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Ji T, Ye W, Xiao W, Dawson G, Dong Q, Gwenin C. Iridium oxide-modified reference screen-printed electrodes for point-of-care portable electrochemical cortisol detection. Talanta 2024; 280:126776. [PMID: 39216420 DOI: 10.1016/j.talanta.2024.126776] [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: 02/19/2024] [Revised: 07/10/2024] [Accepted: 08/24/2024] [Indexed: 09/04/2024]
Abstract
Cortisol is a well-known stress biomarker; this study focuses on using electrochemical immuno-sensing to measure the concentration of cortisol selectively and sensitively in artificial samples. Anti-cortisol antibodies have been immobilised on polycrystalline Au electrodes via strong covalent thiol bonds, fabricating an electrochemical bio-immunosensor for cortisol detection. IrOx was then anodically electrodeposited as a reference electrode on a commercial screen-printed electrode and electrochemical impedance spectrometry (EIS) studies were used to correlate the electrochemical response to cortisol concentration and the induced changes in charge transfer resistance (Rct). A linear relationship between the Rct and the logarithm of cortisol concentration was found in concentrations ranging from 1 ng/mL to 1 mg/mL with limit of detection at 11.85 pg/mL (32.69 pM). The modification of the reference electrode with iridium oxide has greatly improved the reproducibility of the screen-printed electrode. The sensing system can provide a reliable and sensitive detection approach for cortisol measurements.
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Affiliation(s)
- Tong Ji
- Xi'an Jiaotong-Liverpool University, School of Science, Department of Chemistry, No. 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, People's Republic of China
| | - Wen Ye
- Xi'an Jiaotong-Liverpool University, School of Science, Department of Chemistry, No. 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, People's Republic of China
| | - Weiyu Xiao
- Xi'an Jiaotong-Liverpool University, School of Science, Department of Chemistry, No. 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, People's Republic of China
| | - Graham Dawson
- Xi'an Jiaotong-Liverpool University, School of Science, Department of Chemistry, No. 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, People's Republic of China
| | - Qiuchen Dong
- Xi'an Jiaotong-Liverpool University, School of Science, Department of Chemistry, No. 111 Ren'ai Road, Suzhou Industrial Park, Suzhou, People's Republic of China.
| | - Christopher Gwenin
- School of Applied Sciences Division of Health Sciences, Abertay University, Bell St, Dundee, DD1 1HG, United Kingdom.
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Kotera Y, Kameo Y, Wilkes J, Jackson J, Beaumont J, Barnes K, Ozaki A, Miyatake H, Bakolis I, Ronaldson A. Validation of the Japanese version of the Patient Health Questionnaire-4 (PHQ-4-J) to screen for depression and anxiety. DISCOVER MENTAL HEALTH 2024; 4:43. [PMID: 39375253 PMCID: PMC11458904 DOI: 10.1007/s44192-024-00093-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/10/2024] [Accepted: 09/04/2024] [Indexed: 10/09/2024]
Abstract
OBJECTIVE We aimed to validate the Japanese version of the Patient Health Questionnaire-4 (PHQ-4-J). People in Japan, especially healthcare workers (HCWs) suffer from high rates of mental health symptoms. The PHQ-4 is an established ultra-brief mental health measure used in various settings, populations and languages. The Japanese version of the PHQ-4 has not been validated. METHODS Two hundred eighty people in Japan (142 HCWs and 138 from the general public) responded to the PHQ-4-J. Internal consistency, and factorial validity were assessed using confirmatory factor analysis (CFA) and Multiple Indicators Multiple Causes (MIMIC) models. RESULTS Internal consistency was high (α = 0.70-0.86). CFA yielded very good fit indices for a two-factor solution (RMSEA = 0.04, 95% CI 0.00-0.17) and MIMIC models indicated the performance differed between HCWs and the general population. CONCLUSIONS The PHQ-4-J is a reliable ultra-brief scale for depression and anxiety in Japanese, which can be used to meet current needs in mental health research and practice in Japan. Disaster research and gerontology research can benefit from this scale, enabling mental health assessment with little participant burden. In practice, early detection and personalised care can be facilitated by using the scale. Future research should target specific populations in Japan during a non-emergency time.
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Affiliation(s)
- Yasuhiro Kotera
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
- Center for Infectious Disease Education and Research, Osaka University, Suita, Japan.
| | - Yoshiko Kameo
- Department of Communicology, University of Hawai'i at Mānoa, Honolulu, USA
| | - Juliet Wilkes
- Psychology & Social Care, University of Derby, College of Health, Derby, UK
| | - Jessica Jackson
- Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK
| | - Julie Beaumont
- School of Psychology, Queen's University Belfast, Belfast, UK
| | | | - Akihiko Ozaki
- Department of Breast Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki, Japan
- Medical Governance Research Institute, Tokyo, Japan
| | | | - Ioannis Bakolis
- Department of Biostatistics and Health Informatics, King's College London, London, UK
| | - Amy Ronaldson
- Health Service and Population Research Department, King's College London, London, UK
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Qutishat M. Relationship between death anxiety and resilience among critical care nurses in Oman. Nurs Crit Care 2024. [PMID: 39363844 DOI: 10.1111/nicc.13177] [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: 03/20/2024] [Revised: 09/12/2024] [Accepted: 09/18/2024] [Indexed: 10/05/2024]
Abstract
BACKGROUND Critical care nurses encounter numerous work-related stressors that might lead to depression and anxiety. Areas with higher patient mortality can lead to burnout, higher turnover and death anxiety. The possession of resilience and good attitudes towards mental health is of utmost importance for nurses, given their role as influential figures within society. AIM The aim of this study was to examine the relationship between death anxiety and resilience among critical care nurses in Oman. STUDY DESIGN This study employed a cross-sectional design with convenience sampling, sending 300 invitations via a URL link on a popular social media platform for critical care nurses in Oman. Out of 218 responses, the initial response rate was 72.7%. After data cleansing to remove incomplete and illegible submissions, the final sample consisted of 183 nurses who completed the Templer Death Anxiety Scale and the Connor-Davidson Resilience Scale (CD-RISC). The survey was conducted in December 2023. RESULTS The study found that the mean death anxiety and resilience scores were 38.23 (SD = 6.96) and 37.62 (SD = 5.32), respectively. Most of the participants exhibited a low level of death anxiety and a moderate level of resilience. The results of this study found a significant proportional correlation between death anxiety and resilience among critical care nurses in Oman (p = .000); nurses with a higher degree of resilience were shown to be significantly correlated with a lower level of death anxiety. The results showed that resilience explained 14.9% of the variation in death anxiety. CONCLUSIONS The research in Oman reveals that critical care nurses in the country experience moderate death fear. This anxiety stems from the demanding nature of their profession, which involves providing care for critically ill patients in high-pressure environments. Factors such as cultural and religious beliefs and educational attainment are also influencing this anxiety. Resilience is positively associated with the ability to confront challenges with courage, and a positive correlation exists between resilience and death anxiety. This suggests that nurses with higher resilience may also experience higher death anxiety because of their profession's inherent responsibilities and decision-making. RELEVANCE TO CLINICAL PRACTICE The study on critical care nurses in Oman highlights that workplace stress and high death anxiety negatively impact their well-being and patient care quality. Factors like job demands, cultural beliefs and education influence these experiences, with resilience playing a key role in coping. Enhancing resilience and coping strategies can improve care quality and reduce turnover in nursing.
