BACKGROUND: Since human resources are essential for the healthcare system decision makers must ta... more BACKGROUND: Since human resources are essential for the healthcare system decision makers must take measures in order to minimize the consequences of factors affecting workforce supply, turnover intention and the medical migration phenomenon. Using the tools, methods and strategies proposed by internal marketing theorists to re-think the relationship between healthcare organsations leadership and the different professionals working in the healthcare sector, can lead to improved healthcare workforce satisfaction and organisational comitement. Aim : This article aims to review the literature on the application of internal marketing tools, methods and strategies in the context of international healthcare systems. Methodology : A search of the PubMed database was conducted by using as keywords ‘internal marketing’ and ‘healthcare system’. Out of 466 initial results, based on title, abstact and full text screening, a number of nine articles were selected and included in this scoping review. Conclusions : internal marketing is an important tool which can be used in order to deal with human resources shortage in the medical field. Keywords: internal marketing, scoping review, healthcare system Normal 0 false false false RO X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:RO;}
At SARS-CoV2 infection has produced many changes in our lives, both through the rules of physical... more At SARS-CoV2 infection has produced many changes in our lives, both through the rules of physical distance and isolation imposed, and through a series of restrictions in social and cultural life. Patients with dementia or other cognitive impairment have also been affected by this pandemic, international studies documenting a decrease in the rate of face-to-face consultations by up to 65% during this period. Currently, there is a lack of information on identifying new cases of cognitive impairment during the COVID-19 pandemic as well as the management of patients previously diagnosed in family doctors' offices in Romania. In this context, the present study aimed to describe the activity of identifying new cases of cognitive impairment at the level of family doctors' offices, their referral to specialized services and the management of these patients in evidence between March and December 2020. An electronic questionnaire developed by the authors was distributed via mailing li...
The postoperative pain management represents a multiprofessional area where nurses play a vital r... more The postoperative pain management represents a multiprofessional area where nurses play a vital role. However, internationally, a lack of nurses’ knowledge of pain management has been observed. To date, in Romania, an assessment of the nurses’ level of knowledge and attitudes toward pain has never been conducted and no tool for this kind of assessment is currently available. In this context, this study aims to present the process of developing a questionnaire of assessing the nurses’ level of knowledge and attitudes regarding postoperative pain assessment in adult patients in surgical and intensive care units by adapting other assessment tools identified in the specialized literature. We report here the process of identifying a set of 141 items (coming from seven distinct tools), of testing them with a group of 11 clinical experts and of selecting a number of 79 items which were used to develop a questionnaire for assessing the nurses’ knowledge and attitudes toward pain management....
Background Adolescents are exposed to various risks for their health: substance use, Internet ove... more Background Adolescents are exposed to various risks for their health: substance use, Internet overuse, video game addiction, unhealthy diet (reduced intake of fruits and vegetables, fast food culture), low physical activity, overweight, stress, violence, unsafe sexual behaviours, self-medication. Health literacy is defined as the knowledge, motivation and competence to access, understand, appraise and apply right information to make decisions in terms of healthcare, disease prevention and health promotion. Despite the advancement of theoretical models, many national and international health promotion programs, the percentage of unhealthy behaviours still persist in young age. Objective: Current review proposes to assess the implementation and effectiveness of various interventions in order to identify possible success or failure factors. Methods Comprehensive Systematic review was performed. After three steps data searching (in PubMed, SCOPUS, Cochrane, PsycINFO, Google Scholar) and...
International journal of evidence-based healthcare, Jan 10, 2015
The systematic review of evidence is the research method which underpins the traditional approach... more The systematic review of evidence is the research method which underpins the traditional approach to evidence-based healthcare. There is currently no uniform methodology for conducting a systematic review of association (etiology). This study outlines and describes the Joanna Briggs Institute's approach and guidance for synthesizing evidence related to association with a predominant focus on etiology and contributes to the emerging field of systematic review methodologies. It should be noted that questions of association typically address etiological or prognostic issues.The systematic review of studies to answer questions of etiology follows the same basic principles of systematic review of other types of data. An a priori protocol must inform the conduct of the systematic review, comprehensive searching must be performed and critical appraisal of retrieved studies must be carried out.The overarching objective of systematic reviews of etiology is to identify and synthesize the ...
