1
|
Chen A, Chu WM, Peng N. Promoting new users' online health consultation services usage behavior strategically. Health Mark Q 2024:1-26. [PMID: 38634614 DOI: 10.1080/07359683.2024.2340196] [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: 04/19/2024]
Abstract
Online consultation services have the potential to reduce the workload of healthcare staff, provide timely care to patients, and improve doctor-patient relationships. The COVID-19 pandemic has accelerated the development of these services and platforms, but it remains to be seen whether the general public will continue to use them after the pandemic is under control. This research proposes a framework to examine the factors contributing to UK adults' continued usage of online healthcare consultation services after COVID-19 restrictions have been lifted. A total of 430 new users completed surveys, and the results indicate that expectation confirmation, system quality, and information quality can positively impact users' self-efficacy toward using online consultation services. This, in turn, can influence their continued usage behavior. Furthermore, the results suggest that participants' perception of health risks can moderate the relationship between self-efficacy and continued usage behavior. The strategic implications of these findings are discussed.
Collapse
Affiliation(s)
- Annie Chen
- Roehampton Business School, Roehampton University, London, United Kingdom
| | - Wei-Min Chu
- Division Chief of Family Medicine, Taichung Veterans General Hospital, Taichung, Taiwan
- National Yang Ming Chiao Tung University, Hsinchu, Taiwan
| | - Norman Peng
- Glasgow School for Business and Society, Glasgow Caledonian University, Glasgow, United Kingdom
| |
Collapse
|
2
|
Saeed F, Ghalehnovi E, Saeidi M, Ali beigi N, Vahedi M, Shalbafan M, Kamalzadeh L, Nazeri Astaneh A, Jalali Nadoushan AH, Shoib S. Factors associated with suicidal ideation among medical residents in Tehran during the COVID-19 pandemic: A multicentric cross-sectional survey. PLoS One 2024; 19:e0300394. [PMID: 38489343 PMCID: PMC10942077 DOI: 10.1371/journal.pone.0300394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 02/26/2024] [Indexed: 03/17/2024] Open
Abstract
BACKGROUND The mental health of medical residents, challenged by their intensive training, is of utmost concern. In light of reported suicides among Iranian medical residents in 2021, this study investigates the factors behind suicidal ideation among medical residents during the COVID-19 pandemic in Tehran. METHODS This study conducted a cross-sectional online survey among medical residents in various specialties in Tehran, Iran, amidst the COVID-19 pandemic. Suicidal ideation was assessed using the Beck Scale for Suicidal Ideation (BSSI), while depression, anxiety, and stress were measured using the DASS-21. It also collected demographic and clinical data from the participants. The data were analyzed using descriptive statistics, the Chi-square test, and multiple linear regression to examine the prevalence and determinants of suicidal ideation among medical residents. RESULTS The study enrolled 353 medical residents and found that 34.3% of them had suicidal ideation, with 10.2% indicating a high risk. The study also found high levels of depression, anxiety, and stress among the participants. The variables that significantly predicted suicidal ideation were depression, history of alcohol/substance use, personal history of suicide attempts, history of self-mutilation, family history of suicide attempts, number of shifts in a month, death of close persons because of COVID-19, and income. Depression was the strongest predictor of suicidal ideation. CONCLUSION These findings underscore the urgent need for effective interventions and support systems to address the mental health needs of medical residents in Iran. The strategies should prioritize destigmatizing mental health, promoting access to mental health services, fostering a supportive training environment, and enhancing income opportunities.
