Search Results (5,288)

Designing an accessible, financially viable healthcare system is a key challenge for society. The value-based healthcare (VBHC) strategic model aims to simultaneously improve the quality of healthcare and the efficiency of health systems. The aim of this research was to describe the perceptions of different stakeholders in the Portuguese health industry about the creation of value and the understanding of VBHC as a competitive advantage. A qualitative study was conducted using the inductive method of Braun and Clarke, designed according to the COREQ criteria. Based on the results of the literature review, a semi-structured script for an interview was created, consisting of eight questions. The initial interview script was based on a thorough narrative literature review and tested with two professionals with practical experience in VBHC. The final version of the semi-structured interview guide consisted of eight open-ended questions. The questions were designed to elicit in-depth, reflective responses, and their neutrality was reviewed to avoid leading language that might introduce bias. As the interviews progressed, minor iterative changes were made to include participant-suggested additions, always maintaining alignment with the research objectives. This iterative process was essential to capture the nuanced perspectives of stakeholders and conformed to COREQ standards for qualitative research. A total of 15 stakeholders in VBHC were interviewed. The interviews were transcribed and coded, and 605 codes were created, divided into subthemes and themes. VBHC implementation faces several challenges, requiring a collaborative effort by the stakeholders involved, to achieve a comprehensive vision of value and appropriate multi-stakeholder alignment. The implementation of VBHC can confer a sustainable competitive advantage, and its adoption as a strategic model will be inevitable in the future. Full article

With the steady global progress in integrating technology into healthcare delivery, doctors’ behavioral patterns on online healthcare platforms have increasingly become a focal point in the fields of digital health and healthcare service management. Grounded in Job Crafting Theory, this study constructs a proactive crafting index, which captures doctors’ proactive behaviors on the platform across three dimensions: consultation rate, number of consultations, and response speed. We systematically examine the multidimensional impacts of such behaviors on performance outcomes, including online consultation volume, offline service volume, and user evaluation performance. This study collects publicly available records from a major online healthcare platform in China and conducts empirical analysis using the entropy weight method and econometric techniques. The results reveal that there is an optimal level of proactive engagement: moderate proactivity maximizes online consultation volume, while both insufficient and excessive proactivity reduce it. Offline service volume, in contrast, follows a U-shaped relationship, where moderate proactive engagement minimizes offline visits, while too little or too much engagement leads to more offline service needs. These nonlinear patterns highlight the importance of framing doctors’ proactive behavior to optimize both online engagement and offline service. The findings enrich Job Crafting Theory by identifying boundaries in platform-based service environments and provide actionable insights for platform operators to design behavior management and incentive systems tailored to doctors’ professional rank, patient condition, and regional context. Full article

Probiotics’ potential to enhance gut health is often limited by their poor survival during gastrointestinal (GI) transit, a challenge influenced by the composition and timing of co-ingested foods. Addressing the lack of dietary guidelines for optimal probiotic administration, this in vitro study examines how consuming Lactobacillus rhamnosus GG (LGG) with different foods at varying timings affects bacterial survival during simulated digestion. The results showed that simultaneous intake with durum wheat pasta or soy milk improved bacterial viability compared to standalone probiotics. The pasta outperformed the soy milk, yielding higher viable counts (5.92–6.38 vs. 4.93–5.39 log CFU/g) due to greater buffering capacity. Timing of administration also played a critical role: consuming probiotics with (5.39–5.92 log CFU/g) or after a meal (5.19–6.38 log CFU/g) enhanced viability compared to an empty-stomach scenario (4.93–6.04 log CFU/g). Additionally, LGG co-ingestion facilitated starch and protein digestion, increasing the pasta starch digestibility from 84.80% to 89.00% and the soy milk protein digestibility from 78.00% to 80.00%, suggesting synergistic bacteria–food interactions between the probiotic and food matrix. These findings emphasize the importance of food matrix selection and administration timing in optimizing probiotic efficacy. The study provides practical insights for healthcare professionals and consumers, advocating for meal-aligned probiotic intake with buffering-rich foods like pasta to maximize viability. Full article