In this paper we describe and discuss evidence-implementation as a venture in global human collab... more In this paper we describe and discuss evidence-implementation as a venture in global human collaboration within the framework of "people, process, evidence and technology" as a roadmap for navigating implementation. At its core implementation is not a technological, or theoretical process, it is a human process. That health professionals central to implementation activities may not have had formal training in implementation, highlights the need for processes and programs that can be integrated within health care organisation structures . Audit with feedback is an accessible implementation approach that includes the capacity to embed theory, frameworks and bottom-up change processes to improve the quality of care. In this third paper in the JBI series, we discuss how four overarching principals necessary for sustainability (Culture, Capacity, Communication and Collaboration) are combined with evidence, technology and resources for evidence-based practice change. This approach has been successfully used across hundreds of evidence implementation projects around the globe for over 15 years. We present healthcare practitioner-led evidence-based practice improvement as sustainable and achievable in collaborative environments such as the global JBI network as a primary interest of the practicing professions and provide an overview of the JBI approach to evidence implementation.
... Raluca Sfetcu Professor, Babes-Bolyai University, Cluj-Napoca, Romania Norman Sartorius Profe... more ... Raluca Sfetcu Professor, Babes-Bolyai University, Cluj-Napoca, Romania Norman Sartorius Professor, University of Geneva, Switzerland ... In referring to Francis Bacon's statement that 'the office of medicine is but to tune this curious harp of man's body and reduce it to harmony ...
International Journal of Environmental Research and Public Health
The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare pr... more The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare professionals involved in patient safety incidents. The objective of this paper is to advance the theoretical conceptualization and to develop a common definition. A literature search was performed in Medline, EMBASE and CINAHL (October 2010 to November 2020). The description of SV was extracted regarding three concepts: (1) involved persons, (2) content of action and (3) impact. Based on these concepts, a definition was proposed and discussed within the ERNST-COST consortium in 2021 and 2022. An international group of experts finalized the definition. In total, 83 publications were reviewed. Based on expert consensus, a second victim was defined as: “Any health care worker, directly or indirectly involved in an unanticipated adverse patient event, unintentional healthcare error, or patient injury and who becomes victimized in the sense that they are also negatively impacted”. The proposed...
The following sections are included:Mental Health Status of the Romanian PopulationHistory of Men... more The following sections are included:Mental Health Status of the Romanian PopulationHistory of Mental Health Care in RomaniaMental Health Policies and Legislation in RomaniaOrganizational Structure of the Mental Health System in RomaniaAccess to the Mental Health Care System in RomaniaMental Health Workforce in RomaniaFinancing the Mental Health Care System in RomaniaQuality of Care, Outcomes, and EvaluationAdvocacy, Stigma, and Self-HelpLooking Forward: Challenges and Priorities in the Romanian Mental Health SystemReferences
Caregivers of people with dementia (PwD) are diverse—they live in urban and rural locations, have... more Caregivers of people with dementia (PwD) are diverse—they live in urban and rural locations, have varying educational backgrounds, different access to resources, different relationships to the care recipient, etc. However, one common feature of all caregivers is the need to have access to education and support on their caregiving journey. Technology provides a feasible way to reach such a large and diverse population. SUccessful Caregiver Communication and Everyday Situation Support in dementia care (SUCCESS) provides an innovative training and coaching application on a mobile device (an App) to support formal and informal caregivers of PwD. Through the use of an affective avatar, the SUCCESS App aims to help caregivers better understand dementia and related behaviours and learn communication methods grounded on the principle that opinions and needs of PwD should be acknowledged, respected, and addressed. The avatar also assists caregivers in focussing on the remaining abilities of ...
