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  1. AU=Humphries Niamh
  2. AU="Myers, Mary"
  3. AU="Krawiec Krzysztof"
  4. AU="Bhattacharjee, Suvendu"
  5. AU="Phong, Nguyen Thanh"
  6. AU="Pattabiraman, Chitra"
  7. AU="Ngoc, Dang Tran"
  8. AU="Deihl, Eric D"
  9. AU=Longinotti Cristina AU=Longinotti Cristina
  10. AU=Neumeister Michael
  11. AU=Kaur Jaswinder
  12. AU="Ehrenhofer, Adrian"
  13. AU="Combe, Pierre"
  14. AU="Martin B. Kinnerup"
  15. AU="Grana, Justin"
  16. AU="Thiel, Uwe"
  17. AU="Zhao, Jinlong"
  18. AU="Paresce, Erberto"
  19. AU=Theerthakarai R
  20. AU="Glenson S. France"
  21. AU=Cai Yi
  22. AU="Elbasiouny, Sherif M"
  23. AU=Bhandarkar Deepraj S
  24. AU="Stefano Masiero"
  25. AU=Zhang Jin-Ying
  26. AU="Cho, Yun-Ho"
  27. AU=Chatr-aryamontri Andrew
  28. AU="Thompson, Kristin"
  29. AU="Horiguchi, Kumiko"
  30. AU="Wagner, Franz F"
  31. AU="Mishra, Vandana"
  32. AU=Zucker Irving H
  33. AU=Dang Vinh T
  34. AU="Andrea Benedetti"
  35. AU="Xu, Jiyu"
  36. AU="Dawson, Holli E"
  37. AU="Dominy, Katherine M"
  38. AU="Maunik Chapala"
  39. AU="Luksic, Ivica"
  40. AU="Mastronardi, Luciano"
  41. AU="Md Farijul Islam"
  42. AU="Quansah, Gabriel W"
  43. AU="Keane, Stephen"
  44. AU="Marsela, Enklajd"
  45. AU="Tate, Amanda W"
  46. AU="Solodov, E P"
  47. AU="Cheng-Fang Yen"

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  1. Artikel ; Online: A catalyst for change

    Jennifer Creese / John-Paul Byrne / Rebecca Olson / Niamh Humphries

    Methodological Innovations, Vol

    Developing a collaborative reflexive ethnographic approach to research with hospital doctors during the COVID-19 pandemic

    2023  Band 16

    Abstract: The understanding of what ethnography looks like, and its purpose, is continuously evolving. COVID-19 posed a significant challenge to ethnographers, particularly those working in health-related research. Researchers have developed alternative forms of ... ...

    Abstract The understanding of what ethnography looks like, and its purpose, is continuously evolving. COVID-19 posed a significant challenge to ethnographers, particularly those working in health-related research. Researchers have developed alternative forms of ethnography to overcome some of these challenges; we developed the Mobile Instant Messaging Ethnography (MIME) adaptation to ethnography in 2021 to overcome restrictions to our own research with hospital doctors. However, for ethnographic innovations to make a substantial contribution to methodology, they should not simply be borne of necessity, but of a dedicated drive to expand paradigms of research, to empower participant groups and to produce change – in local systems, in participant-collaborators and in researchers and the research process itself. In this paper, we reflect on our experiences using MIME, involving collaborative remote observation and reflection with 28 hospital doctors in Ireland from June to December 2021. After reviewing literature on ethnography in COVID-19 and general epistemological developments in ethnography, we detail the MIME approach and illustrate how MIME presents an evolution of the ethnographic approach, not only practically but in terms of its reflexive shift, its connected and co-creative foundations, and its ability to drive change in research approaches, participant life-worlds and real-world improvement.
    Schlagwörter Social Sciences ; H
    Thema/Rubrik (Code) 390
    Sprache Englisch
    Erscheinungsdatum 2023-03-01T00:00:00Z
    Verlag SAGE Publishing
    Dokumenttyp Artikel ; Online
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  2. Artikel ; Online: COVID-19 and healthcare worker mental well-being: Comparative case studies on interventions in six countries.