Introduction: The mental health of nursing professionals is an escalating global concern, particularly due to the inherently challenging work conditions they frequently encounter. This study aimed to investigate the prevalence of Minor Mental Disorders (MMD) and resilience levels among nursing professionals, analyzing the relationship between these constructs and identifying resilience’s potential protective role. Methods: This was a quantitative, descriptive, correlational, and cross-sectional study. The sample consisted of 203 nursing professionals (including nursing assistants, technicians, and nurses) from two healthcare institutions in the interior of São Paulo, Brazil. Data were collected between August and October 2019. Instruments utilized included a sociodemographic and professional questionnaire, the Self-Report Questionnaire (SRQ-20) for MMD screening, and the Wagnild & Young Resilience Scale. Results: The overall prevalence of MMD in the studied sample was 31.0%. Mean scores for the SRQ-20 domains were observed as follows: Depressive/Anxious Mood (1.33), Somatic Symptoms (1.63), Reduced Vital Energy (1.77), and Depressive Thoughts (0.39). A key finding indicated that resilience did not demonstrate a significant direct predictive role on MMDs when the effect of quality of life was controlled. However, resilience showed a significant positive correlation with Quality of Life (QoL) (coef. = 0.515; p < 0.001). Furthermore, QoL emerged as a robust and statistically significant negative association with all dimensions of MMD. Discussion: These findings suggest that resilience may function as an indirect moderator or precursor to QoL, with QoL, in turn, exerting a more direct and substantial influence on the reduction of MMDs. This integrated perspective aligns with the understanding that resilience contributes to a more adaptive assessment of stressors and, consequently, to better QoL, thereby minimizing the detrimental effects of stress on mental health. Conclusion: This study reaffirms the high prevalence of Minor Mental Disorders among nursing professionals, highlighting Quality of Life as a primary target for interventions aimed at promoting mental well-being. It also emphasizes resilience as a valuable individual resource that indirectly supports mental health by enhancing QoL. A holistic understanding of occupational stressors, psychosocial, and biological mechanisms is crucial for developing effective and targeted support strategies for these essential professionals. Full article

Background: During the COVID-19 pandemic, nurses faced enormous emotional challenges and profound physical fatigue, as well as constant concerns about whether they would receive genuine support in the workplace. Objectives: This study aimed to assess the long-term impact of the COVID-19 pandemic on the mental health of nurses and to identify key challenges, coping strategies and needs for institutional support. Methods: It was conducted in Albania and followed a mixed-methods design in two interconnected phases, using a mixed-methods approach. Phase I included a quantitative survey of 288 nurses from regional hospitals in Fier and Vlora using a structured questionnaire covering five domains: workplace challenges, stress and work–life balance, health effects and burnout, coping mechanisms, and suggestions for improvement. Data were analyzed using descriptive statistics. Phase II consisted of a reflective seminar with 47 nurses selected from the initial sample. Participants shared their post-pandemic experiences, coping strategies, and proposals for improving mental well-being. SWOT analysis was used to structure the reflections and identify internal and external factors influencing nurses’ mental health. Results: The results showed that nurses continue to face high workload, insufficient psychological support, and that 37.5% reported their work–life balance had worsened since the pandemic (21.9% sometimes; 15.6% most of the time). Participation in the reflective seminar had a positive impact on increasing professional awareness. Conclusions: These findings highlight the need for structured and sustainable interventions within healthcare institutions to protect and promote nurses’ mental health in post-crisis contexts. Full article

