The present prospective study aimed to identify risk factors for subsequent clinical burnout. Three hundred eighty-eight working individuals completed a baseline questionnaire regarding work stress, sleep, mood, health, and so forth. During 2-year period, 15 subjects (7 women 8 men) of the total sample were identified as "burnout cases," they assessed referred treatment Questionnaire data from measurement used independent variables in series logistic regression analyses predict results "too...

Objectives The purpose of this study was to investigate sleep with polysomnography and self-ratings the diurnal pattern sleepiness fatigue in a group suffering from severe occupational burnout. Method Twelve white-collar workers on long-term sick leave (>3 months) 12 healthy controls high low scores Shirom Melamed Burnout Questionnaire (SMBQ) were included. A 1-night polysomnographic recording (after habituation) carried out at home, mental rated different times day for weekdays weekend....

Objective: Previous work has demonstrated a link between restricted sleep and risk indicators for cardiovascular metabolic disease, such as levels of cortisol, lipids, glucose. The present study sought to identify relations polysomnographic measures disturbed (frequency arousals from sleep, total time, efficiency) number indicators. A second purpose was relate the mood, stress, characteristics, other possible predictors in daily life. Methods: Twenty-four people (10 men, 14 women; mean age...

Background: Although there is growing evidence of the positive effects Internet-based patient-provider communication (IPPC) services for both patients and health care providers, their implementation into clinical practice continues to be a challenge.

Background: While Web-based interventions have been shown to assist a wide range of patients successfully in managing their illness, few studies examined the relative contribution different components improve outcomes. Further efficacy trials are needed test effects Web support when offered as part routine care. Objective: Our aim was compare regular care (1) an Internet-based patient provider communication service (IPPC), (2) WebChoice, illness management system for breast cancer (IPPC...

The aim of this study is to describe the relationship between objective measures sleep, physical activity and BMI in Swedish pre-adolescents. day-to-day association sleep quality as well week-day weekend pattern also described. We conducted a cross sectional consisted cohort 1.231 children aged six ten years within Stockholm county area. Sleep were measured by accelerometry during seven consecutive days. Outcome are total time, efficiency, start end; intensity divided into: sedentary (<1.5...

Resilient healthcare research focuses on everyday clinical work and a system's abilities to adopt or absorb disturbing conditions as opposed risk management approaches, which are based retrospective analyses of errors. After more than decade theoretical development large quantity empirical work, the field resilience is beginning recognize methodological challenges related operationalizing designing studies complexity. This paper reviews sample articles resilient describe synthesize their...

Knowledge concerning nursing students' experiences of the clinical learning environment and how supervision is carried out largely lacking. This study compares perceptions in two different models: peer student-dedicated units, with students working together pairs supervised by a "preceptor day" (model A), traditional supervision, which each student assigned to personal preceptor B).The was performed within programme at university college Sweden during placements (semesters 3 4) medical...

Continuity of care (CoC) implies delivery services in a coherent, logical and timely fashion. is conceptualized as multidimensional, encompassing three specific domains - relational, management informational continuity with emphasis placed on their interrelations, i.e., how they affect are affected by each other. This study sought to investigate professionals' perceptions the prerequisites CoC within between organizations can be realized for people complex needs.

This paper reports a study to illuminate the complex interaction between person and their life world during burnout development period.Burnout is construct describing psychological state resulting from ineffective strategies for coping with enduring stress in both client non-client work. Role conflict role ambiguity, or long-term frustration caused by strain daily life, promote exacerbate burnout, indicating that person's entire involved. There still lack of description lived experiences...

Burnout is a growing health problem in Western society. This study aimed to investigate sleep subjects scoring high on burnout but still at work. The purpose was also the diurnal pattern of sleepiness, as well ratings work stress and mood groups with different scores.Sleep recorded 2 (high vs low burnout) during nights; 1 before workday day off, balanced order. Sleepiness daytime diary were analyzed for off after recordings.The polysomnographic recordings made subjects' home.Twenty-four...

Background: Frequently eHealth applications are not used as intended and they have high attrition rates; therefore, a better understanding of patients’ need for support is warranted. Specifically, more research needed to identify which system components target different patient groups under what conditions.

