https://www.um.edu.mt/library/oar/handle/123456789/689 2026-09-16T12:35:34Z 2026-09-16T12:35:34Z Abed, Nida Pérez-Esteve, Clara Knežević-Krajina, Hana Buttigieg, Sandra C. Tella, Susanna Srulovici, Einav Sousa, Paulo Jorge Dos Santos Knezevic, Bojana Mira, Jose J. https://www.um.edu.mt/library/oar/handle/123456789/148439 2026-08-07T08:56:14Z 2026-01-01T00:00:00Z

Title: Strengthening safety for informal caregivers in home care Authors: Abed, Nida; Pérez-Esteve, Clara; Knežević-Krajina, Hana; Buttigieg, Sandra C.; Tella, Susanna; Srulovici, Einav; Sousa, Paulo Jorge Dos Santos; Knezevic, Bojana; Mira, Jose J. Abstract: This scientific letter aims to raise awareness of the critical role informal caregivers play in home care settings and the need to find new approaches to ensure patient safety in this specific environment. With Europe’s aging population, the shift of hospital care to the home, and deinstitutionalization policies, the demand for informal caregiving in developing countries is rapidly rising. Informal care, provided by family members, neighbours, friends, and hired personnel by the families, in maintaining patient safety and well-being, Informal care has been estimated to have an economic value equivalent to 50-90% of the overall cost of long-term care across the European countries. In spite of the alteration towards home-based care, the existing patient safety literature remains focused on formal institutions, creating a major gap in patient safety within the unregulated home care environments.

2026-01-01T00:00:00Z Buttigieg, Sandra C. Soares, Ana Luísa Bak, Bartosz McFadden, Sonya Hughes, Ciara McClure, Patricia Couto, Jose Guilherme Bravo, Isabel https://www.um.edu.mt/library/oar/handle/123456789/148438 2026-08-07T08:52:26Z 2026-01-01T00:00:00Z

Title: Beyond the hospital walls : integrating clinical wisdom and global equity into the circular economy healthcare paradigm - a response to recent commentaries Authors: Buttigieg, Sandra C.; Soares, Ana Luísa; Bak, Bartosz; McFadden, Sonya; Hughes, Ciara; McClure, Patricia; Couto, Jose Guilherme; Bravo, Isabel Abstract: The publication of our foundational analysis, “A Review of the Applicability of Current Green Practices in Healthcare Facilities,” has catalyzed a sophisticated dialogue that transcends operational efficiency. This commentary is a collective insight that fundamentally shifts our strategic focus from mere green practices, often paying lip service to the term, to a systemic regenerative ethos, thereby aligning with the Lancet Commission’s assertion that the climate crisis represents the greatest global health opportunity of the 21st century. It is a response to the six commentaries that are offered by Gan & Kim, Wu & Liang, Weimann, Zanobini et al, von Eiff & von Eiff, and Esmaeili, which constitute a rigorous international scholarly peer review. Our purpose here is to synthesize these diverse perspectives into a cohesive roadmap for future health policy, bridging the gap between theoretical frameworks and actionable realities of healthcare leadership, so as to achieve a revolutionary shift to an environmentally friendly health sector.

2026-01-01T00:00:00Z Quintano, Lucienne Vella Bonanno, Patricia Strametz, Reinhard Klemm, Victoria Buttigieg, Sandra C. https://www.um.edu.mt/library/oar/handle/123456789/147949 2026-07-09T09:35:52Z 2026-01-01T00:00:00Z

Title: The second victim phenomenon in medical practitioners, nurses, and pharmacists : the SeViMa study for Malta Authors: Quintano, Lucienne; Vella Bonanno, Patricia; Strametz, Reinhard; Klemm, Victoria; Buttigieg, Sandra C. Abstract: Aim: To determine the prevalence, distribution, symptom burden, and recovery patterns of the second victim phenomenon (SVP) among healthcare professionals in Malta and to assess demographic, workplace, cultural, and personality-related correlates of SVP risk and symptom severity. Subject and methods: This was a cross-sectional study. Data were collected using a questionnaire that incorporated the English translation of the Second Victims in German-speaking countries (SeViD) instrument, the Big Five Inventory-10, and open-ended questions. The questionnaire was sent to all registered medical practitioners, nurses, and pharmacists in Malta. Analyses examined associations between SVP status/symptom load and professional group, demographic variables, workplace characteristics, and personality traits. Results: The prevalence of SVP was 77.7% among medical practitioners, 69.8% among nurses, and 42.3% among pharmacists. Triggers included patient death, patient harm, and aggression. Emotional and cognitive symptoms predominated, particularly intrusive recollections, self-doubt, and concentration difficulties. Prolonged symptoms were reported by 18.9% of medical practitioners, 14.7% of nurses, and 11.0% of pharmacists. Risk factors differed by profession: fewer years of experience predicted a higher symptom load in medical practitioners; older age increased risk in nurses while experience was protective; and female gender, non-Maltese nationality, and community pharmacy setting were associated with higher symptom severity among pharmacists. Personality traits did not predict SVP status but were associated with symptom severity. Conclusion: SVP is significant in Malta, with profession-specific risk profiles and a substantial symptom burden. Informal support predominates, highlighting the need for structured, targeted measures to reduce SVP impacts across professional groups.

2026-01-01T00:00:00Z Tomaselli, Gianpaolo Garg, Lalit Gupta, Vipul Xuereb, Peter A. Buttigieg, Sandra C. https://www.um.edu.mt/library/oar/handle/123456789/144921 2026-03-13T14:33:38Z 2018-01-01T00:00:00Z

Title: Corporate social responsibility communication research : state of the art and recent advances Authors: Tomaselli, Gianpaolo; Garg, Lalit; Gupta, Vipul; Xuereb, Peter A.; Buttigieg, Sandra C. Abstract: This chapter provides a review of the current state of corporate social responsibility (CSR) communication research and a theoretical framework on related topics. The analysis covers a period of twenty years (from 1997 to 2016) and statistically maps the streams of research advances on CSR communication, identifying top academic journals in the field. Moreover, the authors focus on the importance of CSR communication for businesses, the different approaches to communication, and review the literature dealing with both digital and traditional tools adopted for CSR communication. A discussion on how today's businesses are aware of the importance of communicating CSR to their stakeholders and are implementing both digital and traditional tools in a complementary way for their CSR communication strategy follows; research gaps, limitations, and further directions conclude the chapter. Finally, this chapter provides some inputs about the relevance of this topic for digital business transformation.

2018-01-01T00:00:00Z