Background: Shaken Baby Syndrome (SBS) is a severe form of abusive head trauma with potentially fatal consequences. Nurses and midwives play a crucial role in its prevention through early recognition and caregiver education; however, little is known about their knowledge and preparedness in the Polish context. Objectives: To assess the knowledge, perceptions, and educational experiences related to SBS among Polish nurses and midwives working with infants. Participants and Setting: A nationwide cross-sectional survey was conducted among 110 nurses and midwives employed in neonatal and pediatric care settings across Poland. Methods: An anonymous questionnaire collected demographic data and evaluated knowledge of SBS, infant crying, coping strategies, and prior training. Associations between knowledge levels and participant characteristics were analyzed using the Mann-Whitney U and Kruskal-Wallis tests. Results: Most participants (94.5%) had heard of SBS, and 78.2% correctly recognized shaking as more dangerous than a fall from a changing table. However, only 5.5% reported receiving formal training on SBS. Recognition of SBS symptoms was generally high (e.g., vomiting 100%, seizures 90.9%), but misconceptions persisted regarding coping with infant crying. More than one-quarter (27.3%) admitted experiencing a “breaking point,” and this group was more likely to acknowledge the risk of losing emotional control. Older nurses demonstrated significantly better recognition of crying patterns and colic (p = 0.0415), while SBS knowledge was positively associated with years of professional experience (p = 0.0484). Conclusions: Although general awareness of SBS is widespread, practical knowledge and training remain insufficient. Structured educational programs on SBS and infant crying management are urgently needed to better prepare healthcare professionals and reduce the risk of caregiver-related harm to infants. Full article

Background: Child hospitalisation can have emotional, practical, financial, and social sequalae for the family. By understanding the impact and challenges involved, this research can inform clinical practice and interventions to help mitigate the impacts of hospitalisation. Exploring the experiences and realities of child hospitalisation for main caregivers, extended caregivers, and child siblings is the focus of this research. Method: Semi-structured interviews were designed and conducted. Eight families participated in the research. Three interviews were conducted per family, with a total of twenty-three interviews conducted overall. Interviews were recorded using Microsoft Teams application. Analysis: The interviews underwent analysis employing the Framework Method, uncovering patterns and insights relevant to the impact of child hospitalisation from varying familial perspectives. Results: Overarching themes of emotional impact, relational impact, practicalities, adjustment, communication, and “take-home messages from families” were identified and discussed. Conclusions: By identifying gaps in support, communication barriers, access inequalities, and other implications, targeted clinical interventions and preventions can be developed to empower families and healthcare professionals. This study promotes a greater understanding of the challenges associated with child hospitalisation and signifies the importance of restructuring support systems worldwide. Full article

The ongoing global shortage of healthcare personnel, exacerbated by demographic changes and the aftermath of the COVID-19 pandemic, has highlighted the need for efficient workforce utilization and innovative technological support in healthcare. This paper presents LifeLink Monitoring, a prototype of an integrated remote patient monitoring system designed to optimize clinical workflows, support medical personnel, and enhance patient care without replacing human expertise. The system enables real-time patient observation through AI-powered devices, providing automated alerts, live video feeds, and intelligent task management to reduce the burden of non-clinical duties on healthcare professionals. Applications include hospitals, hospices, home care, and remote locations. Key features include seamless integration with medical devices and national health records, advanced computer vision and audio analysis, multi-level deployment models, and a blockchain-secured architecture ensuring high data privacy and cybersecurity standards. Additionally, LifeLink incorporates an entertainment module aimed at improving patient emotional well-being. The solution represents a convergence of artificial and human intelligence to improve healthcare delivery, personnel efficiency, and patient outcomes. Full article

Infective endocarditis (IE) is a rare but potentially life-threatening infection, often triggered by invasive procedures, dental or otherwise, in at-risk individuals. This study aimed to assess the knowledge of IE prophylaxis among healthcare professionals, focusing on dentists and physicians. Two validated, anonymous questionnaires were emailed to 27,000 healthcare providers in the province of Milan (Italy). A total of 970 responses were collected (response rate just over 3%), with 49.2% from physicians and 50.8% from dentists. No significant differences were found between the two groups regarding years of experience or guideline usage (p > 0.05), although more physicians (12.7%) than dentists (6.7%) reported unfamiliarity with any guidelines. Physicians often misclassified the risk associated with certain cardiac conditions and overprescribed prophylaxis for low-risk procedures, with overall accuracy falling below the expected performance benchmark (H₀: 58.0% ± 2.0%). Dentists showed a better understanding of high-risk dental procedures, yet performance remained suboptimal, with multiple scores below the expected benchmark (H₀: 68.0% ± 2.0%). These findings highlight widespread knowledge gaps and inconsistent adherence to IE prophylaxis guidelines. The results align with international observations and emphasize the urgent need for continuing education and improved dissemination of evidence-based recommendations across medical and dental settings. Full article

