The effect of physical activity on healthcare professionals’ work motivation and burnout levels during the covid-19 pandemic: An Istanbul example

In 1996, the first Report of the US Surgeon General on Physical Activity and Health provided an extensive knowledge overview about the positive effects of physical activity (PA) on several health outcomes and PA recommendations. This contributed to an enhanced interest for PA in Sweden. The Swedish Professional Associations for Physical Activity (YFA) were appointed to form a Scientific Expert Group in the project “Sweden on the Move” and YFA created the idea of Physical Activity on Prescription (FaR) and the production of a handbook (FYSS) for healthcare professionals. In Swedish primary care, licensed healthcare professionals, i.e. physicians, physiotherapists and nurses, can prescribe PA if they have sufficient knowledge about the patient’s current state of health, how PA can be used for promotion, prevention and treatment and are trained in patient-centred counselling and the FaR method. The prescription is followed individually or by visiting local FaR providers. These include sport associations, patient organisations, municipal facilities, commercial providers such as gyms, sports clubs and walking clubs or other organisations with FaR educated staff such as health promoters or personal trainers. In clinical practice, the FaR method increases the level of PA in primary care patients, at 6 and at 12 months. Self-reported adherence to the prescription was 65% at 6 months, similar to the known compliance for medications. In a randomised controlled trial, FaR significantly improved body composition and reduced metabolic risk factors. It is suggested that a successful implementation of PA in healthcare depends on a combination of a systems approach (socio-ecological model) and the strengthening of individual motivation and capability. General support from policymakers, healthcare leadership and professional associations is important. To lower barriers, tools for implementation and structures for delivery must be readily available. Examples include handbooks such as FYSS, the FaR system and the use of pedometers.

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Motivation and job satisfaction of healthcare professionals in urban and rural areas in the autonomous province of Vojvodina, Serbia

Medicinski pregled ◽

10.2298/mpns1802033g ◽

2018 ◽

Vol 71 (1-2) ◽

pp. 33-41 ◽

Cited By ~ 1

Author(s):

Maja Grujicic ◽

Jelena Jovicic-Bata ◽

Budimka Novakovic

Keyword(s):

Job Satisfaction ◽

Rural Areas ◽

Healthcare Workers ◽

Healthcare Professionals ◽

Work Motivation ◽

Rural Setting ◽

Rural Healthcare ◽

Quality Health Care ◽

Urban And Rural Areas ◽

Autonomous Province

Introduction. ?otivation and job satisfaction of healthcare professionals represent the basis for providing quality health care. The aim of the study was to establish whether ther? is a difference in motivation and job satisfaction among healthcare professionals in urban and rural areas in Vojvodina, Serbia. Material and Methods. The study included 574 healthcare professionals in urban area, and 145 in rural setting, from three health centers. Data collection was performed by a self-administered questionnaire. Results. Urban healthcare professionals, compared to rural healthcare workers, were significantly more motivated by the factor of work motivation - achieving the goals of the health center. In comparison with rural healthcare professionals, urban healthcare workers are significantly more satisfied with personal qualities of their immediate supervisors, job security guaranteed by their institution, immediate support at work they received from managers, and professional supervision of their work. Conclusion. Compared to rural healthcare professionals, urban healthcare workers are more work motivated and job satisfied.

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Is this an epic innovation? Electronic health record implementation and healthcare workers’ work characteristics and autonomous motivation – a before-and-after study

10.21203/rs.3.rs-563136/v1 ◽

2021 ◽

Author(s):

Gepke L Veenstra ◽

Eric F. Rietzschel ◽

Eric Molleman ◽

Erik Heineman ◽

Jan Pols ◽

...

