Conectar
Problems with healthcare provision in general practice are already present and expected to worsen in the future. Therefore, retaining medical professionals in the long-term. An important factor in deciding on a profession is its compatibility with one’s own life. This study aimed to examine general practitioners’ working environment, social environment, their current work-life integration and potential changes enabled by interprofessional working concepts.
A qualitative approach was used, with guided focus group interviews with 37 general practitioners followed by individual interviews with 10 general practitioners. The interviews were verbatim transcribed and analysed using the framework method. The primary analyses were conducted, overall and separately for each gender. A professional group also carried out analyses. The subgroup analyses are based purely on qualitative trends.
Both genders and all professional groups perceived work-life integration as necessary. Men tended to report a better work-life integration than women. Women were more likely to work part-time and emphasised difficulties with childcare. When establishing interprofessional concepts, participants hope for more opportunities for delegation and co-determination, which can go hand in hand with reduced workload.
In this current study, women tended to perceive a greater degree of double burden both in their job and leisure time than men did. Beyond these gender and professional group differences, there were also tendencies towards differences between women with and without children. The findings indicate that work-life integration is an important factor in the professional setting of general practice. Particularly given the increasing number of female general practitioners, the establishment of part-time and childcare options is necessary.
To map self-care activities related to indwelling urinary catheters in community-residing adults.
Scoping review guided by Joanna Briggs Institute methodology.
Systematic searches of electronic databases (CINAHL, MEDLINE, Embase) and targeted grey literature search were conducted for documents published between 2000 and October 2023.
Documents describing self-care activities and the management of catheter-related complications in community-residing adults (aged ≥ 18 years) were included. Three independent reviewers used Covidence to screen titles and abstracts and full-text articles, appraise the quality of the literature, and extract data. Directed content analysis of the extracted data was conducted, informed by the mid-range theory of self-care of chronic illness, and summarised narratively.
A total of 32 documents were included; nine qualitative studies, eight expert opinions, six quantitative studies, five guidelines, two quality improvement projects, and two reviews. The majority (81.3%) of the documents were concerned with the prevention and management of catheter-associated urinary tract infection (CAUTI; n = 26). Many self-care activities were reported across the self-care processes of maintenance, monitoring, and management. Maintaining the catheter and drainage system, and self-care education topics related to maintaining the catheter were the most cited (n = 17 [53.1%] and n = 20 [62.5%], respectively). Less emphasis was given to management self-care activities, such as seeking support from clinicians (n = 13, 40.6%).
The scoping review findings provide a greater understanding of how persons with indwelling catheters maintain and monitor their catheters and highlight that much less is known about how they manage situations when complications arise.
The findings can guide the design of community care programmes and serve as a basis for developing patient self-care education resources. These findings should be consolidated and examined by nursing researchers, clinicians, and persons with lived experience to provide holistic guidance on self-care of indwelling catheters and associated complications.
FreshRSS 