A5063930800- Workplace Health and Well-being
- Nursing Roles and Practices
- Thyroid Disorders and Treatments
- Healthcare professionals’ stress and burnout
- Thyroid Cancer Diagnosis and Treatment
- Nursing education and management
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Chronic Disease Management Strategies
- Interprofessional Education and Collaboration
- Employment and Welfare Studies
- Nutritional Studies and Diet
- Health, psychology, and well-being
- Retirement, Disability, and Employment
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Quality and Management
- Acute Ischemic Stroke Management
- Emergency and Acute Care Studies
- Family and Patient Care in Intensive Care Units
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Vitamin D Research Studies
- Pituitary Gland Disorders and Treatments
- Social Media in Health Education
- Neuroscience of respiration and sleep
- Diabetes Management and Education
University College Cork
2015-2025
Pro Persona
2022
Helse Førde
2022
Radboud University Medical Center
2013
Leyden Academy on Vitality and Ageing
2013
Leiden University Medical Center
2013
Radboud University Nijmegen
2013
Health Research Board
2013
University College London
2013
Goethe University Frankfurt
2013
The use of levothyroxine to treat subclinical hypothyroidism is controversial. We aimed determine whether provided clinical benefits in older persons with this condition.
BackgroundThere is a current lack of consensus on defining metabolically healthy obesity (MHO). Limited data dietary and lifestyle factors MHO exist. The aim this study to compare the prevalence, behaviours unhealthy obese non-obese subjects according different metabolic health criteria. MethodCross-sectional sample 1,008 men 1,039 women aged 45-74 years participated in study. Participants were classified as (BMI ≥30kg/m2) <30kg/m2). Metabolic status was defined using five existing MH...
Advanced Nurse Practitioners (ANPs) are highly skilled health care professionals with the potential to play a major role in improving quality and accessibility of services. However, there is emerging evidence disquiet among nurse practitioners who often work suboptimal environments. Therefore, it important understand elements that contribute ANPs' job satisfaction retention healthcare
Objectives To estimate and compare the prevalence type of potentially inappropriate prescribing (PIP) potential omissions (PPOs) among community-dwelling older adults (≥65 years) enrolled to a clinical trial in three European countries. Design A secondary analysis Thyroid Hormone Replacement for Subclinical Hypothyroidism Trial dataset. Participants subset 48/80 PIP 22/34 PPOs indicators from Screening Tool Older Persons Prescriptions/Screening Alert doctors Right Treatment (STOPP/START) V2...
Stress has been seen as a routine and accepted part of the health care worker's role. There is lack research on stress in nurses Ireland.To examine levels experienced by working an Irish teaching hospital investigate differences perceived ward area associations with work characteristics.A cross-sectional study design was employed, two-stage cluster sampling process. Data collection means self-administered questionnaire, were investigated across 10 different wards using Nursing Scale Demand...
The Dietary Approaches to Stop Hypertension (DASH) Trial provides critical data on the impact of a specific diet pattern (low in salt, fat, and processed foods high fruit vegetables) blood pressure (BP). effect compliance with DASH-type BP general population sample is less well defined. We studied associations between DASH style BP.We used cross-sectional from study men women aged 47-73 years (n = 2,047). Participants completed physical examination that included 3 standardized clinical...
In a number of countries, frameworks have been developed to improve self-management support (SMS) in order reduce the impact chronic disease. The potentially provide direction for system-wide change provision SMS by healthcare systems. Although policy formulation sets foundation health service reform, little is currently known about processes which underpin framework development as well respective implementation and evaluation plans. aim this study was conduct cross-country comparative...
BackgroundClinical supervision helps promote practitioners' personal and professional development through fostering a supportive relationship working alliance. Peer group clinical is form of whereby two or more nurses engage in process to improve their practice provide quality care.AimTo explore the experiences from perspectives nurse supervisees, direct line managers, supervisors.MethodsA qualitative descriptive pragmatic design was used. Individual interviews focus groups were conducted...
ABSTRACT Introduction Job satisfaction and intention to leave have been consistently linked the working environment. However, there are few studies of interventions for improving environment or staff outcomes. Aim To determine impact implementing a framework safe nurse staffing on This involved an assessment required nursing hours per patient day, supernumerary in charge minimum 80:20 skill‐mix, with intentional changes if required. Design A pre‐post observational design. Methods was...
