Western Europe

Mobile Technology Supporting Trainee Doctors' Workplace Learning and Patient Care: An Evaluation

This paper reports an evaluation of an initiative which provided trainee doctors in Wales with a library of texts on a smartphone. Within a wider context of use of information sources in the workplace, the evaluation sought to find out how, when and why the Smartphone library was used and the outcomes and impact on knowledge and practice. [from author]

Developing European Guidelines for Training Care Professionals in Mental Health

Although mental health promotion is a priority mental health action area for all European countries, high level training resources and high quality skills acquisition in mental health promotion are still relatively rare. The aim of the current paper is to present the results of a project to develop guidelines for training social and health care professionals in mental health promotion. [adapted from abstract]

Evaluating an Evidence-Based Curriculum in Undergraduate Palliative Care Education: Piloting a Phase II Exploratory Trial for a Complex Intervention

The goals of this study were to demonstrate an evidence-based approach towards developing undergraduate palliative care educatio ncurricula and investigate the change in medical students’ self-perceived readiness to deal with palliative care patients and their families. [from abstract]

Occupational Health Risks of Pathologists: Results from a Nationwide Online Questionnaire in Switzerland

The work of pathologists is associated with potential health hazards including injuries involving infectious human tissue, chemicals which are assumed to be carcinogenic or long periods of microscope and computer work. This study aimed to provide a comprehensive assessment of the health situation of pathologists in Switzerland. [adapted from abstract]

Emotional Intelligence, Emotional Labor, and Job Satisfaction among Physicians in Greece

This study aimed at investigating the relationships, direct and/or indirect, between emotional intelligence, the surface acting component of emotional labor, and job satisfaction in medical staff working in tertiary healthcare. [from abstract]

Developing Competencies and Professional Standards for Health Promotion Capacity Building in Europe: The CompHP Project Handbooks

Within this document is a set of competencies for Europe, a set of professional standards and a proposal for an accreditation system that will work to ensure greater quality, consistency and effectiveness of the health promotion workforce on this continent. The document contains three handbooks: core competencies framework, professional standards and accreditation framework. [adapted from author]

Why Do Clinicians Not Refer Patients to Online Decision Support Tools? Interviews with Front Line Clinics in the NHS

This study assessed whether clinical teams would direct patients to use web-based patient decision support interventions and whether patients would use them. The authors found that existing evidence of patient benefit and the free availability of patient decision support tools via the web are not sufficient drivers to achieve routine use, and the most significant obstacles to referral to the tools were the attitudes of clinicians and clinical teams. [adapted from abstract]

Patient's Silence towards the Healthcare System after Ethical Transgressions by Staff: Associations with Patient Characteristics in a Cross-Sectional Study among Swedish Female Patients

The objective of this study was to identify which patient characteristics are associated with silence towards the healthcare system after experiences of abusive or ethically wrongful transgressive behaviour by healthcare staff. [from abstract]

Clinicians' Experiences of Becoming a Clinical Manager: A Qualitative Study

The aim of this study is to explore clinicians’ journeys towards management positions in hospitals, in order to identify potential drivers and barriers to management recruitment and development. [from abstract]

Factors Influencing the Development of Evidence-Based Practice Among Nurses: A Self-Report Study

This study aimed to examine factors influencing the implementation of evidence-based practice among nurses in a large Norwegian university hospital. [from abstract]

Clinical Decision Support Must Be Useful, Functional Is Not Enough: A Qualitative Study of Computer-Based Clinical Decision Support in Primary Care

Health information technology, particularly electronic decision support systems, can reduce the existing gap between evidence-based knowledge and health care practice but professionals have to accept and use this information. Evidence is scant on which features influence the use of computer-based clinical decision support (eCDS) in primary care and how different professional groups experience it. The aim of this research was to describe specific reasons for using or not using eCDS among primary care professionals. [from abstract]

Regulation of the Non-Medical Healthcare Professions

This document deals with the regulation of health care professionals other than doctors to strengthen procedures for ensuring the performance of non-medical health professionals and other health service staff does not pose a threat to patient safety or effective functioning of services, and to ensure effective continuing professional development and appraisal for these staff. [adapated from introduction]

Staff's Perception of Abuse in Healthcare: A Swedish Qualitative Study

The study objective was to apprehend changes in the attitude of healthcare staff to abuse in healthcare after an intervention, based on a program called “Forum Play.” [adapted from author]

Are Dutch Patients Willing to be Seen by a Physician Assistant Instead of a Medical Doctor?

