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Faghihi M, Farshad A, Salehi N, Whitehead D, Ghayen MM, Izadi B, Mansourian M. Exploring drivers of women's well-being in hospitals: mapping the landscape. BMC Womens Health 2024; 24:355. [PMID: 38902715 PMCID: PMC11188510 DOI: 10.1186/s12905-024-03123-x] [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: 02/27/2023] [Accepted: 04/30/2024] [Indexed: 06/22/2024] Open
Abstract
BACKGROUND AND PURPOSE The workplace plays a key role in impacting the health and well-being of employees at various levels, including physical, psychological, and social aspects of health. This study aims to identify the drivers of a healthy environment that promotes the well-being of women employed in hospitals. MATERIALS & METHODS This qualitative study used purposive sampling to recruit a total of 48 working women across a diverse range of participants with different job categories and socio-demographic statuses. These include clinical health (e.g., nurse, head nurse, practical nurse, supervisor, physicians); allied health (e.g., diagnostic services); public health (e.g., health promotion specialists); and administrative (e.g., hospital managers). Data was collected through semi-structured interviews and were analyzed using content analysis by creating codes, sub-themes, and themes. RESULTS Content analysis resulted in 31 key codes, that generated 12 sub-themes and 4 key themes. These include Advancing women's health through collaborative leadership; a Psychologically safe environment for women; Thriving for positive social connections; and Advancing holistic health for women. DISCUSSION AND CONCLUSION Hospital managers and leaders play a pivotal role in creating supportive workplaces for women. They can significantly assist in prioritizing their psychological and social health through personalized approaches tailored to women's needs, positioning them as co-designers of their health and well-being.
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Affiliation(s)
- Mitra Faghihi
- Health Education & Promotion, Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Aliasghar Farshad
- Professor of Occupational Health Engineering, Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Nasim Salehi
- Health Management, Edith Cowan University, Perth, WA, Australia
| | - Dean Whitehead
- Institute of Health and Wellbeing, Federation University, Berwick, Australia
| | - Masoud Motalebi Ghayen
- Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran
- Health Promotion Research Center, Iran University of Medical Science, Tehran, Iran
| | - Bahar Izadi
- Associate Professor of Health Education and Promotion, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Morteza Mansourian
- Associate Professor of Health Education and Promotion, Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran.
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Al-Hourani ZA, Almhdawi KA, AlBakri IA, Alibrahim AN, Obeidat D. The health and quality of life of dental workers in jordan during COVID-19: A cross-sectional study. Work 2024:WOR220458. [PMID: 38251081 DOI: 10.3233/wor-220458] [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: 01/23/2024] Open
Abstract
BACKGROUND Dental team members are susceptible to high mental and physical stress levels, which could have increased during the Coronavirus disease 2019 (COVID-19). OBJECTIVE This study aimed to evaluate Jordanian dental workers' health-related quality of life (HRQoL) and determine its predictors during the COVID-19 Pandemic. METHODS This was a cross-sectional survey study conducted on dental team members, namely; Dentists, dental Assistants, and Dental Technicians. The survey questionnaire was composed of questions related to stress during COVID-19, a short-form survey of 12 items (SF-12), a Depression, Anxiety, and Stress scale (DASS-21), and a Nordic musculoskeletal disorder questionnaire (NMQ). Descriptive analyses were used to describe the main outcome measures, and multiple variable regression analysis was conducted to identify the quality of life predictors. RESULTS Participants' HRQoL measured by SF-12 showed a mean±SD score of 67.1±17.19 for the physical component and 54.51±20.27 for the mental component. The Nordic scale showed symptoms of lower back pain as 63.9% over 12 months, 32% over 12 months' functional limitation symptoms, and 45% in 7 days The regression model was found strong for our study with 53.8% variations (r2 = 0.538, F = 43.739, P < 0.001) in health-related quality of life. CONCLUSIONS Our study concluded that the level of HRQoL among Jordanian dental specialists during COVID-19 was observed to impact levels of physical and mental well-being which negatively influence the quality of life. Predictive factors like depression, stress, anxiety, musculoskeletal health, and individual everyday quality of life significantly affect the HRQoL of dental specialists.
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Affiliation(s)
- Zeid A Al-Hourani
- Department of Applied Dental Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Khader A Almhdawi
- Department of Rehabilitation Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Isra A AlBakri
- Department of Applied Dental Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Anas N Alibrahim
- Department of Prosthodontics, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan
| | - Donia Obeidat
- Jordan University of Science and Technology Faculty of Applied Medical Science, Jordan
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Dando LL, Velitario AM, Mallillin LLD, Celdran MCB, Alcantara JC. Mindful self-care and mental well-being of university health educators and professionals in Hail Region, Saudi Arabia. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:351. [PMID: 38144026 PMCID: PMC10743852 DOI: 10.4103/jehp.jehp_1771_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Accepted: 02/09/2023] [Indexed: 12/26/2023]
Abstract
BACKGROUND Psychological stress is a familiar occurrence as it is linked with a sense of lack of control when up fronted with uncertainty. The study examines the mindful self-care practices of health educators and professionals in various domains and determines their relationship to the self-perceived level of mental well-being. MATERIALS AND METHODS The study employs the quantitative descriptive approach. It was conducted in the Hail region in the academic year 2020-2021 and was participated by 91 respondents from various colleges. Self-care practices and mental well-being of health educators and professionals were determined using the Mindful Self-Care Scale and the Warwick Edinburgh Mental Well-being Scale. Pearson correlation (2-tailed) was performed to assess the significant relationship between self-care behavior and mental well-being. Post-hoc test for correlation was conducted between the mean rating for each variable for self-care behavior and the mean rating for mental well-being. This was tested at an appropriate probability value of 0.01 and 0.05. RESULTS The overall mean for self-care behaviors of the respondents was 3.96 (SD 0.81) while the overall mental well-being score was 51.90 (SD 8.0). This was considered as average mental well-being, not indicative of possible/clinical depression. A significant relationship exists between the overall rating for self-care behavior and the overall rating for mental well-being (r = 0.661, P value < 0.001). Furthermore, with a correlation score of 0.661, the two variables have a moderately strong and significant positive relationship. CONCLUSIONS The study affirmed the relationship between mindful self-care behaviors and mental well-being. Engaging in self-care practices regularly and frequently can develop one's well-being.
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Affiliation(s)
- Lea L. Dando
- Department of Medical-Surgical, College of Nursing, University of Hail, Hail, Saudi Arabia
- Department of Medical-Surgical, College of Health and Sciences, Camarines Sur Polytechnic Colleges, Nabua, Camarines Sur, Philippines
| | - Anamarie M. Velitario
- Department of Medical-Surgical, College of Nursing, University of Hail, Hail, Saudi Arabia
| | | | | | - Jerold C. Alcantara
- Department of Medical Laboratory Science, College of Applied Medical Science, University of Hail, Hail, Saudi Arabia
- College of Medical Laboratory Science, Lorma Colleges, San Fernando City, La Union 2500, Philippines
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Quansah PE, Zhu Y, Guo M. Assessing the effects of safety leadership, employee engagement, and psychological safety on safety performance. JOURNAL OF SAFETY RESEARCH 2023; 86:226-244. [PMID: 37718051 DOI: 10.1016/j.jsr.2023.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Revised: 03/06/2023] [Accepted: 07/14/2023] [Indexed: 09/19/2023]
Abstract
INTRODUCTION The study assessed the impact mechanisms of employee engagement and psychological safety in safety leadership and safety performance relationships. METHOD We collected 539 valid responses from contract miners using a multi-wave survey research design. We analyzed the data quantitatively using the structural equation model (SEM) and hierarchical regression analysis (HRA) in AMOS and SPSS version 26 software. We used SEM to examine our proposed framework's main and structural mediation effects. HRA was used to test the moderation effect of our framework. RESULTS From the SEM results of our study, safety leadership significantly and positively influenced all two dimensions of safety performance-safety compliance and safety participation -- and all three dimensions of employee engagement-vigor, dedication, and absorption. Also, vigor, dedication, and absorption partially mediated the relationship between safety leadership and safety compliance, but fully mediated the safety leadership-safety participation relationship. From the HRA results, psychological safety significantly moderated two employee engagement variables (thus, vigor and dedication) and safety compliance. Also, it moderated all three variables of employee engagement (vigor, dedication, and absorption) and safety participation. PRACTICAL APPLICATIONS This current study highlights the importance of examining safety leadership on specific job performance, such as safety performance. It also highlights the necessity of having psychological safety and enhancing employee engagement in the mines.
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Affiliation(s)
| | - Yongyue Zhu
- School of Management, Jiangsu University, Zhenjiang, China.
| | - Minyu Guo
- School of Management, Jiangsu University, Zhenjiang, China
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Besa R, Angelo E, Cutroneo A, Frieman A, Paliwal M, Williams D. Effect of Nature-Themed Recharge Room on Healthcare Workers' Level of Stress and Anxiety. J Nurs Adm 2023; 53:481-489. [PMID: 37624810 DOI: 10.1097/nna.0000000000001319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/27/2023]
Abstract
OBJECTIVE To determine if there is a difference in stress and anxiety before and after the use of the nature-themed recharge room. BACKGROUND Psychological support measures have been noted to be relevant to nurses; however, the effect of the pandemic on the healthcare workers' emotional and psychological well-being led to urgent calls to implement psychological support measures more widely. METHODS The study utilized a 1-group pretest and posttest design. One hundred sixty hospital employees utilized the recharge room, with 131 completed questionnaires counted in the data analysis. Data were collected using the demographic form, Perceived Stress Scale, and State-Trait Anxiety Inventory. RESULTS Most participants were between 25 and 35 years old, female, worked the morning shift, had 3 to 5 years of experience, preferred a water feature theme, and used the room for 10 minutes. The mean stress preintervention score was 7.44, and postintervention score was 7.17, with the difference not statistically significant. The mean anxiety preintervention score was 14.17, and postintervention score was 8.48, with the difference statistically significant at a P < 0.05. Females working in the hospital for 1 to 5 years were physicians/residents, nursing support staff, and leaders with the highest mean stress (4-item Perceived Stress Scale) and anxiety (6-item State-Trait Anxiety Inventory) preintervention scores. Comparing the preintervention and postintervention anxiety levels, the highest reduction was noted among females working in the hospital for 1 to 3 years and nursing support staff who have used the room for 5 to 15 minutes with 2 or fewer people. CONCLUSION Organizational leaders should offer psychological support programs, such as the nature-themed recharge room, to help reduce the healthcare workers' stress and anxiety.
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Affiliation(s)
- Rocel Besa
- Author Affiliations: Magnet Program Director (Dr Besa), Hackensack Meridian Jersey Shore University Medical Center, Neptune; and Chief Nursing Officer/Vice President of Nursing (Dr Angelo), Vice President of Support Service Operations (Cutroneo), Chief Wellness Officer (Dr Frieman), Senior Biostatistician at the Institute for Evidence Based Care (Paliwal), and Director of Patient Care (Williams), Hackensack Meridian Health, Edison, New Jersey
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Gökçay G, Çevirme A. Turkish airline cabin crew members' attitudes towards protection from infectious diseases in the context of their health responsibilities and health perceptions. Travel Med Infect Dis 2023; 54:102623. [PMID: 37499775 DOI: 10.1016/j.tmaid.2023.102623] [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: 06/29/2021] [Revised: 07/19/2023] [Accepted: 07/23/2023] [Indexed: 07/29/2023]
Abstract
INTRODUCTION This paper investigated Turkish Airline cabin crew members' attitudes towards protection from infectious diseases in the context of their health responsibilities and health perceptions. MATERIALS AND METHODS The study adopted a descriptive research design. The sample consisted of 686 cabin crew members. Data were collected online using a sociodemographic characteristics questionnaire, a scale of attitudes towards infectious diseases, the Health Perception Scale(HPS), and the Health Responsibility subscale(HRS) of the Healthy Lifestyle Behaviors Scale(HLBS). The data were analyzed using the Statistical Package for Social Sciences (SPSS, v. 20.0). Number, percentage, mean, standard deviation, t-test, f test, and correlation were used for analysis. RESULTS Participants had a mean HPS and HRS score of 56.12 ± 8.22 and 24.50 ± 7.05, respectively. The difference between the participants' marital status, position in the workplace, age group, number of children, occupational experience, exposure to communicable diseases, training on prevention from communicable diseases, voluntary vaccination status, and HPS and HRS scores were statistically significant(p < .05). CONCLUSION There was a strong correlation between HPS and HRS scores(r = 0.664). Cabin crew members' health perceptions and health responsibilities were affected by numerous factors. Suggestions were made to cabin crew members pertaining to infectious diseases and ways of protecting from them.
