INTRODUCTION Sexual problems are common with cardiovascular disease, and can negatively impact quality of life. To address sexual problems, guidelines have identified the importance of sexual counselling during cardiac rehabilitation, yet this is rarely provided. The Cardiac Health and Relationship Management and Sexuality (CHARMS) intervention aims to improve the provision of sexual counsellin...

OBJECTIVE to explore health-care professionals' views about safety in maternity services. This paper identifies aspects of care that are less safe than they should be, possible ways to improve safety, and potential obstacles to achieving these improvements. This study was part of the King's Fund inquiry into the safety of maternity services in England. DESIGN qualitative study with a sample o...

BACKGROUND Examination of knowledge, attitudes, and beliefs of house staff physicians will be important in developing interventions to improve antimicrobial use and prevent resistance. METHODS A 75-item survey was distributed to house staff physicians on nonpediatric services in a university teaching hospital. Knowledge was assessed with a 10-question quiz. RESULTS The survey was completed ...

introduction: depression as a disorder is relatively common in all societies several factors are involved in depression development, that shift work is one of these factors. this study compared the frequency of depression in different shifts of nurses in hospitals of yazd university of medical sciences. materials & methods: this study is a descriptive analytical study. based on statistical meth...

This article describes a 6-month pilot project in which a community mental health team provided a dementia inreach service into 4 care homes in Birmingham, UK. The project included analysis of the impact of the service at the end of the project as well as a literature review of dementia care in care homes, and especially the issue of antipsychotic medication use and non-pharmacological approach...

Dear and McLain have shown clearly how the establishment of an intermediate care ward reduced the admission rate to their neonatal unit.' Although such a ward may be useful in some hospitals, a similar admission rate has been achieved at this hospital by different means. In 1979 the admission rate to the neonatal unit was 15-7%. Seven years later it had fallen to 5-2% of babies delivered at the...

Through the lens of the 'welfare of the child' assessment, this paper explores how staff working in the area of in vitro fertilisation and preimplantation genetic diagnosis (IVF/PGD) balance reflexive relations of legitimacy and accountability between the public and private spheres, and between medicine, the citizen and the state. The wider research of which this analysis is a part uses multipl...

This paper presents a review of staff scheduling and rostering, an area that has become increasingly important as business becomes more service oriented and cost conscious in a global environment. Optimised staff schedules can provide enormous benefits, but require carefully implemented decision support systems if an organisation is to meet customer demands in a cost effective manner while sati...

Integrated treatment is recommended for users with a comorbidity of mental illness and substance misuse. However, due to divided support system, coordinated individual care planning (CIP) user participation are emphasised provide the necessary support. One way increasing through shared decision making. challenges evident why coordination not used in practice as intended. To contribute knowledge...

background: the success of any organization depends on  the efforts and job satisfaction of its employees. the aim of this study was to determine the factors affecting job satisfaction among the staff of teaching hospitals in hamadan, iran. methods: this was a descriptive cross-sectional study on 350 staff members of 5 teaching hospitals in hamadan. subjects were selected by stratified random s...