiden, The Netherlands.
Background: The COVID-19 pandemic has had a well-evidenced impact on adolescents, who are especially sensitive to pandemic disruptions given the critical role of socialization in their development. In Chile too, evidence shows increases in mental health complaints among adolescents over the lockdown period. Our study aimed at exploring the experiences of Chilean adolescents regarding their mental health during the lockdown and school closure (March 2020-December 2021), and during the return to on-site education (2022) as informed by adolescents and school staff, with a focus on family, school, and social sources of risk and support for adolescents' wellbeing during these periods.
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