Healthcare最新文献

{"title":"Survivors of Oncological Disease: Experience and Satisfaction with National Health Care and Service.","authors":"Tânia Gaspar, Joana Ferreira, Anabela Coelho","doi":"10.3390/healthcare13182330","DOIUrl":"10.3390/healthcare13182330","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The relationship between patients, health professionals, and healthcare organizations is a key factor in patient satisfaction and adherence to care. Organizations, professionals, and patients would benefit from the implementation of organizational measures to promote health literacy and post-discharge psychological counseling. This study aims to explore cancer survivors' experiences and satisfaction with care, along with identifying their primary needs and barriers. <b>Methods</b>: This is a cross-sectional, mixed study with a random and representative sample of the three Portuguese Institutes of Oncology. The patient sample consists of 768 participants, 463 of whom are female (60.3%), aged between 18 and 68 years. <b>Results</b>: Most patients reported a positive healthcare experience, particularly regarding staff attention and clarification of doubts, comfort, and ease of access. However, less positive aspects included long waiting times, limited involvement in decision-making, and difficulties understanding medical information. No significant differences were found by gender or age. Overall satisfaction was influenced by the patient's health status, with those in better health reporting more favorable experiences. <b>Conclusions</b>: Patients shared suggestions and complaints about healthcare organization functioning, especially regarding long waiting lists and inadequate conditions during prolonged hospital stays. Overall, their view of the National Health System, particularly Primary Health Care, was less positive compared to the satisfaction with the health organizations under study. This study highlights the importance of follow-up for cancer survivors, with many patients valuing post-discharge contact as a space to share experiences and challenges. The psychological monitoring of patients and families surviving cancer should be clinical practice in health organizations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174832","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How Could Artificial Intelligence Change the Doctor-Patient Relationship? A Medical Ethics Perspective.","authors":"Gianluca Montanari Vergallo, Laura Leondina Campanozzi, Matteo Gulino, Lorena Bassis, Pasquale Ricci, Simona Zaami, Susanna Marinelli, Vittoradolfo Tambone, Paola Frati","doi":"10.3390/healthcare13182340","DOIUrl":"10.3390/healthcare13182340","url":null,"abstract":"<p><p><b>Background:</b> This paper aims to outline an ethical overview of the potential challenges related to AI technologies in the doctor-patient relationship. <b>Methods:</b> This study is structured as a narrative review of the literature (2015-2025), based on searches conducted in the main scientific databases (PubMed, Scopus, Web of Science, Google Scholar), supplemented by official documents issued by the following international organizations: World Health Organization (WHO), United Nations Educational, Scientific and Cultural Organization (UNESCO), and the World Medical Association (WMA), as well as key regulatory frameworks of the European Union, China, and the United States. The selection included academic contributions, guidelines, and institutional reports relevant to the clinical applications of AI and their ethical and regulatory implications. Specifically, the analysis herein presented is grounded on four key aspects: the rationale for AI in patient care, informed consent about AI use, confidentiality, and the impact on the therapeutic alliance and medical professionalism. <b>Results and Conclusions:</b> Depending on their application, AI systems may offer benefits regarding the management of administrative burdens and in supporting clinical decisions. However, their applications in diagnostics, particularly in fields as radiology and dermatology, may also adversely impact the patient-doctor relationship and professional autonomy. Specifically, the implementation of these systems, including generative AI, may lead to increased healthcare costs and jeopardise the patient-doctor relationships by exposing patients' confidentiality to new risks and reducing space for healthcare empathy and personalisation. The future of the medical profession and the doctor-patient relationship will largely depend on the types of artificial intelligence that are integrated into clinical practice and how effectively such additions are reconciled with core ethical values on which healthcare rests within our systems and societies.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Adapted Physical Activity on Quality of Life of Patients with Knee and Hip Replacement: A Randomized Pilot Study.","authors":"Raffaele Zinno, Erika Pinelli, Giuseppe Barone, Dante Dallari, Maria Scoppolini Massini, Laura Bragonzoni","doi":"10.3390/healthcare13182333","DOIUrl":"10.3390/healthcare13182333","url":null,"abstract":"<p><p><b>Background:</b> Total hip (THR) and knee replacement (TKR) effectively treat end-stage osteoarthritis, but many patients continue to experience functional limitations and reduced quality of life (QoL) after rehabilitation. The aim of this pilot study was to assess the changes in terms of QoL in people with THR and TKR after a specifically designed PA intervention. The secondary aim was to evaluate changes in physical function through strength and mobility tests. <b>Methods</b>: Eighteen participants (mean age 65.8 ± 7.1 years) were enrolled at the Rizzoli