Greek Healthcare Research Articles

Evaluating the interactions of Medical Doctors with chatbots based on large language models: Insights from a nationwide study in the Greek healthcare sector using ChatGPT

In this AI-focused era, researchers are delving into AI applications in healthcare, with ChatGPT being a primary focus. This Greek study involved 182 doctors from various regions, utilizing a custom web application connected to ChatGPT 4.0. Doctors from diverse departments and experience levels engaged with ChatGPT, which provided tailored responses. Over a month, data was collected using a form with a 1-to-5 rating scale. The results showed varying satisfaction levels across four criteria: clarity, response time, accuracy, and overall satisfaction. ChatGPT's response speed received high ratings (3.85/5.0), whereas clarity of information was moderately rated (3.43/5.0). A significant observation was the correlation between a doctor's experience and their satisfaction with ChatGPT. More experienced doctors (over 21 years) reported lower satisfaction (2.80–3.74/5.0) compared to their less experienced counterparts (3.43–4.20/5.0). At the medical field level, Internal Medicine showed higher satisfaction in evaluation criteria (ranging from 3.56 to 3.88), compared to other fields, while Psychiatry scored higher overall, with ratings from 3.63 to 5.00. The study also compared two departments: Urology and Internal Medicine, with the latter being more satisfied with the accuracy, and clarity of provided information, response time, and overall compared to Urology. These findings illuminate the specific needs of the health sector and highlight both the potential and areas for improvement in ChatGPT's provision of specialized medical information. Despite current limitations, ChatGPT, in its present version, offers a valuable resource to the medical community, signaling further advancements and potential integration into healthcare practices.

The impact of market concentration on the financial performance of general private clinics in Greece

This study investigates the dynamics of the Greek General Private Clinics Sector from 2012 to 2020, focusing on the interplay between market concentration, measured by the Herfindahl-Hirschman Index (HHI), and key financial ratios including Return on Equity (ROE), Gross Profit Margin, Operating Profitability, Net Profit Margin, Earnings After Tax Margin, and Return on Assets. Over the study period, HHI exhibited a significant increase, indicating heightened market concentration within the sector. This rise in HHI correlated positively with Return on Equity (ROE) and Operating Profitability (OP), suggesting that higher market concentration tended to coincide with improved financial performance. Unexpected variations in HHI during certain years underscored the sector's adaptability to market dynamics, revealing insights into how changes in market structure influence financial outcomes within the Greek private clinic industry. Keywords: Greek Healthcare, Market Concentration, Financial Ratios, Herfindahl-Hirschman Index (HHI), General Private Clinics, Financial Analysis.

From Tactical Differentiation to Tactical Convergence. Trajectories of Healthcare Direct Social Actions and Their Impact in the Greek Healthcare Arena: 1983-2015

This paper traces the emergence, politicisation and spread of healthcare provision tactics by (contentious) collective actors in Greece between 1990 and 2015. Drawing on participant observation, in-depth interviews with relevant field actors (N=40), and documentary analysis, the paper develops a diachronic typology that analyses and compares; (1) the appearance of those tactics in the Greek context in the 1990s, (2) their appropriation by contentious actors after the December 2008 riots, and (3) their diffusion, and eventual modularisation over the course of the 2010 crisis and the cycle of anti-austerity contention. In so doing, the paper helps disentangle the dynamics of repertoire innovation through an understudied set of tactics. This is achieved through the reconstruction of the genealogy of healthcare Direct Social Actions (DSAs) – pace Bosi and Zamponi (2015) – in Greece, their transmutation from “consenting” to contentious tactics after 2008, and their wide diffusion among contentious milieus after 2010. In addition, the paper discusses the interplay between the contextual and strategic dimensions of those tactical preferences across actors and across time. To be sure, early utilisation of those tactics on the side of marginal players can be understood as attempts to tactically differentiate themselves vis-à-vis those traditional and hegemonic players in the arena who relied on indirect, protest tactics. The crisis, however, disturbed the seeming equilibrium of the healthcare arena thus prompting tactical convergence around healthcare DSAs among contentious actors, on the one hand, while reinforcing strategic convergence among some actors and strategic divergence among others.