ABSTRACT Aim To examine burnout levels, nurse perceptions of the work environment, job satisfaction, intention to stay and quality care for nurses working in emergency departments before following a planned change staffing levels. Design A pre‐post observational design. Methods systematic approach (Nursing Hours per Patient Presentation) was introduced determine levels based on patient presentations resulting adjustments staffing. Data burnout, stay, satisfaction were collected from three...
Subclinical hypothyroidism (SCH) is a common condition in elderly people, defined as elevated serum thyroid-stimulating hormone (TSH) with normal circulating free thyroxine (fT4). Evidence lacking about the effect of thyroid treatment. We describe protocol large randomised controlled trial (RCT) Levothyroxine treatment for SCH. Participants are community-dwelling subjects aged ≥65 years SCH, diagnosed by TSH levels (≥4.6 and ≤19.9 mU/L) on minimum two measures ≥ three months apart, fT4...
Background: L-thyroxine does not improve hypothyroid symptoms among adults with subclinical hypothyroidism (SCH). However, those greater symptom burden before treatment may still benefit. Objective: To determine whether improves and tiredness older SCH burden. Design: Secondary analysis of the randomized, placebo-controlled trial TRUST (Thyroid Hormone Replacement for Untreated Older Adults Subclinical Hypothyroidism Trial). (ClinicalTrials.gov: NCT01660126) Setting: Switzerland, Ireland,...
Abstract Background loss of skeletal muscle function, strength and mass is common in older adults, with important socioeconomic impacts. Subclinical hypothyroidism increasing age has been associated reduced strength. Yet, no randomized placebo-controlled trial (RCT) investigated whether treatment subclinical affects function mass. Methods this an ancillary study within two RCTs conducted among adults aged ≥65 years persistent (thyrotropin (TSH) 4.60–19.99 mIU/l, normal free thyroxine)....
Magnet hospitals, a concept developed in the U.S., have been associated with improved nurse recruitment and retention, better patient outcomes. principles may be useful to address workforce challenges European but they not implemented or evaluated on large scale hospital context. This study aims explore initial phase of implementing 11 acute care hospitals six countries. The specific objectives were investigate type work that characterises early implementation how leaders engage their A...
This study aimed to evaluate differences in supervisees' understanding of clinical supervision and their perceptions organisational functioning before after engaging peer-group supervision.Protected reflective time allows discussion complex issues affecting health care. Peer-group is one model that could facilitate this, but it poorly understood.A pre-post intervention pilot was performed. The delivered over a 12-month period. Data were collected using surveys on demographic work-related...
This study set out to analyze questions about type 2 diabetes mellitus (T2DM) from patients and the public. The aim was better understand people's information needs by starting with what they do not know, discovered through their own questions, rather than we know T2DM subsequently finding ways communicate that people affected or at risk of disease. One hundred sixty-four were collected 120 attending outpatient clinics 300 100 members public Amazon Mechanical Turk crowdsourcing platform....
<h3>Background</h3> There is limited evidence about the impact of treatment for subclinical hypothyroidism, especially among older people. <h3>Aim</h3> To investigate variation in GP strategies patients with hypothyroidism depending on country and patient characteristics. <h3>Design setting</h3> Case-based survey GPs Netherlands, Germany, England, Ireland, Switzerland, New Zealand. <h3>Method</h3> The strategy (treatment yes/no, starting-dose thyroxine) was assessed eight cases presenting a...
Adverse job characteristics have been linked with increased incidence of depression and anxiety in working populations. However, the association between mental health, an older population while controlling for personality traits, is less well known. To examine (job demands control) health (depression anxiety) workers traits. A sample aged 50–69 years were recruited from a primary care clinic Southern Ireland. Job measured using Copenhagen Psychosocial Questionnaire; (quantitative cognitive)...
Abstract Aim The aim of this study was to investigate the relationship between advanced nurse practitioners' self‐leadership and commitment workplace, work engagement influence at work. Background concept is particularly suited ANPs, who are required take responsibility for their roles. An optimum balance ANPs' psychosocial environment may positively impact ability in group can be compromised by interactions among these variables. Design A cross‐sectional correlational conducted from July...