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Affiliation(s)
- Gönül Gökçay
- Kafkas University, Faculty of Health Sciences, Department of Public Health Nursing, Kars, Turkey.
| | - Ayşe Çevirme
- Sakarya University, Faculty of Health Sciences, Department of Public Health Nursing, Sakarya, Turkey
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Smalbroek B, Vijverberg J, Fahim M, Dijksman L, Biesma D, Smits A, van Merode F, van der Nat P. The Intervention Selection Toolbox to improve patient-relevant outcomes: an implementation and qualitative evaluation study in colorectal cancer surgery. BMC Health Serv Res 2023; 23:345. [PMID: 37024873 PMCID: PMC10080915 DOI: 10.1186/s12913-023-09264-3] [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: 09/09/2022] [Accepted: 03/08/2023] [Indexed: 04/08/2023] Open
Abstract
BACKGROUND The concept of value-based healthcare is being used worldwide to improve healthcare. The Intervention Selection Toolbox was developed to bridge the gap of value-based healthcare, between insights in outcomes and actual quality improvement initiatives. In this study we aimed to evaluate the use of the Intervention Selection Toolbox in daily practice of a quality improvement team in a hospital setting. METHODS A methodological triangulation design was used. The Intervention Selection Toolbox was used by a multidisciplinary quality improvement team for colorectal cancer care in a large teaching hospital. In-depth semi-structured interviews, focusing on the key elements of process evaluation, were conducted after implementation with representatives of the quality improvement team to evaluate the use of the Intervention Selection Toolbox. Quantitative data regarding improvement initiatives and degree of implementation was also collected. RESULTS The use of the Intervention Selection Toolbox initially resulted in 80 potential quality improvement initiatives. Eventually, two high potential improvement initiatives were selected. Some components of the toolbox were successfully implemented in daily practice, although 'standard monitoring' and 'causal chain analysis' proved more difficult to implement. Qualitative analysis was performed with ten members of the multidisciplinary team before thematic saturation occurred. Interviewed members had a wide range in characteristics: age 28-61 years, clinical experience 6-38 years and educational attainment from vocational program to academic doctorate. The Interviews showed added value in the use of the toolbox, but identified time and organizational management as restricting factors. CONCLUSIONS The Intervention Selection Toolbox is useful to systematically identify improvement initiatives with impact on health outcomes that matter to patients. However, before implementation organizational structure should be optimized to maximize success and efficiency on integration of the Intervention Selection Toolbox.
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Affiliation(s)
- Bo Smalbroek
- Department of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands.
- Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.
| | - Joanna Vijverberg
- Department of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands
- Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre+, Maastricht, The Netherlands
| | - Milad Fahim
- Department of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands
- Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - Lea Dijksman
- Department of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - Douwe Biesma
- Department of Internal Medicine, Leiden University Medical Centre, Leiden, Netherlands
| | - Anke Smits
- Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands
| | - Frits van Merode
- Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre+, Maastricht, The Netherlands
| | - Paul van der Nat
- Department of Value-Based Healthcare, St. Antonius Hospital, Nieuwegein, The Netherlands
- Radboud Institute for Health Sciences, Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud University Medical Center, Nijmegen, The Netherlands
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Healthy life-style behaviors and related factors among Turkish primary health care professionals. MARMARA MEDICAL JOURNAL 2023. [DOI: 10.5472/marumj.1244431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
Objective: The role of health professionals working in primary care in providing services to all segments of society and in protecting
and improving the health of all individuals is extremely important. The aim of this study is to determine the healthy lifestyle behaviors
of primary health care workers in Karabük city center and to examine some factors that may affect the choice of a healthy lifestyle.
Materials and Methods: This cross-sectional study was conducted between October-December 2019 with the participation of 334
healthcare professionals in Karabük. The questionnaire with 27 questions and the Healthy Lifestyle Behaviors Scale II (HLBS-II) were
administered.
Results: The median age of the health care workers participating in the study was 38.2 ± 10.6. Of the participants 53.8% were women
and approximately three-quarters of the participants (70.8%) were married. In terms of occupational groups, 10.9% of the participants
were physicians, 25.0% were nurses and midwives, 16.7% were health officers/technicians and 47.4% were composed of other
employees. The HLBS-II total score was found to be 126.8±21.3. The HLBS-II total score were higher in women, those who defined
their health status as good, university graduates those who did not smoke, had good nutrition, exercised, and were satisfied with their
body appearance.
Conclusion: In our study, it was found that the healthy life behavior scores of health workers were at a good level. Especially men,
smokers, high school graduates, obese, those who do not pay attention to their nutrition and physical activity should be informed and
be supported by healthy living behavior programs.
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Chen Y, Wang P, He Y, Jiang F, Liu H, Liu Y, Liu T, Tang YL, Zhu J. Gender differences in the association between lifestyle behaviors and mental health among psychiatrists in China. J Affect Disord 2022; 318:196-203. [PMID: 36041580 DOI: 10.1016/j.jad.2022.08.089] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/28/2022] [Revised: 08/21/2022] [Accepted: 08/24/2022] [Indexed: 10/15/2022]
Abstract
INTRODUCTION Mental health symptoms are common among health professionals and the influence of lifestyle behaviors on psychiatrists' mental health is insufficiently understood. Based on a nationwide sample, we aimed to survey the lifestyle behaviors and mental health status among psychiatrists, and to identify the co-occurrence and gender differences in lifestyle behaviors. METHODS Data were collected through an anonymous questionnaire among psychiatrists in China. Depression, Anxiety and Stress Scale - 21 (DASS-21) was used to evaluate mental health symptoms. Latent class analysis (LCA) was used to explore the co-occurrence of lifestyle behaviors. The multivariate logistic regression model was used to examine the effects of demographic and lifestyle factors. RESULTS 4520 psychiatrists were included in the analysis with 11.5 % of them reporting smoking, 10 % reporting alcohol misuse, 35.2 % reporting physical inactivity, and 23.1 % reporting insomnia. The prevalence of depression, anxiety and stress symptoms were 29.2 %, 34.5 %, and 12.2 %, respectively. Significant gender differences were found in smoking (P < 0.001), alcohol misuse (P < 0.001), and physical inactivity (P < 0.001), but not in insomnia. Based on these four high-risk health behaviors above, three lifestyle behavior clusters with huge gender differences were identified through the LCA. Accordingly, the unhealthy lifestyle classes, though defined differently for males and females, were significantly associated with depression, anxiety, and stress. CONCLUSIONS The co-occurrence and significant gender differences in multiple lifestyle behaviors exist in this group, highlighting the need for gender-specific comprehensive interventions against mental health symptoms and the urgency of promoting their well-being.
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Affiliation(s)
- Yanhua Chen
- Vanke School of Public Health, Tsinghua University, Beijing, China; School of Medicine, Tsinghua University, Beijing, China
| | - Peicheng Wang
- Vanke School of Public Health, Tsinghua University, Beijing, China; School of Medicine, Tsinghua University, Beijing, China
| | - Yanrong He
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Feng Jiang
- Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai 200030, China
| | - Huanzhong Liu
- Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China; Anhui Psychiatric Center, Anhui Medical University, Hefei, China
| | - Yuanli Liu
- School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Tingfang Liu
- Institute for Hospital Management, Tsinghua University, Beijing, China
| | - Yi-Lang Tang
- Mental Health Service Line, Atlanta VA Medical Center, Decatur, USA; Addiction Psychiatry Fellowship Program, Department of Psychiatry and Behavioural Sciences, Emory University, Atlanta, USA.
| | - Jiming Zhu
- Vanke School of Public Health, Tsinghua University, Beijing, China.
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Ankomah F, Quansah F, Agormedah EK, Hagan JE, Srem-Sai M, Sambah F, Seidu AA, Ameyaw EK, Ahinkorah BO, Darteh EKM, Schack T. Validity and Reliability of Cultural Mix Coping Inventory for Stressful Situations among Healthcare Professionals in Ghana Amidst COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710651. [PMID: 36078368 PMCID: PMC9518457 DOI: 10.3390/ijerph191710651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/20/2022] [Accepted: 08/22/2022] [Indexed: 05/15/2023]
Abstract
The Cultural Mix Coping Inventory for Stressful Situations is one of the recent coping measures developed to overcome the weaknesses of existing coping scales. Since its development and validation, the inventory has been used by previous studies to measure coping among teachers and students in stressful situations. Health professionals are workers who typically encounter stressful situations due to their work demands. In this study, we assessed the validity and reliability of cultural mix inventory for stressful situations among healthcare professionals in Ghana. The research was guided by three major objectives: (1) to assess the factor structure of the cultural mix coping inventory, (2) to evaluate the construct validity and reliability of the cultural mix coping inventory based on internal structure and (3) to test for evidence of criterion validity based on the external structure of the measure. Approximately 312 health workers were purposefully sampled to participate in the study. The study confirmed the original four-factor solution of the coping inventory with evidence of the construct validity based on the internal structure. Validity evidence based on the external structure of the measure was found to be sufficient. Given the COVID-19 pandemic and coupled with the stressful nature in the line of duty of healthcare professionals, this inventory provides a useful and sound measure of coping options among this cohort.
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Affiliation(s)
- Francis Ankomah
- Department of Education and Psychology, University of Cape Coast, Cape Coast PMB TF0494, Ghana
- Department of Education, SDA College of Education, Asokore-Koforidua P.O. Box AS 18, Ghana
| | - Frank Quansah
- Department of Educational Foundations, University of Education, Winneba P.O. Box 25, Ghana
| | - Edmond Kwesi Agormedah
- Department of Business & Social Sciences Education, University of Cape Coast, Cape Coast PMB TF0494, Ghana
| | - John Elvis Hagan
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast PMB TF0494, Ghana
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany
- Correspondence:
| | - Medina Srem-Sai
- Department of Health, Physical Education, Recreation and Sports, University of Education, Winneba P.O. Box 25, Ghana
| | - Francis Sambah
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
| | - Abdul-Aziz Seidu
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
- Centre for Gender and Advocacy, Takoradi Technical University, Takoradi P.O. Box 256, Ghana
| | - Edward Kwabena Ameyaw
- School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia
| | - Bright Opoku Ahinkorah
- School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia
| | | | - Thomas Schack
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 10 01 31, 33501 Bielefeld, Germany
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Muntean LM, Nireștean A, Mărușteri M, Sima-Comaniciu A, Lukacs E. Occupational Stress and Personality in Medical Doctors from Romania. Healthcare (Basel) 2022; 10:healthcare10091612. [PMID: 36141224 PMCID: PMC9498482 DOI: 10.3390/healthcare10091612] [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: 08/03/2022] [Revised: 08/18/2022] [Accepted: 08/21/2022] [Indexed: 11/16/2022] Open
Abstract
Occupational stress amongst doctors has been intensively studied as doctors are exposed to several stress factors daily. The purpose of this study was to investigate if there are associations between personality dimensions and the factors that generate stress at work. We conducted a cross-sectional study of 280 medical doctors from Romania between February 2021 and September 2021 who were evaluated using the DECAS and ASSET Scales. Our results showed that the agreeableness and emotional stability dimensions of personality, according to the Big Five model, were statistically associated with work relationships (A p < 0.0001; ES p = 0.0005), work-life balance (A p = 0.008; ES p = 0.01), overload (A p = 0.01; ES p = 0.001), job security (A p < 0.0001; ES p = 0.002), job control (A p = 0.001; ES p = 0.009), resources and communication (A p = 0.0002; ES p < 0.0001), and job conditions (A p = 0.005; ES p = 0.03). The conscientiousness dimension was statistically associated with job control (p = 0.02). Doctors from different specialties experienced stress differently, with psychiatrists and doctors from preclinical specialties reporting the lowest levels of stress. Internists and surgeons reported higher levels of stress. This study showed that the dimensions of agreeableness and emotional stability were both associated with variables indicative of the level of stress felt at work.
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Affiliation(s)
- Lorena Mihaela Muntean
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
| | - Aurel Nireștean
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
- Correspondence: (A.N.); (M.M.)
| | - Marius Mărușteri
- Department of Medical Informatics and Biostatistics, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
- Correspondence: (A.N.); (M.M.)
| | - Andreea Sima-Comaniciu
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
| | - Emese Lukacs
- Department of Psychiatry, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540136 Targu Mures, Romania
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Gieniusz-Wojczyk L, Dąbek J, Kulik H. Type A Behaviour Pattern and Health Behaviour of Polish Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:6358. [PMID: 35681946 PMCID: PMC9180370 DOI: 10.3390/ijerph19116358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 05/18/2022] [Accepted: 05/20/2022] [Indexed: 11/17/2022]
Abstract
“Coronary prone behaviour pattern” refers to a way of coping with environmental stressors, otherwise known as type A behaviour patterns. Stress, unlimited working hours, and the shift system are conducive to an “unhealthy life style”, conducted by nurses. The aim of the study was to assess the “coronary prone behaviour pattern”, taking into account health behaviour and work performed by Polish nurses. Method: This was a descriptive study conducted from June 2017 to May 2018 among nurses (N = 1080) working primary care or in training facilities in Silesia, Poland. Data were acquired through a series of questionnaires and are presented as descriptive statistics. Results: The “coronary prone behaviour pattern” (type A behaviour) was manifested by 333 (30.8%) nurses, type B by 272 (25.2%). The “coronary prone behaviour pattern” respondents showed a risk of developing a problem with alcohol (p = 0.003) less frequently compared with other respondents. In addition, nurses with the abovementioned behaviour pattern ate better (M = 16.66; SD = 6.11) compared with those with the type B behaviour pattern (M = 15.49; SD = 6.52). In terms of mental and physical wellbeing, people with type A behavioural patterns had significantly (p < 0.001) better mental and physical wellbeing and, on average, better results in coping with stress compared with other behavioural patterns of nurses. Conclusion: The occurrence of the “coronary prone behaviour pattern” was associated with the health-promoting behaviours of nurses being the subject of the analysis, i.e., better mental and physical wellbeing, better ability to cope with stress, and a lower risk of problems with alcohol and proper nutrition.
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Affiliation(s)
- Lucyna Gieniusz-Wojczyk
- Department of Propaedeutics of Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-027 Katowice, Poland;
| | - Józefa Dąbek
- Department of Cardiology, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-635 Katowice, Poland;
| | - Halina Kulik
- Department of Propaedeutics of Nursing, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-027 Katowice, Poland;
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Jia H, Shang P, Gao S, Cao P, Yu J, Yu X. Work Stress, Health Status and Presenteeism in Relation to Task Performance Among Chinese Medical Staff During COVID-19 Pandemic. Front Public Health 2022; 10:836113. [PMID: 35570903 PMCID: PMC9092281 DOI: 10.3389/fpubh.2022.836113] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Accepted: 03/22/2022] [Indexed: 11/13/2022] Open
Abstract
Objectives This study aims to evaluate the direct effects of work stress, health status and presenteeism on task performance, and further explore the mediating effects of health status and presenteeism, hoping to provide theoretical basis for improving the performance of medical staff. Methods A cross-sectional study was conducted among medical staff in Jilin Province, Northeast China. The Challenge and Hindrance-Related Self-Reported Stress scale, Short Form-8 Health Survey scale, Stanford Presenteeism Scale and Task Performance Scale were adopted to assess the work stress, health status, presenteeism and task performance of medical staff. Results A total of 4,347 questionnaires were distributed among medical staff, and 4261 were valid, for an effective rate of 98.02%. The mean scores for work stress, health status, presenteeism and task performance were 2.05 ± 0.84, 4.18 ± 0.68, 2.15 ± 0.79 and 4.49 ± 0.64, respectively. The ANOVA results showed that there were significant differences in the task performance scores between different genders, ages, marital statuses, professional titles, departments and work years (P < 0.05). Work stress (β = −0.136, P < 0.001) and presenteeism (β = −0.171, P < 0.001) were negative predictors of task performance. Health status (β = 0.10; P < 0.001) was positive predictor of task performance. Health status (β = −0.070; P < −0.001) and presenteeism (β = −0.064; P < 0.001) mediated the relationship between work stress and task performance (P < 0.001). Presenteeism mediated the relationship between health status and task performance (β = 0.07; P < 0.001). Conclusion Work stress and presenteeism had significant negative impact on the task performance of medical staff; health status had a significant positive effect on task performance. Meanwhile, health status and presenteeism played a mediating role in the relationship between work stress and task performance, and presenteeism played a mediating role in the relationship between health status and task performance. Reasonable assignment of tasks can reduce the work stress, but to improve the performance of medical staff, we should pay more attention on improving health, such as making health-related safeguard measures, raising awareness, building a platform, etc.
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Affiliation(s)
- Huanhuan Jia
- School of Public Health, Jilin University, Changchun, China
| | - Panpan Shang
- School of Public Health, Jilin University, Changchun, China
| | - Shang Gao
- School of Public Health, Jilin University, Changchun, China
| | - Peng Cao
- School of Public Health, Jilin University, Changchun, China
| | - Jianxing Yu
- School of Public Health, Jilin University, Changchun, China
| | - Xihe Yu
- School of Public Health, Jilin University, Changchun, China
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Faghihi M, Farshad A, Abhari MB, Azadi N, Mansourian M. Determining the characteristics of a mental supportive workplace according to female hospital staff in one of Tehran hospitals: A qualitative study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:114. [PMID: 35677269 PMCID: PMC9170223 DOI: 10.4103/jehp.jehp_701_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/24/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Health-care workers are exposed to complex types of health and safety hazards. A high percentage of hospital staff in Iran are women, who in addition to heavy and stressful hospital work, also carry the burden of the family roles. It is in these circumstances that creating a supportive environment for women is of particular importance. Accordingly, this study is designed to determine the characteristics of a mental supporting work environment in the workplace from the perspective of female hospital staff. MATERIALS AND METHODS This study was performed by a qualitative method and content analysis approach. Sampling was purposive and 26 women working in different wards of this hospital were included in the study. In this study, women with maximum diversity in terms of age, work experience, and employment ward were selected. The main method of data collection in this study was a semi-structured interview. Interview texts were extracted and divided into meaningful units. To validate and confirm the results plus accuracy of the research, the criterion of data validity or data credibility, admissibility, data accuracy, verifiability, reliability, and transferability were used. RESULTS Through the data analysis, 58 primary concepts with the same features were classified into 10 subcategories. Then, based on common features at a more abstract level, they were converted into four main categories including job stressors, women's stress management, providing women's psychological-job satisfaction, and women's work-life balance. CONCLUSION Creating supportive work environments for women, especially those operating in workplaces such as hospitals, which brings a lot of work pressure and workload for them, can be an important policy for organizations and hospital work environments.
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Affiliation(s)
- Mitra Faghihi
- Ph.D Student in Health Education and Promotion, Department of Health Education and Promotion, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Aliasghar Farshad
- Professor, Occupational health Research Center, Iran University of Medical Sciences, Tehran, Iran
| | - Maryam Biglari Abhari
- Community medicine specialist Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Community and Family Medicine Department, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Nammamali Azadi
- Assistant Professor, Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran
| | - Morteza Mansourian
- Associate Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
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Zhang L, Yan M, Takashima K, Guo W, Yamada Y. The effect of the COVID-19 pandemic on health care workers' anxiety levels: a meta-analysis. PeerJ 2022; 10:e13225. [PMID: 35433133 PMCID: PMC9009329 DOI: 10.7717/peerj.13225] [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] [Subscribe] [Scholar Register] [Received: 08/09/2021] [Accepted: 03/15/2022] [Indexed: 01/12/2023] Open
Abstract
Background The COVID-19 pandemic has been declared a public health emergency of international concern, causing excessive anxiety among health care workers. Additionally, publication bias and low-quality publications have become widespread, which can result in the dissemination of unreliable information. A meta-analysis was performed for this study with the following two aims: (1) to examine the prevalence of anxiety among health care workers and determine whether it has increased owing to the COVID-19 pandemic and (2) to investigate whether there has been an increase in publication bias. Methods All relevant studies published between 2015 and 2020 were searched in electronic databases (namely Web of Science, PubMed, Embase, PsycInfo, PsyArXiv, and medRxiv). The heterogeneity of the studies was assessed using the I 2 statistic. The effect size (prevalence rate of anxiety) and 95% CI for each study were also calculated. We used moderator analysis to test for the effect of the COVID-19 pandemic on health care workers' anxiety levels and to detect publication bias in COVID-19 studies. We assessed publication bias using funnel plots and Egger's regression. Results A total of 122 studies with 118,025 participants met the inclusion criteria. Eighty-eight articles (75,066 participants) were related to COVID-19, 13 articles (9,222 participants) were unrelated to COVID-19 (i.e., articles related to other outbreaks, which were excluded), and 21 preprints (33,737 participants) were related to COVID-19. The pooled meta-analysis prevalence was 33.6% (95% CI [30.5-36.8]; 95% PI [6.5-76.3]). Moderator analysis revealed no significant differences between articles related to COVID-19 and those unrelated to COVID-19 (p = 0.824). Moreover, no significant differences were found between articles and preprints related to COVID-19 (p = 0.843). Significant heterogeneity was observed in each subgroup. An Egger's test revealed publication bias in both articles and preprints related to COVID-19 (p < 0.001). Conclusions Determining whether the anxiety state of health care workers is altered by the COVID-19 pandemic is currently difficult. However, there is evidence that their anxiety levels may always be high, which suggests that more attention should be paid to their mental health. Furthermore, we found a substantial publication bias; however, the quality of the studies was relatively stable and reliable.
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Affiliation(s)
- Lunbo Zhang
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Ming Yan
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Kaito Takashima
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Wenru Guo
- Graduate School of Human-Environment Studies, Kyushu University, Japan
| | - Yuki Yamada
- Faculty of Arts and Science, Kyushu University, Japan
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Zhang Y, Sang X, Wu Y, Liu T, Niu R, Han L, Wang Q, Liang X. Correlation between Frequency of Eating Out of Home and Dietary Intake, Sleep, and Physical Activity: A Survey of Young CDC Employees in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063209. [PMID: 35328895 PMCID: PMC8953287 DOI: 10.3390/ijerph19063209] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 03/05/2022] [Accepted: 03/06/2022] [Indexed: 12/10/2022]
Abstract
Objectives: We aimed to investigate the correlation between the frequency of eating out of home and dietary intake, sleep, and physical activity among young employees from the Center for Disease Control and Prevention in China. Methods: Using the cluster sampling method, 6099 employees aged 40 years or below from the Center for Disease Control and Prevention (CDC) from 32 provinces in China were interviewed using an online questionnaire survey. The frequency of eating out of home, dietary intake, sleep, and physical activity of all participants was described, and correlation analysis was used to study the relationships between eating out of home frequency and related indicators. Results: A total of 5353 valid questionnaires were collected with the recovery rate of 87.77%. The results show that 85.8% of participants eat out of home one to five times per week, 10.1% eat out of home more than six times, and 4.1% never eat out. Correlation analysis showed that eating out of home is negatively correlated with a daily vegetable and fruit intake. The lower the intake of vegetables and fruits, the more obvious this tendency. Eating out of home is positively correlated with a daily intake of meat as well as a weekly intake of aquatic products. The higher the intake of meat and aquatic products, the more obvious this tendency. There was a negative correlation between eating out of home and sleep duration and physical activity. The lower the duration of sleep and physical activity, the more obvious this tendency. Conclusions: Based on existing survey data, young employees from the CDC eat out of home regularly, which may affect dietary intake, sleep, and physical activity. Targeted health education programs are urgently needed to assist in the promotion of a healthy lifestyle and reduce the potential risk of chronic disease.
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Affiliation(s)
- Yu Zhang
- Chinese Center for Disease Control and Prevention, Beijing 102206, China;
- National Institute for Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China;
- Correspondence: (Y.Z.); (Y.W.); Tel.: +86-10-58900217 (Y.Z.); +86-188-1016-9630 (Y.W.)
| | - Xianglai Sang
- Gansu Center for Disease Control and Prevention, Lanzhou 730000, China; (X.S.); (X.L.)
| | - Yibo Wu
- School of Public Health, Peking University, Beijing 100871, China
- Correspondence: (Y.Z.); (Y.W.); Tel.: +86-10-58900217 (Y.Z.); +86-188-1016-9630 (Y.W.)
| | - Tuo Liu
- National Institute for Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing 100050, China;
| | - Ran Niu
- National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China;
| | - Lu Han
- Chinese Center for Disease Control and Prevention, Beijing 102206, China;
| | - Qi Wang
- Xinjiang Center for Disease Control and Prevention, Urumqi 830002, China;
| | - Xiaocheng Liang
- Gansu Center for Disease Control and Prevention, Lanzhou 730000, China; (X.S.); (X.L.)
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Relationship between chronotype and depressive symptoms among newly hired hospital nurses in the Republic of Korea. Ann Occup Environ Med 2022; 34:e32. [DOI: 10.35371/aoem.2022.34.e32] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/26/2022] [Accepted: 09/22/2022] [Indexed: 11/09/2022] Open
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Santamaría-Peláez M, González-Bernal JJ, Verdes-Montenegro-Atalaya JC, Pérula-de Torres LÁ, Roldán-Villalobos A, Romero-Rodríguez E, Hachem Salas N, Magallón Botaya R, González-Navarro TDJ, Arias-Vega R, Valverde FJ, Jiménez-Barrios M, Mínguez LA, León-del-Barco B, Soto-Cámara R, González-Santos J. Mindfulness-Based Program for Anxiety and Depression Treatment in Healthcare Professionals: A Pilot Randomized Controlled Trial. J Clin Med 2021; 10:jcm10245941. [PMID: 34945237 PMCID: PMC8708843 DOI: 10.3390/jcm10245941] [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: 11/10/2021] [Revised: 12/03/2021] [Accepted: 12/13/2021] [Indexed: 11/16/2022] Open
Abstract
In primary health care, the work environment can cause high levels of anxiety and depression, triggering relevant expert and individual change. Mindfulness-Based Stress Reduction (MBSR) programs reduce signs of anxiety and depression. The purpose of this sub-analysis of the total project, was to equate the effectiveness of the standard MBSR curriculum with the abbreviated version in minimizing anxiety and depression. This randomized controlled clinical trial enrolled 112 mentors and resident specialists from Family and Community Medicine and Nurses (FCMN), distributed across six teaching units (TU) of the Spanish National Health System (SNHS). Experimental group participants received a MBRS training (abbreviated/standard). Depression and anxiety levels were measured with the Goldberg Anxiety and Depression Scale (GADS) at three different time periods during the analysis: before (pre-test) and after (post-test) participation, as well as 3 months after the completion of intervention. Taking into account the pre-test scores as the covariate, an adjusted analysis of covariance (ANCOVA) showed significant depletion in anxiety and depression in general (F (2.91) = 4.488; p = 0.014; η2 = 0.090) and depression in particular (F (2, 91) = 6.653; p = 0.002; η2 = 0.128 at the post-test visit, maintaining their effects for 3 months (F (2.79) = 3.031; p = 0.050; η2 = 0.071-F (2.79) = 2.874; p = 0.049; η2 = 0.068, respectively), which is associated with the use of a standard training program. The abbreviated training program did not have a significant effect on the level of anxiety and depression. The standard MBSR training program had a positive effect on anxiety and depression and promotes long-lasting effects in tutors and resident practitioners. New research is needed to demonstrate the effectiveness of abbreviated versions of training programs.
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Affiliation(s)
- Mirian Santamaría-Peláez
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | - Jerónimo Javier González-Bernal
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
- Correspondence: (J.J.G.-B.); (J.G.-S.)
| | | | - Luis Ángel Pérula-de Torres
- Multi-Professional Teaching Unit for Family and Community Care of Córdoba, Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Ana Roldán-Villalobos
- Carlos Castilla del Pino Health Center, Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | - Esperanza Romero-Rodríguez
- Healthcare District of Córdoba and Guadalquivir, Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | | | - Rosa Magallón Botaya
- IIS-Aragon—Group B21-R17, Family and Community Medicine Teaching Department of Zaragoza Sector 1, Institute of Health Carlos III—REDIAPP 06/18, University of Zaragoza, 50018 Zaragoza, Spain;
| | | | - Raquel Arias-Vega
- Castello Health Center (Madrid), Institute Maimónides of Research Córdoba (IMIBIC), Reina Sofía University Hospital, University of Córdoba, 14001 Cordoba, Spain;
| | | | - María Jiménez-Barrios
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | | | - Benito León-del-Barco
- Department of Psychology, Faculty of Teacher Training College, University of Extremadura, 10071 Caceres, Spain;
| | - Raúl Soto-Cámara
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
| | - Josefa González-Santos
- Department of Health Sciences, University of Burgos, 09001 Burgos, Spain; (M.S.-P.); (M.J.-B.); (R.S.-C.)
- Correspondence: (J.J.G.-B.); (J.G.-S.)
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Identifying the risk features for occupational stress in medical workers: a cross-sectional study. Int Arch Occup Environ Health 2021; 95:451-464. [PMID: 34599409 PMCID: PMC8486163 DOI: 10.1007/s00420-021-01762-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2021] [Accepted: 09/15/2021] [Indexed: 12/31/2022]
Abstract
Objective Occupational stress is considered a worldwide epidemic experienced by a large proportion of the working population. The identification of characteristics that place people at high risk for occupational stress is the basis of managing and intervening in this condition. In this study, we aimed to identify and validate the risk features for occupational stress among medical workers using a risk model and nomogram. Methods This cross-sectional study included 1988 eligible participants from Henan Province in China. Occupational stress and worker-occupation fit were measured with the Depression, Anxiety and Stress Scales (DASS-21) and Worker-Occupation Fit Inventory (WOFI). The identification of risk features was achieved through constructing multiple logistic regression model, and the risk features were used to develop the risk model and nomogram. Receiver operating characteristic (ROC) curves and calibration plots were generated to assess the effectiveness and calibration of the risk model. Results Among 1988 participants in our study, there were 42.5% (845/1988) medical workers experienced occupational stress. The risk features for occupational stress included poor work-occupation fit (WOF score < 25, expected risk: 77.3%), nurse population (expected risk: 63.1%), male sex (expected risk: 67.2%), work experience duration of 11–19 years (expected risk: 54.5%), experience of a traumatic event (expected risk: 65.3%) and the lack of a regular exercise habit (expected risk: 60.2%). For medical workers who have these risk features, the expected risk probability of occupational stress would be 90.2%. Conclusion The current data can be used to identify medical workers at risk of developing occupational stress. Identifying risk features for occupational stress and the work-occupation fit can support hierarchical stress management in hospitals. Supplementary Information The online version contains supplementary material available at 10.1007/s00420-021-01762-3.
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Khorrami Z, Zolala F, Haghdoost A, Sadatmoosavi A, Ben Taleb Z, Kondracki A, Ward KD, Shahbaz M, Ebrahimi Kalan M. Job-related stress and tobacco smoking: A systematic review. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2021. [DOI: 10.1080/15555240.2021.1960854] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Zahra Khorrami
- Ophthalmic Research Center, Research Institute for Ophthalmology and Vision Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farzaneh Zolala
- Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - AliAkbar Haghdoost
- HIV/STI Surveillance Research Center, and WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Ali Sadatmoosavi
- Department of Medical Library & Information Sciences, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran
| | - Ziyad Ben Taleb
- Department of Kinesiology, College of Nursing and Health Innovation, University of Texas, Arlington, Texas, USA
| | - Anthony Kondracki
- Department of Biostatistics, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
| | - Kenneth D. Ward
- Division of Social and Behavioral Sciences, School of Public Health, University of Memphis, Memphis, Tennessee, USA
| | - Mohammad Shahbaz
- Department of Epidemiology, School of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Mohammad Ebrahimi Kalan
- Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, Florida, USA
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Knowledge, Emotions and Stressors in Front-Line Healthcare Workers during the COVID-19 Outbreak in Mexico. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115622. [PMID: 34070295 PMCID: PMC8197458 DOI: 10.3390/ijerph18115622] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 05/06/2021] [Accepted: 05/16/2021] [Indexed: 12/13/2022]
Abstract
The aim of this study was to explore the knowledge, emotions and perceived stressors by healthcare workers who were in contact with infected patients during the COVID-19 outbreak. An online cross-sectional survey was applied. Data were collected from N = 263 healthcare workers in Tabasco State, Mexico. We developed and administered a questionnaire, which consisted of sociodemographic characteristics, plus four sections. The sections evaluated were (1) knowledge of COVID-19; (2) feelings/emotions during the COVID-19 outbreak; (3) factors that caused stress and (4) factors that helped to reduce stress. Surveyed individuals were divided into three groups: physicians, nurses and other healthcare workers. When we evaluated their knowledge of COVID-19 we observed that the majority of healthcare workers in the three groups reported that they knew about COVID-19. Physicians indicated that they felt insecure about practicing their profession (62.5%) due to the high risk of being in contact with SARS-CoV-2. With regards to stressor factors, the risk of transmitting COVID-19 to their families was the main factor causing moderate to high stress (95.4%). Finally, we found that "your profession puts your life at risk" was the only factor associated with feeling nervous and scared (PR: 3.15; 95% CI: 1.54-6.43). We recommended health education campaigns, introductory courses on COVID-19 and other infectious diseases, management protocols and the provision of protection equipment to health workers in order to reduce personal and professional fears of contagion and to improve the health system in Mexico when facing epidemics.
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Ghorabi ST, Jalilian M, Sadeghifar J, Zavareh MSA. Investigation of health-promoting behaviors of employees of medical university: A perspective from West of Iran. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2021; 10:139. [PMID: 34222514 PMCID: PMC8224491 DOI: 10.4103/jehp.jehp_835_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 08/16/2020] [Indexed: 06/13/2023]
Abstract
BACKGROUND Employees spend most of their time at work, and hence, it is important to pay attention to health-promoting behaviors. The purpose of the present study was to investigate the status of health-promoting behaviors of employees in the Medical University of Ilam-Iran. MATERIALS AND METHODS This cross-sectional, descriptive study has been conducted by the participation of 208 employees, whom selected through the simple random sampling method. In the present study, participants completed Walker's Health Promoting Life Style Profile II in the self-report form. The gathered data were analyzed using software at the significant level of 0.05. Data were analyzed by the independent samples t-test, one-way analysis of variance, and Pearson correlation coefficients. RESULTS The highest correlation of health-promoting behaviors was related to spiritual growth (r = 0.785), stress management (r = 0.777), interpersonal relationships (r = 0.767), health responsibility (r = 0.730), nutrition behaviors (r = 0.641), and physical activity (r = 0.611) were in the next places (P < 0.001), respectively. Among sub-scales, the highest correlation was observed between spiritual growth and stress management (r = 0.676, P < 0.001) and the lowest correlation between physical activity and interpersonal relationships (r = 0.253, P < 0.001). CONCLUSIONS The score of physical activity was lower compared to other dimensions of health promoting behaviors. Therefore, it is necessary to make more effective interventional measures for improving physical activity status.
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Affiliation(s)
| | - Mohsen Jalilian
- Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
| | - Jamil Sadeghifar
- Department of Public Health, Faculty of Health, Ilam University of Medical Sciences, Ilam, Iran
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Fu C, Wang G, Shi X, Cao F. Social support and depressive symptoms among physicians in tertiary hospitals in China: a cross-sectional study. BMC Psychiatry 2021; 21:217. [PMID: 33926402 PMCID: PMC8082214 DOI: 10.1186/s12888-021-03219-w] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2021] [Accepted: 04/14/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Social support is an important factor for individual's mental health. However, the association between social support and depressive symptoms among physicians in China' tertiary hospitals has not been explored. This study aimed to investigate its association among physicians stratifying by sex. METHODS Six hundred fifty-six physicians were enrolled from 12 tertiary hospitals of Shandong Province, China. Depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression Scale. Social support was evaluated using the Social Support Rating Scale. Multiple linear regression analysis was used to examine the relationship between social support and depressive symptoms among physicians. RESULTS The prevalence of depressive symptoms was 42.3% and the average social support score was 38.82 ± 7.53 among physicians. Lower subjective social support scores (male: β = - 0.317, p < 0.001; female: β = - 0.241, p < 0.001) and lower objective social support scores (male: β = - 0.218, p = 0.038; female: β = - 0.277, p = 0.035) were associated with high depressive symptoms among physicians. Lower support utilization scores (β = - 0.472, p < 0.001) were associated with high depressive symptoms among male physicians. CONCLUSIONS Chinese physicians had a higher prevalence of depressive symptoms and lower social support than the Chinese general population. Objective and subjective social support were inversely associated with depressive symptoms among male and female physicians while support utilization was inversely associated with depressive symptoms among male rather than female physicians. It is critical to improve physicians' mental health through strengthening social support in China.
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Affiliation(s)
- Chang Fu
- grid.27255.370000 0004 1761 1174Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No. 44 Wenhuaxilu Rd, Jinan, 250012 Shandong China
| | - Guowen Wang
- grid.460018.b0000 0004 1769 9639Department of Education, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324 Jingwuweiqilu Rd., Jinan, 250021 Shandong China
| | - Xiuxin Shi
- Office of Medical Quality Control, Qilu Hospital, Cheeloo College of Medicine, Shandong University, No. 107 Wenhuaxilu Rd, Jinan, 250012 Shandong China
| | - Fenglin Cao
- Department of Health Psychology, School of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, No. 44 Wenhuaxilu Rd, Jinan, 250012, Shandong, China.
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Schug C, Morawa E, Geiser F, Hiebel N, Beschoner P, Jerg-Bretzke L, Albus C, Weidner K, Steudte-Schmiedgen S, Borho A, Lieb M, Erim Y. Social Support and Optimism as Protective Factors for Mental Health among 7765 Healthcare Workers in Germany during the COVID-19 Pandemic: Results of the VOICE Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:3827. [PMID: 33917493 PMCID: PMC8038794 DOI: 10.3390/ijerph18073827] [Citation(s) in RCA: 39] [Impact Index Per Article: 13.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 03/26/2021] [Accepted: 03/30/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND The COVID-19 pandemic is impacting mental health worldwide, particularly among healthcare workers (HCWs). Risk and protective factors for depression and generalized anxiety in healthcare workers need to be identified to protect their health and ability to work. Social support and optimism are known protective psychosocial resources, but have not been adequately studied in the context of the COVID-19 pandemic among healthcare workers in Germany. METHODS Within the first wave of the VOICE study (n = 7765), a longitudinal web-based survey study among healthcare workers in Germany, we assessed symptoms of depression (PHQ-2) and generalized anxiety (GAD-2), social support (ENRICHD Social Support Inventory; ESSI), and generalized optimism as well as sociodemographic, occupational, and COVID-19 related variables. Multiple linear regression analyses were conducted to examine associations between the constructs. RESULTS The analyses revealed that higher levels of social support and optimism were associated with lower levels of depression and generalized anxiety. They showed a higher association with depression and generalized anxiety than demographic or occupational risk factors such as female gender and direct contact with infected individuals. CONCLUSION Psychosocial resources such as social support and optimism appear to contribute to successful coping with the COVID-19 pandemic and should be considered in future studies.
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Affiliation(s)
- Caterina Schug
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (A.B.); (M.L.); (Y.E.)
| | - Eva Morawa
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (A.B.); (M.L.); (Y.E.)
| | - Franziska Geiser
- Department of Psychosomatic Medicine and Psychotherapy, University Clinic of Bonn, 53127 Bonn, Germany; (F.G.); (N.H.)
| | - Nina Hiebel
- Department of Psychosomatic Medicine and Psychotherapy, University Clinic of Bonn, 53127 Bonn, Germany; (F.G.); (N.H.)
| | - Petra Beschoner
- Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, 89081 Ulm, Germany; (P.B.); (L.J.-B.)
| | - Lucia Jerg-Bretzke
- Department of Psychosomatic Medicine and Psychotherapy, Ulm University Medical Center, 89081 Ulm, Germany; (P.B.); (L.J.-B.)
| | - Christian Albus
- Department of Psychosomatics and Psychotherapy, University of Cologne, Medical Faculty and University Hospital, 50931 Cologne, Germany;
| | - Kerstin Weidner
- Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany; (K.W.); (S.S.-S.)
| | - Susann Steudte-Schmiedgen
- Department of Psychotherapy and Psychosomatic Medicine, Faculty of Medicine, Technische Universität Dresden, 01307 Dresden, Germany; (K.W.); (S.S.-S.)
| | - Andrea Borho
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (A.B.); (M.L.); (Y.E.)
| | - Marietta Lieb
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (A.B.); (M.L.); (Y.E.)
| | - Yesim Erim
- Department of Psychosomatic Medicine and Psychotherapy, University Hospital of Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), 91054 Erlangen, Germany; (E.M.); (A.B.); (M.L.); (Y.E.)
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COVID-19 Pandemic Is Associated with an Adverse Impact on Burnout and Mood Disorder in Healthcare Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18073654. [PMID: 33915733 PMCID: PMC8036532 DOI: 10.3390/ijerph18073654] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 03/20/2021] [Accepted: 03/25/2021] [Indexed: 01/22/2023]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic results in a profound physical and mental burden on healthcare professionals. This study aims to evaluate burnout status and mood disorder of healthcare workers during this period. An online questionnaire was voluntarily answered by eligible adult employees in a COVID-19 specialized medical center. The major analysis included the burnout status and mood disorder. Factors related to more severe mood disorder were also identified. A total of 2029 participants completed the questionnaire. There were 901 (44.4%) and 923 (45.5%) participants with moderate to severe personal and work-related burnout status, respectively. Nurses working in the emergency room (ER), intensive care unit (ICU)/isolation wards, and general wards, as well as those with patient contact, had significantly higher scores for personal burnout, work-related burnout, and mood disorder. This investigation identified 271 participants (13.35%) with moderate to severe mood disorder linked to higher personal/work-related burnout scores and a more advanced burnout status. Univariate analysis revealed that nurses working in the ER and ICU/isolation wards were associated with moderate to severe mood disorder risk factors. Multivariate analysis demonstrated that working in the ER (OR, 2.81; 95% CI, 1.14-6.90) was the only independent risk factor. More rest, perquisites, and an adequate supply of personal protection equipment were the most desired assistance from the hospital. Compared with the non-pandemic period (2019), employees working during the COVID-19 pandemic (2020) have higher burnout scores and percentages of severe burnout. In conclusion, this study suggests that the COVID-19 pandemic has had an adverse impact on healthcare professionals. Adequate measures should be adopted as early as possible to support the healthcare system.
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Parthasarathy R, Ts J, K T, Murthy P. Mental health issues among health care workers during the COVID-19 pandemic - A study from India. Asian J Psychiatr 2021; 58:102626. [PMID: 33721830 PMCID: PMC9760419 DOI: 10.1016/j.ajp.2021.102626] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 02/19/2021] [Accepted: 03/07/2021] [Indexed: 12/29/2022]
Abstract
Mental health issues among health care workers (HCWs) in treatment settings during COVID-19 remains understudied in India. This study examines its prevalence and correlates among HCWs in Karnataka State, India. HCWs who attended a workshop to improve mental health well-being during COVID-19 completed an anonymous online questionnaire. In addition to socio-demographics, domains assessed include occupational characteristics, COVID-19 related concerns, anxiety/depression, substance use, suicidality, lifestyle and family functioning. Of the 3083 HCWs who completed the survey (response rate-51.4 %), anxiety disorder and depression was highest among those with frontline COVID-19 responsibilities (anxiety disorder-26.6 %, depression-23.8 %). Prevalence was significantly higher among those with clinical responsibilities compared to those with supportive responsibilities (anxiety disorder: 23.9 % vs 15.5 %), (depression: 20.0 % vs 14.2 %). In the backward step-wise logistic regression analysis, HCWs with anxiety disorder were more likely to be doctors/nurses/hospital assistants, older, female, unmarried, without a leisure activity, report increased alcohol use and suicidal thoughts after pandemic onset, and having a history of receiving mental health interventions. Participants with depression additionally had family distress and hardly ever exercised. To conclude, mental health issues are common among HCWs in India. Interventions need to ensure that HCWs are protected from mental health consequences of working in COVID-19 treatment settings.
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Occupational stress and associated factors among health care professionals in Ethiopia: a systematic review and meta-analysis. BMC Public Health 2021; 21:539. [PMID: 33740920 PMCID: PMC7980550 DOI: 10.1186/s12889-021-10579-1] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2020] [Accepted: 03/07/2021] [Indexed: 11/27/2022] Open
Abstract
Background Occupational stress is a global health problem which affects employed personals especially health professionals. The burden of stress is not limited at individual level, but also affects the organizations productivity, the quality of care and country in large. In Ethiopia, little concern is given to this problem and individual studies conducted among health care professionals also showed inconsistent result. Therefore, the aim of this study was to assess the pooled prevalence of occupational stress and its associated factors among health care professionals in Ethiopia. Methods Articles were searched from PubMed, Hinari, PsychInfo, Science direct databases, Google and Google scholar. A total of 10 studies were included in this review and meta-analysis. We used a standardized format for data extraction and STATA software version 13 for analysis. A random effect meta-analysis model was used to determine the pooled prevalence of occupational stress and I2 was used to check heterogeneity. Begg’s and Egger’s tests were conducted to detect publication bias. Furthermore, sensitivity and subgroup analysis was also conducted. Association was expressed by pooled odd ratio with corresponding 95% CI. Results The pooled prevalence of occupational stress was 52.5 [95% CI: (47.03, 57.96)]. The heterogeneity test was I2 = 89.1% & P < 0.001. The result of the publication bias detection (Begg’s and Egger’s) tests were p = 0.283 and p = 0.369 respectively. Female sex was identified as a significant predictor for occupational stress with a pooled effect of 3.75 [95% CI: (2.58, 5.45)]. Conclusions Above half of health care professionals had occupational stress. Being female was significantly associated factor in this review and meta-analysis. Therefore, introduction of policies supporting health care professionals well-being at work in Ethiopia are advisable.
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Association of Stress Management with Success of Smoking Cessation in Korean Female Emotional Labor Workers for Service and Sales. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18063023. [PMID: 33804218 PMCID: PMC8001459 DOI: 10.3390/ijerph18063023] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/29/2021] [Revised: 03/09/2021] [Accepted: 03/10/2021] [Indexed: 11/29/2022]
Abstract
Emotional labor is paid work that involves managing and regulating one’s emotions during the job including evoking and suppressing one’s feelings. This study examined the factors associated with successful smoking cessation through tailored smoking cessation counseling including stress management among female emotional labor workers. The study was conducted from 1 September 2015 to 31 December 2017. A total of 2674 women registered in the Comprehensive Smoking Cessation Service System and were grouped as either emotional labor workers for service and sales (1002) or other occupations (1672) for analysis. The participants received nine sessions of face-to-face and telephone smoking cessation counseling over 6 months, and follow-up assessments were conducted 4, 6, 12, and 24 weeks after counseling. Smoking cessation counseling involved a stress management program comprising stress tests, depression tests, color therapy, and a buddy program including peer support. Factors associated with successful smoking cessation included the number of counseling sessions, motivation rulers (Importance, Confidence, Readiness), average daily smoking amount, expired carbon monoxide (CO), and nicotine dependence. The most associated factor was the number of counseling sessions. Since counseling focused on stress management, it was the most important factor in smoking cessation, and continuous counseling could help those wanting to quit smoking.
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29
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Chen YC, Li TC, Chang YW, Liao HC, Huang HM, Huang LC. Exploring the relationships among professional quality of life, personal quality of life and resignation in the nursing profession. J Adv Nurs 2021; 77:2689-2699. [PMID: 33660893 DOI: 10.1111/jan.14770] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 11/16/2020] [Accepted: 01/13/2021] [Indexed: 12/18/2022]
Abstract
AIM To explore the relationships between nurses' quality of life, personal quality of life, intention to stay (ITS) and resign and factors related to resignation. DESIGN Prospective cohort design. METHODS The participants were recruited from three different levels of hospital in central Taiwan. The survey instruments were structured questionnaires including demographics, Professional Quality of Life Scale, Short Form Health Survey (SF-36) and the Scale of ITS. The survey data were collected from December 2017-August 2018. Data on nurses' resignation were collected from the hospital systems 3 months after the survey. Descriptive analysis and multiple logistic regression were used to analyse the factors predicting participants' resignation. RESULTS Five hundred and fifty-three participants were recruited. Forty-nine out of 553 participants resigned (8.9%). Higher scores in compassion satisfaction were related to a greater ITS (p < .05). Employment units, burnout and ITS were the predictors for resignation (p < .05). We also found that compassion satisfaction moderated the relationship between ITS and resignation. CONCLUSION Compassion satisfaction of nursing professionals strengthened the effect of ITS on resignation. Programmes to reinforce satisfaction and stress management could be strategies for increasing nurses' professional quality of life and retention in clinical practice. IMPACT The study was the first to explore the relationships between professionals' quality of life, personal quality of life, ITS and resign. The study showed that compassion satisfaction increased the effect between ITS and resignation. Sense of achievement and satisfaction were the most important factors influencing nurses to stay in clinical practice. It is important to enhance nurse compassion satisfaction in nursing career, their job identity and gratification. The effective supportive environment and self-reflection may enhance compassion satisfaction, ameliorate nurse retention and improve the quality of care.