Healthcare Professionals' Attitudes and Practices According to Their Recommendations on Exercise during the First Trimester of Pregnancy: A Greek Cross-Sectional Study.

The aim of this study is to investigate healthcare professionals' attitudes and practices when it comes to their recommendations on exercise during the first trimester of pregnancy and to highlight the factors that influence or predict these attitudes. This cross-sectional study was conducted between January 2022 and March 2023, on a sample of 237 Greek healthcare professionals (midwives and obstetricians) employed in healthcare settings in Attica/Greece. In the statistical analysis, eight independent models of multivariate analyses of variance were conducted. Only half of the participants (54.89%) report that they recommend exercise to pregnant women in the first trimester of pregnancy. The majority do not routinely recommend a specific frequency and duration of exercise. Participants who believe that exercise during pregnancy is of little benefit to pregnant women were less likely to recommend the following, in the first trimester of pregnancy: (a) exercise in general (p = 0.002), (b) resistance/muscle strengthening exercises (p = 0.039), (c) relaxation exercises (p = 0.002), and (d) a specific exercise duration (p = 0.011). Those who report being very familiar with the international guidelines are (a) more likely to recommend exercise in general (p = 0.013), as well as aerobic exercises (p = 0.023); (b) less likely to not recommend a specific frequency (p = 0.027); and (c) more likely to recommend a duration of 30-45 min of exercise in the first trimester (p = 0.017). I this study, a significant proportion of health professionals' attitudes appear to diverge from the recommendations set forth by international scientific bodies regarding exercise during pregnancy. Furthermore, health professionals' beliefs regarding the benefits of exercise during pregnancy, along with their familiarity with international guidelines, appear to influence their usual practices in recommending exercise during the first trimester of pregnancy to pregnant women.

Candida auris in Greek healthcare facilities: Active surveillance results on first cases and outbreaks from eleven hospitals within Attica region

BackgroundCandida auris was sporadically detected in Greece until 2019. Thereupon, there has been an increase in isolations among inpatients of healthcare facilities. AimWe aim to report active surveillance data on MALDI-TOF confirmed Candida auris cases and outbreaks, from November 2019 to September 2021. MethodsA retrospective study on hospital-based Candida auris data, over a 23-month period was conducted, involving 11 hospitals within Attica region. Antifungal susceptibility testing and genotyping were conducted. Case mortality and fatality rates were calculated and p-values less than 0.05 were considered statistically significant. Infection control measures were enforced and enhanced. ResultsTwenty cases with invasive infection and 25 colonized were identified (median age: 72 years), all admitted to hospitals for reasons other than fungal infections. Median hospitalisation time until diagnosis was 26 days. Common risk factors among cases were the presence of indwelling devices (91.1 %), concurrent bacterial infections during hospitalisation (60.0 %), multiple antimicrobial drug treatment courses prior to hospitalisation (57.8 %), and admission in the ICU (44.4 %). Overall mortality rate was 53 %, after a median of 41.5 hospitalisation days. Resistance to fluconazole and amphotericin B was identified in 100 % and 3 % of tested clinical isolates, respectively. All isolates belonged to South Asian clade I. Outbreaks were identified in six hospitals, while remaining hospitals detected sporadic C. auris cases. ConclusionCandida auris has proven its ability to rapidly spread and persist among inpatients and environment of healthcare facilities. Surveillance focused on the presence of risk factors and local epidemiology, and implementation of strict infection control measures remain the most useful interventions.

Validity and Reliability of the Greek Version of Pittsburgh Sleep Quality Index in Chronic Non-Specific Low Back Pain Patients.

