6 research outputs found
Employee Engagement within the NHS: A Cross-Sectional Study
Background:
Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to
analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital.
Methods:
We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the
UK. All participants were working age population from both genders directly employed by the hospital. UWES has three
constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9
tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption) and total
score compared with control score from test manual.
Results:
We found that the score for vigor and dedication is significantly lower than comparison group (
P
< 0.0001 for
both). The score for absorption was significantly higher than comparison group (
P
< 0.0001). However, total score is not
significantly different.
Conclusion:
The study shows that work engagement level is below average within the NHS employees. Vigor and
dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one’s effort,
and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are
immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity,
safety and patient experience
The combined use of antimullerian hormone and age to predict the ovarian response to controlled ovarian hyperstimulation in poor responders: A novel approach
Context: Reduced ovarian response to stimulation represents one of the most intractable problems in infertility treatment. As failed cycle can cause considerable amount of emotional and economical loss, there are various attempts made to predict ovarian response. Aims: To evaluate different factors influencing outcome of assisted reproduction in women with predicted reduced response (antimullerian hormone between 1 and 5 pmol/L) and to develop a model using of AMH and age to predict the number of oocytes in poor responders. Settings and Design: Retrospective study in a teaching hospital. Materials and Methods: We analyzed 85 cycles (57 women) with predicted reduced response with serum AMH value between 1 and 5 pmol/L. Standard ovarian stimulation protocol was used. Primary outcome measures were clinical pregnancy rates and oocytes retrieved. Statistical Analysis Used: Data were analyzed using Microsoft excel and MetlabR software. Results: Clinical pregnancy rate/ET was 20.33%, in this group. AMH and age was analyzed using linear regression model which produced an equation to give predicted oocyte count if AMH and age are known. (Oocytes = age × (-ß) + Serum AMH × α) (Constant ß=0.0102 and α = 1.0407). Conclusions: Combined use of serum AMH and age to predict ovarian response within reduced responder group should be further evaluated. For first time, we suggested combining both factors to predict ovarian response using a simple equation which allow developing tailored strategy
Employee Engagement within the NHS: A Cross-Sectional Study
Background: Employee engagement is the emotional commitment of the employee towards the organisation. We aimed to
analyse baseline work engagement using Utrecht Work Engagement Scale (UWES) at a teaching hospital.
Methods:We have conducted a cross-sectional study within the National Health Service (NHS) Teaching Hospital in the
UK. All participants were working age population from both genders directly employed by the hospital. UWES has three
constituting dimensions of work engagement as vigor, dedication, and absorption. We conducted the study using UWES-9
tool. Outcome measures were mean score for each dimension of work engagement (vigor, dedication, absorption) and total
score compared with control score from test manual.
Results:We found that the score for vigor and dedication is significantly lower than comparison group (P< 0.0001 for
both). The score for absorption was significantly higher than comparison group (P< 0.0001). However, total score is not
significantly different.
Conclusion:The study shows that work engagement level is below average within the NHS employees. Vigor and
dedication are significantly lower, these are characterised by energy, mental resilience, the willingness to invest one’s effort,
and persistence as well as a sense of significance, enthusiasm, inspiration, pride, and challenge. The NHS employees are
immersed in work. Urgent need to explore strategies to improve work engagement as it is vital for improving productivity,
safety and patient experience
Strategies to improve fertilisation rates with assisted conception: a systematic review
<p>Successful fertilisation is one of the key steps determining success of assisted conception. Various factors including sperm or oocyte pathology and environmental factors have a significant impact on fertilisation rates. This systematic review is aimed to evaluate the existing evidence about factors affecting fertilisation and strategies to improve fertilisation rates. A literature search was performed using Ovid MEDLINE ® (Jan 1950–April 2016), EMBASE (Jan 1950–April 2016), Ovid OLDMEDLINE ®, Pre-MEDLINE (Jan 1950–April 2016) and the Cochrane Library. Relevant key words were used to combine sets of results and a total 243 papers were screened. Only qualitative analysis was performed, as there was major heterogeneity in study design and methodology for quantitative synthesis. Factors affecting fertilisation were divided into sperm- and oocyte-related factors. The methods to improve fertilisation rates were grouped together based on the approach used to improve fertilisation rates. Optimising laboratory condition and procedural effects in techniques is associated with improved fertilisation rates. Various techniques are described to improve fertilisation rates including assisted oocyte activation, physiological intracytoplasmic sperm injection (PICSI) and intracytoplasmic morphologically selected sperm injection (IMSI). This review highlights the promising strategies under research to enhance fertilisation rates. Adequately powered multicentre randomised trials are required to evaluate these techniques before considering clinical application.</p
Knowledge, skills and attitude of evidence-based medicine among obstetrics and gynaecology trainees: a questionnaire survey
Objectives: To determine current evidence-based medicine
skills and practice among trainees.
Design: Questionnaire study.
Setting: Electronic survey was sent to all obstetrics and
gynaecology trainees in East Midlands South Deanery, and
responses collected were anonymous.
Participants: All obstetrics and gynaecology trainees in East
Midland South Deanery.
Main outcome measures: Self-reported attitude, skills and
knowledge in various components of evidence-based
medicine.
Results: 69 trainees were included in the study of which 35
responded. Among all respondents, almost 72% of trainees
use non-evidence-based methods to find answers for their
clinical questions, whereas only 18% use appropriate evidence-based
medicine practice for such queries. Just 35%
of trainees have minimum skills of literature searching.
Most of the trainees struggle to understand various components
of evidence-based medicine. Nearly 80% of trainees
do not have formal education or training with regard
to evidence-based medicine.
Conclusions: This study highlights the inadequacy of evidence-based
medicine skills among trainees and urges that
evidence-based medicine be incorporated in formal training
along with specialty study modules