Cultura

The Health of Health Care Professionals: A Review of Lifestyle, Occupational Stress, and Health Outcomes

VOLUME 21, 2024

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Daad Khalid Hussain AlHakami, Abdullah Ahmed AlZahrani, Reem Ali AlMeghwali, Reem Saleh AlBalawi, Samah Abdulwasea Abdulkarim Hatim, Heba Khaled Dabash, Amal Tulayhan Aziz AlAnazi
Saeed Hamdan AlQahtani, Layali Yaseer Dabash, Basmah Abdu Masri, Rafat Ahmed AlMadni, Mustafa Mohammed AlSaffar, Yaser Abdulaziz Saadi Alotaibi, Majed Bijad D Alotibe, Abdullah Abdulkarim Aletebi

Abstract

Healthcare professionals (HCPs) face growing physical, psychological, and occupational burdens driven by rising patient demands, complex clinical environments, and persistent workforce shortages. This review synthesizes evidence on lifestyle behaviors, occupational stressors, and health outcomes among HCPs, emphasizing how systemic and organizational factors shape professional well-being. Findings show that irregular schedules, disrupted sleep, poor nutrition, and limited opportunities for physical activity increase vulnerability to chronic illness and fatigue. High workloads, emotional labor, hierarchical constraints, moral distress, and administrative burdens further intensify stress, contributing to burnout, anxiety, depression, and reduced job satisfaction. These challenges manifest in both short- and long-term health consequences, including musculoskeletal injuries, cardiometabolic risk, circadian disruption, and mental health disorders. The review also examines how organizational culture particularly concepts drawn from patient safety culture modulates health risks by influencing communication, leadership support, learning environments, and psychological safety. Finally, prevention strategies are explored at both the individual level (mindfulness, resilience training, sleep hygiene, healthy lifestyle interventions) and organizational level (staffing optimization, supportive leadership, non-punitive systems, workload redistribution, and improved communication structures). Global frameworks, including WHO well-being recommendations, reinforce the need for integrated, system-wide approaches to protect and sustain the healthcare workforce. The review concludes by identifying gaps requiring further research and offering actionable steps for building resilient, health-promoting work environments.

Keywords : Healthcare professionals; occupational stress; burnout; lifestyle behaviors; sleep disruption; physical activity; nutrition; mental health; musculoskeletal disorders; cardiometabolic risk; patient safety culture; psychological safety.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty