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12. What are the solutions for well-being and burn-out for healthcare professionals? An umbrella realist review of learnings of individual-focused interventions for critical care

Author

Adnan, NBB, Dafny, HA, Baldwin, C, Jakimowitz, S, Chalmers, D, Aroury, AMA, and Chamberlain, D

Subjects
Cognitive Behavioral Therapy, Health Personnel, Humans, Learning, 1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences, Burnout, Professional, Delivery of Health Care
Abstract

OBJECTIVE: To determine what, how, for whom and under what conditions individual-focused interventions are effective to improve well-being and decrease burn-out among critical care healthcare professionals.DESIGN: This study is an umbrella review that used the realist approach, using Realist and Meta-narrative Evidence Synthesis: Evolving Standards guidelines. PsycINFO, Web of Science, CINAHL, MEDLINE, Scopus, ClinicalTrials.gov and ISRCTN databases were searched for published and unpublished systematic reviews and meta-analyses literature between 2016 and 2020. The team appraised and extracted data and identified relationships between content, mechanism and outcomes (CMOs). Theory prepositions were developed using CMOs and were used to refine the existing programme.RESULTS: A total of 81 interventions from 17 reviews were mapped, including mindfulness interventions, cognitive-behavioural therapy, self-care and coping strategies. The revised programme theory determined that contextual factors such as ethnicity, workload, and work schedules play a crucial role in determining the effectiveness of interventions. Mechanisms including the interventions' interests, acceptance, and receptivity are also influential in determining engagement and adherence to the intervention. Findings suggest that the solution for burn-out is complex. However, it offers an optimistic view of tailoring and customising one or a combination of interventions, integrating structured education and components of emotional intelligence. Self-care, social support, awareness or mindfulness and self-efficacy are prime components to improve emotional intelligence and resilience for critical care healthcare professionals to improve well-being and decrease burn-out experience.CONCLUSIONS: These findings provide realistic and reliable reporting of outcomes to better support implementation within the 'real world'. Future research such as seeking validation using expert opinions can provide further in depth

Published
2022

26. CENTENNIAL CELEBRATION, APRIL 19

Author

Howe, Julia Ward, Bright, John, Gladstone, W. E., Hudson, C., Merriam, M. H., Munroe, W. H., Hawley, Chamberlain, D. H., and Ripley, R. S.

Published
1875

30. Resuscitation

Author

Donnelly, P. D., Chamberlain, D., Handley, A. J., Assar, D., Lester, C. A., and Handley, Anthony J.

Published
1997

37. An improved interface temperature distribution in shallow hot mix asphalt patch repair using dynamic heating

Author

Byzyka, J, Rahman, M, and Chamberlain, D A

Subjects
Interface disintegration, Dynamic pothole repair, Infrared heat, Cold repair boundary, Asphalt pavement distress, Static pothole repair
Abstract

This study focuses on the issue of hot mix asphalt patch repairs, the performance of which is greatly reduced by repair edge disintegration. This is caused by low interface temperatures which result in poor repair bonding between fill material and host pavement. Twenty-four pothole repairs, 45 mm in depth, comprising 12 static and 12 dynamic repairs heated for 10 min 15 s and 21 min 49 s, respectively have been investigated. Dynamic heating has been completed using an experimental infrared heater. Temperatures were measured at 11 locations on the repair interfaces during the pouring and compaction of the fill mix. Volumetric of asphalt mixtures were also investigated. The results demonstrated that for static repairs, the lowest maximum temperatures were located at corners and on vertical repair boundaries. It was found that high thermal contact resistance in these interfaces dramatically affect the temperature levels. However, the figures improved in dynamically heated repairs. Comparing dynamically heated repairs of 10 min 15 s and 21 min 49 s with static repairs, showed average corner temperatures increase 10.85–24.45°C and 29.51–36.73°C, respectively, with accompanying increases in vertical interface temperatures 34.97°C and 46.41°C, respectively EPSRC

Published
2020

44. Abstracts of presentations on plant protection issues at the fifth international Mango Symposium Abstracts of presentations on plant protection issues at the Xth international congress of Virology: September 1–6, 1996 Dan Panorama Hotel, Tel Aviv, Israel August 11-16, 1996 Binyanei haoma, Jerusalem, Israel