BACKGROUND: Since human resources are essential for the healthcare system decision makers must ta... more BACKGROUND: Since human resources are essential for the healthcare system decision makers must take measures in order to minimize the consequences of factors affecting workforce supply, turnover intention and the medical migration phenomenon. Using the tools, methods and strategies proposed by internal marketing theorists to re-think the relationship between healthcare organsations leadership and the different professionals working in the healthcare sector, can lead to improved healthcare workforce satisfaction and organisational comitement. Aim : This article aims to review the literature on the application of internal marketing tools, methods and strategies in the context of international healthcare systems. Methodology : A search of the PubMed database was conducted by using as keywords ‘internal marketing’ and ‘healthcare system’. Out of 466 initial results, based on title, abstact and full text screening, a number of nine articles were selected and included in this scoping review. Conclusions : internal marketing is an important tool which can be used in order to deal with human resources shortage in the medical field. Keywords: internal marketing, scoping review, healthcare system Normal 0 false false false RO X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin-top:0cm; mso-para-margin-right:0cm; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0cm; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri",sans-serif; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi; mso-ansi-language:RO;}
At SARS-CoV2 infection has produced many changes in our lives, both through the rules of physical... more At SARS-CoV2 infection has produced many changes in our lives, both through the rules of physical distance and isolation imposed, and through a series of restrictions in social and cultural life. Patients with dementia or other cognitive impairment have also been affected by this pandemic, international studies documenting a decrease in the rate of face-to-face consultations by up to 65% during this period. Currently, there is a lack of information on identifying new cases of cognitive impairment during the COVID-19 pandemic as well as the management of patients previously diagnosed in family doctors' offices in Romania. In this context, the present study aimed to describe the activity of identifying new cases of cognitive impairment at the level of family doctors' offices, their referral to specialized services and the management of these patients in evidence between March and December 2020. An electronic questionnaire developed by the authors was distributed via mailing li...
The postoperative pain management represents a multiprofessional area where nurses play a vital r... more The postoperative pain management represents a multiprofessional area where nurses play a vital role. However, internationally, a lack of nurses’ knowledge of pain management has been observed. To date, in Romania, an assessment of the nurses’ level of knowledge and attitudes toward pain has never been conducted and no tool for this kind of assessment is currently available. In this context, this study aims to present the process of developing a questionnaire of assessing the nurses’ level of knowledge and attitudes regarding postoperative pain assessment in adult patients in surgical and intensive care units by adapting other assessment tools identified in the specialized literature. We report here the process of identifying a set of 141 items (coming from seven distinct tools), of testing them with a group of 11 clinical experts and of selecting a number of 79 items which were used to develop a questionnaire for assessing the nurses’ knowledge and attitudes toward pain management....
Background Adolescents are exposed to various risks for their health: substance use, Internet ove... more Background Adolescents are exposed to various risks for their health: substance use, Internet overuse, video game addiction, unhealthy diet (reduced intake of fruits and vegetables, fast food culture), low physical activity, overweight, stress, violence, unsafe sexual behaviours, self-medication. Health literacy is defined as the knowledge, motivation and competence to access, understand, appraise and apply right information to make decisions in terms of healthcare, disease prevention and health promotion. Despite the advancement of theoretical models, many national and international health promotion programs, the percentage of unhealthy behaviours still persist in young age. Objective: Current review proposes to assess the implementation and effectiveness of various interventions in order to identify possible success or failure factors. Methods Comprehensive Systematic review was performed. After three steps data searching (in PubMed, SCOPUS, Cochrane, PsycINFO, Google Scholar) and...
International journal of evidence-based healthcare, Jan 10, 2015
The systematic review of evidence is the research method which underpins the traditional approach... more The systematic review of evidence is the research method which underpins the traditional approach to evidence-based healthcare. There is currently no uniform methodology for conducting a systematic review of association (etiology). This study outlines and describes the Joanna Briggs Institute's approach and guidance for synthesizing evidence related to association with a predominant focus on etiology and contributes to the emerging field of systematic review methodologies. It should be noted that questions of association typically address etiological or prognostic issues.The systematic review of studies to answer questions of etiology follows the same basic principles of systematic review of other types of data. An a priori protocol must inform the conduct of the systematic review, comprehensive searching must be performed and critical appraisal of retrieved studies must be carried out.The overarching objective of systematic reviews of etiology is to identify and synthesize the ...