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Affiliation(s)
- Yen-Chin Chen
- Department of Nursing, China Medical University Hsinchu Hospital, Hsinchu, Taiwan.,Department of Public Health, China Medical University, Taichung, Taiwan
| | - Tsai-Chung Li
- Department of Public Health, Graduate Institute of Biostatistics, China Medical University, Taichung, Taiwan
| | - Ya-Wen Chang
- Department of Public Health, China Medical University, Taichung, Taiwan.,School of Nursing, China Medical University, Taichung, Taiwan
| | - Hui-Chuan Liao
- Department of Public Health, China Medical University, Taichung, Taiwan.,Department of Nursing, China Medical University Hospital, Taichung, Taiwan
| | - Hsiang-Ming Huang
- Neurosurgery Department, China Medical University Hsinchu Hospital, Hsinchu, Taiwan
| | - Li-Chi Huang
- School of Nursing, China Medical University, Taichung, Taiwan.,Department of Nursing, China Medical University Children Hospital, Taichung, Taiwan
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Secosan I, Virga D, Crainiceanu ZP, Bratu LM, Bratu T. Infodemia: Another Enemy for Romanian Frontline Healthcare Workers to Fight during the COVID-19 Outbreak. ACTA ACUST UNITED AC 2020; 56:medicina56120679. [PMID: 33317190 PMCID: PMC7763025 DOI: 10.3390/medicina56120679] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 11/30/2020] [Accepted: 12/07/2020] [Indexed: 11/16/2022]
Abstract
Background and Objectives: The population has been overwhelmed with false information related to the Coronavirus disease (COVID-19) crisis, spreading rapidly through social media and other channels. We aimed to investigate if frontline healthcare workers affected by infodemia show different psychological consequences than frontline clinicians who do not declare to be affected by false news related to the COVID-19 pandemic. Materials and Methods: One hundred twenty-six frontline healthcare workers from the Intensive Care Unit (ICU) and Emergency Departments in Romania completed a survey to assess stress, depression, anxiety, and sleep disorders, between March and April 2020. We split the sample of frontline healthcare workers into two groups based on the self-evaluated criteria: if they were or were not affected by infodemia in their activity. Results: Considering limitations such as the cross-sectional design, the lack of causality relationship, and the sample size, the results show that, the frontline medical workers who declared to be affected by false news were significantly more stressed, felt more anxiety, and suffered more from insomnia than healthcare workers who are not affected by false information related to pandemic time. Conclusions: The infodemia has significant psychological consequences such as stress, anxiety, and insomnia on already overwhelmed doctors and nurses in the outbreak of the COVID-19 crisis. These findings suggest that medical misinformation’s psychological implications must be considered when different interventions regarding frontline healthcare workers during the COVID-19 pandemic are implemented.
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Affiliation(s)
- Ica Secosan
- Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (I.S.); (Z.P.C.); (L.M.B.); (T.B.)
| | - Delia Virga
- Department of Psychology, West University of Timisoara, 325100 Timisoara, Romania
- Correspondence:
| | - Zorin Petrisor Crainiceanu
- Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (I.S.); (Z.P.C.); (L.M.B.); (T.B.)
| | - Lavinia Melania Bratu
- Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (I.S.); (Z.P.C.); (L.M.B.); (T.B.)
| | - Tiberiu Bratu
- Faculty of Medicine, “Victor Babes” University of Medicine and Pharmacy, 300041 Timisoara, Romania; (I.S.); (Z.P.C.); (L.M.B.); (T.B.)
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Kerwagen F. Disstressassoziierte Erkrankungen im Arztberuf – Wie wirksam sind resilienzfördernde Interventionen? PRÄVENTION UND GESUNDHEITSFÖRDERUNG 2020. [DOI: 10.1007/s11553-020-00773-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Zusammenfassung
Hintergrund
Ärztliches Personal ist starkem beruflichem Disstress ausgesetzt. Im Vergleich zur Normalbevölkerung besteht eine erhöhte Prävalenz von disstressassoziierten Erkrankungen wie Depression, Burnout und Suchtverhalten.
Fragestellung
Können resilienzfördernde Interventionen ärztlichen Disstress reduzieren?
Material und Methoden
Systematische Literaturrecherche in den Datenbanken „The Cochrane Library“, „Medline“ (via „PubMed“) und „Embase“ im Zeitraum von 2011–2018. Vergleich von vier randomisiert kontrollierten Studien.
Ergebnisse
Resilienzfördernde Interventionen können ärztlichen Disstress reduzieren. Insbesondere Berufsanfänger/-innen und weibliches ärztliches Personal scheinen davon zu profitieren.
Diskussion
Da bereits Kurzinterventionen einen positiven Effekt zeigen, sollten resilienzfördernde Maßnahmen im beruflichen Alltag von Ärztinnen und Ärzten implementiert werden.
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Gieniusz‐Wojczyk L, Dąbek J, Kulik H, Wojczyk S. Health‐related behaviours of nurses in Poland: The role of Type D personality. J Nurs Manag 2020; 28:1725-1739. [DOI: 10.1111/jonm.13129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2020] [Revised: 07/19/2020] [Accepted: 08/03/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Lucyna Gieniusz‐Wojczyk
- Department of Propaedeutics of Nursing School of Health Sciences in Katowice Medical University of Silesia in Katowice Katowice Poland
| | - Józefa Dąbek
- Department of Cardiology School of Health Sciences in Katowice Medical University of Silesia in Katowice Katowice Poland
| | - Halina Kulik
- Department of Propaedeutics of Nursing School of Health Sciences in Katowice Medical University of Silesia in Katowice Katowice Poland
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Caring behaviours and stress perception among student nurses in different nursing programmes: A cross-sectional study. Nurse Educ Pract 2020; 48:102856. [DOI: 10.1016/j.nepr.2020.102856] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2019] [Revised: 06/30/2020] [Accepted: 08/12/2020] [Indexed: 11/17/2022]
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Wilke DJ, Randolph K, Olson C. Examining occupational stress in early-career child welfare workers. JOURNAL OF WORKPLACE BEHAVIORAL HEALTH 2020. [DOI: 10.1080/15555240.2020.1807354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Affiliation(s)
- Dina J. Wilke
- College of Social Work, Florida State University, Tallahassee, Florida, USA
| | - Karen Randolph
- College of Social Work, Florida State University, Tallahassee, Florida, USA
| | - Cassandra Olson
- College of Human Sciences, Florida State University, Tallahassee, Florida, USA
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Abstract
INTRODUCTION There have been recent mounting concerns regarding multiple reports stating a significantly elevated relative-risk of COVID-19 mortality amongst the Black and Minority Ethnic (BAME) population. An urgent national enquiry investigating the possible reasons for this phenomenon has been issued in the UK. Inflammation is at the forefront of COVID-19 research as disease severity appears to correlate with pro-inflammatory cytokine dysregulation. This narrative review aims to shed light on the novel, pathophysiological role of inflammation in contributing towards the increased COVID-19 mortality risk amongst the BAME population. METHODS Searches in PubMed, Medline, Scopus, medRxiv and Google Scholar were performed to identify articles published in English from inception to 18th June 2020. These databases were searched using keywords including: 'COVID-19' or 'Black and Minority Ethnic' or 'Inflammation'. A narrative review was synthesized using these included articles. RESULTS We suggest a novel pathophysiological mechanism by which acute inflammation from COVID-19 may augment existing chronic inflammation, in order to potentiate a 'cytokine storm' and thus the more severe disease phenotype observed in the BAME population. Obesity, insulin resistance, cardiovascular disease, psychological stress, chronic infections and genetic predispositions are all relevant factors which may be contributing to elevated chronic systemic inflammation amongst the BAME population. CONCLUSION Overall, this review provides early insights and directions for ongoing research regarding the pathophysiological mechanisms that may explain the severe COVID-19 disease phenotype observed amongst the BAME population. We suggest 'personalization' of chronic disease management, which can be used with other interventions, in order to tackle this.
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Affiliation(s)
- Abhinav Vepa
- Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK.
| | - Joseph P Bae
- Department of Medicine, Milton Keynes University Hospital NHS Foundation Trust, Eaglestone, Milton Keynes, Buckinghamshire, UK
| | | | - Manish Pareek
- Department of Respiratory Sciences, University of Leicester, UK
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The effect of performing two pancreatoduodenectomies by a single surgical team in one day on surgeons and patient outcomes. HPB (Oxford) 2020; 22:1185-1190. [PMID: 31843446 DOI: 10.1016/j.hpb.2019.11.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Revised: 11/01/2019] [Accepted: 11/11/2019] [Indexed: 12/12/2022]
Abstract
BACKGROUND The centralization of pancreatoduodenectomy (PD) has been shown to improve patient outcomes. The scheduling of two PDs in one day is one option to shorten the waiting time for patients referred to high volume centers. The effect on the surgical team or patient outcomes of such an approach have not previously been explored. This study aimed to investigate the effect of scheduling two PDs in one day on the surgeon's workload and patient outcomes. METHODS A retrospective review of patients undergoing PD by a single surgeon between 2007 and 2018 was performed. Patients were allocated into: first PD (FIRSTPD group) or second PD (SECONDPD group) according to the position on the surgical operating list. The intraoperative, postoperative outcomes, and workload (the Surgery Task Load Index; SURG-TLX) were assessed between two groups. RESULTS A total of 967 (91%) and 101 (9%) patients were included in the FIRSTPD and SECONDPD group, respectively. There were no differences in the duration of surgery (coefficient = -9.65; 95% confidence interval: -29.26 to 9.94; P = 0.334), incidence of major complications (odds ratio = 1.08; 95% confidence interval: 0.67-1.73; P = 0.739), or 90-day mortality (odds ratio = 1.03; 95% confidence interval: 0.12-8.53; P = 0.978) for those patients in the SECONDPD group as compared to the FIRSTPD group. The mean scores of two (physical and temporal demand) of the six SURG-TLX subscales of surgical workload were recorded as significantly higher by surgeons following two PD's as compared to one PD. CONCLUSIONS Although scheduling a second PD in one day shows no association with adverse patient outcomes, there is an increase in the physical and temporal subscales of surgical workload and consideration should be given to how this could be minimized.
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Turan N, Ançel G. Examination of the psychological changes in nurses due to workload in an intensive care unit: a mixed method study. Contemp Nurse 2020; 56:171-184. [PMID: 32543344 DOI: 10.1080/10376178.2020.1782762] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Background: The workload is the impinged stress due to several inter-related factors, including the competence of the intensive care unit nurse. Objectives: The objective of this study was to investigate the workload-related psychological changes in intensive care nurses. Methods: The study had a two-phase explanatory mixed method design. Data were collected through in-depth personal interviews and with other instruments. The obtained data were analyzed with SPSS 18.0 and MAXQDA plus10. Results: The workload of intensive care nurses was 315.8 per minute and the mean TISS 28 score was as high as 65.00. The in-depth interviews with intensive care nurses revealed that participants experienced professional stress due to high workload and went through psychological changes. Conclusion: The study findings demonstrate that psychological symptoms seen in intensive care nurses relate to a high workload. Impact Statement: The results of this study can be used by hospital administrators to create a healthy work environment with a moderated workload and optimized shift schedules so that the mental well-being of nurses can be promoted.