Collapse
Affiliation(s)
- Fahimeh Saeed
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Mahdieh Saeidi
- Research Center for Addiction and Risky Behaviors, Iran University of Medical Sciences, Tehran, Iran
| | - Neda Ali beigi
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohsen Vahedi
- Department of Biostatistics and Epidemiology, Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammadreza Shalbafan
- Department of Psychiatry, Mental Health Research Center, Psychosocial Health Research Institute (PHRI), School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Leila Kamalzadeh
- Department of Psychiatry, Geriatric mental health research center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Nazeri Astaneh
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Amir Hossein Jalali Nadoushan
- Department of Psychiatry, Mental Health Research Center, Psychosocial Health Research Institute (PHRI), School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Sheikh Shoib
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Health Services, Srinagar, Kashmir, India
| |
Collapse
|
3
|
Baek SU, Lee YM, Yoon JH. Association between long working hours and the development of suicidal ideation among female workers: An 8-year population-based study using the Korean Longitudinal Survey of Women & Family (2012-2020). Psychiatry Res 2024; 333:115731. [PMID: 38237536 DOI: 10.1016/j.psychres.2024.115731] [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: 09/26/2023] [Revised: 01/08/2024] [Accepted: 01/10/2024] [Indexed: 02/17/2024]
Abstract
Long working hours and overwork have recently emerged as pressing public health concerns. We explored the association between long working hours and suicidal ideation in female workers. A total of 8017 women (24,331 observations) from the fourth to eighth waves of the Korean Longitudinal Survey of Women and Families (2012-2020) were analyzed. To address the repeated measurements within each participant, we employed a generalized estimating equation to estimate the odds ratio (OR) and 95% confidence intervals (CIs). The prevalence of suicidal ideation was 1.9% for those working 35-40 h/week and 4.4% for those working ≥55 h/week. Compared to individuals working 35-40 h/week, those working ≥55 h/week were more likely to experience concurrent suicidal ideation (OR [95% CI]:1.85 [1.43-2.39]). The OR (95% CI) of the association between long working hours and onset of suicidal ideation in the subsequent wave was 1.69 (1.20-2.38) for ≥55 h/week. In subgroup analysis, this association was pronounced among workers with low-income levels (OR [95% CI]: 1.97 [1.29-3.02]) and blue-collar occupations (OR [95% CI]: 2.27 [1.41-3.66]). Policy efforts are required to protect the mental health of female workers exposed to long working hours.
Collapse
Affiliation(s)
- Seong-Uk Baek
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea; Graduate School, Yonsei University College of Medicine, Seoul, Korea
| | - Yu-Min Lee
- Department of Occupational and Environmental Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea; The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea
| | - Jin-Ha Yoon
- The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea; Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
| |
Collapse
|
4
|
Omori Y, Oka N, Suzuki Y, Shima M, Nishikawa H, Tsuzuki K. Impact of the Coronavirus Disease 2019 Pandemic on Medical Practices in Awaji Island. JMA J 2024; 7:61-69. [PMID: 38314427 PMCID: PMC10834151 DOI: 10.31662/jmaj.2023-0107] [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: 06/30/2023] [Accepted: 09/26/2023] [Indexed: 02/06/2024] Open
Abstract
Introduction Since the first confirmed case of coronavirus disease 2019 (COVID-19) in China, COVID-19 continues to be a global threat and exerts a significant impact on medical practices. This study aims to investigate the impact of the COVID-19 pandemic on medical practices in Awaji Island, a remote island in Japan. Methods First, we conducted a survey on the epidemiological characteristics of COVID-19 on Awaji Island before and during the pandemic. Next, using a questionnaire, we conducted a survey with doctors working full time at Hyogo Prefectural Awaji Medical Center, which is the only designated infectious disease hospital on Awaji Island. Results The COVID-19 infection rate of Awaji Island was lower than that of Hyogo Prefecture and of Japan as a whole, although the peaks occurred simultaneously. Outpatient visits as well as hospitalized patients, i.e., inpatients, decreased during the pandemic as a result of restrictions on surgeries and hospitalizations, with no changes in the disease composition ratio. The results of the questionnaire show that during the pandemic, doctors working full time at our hospital worked less and slept more. Furthermore, data obtained from the Medical Affairs Department showed a decrease in overtime hours worked and an increase in the number of days of paid holidays taken. Conclusions Epidemiologically, the impact of the COVID-19 pandemic on Awaji Island showed a similar trend to that in Japan, but the results of the survey questionnaire indicated that doctors working full time at our hospital were not necessarily adversely affected.