    Byrne, John-Paul / Humphries, Niamh / McMurray, Robert / Scotter, Cris

    Health policy (Amsterdam, Netherlands)

    2023  Band 135, Seite(n) 104863

    Abstract: Healthcare worker (HCW) mental well-being has become a global public health priority as health systems seek to strengthen their resilience in the face of the COVID-19 pandemic. Analysing data from the Health System Response Monitor, we present six case ... ...

    Abstract Healthcare worker (HCW) mental well-being has become a global public health priority as health systems seek to strengthen their resilience in the face of the COVID-19 pandemic. Analysing data from the Health System Response Monitor, we present six case studies (Denmark, Italy, Kyrgyzstan, Lithuania, Romania, and the United Kingdom) as a comparative review of policy interventions supporting HCW mental health during the pandemic. The results illustrate a wide range of interventions. While Denmark and the United Kingdom built on pre-existing structures to support HCW mental wellbeing during the pandemic, the other countries required new interventions. Across all cases, there was a reliance on self-care resources, online training tools, and remote professional support. Based on our analysis, we develop four policy recommendations for the future of HCW mental health supports. First, HCW mental health should be seen as a core facet of health workforce capacity. Second, effective mental health supports requires an integrated psychosocial approach that acknowledges the importance of harm prevention strategies and organisational resources (psychological first aid) alongside targeted professional interventions. Third, personal, professional and practical obstacles to take-up of mental health supports should be addressed. Fourth, any specific support or intervention targeting HCW's mental health is connected to, and dependent on, wider structural and employment factors (e.g. system resourcing and organisation) that determine the working conditions of HCWs.
    Mesh-Begriff(e) Humans ; COVID-19 ; Mental Health ; Pandemics/prevention & control ; Health Personnel/psychology ; Psychological Well-Being
    Sprache Englisch
    Erscheinungsdatum 2023-06-26
    Erscheinungsland Ireland
    Dokumenttyp Review ; Journal Article
    ZDB-ID 605805-x
    ISSN 1872-6054 ; 0168-8510
    ISSN (online) 1872-6054
    ISSN 0168-8510
    DOI 10.1016/j.healthpol.2023.104863
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  3. Artikel: 'Today Was Probably One of the Most Challenging Workdays I've Ever Had': Doing Remote Qualitative Research with Hospital Doctors During the COVID-19 Pandemic.

    Humphries, Niamh / Byrne, John-Paul / Creese, Jennifer / McKee, Lorna

    Qualitative health research

    2022  Band 32, Heft 10, Seite(n) 1557–1573

    Abstract: In this article we outline how a team of qualitative researchers responded to the challenging circumstances of the COVID-19 pandemic, describing how we successfully and speedily adopted remote/digital methods to research the experiences of hospital ... ...

    Abstract In this article we outline how a team of qualitative researchers responded to the challenging circumstances of the COVID-19 pandemic, describing how we successfully and speedily adopted remote/digital methods to research the experiences of hospital doctors. In 2020, we used Zoom to conduct qualitative interviews with 48 hospital doctors; in 2021, we used Zoom and WhatsApp to conduct a Mobile Instant Messaging Ethnography with 28 hospital doctors. We explain how we adapted to a virtual setting and provide clear insights (case study vignettes) into the additional demands on researchers and respondents, in particular, the impact on the research team. Finally, we analyse the positive and negatives of using remote qualitative methods and highlight the potential of hybrid data collection models that combine remote and face-to-face methods. We also highlight our success in communicating findings to a policy audience, important in time-critical situations, such as the COVID-19 pandemic.
    Mesh-Begriff(e) COVID-19 ; Hospitals ; Humans ; Pandemics ; Physicians ; Qualitative Research
    Sprache Englisch
    Erscheinungsdatum 2022-06-07
    Erscheinungsland United States
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1275716-0
    ISSN 1552-7557 ; 1049-7323
    ISSN (online) 1552-7557
    ISSN 1049-7323
    DOI 10.1177/10497323221106294
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  4. Artikel ; Online: Feeling like the enemy: the emotion management and alienation of hospital doctors.