The purpose of this study was to investigate psychometric properties of the Greek translation of Pittsburgh Sleep Quality Index (GR-PSQI) in a Greek chronic non-specific low back pain (CNSLBP) sample, thus, providing insight on its clarity and acceptability as a widely used sleep assessment tool in clinical practice. Asymptomatic volunteers (n = 73) and CNSLBP volunteers (n = 47), participated in the study. For the assessment of construct validity, the known-groups method was used. Thus, all the participants (asymptomatic and CNSLBP) completed the GR-PSQI. For the assessment of concurrent validity, the CNSLBP participants additionally completed the following validated questionnaires for depression, insomnia and sleep quality: Beck Depression Inventory Questionnaire (BDI), Insomnia Severity Index (ISI), and Sleep Quality Numeric Rating Scale (SQNRS). For the assessment of test-retest reliability, the CNSLBP participants completed the GR-PSQI a second time, one week after the first time. The results showed excellent test-retest reliability (ICC = 0.969, SEM = 0.90, SDD = 2.49%) and internal consistency (Cronbach α = 0.985), moderate to good concurrent validity (from r = 0.556 to r = 0.860) among PSQI, BDI, SQNRS, and ISI, as well as excellent construct validity (p = 0.000) between the two groups. The Greek translation of PSQI could be a valuable tool for Greek healthcare professionals in both clinical and research environments.

Psychological adaptation among health care workers who work with trauma-exposed refugees in Greece.

Greek health care workers (HCWs) working with refugee and asylum-seeker populations may be at risk of trauma exposure and related distress. The current study sought to further understand the factors that may promote or hinder psychological adaptation among HCWs working with trauma-exposed refugee populations in Greece. Participants were HCWs (N = 20) who completed semistructured interviews. Thematic analysis procedures identified three main themes: vicarious traumatization, (b) mismatch of expectations, and (c) difficulty coping. Our study findings highlight the need to provide adequate training, supervision, and mental health support for HCWs to prevent mental health issues in this population. Additional studies are necessary to understand the long-term consequences of working with refugee populations and explore ways to assist HCWs with self-care.

Palliative Care in the Community: The Greek Version of the Supportive and Palliative Care Indicators Tool (SPICT™).

Systematic identification of persons with palliative care needs constitutes a major challenge for promoting palliative care in all levels of the health system, including primary care. The aim of this study was to translate, cross-culturally adapt, and content validate Supportive and Palliative Care Indicators Tool (SPICT) for use in the Greek primary care context. Secondary objectives were to probe the use of SPICT-GR in exemplary case vignettes, to discuss the clarity and comprehensibility of its content as well as the appropriateness, acceptability, and feasibility of the tool within the Greek primary care. The Greek translation and cross-cultural adaptation of SPICT™ followed World Health Organization recommendations for translation and adaptation of instruments. For this purpose a working group was set up consisting of 2 senior researchers, a primary care professional with postgraduate training in Palliative Medicine and a general practitioner (GP) with special interest in primary palliative care. Three focus groups comprised of health professionals (n = 23) working in primary care settings participated in the pilot testing phase. Participants also completed a questionnaire including rating their perceptions on tool's utility and feasibility as well as on the clarity and relevance of its items. Thematic analysis was used for focus groups discussions on how the tool was perceived and interpreted by health professionals in a Greek healthcare context and descriptive statistics for the quantitative analysis of the questionnaire data. The majority assessed the tool as useful (65%), considered its implementation in primary care as feasible (91%) and rated its items as "relevant" or "very relevant" and "clear" or "very clear." Three themes emerged from focus groups discussions: Guiding clinical practice and facilitating collaboration; promoting comprehensive care and awareness for palliative care; applicability in and suitability for primary care. SPICT-GR™ was identified as a practical and applicable tool for primary care, a source of guidance for the comprehensive identification of patients' palliative care needs, promoting awareness on palliative care and facilitating a shared language among health care professionals.

The Introduction of Biosimilar Medicines into Healthcare Systems as a Health Policy Measure to Save Resources: A Major Challenge to Improve the Efficiency of the Greek Healthcare System

The Introduction of Biosimilar Medicines into Healthcare Systems as a Health Policy Measure to Save Resources: A Major Challenge to Improve the Efficiency of the Greek Healthcare System

Older adults' lived experiences of physical rehabilitation for acquired brain injury and their perceptions of well-being: A qualitative phenomenological study.

