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Njaramba F. Transformational leadership in a crisis: Dimensional analysis with psychological capital. Heliyon 2024; 10:e35900. [PMID: 39224329 PMCID: PMC11366892 DOI: 10.1016/j.heliyon.2024.e35900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2024] [Revised: 07/13/2024] [Accepted: 08/06/2024] [Indexed: 09/04/2024] Open
Abstract
Previous research attests to the benefits of transformational leadership (as a unitary construct) for various employee outcomes. Less is known about how specific dimensions of transformational leadership relate to outcomes during crisis. In the present paper, we investigate how each dimension of transformational leadership, namely, intellectual stimulation, individualized consideration, inspirational motivation, and idealized influence relate to employees' psychological capital in a crisis, specifically the COVID-19 pandemic. A cross-sectional study was conducted where employees from 301 small and medium sized enterprises in Kenya completed a survey containing the variables of interest. Quantitative data analysis using partial least squares structural equation modelling was utilized to test the study hypotheses using Smart PLS 4 software. Results showed that only two of the four transformational leadership dimensions had a positive and significant impact on employees' psychological capital: Intellectual stimulation and individualized consideration. In terms of the theorized hypotheses, fear of COVID-19 moderated the relationship between (a) idealized influence, (b) intellectual, and (c) individualized consideration, and employees' psychological capital. However, only intellectual stimulation reached a significant effect size. The present study reveals the varied relevance of transformation leadership dimensions to psychological capital in a crisis. A new condition (emotional assessment of a crisis) for assessing this relationship was proposed. We discuss theoretical and practical implications, strengths, limitations, and suggestions for future studies.
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Affiliation(s)
- Faith Njaramba
- Strathmore Business School, Strathmore University, Nairobi, Kenya
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Bingöl Ü, Bilgin N, Çetinkaya A, Kutlu A. Variables that predict nurses' job stress and intention to leave during the COVID-19 pandemic in Turkey. J Adv Nurs 2024. [PMID: 39031791 DOI: 10.1111/jan.16287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Revised: 05/15/2024] [Accepted: 06/06/2024] [Indexed: 07/22/2024]
Abstract
AIM To investigate the variables predicting job stress and intention to leave the job among nurses during the COVID-19 pandemic in Turkey. DESIGN This research was designed as an analytical cross-sectional study. METHODS The population of the study consisted of 450 nurses working in a training and research hospital (N = 450). The study sample consisted of 178 nurses who worked in that hospital between February and July 2021. The Nurse Information Form, Job Stress Scale, and Intention to Leave Scale were used as data collection tools. The independent-sample t-test, one-way analysis of variance, and Pearson correlation analysis were applied for univariate analysis while multiple regression analysis was used for multivariate analysis. RESULTS It was determined that the main factors predicting nurses' job stress levels were their Intention to Leave Scale scores, level of organizational satisfaction. The main factors predicting intention to leave were their Job Stress Scale scores, working conditions, and job satisfaction. A positive moderate correlation was found between job stress and intention to leave. CONCLUSION This study demostares that among nurses during the COVID-19 pandemic, the predictors of job stress were intention to leave and organizational satisfaction, while the predictors of turnover intention included job stress, working conditions, and job satisfaction. Hospital managers, especially nursing services managers, should develop strategies for extraordinary situations such as pandemics and evaluate the professional satisfaction of nurses while providing a healthy working environment. PATIENT OR PUBLIC CONTRIBUTION No patient or public contributions.
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Affiliation(s)
- Ümran Bingöl
- Izmir Provincial Health Directorate, Health Services Directorate, Project Coordination Unit, İzmir, Turkey
| | - Nurcan Bilgin
- Nursing/Department of Nursing Management, Manisa Celal Bayar University Faculty of Health Sciences, Manisa, Turkey
| | - Aynur Çetinkaya
- Nursing/Department of Public Health Nursing, Manisa Celal Bayar University Faculty of Health Sciences, Manisa, Turkey
| | - Adalet Kutlu
- Nursing/Department of Surgical Nursing, Manisa Celal Bayar University Faculty of Health Sciences, Manisa, Turkey
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Kunjavara J, Ali Alomari AM, Mannethodi K, Hassan N, Singh K, Joy GV, Al Lenjawi B. Middle East Nurses Turnover Intention and its Correlates Amid the COVID-19 Pandemic: A Systematic Review. Hosp Top 2024:1-9. [PMID: 38836418 DOI: 10.1080/00185868.2024.2359551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2024]
Abstract
Global nursing scarcity was more evident during COVID-19. This study investigated the rates and contributing factors of turnover intention in the middle east through meta-analysis. Medline EMCARE, Cochrane, CINAHL, EMBASE, Ovid, Psych Info, PubMed, Science Direct, Scopus, and Web of Science databases searched, Protocol PROSPERO Registration Number was CRD42022337686. The turnover intention rate was 42.3% [CI: 40%, 44.6%]. Working environment, stress, deployment to COVID, fear of infection, long working hours, shift duties, and lack of social support were the major contributing factors.
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Affiliation(s)
- Jibin Kunjavara
- Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar
| | | | | | - Nesiya Hassan
- Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar
| | - Kalpana Singh
- Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar
| | - George V Joy
- Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar
| | - Badriya Al Lenjawi
- Nursing and Midwifery Research Department, Hamad Medical Corporation, Doha, Qatar
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de Vargas D, Volpato RJ, Dos Santos LC, Pereira CF, de Oliveira SR, da Silva RR, Maciel MED, Fernandes IL, de Oliveira Santana K, Aguilar TF. Prevalence of psychological and mental health symptoms among nursing professionals during the COVID-19 pandemic in the Americas: Systematic review and meta-analysis. Int J Ment Health Nurs 2024; 33:582-599. [PMID: 38151828 DOI: 10.1111/inm.13274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Revised: 11/14/2023] [Accepted: 11/29/2023] [Indexed: 12/29/2023]
Abstract
To assess the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent. A systematic review and meta-analysis of observational studies that estimated the prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic was performed through bibliographic database searches. A three-level meta-analysis model was used with the inverse variance method, tau was estimated via restricted maximum likelihood and logistic transformation, and heterogeneity was presented as tau2 and I2. Of the 7467 studies obtained, 62 were included in the meta-analysis, which involved 52 270 nursing professionals. The overall prevalence for at least one mental health symptom was 56.3% (50.4%, 62.1%; I2 = 98.6%, p < 0.001). Eight mental health symptoms were found; among them, the most prevalent were burnout (52.1%, 37.1%, 88.8%; I2 = 98.5%, p < 0.001) and fear (52.1%, 30.1%, 73.3%; I2 = 98.1%, p < 0.001). The prevalence of mental health symptoms in nursing professionals during the COVID-19 pandemic on the American continent was high, and strategies should be developed and implemented by managers and government agencies to promote the well-being, physical and mental health of nursing professionals. Studies like this one are necessary to highlight the need for efforts in the implementation of promotion and prevention actions to be developed by health organisations, managers and leaders with a view to improving the quality of life of nursing workers.
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Affiliation(s)
| | | | | | | | | | | | - Marjorie Ester Dias Maciel
- Nucleon of Addiction Nursing Research, School of Nursing (NEPEEA), University of São Paulo, São Paulo, Brazil
| | | | | | - Thiago Faustino Aguilar
- Nucleon of Addiction Nursing Research, School of Nursing (NEPEEA), University of São Paulo, São Paulo, Brazil
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Petrou G, Crombie A, Begg S, Skinner T, Faulkner P, McEvoy A, Parker C, Masman K, Bamforth L, Caccaviello G, Stanyer E, McEvoy M. The moderating role of psychological resilience in the relationship between fear of COVID-19 and psychological distress, in a cohort of rural and regional healthcare workers. During major lockdowns in Victoria, Australia 2020-2021. Int J Ment Health Nurs 2024. [PMID: 38590109 DOI: 10.1111/inm.13333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2023] [Revised: 02/22/2024] [Accepted: 03/27/2024] [Indexed: 04/10/2024]
Abstract
The emergence of the COVID-19 pandemic resulted in substantial pressures for healthcare workers across the world. The association between fear of COVID-19 and psychological distress, and the role of psychological resilience have gained research interest. The current study aimed to investigate the cross-sectional association between fear of COVID-19 and psychological distress, in Australian rural/regional healthcare workers and determine whether resilience modifies this association. Most participants were nurses (38.0%), mean age was 44.9 years, and 80.5% were female (N = 1313). An adjusted logistic regression analysis showed that the highest tertile of the Fear of COVID-19 scale was associated with higher odds of moderate to severe symptoms of anxiety (OR = 3.72, 95% CI = 2.27, 6.11; p < 0.001) and depression (OR = 3.48, 95% CI = 2.30, 5.28; p < 0.001). Healthcare workers with high level of fear of COVID-19 and low level of resilience were much more likely to report moderate to severe symptoms of anxiety (OR = 12.27, 95% CI = 6.65-22.65, p < 0.001) and depression (OR = 12.21, 95% CI = 6.93-21.50, p < 0.001) when compared to healthcare workers with low level of fear of COVID-19 and high level of resilience. A cross-sectional design was used and therefore cause and effect between fear of COVID-19 and psychological distress cannot be inferred. Longitudinal research is needed to investigate the possible causal relationship. These findings highlight the potential mental health effects of fear of COVID-19 on HCWs and demonstrate the importance of resilience as a possible moderator of these effects.
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Affiliation(s)
- Georgia Petrou
- La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
| | - Angela Crombie
- Bendigo Health, Bendigo, Victoria, Australia
- Violet Vines Marshman Centre for Rural Health Research, Bendigo, Victoria, Australia
| | - Stephen Begg
- La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
- Violet Vines Marshman Centre for Rural Health Research, Bendigo, Victoria, Australia
| | - Timothy Skinner
- Institute of Psychology, University of Copenhagen, Copenhagen, Denmark
- School of Psychology and Public Health, La Trobe University, Bendigo, Victoria, Australia
| | | | - Anne McEvoy
- Kyabram District Health Service, Kyabram, Victoria, Australia
| | | | | | | | | | | | - Mark McEvoy
- La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia
- School of Medicine and Public Health, University of Newcastle, Newcastle, New South Wales, Australia
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Ching SM, Cheong AT, Yee A, Thurasamy R, Lim PY, Zarina II, Lee KW, Taher SW, Ramachandran V. Prevalence and factors associated with burnout among healthcare providers in Malaysia: a web-based cross-sectional study. Ir J Med Sci 2024; 193:851-863. [PMID: 37556104 DOI: 10.1007/s11845-023-03483-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Accepted: 07/26/2023] [Indexed: 08/10/2023]
Abstract
BACKGROUND This study aimed to assess the determinants of burnout among healthcare providers in the primary care setting. METHODS A web-based cross-sectional study was conducted among 1280 healthcare providers aged 18 years and older from 30 primary care clinics in Selangor, Malaysia. In this study, the Copenhagen Burnout Inventory was used to assess burnout. The results were analyzed using multiple logistic regression. RESULTS The prevalence of personal burnout was 41.7%, followed by work-related burnout (32.2%) and client-related burnout (14.5%). The determinants for personal burnout in this study were younger age, being a doctor, higher COVID-19 exposure risk, do not know where to seek help, inability to handle stress, poorer sleep quality score, higher total COVID-19 fear score, higher total stress score, and lower total BRS score. The determinants of work-related burnout were younger age, being a doctor, longer years of working, higher COVID-19 exposure risk, do not know where to seek help, lower altruistic score, poorer sleep quality score, higher total stress score, and lower total brief resilience score (BRS) score. The determinants of client-related burnout were doctor, single/divorced, more than one attachment site, and higher satisfaction toward the infection control, inability to handle stress, higher total depression score, and lower total BRS score. CONCLUSION Every fourth out of ten suffered from personal burnout, one-third from work-related burnout, and one-seventh from client-related burnout among healthcare providers during the COVID-19 pandemic. Healthcare systems must take care of healthcare workers' physical and emotional depletion, reducing the risk of burnout.