    Byrne, John-Paul / Creese, Jennifer / McMurray, Robert / Costello, Richard W / Matthews, Anne / Humphries, Niamh

    Frontiers in sociology

    2023  Band 8, Seite(n) 1232555

    Abstract: Introduction: Globally, an epidemic of psychological distress, burnout, and workforce attrition signify an acute deterioration in hospital doctors' relationship with their work-intensified by COVID-19. This deterioration is more complicated than ... ...

    Abstract Introduction: Globally, an epidemic of psychological distress, burnout, and workforce attrition signify an acute deterioration in hospital doctors' relationship with their work-intensified by COVID-19. This deterioration is more complicated than individual responses to workplace stress, as it is heavily regulated by social, professional, and organizational structures. Moving past burnout as a discrete "outcome," we draw on theories of emotion management and alienation to analyze the strategies through which hospital doctors
    Methods: We used Mobile Instant Messaging Ethnography (MIME), a novel form of remote ethnography comprising a long-term exchange of digital messages to elicit "live" reflections on work-life experiences and feelings.
    Results: The results delineate two primary emotion-management strategies-acquiescence and depersonalization-used by the hospital doctors to suppress negative feelings and emotions (e.g., anger, frustration, and guilt) stemming from the disconnect between professional norms of expertise and self-sacrifice, and organizational realities of impotence and self-preservation.
    Discussion: Illustrating the continued relevant of alienation, extending its application to doctors who disconnect to survive, we show how the socio-cultural ideals of the medical profession (expertise and self-sacrifice) are experienced through the emotion-management and self-estrangement of hospital doctors. Practically, the deterioration of hospital doctors' relationship with work is a threat to health systems and organizations. The paper highlights the importance of understanding the social structures and disconnects that shape this deteriorating relationship and the broad futility of self-care interventions embedded in work contexts of unrealized professional ideals, organizational resource deficits and unhappy doctors, patients, and families.
    Sprache Englisch
    Erscheinungsdatum 2023-08-24
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ISSN 2297-7775
    ISSN (online) 2297-7775
    DOI 10.3389/fsoc.2023.1232555
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  5. Artikel ; Online: A catalyst for change: Developing a collaborative reflexive ethnographic approach to research with hospital doctors during the COVID-19 pandemic.

    Creese, Jennifer / Byrne, John-Paul / Olson, Rebecca / Humphries, Niamh

    Methodological innovations

    2022  Band 16, Heft 1, Seite(n) 3–14

    Abstract: The understanding of what ethnography looks like, and its purpose, is continuously evolving. COVID-19 posed a significant challenge to ethnographers, particularly those working in health-related research. Researchers have developed alternative forms of ... ...

    Abstract The understanding of what ethnography looks like, and its purpose, is continuously evolving. COVID-19 posed a significant challenge to ethnographers, particularly those working in health-related research. Researchers have developed alternative forms of ethnography to overcome some of these challenges; we developed the Mobile Instant Messaging Ethnography (MIME) adaptation to ethnography in 2021 to overcome restrictions to our own research with hospital doctors. However, for ethnographic innovations to make a substantial contribution to methodology, they should not simply be borne of necessity, but of a dedicated drive to expand paradigms of research, to empower participant groups and to produce change - in local systems, in participant-collaborators and in researchers and the research process itself. In this paper, we reflect on our experiences using MIME, involving collaborative remote observation and reflection with 28 hospital doctors in Ireland from June to December 2021. After reviewing literature on ethnography in COVID-19 and general epistemological developments in ethnography, we detail the MIME approach and illustrate how MIME presents an evolution of the ethnographic approach, not only practically but in terms of its reflexive shift, its connected and co-creative foundations, and its ability to drive change in research approaches, participant life-worlds and real-world improvement.
    Sprache Englisch
    Erscheinungsdatum 2022-11-29
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2270022-5
    ISSN 2059-7991 ; 2059-7991
    ISSN (online) 2059-7991
    ISSN 2059-7991
    DOI 10.1177/20597991221137813
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  6. Artikel ; Online: COVID-19 and doctor emigration