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Affiliation(s)
- Mohammed Qutishat
- Community and Mental Health Department, College of Nursing, Sultan Qaboos University, Muscat, Oman
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Chan CC, Faherty C, Rahman N, Murrough JW, Benn EKT, Clark U, Mohamed N, DePierro JM, Ripp JA, Peccoralo LA. Suicidal ideation among non-physician hospital system staff: Prevalence and workplace correlates. J Affect Disord 2024; 362:638-644. [PMID: 39029665 PMCID: PMC11325446 DOI: 10.1016/j.jad.2024.07.109] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Revised: 06/24/2024] [Accepted: 07/16/2024] [Indexed: 07/21/2024]
Abstract
BACKGROUND Research suggests that healthcare workers are at greater risk for suicide than other occupations, but most published studies focus on physicians. This study examines the prevalence of suicidal ideation (SI) and associated occupational factors among a broad group of non-physician healthcare staff. METHODS An anonymous online survey was sent to a random sample of 30 % of non-physician healthcare staff at a large urban healthcare system between September and November 2022. Weighted multivariable binary logistic regressions were conducted to determine the workplace and mental health factors associated with SI. RESULTS The 1084 respondents included nurses, administrative staff, research staff, medical assistants, nurse practitioners, physician assistants, and other roles. Of the sample, 8.8 % endorsed having SI over the prior two weeks. Results of the regression indicated that, after adjusting for demographic factors, greater odds of SI were associated with physical violence experienced from a patient or visitor (odds ratio [OR] = 2.15, 95 % confidence interval [CI] = 1.06-4.37), lower perceived leadership support (OR = 0.95, 95 % CI = 0.92-0.98), and positive screening for depression (OR = 4.66, 95 % CI = 2.45-8.86). Exploratory analysis suggests that depression may be a mediating factor between workplace stressors and SI. LIMITATIONS Limitations include the response rate, the use of a single item to assess SI, and the cross-sectional design. CONCLUSION Findings suggest that workplace violence and leadership support are important occupational factors associated with SI among healthcare workers. Reducing and mitigating workplace violence, enhancing leadership support, and improving access to mental health care should be considered targets for interventions to decrease suicide risk in this population.
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Affiliation(s)
- Chi C Chan
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; James J. Peters Department of Veterans Affairs Medical Center, New York, NY, United States of America; Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America.
| | - Cara Faherty
- Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America
| | - Nimra Rahman
- Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America; The City University of New York Graduate School of Public Health and Health Policy, New York, NY, United States of America
| | - James W Murrough
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Depression and Anxiety Center for Discovery and Treatment, New York, NY, United States of America; Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Emma K T Benn
- Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Center for Scientific Diversity, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Uraina Clark
- Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Center for Scientific Diversity, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Nihal Mohamed
- Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Center for Scientific Diversity, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Institute for Translational Epidemiology, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Jonathan M DePierro
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Jonathan A Ripp
- Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
| | - Lauren A Peccoralo
- Office of Well-being and Resilience, Mount Sinai Health System, New York, NY, United States of America; Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America; Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York, NY, United States of America
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Relvas AP, Portugal A, Lacomba-Trejo L, Major S, Sotero L, Agostinho R, Moreira M, Randall AK. One year of COVID-19: A longitudinal study of individual and relational factors of psychological adjustment of individuals living in a romantic relationship in Portugal during the COVID-19 pandemic. JOURNAL OF MARITAL AND FAMILY THERAPY 2024; 50:1005-1025. [PMID: 39188026 DOI: 10.1111/jmft.12734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2024] [Revised: 07/31/2024] [Accepted: 08/07/2024] [Indexed: 08/28/2024]
Abstract
This longitudinal study explored the impact of COVID-19 on individuals in romantic relationships. The sample spans three waves: first confinement (n = 52), deconfinement (n = 49), and second confinement (n = 26). The study tested sociodemographic factors, psychological adjustment (anxiety, depression, stress, well-being), COVID-19 threat perception, dyadic coping, and relationship quality. Results from repeated measures ANOVA and fuzzy set qualitative comparative analysis (fsQCA) models revealed a decline in anxiety, depression, and stress symptoms, coupled with improved relationship quality over time. Well-being and dyadic coping remained stable, while COVID-19 threat perception increased. QCA models emphasized the predictive power of initial mental states (anxiety, depression, stress, and well-being at W1) on subsequent adjustment. Notably, shorter relationship duration, healthcare worker status, and not having children, when combined with prior mental states, explained increased symptoms and diminished well-being. The study underscores the significance of addressing these factors in individuals navigating romantic relationships during the pandemic.