Author

Peña, J. E., Wysoki, M., Singh, Gajendra, Boscán de M., Nancy, Godoy, Freddy J., Obligado, A., Rossetto, C. J., Ribeiro, I. J. A., Gallo, P. B., Soares, N. B., Sabino, J. C., Martins, A. L. M., Bortoletto, N., Ploetz, R. C., Benscher, D., Vázquez, Aimé, Colls, A., Nagel, Julianne, Schaffer, B., Pinkas, Y., Maymon, M., Freeman, S., Bostros Bastawros, Mikhail, Gosbee, M. J., Johnson, G. I., Joyce, D. C., Irwin, J. A. G., Saaiman, W. C., Prusky, D., Falik, E., Kobiler, I., Fuchs, Y., Zauberman, G., Pesis, E., Ackerman, M., Roth, I., Weksler, A., Yekutiely, O., Waisblum, A., Keinan, A., Ofek, G., Reved, R., Barak, R., Bel, P., Artes, L., Visarathanonth, N., Xu, Z., Ponce de León, L., Muñoz, C., Pérez, L., Diaz de León, F., Kerbel, C., Esparza, S., Bósquez, E., Trinidad, M., Coates, L. M., Cooke, A. W., Dean, J. R., Lucia Duarte, Ana, Alberto Otto, Paulo, Malavasi, Aldo, Lizado, M. C. C., Bautista, M. L., Artes, L. A., Bacalangco, N. S., Farungsang, U., Farungsang, N., Waskar, D. P., Masalkar, S. D., Gaikwad, R. S., Damame, S. V., Bally, Ian S. E., O’Hare, Tim J., Holmes, Rowland J., Atabekov, J. G., Fauquet, Claude M., Tomori, O., Nuss, D. L., Ahlquist, P., Díez, J., Ishikawa, M., Janda, M., Price, B. D., Restrepo-Hartwig, M., Bol, J. F., van Rossum, C. M. A., Garcia, M. L., van der Vossen, E. A. G., Reusken, Chantal B. E. M., Canto, T. R., Gal-On, A., Palukaitis, P., Roossinck, M. J., Flasinski, S., Restrepo-Hartwig, Maria A., Ahlquist, Paul, Smirnyagina, Ekaterina, Lin, Na-Sheng, Nagy, Peter D., Figlerowicz, Marek, Bujarski, Jozef J., Proll, D. F., Guyatt, K. J., Davidson, A. D., Kim, Kook-Hyung, Miller, Eric, Hemenway, Cynthia, Havelda, Z., Dalmay, T., Burgyán, J., Kearney, C. M., Thomson, M., Roland, K. E., Dawson, W. O., Bao, Y., Carter, S. A., Nelson, R. S., Derrick, P. M., Shun Ding, Xin, Eskarous, J. K., Sarkar, S., El-Shamy, M., Chen, J., Sako, N., Yuichiro, W., Ohshima, K., Okada, Y., Felden, Brice, Kuznetsov, Yuri G., Malkin, Alexander J., Greenwood, Aaron, McPherson, Alexander, Ivanov, K. I., Dorokhov, Y. L., Kim, C. H., Sálanki, Katalin, Carrére, Isabelle, Jacquemond, Mireille, Tepfer, Mark, Balazs, Ervin, Sanz, A. I., Serra, M. T., García-Luque, I., Revers, F., Candresse, T., LeGall, O., Souche, S., Lot, H., Dunez, J., Cecchini, E., Milner, J., Al-Kaff, N., Covey, S., Gong, Z., Geri, C., Covey, S. N., Richert-Pöggeler, K. R., Shepherd, R. J., Casper, R., Meiri, Eti, Raccah, B., Gera, A., Singer, S., Allam, E. K., El Afifi, Soheir I., Abo El Nasr, M. A., Abd El Ghaffar, M. H., Elisabeth Johansen, I., Keller, K. E., Hampton, R. O., SÕrensen, Karina, Bishnoi, S. S., Rishi, Narayan, Gumedzoe, M. Y. D., Atissime, K., Yedibahoma, S., Wellink, Joan, Verver, Jan, Bertens, Peter, van Lent, Jan, Goldbach, Rob W., van Kammen, Ab, Lekkerkerker, Annemarie, Taylor, K. M., Spall, V. E., Lomonossoff, G. P., Yu. Morozov, S., Solovyev, A. G., Zelenina, D. A., Savenkov, E. I., Grdzelishvili, V. Z., Morozov, S. Y., Jansen, K. A. J., Wolfs, C. J. A. M., Lohuis, H., Verduin, B. J. M., Stein-Margolina, V. A., Hsu, Y. H., Chang, B. Y., Lin, N. S., Pilartz, Marcel, Jeske, Holger, Verchot, Jeanmarie, Baulcombe, David C., English, David