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Affiliation(s)
- Nazan Turan
- School of Nursing, Ufuk University, Akara, Turkey
| | - Gülsüm Ançel
- Faculty of Nursing, Psychiatry Nursing Department, Ankara University, Ankara, Turkey
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Dong H, Zhang Q, Zhu C, Lv Q. Sleep quality of nurses in the emergency department of public hospitals in China and its influencing factors: a cross-sectional study. Health Qual Life Outcomes 2020; 18:116. [PMID: 32349759 PMCID: PMC7191763 DOI: 10.1186/s12955-020-01374-4] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Accepted: 04/23/2020] [Indexed: 12/20/2022] Open
Abstract
Background Studies have shown that poor sleep could result in many unpleasant consequences and is prevalent in nurses. Considering the fact of high stress, overwhelming workload and many night shifts in the emergency department in China, this study aimed to evaluate the current status of emergency nurses’ sleep quality in public hospitals in Shandong, China and explored its influencing factors. Methods A self-administered questionnaire incorporating the Job Content Questionnaire and Pittsburgh Sleep Quality Index (PSQI) was conducted among 4856 emergency nurses in five randomly selected city emergency command systems in Shandong, China. The association of potential influencing factors, including occupational, psychosocial and individual factors, with poor sleep (PSQI> 5) was quantified by multivariate logistic regression analysis. Results The average PSQI score of 4730 emergency nurses in public hospitals was 8.2 ± 3.9, including 3114 (65.8%) subjects with PSQI > 5 and 2905 (61.4%) > 8; these figures were found highest for 337 emergency nurses in 14 tertiary hospitals with 11.8 ± 4.3, 257 (76.3%) and 232 (68.8%), followed by 1044 emergency nurses in 43 secondary hospitals with 9.5 ± 3.9, 725 (69.4%) and 675 (64.7%) and 3349 emergency nurses in 167 primary hospitals with 7.4 ± 3.5, 2132 (63.7%) and 1998 (59.7%). The following factors were associated with poor sleep: hospital level (tertiary vs. primary, secondary vs. primary), female sex, less of exercise, long work hours per week, many patients in the charge of at night, high monthly night shift frequency (4–6 vs. never, ≥7 vs. never) and high occupational stress. Conclusions The sleep quality of emergency nurses in public hospitals in China was poor, especially in tertiary hospitals. Many factors as listed above, especially occupational stress, night shift taking and workload at night, should be considered when improving emergency nurses’ sleep quality.
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Affiliation(s)
- Hongyun Dong
- Shouguang People's Hospital. Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China. .,School of Nursing, Weifang University of Science and Technology, NO. 1299 Jinguang Street, Shouguang, Weifang, 262700, Shandong Province, China.
| | - Qiong Zhang
- Shouguang People's Hospital. Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
| | - Chunji Zhu
- Shouguang People's Hospital. Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
| | - Qian Lv
- Shouguang People's Hospital. Shouguang People's Hospital, NO. 3173 Jiankang Street, Shouguang, Weifang, 262700, Shandong Province, China
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Abstract
Mental health status may vary by nationality among expatriate workers; no conclusive data is available in Saudi Arabia. We invited expatriate nurses employed in governmental hospitals in Al-Qassim, Saudi Arabia to fill out an electronic survey that contained questions on demography (including nationality), lifestyle, job, depression, anxiety, and stress (assessed with DASS-21 scale). We categorized each outcome into normal, mild to moderate, and severe, and used adjusted multinomial logistic regressions for analyses. Nurses (n = 999) were from India (54.1%), the Philippines/Indonesia (37.0%), Pakistan (4.9%) and Arab countries (4.0%). Indian nurses were three times (OR = 2.93; 95% CI 1.84, 4.67), Pakistani nurses were 2.5 times (OR = 2.54; 95% CI 1.07, 6.00), and Arab nurses were five times (OR = 5.65; 95% CI 2.40-13.31) more likely to suffer from severe depression compared to Filipino/Indonesian nurses (reference group). Results were similar for stress. Depression and stress varied significantly by nationality among expatriate nurses.
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Perceived Facilitators and Barriers to Nigerian Nurses' Engagement in Health Promoting Behaviors: A Socio-Ecological Model Approach. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041314. [PMID: 32085607 PMCID: PMC7068510 DOI: 10.3390/ijerph17041314] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/30/2019] [Revised: 02/13/2020] [Accepted: 02/14/2020] [Indexed: 01/06/2023]
Abstract
Nurses make up the single largest healthcare professional group in the Nigerian healthcare system. As frontline healthcare providers, they promote healthy lifestyles to patients and families. However, the determinants of Nigerian nurses’ personal health promoting behaviors (HPBs) remain unknown. Utilizing the socio-ecological model (SEM) approach, this study aimed to explore the perceived facilitators and barriers to Nigerian nurses’ engagement in HPBs. HPBs were operationalized to comprise of healthy dietary behaviors, engagement in physical activity, low-risk alcohol consumption, and non-smoking behaviors. Our study was carried out in a large sub-urban tertiary health facility in Nigeria. Data collection was via face-to-face semi-structured interviews and participants were registered nurses (n = 18). Interview data were transcribed verbatim and analyzed thematically to produce nine themes that were mapped onto corresponding levels of influence on the SEM. Findings show that in Nigeria, nurses perceive there to be a lack of organizational and policy level initiatives and interventions to facilitate their engagement in HPBs. The determinants of Nigerian nurses’ HPBs span across all five levels of the SEM. Nurses perceived more barriers to healthy lifestyle behaviors than facilitators. Engagement in healthy behaviors was heavily influenced by: societal and organizational infrastructure and perceived value for public health; job-related factors such as occupational stress, high workload, lack of protected breaks, and shift-work; cultural and religious beliefs; financial issues; and health-related knowledge. Organizations should provide facilities and services to support healthy lifestyle choices in Nigeria nurses. Government policies should prioritize the promotion of health through the workplace setting, by advocating the development, implementation, regulation, and monitoring of healthy lifestyle policies.
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Huang SL, Li RH, Fang SY, Tang FC. Work Hours and Difficulty in Leaving Work on Time in Relation to Work-to-Family Conflict and Burnout Among Female Workers in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17020605. [PMID: 31963563 PMCID: PMC7013968 DOI: 10.3390/ijerph17020605] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 01/12/2020] [Accepted: 01/14/2020] [Indexed: 11/17/2022]
Abstract
The present study explores the relations between work hours and the difficulty in leaving work on time to both work-to-family conflict (WFC) and burnout among female workers in Taiwan. A cross-sectional research design and questionnaire were employed to obtain the research data. In total, 738 full-time female workers took part in the study. The results of regression analyses showed that when age, marital status, economic status, occupation, parental status, and housework responsibilities were controlled, more work hours were positively associated with WFC and burnout. When the difficulty in leaving work on time was also considered in the analysis, long working hours were still significantly associated with burnout; however, the significant relation with WFC disappeared. It is surmised that if female employees work overtime voluntarily, the perception of WFC diminishes; nevertheless, the adverse effect of long working hours on health remains unabated. This study concludes that female employees who work overtime on a voluntary basis are at risk of health problems, which should be a focus of concern.
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Affiliation(s)
- Shu-Ling Huang
- Department of Psychology, Chung Shan Medical University, Taichung 402, Taiwan; (S.-L.H.); (R.-H.L.)
- Room of Clinical Psychology, Chung Shan Medical University Hospital, Taichung 402, Taiwan;
| | - Ren-Hau Li
- Department of Psychology, Chung Shan Medical University, Taichung 402, Taiwan; (S.-L.H.); (R.-H.L.)
| | - Shu-Yi Fang
- Room of Clinical Psychology, Chung Shan Medical University Hospital, Taichung 402, Taiwan;
| | - Feng-Cheng Tang
- Department of Leisure Services Management, Chaoyang University of Technology, Taichung 413, Taiwan
- Department of Occupational Medicine, Changhua Christian Hospital, Changhua 500, Taiwan
- School of Medicine, Chung Shan Medical University, Taichung 402, Taiwan
- Correspondence: ; Tel.: +886-4-728-6929; Fax: +886-4-727-0910
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Zhang X, Zhao K, Zhang G, Feng R, Chen J, Xu D, Liu X, Ngoubene-Atioky AJ, Huang H, Liu Y, Chen L, Wang W. Occupational Stress and Mental Health: A Comparison Between Frontline Medical Staff and Non-frontline Medical Staff During the 2019 Novel Coronavirus Disease Outbreak. Front Psychiatry 2020; 11:555703. [PMID: 33424651 PMCID: PMC7785830 DOI: 10.3389/fpsyt.2020.555703] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2020] [Accepted: 12/07/2020] [Indexed: 01/10/2023] Open
Abstract
Background: During an epidemic, both frontline and non-frontline medical staff endure stressful work circumstances that render their mental health a major public health concern. This study aims at investigating and comparing the prevalence and severity of mental health symptoms (i.e., anxiety, depression and insomnia) between frontline medical staff and non-frontline medical staff during the coronavirus disease 2019 (COVID-19) outbreak. It also seeks to evaluate the association of their mental health with occupational stress. Methods: A cross-sectional study was conducted in Wenzhou, China from 2020 February 16th to 2020 March 2th. A total of 524 medical staff responded to the Generalized Anxiety Disorder Scale, the Patient Health Questionnaire, the Insomnia Severity Index, the Occupational stress Questionnaire, and a demographic data form. Data were principally analyzed with logistic regression. Results: Of the 524 participants, 31.3% reported depression, 41.2% reported anxiety, and 39.3% reported insomnia. Compared with the citizens during the COVID-19 epidemic, medical staff experienced higher level of anxiety, depression and insomnia, especially the frontline medical staff. Furthermore, male, married medical staff with poorer physical health reported lower mental health. Frontline medical staff endorsed higher self-reported occupational stress, especially higher occupational hazards, than non-frontline medical staff. In addition, four indicators on occupational stress (working intensity, working time, working difficulty and working risk) were correlated positively with mental health symptoms. Regression analyses found a significant association between occupational stress and mental health symptoms in both frontline and non-frontline medical staff during COVID-19 outbreak. Conclusion: The results indicated that during the COVID-19 epidemic, medical staff experienced higher levels of anxiety, depression and insomnia than citizens, and their occupational stress had positive effects on their psychological distress. These findings emphasize the importance of occupational stress management interventions to decrease the risk of developing mental health problems among the medical staff during a biological disaster.
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Affiliation(s)
- Xie Zhang
- Department of Pharmacy, Ningbo Medical Center Li Huili Hospital, Ningbo, China
| | - Ke Zhao
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Guohua Zhang
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Ruihua Feng
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China
| | - Jianjun Chen
- School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Dongwu Xu
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Xiaodong Liu
- Center for Health Assessment, Wenzhou Medical University, Wenzhou, China
| | | | - Hong Huang
- Center for Health Assessment, Wenzhou Medical University, Wenzhou, China
| | - Yanlong Liu
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China.,Center for Health Assessment, Wenzhou Medical University, Wenzhou, China
| | - Li Chen
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China
| | - Wei Wang
- The Affiliated Kangning Hospital, Wenzhou Medical University, Wenzhou, China.,School of Mental Health, Wenzhou Medical University, Wenzhou, China
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Sasaki N, Imamura K, Thuy TTT, Watanabe K, Huong NT, Kuribayashi K, Sakuraya A, Thu BM, Quynh NT, Kien NT, Nga NT, Giang NTH, Tien TQ, Minas H, Zhang M, Tsutsumi A, Kawakami N. Validation of the Job Content Questionnaire among hospital nurses in Vietnam. J Occup Health 2020; 62:e12086. [PMID: 31541525 PMCID: PMC6970404 DOI: 10.1002/1348-9585.12086] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 06/24/2019] [Accepted: 08/28/2019] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVES The aim of this study was to examine the reliability and validity of the Job Content Questionnaire (JCQ) in Vietnamese among hospital nursing staff. METHODS The 22-items version of the JCQ was used. This includes four scales: (a) psychological demands (5 items); (b) job control (9 items); (c) supervisor support (4 items); and (d) coworker support (4 items). All 1258 nurses in a general hospital in Vietnam, excluding 11 who were due to retire, were invited to complete the cross-sectional survey. The internal consistency reliability was estimated using Cronbach's α. Construct validity was examined using exploratory factor analysis (EFA). Convergent validity was evaluated by calculating correlations between the JCQ scores and DASS 21 and overtime work. RESULTS In total, 949 (75%) of the 1258 eligible nurses completed the survey. Cronbach's α values demonstrated acceptable internal consistency in two scales (supervisor support α = .87; coworker support α = .86), while Cronbach's α was below the acceptable threshold of 0.70 for job control (α = .45) and job demand (α = .50). EFA assuming a four-factor structure showed a factor structure that was almost identical to the original JCQ, with two items loading on other scales. The subscales of depression, anxiety, and stress response of DASS 21 and the subscales of JCQ were significantly correlated, as expected. CONCLUSION The results suggest that the JCQ in Vietnamese can be used with some reliability and validity for examining psychosocial work environment among nurses. Further studies should be done to confirm and expand our findings in a variety of occupational groups and in other Asian low- and middle-income countries.