Collapse
Affiliation(s)
- Yoshihiko Omori
- Department of Otorhinolaryngology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan
| | - Naoto Oka
- Department of Otorhinolaryngology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan
| | - Yasukuni Suzuki
- Department of Surgery, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan
| | - Masayuki Shima
- Department of Public Health, Hyogo Medical University, Nishinomiya, Japan
| | - Hiroki Nishikawa
- Department of 2nd Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, Japan
| | - Kenzo Tsuzuki
- Department of Otorhinolaryngology-Head and Neck Surgery, Hyogo Medical University, Nishinomiya, Japan
| |
Collapse
|
5
|
Kabir H, Chowdhury SR, Roy AK, Chowdhury SA, Islam MN, Chomon RJ, Akter M, Hossain A. Association of workplace bullying and burnout with nurses' suicidal ideation in Bangladesh. Sci Rep 2023; 13:14641. [PMID: 37669987 PMCID: PMC10480219 DOI: 10.1038/s41598-023-41594-4] [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: 01/16/2023] [Accepted: 08/29/2023] [Indexed: 09/07/2023] Open
Abstract
Suicidal ideation is a complex phenomenon influenced by several predisposing, contextual, and mediating factors that seem more common among healthcare workers, especially nurses. We investigated the association of bullying and burnout with suicidal ideation among Bangladeshi nurses and identified the associated factors. We conducted a cross-sectional study among 1264 nurses in Bangladesh between February 2021 and July 2021. We applied a modified Poisson regression model with robust error variance to determine the association of bullying and burnout with suicidal ideation. Among 1264 nurses, the female was 882 (70.02%), and the mean age was 28.41 (SD = 5.54) years. The prevalence of high levels of suicidal ideation was 13.26%. In the Poison regression model, high risk bullying (RR = 6.22, 95% CI 3.13-12.38), targeted to bullying (RR = 7.61, 95% CI 3.53-16.38), and burnout (RR = 8.95, 95% CI 2.84-28.20) were found to be significantly associated with suicidal ideation. Furthermore, we found significant interaction between workplace bullying and burnout with suicidal ideation (p < 0.05). The high prevalence of bullying, burnout, suicidal ideation, and their association indicate an unsafe workplace for the nurses. Initiatives are needed to make a favorable work environment to improve nurses' overall mental health and reduce suicide ideation.
Collapse
Affiliation(s)
- Humayun Kabir
- Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
- Department of Health Research Methods, Evidence and Impact (HEI), McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
| | - Saifur Rahman Chowdhury
- Department of Public Health, North South University, Dhaka, 1229, Bangladesh.
- Department of Health Research Methods, Evidence and Impact (HEI), McMaster University, 1280 Main Street West, Hamilton, ON, L8S 4L8, Canada.
| | - Anjan Kumar Roy
- Department of Nursing and Health Science, Jashore University of Science and Technology, Jashore, 7408, Bangladesh
| | - Samiul Amin Chowdhury
- Department of Public Health, Leading University, Sylhet, 3112, Bangladesh
- Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, S7N 5E5, Canada
| | - Md Nazrul Islam
- Department of Community Health and Epidemiology, College of Medicine, University of Saskatchewan, Saskatoon, SK, S7N 5E5, Canada
| | - Rifat Jahan Chomon
- Department of Public Health, North South University, Dhaka, 1229, Bangladesh
| | - Masuda Akter
- Faculty of Medicine, University of Dhaka, Dhaka, 1000, Bangladesh
| | - Ahmed Hossain
- Health Services Administration, College of Health Sciences, University of Sharjah, Sharjah, UAE
- Global Health Institute, North South University, Dhaka, 1229, Bangladesh
| |
Collapse
|
6
|
Fujikawa H, Son D, Eto M. Cultural adaptation and validation of Japanese medical resident version of the workplace social capital scale: a cross-sectional study. BMC MEDICAL EDUCATION 2023; 23:487. [PMID: 37391765 DOI: 10.1186/s12909-023-04469-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 06/22/2023] [Indexed: 07/02/2023]
Abstract