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Affiliation(s)
- Ana Paula Relvas
- Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
- Centre for Social Studies, University of Coimbra, Coimbra, Portugal
| | - Alda Portugal
- Centre for Social Studies, University of Coimbra, Coimbra, Portugal
- Department of Psychology, Faculty of Arts and Humanities, University of Madeira, Funchal, Portugal
| | - Laura Lacomba-Trejo
- Department of Developmental and Educational Psychology, Faculty of Psychology and Speech Therapy, Universitat de València, València, Spain
| | - Sofia Major
- Faculty of Social and Human Sciences, University of Azores, Ponta Delgada, Portugal
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention, University of Coimbra, Coimbra, Portugal
| | - Luciana Sotero
- Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
- Centre for Social Studies, University of Coimbra, Coimbra, Portugal
| | - Rafaela Agostinho
- Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Marta Moreira
- Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal
| | - Ashley K Randall
- School of Counseling and Counseling Psychology, Arizona State University, Tempe, Arizona, USA
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Abd Razak MA, Silim UA, Suhaimi AF, Ramly SS, Ismail NN, Mohd Salleh A, Mohamad AW. An intervention to determine the effectiveness of the Sanubari optimal health program (OHP) in improving mental well-being among junior doctors in Malaysia: a quasi-experimental study. BMC Public Health 2024; 24:2621. [PMID: 39333955 PMCID: PMC11438033 DOI: 10.1186/s12889-024-20100-z] [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: 12/01/2023] [Accepted: 09/16/2024] [Indexed: 09/30/2024] Open
Abstract
BACKGROUND Mental health problems among junior doctors in Malaysia pose a significant concern, as they not only adversely affect their overall well-being but also impact the quality of health services they provide. Therefore, it is important to implement interventions aimed at preserving their mental health. This study aimed to evaluate the effectiveness of the Sanubari Optimal Health Program (OHP) intervention in enhancing the mental well-being of junior doctors in Malaysia. METHODS The study utilised a quasi-experimental design involving 204 junior doctors who participated in the intervention. The Sanubari OHP Intervention Package was employed alongside self-administered questionnaires for mental health and well-being assessment. To evaluate the effects over time, repeated measures ANOVA was employed to analyse within-group and between-group changes in various endpoints, as measured at different assessment time points. RESULTS The study revealed that self-efficacy and adaptive coping behaviours scores increased over time among the intervention group and decreased among the control group. Yet, depression and anxiety scores decreased significantly over time among the intervention group but not in the control group. No significant differences were observed in well-being and maladaptive coping strategies among the groups. CONCLUSIONS This study showed promising results regarding the effectiveness of Sanubari OHP in improving mental well-being among junior doctors.
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Affiliation(s)
- Mohamad Aznuddin Abd Razak
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Setia Alam, 40170, Selangor, Malaysia.
| | - Umi Adzlin Silim
- Department of Psychiatry and Mental Health, Hospital Sultan Idris Shah, Serdang, 43400, Selangor, Malaysia
| | - Aida Farhana Suhaimi
- Psychology Department, Medcare and Camali Clinic Dubai, P.O. Box 505294, Dubai, UAE
| | - Siti Salwa Ramly
- Department of Psychiatric and Mental Health, Hospital Sultan Abdul Halim, Sungai Petani, 08000, Kedah, Malaysia
| | - Nurul Nadia Ismail
- Department of Psychiatric and Mental Health, Hospital Sultanah Bahiyah, Alor Setar, 05460, Kedah, Malaysia
| | - Adlin Mohd Salleh
- Department of Psychiatric and Mental Health, Hospital Tengku Ampuan Rahimah, Klang, 41200, Selangor, Malaysia
| | - Aina Waheeda Mohamad
- Clinical Research Centre, Hospital Kuala Lumpur, Jalan Pahang, 50586, Kuala Lumpur, Malaysia
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Li N, Wang Y, Dong Y, Chen X, Zhang B, Chen X, Wang K, Sun Y. The impact of psychological stress on physiological indicators in healthcare workers: a cross-sectional study. Front Public Health 2024; 12:1393743. [PMID: 39386960 PMCID: PMC11461262 DOI: 10.3389/fpubh.2024.1393743] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 09/12/2024] [Indexed: 10/12/2024] Open
Abstract
Background Medical health workers play an essential role in the healthcare system and face unique workplace stressors. However, the impact of psychological stress on their physical health has received less attention compared to the general population. Methods We retrospectively analyzed the Self-rating Depression Scale (SDS) questionnaires and blood testing results from 1963 medical health workers. Multivariate linear regression analysis using a backward stepwise selection strategy to identify physical examination indicators that were significantly affected by depression. Results Depression severity, as measured by SDS index score, was positively correlated with the levels of hemoglobin (coefficient 0.0027, p = 0.0412), platelet count (coefficient 0.0005, p = 0.0198), and uric acid (coefficient 0.0004, p = 0.0492), while negatively correlated with red blood cell count (coefficient-0.0895, p = 0.0406). Similar results were observed in the subgroup analysis stratified by age and sex. Conclusion Our study found a significant association between higher levels of depression and specific physiological indicators in healthcare professionals, including elevated hemoglobin, platelet counts, and uric acid levels, as well as decreased red blood cell counts. These changes in blood parameters may reflect underlying physiological stress and inflammation, potentially increasing overall health risks for healthcare workers. Addressing these physiological changes may be crucial for mitigating the health risks associated with depression. To validate our findings and develop targeted interventions, larger multi-center studies are needed to further explore the relationship between depression severity and blood parameters in healthcare professionals.
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Affiliation(s)
- Na Li
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yan Wang
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Yijiao Dong
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Xiaoxue Chen
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Bin Zhang
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Xianghua Chen
- The Affiliated Hospital of Qingdao University, Qingdao, China
| | - Kejian Wang
- Innovative Institute of Chinese Medicine and Pharmacy, Shandong University of Traditional Chinese Medicine, Jinan, China
- Systems Biology Research Center, Biology Institute, Guangxi Academy of Sciences, Nanning, China
| | - Ying Sun
- The Affiliated Hospital of Qingdao University, Qingdao, China
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Simms A, Leightley D, Lamb D. Caring for the carers: an evaluation of the recovery, readjustment and reintegration programme (R3P). BMJ Mil Health 2024; 170:384-389. [PMID: 37487658 DOI: 10.1136/military-2023-002359] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 07/03/2023] [Indexed: 07/26/2023]
Abstract
INTRODUCTION The challenges faced by healthcare workers, not least during the response to the COVID-19 pandemic, have been extensively studied, and concerns continue to be highlighted in relation to their long-term mental health. Identifying the need to support their personnel, a leader-led structured programme of reflection: the recovery, readjustment and reintegration programme (R3P) was designed by the UK Defence Medical Services to mitigate the potential stressors associated with this outbreak and enhance the resilience of the workforce. METHODS 128 military personnel completed an evaluation of R3P. A survey included measures of anxiety before and after the intervention, perceptions of the discussion themes and whether these brought a sense of closure to areas of distress, and attitudes to help-seeking. RESULTS Most respondents (86%-92%) rated the five discussion themes either 'helpful' or 'very helpful', 51% of respondents reported a sense of closure about an issue that had been causing distress and 72% of respondents felt better able to seek help should it be necessary. Evaluating the effect R3P had on anxiety, a Wilcoxon signed rank test elicited a statistically significant difference in anxiety pre-R3P and post-R3P; Z=-3.54, p<0.001. The median anxiety rating was 3.5 (IQR 4.75, 95% CI 1.25 to 6.00) before undertaking R3P, which decreased to 3 (IQR 4.75, 95% CI 1.00 to 5.75) after undertaking R3P. 39.1% of participants reported decreased anxiety, 18.8% reported increased anxiety and 42.2% reported no change. CONCLUSION This evaluation has identified several positive aspects to R3P with many personnel reporting a reduction in anxiety, a sense of closure and increased likelihood of help-seeking. Several participants did report an increase in anxiety and the long-term impact of R3P on mental health and well-being is unclear. Further mixed-methods evaluation incorporating a longer follow-up is required.