Prolonged psychosocial stress is a condition assessed through self-reports. Here we aimed to identify biochemical markers for screening and early intervention in women.Plasma concentrations of interleukin (IL) 1-alpha, IL1-beta, IL-2, IL-4, IL-6, IL-8, IL-10, interferon-gamma (INF-gamma), tumor necrosis factor-alpha (TNF-alpha), monocyte chemotactic protein-1 (MCP-1), epidermal growth factor (EGF), vascular endothelial (VEGF), thyroid stimulating hormone (TSH), total tri-iodothyronine (TT3),...

Objective Home healthcare is an increasingly common part of healthcare. The patients are often aged, frail and have multiple diseases, caregivers involved in their treatment. This study explores the origin, incidence, types preventability adverse events (AEs) that occur receiving home Design A using retrospective record review trigger tool methodology. Setting methods Ten teams with experience from nine regions across Sweden reviewed records a two-stage procedure 38 predefined triggers four...

The work context of the operating room (OR) is considered complex and dynamic with high cognitive demands. A multidimensional view complete preoperative intraoperative process surgical team in OR has been sparsely described. aim this study was to describe type frequency tasks, multitasking, interruptions their causes during procedures from a perspective on OR.Prospective observational using Work Observation Method By Activity Timing tool.An department at county hospital Sweden.OR nurses...

Abstract Background Chronic diseases are increasing worldwide, and the complexity of disease management is putting new demands on safe healthcare. Telemonitoring technology has potential to improve self-care with support healthcare professionals for people chronic living at home. Patient safety threats related telemonitoring how they may affect patients’ professionals’ sense security need attention. This study aimed explore experiences when using conditions Methods Semi-structured interviews...

The aim of this study was to understand how nurses experience patients’ dignity in Swedish medical wards. A hermeneutic approach and Flanagan’s critical incident technique were used for data collection. Twelve took part the study. analysed using text interpretation. findings show that who wanted preserve by seeing them as fellow beings protected patients stopping other from performing unethical acts. They regard human beings, friends, unique persons with their own history, have courage see...

AbstractThis study investigated levels of symptoms, caregiver burden, and changes over time in 278 family caregivers (FC) cancer patients. FCs experienced high depressive symptoms sleep disturbance, low fatigue, to moderate yet these remained relatively stable time. Being female not being employed were factors associated with an increased risk burden. The understanding evolving from this can enhance social- health care professionals' awareness FCs' challenging situation the potential impact...

Despite recent interest in care transitions, little is known about how patients are prepared for the self-management tasks following hospitalization. The objective of study was to explore discharge information and provided transition from hospital home.The process at three hospitals Sweden observed over 12 days spread ten weeks. In total, 30 encounters were followed by interviews with professionals. Data analysed using qualitative content analysis.Much time, effort resources used prepare...

To study health related quality of life (HRQOL) and depressive symptoms in adolescents with chronic fatigue syndrome (CFS) to investigate which domains their HRQOL differ from those healthy adolescents. Several such as disabling fatigue, pain affect different CFS. Compared other diseases, young people CFS are reported be severely impaired, both physiologically mentally. Despite this, few have investigated the this group. This is a cross-sectional on including 120 39 controls (HC), between 12...

Abstract Background Clinical work in the operating room (OR) is considered challenging as it complex, dynamic, and often time- resource-constrained. Important characteristics for successful management of complexity include adaptations adaptive coordination when managing expected unexpected events. However, there a lack explorative research addressing what makes things go well how OR staff describe they do responding to challenges compensating constraints. The aim this study was therefore...

Hospital discharge is a complex process encompassing multiple interactions and requiring coordination. To identify potential improvement measures in care transitions for people with needs, intra- inter-organisational everyday work needs to be properly understood, including its interdependencies, vulnerabilities gaps. The aims of this study were 1) map coordination team collaboration across healthcare social organisations, 2) describe interdependencies system variability the older 3) evaluate...

Abstract Aim The aim of this study was to visualize vulnerabilities and explore the dynamics inter‐professional collaboration organizational adaptability in context care transitions for patients with complex needs. Design An ethnographic design using multiple convergent data collection techniques. Methods Data involved document review, participant observations interviews healthcare social professionals (HSCPs). Narrative analysis employed construct two illustrative patient scenarios, which...

To translate and assess the validity reliability of original American Care Transitions Measure, both 15-item shortened 3-item versions, in a sample people transition from hospital to home within Sweden. Translation survey items, evaluation psychometric properties. Ten surgical medical wards at five hospitals Patients discharged wards. Psychometric properties Swedish versions (CTM-15) (CTM-3) Transition Measure. We compared fit nine models among 194 patients. Cronbach's alpha was 0.946 for...