To explore the experiences of older adults (65+) living with acquired brain injury regarding their sense of well-being during physical rehabilitation within the Greek Healthcare System. With the increasing ageing population and the life-changing effects of acquired brain injury, there is a need to focus on care for older people and their potential to live well. Rehabilitation systems deserve greater attention, especially in improving the well-being of those who are using them. A qualitative study design with a hermeneutic phenomenological approach was used. Fourteen older adults living with acquired brain injury and undergoing physical rehabilitation in Greece were purposively sampled. Semi-structured interviews were conducted to collect data and were thematically analysed using van Manen's and Clarke and Braun's methods. The COREQ checklist was followed. Four themes emerged from the analysis: (1) Challenges of new life situation, (2) Seeking emotional and practical support through social interaction, (3) Identifying contextual processes of rehabilitation, (4) Realising the new self. The subjective experiences, intersubjective relations and contextual conditions influence the sense of well-being among older adults living with acquired brain injury, thus impacting the realisation of their new self. The study makes the notion of well-being a more tangible concept by relating it to the degree of adaptation to the new situation and the potential for older adults to create a future whilst living with acquired brain injury. Identifying the factors that impact older adults' sense of well-being during rehabilitation can guide healthcare professionals in enhancing the quality of care offered and providing more dignified and humanising care. Older adults living with acquired brain injury were involved in the study as participants providing the research data.

Stress, Professional Burnout, and Employee Efficiency in the Greek National Organization for the Provision of Health Services.

Workplace stress and burnout in the Greek healthcare system had been considered severe even before the high pressure of the COVID-19 pandemic. We aimed to investigate occupational quality of life and burnout effects on workplace errors among the administrative staff in the Greek healthcare system. We enrolled 120 administrative healthcare employee participants between April and May 2019. Occupational burnout was assessed using the Maslach Burnout Inventory-Human Services Survey and the Hospital Anxiety and Depression Scale. Inadequate staffing, a low sense of well-being, exhaustion, and low family income were associated with workplace errors. Increased workload and staff shortages were associated with occupation related quality of life. Targeted interventions supporting healthcare staff mental health are warranted. Wellness and professional burnout can affect professional efficiency and are associated with workplace errors in the healthcare sector. Targeted interventions are warranted to support the mental health of healthcare staff during work and to prevent incidents of post-traumatic stress. Shortages of staffing may lead to an increase in the cost of the provided services.

Social/ economic burden and health-related quality of life in patients with Spinal Muscular Atrophy (SMA) in Greece

Objective: The objective of this study was to determine the economic burden and health-related quality of life (HRQoL) of patients with SMA and their caregivers in Greece, which is still unknown, and explore the economic impact of the implementation of a reproductive carrier screening (RCS) program. Methods: A cross-sectional study was conducted in which an online questionnaire was completed by caregivers of SMA patients. A cost of illness (COI) model was developed in which costs per patient were calculated from a societal perspective and extrapolated to the Greek SMA population. Parents’/caregivers’ HRQoL was measured using the 36-item PedsQL™ Family Impact Module. Resources for the implementation of RCS program were estimated and its short-term impact was assessed. Results: The COI was estimated at €261,785 per patient in 2022. When extrapolating this across all affected persons, the average annual cost ranged from €49,739,395 to €91,036,017 depending on the prevalence considered. Out-of-pocket expenses accounted for 8% of the total. Results of the analysis on HRQoL indicated a high burden on parents/ caregivers with the majority of scores falling below 50 and a mean total score of 45. Depending on the scenario used, an RCS program could save the Greek healthcare system at least €167,181 or increase its costs by €564,804. Conclusions: SMA imposes a significant economic burden in affected patients, caregivers, and health care system. The cost-saving magnitude of a potential implementation of a CRS program is dependent on the parents' reproductive choices following a positive screening result.