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Affiliation(s)
- Siew-Mooi Ching
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia.
| | - Ai Theng Cheong
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia
| | - Anne Yee
- Department of Psychological Medicine, Faculty of Medicine, University of Malaya, 50603, Kuala Lumpur, Malaysia
| | - Ramayah Thurasamy
- School of Management, Universiti Sains Malaysia, 11800, Penang, Minden, Malaysia
| | - Poh Ying Lim
- Department of Community Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia
| | - Irmi Ismail Zarina
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia
| | - Kai Wei Lee
- Department of Medical Microbiology, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400, Selangor, Serdang, Malaysia
| | - Sri Wahyu Taher
- Klinik Kesihatan Simpang Kuala, Ministry of Health Malaysia, Alor Setar Kedah, Malaysia
| | - Vasudevan Ramachandran
- Department of Medical Science, Faculty of Health Sciences, University College of MAIWP International, Taman Batu Muda, 68100, Kuala Lumpur, Batu Caves, Malaysia
- Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India
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de Vries N, Maniscalco L, Matranga D, Bouman J, de Winter JP. Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: A systematic review and meta-analysis. PLoS One 2024; 19:e0300377. [PMID: 38484008 PMCID: PMC10939201 DOI: 10.1371/journal.pone.0300377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Accepted: 02/26/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND The global outbreak of COVID-19 has brought to light the profound impact that large-scale disease outbreaks can have on healthcare systems and the dedicated professionals who serve within them. It becomes increasingly important to explore strategies for retaining nurses and physicians within hospital settings during such challenging times. This paper aims to investigate the determinants of retention among nurses and physicians during the COVID-19 pandemic. METHOD A systematic review of other potential determinants impacting retention rates during the pandemic was carried out. Secondly, a meta-analysis on the prevalence of intention to leave for nurses and physicians during the COVID-19 pandemic. FINDINGS A comprehensive search was performed within four electronic databases on March 17 2023. Fifty-five papers were included in the systematic review, whereas thirty-three papers fulfilled the eligibility criteria for the meta-analysis. The systematic review resulted in six themes of determinants impacting intention to leave: personal characteristics, job demands, employment services, working conditions, work relationships, and organisational culture. The main determinants impacting the intention to leave are the fear of COVID-19, age, experience, burnout symptoms and support. Meta-analysis showed a prevalence of intent to leave the current job of 38% for nurses (95% CI: 26%-51%) and 29% for physicians (95% CI: 21%-39%), whereas intention to leave the profession for nurses 28% (95% CI: 21%-34%) and 24% for physicians (95% CI: 23%-25%). CONCLUSION The findings of this paper showed the critical need for hospital managers to address the concerning increase in nurses' and physicians' intentions to leave during the COVID-19 pandemic. This intention to leave is affected by a complex conjunction of multiple determinants, including the fear of COVID-19 and the confidence in and availability of personal protective equipment. Moreover, individual factors like age, experience, burnout symptoms, and support are maintained in this review. Understanding the influence of determinants on retention during the COVID-19 pandemic offers an opportunity to formulate prospective strategies for retaining nurses and physicians within hospital settings.
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Affiliation(s)
- Neeltje de Vries
- Department of Internal Medicine, Spaarne Gasthuis, Haarlem and Hoofddorp, the Netherlands
- Spaarne Gasthuis Academy, Spaarne Gasthuis, Haarlem and Hoofddorp, the Netherlands
| | - Laura Maniscalco
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, “G. D’Alessandro” (PROMISE), University of Palermo, Palermo, Italy
| | - Domenica Matranga
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, “G. D’Alessandro” (PROMISE), University of Palermo, Palermo, Italy
| | - José Bouman
- Spaarne Gasthuis Academy, Spaarne Gasthuis, Haarlem and Hoofddorp, the Netherlands
| | - J Peter de Winter
- Spaarne Gasthuis Academy, Spaarne Gasthuis, Haarlem and Hoofddorp, the Netherlands
- Department of Paediatrics, Spaarne Gasthuis, Haarlem and Hoofddorp, the Netherlands
- Leuven Child and Health Institute, KU Leuven, Leuven, Belgium
- Department of Development and Regeneration, KU Leuven, Leuven, Belgium
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Liu C, Li S, Zhou J, Zhang M, Chen H. Relationship between fear of COVID-19 and mental health of Chinese nurses: The mediating effects of psychological capital and burnout. Nurs Open 2024; 11:e2136. [PMID: 38488419 PMCID: PMC10941571 DOI: 10.1002/nop2.2136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 02/09/2024] [Accepted: 02/21/2024] [Indexed: 03/18/2024] Open
Abstract
AIM The aim of the study was to investigate the correlation between fear of COVID-19 and mental health of nurses and the effects of psychological capital and burnout in this relation. DESIGN A cross-sectional study. METHODS The online surveys were conducted among mainland Chinese nurses. Participants (n = 445; average age 32.89 ± 6.76 years) completed an online-questionnaire based on the Fear of COVID-19 Scale, the Psychological Capital Scale, Maslach Burnout Inventory Human Services Survey for Medical Professionals Scale and the 12-Item Short Form Health Survey. Data analysis was conducted by Pearson's correlation analysis, Harman single-factor test and the bootstrap method for mediating effect testing. RESULTS (1) The study demonstrated a significant direct effect of fear of COVID-19 on nurses' mental health, as well as on mediating factors such as burnout and psychological capital. (2) Regression analyses confirmed that while psychological capital bolstered mental health, burnout undermined it, with fear of COVID-19 further imposing a negative influence. (3) Fear of COVID-19 exerted an effect on the mental health of nurses by the independent and chain intermediary functions of psychological capital and burnout, resulting in a total mediating effect of -0.233.
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Affiliation(s)
- Chengxiang Liu
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Sainan Li
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Juan Zhou
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Miao Zhang
- Department of NursingThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Hong Chen
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
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Alagarsamy S, Mehrolia S, Mathew J. Fear of COVID-19, workplace phobia, workplace deviance and perceived organizational support: A moderated mediation model. Stress Health 2024; 40:e3289. [PMID: 37427668 DOI: 10.1002/smi.3289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 11/14/2022] [Accepted: 06/28/2023] [Indexed: 07/11/2023]
Abstract
This paper aims to test a moderated-mediation model examining therelationships between Fear of COVID-19, workplace phobia, work deviance behaviourand perceived organizational support among hotel employees. An online questionnaire was administered to collect data, to which 481 responded. Data was collected from full-time frontline employees working in the Maldivian hospitality industry. The moderated-mediation model explained 44% of the variance in workplace deviance behaviourscan be predicted bythe fear of COVID-19, perceived organisational support and workplace phobia. The findingsshowthat perceived organizational support reduces the negative impact of COVID-19 fear on workplace phobia and deviance. Results suggest that to reduce the negative effect of the pandemic, organisations should adopt support measures across different managerial levels at different scales rather than providing one-size-fits-all solutions.
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Affiliation(s)
| | - Sangeeta Mehrolia
- School of Business and Management, Christ (Deemed to be University), Bangalore, India
| | - Jain Mathew
- School of Business and Management, Christ (Deemed to be University), Bangalore, India
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Nxumalo CT, Tokwe L, Ngcobo SJ, Gam NP, Mchunu GG, Makhado L. Exploring the perceptions and lived experiences of family members living with people diagnosed with COVID-19 in South Africa: a descriptive phenomenological study. Int J Qual Stud Health Well-being 2023; 18:2247622. [PMID: 37639491 PMCID: PMC10464539 DOI: 10.1080/17482631.2023.2247622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2022] [Accepted: 08/09/2023] [Indexed: 08/31/2023] Open
Abstract
BACKGROUND The incidence and prevalence of COVID-19 continues to escalate globally, with the consequence to quality of life, the economies of nations and various sectors of society. While there is substantial research on the impact and experiences of the COVID-19 pandemic, little remains known about the perceptions and lived experiences of families living with people diagnosed with COVID-19, particularly within the South African context. PURPOSE To explore the perceptions and lived experiences of family members living with people diagnosed with COVID-19 in South Africa. METHODS A descriptive phenomenological design was used. Data were collected from 15 participants who were family members of people diagnosed with COVID-19 in South Africa. Purposive snowball sampling was used to identify and recruit participants, and data were collected at community level in KwaZulu-Natal, Western Cape and Gauteng, South Africa. Individual in-depth interviews were used to collect the data, and an audio tape was used to record all interviews. Data were transcribed verbatim and analysed using a phenomenological data analysis processes. Ethical approval to conduct the study was obtained from the University of KwaZulu-Natal Research Ethics Committee-reference number: BREC00003228/2021. RESULTS Four super-ordinate themes emerged in relation to the perceptions and lived experiences of family members living with people diagnosed with COVID-19 in South Africa. The superordinate themes were: (1) sources of information about COVID-19, (2) pandemic perceptions and experiences, (3) impact of diagnosis and related burden and (4) aftermath of living with a family member diagnosed with COVID-19. DISCUSSION AND CONCLUSION Family members' perceptions and lived experiences of COVID-19 are largely influenced by media, moreover, the impact of diagnosis has consequences for the physical, mental and emotional well-being of family members. Diagnosis disrupts family dynamics by depleting financial resources due to the caregiver burden experienced. The findings thus imply that provision of psychosocial support is imperative for families living with persons diagnosed with COVID-19.
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Affiliation(s)
- Celenkosini Thembelenkosini Nxumalo
- Academic Development Unit, Faculty of Health Sciences, Durban University of Technology, Ritson Campus, Durban, South Africa
- Department of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Lwandile Tokwe
- School of Nursing, Faculty of Community and Health Sciences, University of Western Cape, Cape Town, South Africa
| | - Silingene Joyce Ngcobo
- Department of Nursing, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Nkululeko Phalson Gam
- Centre for quality Promotion and Assurance, Faculty of Health Sciences, Durban University of Technology, Durban, South Africa
| | - Gugu Gladness Mchunu
- Executive Dean, Faculty of Health Sciences, Durban University of Technology, Ritson Campus, Durban, South Africa
| | - Lufuno Makhado
- Executive Dean, School of Public Health, University of Venda, Thohoyandou, South Africa
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Lam MI, Chen P, Zhang Q, Sha S, An FR, Su Z, Cheung T, Ungvari GS, Ng CH, Xiang YT, Feng Y. Prevalence of COVID-19 fear and its association with quality of life and network structure among Chinese mental health professionals after ending China's dynamic zero-COVID policy: a national survey. Front Public Health 2023; 11:1280688. [PMID: 37965522 PMCID: PMC10642929 DOI: 10.3389/fpubh.2023.1280688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 10/09/2023] [Indexed: 11/16/2023] Open
Abstract
Background China recorded a massive COVID-19 pandemic wave after ending its Dynamic Zero-COVID Policy on January 8, 2023. As a result, mental health professionals (MHPs) experienced negative mental health consequences, including an increased level of fear related to COVID-19. This study aimed to explore the prevalence and correlates of COVID-19 fear among MHPs following the end of the Policy, and its association with quality of life (QoL) from a network analysis perspective. Methods A cross-sectional national study was conducted across China. The correlates of COVID-19 fear were examined using both univariate and multivariate analyses. An analysis of covariance (ANCOVA) was conducted to determine the relationship between fear of COVID-19 and QoL. Central symptoms were identified using network analysis through the "Expected Influence" of the network model while specific symptoms directly correlated with QoL were identified through the "flow function." Results A total of 10,647 Chinese MHPs were included. The overall prevalence of COVID-19 fear (FCV-19S total score ≥ 16) was 60.8% (95% CI = 59.9-61.8%). The binary logistic regression analysis found that MHPs with fear of COVID-19 were more likely to be married (OR = 1.198; p < 0.001) and having COVID-19 infection (OR = 1.235; p = 0.005) and quarantine experience (OR = 1.189; p < 0.001). Having better economic status (good vs. poor: OR = 0.479; p < 0.001; fair vs. poor: OR = 0.646; p < 0.001) and health status (good vs. poor: OR = 0.410; p < 0.001; fair vs. poor: OR = 0.617; p < 0.001) were significantly associated with a lower risk of COVID-19 fear. The ANCOVA showed that MHPs with fear of COVID-19 had lower QoL [F = 228.0, p < 0.001]. "Palpitation when thinking about COVID-19" was the most central symptom in the COVID-19 fear network model, while "Uncomfortable thinking about COVID-19" had the strongest negative association with QoL (average edge weight = -0.048). Conclusion This study found a high prevalence of COVID-19 fear among Chinese MHPs following the end of China's Dynamic Zero-COVID Policy. Developing effective prevention and intervention measures that target the central symptoms as well as symptoms correlated with QoL in our network structure would be important to address COVID-19 fear and improve QoL.
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Affiliation(s)
- Mei Ieng Lam
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China
- Kiang Wu Nursing College of Macau, Macao, Macao SAR, China
| | - Pan Chen
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Qinge Zhang
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Sha Sha
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Feng-Rong An
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Zhaohui Su
- School of Public Health, Southeast University, Nanjing, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Gabor S. Ungvari
- Section of Psychiatry, University of Notre Dame Australia, Fremantle, WA, Australia
- Division of Psychiatry, School of Medicine, University of Western Australia, Perth, WA, Australia
| | - Chee H. Ng
- Department of Psychiatry, The Melbourne Clinic and St Vincent's Hospital, University of Melbourne, Richmond, VIC, Australia
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Macao, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Yuan Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
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12
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Atkins K, Cooney EE, Park S, Closser S, Surkan PJ, Marker HC, Schneider-Firestone S, Kalb LG, Thrul J, Veenema TG. Day to Day and Environmental Risk Factors for Psychological Distress Among Healthcare Workers: A Mixed Methods Analysis. J Occup Environ Med 2023; 65:e593-e603. [PMID: 37367694 PMCID: PMC11299763 DOI: 10.1097/jom.0000000000002909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/28/2023]
Abstract
OBJECTIVE Despite a growing literature on mental health among clinical staff during COVID-19, factors shaping distress for nonclinical staff are understudied and may be driven by inequalities at work. We aimed to discuss the role of workplace factors in shaping psychological distress for a diverse group of clinical, nonclinical, and other health and hospital workers (HHWs). METHODS This convergent parallel mixed-methods study with HHWs in a US hospital system included an online survey ( n = 1127) and interviews ( n = 73) collected from August 2020 to January 2021. We thematically analyzed interviews; findings informed log binomial regression estimating risk factors for severe psychological distress (Patient Health Questionnaire - 4 item version [PHQ-4] scores of 9 or greater). RESULTS Qualitatively, day-to-day stressors fostered fear and anxiety, and concerns about work environments manifest as betrayal and frustration with leadership. Distress was associated with burnout, financial concerns, and feeling betrayed or unsupported by the institution and leadership. Staff in service versus clinical roles had higher risk for severe distress (adjusted prevalence ratio = 2.04, 95% confidence interval = 1.13-2.66); HHWs receiving workplace mental health support had lower risk (adjusted prevalence ratio = 0.52, 95% confidence interval = 0.29-0.92. CONCLUSIONS Our mixed-methods study underscores how the pandemic brought inequalities to the surface to increase distress for vulnerable HHWs. Workplace mental health activities can support HHWs now and during future crises.