Orthopedic Institute and were randomly assigned to an intervention group (IG), which completed a six-month supervised PA program (6 months after surgery), or a control group (CG), which received standard care. Assessments were conducted at four time points: before surgery, after rehabilitation, and at 9- and 12-month post-surgery. Repeated measures ANOVA was used to assess within- and between-group differences over time, with post hoc pairwise comparisons conducted using independent <i>t</i>-tests with Sidak correction. The level of statistical significance was set at <i>p</i> < 0.05 for all analyses. <b>Results:</b> Both groups showed significant improvements in QoL over time, with greater gains in physical functioning observed in the IG. Lower limb strength increased more in the IG; however, the differences between groups were not statistically significant. The Timed Up and Go and 30-Second Chair Stand Test improved in both groups. No adverse events were reported. <b>Conclusions:</b> These findings support the feasibility and potential benefits of adapted PA programs after rehabilitation. Although no significant differences emerged between groups, clinically relevant improvements were observed in the IG. Larger studies are warranted to confirm these results and explore long-term outcomes across multiple domains.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Impact of Health Literacy on Fertility Awareness and Reproductive Health in University Students-A Systematic Review.","authors":"Viktória Prémusz, Melese Dereje Mesfin, Leman Atmaca, Shalini Chauhan, Zoltán Tándor, Lili Andrea Bodor, Ákos Várnagy, Dahabo Adi Galgalo","doi":"10.3390/healthcare13182342","DOIUrl":"10.3390/healthcare13182342","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Health literacy has an impact on students' reproductive health. Therefore, the objective of our study is to systematically examine, identify, and summarize all research on the role of health literacy in fertility awareness and reproductive health among university students in order to understand how health literacy influences reproductive health outcomes in this population. <b>Methods:</b> Using the PRISMA guidelines, a comprehensive systematic search was conducted using electronic databases, such as PubMed, EMBASE, CINAHL, Scopus, and Google Scholar. The protocol was registered in the Prospective Register for Systematic Reviews (PROSPERO, CRD 42024566268). All studies were imported into EndNote software and screened using a two-level title/abstract screening process. The included studies were narratively summarized. <b>Results:</b> The database search identified 1360 articles; 116 duplicates were removed, and thus, 1244 were initially screened, leading to 1133 exclusions. A total of 111 articles underwent full screening, and 94 were then excluded. A total of 14 articles were included for data extraction. Health literacy impacts university students' behaviour, fertility awareness, and reproductive health knowledge. Students with higher health literacy show more understanding of critical topics such as fertility and emergency contraception. Socioeconomic factors play a crucial role in shaping health literacy and reproductive choices, while gender disparities highlight the need for targeted educational interventions, particularly for male students. Effective educational programs have been shown to enhance health literacy. Additionally, technology integration serves as a valuable tool for disseminating reproductive health information. Cultural context also plays a vital role in influencing health literacy. <b>Conclusions:</b> The findings of this study emphasize the importance of comprehensive strategies to enhance health literacy among university students, and future research should focus on developing and evaluating targeted educational programs that address gender disparities and socioeconomic factors influencing health literacy.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Optimization-Based Framework to Dynamically Schedule Hospital Beds in a Pandemic.","authors":"Marwan Shams Eddin, Hussein El Hajj","doi":"10.3390/healthcare13182338","DOIUrl":"10.3390/healthcare13182338","url":null,"abstract":"<p><p><b>Background:</b> Emerging pandemics can rapidly overwhelm hospital capacity, leading to increased mortality and healthcare costs. <b>Objective:</b> We develop an optimization-based framework that dynamically schedules hospital beds across multiple facilities to minimize total healthcare costs, including patient rejections and logistical expenses, under resource constraints. <b>Methods:</b> The model integrates several real-world flexibilities: standard hospital beds, buffer capacity from non-pandemic wards, in situ field hospitals, and inter-hospital patient transfers. To capture demand uncertainty, we link the model with an SEIRD epidemic forecasting approach and further extend it with a robust optimization variant that safeguards against worst-case surges. Recognizing computational challenges, we reformulate the problem to significantly reduce solution times and derive structural properties that provide guidance on when to open field hospitals, allocate buffer beds, and prioritize patients across facilities. <b>Results:</b> A case study based on COVID-19 data from Northern Virginia shows that the proposed framework reduces healthcare costs by more than 50% compared with current practice, mainly by lowering patient rejection rates. <b>Conclusions:</b> These results highlight the value of combining epidemic forecasting with prescriptive optimization to improve resilience and inform healthcare policy during crises.