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Iran’s healthcare system is considered to be one of the most enduring and resilient ones in the Middle East (1). It had successful records in tackling various infectious diseases by producing vaccines at the Pasteur and Razi institutes for several years’ duration (2). However, COVID-19 has severely affected the healthcare system in Iran. From the beginning of the pandemic until January 01, 2024, over 146,000 cases lost their lives to COVID-19, with almost nine peaks resurgence (3). In this paper, the challenges regarding the control of COVID-19 in Iran are discussed, while the competences were discussed earlier (1).

Objective: To assess the prevalence of burnout among dental students of public and private institutions in Khyber Pakhtunkhwa and Punjab, Pakistan. Material and Methods: A cross-sectional descriptive survey was conducted at five public and private dental institutions from June 2021 to May 2022. A validated twelve-item closed-ended Burnout Clinical Subtype Questionnaire was distributed among the dental students of two private and two public institutes in Pakistan. The research questions focused on demographic information and students' academic experiences. Data analysis is presented through tables and descriptive methods. Results: A total of 274 dental undergraduate students - second (42.3%), third (35.4%), and final (22.3%) academic year participated in this study. The mean age of the respondents was 21.9, with the range of 20-26 years. Most participants were females (74.1%) compared to the males (25.9%). The findings for burnout syndrome among dentistry students and students in the private and public sectors were not significant. Conclusion: In the current study, burnout levels among dental undergraduates, both private and public, were low.

Background: Healthcare professionals’ psychological wellbeing at work affects patients’ experiences of care. However, the literature tends to focus on negative aspects of psychological wellbeing, such as stress and burnout, and interventions to support healthcare professionals’ wellbeing have limited effectiveness. The growing global concern over the psychological wellbeing of healthcare professionals has escalated following the COVID-19 pandemic. There is an urgent need to review the recent literature on healthcare professionals' psychological wellbeing to identify gaps in our knowledge. This scoping review will help focus the future research to improve the psychological wellbeing of healthcare staff and thereby patients’ care experiences. Aim: This scoping review aims to answer two research questions: 1) What do we know about healthcare professionals' and patients' perceptions of healthcare professionals' psychological wellbeing at work? 2) How does the psychological wellbeing of healthcare professionals at work affect patients' experiences of care? Method: We conducted a scoping review using frameworks developed by Arksey and O'Malley (2005) and Levac, Colquhoun and O'Brien (2010). Our comprehensive literature search covered publications dated 2011–2021 in PubMed, CINAHL, Scopus and PsychInfo, NIHR Journals, EThOS, Open Grey, Google Scholar, and the Department for Health and Social Care and Kings Fund websites. We also hand-searched the reference lists of included studies. Two independent reviewers assessed the eligibility of studies. Results: We included 56 articles from 16 countries, most using qualitative methods. We identified five themes: 1) The definition of healthcare professional psychological wellbeing; 2) The relationship between healthcare professionals’ psychological wellbeing and nature of healthcare work; 3) The role of organisational culture in healthcare professionals’ psychological wellbeing and the importance of organisational culture; 4) The impact the COVID-19 pandemic on of healthcare professionals’ psychological wellbeing; and 5) The link between healthcare professionals’ psychological wellbeing and patients’ experiences of care. We found a complex relationship between organisational culture, healthcare professionals’ perceptions of psychological wellbeing, and patients’ experiences of care. Conclusion: While there is currently no consensus on the definition of psychological wellbeing in healthcare professionals, our review highlights its relation to organizational culture and its impact on patients' experiences of care. Future research should include patients' perspectives and develop meaningful ways to support, develop, and retain healthcare professionals. Tweetable abstract: Scoping review: wellbeing of healthcare professionals is poorly understood. Basic needs must be met first to support staff to care @KathrynBamforth