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Affiliation(s)
- Kaitlyn Atkins
- From the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (K.A.); Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (K.A., E.E.C., S.P., S.C., P.J.S., H.C.M.); Johns Hopkins School of Nursing, Baltimore, Maryland (S.S.-F.); Department of Mental Health, Johns Hopkins Bloomberg School of Public Health (L.G.K., J.T.); Department of Neuropsychology, Kennedy Krieger Institute, Baltimore, Maryland (L.G.K.); Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland (T.G.V.); and Center for Health Security, Johns Hopkins University, Baltimore, Maryland (T.G.V.)
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13
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Tufail M, Wu C. Navigating mental health in a post-COVID world: the experience of colorectal cancer patients. Support Care Cancer 2023; 31:418. [PMID: 37354379 DOI: 10.1007/s00520-023-07895-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Accepted: 06/20/2023] [Indexed: 06/26/2023]
Abstract
The impact of the post-COVID-19 pandemic on individuals with colorectal cancer (CRC) was evaluated in a study with 465 cases and controls. Participants completed a questionnaire, and data analysis was conducted using SPSS software. Results showed a higher prevalence of emotional stress symptoms such as fear, depression, and worry among cases compared to controls. Additionally, cases reported greater physiological stress symptoms, such as low energy levels. The results also indicated that cases had higher rates of racing thoughts, pessimism, and avoidance of responsibilities compared to controls. These findings highlight the significant negative impact of the pandemic on individuals with CRC and the need for prompt attention and support.
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Affiliation(s)
- Muhammad Tufail
- Institute of Biomedical Sciences, Shanxi University, Taiyuan, 030006, China.
| | - Changxin Wu
- Institute of Biomedical Sciences, Shanxi University, Taiyuan, 030006, China
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14
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Paz de Sousa KM, Rosana de Araújo Oliveira S, Alencar Sousa Macau Furtado BM, Ribeiro de Vasconcelos AL, Gomes de Medeiros S, Cazarin G, Soares Sampaio A, Ridde V. Hospital Resilience in Three COVID-19 Referral Hospitals in Brazil. Health Syst Reform 2023; 9:2205726. [PMID: 37364170 DOI: 10.1080/23288604.2023.2205726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2022] [Revised: 04/17/2023] [Accepted: 04/18/2023] [Indexed: 06/28/2023] Open
Abstract
Health crises, such as the COVID-19 pandemic, challenge health systems in demonstrating resilience-the ability to cope with change, manage challenges, and adapt in order to retain their effectiveness. Understanding how such challenges affect and produce reactions in those involved in this response is extremely important. This study evaluated resilience in three referral hospitals in the city of Recife, Pernambuco, Brazil-one public, one private, and one philanthropic hospital-by examining the coping activities adopted by the nursing staff working on the COVID-19 frontline. A multiple case study was carried out, using a qualitative approach, triangulating data from direct observations, document analysis, and interviews with 21 nursing professionals working in management and care provision. Data were collected from April to October 2020. The interviews were transcribed and analyzed based on the resilience categories defined by Blanchet (2017): absorption capacity, adaptive capacity, and transformative capacity. Four themes were considered relevant to the objectives of this study: institutional support, access to personal protective equipment (PPE), work relationships, and fear and mental health. Adaptive capacity was demonstrated concerning the four themes analyzed, absorption capacity was demonstrated in two themes, and no transformative capacity was identified. The study highlighted that the health crisis was challenging for all the hospitals studied, regardless of their legal-administrative status. No differences were observed among them in terms of resilience.
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Affiliation(s)
| | | | | | | | | | - Gisele Cazarin
- Department of Public Health, Instituto Aggeu Magalhães, Fiocruz, Pernambuco, Brazil
| | | | - Valéry Ridde
- Université Paris Cité, IRD, Inserm, Ceped, Paris, France
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15
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Alam F, Yang Q, Rūtelionė A, Bhutto MY. Virtual Leadership and Nurses' Psychological Stress during COVID-19 in the Tertiary Hospitals of Pakistan: The Role of Emotional Intelligence. Healthcare (Basel) 2023; 11:healthcare11111537. [PMID: 37297677 DOI: 10.3390/healthcare11111537] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 05/10/2023] [Accepted: 05/12/2023] [Indexed: 06/12/2023] Open
Abstract
Although intelligence has been widely examined in the literature, the correlation of emotional intelligence (EI) has with virtual leadership, work stress, work burnout, and job performance in the nursing profession needs further consideration. Prior studies have confirmed that leadership style and emotional intelligence massively contribute to better outcomes in the nursing profession. Based on these confirmations, this research intended to explore the impact of virtual leadership and EI on work stress, work burnout, and job performance among nurses during the COVID-19 pandemic. A convenient sampling technique was adopted to select the data sample. To analyze our hypotheses, 274 self-reported surveys were distributed in five tertiary hospitals in Pakistan through a cross-sectional quantitative research design. The hypotheses were tested with SmartPLS-3.3.9. Our findings revealed that virtual leadership and EI have considerably influenced nurses' work stress, burnout level, and job performance. The study concludes that EI significantly moderates virtual leadership and psychological stress among nurses.
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Affiliation(s)
- Fahad Alam
- School of Economics and Management, University of Science and Technology Beijing, Beijing 100083, China
| | - Qing Yang
- School of Economics and Management, University of Science and Technology Beijing, Beijing 100083, China
| | - Aušra Rūtelionė
- Faculty of Bioeconomy Development, Vytautas Magnus University, LT-44248 Kaunas, Lithuania
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16
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Afzal M, Hassan Rashid MAU, Fischer F. Beyond heroism: a qualitative study on the lived experiences of nurses caring for patients with COVID-19 in Pakistan. BMC Nurs 2023; 22:101. [PMID: 37024924 PMCID: PMC10077319 DOI: 10.1186/s12912-023-01279-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2022] [Accepted: 03/28/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND Healthcare professionals around the globe suffered severely during the COVID-19 pandemic. The present study aims to explore the lived experiences of nurses caring for COVID-19 patients in Pakistan. METHODS The study is a qualitative exploration of the lived experiences caring for patients with COVID-19 in Pakistan. This research was conducted in two government hospitals there. Face-to-face in-depth interviews were conducted amongst 30 nurses who had been selected using purposive sampling technique. Thematic analysis was applied to extract the themes from respondents' answers. RESULTS By using thematic analysis, social response, impacts on physical and mental health, and experience of handling COVID-19 patients were extracted as major themes. CONCLUSIONS The findings of this research are of immense importance in showing the impact of COVID-19 on mental and physical health, along with the social and personal consequences for nurses providing care to COVID-19 patients.
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Affiliation(s)
- Mahreen Afzal
- Shaheed Zulfikar Ali Bhutto Institute of Science and Technology, Islamabad, Pakistan
| | | | - Florian Fischer
- Institute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany.
- Bavarian Research Center for Digital Health and Social Care, Kempten University of Applied Sciences, Kempten, Germany.
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17
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Hanum AL, Hu Q, Wei W, Zhou H, Ma F. Professional identity, job satisfaction, and intention to stay among clinical nurses during the prolonged COVID-19 pandemic: A mediation analysis. Jpn J Nurs Sci 2023; 20:e12515. [PMID: 36203310 PMCID: PMC9874386 DOI: 10.1111/jjns.12515] [Citation(s) in RCA: 14] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 08/02/2022] [Accepted: 08/29/2022] [Indexed: 01/27/2023]
Abstract
AIM This study aims to examine the relationship between professional identity and job satisfaction and their impact on intention to stay among clinical nurses in China during the prolonged COVID-19 pandemic. METHODS A cross-sectional survey was conducted from April 30 to May 25, 2021, in China. Data were collected using professional identity, job satisfaction, and intention to stay questionnaires from 1425 clinical nurses. A single mediation analysis was utilized to test the interrelationship among the variables, and the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) checklist as a reporting guide. RESULTS Nurses indicated a medium level of professional identity, job satisfaction, and intention to stay, with mean scores of 3.85, 3.25, and 3.47, respectively. The professional identity displayed positive indirect effect on nurses' intention to stay through job satisfaction (indirect effect = 0.498, 95% CI [0.439, 0.558]). CONCLUSION Cultivating professional identity among nurses can increase their job satisfaction and ultimately enhance the intention to stay in the nursing profession. However, this study also suggests paying more attention to job satisfaction to keep nursing retention. These may be helpful to retain the nursing workforce.
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Affiliation(s)
- Ardani Latifah Hanum
- Department of NursingThe First Affiliated Hospital of Kunming Medical UniversityKunmingChina
| | - Qiulan Hu
- ICU in Geriatric DepartmentThe First Affiliated Hospital of Kunming Medical UniversityKunmingChina
| | - Wei Wei
- Gastroenterology DepartmentThe First Affiliated Hospital of Kunming Medical UniversityKunmingChina
| | - Huilin Zhou
- Department of NursingThe First Affiliated Hospital of Kunming Medical UniversityKunmingChina
| | - Fang Ma
- Department of NursingThe First Affiliated Hospital of Kunming Medical UniversityKunmingChina
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18
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Utli H, Dinç M, Oner U. The Effect of COVID-19 Fear in Patients and Clinical Nurses on Night Nursing Care. OMEGA-JOURNAL OF DEATH AND DYING 2023; 86:1108-1134. [PMID: 36268848 PMCID: PMC9605859 DOI: 10.1177/00302228221135276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
This study was conducted with the aim of determining the effect of fear of COVID-19 in patients and clinical nurses on night nursing care. This was a cross-sectional study. The research sample consisted of 604 patients and 270 clinical nurses selected by the convenience sampling method. Data were collected between August 2021 and July 2022 using a Patients' Information form, a Nurse's Information form, the Fear of COVID-19 scale, and the Night Nursing Care instrument. No significant difference was found between the total mean scores of the patients and the nurses on the Fear of COVID-19 scale or the Night Nursing Care instrument (rho = -0.017, p = .702; rho = -0.020, p = .741). It was found that patients' and nurses' fears of COVID-19 did not affect their perceptions of night nursing care.
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Affiliation(s)
- Hediye Utli
- Department of Elderly Care,
Vocational School of Health Services, Mardin Artuklu
University, Mardin, Turkey,Hediye Utli, Department of Elderly Care,
Mardin Artuklu University Vocational School of Health Services, Artuklu Campus,
Box 47110, Mardin 47200, Turkey.
| | - Mahmut Dinç
- Department of Surgical Nursing,
Faculty of Health Sciences, Batman University, Batman, Turkey
| | - Ugur Oner
- Department of Fundamentals Nursing,
Faculty of Health Sciences, Batman University, Batman, Turkey
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19
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Galanis P, Katsiroumpa A, Vraka I, Siskou O, Konstantakopoulou O, Katsoulas T, Kaitelidou D. Seasonal Influenza Vaccine Intention among Nurses Who Have Been Fully Vaccinated against COVID-19: Evidence from Greece. Vaccines (Basel) 2023; 11:159. [PMID: 36680004 PMCID: PMC9867012 DOI: 10.3390/vaccines11010159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/04/2023] [Accepted: 01/09/2023] [Indexed: 01/14/2023] Open
Abstract
Seasonal influenza continues to be a significant public health issue causing hundreds of thousands of deaths annually. Nurses are a priority risk group for influenza vaccination and a high vaccine uptake rate among them is crucial to protect public health. Thus, the aim of our study was to estimate the levels of influenza vaccine acceptance, as well as its determinants, among nurses for the 2022/2023 season. We conducted a cross-sectional study with a convenience sample in Greece. We collected data via an online survey in September 2022. Most of the nurses in the study possessed a MSc/PhD diploma (56.2%) and had previously been infected by SARS-CoV-2 (70.3%). Among nurses, 57.3% were willing to accept the influenza vaccine, 19% were hesitant, and 23.7% were unwilling. Older age, higher levels of perceived support from significant others, and higher COVID-19-related physical exhaustion were positively related to influenza vaccination intention. In contrast, more side effects because of COVID-19 vaccination and higher levels of exhaustion due to measures taken against COVID-19 were negatively associated with vaccination intention. Since the influenza vaccination acceptance rate among nurses was moderate, policymakers should develop and implement measures tailored specifically to nurses in the context of the COVID-19 pandemic to decrease vaccine hesitancy.