    Niamh Humphries / Jennifer Creese / John-Paul Byrne / John Connell

    Human Resources for Health, Vol 19, Iss 1, Pp 1-

    the case of Ireland

    2021  Band 10

    Abstract: Abstract Background Since the 2008 recession, Ireland has experienced large-scale doctor emigration. This paper seeks to ascertain whether (and how) the COVID-19 pandemic might disrupt or reinforce existing patterns of doctor emigration. Method This ... ...

    Abstract Abstract Background Since the 2008 recession, Ireland has experienced large-scale doctor emigration. This paper seeks to ascertain whether (and how) the COVID-19 pandemic might disrupt or reinforce existing patterns of doctor emigration. Method This paper draws on qualitative interviews with 31 hospital doctors in Ireland, undertaken in June–July 2020. As the researchers were subject to a government mandated work-from-home order at that time, they utilised Twitter™ to contact potential respondents (snowball sampling); and conducted interviews via Zoom™ or telephone. Findings Two cohorts of doctors were identified; COVID Returners (N = 12) and COVID Would-be Emigrants (N = 19). COVID Returners are Irish-trained emigrant doctors who returned to Ireland in March 2020, just as global travel ground to a halt. They returned to be closer to home and in response to a pandemic-related recruitment call issued by the Irish government. COVID Would-be Emigrants are hospital doctors considering emigration. Some had experienced pandemic-related disruptions to their emigration plans as a result of travel restrictions and border closures. However, most of the drivers of emigration mentioned by respondents related to underlying problems in the Irish health system rather than to the pandemic, i.e. a culture of medical emigration, poor working conditions and the limited availability of posts in the Irish health system. Discussion/conclusion This paper illustrates how the pandemic intensified and reinforced, rather than radically altered, the dynamics of doctor emigration from Ireland. Ireland must begin to prioritise doctor retention and return by developing a coherent policy response to the underlying drivers of doctor emigration.
    Schlagwörter Doctor migration ; Doctor retention ; Health-worker migration ; Health workforce ; COVID-19 ; Ireland ; Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 360
    Sprache Englisch
    Erscheinungsdatum 2021-03-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
    Datenquelle BASE - Bielefeld Academic Search Engine (Lebenswissenschaftliche Auswahl)

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  7. Artikel ; Online: COVID-19 and doctor emigration: the case of Ireland.

    Humphries, Niamh / Creese, Jennifer / Byrne, John-Paul / Connell, John

    Human resources for health

    2021  Band 19, Heft 1, Seite(n) 29

    Abstract: Background: Since the 2008 recession, Ireland has experienced large-scale doctor emigration. This paper seeks to ascertain whether (and how) the COVID-19 pandemic might disrupt or reinforce existing patterns of doctor emigration.: Method: This paper ... ...

