Families Systems & Health最新文献_第5页

Rural healthcare workers' well-being: A systematic review of support interventions. 农村医疗工作者的福祉：对支持干预措施的系统回顾。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000921

Mansoor Malik, Martina Penalosa, Isolde Martina Busch, Haroon Burhanullah, Christine Weston, Kristina Weeks, Cheryl Connors, Henry J Michtalik, George Everly, Albert W Wu

{"title":"Rural healthcare workers' well-being: A systematic review of support interventions.","authors":"Mansoor Malik, Martina Penalosa, Isolde Martina Busch, Haroon Burhanullah, Christine Weston, Kristina Weeks, Cheryl Connors, Henry J Michtalik, George Everly, Albert W Wu","doi":"10.1037/fsh0000921","DOIUrl":"https://doi.org/10.1037/fsh0000921","url":null,"abstract":"Introduction: Although there is increased awareness about healthcare workers' (HCWs') stress and burnout after the COVID-19 pandemic, support interventions should be tailored according to the needs of HCWs. Given the unique challenges rural HCWs face, we sought to systematically identify the types of interventions specifically designed and utilized to support the well-being of HCWs practicing in rural settings.Method: We conducted a comprehensive search of the existing literature through electronic databases to identify quantitative, qualitative, and mixed-methods studies describing supportive interventions for rural HCWs with well-being-related outcomes between January 1, 2023 and March 31, 2023. We used the Effective Public Health Practice Project, Mixed Methods Assessment Tool, and Joanna Briggs Institute Critical Appraisal Checklist to evaluate the study quality.Findings: Out of 1,583 identified records, 25 studies were included in the analysis. The studies described a wide range of supportive interventions and outcomes. The overall quality of the studies was weak to moderate. None of the studies were randomized and only six included controls. Included interventions were generally well- accepted. Quantitative and qualitative themes identified shared decision making, effective supervision, and proactive cultural change as promising interventions that warrant further exploration. Financial interventions alone were not effective. Most of the studies were either unfunded or were funded internally by the institutions.Conclusions: There is limited research in support interventions for rural HCWs. Larger, well-designed studies are needed to explore promising interventions to promote well-being of rural healthcare workforce. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"355-374"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectively addressing burnout, well-being, and resilience: Individual, team, and system approaches. 有效解决职业倦怠、幸福感和复原力问题：个人、团队和系统方法。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000926

Abbie O Beacham, Megan Call, Norah Janosy, Emily DeBoer

引用次数: 0

How can a growth mindset-supportive learning environment in medical school promote student well-being? 医学院中支持成长型思维的学习环境如何促进学生的健康成长？

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000915

Zachary M Himmelberger, Yoi Tibbetts, Kenneth E Barron, Chris S Hulleman, Gevork Harootunian, Mark R Speicher

{"title":"How can a growth mindset-supportive learning environment in medical school promote student well-being?","authors":"Zachary M Himmelberger, Yoi Tibbetts, Kenneth E Barron, Chris S Hulleman, Gevork Harootunian, Mark R Speicher","doi":"10.1037/fsh0000915","DOIUrl":"https://doi.org/10.1037/fsh0000915","url":null,"abstract":"Introduction: There is a growing concern for physician and medical student well-being and burnout. Growth mindset, or the belief that ability can be developed, as well as students' perception of their instructors' growth mindset, have been associated with better academic outcomes for a wide range of students. The primary purpose of the present study was to investigate the effects of growth mindset on medical student well-being.Method: We recruited all graduating osteopathic medical students in the class of 2023. This survey included items about student demographics (including identifiable items), experiences in medical school, practice plans, along with financial and other information. The survey of 667 items required a median time of 33 min to complete. Our sample consisted of 4,180 students. Students self-reported growth mindset, perception of instructor growth mindset, and four measures of well-being: flourishing, resilience, burnout, and maladaptive psychological symptoms.Results: Growth mindset and perception of instructor growth mindset were significant predictors of medical student well-being. Further, significant interactions showed that these effects were strongest for students from historically marginalized backgrounds.Discussion: Our work provides a first step toward addressing physician burnout by targeting medical students, which could prevent them from beginning their careers already in a state of burnout. We argue that systemic change is needed to improve student well-being, such as emphasizing growth mindset-supportive pedagogy, which places the emphasis on changing systems instead of individuals. Future research should include causal analyses to better understand the effect and persistence of growth mindset-supportive environments on student well-being. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"343-354"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Integrated care identity: Evolutionary leaps and future directions. 综合护理身份：进化飞跃与未来方向。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000925

Deepu George, Jason Herndon

引用次数: 0

Knowing. 知道。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000869

Amy Basilious

引用次数: 0

"Integrated behavioral health plus": The best of the worlds of collaborative care management, primary care behavioral health, and primary care. "综合行为健康加"：合作护理管理、初级保健行为健康和初级保健的最佳结合。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 Epub Date: 2024-03-28 DOI: 10.1037/fsh0000885