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pokémon GO, Went, Gone…-Physical Activity Level, Health Behaviours, and Mental Well-Being of Game Users: A Cross-Sectional Study.","authors":"Michał Giller, Tomasz Kowal, Wirginia Likus, Anna Brzęk","doi":"10.3390/healthcare13182334","DOIUrl":"10.3390/healthcare13182334","url":null,"abstract":"<p><strong>Background/objectives: </strong>Pokémon GO has had a substantial global impact, emerging as one of the most prominent smartphone game releases of the 21st century. Beyond its entertainment value, this game has the potential to encourage physical activity alongside recreational engagement. Consequently, it may facilitate the integration of augmented reality into daily routines within the context of advancing mobile device technology. This study aimed to assess the impact of Pokémon GO on users' physical activity levels, as well as to identify other implicit health outcomes and potential risks.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using the International Physical Activity Questionnaire (IPAQ-long form) and a custom-designed survey (including demographic characteristics) administered to a cohort of 243 Pokémon GO players (112 females and 131 males, mean age 27 ± 7 years).</p><p><strong>Results: </strong>According to IPAQ-long form data, 68% of Pokémon GO users demonstrated high physical activity levels, 29% moderate, and 2.5% insufficient activity. More than 80% of participants reported increased walking distances, and 39% indicated that playing the game had improved their overall mood, while 13% reported enhanced social interactions. However, some findings are concerning, with 27% of respondents admitting to sacrificing sleep, 20% considering themselves addicted, and more than half exceeding the World Health Organization (WHO) screen time guidelines based solely on the time spent playing Pokémon GO.</p><p><strong>Conclusions: </strong>Pokémon GO has a positive impact on users' physical activity levels, particularly in terms of low-intensity physical activities such as walking. This observational study suggests that the application may be associated with a healthy lifestyle and enhanced interpersonal contact. Prudent and safe usage is advised, as the game has the potential to be addictive and may pose risks when misused.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Young Smokers' Therapy Preferences: App-Based vs. Face-to-Face Treatment in the Context of Co-Addictions.","authors":"Francisca López-Torrecillas, María Del Mar Arcos-Rueda, Beatriz Cobo-Rodríguez, Lucas Muñoz-López","doi":"10.3390/healthcare13182326","DOIUrl":"10.3390/healthcare13182326","url":null,"abstract":"<p><p><b>Background:</b> Tobacco use remains a major public health concern among young adults and is often complicated by co-occurring addictive behaviors. <b>Objective:</b> This study analyzed motivation for change, assessed with the decisional balance framework, in relation to multiple addictions among young smokers seeking treatment. <b>Methods:</b> Ninety-eight participants from the University of Granada enrolled in either an app-based cognitive-behavioral therapy (CBT) program (n = 35) or a traditional face-to-face CBT program (n = 63). Recruitment relied on self-identification and voluntary participation. Standardized instruments were applied to measure nicotine dependence (FTND), behavioral and substance-related addictions (MULTICAGE CAD-4), cannabis dependence (SDS), and motivation for change (DBQ). Logistic and stepwise regression analyses were conducted to identify predictors of treatment choice and motivational outcomes. <b>Results:</b> Younger participants and students were more likely to choose the app-based program. Compulsive buying was linked to perceiving more disadvantages of smoking, whereas sex addiction, cannabis dependence, and other substance addictions were associated with perceiving fewer disadvantages. <b>Conclusions</b>: Treatment preferences and motivational profiles differ according to age, academic status, and co-occurring addictions. These findings highlight the need to tailor smoking cessation strategies to individual profiles and support the role of mobile health tools in engaging digitally oriented populations.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Effective Clinical Experiences Among Newly Qualified Registered Nurses: A Descriptive Qualitative Study.","authors":"Meluleki Zondi, Sipho Wellington Mkhize","doi":"10.3390/healthcare13182343","DOIUrl":"10.3390/healthcare13182343","url":null,"abstract":"<p><p><b>Background:</b> The transition from student to professional nurse is often overwhelming for newly qualified registered nurses, especially in rural and resource-limited settings. Systemic barriers such as staff shortages, limited resources, and lack of mentorship hinder their ability to gain effective clinical experiences. This gap threatens both the professional development of newly qualified registered nurses and the quality of patient care, justifying the need for this study. <b>Aim:</b> This study aimed to explore how the shortage of resources and functional infrastructure affects the clinical experiences of newly qualified registered nurses. <b>Methods:</b> A descriptive qualitative design was employed, grounded in an interpretivist paradigm. Data were collected through three semi-structured focus group interviews with a purposive sample of 25 NQRNs. A rigorous thematic analysis, following the Braun and Clarke framework, was used to identify, analyze, and report patterns within the data. <b>Results:</b> The analysis revealed a complex interplay of six interconnected themes that define the NQRNs' experiences: (1) an institutional void of clinical support and mentorship; (2) systemic