Objectives: Evidence shows paediatric critical care (PCC) nurses display high rates of burnout, moral distress, symptoms associated with post‐traumatic stress disorder (PTSD) and poor well‐being. The COVID‐19 pandemic magnified these pressures producing extremely challenging working conditions. The objective was to understand PCC nurses' lived experience of working during COVID‐19 to determine the impact it had on their well‐being. Design: A qualitative design was used with individual, semi‐structured online interviews analysed using thematic analysis. Results: Ten nurses from six PCC units in England participated. Five themes were generated: (i) Challenges of working in Personal Protective Equipment (PPE), (ii) Adapting to redeployment to adult intensive care, (iii) Changes to staff working relationships, (iv) Being unable to attain work‐life balance and (v) Unprocessed traumatic experiences of working in COVID‐19. It was clear COVID‐19 presented novel challenges to PCC nurses' well‐being. With those came enforced changes in practice; some were temporary, for example use of PPE and redeployment, but others provided insight into the prerequisites for good staff well‐being, for example strong professional relationships, work–life balance and managing one's psychological health. Conclusions: Findings show authentic connections between peers, verbal and non‐verbal communication and a sense of belonging were crucial to nurses' well‐being. A dent in PCC nurses' perceived competence significantly affected their well‐being. Finally, staff need a psychologically safe space to process distress and trauma experienced during COVID‐19. Future research needs to test evidence‐based, theoretically‐informed well‐being interventions to improve and maintain PCC nurses' well‐being. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective: To understand the implications of working conditions during the COVID-19 pandemic for Nursing professionals. Method: Qualitative, exploratory, and descriptive study conducted in four hospitals in southern Brazil. A total of 349 records made by nurses and nursing technicians/assistants through an electronic form were selected and submitted to content analysis. Ethical aspects were respected, and the participants consented to the Free and Informed Consent Form. Results: The increase in work demands and exhaustion were evidenced; the lack of hospital institutional support in assisting infected workers and in view of the need for further testing; and the impacts of the devaluation of Nursing, expressed by feelings of vulnerability and lack of recognition. Final considerations: The pandemic increased the wear and tear of Nursing with a projection of the lack of structure for crises situations. It is suggested to invest in the emotional and managerial resources of health care teams to better cope with similar health crises in the future.

Background The turnover intention level of general practitioners (GPs) in primary care in China is relatively high, and identification of its associated factors will offer insights into the curbing of outflow of health talents in primary care. The targeted admission medical graduates (TAMG) who completed the "5+3" standardized general residency program (5-year undergraduate medical education plus 3-year standardized residency training) have gradually entered primary care to fulfill their preadmission commitments, but research on their turnover intention after the tenure is few. Objective To explore the turnover intention and associated factors in Guizhou's TAMG trained with the "5+3" standardized general residency program after fulfilling their preadmission commitments in primary care, providing a basis for improving the policies about retaining the in-service health talents and developing the general practice workforce. Methods Participants were TAMG who were working in primary hospitals of Guizhou for fulfilling their preadmission commitments after finishing the "5+3" standardized general residency program at the end of 2020 (with a starting time for the 3-year standardized residency training of 2015—2017) . An online questionnaire survey was conducted with them from January 20 to February 10, 2021 for understanding their general information, self-assessed job satisfaction, turnover intention and planned career development after the expiration of services. Three hundred and eleven (89.6%) of the 347 cases who returned responsive questionnaires were selected as the final participants. Univariate and stepwise multiple linear regression analyses were used to explore the factors related to turnover intention. Results The average turnover intention score for the respondents was (3.98±0.98) points. The prevalence of having turnover intention was 73.6% (229/311) . The level of turnover intention differed obviously by sex, hospital location, and daily workload (P

The General Practice Crisis Summit was held by the Royal Australian College of General Practitioners (RACGP) in early October, 2022. Attendees, including general practice experts and healthcare stakeholders in Australia, engaged in intensive roundtable discussions around three key issues of funding models required to support general practice development, addressing the erosion of the general practice workforce, and improving the capture and meaningful use of data, hoping to explore appropriate solutions to these issues and the future development of general practice. We analysed the background and the contents of the summit, as well as the international development and associated factors in general practice, aiming at informing Chinese colleagues about frontiers and advances in general practice.