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Background: Diabetes mellitus (DM) often leads to lower extremity amputations when poorly managed. Managing DM in Ghana is difficult due to limited access to diabetic care, low public awareness, and a strong reliance on religious beliefs and traditional medicine.
Aim: This study examined the lifestyle changes of patients after lower limb amputation at Sunyani Teaching Hospital (STH) in Ghana, using the biopsychosocial model.
The relationship between social support and work engagement of rural teachers: a moderated mediation model.
Front Psychol
January 2025
Faculty of Education, Northeast Normal University, Changchun, China.
Aim: This paper aims to investigate the relationship between social support and rural teachers' work engagement while exploring the mediating effect of mindfulness in teaching and the moderating effect of psychological safety.
Methods: A sample of 866 rural teachers was recruited, in order to complete the Mindfulness in Teaching Scale, Social Support Rating Scale, Psychological Safety Scale, and Utrecht Work Engagement Scale.
Results: The study findings indicate that: (1) social support positively influenced the work engagement of rural teachers; (2) further, mindfulness in teaching partially mediated the effect of social support on rural teachers' work engagement; (3) psychological safety moderated the second half of the pathway of "social support → mindfulness in teaching → work engagement" while the positive correlation between mindfulness in teaching and work engagement was stronger among rural teachers with high psychological safety.
Establishing a Just Culture: Implications for the Veterans Health Administration Journey to High Reliability.
Fed Pract
September 2024
Veterans Health Administration Office of Quality and Patient Safety, Washington, DC.
Background: To establish a culture of safety and improve patient care, the Veterans Health Administration (VHA) is identifying and implementing necessary parameters and objectives across the health care landscape to enhance services on its journey to becoming a high reliability organization (HRO).
Methods: This quality improvement initiative sought to increase the understanding of factors that influence the establishment and sustainment of a just culture and identify specific methods for improving their implementation. Focus groups of HRO leads at 16 VHA hospital facilities identified emergent themes, facilitators, and barriers to maintaining a just culture and developed recommendations for enhancing both psychological safety and accountabilitity.
Family planning and preimplantation testing: family experiences in congenital adrenal hyperplasia.
Front Endocrinol (Lausanne)
January 2025
Department of Endocrinology, Sydney Children's Hospital, Randwick, NSW, Australia.
Introduction: Pre-implantation testing (PGT) is often suggested by healthcare professionals (HCP) to parents of children with congenital adrenal hyperplasia (CAH) considering subsequent children. Despite this, some families choose to conceive naturally without genetic testing and intervention. The aims of this study were to explore fertility choices of couples with a child with CAH and the decision making process and perceptions behind these choices, and to explore the families' lived experiences with CAH and the couples' subsequent fertility journey.
View Article and Find Full Text PDFUnraveling the interconnectedness between physician burnout and symptoms of depression, anxiety, and stress: a network analysis among Chinese psychiatrists.
Front Public Health
January 2025
Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, United States.
Background: The COVID-19 pandemic significantly increased the levels of burnout and symptoms of depression, anxiety, and stress among healthcare professionals. However, research on the interrelations between burnout and psychological symptoms is scarce, particularly among psychiatrists. This study addresses this gap in a national sample.
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