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Affiliation(s)
- Amos Simms
- Academic Department of Military Mental Health, King's College London, London, UK
| | - D Leightley
- King's Centre for Military Health Research, King's College London, London, UK
| | - D Lamb
- RCDM (Research and Academia), MOD, Birmingham, UK
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Gokdemir O, Gorgu G, Jotić Ivanović M, Woolley AK, Öztürk A, Rey Seoane M, Reczek L, Bakola M, Aygun O, Küçükerdem HS, Toplu H. Mental distress and nutrition of family physicians, a European based cross-sectional study. Medicine (Baltimore) 2024; 103:e39544. [PMID: 39287305 PMCID: PMC11404895 DOI: 10.1097/md.0000000000039544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/19/2024] Open
Abstract
Family physicians are a pillar of the primary healthcare system, and their own mental well-being is integral to their performance. However, many studies have suggested a high prevalence of mental distress. The contributing factors include the emotional demands of the profession, work overload, budgetary constraints, loss of autonomy, and erosion of professional values. Outbreaks such as the COVID-19 pandemic exacerbate distress due to a greater risk of exposure to the virus, increased working hours, and fear of infecting families. Thus, it is crucial to assess risks and provide preventive measures. This study aimed to evaluate the association between the dietary patterns of family physicians and their mood. This study used a cross-sectional descriptive method and a validated Food-Mood Questionnaire (FMQ), shared via social networks across 10 European countries, to collect data from family physicians. Permission to use the FMQ was obtained. The breakfast-pattern subscale had the highest mean score (14.670 ± 4.305). The other subscale mean scores were as follows: health pattern (13.317 ± 5.388), mental distress pattern (11.184 ± 3.824), and western diet pattern (9.827 ± 3.604). According to Pearson correlation test there was a positive correlation between breakfast and Western diet patterns and between breakfast and health patterns. There was a negative correlation between health and mental distress pattern. Evidence suggests that mental distress may arise from different dietary deficiencies. Physicians' nutritional patterns have an impact on health indicators and are distributed in relation to sociodemographic factors, especially the regions they live in. Diet assessment is becoming a vital modifiable risk factor for mental health, but further research in this field is needed.
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Affiliation(s)
- Ozden Gokdemir
- Izmir University of Economics, Faculty of Medicine, Izmir, Turkey
| | - Genco Gorgu
- Marmara District State Hospital/Turkey EYFDM - European Young Family Doctors Movement Mental Health SIG Lead
| | - Marina Jotić Ivanović
- Family Medicine Department, Primary Health Care Center Doboj, Doboj, Bosnia and Herzegovina EYFDM - European Young Family Doctors Movement Lifestyle Medicine SIG Lead
| | | | | | - Miriam Rey Seoane
- ICS- Institud Catalá.de la Salut / CUAP Manso / Barcelona / Spain EYFDM - European Young Family Doctors Movement Emergency Medicine Lead
| | | | - Maria Bakola
- Department of Public Health, University of Patras, Patras, Greece
| | - Olgu Aygun
- Department of Family Medicine, Bozyaka Research and Training Hospital, İzmir, Turkey
| | | | - Hilal Toplu
- Kadikoy Number 9 Health Center, Istanbul, Turkey
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10
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Wu J, Dou J, Wang D, Wang L, Chen F, Lu G, Sun L, Liu J. The empathy and stress mindset of healthcare workers: the chain mediating roles of self-disclosure and social support. Front Psychiatry 2024; 15:1399167. [PMID: 39328343 PMCID: PMC11424417 DOI: 10.3389/fpsyt.2024.1399167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 08/27/2024] [Indexed: 09/28/2024] Open
Abstract
The hospital is a workplace full of stressful events for healthcare workers (HCWs) due to unpredictable changes in their daily routines. Perceptions of stressful events (stress mindset) have a significant impact on an individual's health and well-being. However, few studies have reported the factors and potential counter mechanisms influencing these perceptions. This study aimed to evaluate the relationship between empathy, self-disclosure, social support, and stress mindset of HCWs, and to explore the mechanism of empathy on stress mindset. Five hundred and eight HCWs (35.2% men and 64.8% women) completed the Interpersonal Reactivity Index (IRI), the Distress Disclosure Index (DDI), the Social Support Rating Scale (SSRS), the Stress Mindset Measure (SMM), and demographic questionnaires online in China. The results showed that empathy was positively linked with stress mindset and positively correlated with self-disclosure and social support. In the multiple mediating model, self-disclosure and social support mediated the association between empathy and stress mindset sequentially. The results imply that empathy, self-disclosure, and social support play a significant role in the formation of HCWs' stress mindset. These findings have substantial ramifications for reducing stress and creating successful government interventions to fortify stress mindset in healthcare.