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Affiliation(s)
- Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Aglaia Katsiroumpa
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Irene Vraka
- Department of Radiology, P. & A. Kyriakou Children’s Hospital, 11527 Athens, Greece
| | - Olga Siskou
- Department of Tourism Studies, University of Piraeus, 18534 Piraeus, Greece
| | - Olympia Konstantakopoulou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Theodoros Katsoulas
- Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Daphne Kaitelidou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
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20
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Zeng D, Wang B, Chen W. Inclusive leadership can improve nurses' psychological ownership and reduce their turnover intention under the normalization of COVID-19 prevention. Front Psychol 2023; 13:1100172. [PMID: 36698591 PMCID: PMC9869136 DOI: 10.3389/fpsyg.2022.1100172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 12/19/2022] [Indexed: 01/13/2023] Open
Abstract
Introduction The COVID-19 pandemic continues to impact people's lives and professions worldwide. Chinese nurses face immense work pressure under the normalization of COVID-19 prevention and control, resulting in greater turnover intention. It is, therefore, crucial to study the mechanisms that influence the turnover intention of nurses in this situation. Objective Many studies have examined the impact of leadership style on nurses' turnover intention; however, few researchers have investigated this influence during the COVID-19 pandemic. Based on the leader-member exchange theory, this study empirically studied the effect of inclusive leadership on turnover intention of nurses under the normalization of COVID-19 prevention and control in China, while assessing the mediating role of psychological ownership. Design Cross-sectional study with multi-center data. Participants Two thousand, two hundred ninety-nine registered nurses from 17 hospitals in China were recruited from January to March, 2022, under the normalization of COVID-19 prevention and control in China. Methods A demographic questionnaire and scales of inclusive leadership, psychological ownership, and turnover intention integrated into an online survey were sent to registered nurses of different hospitals. Maximum likelihood structural equation modeling (ML-SEM) was used to analyze data. Results Independent variable inclusive leadership has a significant effect on the overall turnover intention of nurses, p < 0.001. The direct effect path coefficient from inclusive leadership to psychological ownership is significant, p < 0.001. The direct effect path coefficient from psychological ownership to turnover intention is significant, p < 0.001. The indirect effect path coefficient from inclusive leadership to turnover intention is significant, p < 0.001. Conclusion Psychological anxiety, burnout, turnover intention, and even suicidal thoughts were the main symptoms of Chinese nurses under the normalization of COVID-19 prevention and control in China. The absence of a mechanism to counteract these negative conditions may ultimately lead to personal psychological distress for nurses and collapse of the healthcare system. Inclusive leadership can improve nurses' psychological ownership level and reduce their turnover intention by treating them fairly, providing them with opportunities for self-development, paying attention to communication with them, and increasing their sense of belonging, self-efficacy, and self-identity.
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21
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Llanos-Contreras O, Ibáñez MJ, Prado-Gascó VJ. Job-demand and family business resources in pandemic context: How they influence burnout and job satisfaction. Front Psychol 2023; 13:1061612. [PMID: 36687942 PMCID: PMC9849591 DOI: 10.3389/fpsyg.2022.1061612] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2022] [Accepted: 12/01/2022] [Indexed: 01/06/2023] Open
Abstract
This research aims to explore how work demands and resource variables affect the burnout and satisfaction of employees of family businesses in the context of the pandemic (COVID-19) and the moderation effect of fear of COVID-19 on this relationship. A sample of 214 Chilean family business employees is used for hypotheses testing. Results indicate that the demands and resources partially explain the burnout and satisfaction of employees of family firms during the pandemic. Employees' fear of COVID-19 moderates the relationship between resources-demands and burnout-job satisfaction in family firms. This work contributes to understanding how these organizations can manage adverse scenarios to survive and continue operations.
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Affiliation(s)
- Orlando Llanos-Contreras
- Facultad de Ciencias Económicas y Administrativas, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - María José Ibáñez
- CENTRUM Católica Graduate Business School, Lima, Peru
- Pontificia Universidad Católica del Perú, Lima, Peru
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22
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Stone BM, Wang V. Emotional fear of COVID-19, but not physiological expressions of fear, explains variability in COVID-19's impact on individuals' lives. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2023; 11:100479. [PMID: 36624855 PMCID: PMC9814283 DOI: 10.1016/j.jadr.2023.100479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2022] [Revised: 01/03/2023] [Accepted: 01/04/2023] [Indexed: 01/07/2023] Open
Abstract
The COVID-19 pandemic has had a profound and robust impact on individuals' lives and has particularly negatively affected individuals' experiences with fear of catching COVID-19. To measure this fear, researchers created the unidimensional Fear of COVID-19 Scale (FCV-19S). However, some exploratory factor analysis studies suggested the presence of two factors, which are 1) emotional fear and 2) physiological expressions of fear. In the current exploratory study, we aimed to confirm this factor structure using confirmatory factor analysis and to examine how these two new factors of the FCV-19S explain variability in the impacts of COVID-19 on nine life domains (i.e., finances, loved ones, job, safety, school, mental health, physical health, social activities, and quality of life). Participants were undergraduate students (n = 224) from a Midwestern University (White: 60.7%; Male: 48.0%) who participated in the study for course credit. The results revealed that the two-factor model had an excellent fit for the FCV-19S, both subscales had excellent psychometric properties, and the emotional fear subscale significantly explained variability in all nine life domains (7% to 54%). However, the physiological fear subscale only significantly explained variability in the physical health domain along with emotional fear (28%). The findings suggested that emotional fear of COVID-19 may explain more variability in the impact of COVID-19 across life domains, while physiological fear may only explain the effects of COVID-19 on physical health. We further discussed implications, limitations, and future directions.
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Key Words
- CFA, confirmatory factor analysis
- CFI, Comparative Fit Index
- CIDS, Coronavirus Impact Domains Scale
- COVID-19
- COVID-19 impact
- COVID-19, coronavirus disease 2019
- EFA, exploratory factor analysis
- FCV-19S
- FCV-19S, Fear of COVID-19 Scale
- Factor analysis
- Fear of COVID-19
- Fear of COVID-19 Scale
- M, Mean
- RMSEA, Root Mean Square Error of Approximation
- SD, standard deviation
- SE, standard error
- SRMR, Standardized Root Mean Squared Residual
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Affiliation(s)
- Bryant M. Stone
- College of Medicine, Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, 67 President Street, Charleston, SC 29425, USA,School of Psychological & Behavioral Sciences, Department of Psychology, Southern Illinois University, 1125 Lincoln Drive, Carbondale, IL 62901, USA,Corresponding author
| | - Vanessa Wang
- School of Psychological & Behavioral Sciences, Department of Psychology, Southern Illinois University, 1125 Lincoln Drive, Carbondale, IL 62901, USA
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23
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Gundogan S. The Relationship of COVID-19 Student Stress with School Burnout, Depression and Subjective Well-Being: Adaptation of the COVID-19 Student Stress Scale into Turkish. THE ASIA-PACIFIC EDUCATION RESEARCHER 2023; 32. [PMCID: PMC8760107 DOI: 10.1007/s40299-021-00641-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
COVID-19 has caused psychological problems in all age groups since it emerged from the first day. One of the most important groups has been affected negatively during the COVID-19 pandemic process are university students. One of the negative situations caused by the pandemic process in university students is student stress caused by COVID-19. To assess stress situations in Italian culture, the COVID-19 student stress scale (CSS-S) has been developed. In this context, the aim of this study was to adapt the CSS-S into Turkish. Another aim of the study was to investigate the direct and indirect relationships of COVID-19 student stress with school burnout, depression and subjective well-being. The participants of the study were 485 Turkish university students. The values obtained with the confirmatory factor analysis revealed that the factor structure of CSS-S is satisfying (χ2/df = 2.99, AGFI = .95, TLI = .93, CFI = .96, IFI = .96, REMSEA = .06, SRMR = .04). Moreover, it was found that school burnout has a mediating role in the relationship between COVID-19 student stress and depression and subjective well-being (χstructure of CSS-S is satisfying/df = 2.41, AGFI = .87, TLI = .91, CFI = .91, IFI = .91, REMSEA = .05, SRMR = .05). These findings imply that psychosocial intervention studies to reduce COVID-19 student stress can reduce students' school burnout and depression. It also implies that these psychosocial intervention studies can have a positive impact on students' subjective well-being.
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Affiliation(s)
- Selim Gundogan
- Department of Guidance and Psychological Counselling, Niğde Ömer Halisdemir University, Niğde, Turkey
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24
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Galanis P, Katsiroumpa A, Sourtzi P, Siskou O, Konstantakopoulou O, Katsoulas T, Kaitelidou D. Social Support Mediates the Relationship between COVID-19-Related Burnout and Booster Vaccination Willingness among Fully Vaccinated Nurses. Vaccines (Basel) 2022; 11:46. [PMID: 36679890 PMCID: PMC9861285 DOI: 10.3390/vaccines11010046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Revised: 12/14/2022] [Accepted: 12/22/2022] [Indexed: 12/28/2022] Open
Abstract
COVID-19 booster doses for high-risk groups such as nurses are necessary to reduce the impacts of the pandemic and promote public health. We examined the relationship between COVID-19-related burnout and booster vaccination willingness among nurses, and we assessed whether social support can buffer this relationship. We conducted a cross-sectional study with 963 fully vaccinated nurses working in healthcare settings in Greece. We used the multidimensional scale of perceived social support to measure social support and the COVID-19 burnout scale to measure COVID-19-related burnout. We measured vaccination willingness with a scale from 0 (extremely unlikely to take a booster dose) to 10 (extremely likely). Among nurses, 37.1% reported being very likely to be vaccinated, 34.4% reported being uncertain about their likelihood of vaccination, and 28.6% reported being very unlikely to be vaccinated with a booster dose. We found that COVID-19-related burnout reduced vaccination willingness, while social support functioned as a partial mediator of this relationship. In conclusion, nurses who experienced burnout were less likely to accept a booster dose. Furthermore, increasing nurses' social support reduced the negative effects of burnout, resulting in improved booster vaccination willingness. Immunization awareness programs should be implemented in order to address nurses' concerns and support booster doses.
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Affiliation(s)
- Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Aglaia Katsiroumpa
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Panayota Sourtzi
- Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Olga Siskou
- Department of Tourism Studies, University of Piraeus, 18534 Piraeus, Greece
| | - Olympia Konstantakopoulou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Theodoros Katsoulas
- Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Daphne Kaitelidou
- Center for Health Services Management and Evaluation, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
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Turska E, Stępień-Lampa N, Grzywna P. Experience of COVID-19 disease and fear of the SARS-CoV-2 virus among Polish students. PeerJ 2022; 10:e14356. [PMID: 36530393 PMCID: PMC9756872 DOI: 10.7717/peerj.14356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Accepted: 10/17/2022] [Indexed: 12/14/2022] Open
Abstract
Background The SARS-CoV-2 virus pandemic has significantly affected individuals and entire societies. It has caused a number of adverse consequences for public health. It has contributed to lower average life expectancy and significantly reduced the sense of health security. It has affected not only physical but also mental health. COVID-19 infections have become so common in many countries, including Poland, that almost every member of society has either experienced it themselves or has a family member or friend who have been affected by the disease. The investigations undertaken in the article concern the fear of COVID-19 infection among Polish university students, determined by the experience of the disease -whether direct or among loved ones. Methods An online survey was conducted with 851 students. It took place between 1 and 15 March 2021, a year after detection of the first case of infection with the virus in Poland. The aim of the study was to find out about the relationship between the experience of COVID-19 disease (whether direct or among people close to the respondent) and fear of this disease among university students in Poland. The analysis used intergroup comparison tests (Mann-Whitney U Test and t-test). Results The results indicate that the level of fear of COVID-19 among Polish university students was low (M = 1.98; SD = .49), with women (M = 2.04; SD = .75) presenting statistically higher (t (620.46) = 3.05; p = .002) fear than men (M = 1.87; SD = .74). The situation of the respondent having had a close person fall ill with COVID-19 or die as a result of coronavirus infection was found to be significant for the level of experienced fear of COVID-19 in the studied group (t (469.46) = -2.98; p = .003). Conclusions The significantly higher level of fear in the group of young people who knew someone close with severe (fatal) COVID-19 disease indicates that psychological support may be more significant for such people than for individuals who have not experienced such a situation. A similar conclusion can be formulated taking into account the gender criterion, as the results make it possible to predict that women expect more support in a pandemic situation.
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Affiliation(s)
- Elżbieta Turska
- Institute of Psychology, University of Silesia, Katowice, Silesian Voivodeship, Poland
| | - Natalia Stępień-Lampa
- Institute of Political Science, University of Silesia, Katowice, Silesian Voivodeship, Poland
| | - Paweł Grzywna
- Institute of Political Science, University of Silesia, Katowice, Silesian Voivodeship, Poland
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Lee S, Kim HR, Kim B. The impact of fear of COVID-19 on the impact of event and indirect trauma. Arch Psychiatr Nurs 2022; 41:306-311. [PMID: 36428065 PMCID: PMC9458603 DOI: 10.1016/j.apnu.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 08/23/2022] [Accepted: 09/04/2022] [Indexed: 12/14/2022]
Abstract
This study investigated the mediating effect of fear of COVID-19 on the relationship between the impact of an event and indirect trauma during the pandemic. The study was conducted online from February 8 to 18, 2021, with 215 participants who had never been diagnosed with COVID-19. The collected data were analyzed using SPSS and PROCESS macro software. It was confirmed that fear of COVID-19 partially mediates the relationship between the impact of an event and indirect trauma. This means that the greater the degree of impact of COVID-19, the higher the level of indirect trauma. Additionally, the greater the fear of COVID-19, the higher the level of indirect trauma. These results indicate that the prolonged spread of COVID-19 may vary depending on the country's quarantine systems. Overall, the findings of this study can assist in understanding the psychological problems of people who have experienced COVID-19 and in preparing relevant countermeasures for emotional problems.