    Abstract Background: Since the 2008 recession, Ireland has experienced large-scale doctor emigration. This paper seeks to ascertain whether (and how) the COVID-19 pandemic might disrupt or reinforce existing patterns of doctor emigration.
    Method: This paper draws on qualitative interviews with 31 hospital doctors in Ireland, undertaken in June-July 2020. As the researchers were subject to a government mandated work-from-home order at that time, they utilised Twitter™ to contact potential respondents (snowball sampling); and conducted interviews via Zoom™ or telephone.
    Findings: Two cohorts of doctors were identified; COVID Returners (N = 12) and COVID Would-be Emigrants (N = 19). COVID Returners are Irish-trained emigrant doctors who returned to Ireland in March 2020, just as global travel ground to a halt. They returned to be closer to home and in response to a pandemic-related recruitment call issued by the Irish government. COVID Would-be Emigrants are hospital doctors considering emigration. Some had experienced pandemic-related disruptions to their emigration plans as a result of travel restrictions and border closures. However, most of the drivers of emigration mentioned by respondents related to underlying problems in the Irish health system rather than to the pandemic, i.e. a culture of medical emigration, poor working conditions and the limited availability of posts in the Irish health system.
    Discussion/conclusion: This paper illustrates how the pandemic intensified and reinforced, rather than radically altered, the dynamics of doctor emigration from Ireland. Ireland must begin to prioritise doctor retention and return by developing a coherent policy response to the underlying drivers of doctor emigration.
    Mesh-Begriff(e) Adult ; Attitude of Health Personnel ; COVID-19 ; Economic Recession ; Emigrants and Immigrants ; Emigration and Immigration ; Foreign Medical Graduates ; Humans ; Ireland ; Job Satisfaction ; Motivation ; Pandemics ; Physicians ; Professional Practice Location ; Qualitative Research ; SARS-CoV-2 ; Travel
    Sprache Englisch
    Erscheinungsdatum 2021-03-03
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1478-4491
    ISSN (online) 1478-4491
    DOI 10.1186/s12960-021-00573-4
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  8. Artikel ; Online: Tracking the leavers

    Niamh Humphries / John Connell / Joel Negin / James Buchan

    Human Resources for Health, Vol 17, Iss 1, Pp 1-

    towards a better understanding of doctor migration from Ireland to Australia 2008–2018

    2019  Band 10

    Abstract: Abstract Background The recession of 2008 triggered large-scale emigration from Ireland. Australia emerged as a popular destination for Irish emigrants and for Irish-trained doctors. This paper illustrates the impact that such an external shock can have ... ...

    Abstract Abstract Background The recession of 2008 triggered large-scale emigration from Ireland. Australia emerged as a popular destination for Irish emigrants and for Irish-trained doctors. This paper illustrates the impact that such an external shock can have on the medical workforce and demonstrates how cross-national data sharing can assist the source country to better understand doctor emigration trends. Method This study draws on Australian immigration, registration and census data to highlight doctor migration flows from Ireland to Australia, 2008–2018. Findings General population migration from Ireland to Australia increased following the 2008 recession, peaked between 2011 and 2013 before returning to pre-2008 levels by 2014, in line with the general economic recovery in Ireland. Doctor emigration from Ireland to Australia did not follow the same pattern, but rather increased in 2008 and increased year on year since 2014. In 2018, 326 Irish doctors obtained working visas for Australia. That doctor migration is out of sync with general economic conditions in Ireland and with wider migration patterns indicates that it is influenced by factors other than evolving economic conditions in Ireland, perhaps factors relating to the health system. Discussion Doctor emigration from Ireland to Australia has not decreased in line with improved economic conditions in Ireland, indicating that other factors are driving and sustaining doctor emigration. This paper considers some of these factors. Largescale doctor emigration has significant implications for the Irish health system; representing a brain drain of talent, generating a need for replacement migration and a high dependence on internationally trained doctors. This paper illustrates how source countries, such as Ireland, can use destination country data to inform an evidence-based policy response to doctor emigration.
    Schlagwörter Medicine (General) ; R5-920 ; Public aspects of medicine ; RA1-1270
    Thema/Rubrik (Code) 337
    Sprache Englisch
    Erscheinungsdatum 2019-05-01T00:00:00Z
    Verlag BMC
    Dokumenttyp Artikel ; Online
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  9. Artikel ; Online: Tracking the leavers: towards a better understanding of doctor migration from Ireland to Australia 2008-2018.

    Humphries, Niamh / Connell, John / Negin, Joel / Buchan, James

    Human resources for health

    2019  Band 17, Heft 1, Seite(n) 36

    Abstract: Background: The recession of 2008 triggered large-scale emigration from Ireland. Australia emerged as a popular destination for Irish emigrants and for Irish-trained doctors. This paper illustrates the impact that such an external shock can have on the ... ...

