BACKGROUND: Endoscopic retrograde cholangiopancreatography (ERCP) still has a relatively high complication rate, underscoring the importance of high-quality training. Despite existing guidelines, real-world data on training conditions remain limited. This pan-European survey aims to systematically explore the perceptions surrounding ERCP training. METHODS: A survey was distributed through the friends of United European Gastroenterology (UEG) Young Talent Group network to physicians working in a UEG member or associated states who regularly performed ERCPs. RESULTS: Of 1035 respondents from 35 countries, 649 were eligible for analysis: 228 trainees, 225 trainers, and 196 individuals who regularly performed ERCP but were neither trainees nor trainers. The mean age was 43 years, with 72.1% identifying as male, 27.6% as female, and 0.3% as non-binary. The majority (80.1%) agreed that a structured training regimen is desirable. However, only 13.7% of trainees and 28.4% of trainers reported having such a structured program in their institutions. Most respondents (79.7%) supported the concept of concentrating training in centers meeting specific quality metrics, with 64.1% suggesting a threshold of 200 annual ERCPs as a prerequisite. This threshold revealed that 36.4% of trainees pursued training in lower-volume centers performing <200 ERCPs annually. As many as 70.1% of trainees performed <50 annual ERCPs, whereas only 5.0% of trainers performed <50 ERCPs annually. A low individual trainee caseload (<50 ERCPs annually) was more common in lower-volume centers than in higher-volume centers (82.9% vs. 63.4%). CONCLUSIONS: The first pan-European survey investigating ERCP training conditions reveals strong support for structured training and the concentration of training efforts within centers meeting specific quality metrics. Furthermore, this survey exposes the low availability of structured training programs with many trainees practicing at lower-volume centers and 71% of all trainees having little hands-on exposure. These data should motivate to standardize ERCP training conditions further and ultimately improve patient care throughout Europe.
- MeSH
- Cholangiopancreatography, Endoscopic Retrograde * standards adverse effects MeSH
- Adult MeSH
- Gastroenterology * education MeSH
- Clinical Competence standards MeSH
- Middle Aged MeSH
- Humans MeSH
- Surveys and Questionnaires statistics & numerical data MeSH
- Education, Medical, Graduate * standards methods MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Europe MeSH
Numerous studies have now documented that athletes of different competition levels vary in their motivational styles. Some are internally motivated and train to be better based on intrinsic values, whereas others are controlled by external pressures that drive performance. A third style does not make causal attributions regarding their performance and are amotivated. In the current study, we used latent profile analysis to examine unique typologies of sports motivation in 456 Czech university students comprised of both recreational and more elite athletes participating in various sports and attending a sport education program. Four qualitatively distinct profiles were distinguished varying in the composition of intrinsic, extrinsic, and amotivation. The four profiles differed in their mean levels of social physique anxiety, global self-esteem, and physical self-worth, three markers of how a person feels about themselves in terms of normative standards. Multiple group comparisons based on gender, individual versus team sports, and level of competition reinforced relative consistency in profile composition. Results are discussed in terms of how people can blend different motivational styles, what this portends for self-beliefs, and whether there is relative consistency across meaningful groups.