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Affiliation(s)
- Sowon Lee
- College of Nursing, Chonnam National University, South Korea
| | - Hae Ran Kim
- Department of Nursing, College of Medicine, Chosun University, South Korea
| | - Boyoung Kim
- College of Nursing, Chonnam National University, South Korea.
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Pei H, Gan X, Guo F, Wu Q, Liu D, Li Z, Lan P, Zhang L, Yan H. A survey of health status of healthcare providers in a square cabin hospital during the new corona omicron outbreak: A cross-sectional study. Front Psychol 2022; 13:1028631. [DOI: 10.3389/fpsyg.2022.1028631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Accepted: 10/26/2022] [Indexed: 11/13/2022] Open
Abstract
BackgroundThe coronavirus omicron variant outbroke in early 2022 in Shanghai. Although previous studies indicated that long working hours in a square cabin hospital might increase the risk of mental health among frontline healthcare providers, few studies have investigated whether the mental health risk could be reduced among well-trained professionals following the new guidelines.ObjectiveThis study aimed to investigate the health situation of frontline healthcare providers in Shanghai square cabin during the omicron variant circulation.MethodsAn online survey was used to evaluate those healthcare providers working in the square cabin hospitals from March 1, 2022, to May 31, 2022. The first online survey was conducted and emailed to the health providers on April 1. The second survey was conducted and sent to the nonrespondents on May 31. Overall, 142 frontline healthcare providers completed the online survey. Their mental health was assessed by the Insomnia Severity Index Scale, the Generalized Anxiety Disorder Scale, the Patient Health Questionnaire-9, and the Psychological Resilience Scale. We estimated multiple clinical systems and identified factors associated with those symptoms among participants. Multivariable logistic regression models were used to assess the risk factors of these symptoms.ResultsOverall, 66.20%, 45.07%, and 27.46% of frontline healthcare providers in Shanghai City reported symptoms of insomnia, depression, and anxiety, respectively. In addition, the most common symptoms included dry eyes (57.75%), lumbar muscle strain (47.18%), dry mouth (35.92%), itching (31.69%), headache (29.58%), and sore throat (28.87%) among the frontline healthcare providers. There was no statistical difference in symptoms by gender, age, personnel category, or job position (p > 0.05).ConclusionIn the case of an unexpected pandemic, the mental health of healthcare providers is not optimistic. This situation still exists more than 2 years after the global outbreak of the COVID-19 pandemic. Therefore, the physical and mental health of long-term healthcare providers working in a square cabin hospital still needs monitoring.
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Hameed W, Feroz AS, Avan BI, Khan B, Fatmi Z, Afzal N, Jafri H, Wassan MA, Siddiqi S. Understanding the mental health impact and needs of public healthcare professionals during COVID-19 in Pakistan : a qualitative study. BMJ Open 2022; 12:e061482. [PMID: 36343996 PMCID: PMC9644080 DOI: 10.1136/bmjopen-2022-061482] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES A dearth of qualitative studies constrains in-depth understanding of health service providers' perspectives and experiences regarding the impact of COVID-19 on their mental health. This study explored the mental health impact and needs of of public sector healthcare workers during COVID-19 who working in secondary-level and tertiary-level healthcare settings of Pakistan. DESIGN An exploratory qualitative study. SETTING Twenty-five secondary-level and eight tertiary-level public hospitals of Sindh and Punjab provinces of Pakistan. PARTICIPANTS In-depth interviews were conducted with 16 health service providers and 40 administrative personnel. Study data were analysed on NVivo V.11 using the conventional content analysis technique. RESULTS The study identified three overarching themes: (1) mental health impact of COVID-19 on health service providers that included the fear of acquiring the infection and transmitting it to their family members, fear of social isolation and stigma, anxiety related to the uncertainty of COVID-19, nervousness due to media exaggeration and stress associated with excessive workload; (2) mental health needs of health service providers involved in the COVID-19 crisis and available support from the healthcare system, including the expression of the need for counselling services and safe working conditions, the need for paid rest periods, and the need for appreciation and motivation to work in the pandemic; and (3) suggestions to address mental health needs of healthcare workers, including provision of specialised mental healthcare/services, formal training of health managers on managing mental health needs of health facility staff, and assessment and addressing of these needs of the health workforce. CONCLUSION The study emphasises the need to strengthen health system preparedness for recognising and addressing the needs of healthcare professionals. At the system level, there is a need for a specialised unit to provide mental health services and better communication strategies. At the staff level, continuous motivation and appreciation should be given to healthcare professionals either through monetary incentives or formal acknowledgement of their performance.
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Affiliation(s)
- Waqas Hameed
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Anam Shahil Feroz
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Bilal Iqbal Avan
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Bushra Khan
- Department of Psychology, University of Karachi, Karachi, Pakistan
| | - Zafar Fatmi
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Noreen Afzal
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
| | - Hussain Jafri
- Punjab Thalassaemia and other Genetic Disorders Prevention and Research Institute, Fatima Jinnah Medical University, Lahore, Pakistan
| | | | - Sameen Siddiqi
- Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan
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Odachi R, Takahashi S, Sugawara D, Tabata M, Kajiwara T, Hironishi M, Buyo M. The Big Five personality traits and the fear of COVID-19 in predicting depression and anxiety among Japanese nurses caring for COVID-19 patients: A cross-sectional study in Wakayama prefecture. PLoS One 2022; 17:e0276803. [PMID: 36301905 PMCID: PMC9612447 DOI: 10.1371/journal.pone.0276803] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2022] [Accepted: 10/13/2022] [Indexed: 11/19/2022] Open
Abstract
Recent studies have found a relationship between fear of COVID-19 and mental health problems. Medical workers caring for COVID-19 patients tend to suffer from mental health problems; however, the impact of their personality traits, in the form of mental problems like depression and anxiety in Japan is unclear. In this study, we investigated the risk of nurses' depression and anxiety, predicted by the fear of COVID-19 and the Big Five personality traits. A total of 417 nurses working in hospitals providing care to COVID-19 patients in Wakayama prefecture of the Kansai region participated in this study. The questionnaires comprised items on nurses' basic characteristics and three scales: the Fear of COVID-19 Scale 2020, the Big-Five Scale, and the Japanese version of the Hospital Anxiety and Depression Scale (HADS). Depression and anxiety in the HADS were set as dependent variables, and basic attributes, fear, and personality traits as independent variables; multivariate logistic regression analyses were conducted. The questionnaire, with no missing items was distributed from February to March 2021. Neuroticism (OR = 1.06, 95%CI = 1.03-1.09) was the only significant factor associated with the depression symptom, and both FCV-19S scores (OR = 1.16, 95%CI = 1.09-1.23) and neuroticism (OR = 1.09, 95%CI = 1.06-1.13) were the significant factors associated with anxiety. The Nagelkerke's R squared was 0.171 in the depression model and 0.366 in the anxiety model. Thus, it was found that it is necessary to support nurses' mental health by developing methods suitable to their personalities.
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Affiliation(s)
- Ryo Odachi
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan
| | - Shun Takahashi
- Clinical Research and Education Center, Asakayama General Hospital, Sakai City, Osaka, Japan
- Department of Neuropsychiatry, Wakayama Medical University, Wakayama City, Wakayama, Japan
- Graduate School of Rehabilitation Science, Osaka Metropolitan University, Habikino City, Osaka, Japan
- Wakyamma Medical University Kihoku Hospital, Ito Gun, Wakayama, Japan
| | - Daichi Sugawara
- Department of Psychiatry, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan
| | - Michiyo Tabata
- Department of Neuropsychiatry, Wakayama Medical University, Wakayama City, Wakayama, Japan
| | - Tomomi Kajiwara
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan
| | - Masaya Hironishi
- Faculty of Human Sciences, University of Tsukuba, Tsukuba City, Ibaraki, Japan
| | - Momoko Buyo
- Division of Health Sciences, Graduate School of Medicine, Osaka University, Suita City, Osaka, Japan
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Bales M, DeAlmeida K, Oei C, Hampton D, Bohr N. Quantifying Compassion Fatigue in Ancillary and Clinical Staff in an Adult Emergency Department. West J Emerg Med 2022; 23:841-845. [DOI: 10.5811/westjem.2022.8.57733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 08/03/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction: Emergency department (ED) staff are at a high risk for compassion fatigue (CF) due to a work environment that combines high patient acuity, violence, and other workplace stressors. This multifaceted syndrome has wide-ranging impacts which, if left untreated, can lead to adverse mental health conditions including depression, anxiety, and substance use disorders. However, the majority of studies examining CF look solely at clinicians; as a result, there is little information on the impact of CF across other roles involved in supporting patient care. We conducted this study to establish the prevalence of CF across both clinical and non-clinical roles in the adult ED setting.
Methods: For this single institution, cross-sectional study, all full- and part-time ED staff members who worked at least 50% of their shifts in the ED or within the adult trauma service line were eligible to participate. Using the Professional Quality of Life Scale, which measures CF via compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS), we assessed for group differences between roles using non-parametric one-way ANOVA.
Results: A total of 152 participants (response rate = 38.0%) completed the survey. This included attending physicians (n = 15, 9.7%), resident/fellow physicians (n = 23, 15.1%), staff nurses (n = 54, 35.5%), emergency technicians (n = 21, 13.8%), supportive clinical staff (n = 28, 18.4%), and supportive ancillary staff (n = 11, 7.2%). Across all roles, the majority of respondents had average levels of BO (median = 25.0, interquartile range [IQR] 20.0-29.0) and STS (median = 23.0, IQR 18.0-27.0) coupled with high levels of CS (median = 38.0, IQR 33.0-43.0). There was a difference in CS by role (P = .01), with nurses reporting lower CS than attending physicians. Secondary traumatic stress also differed by role (P = .01), with attending physicians reporting lower STS than both emergency technicians and nurses. Group differences were not seen in BO.
Conclusions: Rates of compassion fatigue subcomponents were similar across all ED team members, including non-clinical staff. Programs to identify and mitigate CF should be implemented and extended to all roles within the ED.
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Affiliation(s)
- Melissa Bales
- University of Chicago Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Katelyn DeAlmeida
- University of Chicago Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Courtney Oei
- University of Chicago Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - David Hampton
- University of Chicago Medicine, Department of Emergency Medicine, Chicago, Illinois
| | - Nicole Bohr
- University of Chicago Medicine, Department of Emergency Medicine, Chicago, Illinois
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Poon YSR, Lin YP, Griffiths P, Yong KK, Seah B, Liaw SY. A global overview of healthcare workers' turnover intention amid COVID-19 pandemic: a systematic review with future directions. HUMAN RESOURCES FOR HEALTH 2022; 20:70. [PMID: 36153534 PMCID: PMC9509627 DOI: 10.1186/s12960-022-00764-7] [Citation(s) in RCA: 117] [Impact Index Per Article: 58.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 08/29/2022] [Indexed: 05/06/2023]
Abstract
BACKGROUND Globally, the health workforce has long suffered from labour shortages. This has been exacerbated by the workload increase caused by the COVID-19 pandemic. Major collapses in healthcare systems across the world during the peak of the pandemic led to calls for strategies to alleviate the increasing job attrition problem within the healthcare sector. This turnover may worsen given the overwhelming pressures experienced by the health workforce during the pandemic, and proactive measures should be taken to retain healthcare workers. This review aims to examine the factors affecting turnover intention among healthcare workers during the COVID-19 pandemic. METHODS A mixed studies systematic review was conducted. The PubMed, Embase, Scopus, CINAHL, Web of Science and PsycINFO databases were searched from January 2020 to March 2022. The Joanna Briggs Institute's Critical Appraisal Tools and the Mixed Methods Appraisal Tool version 2018 were applied by two independent researchers to critically appraise the methodological quality. Findings were synthesised using a convergent integrated approach and categorised thematically. RESULTS Forty-three studies, including 39 quantitative, two qualitative and two mixed methods studies were included in this review. Eighteen were conducted in the Middle East, ten in the Americas, nine in the Asia-Pacific region and six in Europe. Nurses (n = 35) were included in the majority of the studies, while physicians (n = 13), allied health workers (n = 11) and healthcare administrative or management staff (n = 7) were included in a smaller proportion. Five themes emerged from the data synthesis: (1) fear of COVID-19 exposure, (2) psychological responses to stress, (3) socio-demographic characteristics, (4) adverse working conditions, and (5) organisational support. CONCLUSIONS A wide range of factors influence healthcare workers' turnover intention in times of pandemic. Future research should be more focused on specific factors, such as working conditions or burnout, and specific vulnerable groups, including migrant healthcare workers and healthcare profession minorities, to aid policymakers in adopting strategies to support and incentivise them to retain them in their healthcare jobs.