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Affiliation(s)
- Jinxia Wu
- School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China
| | - Jinhua Dou
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Daofeng Wang
- Department of Neurosurgery, Shanting District People’s Hospital, Zaozhuang, Shandong, China
| | - Lizhuo Wang
- Department of Neurosurgery, Shanting District People’s Hospital, Zaozhuang, Shandong, China
| | - Feng Chen
- School of Practical Teaching Management Department, Shandong Second Medical University, Weifang, Shandong, China
| | - Guohua Lu
- School of Psychology, Shandong Second Medical University, Weifang, Shandong, China
| | - Lin Sun
- Department of Neurosurgery, Shanting District People’s Hospital, Zaozhuang, Shandong, China
- School of Psychology, Shandong Second Medical University, Weifang, Shandong, China
- Management Committee of Shanting Economic Development Zone, Zaozhuang, Shandong, China
| | - Jianlan Liu
- School of Clinical Medicine, Shandong Second Medical University, Weifang, Shandong, China
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11
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Sidiq M, Ch SJP, Janakiraman B, Chahal A, Khan I, Kaura S, Kashoo F, Khan F, Khan S, Sehgal CA, Baranwal S, Popli S, Alghadier M. Burnout experience among healthcare workers post third COVID-19 wave in India; findings of a cross-sectional study. PeerJ 2024; 12:e18039. [PMID: 39267945 PMCID: PMC11391938 DOI: 10.7717/peerj.18039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2024] [Accepted: 08/13/2024] [Indexed: 09/15/2024] Open
Abstract
Background The pandemic exacerbated burnout experienced by healthcare personnel, whose mental health had long been a public health concern before COVID-19. This study used the Copenhagen burnout inventory (CBI) tool to assess burnout and identify predictors among Indian healthcare workers managing COVID-19. Methods A cross-sectional study was conducted from June to December 2022, after the third pandemic wave. A web-based, fillable Google form was used to recruit COVID-19 management professionals from multiple Jaipur district hospitals. Healthcare professionals provided socio-demographic, work-related, and CBI scores. Multiple linear regression was used to control for model covariant independent variables. Results We evaluated the responses of a total of 578 participants with a mean age of 36.59 ± 9.1 years. Based on the CBI cut-off score of 50, 68.1% reported burnout. A total of 67.5%, 56.4%, and 48.6% of healthcare workers reported work-related, personal, and patient-related burnout, respectively. High burnout scores were significantly associated with the nursing profession (β = 7.89, 95% CI; 3.66, 12.11, p < 0.0001). The p-value indicates the probability of observing the data if the null hypothesis is true, and the confidence interval shows the range within which we can be 95% confident that the true effect lies. An independent relationship exists between male gender and higher personal-related burnout scores (β = 4.45, 95% CI 1.9-6.9). Conclusion This study identified key indicators that need further emphasis and the need for organizational and individual-level burnout monitoring in healthcare delivery sectors. Health workers continue to experience burnout due to a combination of personal, professional, and patient-related factors. This underscores the need for targeted organizational and individual interventions. The findings also suggest that the CBI tool could identify healthcare worker burnout risk groups.
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Affiliation(s)
- Mohammad Sidiq
- Department of Physiotherapy, School of Allied Health Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India
| | - Sai Jaya Prakash Ch
- PDS Institute of Physiotherapy, Kaloji Narayana Rao University of Health Sciences, Purani Haveli, Hyderabad, India
| | - Balamurugan Janakiraman
- SRM College of Physiotherapy, SRM Institute of Science and Technology (SRMIST), Kattankulathur, Chennai, Tamil Nadu, India
- Faculty of Physiotherapy, School of Allied Health Sciences, Madhav University, Sirohi, Rajasthan, India
| | - Aksh Chahal
- Department of Physiotherapy, School of Allied Health Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India
| | - Imran Khan
- Department of Physiotherapy, University of Engineering and Management, Jaipur, Rajasthan, India
| | - Surbhi Kaura
- Department of Physiotherapy, School of Allied Health Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India
| | - Faizan Kashoo
- Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Al Majmaah, Saudi Arabia
| | - Farha Khan
- Department of Dental Surgery, Northern Area Armed Forces Hospital, Hafar Al Batin, Northern, Saudi Arabia
| | - Shabnam Khan
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia University, New Delhi, India
| | - Chhavi Arora Sehgal
- Centre for Physiotherapy and Rehabilitation Sciences, Jamia Millia Islamia University, New Delhi, India
| | - Shashank Baranwal
- College of Physiotherapy and Occupational Therapy, Nims University, Jaipur, Rajasthan, India
| | - Sheenam Popli
- Department of Physiotherapy, Suresh Gyan Vihar University, Jaipur, Rajathan, India
| | - Mshari Alghadier
- Department of Health and Rehabilitation Sciences, College of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Alkharj, AR Riyadh Province, Saudi Arabia
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12
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Wang Q, Zhou Y, Wang G, Pan X, Sha S, Wang Z, Liu Y, Tian T, Liang S. The mediation effects of COVID-19-related traumatic stress symptoms and mentalization on the relationship between perceived stress and psychological well-being in healthcare workers transitioning to a post-pandemic world. PLoS One 2024; 19:e0309561. [PMID: 39231148 PMCID: PMC11373818 DOI: 10.1371/journal.pone.0309561] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2023] [Accepted: 08/13/2024] [Indexed: 09/06/2024] Open
Abstract
BACKGROUND In context of COVID-19 as a collective trauma and the intense involvement of healthcare workers (HCWs) in the pandemic, perceived stress continues to have a tremendous impact on their psychological well-being. However, few studies have attempted to delineate the underlying mechanisms. This study examined whether COVID-19-related traumatic stress symptoms and mentalization act as mediators. METHODS A sample of HCWs (N = 2610) from 22 hospitals in Beijing, China participated in this cross-sectional investigation. Data on their perceived stress, psychological well-being, the impact of event, and reflective function during the COVID-19 pandemic were collected using self-report questionnaires. Different mediating models were tested. RESULTS COVID-19-related stress symptoms and mentalization independently mediate the association between perceived stress and psychological well-being. These two mediators also compose a serial mediation model. In particular, higher perceived stress inhibits the psychological well-being of HCWs through increased severity of traumatic stress symptoms, which in turn is associated with hypomentalizing. CONCLUSION These findings shed light on the mechanisms underlying the relationship between perceived stress and psychological well-being in HCWs. We strongly recommend incorporating a mentalization framework with trauma-informed practice in prevention and intervention work with this population during this and future healthcare crisis.
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Affiliation(s)
- Qian Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - You Zhou
- New York Psychoanalytic Society & Institute, New York, New York, United States of America
| | - Gang Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
- Advanced Innovation Center for Human Brain Protection, Capital Medical University, Beijing, China
| | - Xinyu Pan
- The University of Hong Kong, Pok Fu Lam, Hong Kong
| | - Sha Sha
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Zhe Wang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Yinqi Liu
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Tengfei Tian
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
| | - Sixiang Liang
- The National Clinical Research Center for Mental Disorders & Beijing Key Laboratory of Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
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13
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Davis J, Granger S, Turner N. Assessing psychological distress of healthcare workers with and without work injuries: The role of job control. JOURNAL OF SAFETY RESEARCH 2024; 90:333-340. [PMID: 39251290 DOI: 10.1016/j.jsr.2024.07.001] [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: 10/02/2023] [Revised: 03/01/2024] [Accepted: 07/17/2024] [Indexed: 09/11/2024]
Abstract
INTRODUCTION The study investigates the relationship between work-related injuries, psychological distress, and the influence of perceived job control on healthcare workers, using Bakker and Demerouti's (2007) job demands-resources model as theoretical grounding. METHOD We analyzed data from 610 healthcare workers (81.1% female) at a northern UK hospital, incorporating both self-reported and organizationally recorded work injury incidents over the three years preceding the survey, along with measures of psychological distress and perceived job control. RESULTS Unexpectedly, we found that the occurrence of work-related injuries, irrespective of the method of reporting, is not related to lower psychological distress among those employees who report a high level of job control. This relationship holds even when adjusting for various demographic and occupational variables. CONCLUSIONS AND PRACTICAL APPLICATIONS Given the prevalence of work injuries in the healthcare sector, our findings suggest a need for a deeper exploration into how job characteristics might interact to offset the consequences of work injuries, challenging existing assumptions and opening new avenues for research into the psychology of workplace safety.