J., Müller, E., Baulcombe, D. C., Malcuit, Isabelle, Kavanagh, Tony, Valkonen, J. P. T., Puurand, Ü., Merits, A., Rabinstein, F., Sorri, O., Saarma, M., Liao, Y. C., Vaquero-Martin, C., Monecke, M., Rohde, W., Prüfer, D., Fischer, R., Antignus, Y., Lachman, O., Pearlsman, M., Cohen, S., Qiu, W. P., Moyer, J. W., Feldhoff, A., Kikkert, M., Kormelink, R., Krczal, G., Peters, D., Szittya, György, Burgyán, József, Wvpijewski, K., Paduch-Cichal, E., Rezler, A., Skrzeczkowska, S., Augustyniak, J., Nemchinov, L., Maiss, E., Hadidi, A., Wittner, Anita, Palkovics, László, Balázs, Ervin, Crescenzi, A., Piazzolla, P., Kheyr-Pour, A., Dafalla, G. A., Lecoq, H., Gronenborn, B., Bauer, U., Laux, I., Hajimorad, M. R., Ding, X. S., Flasinski, Stanislaw, Cassidy, Pour G., Dugdale, B., Beetham, P. R., Harding, R. M., Dale, J. L., Qiu, G., Shaw, J. G., Molnár, A., Más, P., Balsalobre, J. M., Sánchez-Pina, M. A., Pallás, V., Rahontei, J., López, L., Lázara, J. J., Barón, M., Owens, R. A., Steger, G., Hu, Y., Fels, A., Hammond, R. W., Riesner, D., Schröder, A. R. W., Góra, A., Pawlowicz, J., Kierzek, A., Zagorski, W., Baumstark, T., Schiebel, W., Schiebel, R., Axmann, A., Haas, B., Sänger, H. L., Xicai, Yang, Yin, Yie, Feng, Zhu, Yule, Liu, Liangyi, Kang, Po, Tien, Poliyka, H., Staub, U., Wagner, M., Gross, H. J., Sano, Teruo, Ishiguro, Akiro, Fayos, J., Garro, R., Bellés, J. M., Conejero, V., Bonfiglioli, R. G., Webb, D. R., Symons, R. H., El-Dougdoug, K. A., Abo-Zeid, A. A., Ambrós, S., Hernandez, C., Desvignes, J. C. C., Flores, R., d’Aquilio, M., Lisa, V., Boccardo, G., Vera, A., Daròs, J. A., Henkel, J., Spieker, R., Higgins, C., Turley, R., Chamberlain, D., Bateson, M., Dale, J., d’Aquino, L., Ragozzino, A., Henderson, J., Bateson, M. F., Chaleeprom, W., Gibbs, A. J., Graichen, K., Rabenstein, F., Schliephake, E., Smith, H. G., Stevens, M., Sadowy, E., Hulanicka, D., Wegener, B., Martin, M. T., Wetzel, T., Cook, G., Kasdorf, G. G. F., Pietersen, G., Braithwaite, Kathryn S., Gambley, Cherie F., Smith, Grant R., Druka, Arnis, Villegas, Lucille, Dahal, Ganesh, Hull, Roger, Senchugova, N. A., Büchen-Osmond, C., Dallwitz, M. J., Blaine, L. D., Naik, P. S., Sonone, A. B., Kolaskar, A. S., Sgro, J. Y., Palmenberg, A. C., Leclerc, Denis, Hohn, Thomas, Moriones, E., Batlle, A., Luis, M., Alvarez, J., Bernal, J. J., Alonso, J. L., Spak, J., Kubelkova, D., Kuo, T. T., Gachechiladze, K. K., Adamia, R. S., Balardshishvili, N. S., Chanishvili, T. G., Krüger, D. H., Nagy, Tibor, Élö, Péter, Papp, Péter, Orosz, László, Licis, N., Berzins, V., Sariol-Carbelo, Carlos A., RodrCarlos, C. M., Janzen, D., Ward, Colin W., Scott, S. W., Shiel, P. J., Berger, P. H., Aleman, M. E., Beachy, R. N., Fauquet, C. M., Salm, S. N., Rybicki, E. P., Rey, M. E. C., Briddon, R. W., Harper, G., Druka, A., Phillips, S., Brunt, A. A., Hull, R., Hay, Jo, Dasgupta, Indranil, Zaifeng, Fan, Meehan, Brian M., Todd, Daniel, Bunk, Hans-Jörk, Grieco, F., Martelli, G. P., Saldarelli, P., Minafra, A., Morag, A., Mumcuoglu, M., Baybikov, T., Schlesinger, M., Zakay-Rones, Z., Shohat, B., Shohat, M., Miller, M., Shaklay, M., Kalvatchev, Z., Walder, R., Garzaro, D., Barrios, M., Karagöz, Ali, Kuru, Avni, Karim, M. R., Johnson, A. J., Takida, S., Thompson, M. C., Omer, H. M. K., Omer, O. L. M., Biyiti, L., Amvam, R. H., Lamaty, G., Bouchet, P., Xu, J., Hefferon, K. L., Abou Haidar, M. G., and Meng, A. X. X.