- MeSH
- Humans MeSH
- Young Adult MeSH
- Motivation * MeSH
- Body Image MeSH
- Cross-Sectional Studies MeSH
- Surveys and Questionnaires statistics & numerical data MeSH
- Self Concept MeSH
- Athletes * psychology statistics & numerical data MeSH
- Sports * psychology statistics & numerical data MeSH
- Students * psychology statistics & numerical data MeSH
- Universities statistics & numerical data MeSH
- Check Tag
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Czech Republic MeSH
- Keywords
- Projekt 35,
- MeSH
- Early Detection of Cancer MeSH
- Adult MeSH
- Health Educators * education MeSH
- Humans MeSH
- Breast Neoplasms * diagnosis prevention & control MeSH
- Surveys and Questionnaires statistics & numerical data MeSH
- Breast Self-Examination MeSH
- Students, Nursing MeSH
- Education * MeSH
- Nurses MeSH
- Health Education * MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
Cíle: V roce 2022 byl připraven adaptovaný Klinický doporučený postup (KDP) zahrnující diagnos- ticko-terapeutické postupy u pacientů s Parkinsonovou nemocí. Doporučení mají pomoci odborníkům z klinické praxe v rozhodovacích schopnostech a cílem KDP je zkvalitnění poskytovaných služeb na národní úrovni a zefektivnění nákladovosti. Metodika: Retrospektivní dotazníkový průzkum s cílem ověřit využití KDP odborníky z klinické praxe (lékaři a nelékařští zdravotničtí pracovníci). Sběr dat byl realizován od začátku června do konce července v roce 2023 sdílením na webovém portále České neurologické společnosti (ČNS) a Extrapyramidovou sekcí ČNS v elektronické podobě. Využit byl dotazník vlastní konstrukce a data byla analyzována pomocí deskriptivní analýzy. Výsledky: Průzkumu se zúčastnilo celkem 51 respondentů (30 žen a 21 mužů) průměrného věku 43,3 roku. V souboru bylo zastoupeno 31 lékařů, tj. 61 % (12 ambulantní péče a 19 lůžková péče), a 20 sester, tj. 39 % (11 ambulantní péče a 9 lůžková péče), s průměrnou délkou klinické praxe 15,2 roku. Využívání KDP v plném znění neuvedla ani jedna všeobecná sestra ve srovnání s lékaři, kde jich šest uvedlo využívání KDP (p = 0,036) a ohodnotilo jej ve vysoké kvalitě. V souvislosti s dalšími návrhy na aktualizaci KDP bylo doporučeno doplnění nových léčivých přípravků (n = 5) a komplexní rozpracování informací pro pacienty (n = 2). Závěr: Parkinsonova nemoc představuje významnou ekonomickou zátěž pro zdravotnické systémy a snížení kvality života pro pacienty v rámci postupné progrese onemocnění. KDP na národní úrovni má za cíl snižovat geografické, demografické a další rozdíly v přístupu k pacientům. Bude realizována pravidelná aktualizace KDP diagnostiky a léčby Parkinsonovy nemoci dle potřeb Extrapyramidové sekce. Doplněna budou doporučení s posledními registrovanými léčivy a diagnosticko- -terapeutickými postupy a také budou v rámci aktualizace připravena komplexní doporučení pro pacienty v laickém jazyce.
Aims: Adapted Clinical Practice Guidelines (CPG) covering diagnostic and therapeutic procedures for patients with Parkinson‘s disease were developed in 2022. The recommendations are intended to assist clinical practitioners in their decision-making abilities, and the CPG aims to improve the quality of services provided nationally including cost-effectiveness. Methodology: A retrospective questionnaire survey to examine the use of CPG by clinical practitioners (physicians and non-physician health professionals). Data collection was conducted from early June to late July in 2023 by sharing it electronically on the Czech Neurological Society (CNS) web portal and the Extrapyramidal Section of the CNS. A self-constructed questionnaire was used and data were analyzed using descriptive analysis. Results: A total of 51 respondents (30 women and 21 men) took part in the survey with an average age of 43.3 years. There were 31 physicians, i.e. 61% (12 ambulatory care and 19 inpatient care) and 20 nurses, i.e. 39% (11 ambulatory care and 9 inpatient care) with an average length of clinical experience of 15.2 years. None of the general nurses reported full use of CPG compared to physicians, where 6 of them reported using CPG (P = 0.036) and rated it as high quality. Other suggestions for updating the CPG included the addition of new medicines (N = 5) and comprehensive development of patient information (N = 2). Conclusion: Parkinson‘s disease represents a significant economic burden on healthcare systems and a reduction in quality of life for patients as the disease progresses. The national CPG aims to reduce geographic, demographic, and other disparities in patient access. Regular updates to the CPG on the diagnosis and treatment of Parkinson‘s disease will be implemented as required by the Extrapyramidal Section. Recommendations will be updated with the latest registered drugs and diagnostic and therapeutic procedures, and comprehensive recommendations for patients in lay language will be prepared as part of the update.
