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Vieira-Meyer APGF, Farias SF, Forte FDS, Costa MS, Guimarães JMX, Morais APP, Oliveira ALSD, Silva Júnior FJGD, Nascimento EFD, Vasconcelos MIO, Dias MSDA, Oliveira FPD, Machado MDFAS, Castro MC, Yousafzai AK. Mental health of community health workers in the COVID-19 context. CIENCIA & SAUDE COLETIVA 2023; 28:2363-2376. [PMID: 37531544 DOI: 10.1590/1413-81232023288.06462023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2022] [Accepted: 04/17/2023] [Indexed: 08/04/2023] Open
Abstract
This study aimed to analyze the factors related to the mental health of Community Health Workers (ACS) in the COVID-19 context. A total of 1,935 ACS from four Northeastern capitals and four cities in the inland region of Ceará participated. The following data were collected: sociodemographic; professional; SRQ-20; WHOQOL-Bref, exposure to violence, General Self-Efficacy Scale (EAEG), Multidimensional Scale of Perceived Social Support (MSPSS), COVID-19-related information, and the coronavirus anxiety scale (EAC). Approximately 40.5% had SRQ > 7, signaling high levels of Common Mental Disorders (CMD)/mental health issues. We adopted the Multiple linear (backward) regression. We observed that the increased risk of CMD was influenced by exposure to violence, EAC, not knowing they had COVID-19, not knowing the variables that reduced the risk, the physical and psychological domains of the WHOQOL-Bref, not having increased working hours, and not having had COVID-19. The data reveal the multidimensional dynamics of mental health and help understand the relationship between community violence, COVID-19, quality of life, age, and ESF working time with the mental health of ACS.
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Affiliation(s)
| | | | | | | | | | | | | | | | | | | | | | | | | | - Marcia C Castro
- Harvard TH Chan School of Public Health. Boston Estados Unidos
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Avraham R, Cohen T, Artzi-Medvedik R, Hurvitz N, Cohen O. Effectiveness of a virtual program for OSCE preparation during COVID-19: a descriptive and repeated cross-sectional study among nursing students. BMC Nurs 2023; 22:235. [PMID: 37420222 DOI: 10.1186/s12912-023-01396-5] [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: 08/03/2022] [Accepted: 06/22/2023] [Indexed: 07/09/2023] Open
Abstract
BACKGROUND Despite the prevalence of distance learning during COVID-19, conducting clinical training for nursing students remains challenging. In compliance with social-distancing restrictions, a Zoom-based virtual OSCE preparation program for nursing students was designed, and it included clinical skills. The aims of this study were to assess nursing students' satisfaction with a virtual program for Objective Structured Clinical Examination (OSCE) preparation, and to evaluate its learning outcomes measured by OSCE scores as compared to those of in-person preparation programs. METHODS A descriptive and repeated cross-sectional study was designed. Students' satisfaction with the virtual program was based on a post-course survey and personal reflections. OSCE scores of graduates of the virtual program (n = 82) tested in 2021 were compared to those of 337 graduates of in-person programs tested in 2017-2020. RESULTS A post-program survey revealed that 88% of the students in 2021 were satisfied with the virtual program and felt it prepared them properly for the OSCE (26% agree and 62% strongly agree). No significant differences were found between OSCE scores following the virtual program conducted in 2021 and scores following in-person programs conducted in 2017-2020. CONCLUSIONS This study suggests that nursing education can benefit from integrating virtual programs which incorporate clinical practices into the curricula, without harming student competency. The study results may address the problem of maintaining clinical practices in a time of limited accessibility, and in settings of low resources. It is important to expand the investigation to long-term impact of virtual training programs on nursing students' competencies.
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Affiliation(s)
- Rinat Avraham
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, Israel.
| | - Tanya Cohen
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, Israel
| | - Rada Artzi-Medvedik
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, Israel
| | - Nancy Hurvitz
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, Israel
| | - Odeya Cohen
- Department of Nursing, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, Beer-Sheva, Israel
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Coledam DHC, Alves TA, Arruda GAD, Ferraiol PF. Prevalence of common mental disorders among Brazilian workers: systematic review and meta-analysis. CIENCIA & SAUDE COLETIVA 2022; 27:579-591. [DOI: 10.1590/1413-81232022272.46012020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Accepted: 02/22/2021] [Indexed: 11/21/2022] Open
Abstract
Abstract The aim of the present study was to summarize the prevalence of common mental disorders (CMD) among Brazilian workers through a systematic review and meta-analysis. Searches were conducted in SciELO, LILACS, PubMed, Scopus, and Web of Science. Articles were included if they had; an observational design, a sample of Brazilian workers, used a validated instrument and cut-off to assess CMD, and provided the prevalence value. A random-effect meta-analysis using professional categories as subgroups and a meta-regression were conducted. In total, 89 studies were included, with a total of 56,278 workers from 26 professional categories. The overall pooled prevalence of CMD was 0.30 (95%CI: 0.27-0.34), varying from 0.07 to 0.58. Professional categories that presented higher prevalences of CMD were: Prostitutes 0.58 (95%CI: 0.51-0.65), Social Educators 0.54 (95%CI: 0.50-0.59), Banking Workers 0.45 (95%CI: 0.44-0.47), Ragpickers 0.45 (95%CI: 0.40-0.49), and Teachers 0.40 (95%CI: 0.32-0.48). No other variable in addition to profession was associated with prevalence of CMD in the meta-regression analysis. Workers from the most affected professional categories should be monitored to prevent social, occupational, and health impairment from CMD.
