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Women's preferences for care delivery during labour and birth in Dutch hospitals: A Q-methodology study.
Women Birth
January 2025
Department of Obstetrics and Gynaecology, Erasmus University Medical Centre - Sophia Children's Hospital, Rotterdam, the Netherlands.
Problem: Women's preferences regarding care delivery during labour and birth remain insufficiently understood. Obtaining a clear understanding of these is important to realise a maternity care system that is future-proof and person-centred.
Background: Dutch maternity care deals with capacity issues due to staff shortages.
Prudent Physician Anger in Patient-Physician Interactions.
Health Care Anal
January 2025
Department of General Practice and Primary Health Care, University of Auckland, Private Bag 92019, Auckland, New Zealand.
This paper questions the conventional wisdom that physicians must suppress anger in response to patient misbehaviour. It distinguishes the emotion of anger from its expression, which leans toward concerned frustration and disappointment for the sake of professionalism in patient care. Drawing on the framework of person-centred health care as a virtue ethic, the paper first suggests four reasons why and when physician anger toward patient behaviour may occasionally be appropriate: the inevitability of sometimes feeling angry, anger as a cognitive and behavioural resource, physician well-being, and potential patient benefit.
View Article and Find Full Text PDFAssessment of older persons with multimorbidity in Norwegian primary care: a qualitative study of healthcare professionals' experiences and preferences in fostering continuity of care.
BMC Health Serv Res
January 2025
Faculty of Health Sciences, Department of Rehabilitation Science and Health Technology, OsloMet - Oslo Metropolitan University, Oslo, Norway.
Background: As the population ages, more people live longer with multimorbidity. Older people with multimorbidity face diverse needs and medical conditions, increasing the risk of adverse health outcomes, and often experience fragmented healthcare. Research has called for better ways to reach, understand and care for this group to enhance care continuity.
View Article and Find Full Text PDFA Nurse-Initiated Protocol for Interprofessional Management of Changed Behaviours in Hospital Patients With Dementia and/or Delirium: A Modified e-Delphi Study.
J Adv Nurs
January 2025
Nursing Practice Development Unit, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Aim: To develop a nurse-initiated protocol for early ward-based interprofessional coordination and formulation of person-centred care plans to assist in point-of-care management of behaviour in older patients on general hospital wards.
Design: A modified e-Delphi method was employed to establish expert consensus.
Method: Multidisciplinary acute-care experts experienced in hospital care of patients with dementia and/or delirium in Australia were recruited by email from 35 professional networks.
Perceptions of birth and wellbeing after birth debriefing among women who describe their birth as traumatic.
Midwifery
December 2024
Southern Cross University, Gold Coast Airport, Terminal Dr, Bilinga QLD 4225 Australia. Electronic address:
Introduction: In Australia, birth debriefing (BD) practices have primarily focused on clinical PTSD-FC, often neglecting the needs of mothers who describe their birth as traumatic but do not meet PTSD-FC criteria. The cessation of routine BD has overlooked a significant cohort- mothers experiencing subjective birth trauma (SBT). Their perceptions and wellbeing during the postpartum period remain poorly understood, and the lack of targeted interventions limits options for these mothers.
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