The objective of this study was to assess the willingness of Dutch patients to be treated by a physician assistant or a medical doctor under various time constraints and semi-urgent medical scenarios to determine the patients’ perspectives on using physician assistants as a means to bridge the growing gap between the supply and demand of medical services. [adapted from abstract]

Effect of UK Policy on Medical Migration: A Time Series Analysis of Physician Registration Data

This study compared the trends in new professional registrations in the UK from doctors qualifying overseas before and after the national ethical guidance on international recruitment to determine what, if any, effect these policies have had on ethical recruitment. [adapted from author]

How Do Postgraduate GP Trainees Regulate Their Learning and What Helps and Hinders Them? A Qualitative Study

The aim of this study is to explore how postgraduate general medical practitioner trainees regulate their learning in the workplace, how external regulation promotes self-regulation and which elements facilitate or impede self-regulation and learning for these healthcare workers. [adapted from abstract]

Ten Years of Health Workforce Planning in the Netherlands: A Tentative Evaluation of GP Planning as an Example

This paper explains a simulation model for health workforce planning developed to estimate the required and available capacity of health professionals in the Netherlands over the past ten years. [adapted from abstract]

Perception of Evidence-Based Practice and the Professional Environment of Primary Health Care Nurses in the Spanish Context: A Cross-Sectional Study

The main aim of this work was to assess the factors that influence an evidence-based clinical practice among nursing professionals in primary health care. [from abstract]

What Influences National and Foreign Physicians' Geographic Distribution? An Analysis of Medical Doctors' Residence Location in Portugal

The present research sets out to investigate the current distribution of national and international physicians in Portugal, with the objective to understand its determinants and provide an evidence base for policymakers to identify policies to influence it. [from abstract]

New Approach for Psychological Consultation: The Psychologist at the Chemist's

This article aims to present the service-specific features and pilot study results of a new mental health service, named “Psychologist in the Neighbourhood,” which was created to intercept unexpressed needs for psychological assistance. The service allows everyone to ask for free psychological consultation, consisting of no more than four meetings with a psychologist, in certain chemists’ shops around the city of Milan. [adapted from abstract]

Factors Affecting Collaboration between General Practitioners and Community Pharmacists: A Qualitative Study

Although general practitioners and community pharmacists are encouraged to collaborate, a true collaborative relationship does not exist between them. The objective of this article was to identify and analyze factors affecting this collaboration in two regions of Spain. [adapted from abstract]

Health Workers' Attitudes toward Immigrant Patients: A Cross-Sectional Survey in Primary Health Care Services

This study aimed to examine attitudes of different health workers’ groups toward immigrant patients and to identify the associated factors. [from abstract]

Using Scenarios to Assess the Future Supply of NHS Nursing Staff in England

This paper examines issues related to the future supply of registered nursing staff, midwives and health visitors in the National Health Service (NHS) in England at a time when there are major public sector funding constraints and as more of these staff are reaching retirement age. [from abstract]

Physical and Psychosocial Work Environment Factors and Their Association with Health Outcomes in Danish Ambulance Personnel: A Cross-Sectional Study

The aim of this study was to compare health status and exposure to different work environmental factors among ambulance personnel and the core work force in Denmark; and to examine the association between physical and psychosocial work environment factors and different measures of health among ambulance personnel. [from abstract]

Factors Associated with the Burnout Syndrome and Fatigue in Cypriot Nurses: A Census Report

The goal of this study was to explore the factors associated with the burnout syndrome in Cypriot nurses working in various clinical departments. [from abstract]

Violence Towards Health Care Workers in a Public Health Care Facility in Italy: A Repeated Cross

Violence at work is one of the major concerns in health care activities. The aim of this study was to identify the prevalence of physical and non-physical violence in a general health care facility in Italy and to assess the relationship between violence and psychosocial factors, thereby providing a basis for appropriate intervention.[from abstract]

Evalutation of Physicians' Professional Performance: An Iterative Development and Validation Study of Multisource Feedback Instruments

There is a global need to assess physicians’ professional performance in actual clinical practice. This study focuses on the reliability and validity, the influences of some sociodemographic biasing factors, associations between self and other evaluations, and the number of evaluations needed for reliable assessment of a physician based on the three instruments used for the multisource assessment of physicians’ professional performance in the Netherlands. [from abstract]

Evaluation of Primary Care Midwifery in the Netherlands: Design and Rationale of a Dynamic Cohort Study (DELIVER)

This paper describes the research design and methodology of the multicenter, multidisciplinary study evaluating the quality and provision of primary midwifery care. [adapted from abstract]

Impact of Change in a Doctor's Job Position: A Five-Year Cohort Study of Job Satisfaction among Norwegian Doctors

this prospective study explored the course of job satisfaction in a cohort of Norwegian doctors over a five-year period to determine the overall course of job satisfaction over the period, differences between job positions, and whether changes in job satisfaction was associated with a change in job position. [adapted from author]

Effectiveness of Classroom Based Crew Resource Management Training in the Intensive Care Unit: Study Design of a Controlled Trial

This article describes a study protocol which aims to determine the effectiveness and cost-effectiveness of Crew Resource Management (CRM) staff training to enhance patient safety in intensive care units. [adapted from abstract]