    Abstract Background: The recession of 2008 triggered large-scale emigration from Ireland. Australia emerged as a popular destination for Irish emigrants and for Irish-trained doctors. This paper illustrates the impact that such an external shock can have on the medical workforce and demonstrates how cross-national data sharing can assist the source country to better understand doctor emigration trends.
    Method: This study draws on Australian immigration, registration and census data to highlight doctor migration flows from Ireland to Australia, 2008-2018.
    Findings: General population migration from Ireland to Australia increased following the 2008 recession, peaked between 2011 and 2013 before returning to pre-2008 levels by 2014, in line with the general economic recovery in Ireland. Doctor emigration from Ireland to Australia did not follow the same pattern, but rather increased in 2008 and increased year on year since 2014. In 2018, 326 Irish doctors obtained working visas for Australia. That doctor migration is out of sync with general economic conditions in Ireland and with wider migration patterns indicates that it is influenced by factors other than evolving economic conditions in Ireland, perhaps factors relating to the health system.
    Discussion: Doctor emigration from Ireland to Australia has not decreased in line with improved economic conditions in Ireland, indicating that other factors are driving and sustaining doctor emigration. This paper considers some of these factors. Largescale doctor emigration has significant implications for the Irish health system; representing a brain drain of talent, generating a need for replacement migration and a high dependence on internationally trained doctors. This paper illustrates how source countries, such as Ireland, can use destination country data to inform an evidence-based policy response to doctor emigration.
    Mesh-Begriff(e) Australia/epidemiology ; Economic Recession ; Emigration and Immigration/statistics & numerical data ; Foreign Medical Graduates/statistics & numerical data ; Health Policy ; Humans ; Ireland/ethnology ; Professional Practice Location/statistics & numerical data
    Sprache Englisch
    Erscheinungsdatum 2019-05-28
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1478-4491
    ISSN (online) 1478-4491
    DOI 10.1186/s12960-019-0365-5
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  10. Artikel ; Online: "I feel I have no voice": hospital doctors' workplace silence in Ireland.

    Creese, Jennifer / Byrne, John-Paul / Matthews, Anne / McDermott, Aoife M / Conway, Edel / Humphries, Niamh

    Journal of health organization and management

    2021  Band ahead-of-print, Heft ahead-of-print

    Abstract: Purpose: Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and safety and human resources in healthcare organisations. This study ... ...

    Abstract Purpose: Workplace silence impedes productivity, job satisfaction and retention, key issues for the hospital workforce worldwide. It can have a negative effect on patient outcomes and safety and human resources in healthcare organisations. This study aims to examine factors that influence workplace silence among hospital doctors in Ireland.
    Design/methodology/approach: A national, cross-sectional, online survey of hospital doctors in Ireland was conducted in October-November 2019; 1,070 hospital doctors responded. This paper focuses on responses to the question "If you had concerns about your working conditions, would you raise them?". In total, 227 hospital doctor respondents (25%) stated that they would not raise concerns about their working conditions. Qualitative thematic analysis was carried out on free-text responses to explore why these doctors choose to opt for silence regarding their working conditions.
    Findings: Reputational risk, lack of energy and time, a perceived inability to effect change and cultural norms all discourage doctors from raising concerns about working conditions. Apathy arose as change to working conditions was perceived as highly unlikely. In turn, this had scope to lead to neglect and exit. Voice was seen as risky for some respondents, who feared that complaining could damage their career prospects and workplace relationships.
    Originality/value: This study highlights the systemic, cultural and practical issues that pressure hospital doctors in Ireland to opt for silence around working conditions. It adds to the literature on workplace silence and voice within the medical profession and provides a framework for comparative analysis of doctors' silence and voice in other settings.
    Mesh-Begriff(e) Attitude of Health Personnel ; Cross-Sectional Studies ; Hospitals ; Humans ; Ireland ; Physicians ; Workplace
    Sprache Englisch
    Erscheinungsdatum 2021-08-02
    Erscheinungsland England
    Dokumenttyp Journal Article
    ZDB-ID 2109532-2
    ISSN 1758-7247 ; 1477-7266
    ISSN (online) 1758-7247
    ISSN 1477-7266
    DOI 10.1108/JHOM-08-2020-0353
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