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Affiliation(s)
| | | | - Peter Griffiths
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration (Wessex), University of Southampton, Southampton, UK
| | - Keng Kwang Yong
- Group Nursing, National Healthcare Group, Singapore, Singapore
| | - Betsy Seah
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Sok Ying Liaw
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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Li Y, Abbas Q, Manthar S, Hameed A, Asad Z. Fear of COVID-19 and secondary trauma: Moderating role of self-efficacy. Front Psychol 2022; 13:838451. [PMID: 36160588 PMCID: PMC9490413 DOI: 10.3389/fpsyg.2022.838451] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 06/13/2022] [Indexed: 12/04/2022] Open
Abstract
COVID-19 has affected millions of people around the globe. People's mental health, especially those of nurses, has been primarily affected by the fear of this virus. More focus has been paid to vaccination and treatment of the virus, but less attestation has been given to addressing the mental health of people affected by the virus. Empirical studies show that different external factors are not easily manageable and controllable by the individual. This study preliminarily explores the connection between fear of COVID-19 and secondary traumatic stress in nurses. Further, it examines the moderating effects of occupational self-efficacy on the relationship between fear of COVID-19 and secondary traumatic stress. Data for the study was collected from the nurses of six large hospitals in Karachi, Pakistan. The final analysis was performed on 243 samples. Studies on COVID-19 suggest that increased occupational self-efficacy decreases fear and its impact. This study offers insights for managers to develop stress management programs and provide proper training and counseling sessions to the nurses to motivate them emotionally. Theoretically, this study broadens the understanding of the theory of emotions by using the pandemic as a stressor. Future studies may explore different roles of occupational self-efficacy and study its influential role in managing different kinds of emotions explained by the theory of emotions. Managers at the workplace could design different self-efficacy training for nurses to increase their self-motivation to fight different types of stress they face at the workplace.
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Affiliation(s)
- Yaling Li
- Mental Health Education and Counseling Center, Shenzhen Technology University, Shenzhen, China
| | - Qamar Abbas
- Department of Management Science, Mohammad Ali Jinnah University, Karachi, Pakistan
| | - Shahjehan Manthar
- Department of Management Science, Mohammad Ali Jinnah University, Karachi, Pakistan
| | - Aftab Hameed
- Department of Management Science, Mohammad Ali Jinnah University, Karachi, Pakistan
| | - Zainab Asad
- Department of Management Science, Mohammad Ali Jinnah University, Karachi, Pakistan
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Gonzalez Mendez MJ, Ma L, Alvarado R, Ramirez J, Xu KP, Xu HF, Zhang SK, Bangura MS, Yang Y, Yu YQ, Zhang X, Wang W, Gu X, Li L, Salah DS, Qiao Y. A Multi-Center Study on the Negative Psychological Impact and Associated Factors in Chinese Healthcare Workers 1 Year After the COVID-19 Initial Outbreak. Int J Public Health 2022; 67:1604979. [PMID: 36090824 PMCID: PMC9454095 DOI: 10.3389/ijph.2022.1604979] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2022] [Accepted: 07/27/2022] [Indexed: 01/09/2023] Open
Abstract
Objectives: The study aimed at analyzing the prevalence of five psychological outcomes (depression, anxiety, stress, post-traumatic stress disorder (PTSD), and suicidal ideation) among Chinese healthcare workers (HCWs), and measured the total possible negative psychological impact 1 year after the COVID-19 initial outbreak. Methods: A cross-sectional nationwide multi-center study was performed between November 2020 and March 2021 in China. A self-report questionnaire was applied, and three psychological scales were used. Binary logistic regression was performed to analyze the risk factors associated with each psychological outcome. Results: The findings demonstrated that the COVID-19 pandemic had a negative psychological impact on HCWs, which was still evident 1 year after the initial outbreak. Nurses showed higher depression and anxiety than other HCWs. Female gender, passive coping, long working hours, having a chronic disease, and experiencing violence, among other factors, were all risk factors for psychological impairment. Conclusion: Developing and promoting programs to improve mental health among HCWs, and identifying those who might need psychological support is still relevant 1 year after the initial outbreak.
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Affiliation(s)
| | - Li Ma
- School of Public Health, Dalian Medical University, Dalian, China,*Correspondence: Li Ma, ; Youlin Qiao,
| | - Ruben Alvarado
- Department of Public Health, School of Medicine, Faculty of Medicine, Universidad de Valparaíso, Valparaíso, Chile,School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Jorge Ramirez
- School of Public Health, Faculty of Medicine, Universidad de Chile, Santiago, Chile
| | - Kun-Peng Xu
- School of Public Health, Dalian Medical University, Dalian, China,Department of Quality Management, Dalian No. 3 People’s Hospital, Dalian, China
| | - Hui-Fang Xu
- The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China
| | - Shao-Kai Zhang
- The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China
| | | | - Ying Yang
- School of Public Health, Dalian Medical University, Dalian, China
| | - Yan-Qin Yu
- Department of Public Health and Preventive Medicine, Baotou Medical College, Baotou, China
| | - Xi Zhang
- Key Laboratory of Carcinogenesis and Translational Research, Beijing Cancer Hospital, Peking University, Beijing, China
| | - Wenjun Wang
- Nursing School, Jining Medical University, Jining, China
| | - Xiaofen Gu
- Department of Students Affairs, The Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi, China
| | - Li Li
- Department of Clinical Research, First Affiliated Hospital of Jinan University, Guangzhou, China
| | - Didier Sama Salah
- Department of Cardiology, First Affiliated Hospital of Dalian Medical University, Dalian, China
| | - Youlin Qiao
- School of Public Health, Dalian Medical University, Dalian, China,The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China,Center for Global Health, School of Population Medicine and Public Health, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China,*Correspondence: Li Ma, ; Youlin Qiao,
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Stone BM. The explanatory ability of COVID-19 life changes on quality of life: A comparison of those who have had and not had COVID-19. CURRENT PSYCHOLOGY 2022; 43:1-12. [PMID: 35967494 PMCID: PMC9362494 DOI: 10.1007/s12144-022-03504-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/14/2022] [Indexed: 11/28/2022]
Abstract
The COVID-19 pandemic has undoubtedly negatively affected individuals' quality of life through multiple means such as social isolation, exacerbated mental health conditions, and financial instability. Multiple studies have demonstrated that one of the negative correlates of quality of life is the perceived danger of COVID-19 (i.e., fear of and anxiety about COVID-19). The current study addresses limitations in the literature by testing how life changes from COVID-19 explain the direct effect of the perceived danger of COVID-19 on quality of life using a United States sample between those who have had COVID-19 compared to those who have not had COVID-19. Undergraduate students (n = 196) from a Midwestern University in the United States participated in this study for course credit (White: n = 109; 55.61%; Male: n = 94; 48.0%). Participants completed this study online and at home where they responded to a demographic form and several measures of the effects of COVID-19 and quality of life. The results suggest that COVID-19 life changes fully explain the negative relationship between the perceived danger of COVID-19 and quality of life, but only in those who have had COVID-19. In the group that has never had COVID-19, the only significant relationship was the positive relationship between the perceived danger of COVID-19 on COVID-19 life changes. The results suggest that researchers may consider steering research away from the perceived danger of COVID-19 and onto remedying life changes from COVID-19 to improve individuals' quality of life. I further discuss the theoretical findings, implications, limitations, and future directions.
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Affiliation(s)
- Bryant M. Stone
- Department of Psychology, Southern Illinois University, 1125 Lincoln Drive, Carbondale, IL 62901 USA
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35
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Tian Z, Tang C, Akram F, Khan ML, Chuadhry MA. Negative Work Attitudes and Task Performance: Mediating Role of Knowledge Hiding and Moderating Role of Servant Leadership. Front Psychol 2022; 13:963696. [PMID: 35959060 PMCID: PMC9361050 DOI: 10.3389/fpsyg.2022.963696] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 06/20/2022] [Indexed: 01/27/2023] Open
Abstract
The COVID-19 pandemic has caused a global crisis that particularly hit employment globally. Due to the economic crisis, many small businesses attempted to minimise their expenses by either closing or downsizing. During such organisational situations, the employees face negative workplace attitudes that lead to knowledge hiding and affect team performance. This study examines negative attitudes and their effect on team performance. Further, this study examines the mediating effect of knowledge hiding and moderating the role of servant leadership. Through a multi-time data collection approach, the authors obtained 363 responses from the education sector in China during the COVID-19 pandemic. PROCESS Hayes model 1 and 4 were used for mediation and moderation analysis. Results show that job insecurity, cynicism, and role stress are significant forces behind knowledge-hiding behaviour. Furthermore, the knowledge hiding behaviour adversely affects task performance. Servant leadership shows a buffering effect on knowledge hiding behaviour caused by negative workplace attitudes. This is one of the first studies in the South Asian environment to examine the association between employees’ negative attitudes and task performance using knowledge hiding as a mediator and servant leadership as a moderator in the COVID-19 scenario. Lastly, the paper concludes with a consideration of its theoretical, practical implication and future direction.
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Affiliation(s)
- Zailan Tian
- School of Management, Guangdong Polytechnic Normal University, Guangzhou, China
- *Correspondence: Zailan Tian,
| | - Chao Tang
- School of Management, Guangdong Polytechnic Normal University, Guangzhou, China
| | - Fouzia Akram
- Department of Business Administration, University of Prince Mugrin, Madina, Saudi Arabia
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Khattak SR, Zada M, Nouman M, Rahman SU, Fayaz M, Ullah R, Salazar-Sepúlveda G, Vega-Muñoz A, Contreras-Barraza N. Investigating Inclusive Leadership and Pro-Social Rule Breaking in Hospitality Industry: Important Role of Psychological Safety and Leadership Identification. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19148291. [PMID: 35886142 PMCID: PMC9322910 DOI: 10.3390/ijerph19148291] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/24/2022] [Accepted: 07/02/2022] [Indexed: 12/04/2022]
Abstract
This study aims to empirically examine the mediating effects of psychological safety and leadership identification on the relationship between inclusive leadership and pro-social rule breaking among hospitality employees. This study analyzes the survey data collected in three waves from 589 employees working in different hotels and restaurants operating in the Northern areas of Khyber Pakhtunkhwa, Pakistan. The scale validity, composite reliability, and hypotheses were assessed through PLS-SEM. The study found that inclusive leadership significantly impacts employees’ pro-social rule-breaking. The study also found that leadership identification and psychological safety partially mediate the relationship between inclusive leadership and pro-social rule-breaking. Hospitality leaders can practice inclusive leadership characteristics because it may significantly enhance employee engagement in pro-social rule-breaking. Through their inclusive features, hospitality leaders can improve employees’ psychological safety and leadership identification, enhancing frontline employees’ pro-social rule-breaking.
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Affiliation(s)
- Sajid Rahman Khattak
- Institute of Business and Management Sciences, The University of Agriculture, Peshawar 25130, Pakistan; (M.N.); (S.U.R.); (M.F.)
- Correspondence: (S.R.K.); (M.Z.)
| | - Muhammad Zada
- Business School, Henan University, Kaifeng 475000, China
- Correspondence: (S.R.K.); (M.Z.)
| | - Muhammad Nouman
- Institute of Business and Management Sciences, The University of Agriculture, Peshawar 25130, Pakistan; (M.N.); (S.U.R.); (M.F.)
| | - Shams Ur Rahman
- Institute of Business and Management Sciences, The University of Agriculture, Peshawar 25130, Pakistan; (M.N.); (S.U.R.); (M.F.)
| | - Muhammad Fayaz
- Institute of Business and Management Sciences, The University of Agriculture, Peshawar 25130, Pakistan; (M.N.); (S.U.R.); (M.F.)
| | - Rezwan Ullah
- School of Management and Economics, Beijing Institute of Technology, Beijing 100081, China;
| | - Guido Salazar-Sepúlveda
- Departamento de Ingeniería Industrial, Facultad de Ingeniería, Universidad Católica de la Santísima Concepción, Concepción 4090541, Chile;
| | - Alejandro Vega-Muñoz
- Public Policy Observatory, Universidad Autónoma de Chile, Santiago 7500912, Chile;
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Tolksdorf KH, Tischler U, Heinrichs K. Correlates of turnover intention among nursing staff in the COVID-19 pandemic: a systematic review. BMC Nurs 2022; 21:174. [PMID: 35787700 PMCID: PMC9252069 DOI: 10.1186/s12912-022-00949-4] [Citation(s) in RCA: 32] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2022] [Accepted: 06/22/2022] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND During the COVID-19 pandemic, shortage of nursing staff became even more evident. Nurses experienced great strain, putting them at risk to leave their jobs. Individual and organizational factors were known to be associated with nurses' turnover intention before the pandemic. The knowledge of factors associated with turnover intention during the pandemic could help to foster nurses' retention. Therefore, this review aims to identify factors associated with nurses' turnover intention during the COVID-19 pandemic. METHODS After a systematic search of six databases, the resulting records were screened in a two-step process based on pre-defined inclusion and exclusion criteria. The included quantitative studies were synthesized qualitatively due to their methodological heterogeneity. RESULTS A total of 19 articles were included in the analysis. Individual factors such as health factors or psychological symptoms and demographic characteristics were associated with nurses' turnover intention. Organizational factors associated with turnover intention were e.g., caring for COVID-19 patients, low job control or high job demands, and moral distress. Resilience and supporting leadership could mitigate adverse associations with turnover intention. CONCLUSIONS The results help to identify high-risk groups according to individual factors and to develop possible interventions, such as trainings for nurses and their superiors, addressing individual and organizational factors. Future research should focus on longitudinal designs applying carefully defined concepts of turnover intention.
