CA : A Cancer Journal for Clinicians

Burnout is a syndrome characterized by emotional exhaustion, increased depersonalization, and a diminished sense of personal accomplishment due to chronic emotional stress at work. Burnout impacts job satisfaction, job performance, vulnerability to illnesses, and interpersonal relationships. There is a gap in the systematic data on the burden of burnout among healthcare professionals from different sectors of healthcare in Middle Eastern countries. Our objective was to examine the burden of burnout among healthcare providers in the Middle East, how it was assessed, which sectors were included, and what interventions have been used. Articles were found through a systematic review of search results including PubMed, Web of Science (Thomson Reuters), and PsycINFO (EBSCO) using search terms reflecting burnout in Middle Eastern countries among populations of healthcare providers. Studies were included if they examined a quantitative measure of burnout among healthcare providers in the Middle East. There were 138 articles that met our inclusion criteria for this systematic review. Studies focused on burnout in the Middle East among physicians (N = 54 articles), nurses (N = 55), combined populations of healthcare workers (N = 22), and medical students (N = 7). The Maslach Burnout Inventory was the most common tool to measure burnout. Burnout is common among physicians, nurses, and other healthcare professionals, with prevalence estimates predominantly ranging between 40 and 60%. Burnout among healthcare providers in the Middle East is associated with characteristics of their work environments, exposure to violence and terror, and emotional distress and low social support. Burnout is highly prevalent among healthcare providers across countries in the Middle East. Previous studies examining burnout in this region have limitations in their methodology. More thoroughly developed epidemiologic studies of burnout are necessary. Health system strengthening is needed in a region that has endured years of ongoing conflict, and there is an urgency to design and implement programs that tackle burnout among health professionals.

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Burnout among healthcare providers in the complex environment of the Middle East: a systematic review.

Aim: Complementary and alternative medicine (CAM) is commonly used all over the world and herbal medicines are the most preferred ways of CAM. The aim of this study is to determine the frequency of herbal medicine use among patients with chronic diseases.
Methods: A cross-sectional descriptive study was conducted from April 2014 to December 2014 among patients who had been diagnosed with diabetes mellitus (DM), hypertension (HT) and hyperlipidemia (HL) in Family Medicine Department of Diskapi Yildirim Beyazit Training and Research Hospital, in Ankara. A questionnaire about herbal drug use was applied by face to face interview to the participants.
Results: A total of 217 patients were included in this study. The mean age of the participants was 56.6±9.7 years (55 male and 162 female). The rate of herbal medicine use was 29%. Herbal medicine use among female gender was significantly higher (p=0.040). Conventional medication use was found to be lower among herbal medicine consumers. There was no relationship between herbal medicine use and type of chronic disease, living area, occupation or education level. Most frequently used herbs were lemon (39.6%) and garlic (11.1%) for HT, cinnamon (12.7%) for DM and walnut (6.3%) for HL.
Conclusions: In this study herbal medicine use was found to be higher among patients who had been diagnosed with chronic diseases. Therefore physicians should be aware of herbal medicine usage of their patients and inform them about the effectivity and side effects of herbal medicines.

Herbal medicine use among patients with chronic diseases.

Perspective on the application of medicinal plants and natural products in wound healing: A mechanistic review.

The effects of Beeswax, Olive oil and Butter impregnated bandage on burn wound healing

The effect of a beeswax, olive oil and Alkanna tinctoria (L.) Tausch mixture on burn injuries: An experimental study with a control group.

Comparison of Nurses in Two Different Cultures: Who Experiences More Burnout

AIM: The present study was conducted in order to determine supportive methods used by the individuals with hypertension to decrease blood pressure
METHODS: It was a descriptive study. No sampling was performed. 95 individuals who were at the hospital during the study period were included in the study. As for the data collection tool; a questionnaire form that addressed socio-demographic data and supportive treatment methods was used. Numbers, percentages and chi-square test were used for the analysis of the data. 
RESULTS: It was found out that mean age of the participant individuals was 61.7±11.1, 77.9% were women and 76.8% were married. Mean duration of hypertension was 9.9±8.2 years and all of the participants had at least one chronic disease. 74.1% of the individuals with hypertension used a supportive treatment for averagely 4.3±3.4 years, 94.3% used mostly herbal treatment methods and 76.0% of those using herbal treatment methods preferred lemon.
CONCLUSION: According to the data of the study; it was seen that individuals with hypertension used mainly herbal supportive methods apart from medicine treatment, diet and salt-restriction. It may be suggested that these individuals be provided counseling services by health care personnel in order not to increase side effects and complications caused by these methods used improperly.

Supportive methods used by the individuals with hypertension to decrease blood pressure

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

Kenan Gümüş

Papers

The effect of a beeswax, olive oil and Alkanna tinctoria (L.) Tausch mixture on burn injuries: An experimental study with a control group.

Comparison of Nurses in Two Different Cultures: Who Experiences More Burnout

Supportive methods used by the individuals with hypertension to decrease blood pressure

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study

The Effects of Preoperative and Postoperative Anxiety on the Quality of Recovery in Patients Undergoing Abdominal Surgery.