Cost-effectiveness Analysis and Impact on Length of Hospital Stay of the Introduction of Remdesivir as a Treatment Option for Hospitalized Patients With COVID-19 Requiring Supplemental Oxygen in Greece Versus Standard of Care

PurposeThe COVID-19 pandemic is a global threat with a devastating impact on health, economy, and society in general. The objective of this study was to assess the clinical and economic value of remdesivir by developing a cost-effectiveness analysis model for hospitalized adults with COVID-19 requiring supplemental oxygen in Greece. MethodsA cost-effectiveness model was developed that included a decision tree model and a Markov cohort model. Clinical effectiveness data for remdesivir were derived from a network meta-analysis. Health care resource use, current clinical practice, and cost data were derived from published literature. Both clinical and cost-effectiveness outcomes were assessed from a Greek health care payer perspective. FindingsTreatment with remdesivir led to 1.45 more life-years and 1.11 quality-adjusted life-years gained compared with standard of care alone. In addition, treatment with remdesivir resulted in fewer days in the hospital per patient (0.87, 1.49, and 1.37 fewer days in the general ward, intensive care unit, and intensive care unit with mechanical invasive ventilation, respectively) than patients treated only with standard of care, as well as with lower hospital bed occupancy rates and fewer deaths. Treatment with remdesivir was also related to cost savings for the Greek health care system, making remdesivir a dominant intervention. ImplicationsThis study provides good evidence for policymakers on the economic value of remdesivir as a treatment strategy for hospitalized patients moderately and severely infected by the virus who require supplemental oxygen. The results support the use of remdesivir as a first-line antiviral treatment option for hospitalized patients in the Greek national COVID-19 treatment algorithm. However, the model does not incorporate estimates on possible additional hospitalizations or rehabilitations, long-term adverse effects of COVID-19, adverse events of remdesivir, or indirect costs of the disease. Therefore, further research is needed to fully evaluate the cost-effectiveness and clinical implications of the use of remdesivir in treating patients with COVID-19 in Greece.

A Cost-Effectiveness and Budget Impact Analysis of AbobotulinumtoxinA in Greece.

This study aimed to assess the cost-effectiveness of abobotulinumtoxinA (aboBoNT-A) plus Best Supportive Care (BSC) compared with BSC alone for managing limb spasticity in adult patients in Greece, as well as to conduct a budget impact analysis of the introduction of aboBoNT-A in the Greek healthcare system compared to onabotulinumtoxinA (onaBoNT-A). Clinical studies were utilized to extract data on drug efficacy and patients' utility, while cost data were collected from Greek sources. The results of the study showed that aboBoNT-A plus BSC was a cost-effective treatment option for both upper and lower limb spasticity in adult patients compared to BSC. Additionally, introducing aboBoNT-A into the Greek healthcare system resulted in cost savings in pharmaceutical spending over a 5-year period. The findings suggest that incorporating aboBoNT-A into the Greek healthcare system could improve patient access to treatment and healthcare resource efficiency, as it is a more economical option compared to onaBoNT-A.

Estimating the Clinical and Economic Impact of Switching from the 13-Valent Pneumococcal Conjugate Vaccine (PCV13) to Higher-Valent Options in Greek Infants.

In June 2010, Greece introduced the 13-valent pneumococcal conjugate vaccine (PCV13) for pediatric vaccination and has since observed a large decrease in pneumococcal disease caused by these vaccine serotypes, yet the disease prevalence of non-vaccine serotypes has increased. Two higher-valent conjugate vaccines, a 15-valent (PCV15) and a 20-valent (PCV20), were developed to improve serotype coverage and combat serotype replacement. A decision-analytic model was adapted to the Greek setting using historical pneumococcal disease trends from PCV13 to forecast future clinical and economic outcomes of higher-valent PCVs over a 10-year period (2023-2033). The model estimated outcomes related to invasive pneumococcal disease (IPD), hospitalized and non-hospitalized pneumonia, and otitis media (OM) resulting from a switch in vaccination programs to PCV15 in 2023 or switching to PCV20 in 2024. Cost-effectiveness was evaluated from the third-party payer's perspective in the Greek healthcare system. Compared to implementing PCV15 one year earlier, switching from PCV13 to PCV20 in 2024 was estimated to be a cost-saving strategy by saving the Greek health system over EUR 50 million in direct medical costs and averting over 250 IPD cases, 54,800 OM cases, 8450 pneumonia cases, and 255 deaths across all ages over a 10-year period.