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Affiliation(s)
- Katharina Herta Tolksdorf
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany
| | - Ulla Tischler
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany
| | - Katherina Heinrichs
- Institute of Health and Nursing Science, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
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Ullah N, Khan J, Saeed I, Zada S, Xin S, Kang Z, Hu Y. Gastronomic Tourism and Tourist Motivation: Exploring Northern Areas of Pakistan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:7734. [PMID: 35805393 PMCID: PMC9265459 DOI: 10.3390/ijerph19137734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Revised: 06/09/2022] [Accepted: 06/19/2022] [Indexed: 02/01/2023]
Abstract
Gastronomic tourism is becoming an essential consideration among tourists when choosing a tourist destination. One of the main reasons for visiting a specific destination for almost 15% of tourists is "gastronomy". This has led to the development of a new kind of tourism called "Gastronomic Tourism". However, there has been minimal research on gastronomy tourism, specifically in Pakistan. The primary purpose of this study is to measure the level of satisfaction in a tourist destination and furthermore consider gastronomy as a component of visitor motivation. A survey of 307 tourists who had recently visited Pakistan's northern areas was undertaken to conduct the study. This has enabled us to better understand the variables that influence the behaviors and attitudes of tourists toward this popular tourist attraction. Gastronomy motivation impacts tourism location selection, and gastronomic experience influences satisfaction, according to the research. Specifically, tourists show a keen interest in gastronomic experiences after feeling satisfied with the destination and local foods, developing loyalty toward the destination.
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Affiliation(s)
- Nadeem Ullah
- School of Architecture, Tianjin University, Tianjin 300072, China; (N.U.); (S.X.); (Z.K.)
| | - Jawad Khan
- Department of Business Administration, Iqra National University, Peshawar 25000, Pakistan;
| | - Imran Saeed
- Institute of Business and Management Sciences, University of Agriculture, Peshawar 25130, Pakistan;
| | - Shagufta Zada
- Business School, Henan University, Kaifeng 475001, China;
- Department of Business Administration, ILMA University, Karachi 75190, Pakistan
| | - Shanchao Xin
- School of Architecture, Tianjin University, Tianjin 300072, China; (N.U.); (S.X.); (Z.K.)
| | - Zhihao Kang
- School of Architecture, Tianjin University, Tianjin 300072, China; (N.U.); (S.X.); (Z.K.)
| | - YiKe Hu
- School of Architecture, Tianjin University, Tianjin 300072, China; (N.U.); (S.X.); (Z.K.)
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Al-Hadi Hasan A, Waggas D. Psychological wellbeing and associated factors among nurses exposed to COVID 19: Findings from a cross sectional study. INTERNATIONAL JOURNAL OF DISASTER RISK REDUCTION : IJDRR 2022; 76:103025. [PMID: 35572806 PMCID: PMC9085385 DOI: 10.1016/j.ijdrr.2022.103025] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/22/2021] [Revised: 03/28/2022] [Accepted: 05/01/2022] [Indexed: 05/05/2023]
Abstract
Background The coronavirus pandemic known as COVID-2019 poses a global concern. The psychological well-being of front-line nurses and other healthcare providers is a major concern. Aims This study evaluated the psychological well-being and the associated factors among nurses in Dr. Soliman Fakeeh Hospital during the COVID-19 pandemic. Methods The cross-sectional survey was conducted during the peak period of COVID 19 among 367 nurses recruited from Dr. Soliman Fakeeh Hospital. The online survey was used with the snowballing sampling technique to collect the participants' socio-demographic data and assess their psychological status using DASS-21; in addition, the major traumatic event was assessed by Impact of Event Scale-Revised, and self-efficacy was evaluated. Results 67.7% of the 367 respondents experienced moderate or severe psychological problem; 46.1% reported moderate to severe depressive symptoms; 48.0% moderate to severe anxiety symptoms; and 48.4% moderate to severe stress levels. The psychological status and influence of a major traumatic event and self-efficacy were statistically significant different among nurses according to age, gender, working experience, marital status, working in a COVID 19 unit or with suspected cases. Conclusions Nurses had a significantly increased risk of developing psychological problems, negatively impacted by the major traumatic event and poor self-efficacy.
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Affiliation(s)
- Abd Al-Hadi Hasan
- Associate Professor, Psychiatric and Mental Health Nursing, Nursing Department, Fakeeh College for Medical Sciences, Alhamra District, Palestine Street, Jeddah, Saudi Arabia
| | - Dania Waggas
- Asssitant Profesor Pharmacology, Medicine Program, Fakeeh College for Medical Sciences, MBBS Department, Alhamra District, Palestine Street, Jeddah, Saudi Arabia
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Üngüren E, Kaçmaz YY. Does COVID-19 pandemic trigger career anxiety in tourism students? Exploring the role of psychological resilience. JOURNAL OF HOSPITALITY, LEISURE, SPORT & TOURISM EDUCATION 2022; 30:100369. [PMID: 35035291 PMCID: PMC8747951 DOI: 10.1016/j.jhlste.2022.100369] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 12/11/2021] [Accepted: 01/04/2022] [Indexed: 06/14/2023]
Abstract
This study aims to determine how the COVID-19 pandemic affects career anxiety of tourism students, who are the potential future employees of tourism and hospitality industry. Data was collected using an online survey with 1097 undergraduate students in the field of tourism in Turkey. The results of the study revealed that perceived risk of infection and fear of COVID-19 significantly impact students' career anxiety, and fear of COVID-19 mediate the relationship between perceived infection risk and career anxiety. In addition, the results indicated that psychological resilience, which is an individual resource against difficulties, represents a factor that reduces career anxieties of students in the face of pandemic-related negative impacts. The findings contribute to the understanding of how pandemic diseases affect career anxiety in students, who are the future workforce of the tourism sector, and to determine the role of individual resources such as psychological resilience in this process.
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Affiliation(s)
- Engin Üngüren
- Alanya Alaaddin Keykubat University, Faculty of Economics, Administrative and Social Sciences, Department of Business Administration, Alanya, Turkey
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Developing mental health competency in undergraduate nursing students amid pandemic: A hybrid model approach. TEACHING AND LEARNING IN NURSING 2022; 17:277-281. [PMID: 35528609 PMCID: PMC9062613 DOI: 10.1016/j.teln.2022.03.007] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/29/2022] [Indexed: 11/21/2022]
Abstract
COVID-19 has raised a concern about the quality and continuity of education. The uncertain situation has required universities to undertake several innovative measures to continue their educational programs without compromising the quality of education. The aim of this paper is to introduce the hybrid approach for undergraduate nursing students for teaching mental health nursing course, utilizing Gagne's instructional design theory, in a private nursing institution in Pakistan. The nine steps of instructions in Gagne's theoretical framework were utilized for teaching the mental health nursing course. The approach enhanced students’ therapeutic communication skills, boosted their confidence level, and assisted them in overcoming their fears in caring patients with psychiatric illnesses. Students appreciated the innovative strategies, such as problem-based learning, case studies, interactions with standardized patients, and learning through movies. The innovative and creative clinical teaching approaches can be used to develop nursing students’ competencies, core clinical skills, and to bridge the theory-practice gap.
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Alimoradi Z, Ohayon MM, Griffiths MD, Lin CY, Pakpour AH. Fear of COVID-19 and its association with mental health-related factors: systematic review and meta-analysis. BJPsych Open 2022; 8:e73. [PMID: 35307051 PMCID: PMC8943231 DOI: 10.1192/bjo.2022.26] [Citation(s) in RCA: 74] [Impact Index Per Article: 37.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Revised: 01/05/2022] [Accepted: 02/07/2022] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND The severity of COVID-19 remains high worldwide. Therefore, millions of individuals are likely to suffer from fear of COVID-19 and related mental health factors. AIMS The present systematic review and meta-analysis aimed to synthesize empirical evidence to understand fear of COVID-19 and its associations with mental health-related problems during this pandemic period. METHOD Relevant studies were searched for on five databases (Scopus, ProQuest, EMBASE, PubMed Central, and ISI Web of Knowledge), using relevant terms (COVID-19-related fear, anxiety, depression, mental health-related factors, mental well-being and sleep problems). All studies were included for analyses irrespective of their methodological quality, and the impact of quality on pooled effect size was examined by subgroup analysis. RESULTS The meta-analysis pooled data from 91 studies comprising 88 320 participants (mean age 38.88 years; 60.66% females) from 36 countries. The pooled estimated mean of fear of COVID-19 was 13.11 (out of 35), using the Fear of COVID-19 Scale. The associations between fear of COVID-19 and mental health-related factors were mostly moderate (Fisher's z = 0.56 for mental health-related factors; 0.54 for anxiety; 0.42 for stress; 0.40 for depression; 0.29 for sleep problems and -0.24 for mental well-being). Methodological quality did not affect these associations. CONCLUSIONS Fear of COVID-19 has associations with various mental health-related factors. Therefore, programmes for reducing fear of COVID-19 and improving mental health are needed.
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Affiliation(s)
- Zainab Alimoradi
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Iran
| | - Maurice M. Ohayon
- Stanford Sleep Epidemiology Research Center (SSERC), School of Medicine, Stanford University, California, USA
| | - Mark D. Griffiths
- International Gaming Research Unit, Department of Psychology, Nottingham Trent University, UK
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Taiwan; Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Taiwan; Department of Public Health, College of Medicine, National Cheng Kung University, Taiwan; and Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Taiwan
| | - Amir H. Pakpour
- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Iran; and Department of Nursing, School of Health and Welfare, Jönköping University, Sweden
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Andlib S, Inayat S, Azhar K, Aziz F. Burnout and psychological distress among Pakistani nurses providing care to COVID-19 patients: A cross-sectional study. Int Nurs Rev 2022; 69:529-537. [PMID: 35167710 PMCID: PMC9111774 DOI: 10.1111/inr.12750] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2021] [Accepted: 01/15/2022] [Indexed: 02/03/2023]
Abstract
AIM The aim of this study is to assess the burden of burnout and psychological distress and its association among Pakistani nurses providing care to patients with COVID-19. BACKGROUND Nurses may experience an elevated risk of burnout and psychological distress during epidemics. METHODS A cross-sectional study was conducted using a convenience sample of 288 nurses. Maslach Burnout Inventory was administered to measure burnout and its domains of emotional exhaustion, depersonalization, and personal accomplishment. Screening Tool for Psychological Distress was administered to measure depression, anxiety, stress, anger, and low social support. RESULTS Burnout was present in 48.6% of nurses, severe emotional exhaustion in 37.2%, severe depersonalization in 36.8%, and low personal accomplishment in 46.9% of nurses. Psychological distress was present in 45% of nurses. Burnout and psychological distress were significantly higher in nurses who: were working in public hospitals, did not receive training for COVID-19 prevention, and were dealing with increased patient load. Burnout and its domains were significantly associated with depression, anxiety, stress, anger, and low social support. CONCLUSION Nurses are experiencing high levels of burnout and psychological distress during the COVID-19 pandemic with a significant moderate-to-strong association between these conditions. These findings accentuate the need for institution-based interventions to mitigate burnout and preserve the mental health of nurses. IMPLICATIONS FOR NURSING AND HEALTH POLICY Hospitals must screen nurses frequently for the presence of significant burnout and psychological distress and offer supportive interventions to protect their mental health and well-being.
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Affiliation(s)
| | - Shahzad Inayat
- Isra College of Nursing, Isra University, Islamabad, Pakistan
| | | | - Faisal Aziz
- Interdisciplinary Metabolic Medicine Trials Unit, Department of Endocrinology and Diabetology, Medical University of Graz, Graz, Austria
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The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic. Healthcare (Basel) 2022; 10:healthcare10020364. [PMID: 35206978 PMCID: PMC8872521 DOI: 10.3390/healthcare10020364] [Citation(s) in RCA: 94] [Impact Index Per Article: 47.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Revised: 01/29/2022] [Accepted: 02/10/2022] [Indexed: 11/16/2022] Open
Abstract
This literature review aimed to determine the level of burnout, compassion fatigue, and compassion satisfaction, as well as their associated risks and protective factors, in healthcare professionals during the first year of the COVID-19 pandemic. We reviewed 2858 records obtained from the CINAHL, Cochrane Library, Embase, PsycINFO, PubMed, and Web of Science databases, and finally included 76 in this review. The main results we found showed an increase in the rate of burnout, dimensions of emotional exhaustion, depersonalization, and compassion fatigue; a reduction in personal accomplishment; and levels of compassion satisfaction similar to those before the pandemic. The main risk factors associated with burnout were anxiety, depression, and insomnia, along with some sociodemographic variables such as being a woman or a nurse or working directly with COVID-19 patients. Comparable results were found for compassion fatigue, but information regarding compassion satisfaction was lacking. The main protective factors were resilience and social support.