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Affiliation(s)
- Natsu Sasaki
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Kotaro Imamura
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Tran T. T, Thuy
- Faculty of Environmental and Occupational HealthHanoi University of Public HealthHanoiVietnam
| | - Kazuhiro Watanabe
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Nguyen T. Huong
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Kazuto Kuribayashi
- Department of Psychiatric NursingGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Asuka Sakuraya
- Department of Public HealthTokyo Women's Medical UniversityTokyoJapan
| | - Bui M. Thu
- Nursing OfficeBach Mai HospitalHanoiVietnam
| | - Nguyen T. Quynh
- Faculty of Environmental and Occupational HealthHanoi University of Public HealthHanoiVietnam
| | - Nguyen T. Kien
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Nguyen T. Nga
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | | | - Truong Q. Tien
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Harry Minas
- Melbourne School of Population and Global HealthThe University of MelbourneMelbourneVictoriaAustralia
| | - Melvyn Zhang
- Family Medicine & Primary CareLee Kong Chian School of MedicineNanyang Technological University SingaporeNanyangSingapore
| | - Akizumi Tsutsumi
- Department of Public HealthKitasato University School of MedicineSagamiharaJapan
| | - Norito Kawakami
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
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Bashir M, Shaheen K, Saleem S, Bhutta MK, Abrar M, Jun Z. The Mediating Role of Psychological Need Thwarting in the Relationship Between Compulsory Citizenship Behavior and Psychological Withdrawal. Front Psychol 2019; 10:2595. [PMID: 31849742 PMCID: PMC6888699 DOI: 10.3389/fpsyg.2019.02595] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2019] [Accepted: 10/31/2019] [Indexed: 11/13/2022] Open
Abstract
This study examined a novel process underlying the relationship between compulsory citizenship behavior and psychological withdrawal. Specifically, based on basic psychological needs theory, thwarting of autonomy and relatedness needs were expected to explain the association between compulsory citizenship behavior and psychological withdrawal. The PROCESS macro was used to analyze the data collected from 368 clerical staff working in public universities in Pakistan. The results confirmed that thwarting of autonomy and relatedness need mediated the relationship between compulsory citizenship behavior and psychological withdrawal. This study makes a significant contribution to the unexplored domain of the process employees use to cope with compulsory citizenship behavior. It also highlights the role of an understudied construct, i.e., psychological need thwarting as a crucial motivational mechanism for elucidating the relationship between compulsory citizenship behavior and psychological withdrawal. The findings of this study provide recommendations for future researchers, along with its implications for practitioners.
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Affiliation(s)
- Mohsin Bashir
- Lyallpur Business School, Government College University Faisalabad, Faisalabad, Pakistan
| | - Kanwal Shaheen
- Department of Business Administration, Government College Women University Faisalabad, Faisalabad, Pakistan
| | - Sharjeel Saleem
- Lyallpur Business School, Government College University Faisalabad, Faisalabad, Pakistan
| | | | - Muhammad Abrar
- Lyallpur Business School, Government College University Faisalabad, Faisalabad, Pakistan
| | - Zhao Jun
- School of Public Administration, Zhongnan University of Economics and Law, Wuhan, China
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Vaghar MI. Association between lifestyle and pathologic fractures in patients admitted to surgery departments of selected hospitals affiliated to Alborz University of Medical Sciences in 2014-2015. J Family Med Prim Care 2019; 8:2799-2802. [PMID: 31681645 PMCID: PMC6820397 DOI: 10.4103/jfmpc.jfmpc_531_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2019] [Revised: 08/22/2019] [Accepted: 09/09/2019] [Indexed: 11/11/2022] Open
Abstract
Background and Purpose: Health professions that previously focused on treatment of patients are now focusing on prevention and health provision by improving lifestyle and eliminating factors that somehow have a negative impact on human health. Some people have strong skeleton genetically, but others do not. So far, medical science has not been able to change the genetic characteristics of individuals; however, lifestyles can be changed to reach the maximum bone mass. The aim of this study was to investigate the association between lifestyle and pathologic fractures in patients admitted to surgery departments of selected Hospitals in 2014–2015. Materials and Methods: In this descriptive (correlational) study, using the Cochran sampling formula, 350 patients with fractures were selected by stratified sampling in surgery departments of selected hospitals affiliated to Alborz University of Medical Sciences. Data were collected using the standard lifestyle questionnaire, which was validated through the test–retest method. The qualitative data of this project were analyzed using SPSS 20 software at a significance level of 0.05. Results: Most of the subjects were in the age group of 72–85 years which included 103 (26.8%) people. In all, 187 (48.6%) subjects were male and 198 (51.4%) subjects were female. A total of 83 (21.6%) participants were in the healthy group, 123 (32.0%) subjects were in the osteoporosis group, 113 (29.3%) subjects were in the bone infection group, and 66 (17.1%) individuals were in the general bone disease group. Conclusion: All studied components including smoking, physical activity, and nutrition directly affect pathologic fractures.
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Affiliation(s)
- Mohammad Islami Vaghar
- Department of Nursing, Faculty of Nursing and Midwifery, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
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Yektatalab S, Honarmandnejad K, Janghorban R. Relationship between occupational burnout and demographic variables among nurses in Jahrom, Iran. Pan Afr Med J 2019; 34:22. [PMID: 31762891 PMCID: PMC6859009 DOI: 10.11604/pamj.2019.34.22.15642] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2018] [Accepted: 07/30/2019] [Indexed: 11/21/2022] Open
Abstract
Introduction Occupational burnout is a psychological syndrome caused by the accumulation of work-related stress and characterized by intolerance, high levels of emotional exhaustion, depersonalization, and the perception of low personal accomplishment. The present study aimed to evaluate the relationship between occupational burnout and all demographic variables among the nurses in Jahrom, Iran. Methods The present descriptive-analytical study was carried out during 2016 among nurses employed at Motahari Hospital and Peymanieh Hospital, both affiliated to Jahrom University of Medical Sciences (Iran). Based on the inclusion criteria, a total of 250 participants were selected. The data collection instruments included a demographic questionnaire and the Maslach burnout inventory. The data were analyzed using the SPSS statistical software (version 16.0) by descriptive statistics and Spearman's test. Results Among the participants, 223(89.2%) nurses suffered from a moderate to high level of occupational burnout. There was a significant correlation between personal accomplishment and age (r=0.21, P=0.002) and education level (r=-0.16, P=0.01). Additionally, income level had a significant correlation with emotional exhaustion (r=-0.38, P=0.001), depersonalization (r=-0.3, P=0.001), and personal accomplishment (r=0.35, P=0.001). A significant relationship was also found between sex and depersonalization (r=-0.15, P=0.02). However, there was no significant relationship between occupational burnout subscales and the number of children, type of hospital ward, type of employment, and marital status (P>0.05). Conclusion A significant positive correlation was found between the subscales of occupational burnout and younger age, low income, high education, and male nurses.
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Affiliation(s)
- Shahrzad Yektatalab
- Department of Nursing, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Khadijeh Honarmandnejad
- Department of Nursing, School of Nursing and Midwifery, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Roksana Janghorban
- Department of Midwifery, School of Nursing and Midwifery, Community Based Psychiatric Care Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
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Developing and Pilot Testing an Integrated Technology-Moderated Institutional Health Promotion Model Using Operational Research Approach. Comput Inform Nurs 2019; 37:532-540. [PMID: 31449142 DOI: 10.1097/cin.0000000000000556] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The study aimed to develop and pilot test an Integrated Technology-Moderated Institutional Health Promotion Model for university staff in Nigeria. An operational research approach using mixed concurrent design was adopted to develop the model, and pretest-posttest method was used to evaluate the utilization and effectiveness of the developed model. The participants in the study were university staff. Health-promoting lifestyle behavior and health status were measured via the adapted Health-Promoting Lifestyle Profile II instrument. The emerging model (an Integrated Technology-Moderated Institutional Health Promotion Model, which is an Android phone app named Tertiary Staff Health Promotion App) was deployed. Data were collected before and 12 weeks after the app deployment. The quantitative and qualitative data findings were combined to develop an integrated technology-moderated institutional health promotion model as a means to enhance health-promoting lifestyle behavior and health status of staff. The result of the pilot testing of the model showed that the model enhances health-promoting lifestyle behaviors and improves the health status of staff. Nurses, especially in community/public health nursing practice, can provide innovative interventions to drive and enhance health-promoting lifestyle behavior and improve health status of workers and other population groups through effective use of information and communication technology.
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User interactions and behaviors in a large-scale online emotional support service. SOCIAL NETWORK ANALYSIS AND MINING 2019. [DOI: 10.1007/s13278-019-0581-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Wu JM, Ho TW, Chang YT, Hsu C, Tsai CJ, Lai F, Lin MT. Wearable-Based Mobile Health App in Gastric Cancer Patients for Postoperative Physical Activity Monitoring: Focus Group Study. JMIR Mhealth Uhealth 2019; 7:e11989. [PMID: 31012858 PMCID: PMC6658307 DOI: 10.2196/11989] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2018] [Revised: 11/13/2018] [Accepted: 03/24/2019] [Indexed: 12/14/2022] Open
Abstract
Background Surgical cancer patients often have deteriorated physical activity (PA), which in turn, contributes to poor outcomes and early recurrence of cancer. Mobile health (mHealth) platforms are progressively used for monitoring clinical conditions in medical subjects. Despite prevalent enthusiasm for the use of mHealth, limited studies have applied these platforms to surgical patients who are in much need of care because of acutely significant loss of physical function during the postoperative period. Objective The aim of our study was to determine the feasibility and clinical value of using 1 wearable device connected with the mHealth platform to record PA among patients with gastric cancer (GC) who had undergone gastrectomy. Methods We enrolled surgical GC patients during their inpatient stay and trained them to use the app and wearable device, enabling them to automatically monitor their walking steps. The patients continued to transmit data until postoperative day 28. The primary aim of this study was to validate the feasibility of this system, which was defined as the proportion of participants using each element of the system (wearing the device and uploading step counts) for at least 70% of the 28-day study. “Definitely feasible,” “possibly feasible,” and “not feasible” were defined as ≥70%, 50%-69%, and <50% of participants meeting the criteria, respectively. Moreover, the secondary aim was to evaluate the clinical value of measuring walking steps by examining whether they were associated with early discharge (length of hospital stay <9 days). Results We enrolled 43 GC inpatients for the analysis. The weekly submission rate at the first, second, third, and fourth week was 100%, 93%, 91%, and 86%, respectively. The overall daily submission rate was 95.5% (1150 days, with 43 subjects submitting data for 28 days). These data showed that this system met the definition of “definitely feasible.” Of the 54 missed transmission days, 6 occurred in week 2, 12 occurred in week 3, and 36 occurred in week 4. The primary reason for not sending data was that patients or caregivers forgot to charge the wearable devices (>90%). Furthermore, we used a multivariable-adjusted model to predict early discharge, which demonstrated that every 1000-step increment of walking on postoperative day 5 was associated with early discharge (odds ratio 2.72, 95% CI 1.17-6.32; P=.02). Conclusions Incorporating the use of mobile phone apps with wearable devices to record PA in patients of postoperative GC was feasible in patients undergoing gastrectomy in this study. With the support of the mHealth platform, this app offers seamless tracing of patients’ recovery with a little extra burden and turns subjective PA into an objective, measurable parameter.
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Affiliation(s)
- Jin-Ming Wu
- Department of Surgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.,Department of Surgery, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Te-Wei Ho
- Department of Surgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan
| | - Yao-Ting Chang
- Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
| | - ChungChieh Hsu
- Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
| | - Chia Jui Tsai
- Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
| | - Feipei Lai
- Graduate Institute of Biomedical Electronics and Bioinformatics, National Taiwan University, Taipei, Taiwan
| | - Ming-Tsan Lin
- Department of Surgery, National Taiwan University Hospital, National Taiwan University, Taipei, Taiwan.,Department of Surgery, College of Medicine, National Taiwan University, Taipei, Taiwan
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Almhdawi KA, Kanaan SF, Khader Y, Al-Hourani Z, Almomani F, Nazzal M. Study-related mental health symptoms and their correlates among allied health professions students. Work 2018; 61:391-401. [DOI: 10.3233/wor-182815] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023] Open
Affiliation(s)
- Khader A. Almhdawi
- Department of Rehabilitation Sciences-Occupational Therapy, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Saddam F. Kanaan
- Department of Rehabilitation Sciences-Physical Therapy, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Yousef Khader
- Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
| | - Zeid Al-Hourani
- Department of Applied Dental Science-Dental Technology, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Fidaa Almomani
- Department of Rehabilitation Sciences-Occupational Therapy, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Nazzal
- Department of Rehabilitation Sciences-Occupational Therapy, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan
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