Suchergebnisse

Explores the role of collaboration in tourism to sustain livelihoods, create profitable partnerships, and protect cultures and the environment. Based on robust research, it critically examines how collaboration enables (or impedes) sustainable tourism development, and suggests a role for collaboration

Background: Research into stress among psychiatrists has attempted to identify stressors, which can lead to physical illness and psychological distress. Aims: The aim of the study was systematically to review the current evidence for the effectiveness of stress management interventions for those working in the psychiatric profession. Method: A systematic review of the current literature was conducted into stress and stress management within the profession of psychiatry. Results: Twenty-three international studies were included in the psychiatry section of the review. Psychiatrists report a range of stressors in their work, including stress associated with their work and personal stresses. One personal stress, which psychiatrists find very difficult to cope with is patient suicide. Coping strategies include support from colleagues and outside interests. No studies evaluated the use of stress-management interventions for psychiatrists. Conclusions: Psychiatry is a stressful profession. Psychiatrists identified several stressors in their professional and personal lives.

BACKGROUND: People living with dementia (PLWD) are at significant risk of developing urinary and/or faecal incontinence and are also at risk of functional incontinence or being labelled as being incontinent. Despite the growing population of PLWD and importance of continence care, little is known about the appropriate management, organisation, and interactional strategies for PLWD admitted to acute hospitals. This mixed methods systematic review and thematic synthesis sought to identify successful strategies across all care settings that could then be used to inform innovations in continence care for PLWD in the acute hospital setting. METHODS: In phase 1, a scoping search of two electronic databases (MEDLINE and PsycINFO) and a consultation with stakeholders was undertaken. Findings were presented to the project steering group and two priority areas for phase 2 were identified which were communication and individualised care plans. In phase 2, eight databases and relevant UK government and other organisational websites were searched for English language citations from inception to August 2020. Critical appraisal was conducted using the Mixed Methods Appraisal Tool (MMAT Version 11). Thematic synthesis was employed and the strength of synthesised findings for the intervention studies was assessed using the GRADE approach and the confidence in synthesised qualitative and survey findings was assessed using the CERQual approach. RESULTS: In phase 1, 1348 citations were found and 75 included. In phase 2, 6247 citations were found, 14 research studies and 14 policy and guidance documents were included. The quality of studies varied. Material was synthesised into three overarching syntheses which were: communication this is dignified, person-centred and respectful; communication during outpatients apointments and delivering individualised continence care. CONCLUSIONS: Recognising that PLWD are not always able to communicate their continence needs verbally is important. Incorporating interpersonal and communication ...

English In the UK mental health social workers reported role conflict, role ambiguity and fulfilling statutory responsibilities as possible sources of stress. Burnout was related to workload, degree of involvement with patients, lack of social support and role conflict. Further work, which investigates coping strategies and stress management interventions, is recommended. French Au Royaume-Uni, les travailleurs sociaux en santé mentale signalent un problème de conflit de rôle, de l'ambiguïté de rôle et des responsabilités statutaires en tant que sources possibles de stresse. L'épuisement professionnel (burnout) a été lié à la charge de travail, au niveau d'implication auprès des patients, au manque d'appui social et aux conflits de rôle. L'article souligne la nécessité d'entreprendre d'autres études sur les stratégies employées pour gérer et maîtriser le stresse. Spanish En el Reino Unido, los trabajadores sociales en el área de salud mental nos informan que el conflicto y la ambigüedad de roles, así como las responsabilidades estatutarias son posibles causas de estrés. El desgaste profesional (burnout) fue relacionado con la cantidad de trabajo, el grado de envolvimiento con los pacientes, la falta de apoyo social y el conflicto de roles. Se recomienda la investigación de estrategias 'para arreglárselas' ('coping strategies') e intervenciones para controlar el estrés.