BACKGROUND The Workplace Social Capital (WSC) Scale is the most frequently used tool for measuring social capital at work in Western countries. However, there are no corresponding tools for assessing WSC among medical trainees in Japan. Thus, this study was conducted to develop the Japanese medical resident version of the WSC (JMR-WSC) Scale and examine its validity and reliability. METHODS The Japanese version of the WSC Scale by Odagiri et al. was reviewed and the scale was partially modified for use in the Japanese context of postgraduate medical education. To verify the validity and reliability of the JMR-WSC Scale, a cross-sectional survey was performed in 32 hospitals across Japan. Postgraduate trainees (years 1-6) at the participating hospitals responded to the online questionnaire on a voluntary basis. We tested the structural validity through confirmatory factor analysis. We also examined criterion-related validity and internal consistency reliability of the JMR-WSC Scale. RESULTS In all, 289 trainees completed the questionnaire. The results of confirmatory factor analysis supported the JMR-WSC Scale's structural validity on the same two-factor model as that of the original WSC Scale. Logistic regression analysis showed that, after adjustment for gender and postgraduate years, trainees with good self-rated health had a significantly elevated odds ratio for good WSC. Cronbach's alpha coefficients showed acceptable internal consistency reliability. CONCLUSIONS We successfully developed the JMR-WSC Scale and examined its validity and reliability. Our scale could be used to measure social capital in postgraduate medical training settings in Japan to help prevent burnout and reduce patient safety incidents.
Collapse
Affiliation(s)
- Hirohisa Fujikawa
- Center for General Medicine Education, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160- 8582, Japan.
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan.
| | - Daisuke Son
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
- Department of Community-based Family Medicine, Faculty of Medicine, Tottori University, Yonago, Tottori, Japan
| | - Masato Eto
- Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-ku, Tokyo, Japan
| |
Collapse
|
7
|
Minichiello V, Webber S. Resident Physician Perspectives on Mindfulness Education in Residency: A Multispecialty Qualitative Assessment of Clinical Care Impact. J Grad Med Educ 2023; 15:356-364. [PMID: 37363667 PMCID: PMC10286909 DOI: 10.4300/jgme-d-22-00492.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Revised: 10/18/2022] [Accepted: 03/27/2023] [Indexed: 06/28/2023] Open
Abstract
Background Mindfulness training positively influences residents personally and professionally. Routine integration into residency may be impacted by limited understanding of the ways in which mindfulness training enhances clinical care. Objective We explored residents' direct experience and personal application of mindfulness in their clinical work following 10 hours of mindfulness training. Methods Mindfulness training sessions were facilitated between 2017 and 2019 for 5 groups of residents: pediatrics, ophthalmology, postgraduate year (PGY)-1 anesthesiology, and 2 different years of PGY-1 family medicine residents. Training was integrated into resident protected didactic time and attendance was expected, although not mandated, with the exception of pediatrics, in which the department mandated the training. Qualitative evaluation was conducted using a voluntary, semi-structured, de-identified phone interview within 2 months post-training. Reviewers independently coded the transcripts and then dialogued to reach consensus around emergent themes. Results Thirty-six of 72 residents (50%) who participated in the training completed interviews. Themes were similar across specialties. All residents acknowledged the potential usefulness of mindfulness training during residency. Six residents (17%) reported they had not applied the mindfulness training to their daily work by the end of the course. There were 4 emergent themes related to clinical application of mindfulness training: integrating brief moments of mindfulness practice, self-awareness, relational presence with patients, and maintaining perspective during clinical encounters and residency training as a whole. Conclusions After completing a 10-hour mindfulness training program, residents reported enhanced perspective-taking and relationship-building with themselves and their patients in clinical settings across medical and procedural specialties.