Published
1997
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48. Reconsidering person-centered service models as social ecology networks

Author

Woolcott, G., Keast, R., Tsasis, P., Lipina, Sebastián Javier, and Chamberlain, D.

Subjects
ECOLOGICAL THEORY, SOCIAL NETWORK, purl.org/becyt/ford/5 [https], THEORETICAL PERSPECTIVE, purl.org/becyt/ford/5.1 [https], CARE SYSTEM
Abstract

Efforts to address problems such as mental health, poverty, social exclusion, and chronic disease have often proven resistant to traditional policies or interventions. In this paper, we take up the challenge and present a pioneering new method of analysis in drawing on theoretical and methodological extensions of two prominent approaches, namely, social network analysis and developmental social ecology. Considered in combination, these two seemingly disparate approaches frame a powerful new way of thinking about person-centred care, as well as offer a methodologically more rigorous set of analytical tools. The conceptual model developed from this combination offers to bridge the apparent disconnect between service integration levels and patient needs in such a way as to direct optimal effort to interventions at the individual level and to provide a new innovative approach to the delivery of integrated care. Fil: Woolcott, G.. Southern Cross University; Austria Fil: Keast, R.. Southern Cross University; Austria Fil: Tsasis, P.. University of York; Reino Unido Fil: Lipina, Sebastián Javier. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. CEMIC-CONICET. Centro de Educaciones Médicas e Investigaciones Clínicas "Norberto Quirno". CEMIC-CONICET; Argentina Fil: Chamberlain, D.. La Trobe University; Australia

Published
2019

49. Fundamental interaction of hydrophobic materials in concrete with different moisture contents in saline environment

Author

Al-Kheetan, M, Rahman, M, and Chamberlain, D

Subjects
Moisture content, Morphology, Interaction mechanism, Sodium acetate, Fluoropolymer, Silicone resin, Hydrophobicity, Silane, Concrete
Abstract

The present paper investigates the performance and efficacy of four protective surface applied materials; sodium acetate, fluoropolymer, silicone resin and silane when applied to marine structures with different moisture contents. Materials were applied to fully dry and fully saturated concrete along with concrete with 2% and 4% moisture contents. The interaction mechanism of the materials with concrete and their microstructural and morphological assessments were conducted by running SEM, EDX and FTIR analyses to evaluate their performance in the presence of moisture. Also, their efficacy in protecting concrete from water ingress and chloride penetration was evaluated by operating the Initial Surface Absorption Test (ISAT) and Unidirectional salt ponding test respectively. Results demonstrated that moisture content imposes a vital effect on the interaction of the materials with concrete and their adhesion inside the pores, and consequently their efficacy in reducing both, water and chloride penetration.

Published
2019

50. Performance Enhancement of Self-Compacting Concrete in Saline Environment by Hydrophobic Surface Protection

Author

Al-Kheetan, M, Rahman, M, and Chamberlain, D

Subjects
Moisture content, Protection, Self-compacting concrete, Impregnation, Sorption
Abstract

The purpose of this research is to enhance the performance of Self-compacting Concrete (SCC) to make it a more sustainable alternative to traditional concrete. SCC serves the purpose in harsh environments, therefore, requires protection against de-icing agents and harmful saline environments. This paper reports the results from a laboratory study evaluating the efficacy of two impregnants; pure-silane and water-based silane. Both materials were applied on dry and wet SCC specimens manufactured with high and medium doses of superplasticiser. When treatment is applied on dry samples, a significant reduction in chloride penetration was noticed. However, the impregnants were less effective when applied on specimens subjected to intermediate and long-term exposure to water. In dry conditions, pure-silane performed better than the water-based silane, although they had a similar performance when applied on wet specimens. In addition, increasing the internal moisture content has shown an adverse effect on the efficacy of both materials.

Published
2019

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