Benefits and Challenges of Teleworking for a Sustainable Future: Knowledge Gained through Experience in the Era of COVID-19

Since the outbreak of COVID-19, working from home has become the norm for millions of workers worldwide. The purpose of this research was to analyze the benefits and challenges of teleworking in the administrative sectors (except Telehealth Services) of Greek healthcare units with a view to harnessing the knowledge gained through experience, in order to create a frame for sustainable behaviors. Complex and dynamic changes, from both a technical and behavioral aspect, are required to implement teleworking. Therefore, a systematic literature review (SLR) as well as primary quantitative research were used as research methods. The purpose of the SLR was to identify the existing scientific literature. Then, combined with the results of the quantitative research, the data were analyzed, described, and interpreted, and then summarized in the conclusion. In addition, the research was conducted to identify the relationships between telecommuting and organizational behavior, in order to achieve sustainable development in businesses. Moreover, an important positive aspect of telework that emerged from this literature review is the creation of opportunities for potential direct or indirect linkages between telework and many sustainable development goals (SDGs), based on the fact that telework appears to be a community-friendly form of work. In summary, this research strongly suggests that leaders facilitate telecommuters to adopt green practices and volunteerism that can consequently contribute to the SDGs. However, in order to meet the challenges arising from unprecedented times, the leaders of the organizations should redesign their policies, while governments should focus on guaranteeing the rights and freedoms of the workers.

Healthcare Professionals' Perspectives on the Implementation of the Integrated Care Models for Chronic Patients.

Objective This study aimed toassess the understanding, adoption, and barriers to implementing integrated care for chronic diseases among healthcare professionals in Greece. By gathering insights from healthcare professionals directly involved in the care of patients with chronic conditions, this study sought to identify areas for improvement and inform future policy and strategic initiatives to enhance the quality of care and patient outcomes in Greece. Specific objectives included assessing healthcare professionals' knowledge and understanding of integrated care concepts, principles, and components in chronic disease management and exploring healthcare professionals' experiences in providing or participating in integrated care activities for patients with chronic diseases. Methods This study employed a census-based survey design to assess healthcare professionals' understanding, adoption, and barriers to the implementation of integrated care for chronic diseases in the Greek healthcare system. The sampling technique has been used to ensure the representation of different healthcare professions and regions in Greece. The survey questionnaire was structured based on the internationally recognized Chronic Care Model Elements Survey, specifically tailored to capture insights on integrated care for chronic illnesses in Greece. Healthcare professionals from diverse settings, including primary healthcare centers, public and private hospitals, specialty clinics, rehabilitation centers, home-based care services, and private sector practitioners, were targeted to gather comprehensive perspectives. Both urban and rural areas were included to ensure a representative sample, enabling an understanding of integrated care implementation in Greece. Results A total of 246 responses from healthcare professionals in Greece were collected and analyzed. An applicability index was constructed to evaluate the suitability of the integrated care system in Greece, utilizing variables collected during the survey. The reliability of the index was assessed using Cronbach's Alpha coefficient, which demonstrated a high value of 0.940, indicating strong internal consistency and correlation among the questions related to integrated care. However, the data collected for Greece exhibited a departure from a normal distribution using the Shapiro-Wilk test, suggesting the presence of barriers to the implementation of integrated care within the Greek healthcare system. Conclusions The study revealed several obstacles to integrated care implementation, encompassing organizational and individual factors, such as financial constraints, cultural differences, and regulatory challenges. Tackling these barriers will require a collective approach and close collaboration among multiple stakeholders to create an enabling context for adopting integrated care. Possible strategies involve resource allocation, fostering communication and cooperation among healthcare providers, and revising regulatory frameworks to facilitate integrated care practices. In order to achieve the national objectives of improving public health, the survey increases the focus on evidence-based public health.