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Sousa CCD, Araújo TMD, Lua I, Gomes MR, Freitas KS. [Job dissatisfaction, psychosocial aspects, personal satisfaction, and mental health of male and female health workers]. CAD SAUDE PUBLICA 2021; 37:e00246320. [PMID: 34346983 DOI: 10.1590/0102-311x00246320] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2020] [Accepted: 12/11/2020] [Indexed: 11/22/2022] Open
Abstract
The objective was to evaluate the relationship between job dissatisfaction and the occurrence of common mental disorders (CMD), considering the psychosocial aspects of work and personal satisfaction. Cross-sectional study, with a sample of 3,084 health workers from five municipalities in Bahia. Structural equation modeling analysis, stratified by gender, was used. Dissatisfaction with work was the main exposure variable. The CMD, the outcome variable, was assessed by the Self-Reporting Questionnaire (SRQ-20). Personal satisfaction (SAP), assessed by World Health Organization Quality of Life (WHOQOL) questions, and stressful (AE) and protective (AP) psychosocial aspects, measured by the Job Content Questionnaire (JCQ) and the Effort-Reward Imbalance scale (ERI), were treated as latent variables. Dissatisfaction with work was associated with higher CMD prevalence, among men (0.160; CI95%: 0.024; 0.295) and women (0.198; CI95%: 0.135; 0.260). AEs were associated with greater dissatisfaction and higher CMD prevalence, while APs were associated with lower dissatisfaction and lower CMD prevalence, among men and women. Dissatisfaction with work mediated the effect of psychosocial aspects and personal satisfaction on the occurrence of CMD. The final model showed good adjustment. High job dissatisfaction, stressful psychosocial aspects, lack of protective aspects, and personal dissatisfaction were associated directly or indirectly with CMD. The results reinforce the need for actions to protect mental health at work by redesigning the harmful aspects identified and strengthening the aspects associated with the lower occurrence of CMD.
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Affiliation(s)
| | | | - Iracema Lua
- Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, Brasil
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Seyran F, Sağsan M, Gürhan N. Moderating Role of Violence by Patients and Their Relatives on the Behaviors of Healthcare Professionals. ALPHA PSYCHIATRY 2021; 22:136-141. [PMID: 36425444 PMCID: PMC9590680 DOI: 10.5455/apd.13863] [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: 10/15/2020] [Accepted: 11/11/2020] [Indexed: 06/16/2023]
Abstract
Objective Studies examining violent behaviors occurring in health settings emphasize direct effects of the variables, and the findings are collected in a limited area. This study aimed to investigate the role of the moderator in the relationship between organizational citizenship behavior (OCB) and job satisfaction in the setting of violent behavior by the patients and their relatives toward healthcare professionals. Methods Research data were collected by face-to-face questionnaire method by interviewing the participants. The study included 512 healthcare workers, physicians, nurses, midwives, and health technicians, working in different units of 13 public hospitals in Ankara and providing health services directly to the patients. Results According to the results of the regression analysis, a significant and direct effect of the general level of OCB that predicts the general level of job satisfaction has emerged (β = 0.284, t = 6.68, P < .001). It has been determined that violent behaviors toward healthcare professionals explain approximately 12.5% of the variance with its differentiating role reducing this effect (R2 = 0.125, F = 25.30, P = .001). Conclusion This study showed that the positive contribution of OCB to job satisfaction is higher in healthcare workers who are not exposed to violent behavior. The results of this study also revealed that the relationship between variables regarding the attitudes and behaviors of healthcare professionals may differ owing to the violence perpetrated by the patients and their relatives.
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Affiliation(s)
- Fatih Seyran
- PhD Program, Near East University Institute of Social Sciences,
Nicosia,
TRNC
| | - Mustafa Sağsan
- Department of Knowledge Management, Near East University Institute of Social Sciences,
Nicosia,
TRNC
| | - Nermin Gürhan
- Department of Nursing, Tokat Gaziosmanpaşa University Faculty of Health Sciences,
Tokat,
Turkey
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Dal'Bosco EB, Floriano LSM, Skupien SV, Arcaro G, Martins AR, Anselmo ACC. Mental health of nursing in coping with COVID-19 at a regional university hospital. Rev Bras Enferm 2020; 73 Suppl 2:e20200434. [PMID: 32667576 DOI: 10.1590/0034-7167-2020-0434] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 05/24/2020] [Indexed: 01/04/2023] Open
Abstract
OBJECTIVE to identify prevalence and factors associated with anxiety and depression in nursing professionals who work to cope with COVID-19 at a university hospital. METHODS a cross-sectional observational study using a sociodemographic questionnaire and Hospital Anxiety and Depression Scale, with 88 nursing professionals. Data were analyzed using absolute and relative frequency and Statistical Package for the Social Sciences. RESULTS there was prevalence of anxiety (48.9%) and depression (25%). The majority of the sample consisted of women over 40 years old, married or in a common-law marriage, white, with higher education or graduate degree, with an income above 3,000.00 reais, public servants, working 40 hours a week and working in the hospital from 1 to 5 years. CONCLUSION we must consider the impact on mental health nursing caused by COVID-19 and intervene with coping strategies to minimize the suffering of professionals.
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Affiliation(s)
| | | | | | - Guilherme Arcaro
- Hospital Universitário Regional dos Campos Gerais, Ponta Grossa, Paraná, Brazil
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