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Affiliation(s)
- Joshua Davis
- Department of Psychology, University of Calgary, Canada
| | - Steve Granger
- John Molson School of Business, Concordia University, Canada
| | - Nick Turner
- Haskayne School of Business, University of Calgary, Canada.
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Elbilgahy AA, Alanazi AM, Alrawili BM, Alenezi RM, Alanazi RF, Alanazi AK, Fawzy MS. Impact of COVID-19 lockdown on sleep patterns and the related problems among nursing students. Nurs Open 2024; 11:e70013. [PMID: 39312575 PMCID: PMC11418898 DOI: 10.1002/nop2.70013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Revised: 07/02/2024] [Accepted: 08/04/2024] [Indexed: 09/25/2024] Open
Abstract
AIM To evaluate the impact of the COVID-19 lockdown on sleep patterns and quality among nursing students in our college. DESIGN A cross-sectional study was carried out. METHODS A total of 302 nursing students aged 18-25 years, representing both genders and various academic levels, participated in this study. A pre-validated, self-administered questionnaire was used to assess sleep quality during COVID-19 and it was distributed through various social media platforms for data collection. RESULTS Female students comprised the majority (92.1%) of participants. Of 332 nursing students, 302 completed the questionnaire, yielding a 91% response rate. Statistically significant differences were observed before and during the COVID-19 lockdown regarding the need to sleep after waking, feeling refreshed upon waking, satisfaction with individual sleep patterns and experiencing restless and troubled sleep (p = 0.001). Additionally, approximately one-third of nursing students (32.9%) reported poor sleep quality during the COVID-19 pandemic, with minimal impact on the total sleep hours among the studied cohorts. PUBLIC CONTRIBUTION The COVID-19 pandemic has statistically significant impacted nursing students' sleep quality and levels. Acknowledging these challenges and planning for providing supporting measurements is essential to ensuring that nursing students can maintain their physical and mental health, which is critical for their ability to provide quality healthcare.
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Affiliation(s)
- Amal Ahmed Elbilgahy
- Department of Maternal and Child Health Nursing, Faculty of NursingNorthern Border UniversityArarSaudi Arabia
- Department of Pediatric Nursing, Faculty of NursingMansoura UniversityMansouraEgypt
| | - Areej Musaad Alanazi
- Faculty of NursingNorthern Border UniversityArarSaudi Arabia
- Department of Neonatal Intensive Care UnitMaternity and Children Hospital, Ministry of HealthArarSaudi Arabia
| | | | - Rawan Mamdouh Alenezi
- Faculty of NursingNorthern Border UniversityArarSaudi Arabia
- Department of Intensive Care UniteNorth Medical Tower Hospital, Ministry Of HealthArarSaudi Arabia
| | - Rawan Fahad Alanazi
- Faculty of NursingNorthern Border UniversityArarSaudi Arabia
- Department of Neonatal Intensive Care UnitMaternity and Children Hospital, Ministry of HealthArarSaudi Arabia
| | - Amal Khulaif Alanazi
- Faculty of NursingNorthern Border UniversityArarSaudi Arabia
- Department of Neonatal Intensive Care UnitMaternity and Children Hospital, Ministry of HealthArarSaudi Arabia
| | - Manal S. Fawzy
- Department of Biochemistry, College of MedicineNorthern Border UniversityArarSaudi Arabia
- Department of Medical Biochemistry and Molecular Biology, Faculty of MedicineSuez Canal UniversityIsmailiaEgypt
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15
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Al-Dossary SK. Environmental and Occupational Triggers of Dry Eye Symptoms in the Ahsa Region of Saudi Arabia: A Cross-Sectional Study. Clin Ophthalmol 2024; 18:2427-2438. [PMID: 39224176 PMCID: PMC11368111 DOI: 10.2147/opth.s474832] [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: 04/21/2024] [Accepted: 08/01/2024] [Indexed: 09/04/2024] Open
Abstract
Objective This cross-sectional study aimed to investigate the associations between environmental and occupational factors and the prevalence of dry eye symptoms among participants from the Ahsa region of Saudi Arabia. Methods Participants from urban, rural, and suburban areas seeking medical care at primary health centers were recruited through systematic random sampling. Data on demographics, exposures, and ocular health were captured using a structured questionnaire. Dry eye symptoms were evaluated using the Ocular Surface Disease Index (OSDI), Impact of Dry Eye on Everyday Life (IDEEL), and Symptom Assessment in Dry Eye (SANDE) questionnaires. Logistic regression analysis examined the relationships between environmental/occupational factors and the prevalence of dry eye symptoms. Results Key exposures included particulate matter (PM) (60%), low humidity (55%), wind/dust (50%), prolonged computer use (65%), and chemical irritants (45%). These factors were significantly associated with an increased prevalence of dry eye symptoms, with the following odds ratios (ORs): PM (1.85, 95% CI: 1.35-2.52), low humidity (1.45, 95% CI: 1.05-2.00), wind and dust (1.60, 95% CI: 1.20-2.14), prolonged computer use (2.10, 95% CI: 1.55-2.85), and chemical irritants (1.75, 95% CI: 1.30-2.35). All associations were statistically significant (p < 0.05). The use of protective equipment was associated with reduced odds of dry eye symptoms (OR 0.60, 95% CI: 0.42-0.85, p = 0.03). Conclusion This study identifies significant associations between specific environmental and occupational exposures and the prevalence of dry eye symptoms. Reducing modifiable exposures through policy, workplace enhancements, and clinical preventative strategies is essential to mitigate the burden of dry eye symptoms related to modern lifestyles and technology.