Keyword(s):

Healthcare Workers ◽

Healthcare Professionals ◽

Work Motivation ◽

Autonomous Motivation ◽

Health Record ◽

Work Characteristics ◽

Job Autonomy ◽

Before And After ◽

Before And After Study

Abstract Background Technological innovation in healthcare is often assumed to contribute to the quality of care. However, the question how technology implementation impacts healthcare workers has received little empirical attention. This study investigates the consequences of Electronic Health Record (EHR) implementation for healthcare workers’ work motivation. The consequences of EHR implementation for healthcare workers’ autonomous work motivation are hypothesized to be mediated by changes in perceived work characteristics (job autonomy and interdependence). Additionally, a moderating effect of profession on the relationship between EHR implementation and work characteristics is explored.Methods A quantitative uncontrolled before-and-after study was performed among employees from a large university medical centre in the Netherlands. Data were analysed following the component approach for testing a first stage moderated mediation model, using Generalized Estimating Equations (GEE). Results A total of 456 healthcare workers (75 physicians, 154 nurses, 145 allied healthcare professionals, and 82 administrative workers) finished both the baseline and the follow-up survey. After EHR implementation, job autonomy decreased, whereas interdependence increased. In line with our hypothesis, job autonomy was positively associated with autonomous motivation. Interdependence showed the same association, which we did not anticipate. Autonomous motivation was stable over the course of EHR implementation. This study did not provide support for a moderating effect of profession, meaning that no differences were observed between the various professions regarding the changes in their experienced job autonomy and interdependence after EHR implementation. Conclusions Our study showed that healthcare professionals’ work characteristics, but not their autonomous motivation, are affected by EHR implementation, and that these experiences were relatively similar for physicians, nurses, allied healthcare professionals. The stability of healthcare workers’ autonomous motivation may be explained by the opposite effects of decreased job autonomy and increased interdependence, and the EHR being in line with healthcare workers’ values. The changes in job autonomy and interdependence may have consequences beyond motivation, for example by affecting clinical decision making, proactive behaviour, and the quality of teamwork. These potential consequences of EHR implementation warrant further research.

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Women’s views about physical activity as a treatment for vasomotor menopausal symptoms: a qualitative study

BMC Women s Health ◽

10.1186/s12905-020-01063-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Adèle Thomas ◽

Amanda J. Daley

Keyword(s):

Physical Activity ◽

Qualitative Study ◽

Healthcare Professionals ◽

Well Being ◽

Menopausal Symptoms ◽

Hot Flushes ◽

Physical Activity Interventions ◽

Night Sweats ◽

Randomised Controlled ◽

Women’S Views

Abstract Background Women commonly seek medical advice about menopausal symptoms. Although menopausal hormone therapy is the most effective treatment, many women prefer non-pharmacological treatments, such as physical activity. The effectiveness of physical activity has been inconclusive when assessed by randomised controlled trials, and it remains unclear how women feel about it as a possible treatment approach. The aim of the study was to explore symptomatic menopausal women’s views and experiences of physical activity as a treatment for vasomotor and other menopausal symptoms. Methods An in-depth qualitative study was embedded within a randomised controlled trial that assessed the effectiveness of physical activity as a treatment for vasomotor menopausal symptoms in previously inactive vasomotor symptomatic women. Participants were randomised to one of two physical activity interventions or a usual care group. Both physical activity interventions involved two one-to-one consultations, plus either supporting materials or access to physical activity support groups, over 6 months. Semi-structured interviews were conducted with 17 purposively selected participants from all three trial groups after they had completed trial follow-up. Interviews were audio recorded, transcribed verbatim, and analysed by constant comparison. Results All participants talked positively about physical activity as a treatment for their menopausal symptoms, with most reporting participation had improved their hot flushes and night sweats. They reported that they had experienced improved sleep, physical health and psychological well-being. Those who received the physical activity plus social-support intervention reported their ability to cope with their menopausal symptoms had improved. Many participants commented that they would prefer doctors to discuss physical activity as a possible treatment for their hot flushes and night sweats, before offering medication. Conclusions Based on the views and experiences of the women who participated in this study, healthcare professionals should continue discussing physical activity as a potential first treatment option with menopausal women. Furthermore, healthcare professionals should ensure they prepare, support, and encourage these women both physically and emotionally. Trial registration ISRCTN ISRCTN06495625 Registered 10/11/2010

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Enhancing intrinsic motivation for physical activity among adolescents with cystic fibrosis: a qualitative study of the views of healthcare professionals