Balancing between familiarity and professionalism in caring for older persons: A phenomenological study from the perspective of nursing students

AimTo describe the meaning of caring for older persons based on the experiences of nursing students in Greece. BackgroundThe present study is conducted based on a caring science perspective derived from a holistic viewpoint of human beings, aiming to support the well-being of older persons. In Greece, informal caregivers play an important role in caring for older people; however, as the population ages, the need for registered nurses specialising in caring for older people is also increasing. Previous research in other countries has reported a relative lack of interest in this field, which is a threat to the quality of care. To ensure an adequate number of new-generation nurses caring for older people, nursing students’ perceptions of the phenomenon of caring for older persons should be well understood and explored in a context where the number of long-term care beds and residential care facilities are low and where informal caregiving is common. DesignBased on Descriptive Phenomenology, in line with the Reflective Lifeworld Research (RLR) approach. MethodsA total of 12 nursing students at a university in Greece underwent in-depth lifeworld interviews online during June and July 2021 and March 2022; Interviews were transcribed verbatim and were analysed according to the principles of RLR that approaches the phenomena with openness and constant reflection. The participants were students in their fourth or fifth year of nursing education; they had previous experience in older person care and were not acquainted with the authors. ResultsThe results show the essential structure of the meaning of caring for older persons, where otherness consists of intertwined demanding and rewarding elements. The essence is further conveyed by three constituents: otherness of the older person: witnessing someone’s vulnerability; trustful caring: struggling with normative structures; and closeness and distance: balancing between familiarity and professionalism. ConclusionTo ensure quality of care for older persons in the future, an understanding of how nursing students describe their experiences of caring for older persons during education is important. Balancing between familiarity and professionalism highlights the need for further reflection on professionalism and dignity and identifying the norms and values helps to highlight particularities of the context and national healthcare system. Curricula focusing on cultivating students’ preunderstanding, regarding caring for older persons are required to promote a higher quality of care in the future. Caring science can contribute to a focus on a holistic perspective in caring for older people. Tweetable abstractThere is an ever-increasing need for educated nurses in the field of caring for older people. With the lack of interest in this field of nursing, the overall quality of care is impacted. This study describes the meaning of caring for older persons based on the experiences of nursing students in the Greek health care system.

Human Resources Management Analytics in Private Healthcare Unit

Private Greek healthcare sector consists mainly of medium and small size entities. These entities, especially small ones, rely completely on their Human Resources. However, it seems that they do not avail themselves of new technological methods and tools for assessing their human resources.
 The aim of the present study was to create a methodology that will help these entities to evaluate their employees properly and to prove that the empirical knowledge of managers and heads can be enhanced by employing Data Mining methods, in order to create a successful evaluation model.
 In the present study, a healthcare unit consisted of 287 employees was selected. Twelve interviews were conducted with 12 managers and heads. A Graphic Rating Scale Τable, built by eight qualitative attributes, was given to the interviewees. Those 8 qualitative attributes were combined with 18 quantitative attributes in order for a new model to be created. Data were collected from the Human Resources department. To perform the analysis, Machine Learning methods were used.
 This model proved to be functional and capable of giving valid information to management for employees’ evaluation. Data Mining methods are quite useful for the HR department and the Administration of the unit.
 The above methodology provides low-costs and usable tools, for appropriate employees’ evaluation.
 
 EL Classifications: J24, M12, M54, C38.
 Key words: Human Resources, Management, Healthcare Unit, Data Mining

Creativity is Not Related to Higher Cognitive Functioning: An Exploration Among Healthcare Professionals and Students During the Covid-19 Omicron Wave

In the light of the public health crisis due to the coronavirus disease 2019 pandemic, it is important to acknowledge its impact on healthcare professionals and students during the Omicron wave. In this study, the aim was to compare the levels of depressive symptomatology, burnout, and creativity in Greek healthcare professionals and students while exploring associations with cognitive functioning. The sample consisted of 243 Greek individuals (104 healthcare professionals and 139 healthcare university students). Pearson correlation coefficient and independent t-test were used for data analysis. Both groups scored high in depression, however, no significant difference was found in the levels of creativity and cognitive functioning. Although health professionals scored higher in burnout, burnout levels were found to be low in both groups. No correlation was found among cognitive functioning, burnout, depression and creativity. Support should be provided to healthcare professionals and students. Further research should investigate cognitive functioning and possible associations with depression, burnout, and creativity.