In this paper we describe and discuss evidence-implementation as a venture in global human collab... more In this paper we describe and discuss evidence-implementation as a venture in global human collaboration within the framework of "people, process, evidence and technology" as a roadmap for navigating implementation. At its core implementation is not a technological, or theoretical process, it is a human process. That health professionals central to implementation activities may not have had formal training in implementation, highlights the need for processes and programs that can be integrated within health care organisation structures . Audit with feedback is an accessible implementation approach that includes the capacity to embed theory, frameworks and bottom-up change processes to improve the quality of care. In this third paper in the JBI series, we discuss how four overarching principals necessary for sustainability (Culture, Capacity, Communication and Collaboration) are combined with evidence, technology and resources for evidence-based practice change. This approach has been successfully used across hundreds of evidence implementation projects around the globe for over 15 years. We present healthcare practitioner-led evidence-based practice improvement as sustainable and achievable in collaborative environments such as the global JBI network as a primary interest of the practicing professions and provide an overview of the JBI approach to evidence implementation.
... Raluca Sfetcu Professor, Babes-Bolyai University, Cluj-Napoca, Romania Norman Sartorius Profe... more ... Raluca Sfetcu Professor, Babes-Bolyai University, Cluj-Napoca, Romania Norman Sartorius Professor, University of Geneva, Switzerland ... In referring to Francis Bacon's statement that 'the office of medicine is but to tune this curious harp of man's body and reduce it to harmony ...
International Journal of Environmental Research and Public Health
The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare pr... more The concept of second victims (SV) was introduced 20 years ago to draw attention to healthcare professionals involved in patient safety incidents. The objective of this paper is to advance the theoretical conceptualization and to develop a common definition. A literature search was performed in Medline, EMBASE and CINAHL (October 2010 to November 2020). The description of SV was extracted regarding three concepts: (1) involved persons, (2) content of action and (3) impact. Based on these concepts, a definition was proposed and discussed within the ERNST-COST consortium in 2021 and 2022. An international group of experts finalized the definition. In total, 83 publications were reviewed. Based on expert consensus, a second victim was defined as: “Any health care worker, directly or indirectly involved in an unanticipated adverse patient event, unintentional healthcare error, or patient injury and who becomes victimized in the sense that they are also negatively impacted”. The proposed...
The following sections are included:Mental Health Status of the Romanian PopulationHistory of Men... more The following sections are included:Mental Health Status of the Romanian PopulationHistory of Mental Health Care in RomaniaMental Health Policies and Legislation in RomaniaOrganizational Structure of the Mental Health System in RomaniaAccess to the Mental Health Care System in RomaniaMental Health Workforce in RomaniaFinancing the Mental Health Care System in RomaniaQuality of Care, Outcomes, and EvaluationAdvocacy, Stigma, and Self-HelpLooking Forward: Challenges and Priorities in the Romanian Mental Health SystemReferences
Caregivers of people with dementia (PwD) are diverse—they live in urban and rural locations, have... more Caregivers of people with dementia (PwD) are diverse—they live in urban and rural locations, have varying educational backgrounds, different access to resources, different relationships to the care recipient, etc. However, one common feature of all caregivers is the need to have access to education and support on their caregiving journey. Technology provides a feasible way to reach such a large and diverse population. SUccessful Caregiver Communication and Everyday Situation Support in dementia care (SUCCESS) provides an innovative training and coaching application on a mobile device (an App) to support formal and informal caregivers of PwD. Through the use of an affective avatar, the SUCCESS App aims to help caregivers better understand dementia and related behaviours and learn communication methods grounded on the principle that opinions and needs of PwD should be acknowledged, respected, and addressed. The avatar also assists caregivers in focussing on the remaining abilities of ...
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