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Aljawarneh YM, Ghader N, Al-Bashaireh AM, Dalky HF, Al-Omari H, Alkouri O, Sanad SR, Mheiri NA, Gopakumar A, AlShaya S, Blatch GL, Ghunaim HY. Exploring Risk Perception, Mental Health, Mental Fatigue, Stigma, and the Quality of Life among UAE Healthcare Workers during the COVID-19 Pandemic: A National Multicentric Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:1124. [PMID: 39338007 PMCID: PMC11431285 DOI: 10.3390/ijerph21091124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2024] [Revised: 08/05/2024] [Accepted: 08/22/2024] [Indexed: 09/30/2024]
Abstract
Globally, the COVID-19 pandemic has presented serious mental health challenges for healthcare professionals. This study investigated the mental health, mental fatigue, quality of life, and stigma of social discrimination among healthcare workers in the United Arab Emirates (UAE) during the COVID-19 pandemic. A correlational, cross-sectional, multi-centric design was employed to collect data from 1383 healthcare workers across various healthcare settings. Participants were recruited using combined cluster and purposive sampling techniques. Standardized questionnaires, including the COVID-19 Pandemic Mental Health Questionnaire (CoPaQ), the Mental Fatigue Scale (MFS), the Social Discrimination Scale-Stigma Subscale (SDS), and the WHO Quality of Life Questionnaire-Brief (WHOQOL-BREF), were administered to assess the study variables. The results indicated significant mental health impacts, with high average scores for post-traumatic stress disorder (PTSD) (9.37 ± 6.74) and positive coping by inner strengths (17.63 ± 5.72). Mental fatigue was prevalent (8.15 ± 8.62), and stigma of social discrimination scored notably (23.83 ± 7.46). Quality of life was the highest in the social domain (65.38 ± 24.58). Significant correlations were observed between mental health subscales, mental fatigue, and quality of life domains. These findings highlight the critical need for targeted mental health support programs, improved social support networks, and personalized interventions to mitigate the mental health challenges faced by healthcare workers. Healthcare organizations can guarantee a resilient workforce that can handle future health crises by giving mental health resources and support systems top priority.
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Affiliation(s)
- Yousef M. Aljawarneh
- School of Nursing, Faculty of Health Sciences, Higher Colleges of Technology, Abu Dhabi P.O. Box 25026, United Arab Emirates; (A.M.A.-B.)
| | - Nariman Ghader
- Department of Mental Health, Medical Services Sector, Emirates Health Services, Dubai P.O. Box 2299, United Arab Emirates; (N.G.); (N.A.M.)
| | - Ahmad M. Al-Bashaireh
- School of Nursing, Faculty of Health Sciences, Higher Colleges of Technology, Abu Dhabi P.O. Box 25026, United Arab Emirates; (A.M.A.-B.)
| | - Heyam F. Dalky
- Department of Community and Mental Health Nursing, Faculty of Nursing, WHO Collaborating Center, Jordan University of Science & Technology, Irbid 22110, Jordan;
| | - Hasan Al-Omari
- Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa P.O. Box 13115, Jordan;
| | - Osama Alkouri
- Faculty of Nursing, Yarmouk University, Irbid P.O. Box 566, Jordan;
| | - Sarah R. Sanad
- School of Nursing, Faculty of Health Sciences, Higher Colleges of Technology, Abu Dhabi P.O. Box 25026, United Arab Emirates; (A.M.A.-B.)
| | - Noor Al Mheiri
- Department of Mental Health, Medical Services Sector, Emirates Health Services, Dubai P.O. Box 2299, United Arab Emirates; (N.G.); (N.A.M.)
| | - Aji Gopakumar
- Data and Statistics Department (DSD), Emirates Health Services (EHS), Dubai P.O. Box 2299, United Arab Emirates; (A.G.); (S.A.)
| | - Sara AlShaya
- Data and Statistics Department (DSD), Emirates Health Services (EHS), Dubai P.O. Box 2299, United Arab Emirates; (A.G.); (S.A.)
| | - Gregory L. Blatch
- The Vice Chancellery, The University of Notre Dame Australia, P.O. Box 1225, Fremantle, WA 6959, Australia;
| | - Hana Y. Ghunaim
- Fatima College of Health Sciences, Institute of Applied Technology, Al Ain P.O. Box 24162, United Arab Emirates;
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Saga E, Egilsdottir HÖ, Bing-Jonsson PC, Lindholm E, Skovdahl K. It's not the task, it's the shifting exploring physicians' and leaders' perspectives on task shifting in emergency departments in Norway. BMC Nurs 2024; 23:571. [PMID: 39152457 PMCID: PMC11330047 DOI: 10.1186/s12912-024-02246-8] [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: 05/28/2024] [Accepted: 08/08/2024] [Indexed: 08/19/2024] Open
Abstract
BACKGROUND Task shifting is an approach where specific tasks are transferred, when convenient, from health workers with high qualifications to health workers with less training and lower qualifications. This approach is mainly used to utilize the available human resources for health. Tasks that are traditionally linked to the physician role have increasingly been transferred to registered nurses during the last decade. Knowledge regarding the experiences and reflections of physicians and their leaders related to giving up tasks or how such policies can best be implemented is limited. This study aimed to explore physicians' and their leaders' perspectives on task shifting, especially to registered nurses, in different Norwegian emergency departments. METHODS The study was carried out from June to October 2022. It had an explorative and descriptive qualitative design and an inductive approach, semi-structured interviews was used. The study involved ten physicians and leaders from three different regional hospitals in south-eastern Norway. Manifest and latent content analysis were used to analyse the data. The COREQ guidelines were applied in the study. RESULTS From the three categories 1) The rationale for task shifting, 2) Teambuilding and 3) Implementation of task shifting, with nine subcategories. One overall main theme emerged: It is not the task, it is the shifting - moving towards a person-centred culture. CONCLUSIONS The study indicates that developing a person-centred culture and fostering a team approach in emergency departments is more important than simply shifting tasks, as task shifting may lead to fragmented care and resistance from physicians. Hospital leaders must invest time and effort into organising teams and providing clear leadership to support the redesign of professional roles, recognising the cultural and traditional challenges involved. Policymakers should promote guideline development, team training programs, and cooperation methods to support a person-centred culture and effective task shifting in emergency departments.