Collapse
Affiliation(s)
- Vincent Minichiello
- All authors are with the University of Wisconsin-Madison School of Medicine and Public Health
- Vincent Minichiello, MD, is Family Physician, Assistant Professor, and Director, Academic Integrative Health Fellowship, Department of Family Medicine and Community Health
| | - Sarah Webber
- All authors are with the University of Wisconsin-Madison School of Medicine and Public Health
- Sarah Webber, MD, is a Pediatric Hospitalist, Associate Professor, and Division of Hospital Medicine and Pediatric Sedation Provider, Department of Pediatrics
| |
Collapse
|
8
|
Yin C, Ji J, Cao X, Jin H, Ma Q, Gao Y. Impact of long working hours on depressive symptoms among COVID-19 frontline medical staff: The mediation of job burnout and the moderation of family and organizational support. Front Psychol 2023; 14:1084329. [PMID: 36874813 PMCID: PMC9975257 DOI: 10.3389/fpsyg.2023.1084329] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Accepted: 01/26/2023] [Indexed: 02/17/2023] Open
Abstract
Background During the COVID-19 pandemic, the frontline medical staff faced more workload and heavier physical and mental stress, which increased their job burnout and negative emotions. However, little is known about the potential factors mediating and moderating these relations. This study investigates the association between long working hours and depressive symptoms among frontline medical staff in China, and explores the potential mediating effect of job burnout, and moderating effect of family and organizational support on these associations. Methods Data of 992 frontline medical staff who participated in the prevention and control of COVID-19 was obtained from the online survey conducted in November to December 2021 in China. Depressive symptoms were evaluated using the Patient Health Questionaire-9 (PHQ-9). Moderated mediating model was employed to understand the relationship between long working hours (X), depressive symptoms (Y) mediated through job burnout (M), moderated by family support (W1) and organizational support (W2), while controlling all possible covariates. Results 56.96% of participants worked more than 8 h per day. 49.8% of them had depressive symptoms (PHQ-9 ≥ 5) and 65.8% experienced job-related burnout. Long working hours was positively associated with depressive symptoms score (β = 0.26, 95% CI:0.13 ~ 0.40). Mediation analyses revealed that job burnout significantly mediated this relationship (indirect effect = 0.17, 95% CI: 0.08 ~ 0.26). Moderated mediation further indicated that both two interactions of social support (family support W1, organizational support W2) and job burnout were negatively related to depressive symptoms among frontline medical staff, indicating that higher social support being less job burnout with lower depressive symptoms. Conclusion Longer working hours and higher job burnout may contribute to worse mental health among frontline medical staff. Social support could buffer the detrimental effects by reducing their job burnout. Contribution The main contribution of this study was to estimate the negative effect of long working hours on depressive symptoms among frontline medical staff and explore the potential mediating role of job burnout and moderating role of social support on these associations.
Collapse
Affiliation(s)
- Chengjie Yin
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China
| | - Jingya Ji
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China
| | - Xin Cao
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China
| | - Hui Jin
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China
| | - Qiang Ma
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China.,Department of Hospital Management, Affiliated Hospital of Nantong University, Nantong, China
| | - Yuexia Gao
- Department of Health Management, School of Public Health, Nantong University, Nantong, Jiangsu, China
| |
Collapse
|
9
|
Okawara M, Ishimaru T, Yoshikawa T, Kido M, Nakashima Y, Nakayasu A, Kimori K, Imamura S, Matsumoto K. Working hours, side work, and depressive symptoms in physicians: A nationwide cross‐sectional study in Japan. J Occup Health 2022; 64:e12377. [DOI: 10.1002/1348-9585.12377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 11/15/2022] [Accepted: 11/22/2022] [Indexed: 12/04/2022] Open
Affiliation(s)
- Makoto Okawara
- Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences University of Occupational and Environmental Health, Japan Kitakyushu Japan
| | - Tomohiro Ishimaru
- Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences University of Occupational and Environmental Health, Japan Kitakyushu Japan
| | - Toru Yoshikawa
- Research Center for the Overwork‐Related Disorders National Institute of Occupational Safety and Health, Japan Kawasaki Japan
| | - Michiko Kido
- Department of Obstetrics & Gynecology Japanese Red Cross Medical Center Tokyo Japan
| | | | - Anna Nakayasu
- Department of Obstetrics & Gynecology Japanese Red Cross Medical Center Tokyo Japan
| | - Kokuto Kimori
- Executive Boards Japan Medical Association Tokyo Japan
| | - Satoshi Imamura
- Executive Boards Japan Medical Association Tokyo Japan
- Imamura Clinic Tokyo Japan
| | | |
Collapse
|