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Patelarou E, Galanis P, Mechili EA, Argyriadi A, Argyriadis A, Asimakopoulou E, Kicaj E, Bucaj J, Carmona-Torres JM, Cobo-Cuenca AI, Doležel J, Finotto S, Jarošová D, Kalokairinou A, Mecugni D, Pulomenaj V, Malaj K, Sopjani I, Zahaj M, Patelarou A. Assessment of COVID-19 Fear in Five European Countries before Mass Vaccination and Key Predictors among Nurses and Nursing Students. Vaccines (Basel) 2022; 10:vaccines10010098. [PMID: 35062759 PMCID: PMC8778275 DOI: 10.3390/vaccines10010098] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 01/02/2022] [Accepted: 01/05/2022] [Indexed: 02/06/2023] Open
Abstract
Background: Levels of fear have increased since the COVID-19 pandemic outbreak. The absence of a safe and effective vaccine for mass-vaccination deteriorates this situation, which has a significant impact on mental health. This study aimed to assess the feelings of fear among nurses and nursing students in five European countries. Methods: A multicenter cross-sectional study was conducted in five European countries (Greece, Albania, Cyprus, Spain, and Kosovo) before the start of mass vaccination in Europe. Data collection was conducted in December 2020–January 2021 using an online questionnaire for nursing students and professional nurses. Fear of COVID-19 Scale (FCV-19S) was used for measuring levels of fear. IBM SPSS version 21.0 was used for statistical analysis. Results: The study population included 1135 nurses and 1920 nursing students from Kosovo (n = 1085), Spain (n = 663), Greece (n = 534), Albania (n = 529), and Cyprus (n = 244). According to multivariable analysis, females (OR = 2.53, 95% CI = 1.89–3.15), married (OR = 0.86, 95% CI = 0.24–1.48), nurses (OR = 0.87, 95% CI = 0.28–1.45) and those with a chronic disease (OR = 0.86, 95% CI = 0.11–1.62) were more fearful of COVID-19. Conclusions: It is important to decrease fear in the population of nurses who are at the frontlines of the pandemic. The provision of appropriate education and training activities for nurses and students to manage their stress levels is of high importance. Future studies should focus on levels of fear after the administration of several safe and effective vaccines worldwide.
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Affiliation(s)
- Evridiki Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 714 10 Crete, Greece;
- Correspondence:
| | - Petros Galanis
- Clinical Epidemiology Laboratory, Department of Nursing, National and Kapodistrian University of Athens, 157 72 Athens, Greece; (P.G.); (A.K.)
| | - Enkeleint A. Mechili
- Clinic of Social and Family Medicine, School of Medicine, University of Crete, 700 13 Crete, Greece;
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Agathi Argyriadi
- Department of Psychology and Social Sciences, Frederick University, Nicosia 3080, Cyprus;
| | | | | | - Emirjona Kicaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Jorgjia Bucaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Juan Manuel Carmona-Torres
- IMCU Group, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45004 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.)
| | - Ana Isabel Cobo-Cuenca
- IMCU Group, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45004 Toledo, Spain; (J.M.C.-T.); (A.I.C.-C.)
| | - Jakub Doležel
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, 701 03 Ostrava, Czech Republic; (J.D.); (D.J.)
| | - Stefano Finotto
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41121 Reggio Emilia, Italy; (S.F.); (D.M.)
- Degree Course in Nursing, Azienda USL-IRCCS di Reggio Emilia, 41121 Reggio Emilia, Italy
| | - Darja Jarošová
- Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava, 701 03 Ostrava, Czech Republic; (J.D.); (D.J.)
| | - Athina Kalokairinou
- Clinical Epidemiology Laboratory, Department of Nursing, National and Kapodistrian University of Athens, 157 72 Athens, Greece; (P.G.); (A.K.)
| | - Daniela Mecugni
- Department of Surgery, Medicine, Dentistry and Morphological Sciences, University of Modena and Reggio Emilia, 41121 Reggio Emilia, Italy; (S.F.); (D.M.)
| | - Velide Pulomenaj
- Faculty of Nursing, AAB College, P.O. Box 10000 Pristina, Kosovo; (V.P.); (I.S.)
| | - Krenar Malaj
- Research Centre of Public Health, Faculty of Health, University of Vlora, 9401 Vlora, Albania;
| | - Idriz Sopjani
- Faculty of Nursing, AAB College, P.O. Box 10000 Pristina, Kosovo; (V.P.); (I.S.)
| | - Majlinda Zahaj
- Department of Healthcare, Faculty of Health, University of Vlora, 9401 Vlora, Albania; (E.K.); (J.B.); (M.Z.)
| | - Athina Patelarou
- Department of Nursing, School of Health Sciences, Hellenic Mediterranean University, 714 10 Crete, Greece;
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Fronda DC, Labrague LJ. TURNOVER INTENTION AND CORONAPHOBIA AMONG FRONTLINE NURSES DURING THE SECOND SURGE OF COVID-19: THE MEDIATING ROLE OF SOCIAL SUPPORT AND COPING SKILLS. J Nurs Manag 2022; 30:612-621. [PMID: 34989437 DOI: 10.1111/jonm.13542] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Revised: 12/07/2021] [Accepted: 12/30/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Turnover among frontline healthcare workers, particularly nurses, reached an alarming rate during the COVID-19 pandemic. This turnover has been attributed, in part, to excessive fear of the virus (a condition called coronaphobia). Studies have not yet been conducted examining whether social support and coping skills could act as buffers between coronaphobia and the intention to leave. AIM To examine the relationship between coronaphobia and frontline nurses' organizational and professional turnover intention and to assess whether social support and coping skills can buffer this relationship. METHODS A correlational research design was used to collect responses through an online questionnaire from a convenience sample of 687 frontline nurses from the Central Philippines. Data was analysed using descriptive (mean, standard deviation, percentages) and inferential statistics (t - test, Pearson r correlation coefficient, ANOVA, and multiple linear regression). RESULTS More than half of the frontline nurses experienced coronaphobia, while 25.8% reported a desire to leave their job and 20.7% reported a desire to leave their profession. Coronaphobia had direct significant effects on nurses' organizational (β=.424, p<.001) and professional turnover intention (β=.316, p<.001). Social support and coping skills partially mediated the relationship between organizational (β=.365, p<.001; β=.362, p<.001) and professional turnover intention (β=.279, p<.001; β=.289, p<.001). CONCLUSION Frontline nurses who experienced coronaphobia were more likely to quit their job and the nursing profession. Increasing nurses' social support and enhancing their coping skills reduced the negative effects of coronaphobia, resulting in improved nurse retention. IMPLICATIONS FOR NURSING MANAGEMENT Institutional approaches to reduce coronaphobia and turnover intention during the pandemic can be facilitated by improving social support through innovative approaches (e.g., use of technology, social media) and equipping nurses with positive coping skills through coping skills training and other empirically based coping skill-building interventions.
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Said A, Novianti AD, Risky S. The Psychological Condition of Healthcare Professionals during the COVID-19 Pandemic at a Referral Hospital in Southeast Sulawesi, Indonesia. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2021.7818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background: A significant increase in positive cases in Indonesia has increased the number of health care personnel, nurses, and physicians who have been exposed to COVID-19, which creates a unique psychological burden for health professionals.
Aim: The purpose of this study is to analyze the relationship between the psychological responses of health professionals and anxiety/depression in the hospital by using the Fear of COVID-19 scales and the Hospital Anxiety And Depression Scale (HADS), respectively.
Methods: The method is quantitative with a cross-sectional survey approach using an online questionnaire. A total of 207 health professionals working at the COVID-19 referral hospital are selected as participants.
Results: The result of the Pearson correlation test showed that the highest fear level of health professionals against COVID-19 was 41.5 %, while the most anxiety and depression levels are at the usual level of 76.3 % and 60.4 %, respectively. There is a direct relationship between fear of COVID-19 and anxiety and depression, with significant values of 0.000 and 0.026, respectively.
Conclusions: This research shows the significance of paying close attention to the psychological state of health professionals during a pandemic. As a result, the government must support their mental health by providing counselling with more accurate and up-to-date information.
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Ali I, Sadique S, Ali S. Doctors Dealing With COVID-19 in Pakistan: Experiences, Perceptions, Fear, and Responsibility. Front Public Health 2021; 9:647543. [PMID: 34926360 PMCID: PMC8674424 DOI: 10.3389/fpubh.2021.647543] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2021] [Accepted: 08/27/2021] [Indexed: 01/15/2023] Open
Abstract
This study aimed to describe the dealings of 20 biomedical doctors with coronavirus disease-19 (COVID-19) in the Sindh province of Pakistan. Focusing on physicians from three different hospitals, we describe their challenges, emotions, and views concerning the pandemic. Many regarded the virus from a biomedical standpoint. Yet some also perceived it as a “tool of a proxy war” and a “plot,” without giving agency to anyone for that “plot.” Furthermore, these care providers faced a great fear of infection and an even greater fear of transmitting the virus to their families and friends. A few also feared stigmatization as viral carriers. Whether they experienced fear or not, all of our physician interlocutors emphasized their sense of responsibility to “serve humanity,” yet some also expressed a strong belief in the inevitability of the will of Allah. Some were satisfied with the role of the government in containing the virus, while others expressed concerns and felt that the government should be doing much more. All expressed confidence in the use of personal protective equipment (PPE), viewing it as an effective buffer against viral contagion. We conclude with a call for further research especially ethnographic studies on dealings of physicians with COVID-19 across Pakistan as frontline care providers.
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Affiliation(s)
- Inayat Ali
- Department of Social and Cultural Anthropology, University of Vienna, Vienna, Austria
| | - Salma Sadique
- Community Health Sciences, Peoples University of Medical and Health Science Women, Nawabshah, Pakistan
| | - Shahbaz Ali
- Sindh Institute of Ophthalmology and Visual Sciences (SIOVS), Hyderabad, Pakistan
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Khan SAR, Ponce P. Investigating the effects of the outbreak of COVID-19 on perishable food supply chains: an empirical study using PLS-SEM. INTERNATIONAL JOURNAL OF LOGISTICS MANAGEMENT 2021. [DOI: 10.1108/ijlm-12-2020-0496] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Purpose
At the end of 2019, the first case of the Corona Virus Disease (COVID-19) was reported in Wuhan city of China. The disease was declared a pandemic without imagining the magnitude of damage currently caused in all branches of the economy. One of the most affected sectors was food and mostly perishable food (PF), which are more susceptible to environmental conditions. Thus, the research examines the effect of the COVID-19 outbreak on Ecuador's perishable food supply chains (PFSCs) during the pandemic. It contributes to new results on the special issue (SI) PFSC response to event risk and uncertainty, such as those that generated the pandemic.
Design/methodology/approach
The data used are from primary information sources, which were collected through a questionnaire. The questionnaire was applied to 298 companies belonging to the sector, and later the information was processed through partial least squares structural equation model. The convergent validity, discriminate and robustness tests provide arguments for the suitability of the model. Therefore, the findings are reliable and valid for the adequate measures to improve the PFSC due to a COVID-19 outbreak.
Findings
The results show that the perception of personal risk (PPR) produced by COVID-19 has caused the companies of the PFSC to adopt preventive policies (PO) to avoid contagion and guarantee the operation of the companies. In addition, the PPR has been responsible for the alterations in the demand and price (DP) of PF. Next, PO and DP have a significant effect on PFSC, which shows the evidence favouring the malfunction of PFSC operations due to anti-contagion PO, the mismatch of DP. On the contrary, circular economy practices contribute to the excellent performance of the PFSC. Finally, the research suggests some policy implications to consider in improving the PFSC.
Originality/value
This study is the first to be carried out in Ecuador's country on the PFSC; its contribution is unprecedented and makes it a road-map to be considered to guarantee the correct functioning of the PFSCs, and it will provide policymakers with valid elements to design efficient PFSCs that better respond to unforeseen events and uncertainties. Future research will focus on analysing the management of PF consumption in Ecuador during the pandemic.
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Agyei FB, Bayuo J, Baffour PK, Laari C. "Surviving to thriving": a meta-ethnography of the experiences of healthcare staff caring for persons with COVID-19. BMC Health Serv Res 2021; 21:1131. [PMID: 34670562 PMCID: PMC8528651 DOI: 10.1186/s12913-021-07112-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Accepted: 09/17/2021] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND The emergence of the Coronavirus disease has heightened the experience of emotional burden among healthcare staff. To guide the development of support programmes, this review sought to aggregate and synthesise qualitative studies to establish a comparative understanding of the experiences of healthcare staff caring for persons with the disease. DESIGN A meta-ethnography approach was used to aggregate and synthesise primary qualitative studies. Database search was undertaken from January to November 2020. A standardised tool was used to extract data from the identified primary studies. The studies were translated into each other to formulate overarching concepts/ metaphors which formed the basis of undertaking a narrative synthesis. RESULTS Eight qualitative studies met the inclusion criteria. Two overarching metaphors/ concepts were formulated from the primary studies: 1) surviving to thriving in an evolving space and 2) support amid the new normal. The initial phase of entering the space of caring during the outbreak was filled with psychological chaos as healthcare staff struggled to survive within the context of an illness which was not fully understood. Gradually, healthcare staff may transition to a thriving phase characterised by resilience but still experienced heavy workload and physical/ emotional exhaustion predisposing them to burnout and compassion fatigue. Fear persisted throughout their experiences: fear of contracting the disease or infecting one's family members/ loved ones remained a key concern among healthcare staff despite infection precaution measures. Healthcare staff who contracted the disease felt isolated with additional fears of dying alone. The sources of support were varied with a strong emphasis on peer support. CONCLUSIONS Healthcare staff caring for persons infected with the Coronavirus disease are at risk of burnout and compassion fatigue and require ongoing mental health support commensurate to their needs. Staff who contract the disease may require additional support to navigate through the illness and recovery. Policies and concerted efforts are needed to strengthen support systems and build resilience among healthcare staff.
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Affiliation(s)
| | - Jonathan Bayuo
- Department of Nursing, Presbyterian University College, Agogo, Ghana.
| | | | - Cletus Laari
- Department of General Nursing, School of Nursing and Midwifery, University for Development Studies, Tamale, Ghana
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