Background: With the advancement of AI-powered online tools, patients are increasingly turning to AI for guidance on healthcare-related issues. Methods: Acting as patients, we posed eight direct questions concerning a common clinical condition—liver cysts—to four AI chatbots: ChatGPT, Perplexity, Copilot, and Gemini. The responses were collected and compared both among the chatbots and with the current literature, including the most recent guidelines. Results: Overall, the responses from the four chatbots were generally consistent with the literature, with only a few inaccuracies noted. For questions addressing “grey areas” in clinical research, all chatbots provided generalized answers. ChatGPT, Copilot, and Gemini highlighted the lack of conclusive evidence in the literature, while Perplexity offered speculative correlations not supported by data. Importantly, all chatbots recommended consulting a healthcare professional. While Perplexity, Copilot, and Gemini included references in their responses, not all cited sources were academic or of medium/high evidence quality. An analysis of Flesch Readability Ease Scores and Estimated Reading Grade Levels indicated that ChatGPT and Gemini provided the most readable and comprehensible responses. Conclusions: The integration of chatbots into real-world healthcare scenarios requires thorough testing to prevent potentially serious consequences from misuse. While undeniably innovative, this technology presents significant risks if implemented improperly. Full article

Background: In light of the concerning increase in burnout among healthcare professionals, it is essential to identify the specific factors that contribute to this phenomenon and can be addressed. This narrative review synthesizes evidence on the relationship between burnout and emotional intelligence (EI) among healthcare professionals, alongside additional factors that may influence both concepts. Methods: A structured search in OVID, PubMed, Medline, Scopus, and Web of Science (2000–2024) was conducted. The inclusion criteria were English language and peer-reviewed studies assessing both burnout and EI in healthcare professionals. The exclusion criteria were non-English papers, studies without EI–burnout correlation, or involving non-healthcare populations. Thirty-one eligible studies were included in this analysis. Results: The findings suggest a consistent inverse correlation between EI and burnout across various healthcare professionals, including doctors, nurses, and residents. Higher EI was associated with reduced levels of emotional exhaustion and depersonalization and a greater sense of personal accomplishment. Burnout was found to be prevalent among younger healthcare workers, particularly residents, with contributing factors including exposure to workplace violence, high workload, and diminished psychological ownership. In contrast, associations that suggest protective influences on emotional intelligence included spiritual intelligence, self-control, income, and healthy habits, such as sufficient sleep and physical activity. Conclusions: This narrative review highlights a consistent inverse association between EI and burnout in healthcare professionals. Given that both burnout and EI are affected by adjustable individual and organizational elements, specific interventions aimed at enhancing EI and improving workplace conditions may provide effective techniques to boost clinician occupational well-being and performance. Full article

Work-related musculoskeletal disorders (WMSDs) have a significant impact on healthcare professionals. The aim of this study was to conduct an umbrella review and meta-analysis to examine the overall body area prevalence of WMSDs by continents, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Mendeley, PubMed/Medline, Science.gov, ScienceDirect, and Google Scholar were screened without date limitation to identify relevant meta-analyses. The selection, quality appraisal, and data extraction process were performed independently by two reviewers. Ten meta-analyses were included from the 3853 unique records, for a total of 100,211 participants, including dentists, nurses, surgeons, and mixed healthcare professionals. High heterogeneity (Cochran’s Q test and I² statistic) was observed. The largest number of meta-analyses was performed among nurses. Subgroup analysis by continent revealed an imbalance in the number of works, with Asia being the most documented. The analysis of prevalence rates was complete in Asia (overall and nine body areas), and partial in Europe (neck, shoulder, wrist) and Africa (lower back only). A ranking of the most exposed areas by continent was proposed. The lower back was the most exposed area (Africa: 54.5%; Asia: 56.6%). It would be relevant in future work to consider the numerous cross-sectional studies in order to improve subgroup analyses by continent and, thus, complete and strengthen the initial results presented in this first umbrella review. Full article