Gene A Kallenberg, William J Sieber

{"title":"\"Integrated behavioral health plus\": The best of the worlds of collaborative care management, primary care behavioral health, and primary care.","authors":"Gene A Kallenberg, William J Sieber","doi":"10.1037/fsh0000885","DOIUrl":"10.1037/fsh0000885","url":null,"abstract":"Introduction: Discussions comparing the components and virtues of models of integrated behavioral health (IBH), that is, collaborative care management and primary care behavioral health, have been ongoing. In this conceptual article, we recommend shifting the focus to a broader set of components we have found essential to serve the needs of our patients, and hopefully the broader aims of dissemination and implementation of IBH.Method: We detail our 20-year experience including the personnel, program components, challenges, successes, and plans for the future that will meet our patients' behavioral health needs and serve primary care.Results: We compare our \"IBH Plus\" approach using the central tenets of primary care known as the \"six Cs\" (6Cs) to two dominant models, illustrating differences and similarities among them. The \"6Cs\" are first contact/accessibility, continuity, comprehensiveness, coordination, context-based, and accountability. We detail how each of these \"6Cs\" guides the structure and functioning of IBH Plus in the team-based patient-centered medical home setting.Discussion: We believe IBH Plus more clearly relates to and supports the rest of the primary care transformation movement while integrating components of the most popular models of IBH and may support greater implementation of IBH. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"454-463"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Building a culture of workforce wellness using implementation science-informed strategies: A qualitative content analysis. 利用以实施科学为依据的战略建立劳动力健康文化：定性内容分析。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000924

Jessica J Reed, Frances E Fachilla, Alton N Verbist, Hannah G McClellan, Christina A Gillim, Shane T W Kuhlman

{"title":"Building a culture of workforce wellness using implementation science-informed strategies: A qualitative content analysis.","authors":"Jessica J Reed, Frances E Fachilla, Alton N Verbist, Hannah G McClellan, Christina A Gillim, Shane T W Kuhlman","doi":"10.1037/fsh0000924","DOIUrl":"https://doi.org/10.1037/fsh0000924","url":null,"abstract":"Introduction: Successfully addressing burnout in health and human services settings is a topic of growing interest and impact in the field. Implementation science gives us strategies to build organizational readiness to create a culture of workforce wellness. This study used strategies for identifying and preparing wellness champions and building feedback loops to begin to build a culture of workforce wellness. The primary aim of this study was to assess perspectives on establishing feedback loops across all levels of the organizational hierarchy.Method: This study took place in a community mental health organization that provides services across four different states. Champions in each state were identified and connected with leaders and teams. The champions supported the engagement of leaders and the design of feedback loops. Champions remained engaged throughout the process of assessing needs and sharing workforce wellness data. A qualitative content analysis was conducted on data collected during meetings that were intended to create organizational practice to policy feedback loops.Results: Staff across all levels of the organizational hierarchy shared feedback and participated in facilitated reflective discussion. Participants offered several suggestions for addressing burnout. Across all participants, workplace connections were perceived as a protective factor against burnout.Discussion: This implementation science strategy to help combat burnout is an effective and feasible way to include frontline staff voices and build connection and trust between leaders and staff in health and human services settings. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":"42 3","pages":"380-385"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Promoting successful health care transitions for young people aging out of foster care. 促进即将脱离寄养家庭的青少年成功过渡到医疗保健服务。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000927

James Kaferly, Liza M Creel

引用次数: 0

Born in a tube by the Guadalupe River. 出生在瓜达卢佩河边的一个筒子里。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 DOI: 10.1037/fsh0000870

Woods Nash

引用次数: 0

Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care. 公共卫生危机期间集中家庭声音:卫生合作和社区保健系统的挑战和机遇。

IF 1.2 4区医学

Families Systems & Health Pub Date : 2024-09-01 Epub Date: 2023-12-07 DOI: 10.1037/fsh0000865

Angeline K Spain, Angela Garza, Julie S McCrae

{"title":"Centering family voice during a public health crisis: Challenge and opportunity for health collaborations and community systems of care.","authors":"Angeline K Spain, Angela Garza, Julie S McCrae","doi":"10.1037/fsh0000865","DOIUrl":"10.1037/fsh0000865","url":null,"abstract":"Introduction: Evidence is lacking about how to integrate family and community voice into systems of care. This is particularly relevant in public health crises when reducing barriers to health care and resources is critical for everyone, but especially community members who typically experience more barriers to care. Addressing this gap, this study investigated the voice strategies used by systems of care to respond to the COVID-19 pandemic.Method: We conducted semi-structured interviews in three U.S. counties with agency leaders representing healthcare, public health, and early childhood partners in local systems of care (n = 15) and resource navigators who worked with families (n = 4).Results: We found that systems of care were better able to identify and respond to family priorities when they used diverse voice strategies, implemented among multiple agencies involved and at multiple time points. Family and community voice helped uncover blind spots in the crisis response, facilitating reaching more individuals in need. Flexibility in safety net service policies and protocols was critical to each organization in the system of care.Discussion: Systems of care that develop a multi-dimensional approach to voice strategies that can be readily mobilized in a public health crisis will be more apt to meet emerging needs. Questions remain about whether power sharing that occurred in the context of crisis translates into reform that builds out from family priorities. Common issues to meeting family needs that could be addressed prior to a crisis included outdated resource lists, confusing application processes, poorly translated materials, and insufficient broadband access. (PsycInfo Database Record (c) 2024 APA, all rights reserved).","PeriodicalId":55612,"journal":{"name":"Families Systems & Health","volume":" ","pages":"392-404"},"PeriodicalIF":1.2,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0