failures in management and leadership; (3) crippling resource constraints and infrastructure decay; (4) pervasive emotional and psychological distress; (5) a trajectory towards professional burnout; and (6) profound job dissatisfaction and disillusionment. These barriers were found to collectively undermine clinical confidence, compromise patient safety, and threaten nurse retention. <b>Conclusions:</b> NQRNs in the Chris Hani District are navigating a \"perfect storm\" of systemic failures that hinder their professional development and personal well-being. The findings highlight an urgent need for multi-level interventions, including the implementation of standardized mentorship programs, leadership development for nurse managers, strategic investment in rural health infrastructure, and the establishment of formal mental health support systems. Addressing these foundational issues is paramount to building a resilient nursing workforce and ensuring equitable healthcare delivery.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Various Sources of Mortality Estimation in Ghana: A Scoping Review of Data Sources, Challenges, and Opportunities.","authors":"Regina Titi-Ofei, Hillary Kipruto, Dominic Atweam, Anthony Adofo Ofosu, Clementine Rossier","doi":"10.3390/healthcare13182331","DOIUrl":"10.3390/healthcare13182331","url":null,"abstract":"<p><p><b>Background:</b> Accurate estimation of mortality is essential for effective public health planning, policymaking, and monitoring of health interventions. In Ghana, multiple data sources are used to estimate mortality, including civil registration systems, household surveys, census data, and health and demographic surveillance systems. This scoping review explores the existing sources of mortality data in Ghana, examining their challenges and opportunities. <b>Methods:</b> Using Arksey and O'Malley's framework, we identified peer-reviewed and grey literature from Ghana Health Service, Ministry of Health, Ghana Statistical Service, WHO, and the United Nations. We selected studies published between 2000 and 2024 that focused on mortality estimation in Ghana. Data was extracted and synthesized into key themes: data sources, challenges, and opportunities. <b>Results:</b> Six major data sources on mortality were identified: Civil Registration and Vital Statistics (CRVS), census data, Demographic and Health Surveys (DHS), Health and Demographic Surveillance Systems (HDSS), Facility-Based Health Information Systems (HMIS), modeled estimates from the Global Burden of Disease (GBD) and from the United Nations Department of Economic and Social Affairs (UN DESA). Key challenges include under-registration of deaths (CRVS and HMIS), recall bias (DHS, census), limited geographic coverage (HDSS), inconsistencies in cause-of-death classification (HMIS, HDSS), and lack of local geographic coverage (GBD, UN DESA, DHS). Nonetheless, benefits include longitudinal follow-up (HDSS), local coverage and ownership (CRVS, HMIS) and international comparability (GBD, UN DESA, DHS). <b>Conclusions:</b> Mortality estimation in Ghana is supported by diverse but fragmented data sources. Strengthening the CRVS and HMIS systems, integrating multiple data streams, standardizing methodologies, and enhancing institutional partnership are essential steps toward improving data quality and coverage. This review provides recommendations for improvement towards better quality estimations of mortality in Ghana.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the Impact of Personal Resources on Emotional Exhaustion Among Emergency Healthcare Workers: A Structural Equation Modeling Approach.","authors":"Alicia Arenas, Valeria Terán-Tinedo, Esther Cuadrado, Rosario Castillo-Mayén, Bárbara Luque, Carmen Tabernero","doi":"10.3390/healthcare13182336","DOIUrl":"10.3390/healthcare13182336","url":null,"abstract":"<p><p><b>Background/Objectives</b>: The COVID-19 pandemic was associated with an increase in burnout vulnerability in healthcare workers, which often translated into higher potential risks for their personal safety and that of their patients. This study was based on the JD-R model and explored emotional exhaustion and stress, as a result of a lack of personal resources such as self-efficacy to cope with stress and poor emotion regulation, and work demands, with the buffering effect of a healthy lifestyle. <b>Methods</b>: The sample was composed of 189 emergency healthcare workers from Spain, aged between 26 and 59 years old. A cross-sectional and correlational study was carried out through an online platform. <b>Results</b>: The mediation, moderation, and Structural Equation Modeling analyses supported the proposed model, demonstrating good fit to the data. Work demands showed both a positive direct effect and an indirect effect on emotional exhaustion through emotion regulation and stress. In turn, self-efficacy to cope with stress and healthy lifestyle showed indirect effects on emotional exhaustion, also through emotion regulation and stress. Further, healthy lifestyle moderated the relationship between stress and emotional exhaustion, by mitigating the negative influence of stress on emotional exhaustion. <b>Conclusions</b>: The study highlights the importance of incorporating self-care in coping with stress and preventing burnout and should be considered when designing interventions in the context of emergency healthcare to improve well-being in its workers.</p>","PeriodicalId":12977,"journal":{"name":"Healthcare","volume":"13 18","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12469873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145174795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}