Background: The increasing use of food supplements (FSs) and the knowledge gaps among healthcare professionals (HPs) and non-healthcare professionals (nHPs) in Portugal regarding their influence on dietary patterns and health need investigating. This study aimed to explore FS users’ lifestyle and dietary patterns, identifying differences and how professional background influences these patterns. Methods: A cross-sectional study was conducted among 1122 Portuguese adults aged 35 ± 14.0 yrs (between 18 and 85), via snowball sampling, collecting data on sociodemographic characteristics, dietary patterns, FS use, and health attitudes. Cluster analysis (k-means) revealed four patterns: (1) professional supplement users with a healthy diet (PSHD), (2) professional non-supplement users with a less healthy diet (PnSLHD), (3) non-professional supplement users with a healthy diet (nPSHD), and (4) non-professional non-supplement users with a less healthy diet (nPnSLHD). Logistic regression assessed associations with lifestyle traits. Results: Significant sociodemographic differences existed between HPs and nHPs. Higher nutritional knowledge and nutritionist recommendations were strongly associated with a healthier diet and FS use (PSHD, nPSHD). Smoking was associated with less healthy patterns (PnSLHD, nPnSLHD). Among nHPs, males were significantly more likely to belong to the nPSHD group (OR: 1.61) compared to females (OR: 0.61). Distinct dietary and lifestyle patterns among Portuguese FS users and non-users vary by background. Conclusions: The findings suggest that FS users often maintain healthier lifestyles, indicating that FSs typically supplement rather than compensate for poor habits. Full article

Background: Empathy is essential for enhancing care quality, making its understanding and predictors crucial for healthcare education. Objective: To investigate empathy evolution and its predictors among first-year health professional students at a university in Albania. Methods: A longitudinal cohort study was conducted on a total of 206 participants (78.2% female, mean age 18.4 years), with empathy assessed at baseline and program completion using the Jefferson Scale of Empathy-Health Professional Students. Results: The findings revealed stable empathy levels overall (p = 0.369), with no significant differences between nursing and other students. Approximately 52.9% experienced empathy gains, while 44.7% experienced losses, yielding an average score change of +0.7 (SD = 14.9). A younger age and lower baseline empathy scores were significant predictors of empathy gains, as shown by regression analyses. Conclusions: The study highlights a dual empathy trajectory among students and emphasizes a person-centered approach to health professional education to foster empathy development. Full article

Background/Objectives: To evaluate the impact of the European–Mediterranean Postgraduate Program on Organ Donation and Transplantation (EMPODaT) on organ donation and transplantation (ODT) at 6 years. Methods: EMPODaT is a Trans-European Mobility Programme for University Studies (TEMPUS) project founded by the European Commission to address ODT professionals’ shortage in Middle East/North Africa (MENA) countries through structured postgraduate education. Leading universities from Spain, Germany, Sweden, and France, and key institutions in Egypt, Lebanon, and Morocco, developed a one-year blended training program incorporating e-learning, in-person courses, and hospital traineeships. The effect of the program at 6 years was analyzed by surveying the 90 healthcare participants. Results: A total of 73.9% of respondents remained actively engaged in the field, and some assumed leadership roles (local directors 14.4%, donor coordinators 13%). Also, 65.2% of participants reported improvements in policies and practices, with notable progress in donor screening (39.1%), brain death diagnosis (30.4%), and hospital policy reforms (69.7%). The study identified barriers, such as legal (34.4%), financial (34.8%), and public/social resistance (39.1%). Training alone, without strong hospital policies, support, and government involvement, was insufficient for introducing meaningful changes in ODT. Conclusions: Key aspects for successful implementation of training programs on ODT in MENA countries should consider hospital leadership engagement, strengthen institutional collaborations, and incorporate national health authorities to enhance sustainability and drive systemic changes. Prioritizing individuals in key decision-making positions could further enhance program effectiveness. Full article