BMJ Open ◽

10.1136/bmjopen-2019-028996 ◽

2019 ◽

Vol 9 (6) ◽

pp. e028996

Author(s):

Sarah Denford ◽

Kelly A Mackintosh ◽

Melitta A McNarry ◽

Alan R Barker ◽

Craig Anthony Williams

Keyword(s):

Physical Activity ◽

Cystic Fibrosis ◽

Intrinsic Motivation ◽

Healthcare Professionals ◽

Qualitative Interviews ◽

Physical Activity Promotion ◽

Multidisciplinary Teams ◽

Activity Promotion ◽

The Uk ◽

Views Of Healthcare Professionals

ObjectiveTo explore the views of healthcare professionals from cystic fibrosis (CF) multidisciplinary teams (MDT) on physical activity for adolescents with CF, the specific strategies used for physical activity promotion and associated challenges.DesignIn this exploratory study, in-depth qualitative interviews were conducted with 15 healthcare professionals from CF MDTs to explore their views surrounding physical activity promotion for adolescents with CF.ParticipantsEleven physiotherapists (nine female), two consultants (both male) and two dieticians (both female) provided written informed consent and participated in the study.SettingCF clinics in the UK.ResultsWhile healthcare professionals highlighted the importance of physical activity in the management of CF, they noted that very few patients were motivated solely by (CF or general) health reasons. Healthcare professionals discussed the need for physical activity to be an enjoyable and routine part of their life, undertaken with significant others, outside the clinic whenever possible. Adopted approaches for physical activity promotion focused on providing individualised recommendations that suit the patients’ individual needs and goals and enhance intrinsic motivation for physical activity.ConclusionOur research offers valuable information for those seeking to develop interventions to promote physical activity among adolescents with CF. Specifically, intervention developers should focus on developing individualised interventions that focus on enhancing intrinsic motivation and support the integration of physical activity into everyday life.

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The physical activity sector within the treatment of mental illness: A scoping review of the perceptions of healthcare professionals

Mental Health and Physical Activity ◽

10.1016/j.mhpa.2020.100349 ◽

2020 ◽

Vol 19 ◽

pp. 100349

Author(s):

Ashley P. McCurdy ◽

Carminda G. Lamboglia ◽

Cliff Lindeman ◽

Amie Mangan ◽

Brendan Wohlers ◽

...

Keyword(s):

Physical Activity ◽

Mental Illness ◽

Scoping Review ◽

Healthcare Professionals

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Recommendations for 24-Hour Movement Behaviours in Adults with Asthma: A Review of Current Guidelines

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17051789 ◽

2020 ◽

Vol 17 (5) ◽

pp. 1789

Author(s):

Shilpa Dogra ◽

Ilana Patlan ◽

Carley O’Neill ◽

Hayley Lewthwaite

Keyword(s):

Physical Activity ◽

Clinical Practice ◽

General Population ◽

Sedentary Behaviour ◽

Healthcare Professionals ◽

Activity Levels ◽

Movement Behaviour ◽

Asthma Care ◽

Future Work ◽

Current Guidelines

Background: Many countries have clinical practice guidelines (CPG) for asthma that serve as an important resource for healthcare professionals and inform the development of policies and practices relevant to asthma care. The purpose of this scoping review was to search for CPGs related to asthma to determine what recommendations related to the 24-h movement behaviours are provided. Methods: We searched for the most recent CPGs published by a national authoritative body from 195 countries. Guidelines were reviewed for all movement behaviours; that is, physical activity, sedentary behaviour, and sleep. Results: In total, 82 documents were searched for eligibility and 19 were included in our review. Of these, only 10 CPGs provided information on physical activity; none provided recommendations consistent with the FITT principle, while seven recommended activity levels similar to the general population. None of the guidelines included information on sedentary behaviour. Nine guidelines included information on sleep: recommendations mostly focused on changes to medication to reduce disruptions in sleep. Conclusions: It is recommended that future work be conducted to create comprehensive movement behaviour guidelines accompanied with relevant precautions and strategies to ensure that adults with asthma are able to safely and effectively engage in movement behaviours throughout the day.

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