Aim: The present research aimed to provide a systematic analysis of the work ability (WA) of nurses assessed through the Work Ability Index (WAI) with a focus on factors influencing WA in the studied population. Design: A systematic literature review. Methods: In January 2024, a literature search was performed using Medline / PubMed and ScienceDirect databases, in order to identify studies focused on assessment of WA with the WAI among nurses. Databases were searched using 'work ability index' and 'nurse' as key terms. Articles were selected according to PRISMA guidelines. Results: Three hundred twenty-two studies were identified in the initial search (230 studies indexed by Medline / PubMed and 92 by ScienceDirect). After applying inclusion and exclusion criteria, a total of 16 studies were included in the systematic review. The results revealed common factors that affect WA among nurses. These factors are grouped as follows: age, gender, marital status, education, years of work, shift work, and diagnosed diseases. Conclusion: Assessing the WA of nurses with the WAI provides a comprehensive and structured approach to understanding their capacity to meet the demands of their profession while considering various dimensions of health and work-related factors.
- Keywords
- Work Ability Index, WAI,
- MeSH
- Clinical Competence * statistics & numerical data MeSH
- Surveys and Questionnaires statistics & numerical data MeSH
- Data Collection MeSH
- Nurses * MeSH
- Publication type
- Systematic Review MeSH
Aim: To explore the link between nurse professional competence and various educational components within nursing education based on empirical evidence. Design: A scoping review. Methods: A comprehensive literature search was conducted from 1999 to 2024 using the Academic Search Premier, Business Source Complete, CINAHL, Education Research Complete, ERIC, and PubMed databases. Data were analysed using thematic analysis. Results: Thirty relevant studies met the inclusion criteria. The identified competencies were grouped into three main categories: management, nursing intervention, and societal and social competencies. Educational components were divided into two main categories: directive-regulated curricula and optional educational components. Most nurse competencies were linked to one or more educational components. Conclusion: This review found that competencies such as patient care initiation, interprofessional teamwork and nurse leadership received more research attention than others. The most frequently studied educational components were study modules / training in nursing curricula and clinical placements. However, no clear link was found between nurse competence and educational components for graduate nurses.
Nákladově neefektivní péče ve zdravotnictví přestavuje mimořádně naléhavý problém. V kontextu omezených zdrojů a rostoucích nákladů na zdravotní péči je nezbytné rozdělovat zdroje efektivně a spravedlivě. Metody hodnocení nákladové efektivity mají etické důsledky, zejména vyvolávají otázky spravedlnosti a diskriminace. Problematika nákladově efektivní péče vyžaduje širší společenskou diskusi o pravidlech alokace a prioritizace, která by měla respektovat hodnoty férovosti a efektivity, a o transparentnosti v rozhodovacích procesech.
Cost-inefficient care in health care is an extremely urgent problem. In a context of limited resources and rising healthcare costs, it is essential to allocate resources efficiently and fairly. Cost-effectiveness assessment methods have ethical implications, in particular raising issues of fairness and discrimination. The issue of cost-effective care requires a broader social discussion on the rules of allocation and prioritization, which should respect the values of fairness and efficiency, and on transparency in decision-making processes.
- MeSH
- Algorithms MeSH
- Resource Allocation * methods trends MeSH
- Cost-Effectiveness Analysis * economics ethics methods MeSH
- Quality of Life MeSH
- Quality-Adjusted Life Years MeSH
- Humans MeSH
- Life Expectancy MeSH
- Disability-Adjusted Life Years MeSH
- Surveys and Questionnaires statistics & numerical data MeSH
- Health Services Administration economics ethics MeSH
- Decision Making, Organizational MeSH
- Social Discrimination ethics MeSH
- Age Factors MeSH
- Health Status MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