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Affiliation(s)
- Elin Saga
- Division of Emergency Department, Vestfold Hospital Trust, Halfdan Wilhelmsens Allé 17, Tønsberg, 3103, Norway.
| | - H Ösp Egilsdottir
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Grønland 58, Drammen, 3045, Norway
| | - Pia C Bing-Jonsson
- Faculty of Health and Social Sciences, University of South-Eastern Norway, Raveien 215, Borre, 3184, Norway
| | - Espen Lindholm
- Department of Anaesthesiology, Vestfold Hospital Trust, Halfdan Wilhelmsens Allé 17, Tønsberg, 3103, Norway
| | - Kirsti Skovdahl
- Faculty of Health, Welfare and Organisation, Østfold University College, Halden, NO-1757, Norway
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Patterson C, Roberts M, Yousiph T, Robson G, Lewer K, Jay EK, Moxham L. Non-traditional mental health clinical placements: An effective means for reducing self-stigma in pre-registration nursing students. J Psychiatr Ment Health Nurs 2024. [PMID: 39118420 DOI: 10.1111/jpm.13093] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 06/25/2024] [Accepted: 07/20/2024] [Indexed: 08/10/2024]
Abstract
WHAT IS KNOWN ON THE SUBJECT Pre-registration nursing students report high rates of stigma, leading to low help-seeking attitudes when seeking help for mental health issues. Traditional mental health clinical placements can improve stigma related to attitudes and social distance for pre-registration nursing students. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE There are nil recorded clinical placement interventions that have decreased self-stigma for pre-registration nursing students, with this study highlighting a clinical placement model that is effective in significantly decreasing self-stigma. IMPLICATIONS FOR PRACTICE The knowledge around the mental health struggles experienced by pre-registration nursing students, and the effect of a non-traditional mental health placement in decreasing self-stigmatizing attitudes in this population, is important for the future of retaining mental health nurses. There is an opportunity to use the clinical placement model presented, and design interventions for nursing students that aims to promote help-seeking behaviours. ABSTRACT INTRODUCTION: Traditional mental health clinical placements can improve pre-registration nurse stigma toward mental illness, particularly in measures of attitudes and social distance. However, they have not yet been shown to improve self-stigma, which affects mental health disclosure and help-seeking behaviour. AIM The present study investigates nursing students' stigma following a non-traditional mental health placement immersed alongside people living with mental illness. METHODS Three stigma subtypes were measured using the Opening Minds Scale for Healthcare Providers: Attitudes, Social Distance, and Disclosure/Help-seeking. RESULTS Pre-registration nurses (N = 848) completed the instrument pre- and post-placement. A multivariate analysis of variance (MANOVA) identified a large effect of placement on stigma (p < .001,η p 2 $$ {\eta}_p^2 $$ = .101). Post hoc pairwise comparisons revealed all three types of stigma decreased after the non-traditional placement (Attitudes: p < .001,η p 2 $$ {\eta}_p^2 $$ = 0.09, Social Distance: p < .001,η p 2 $$ {\eta}_p^2 $$ = 0.07, Disclosure/Help-seeking: p < .001,η p 2 $$ {\eta}_p^2 $$ = 0.04). DISCUSSION These findings emphasize that attending a non-traditional mental health clinical placement can effectively reduce multiple types of nursing student stigma. LIMITATIONS Further research in this area could focus on which attributes of the clinical placement setting foster positive help-seeking. IMPLICATIONS These results are noteworthy for stigma surrounding disclosure/help-seeking, as traditional (i.e. hospital-based) mental-health clinical placements have been found ineffective in reducing nursing student stigma in this domain. RECOMMENDATIONS Further research into the effectiveness of non-traditional clinical placements in reducing nursing students' stigma regarding mental health disclosure and help-seeking, is required.
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Affiliation(s)
- Christopher Patterson
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Michelle Roberts
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Taylor Yousiph
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Georgia Robson
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Kelly Lewer
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Elissa-Kate Jay
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Lorna Moxham
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
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Yip A, Yip J, Tsui Z, Smith GD. Navigating Uncertainty with Compassion: Healthcare Assistants' Reflections on Balancing COVID-19 and Routine Care through Adversity. Healthcare (Basel) 2024; 12:1544. [PMID: 39120247 PMCID: PMC11311336 DOI: 10.3390/healthcare12151544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2024] [Revised: 07/30/2024] [Accepted: 08/03/2024] [Indexed: 08/10/2024] Open
Abstract
The coronavirus disease 2019 pandemic created unprecedented challenges for healthcare systems around the world. Healthcare assistants played a vital role in the provision of frontline patient care during this crisis. Despite their important contribution, there exists limited research that specifically examines the healthcare assistant's experiences and perspectives of care provision during the COVID-19 pandemic. This study explored healthcare assistants' caring experiences and perspectives on resilience and self-efficacy during the COVID-19 pandemic in Hong Kong. A qualitative descriptive study with semi-structured interviews was conducted with 25 healthcare assistants from public hospitals. Interview recordings were analyzed using thematic analysis. Five main themes emerged from the data: frontline reinforcement: supporting HCAs through resourcing and education amidst the COVID-19 crisis, confronting uncertainty: building personal fortitude in the face of the COVID-19 pandemic, fostering collective resilience through shared support, self-efficacy as a catalyst for adaptive growth, and paving the way for transformation. These findings advocate for the resilience and self-efficacy of healthcare assistants; this may potentially strengthen healthcare system preparedness for navigating unpredictable challenges in the future.
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Affiliation(s)
- Alice Yip
- S.K. Yee School of Health Sciences, Saint Francis University, Hong Kong, China; (Z.T.); (G.D.S.)
| | - Jeff Yip
- Hong Kong Institute of Paramedicine, Hong Kong, China;
| | - Zoe Tsui
- S.K. Yee School of Health Sciences, Saint Francis University, Hong Kong, China; (Z.T.); (G.D.S.)
| | - Graeme Drummond Smith
- S.K. Yee School of Health Sciences, Saint Francis University, Hong Kong, China; (Z.T.); (G.D.S.)
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Nuralieva N, Chang M, Huang L, TS S. Neurocognitive Remediation Therapy: A Promising Approach to Enhance Cognition in Community Living Pilots with Depression and Anxiety. Psychol Res Behav Manag 2024; 17:2919-2939. [PMID: 39129790 PMCID: PMC11314441 DOI: 10.2147/prbm.s446634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2023] [Accepted: 06/11/2024] [Indexed: 08/13/2024] Open
Abstract
Depression and anxiety are pervasive mental health issues, affecting millions globally and often accompanied by cognitive impairments with significant repercussions in daily life and professions, particularly in safety-critical roles like community-living pilots. This exploration assesses Neurocognitive Remediation Therapy (NRT) as an innovative solution for addressing cognitive deficits linked to depression and anxiety in these pilots. Theoretical underpinnings of NRT draw from cognitive rehabilitation, neuropsychology, and neuroplasticity principles. Depression and anxiety often manifest as cognitive deficits, impacting attention, memory, executive functions, and decision-making. NRT interventions aim to address these impairments by enhancing cognitive flexibility, attentional control, and memory through training exercises and cognitive restructuring, empowering individuals to regain cognitive functionality and adaptability. Empirical evidence supports NRT's efficacy in enhancing cognitive functioning, showing significant improvements in attention, memory, and executive functions. This review focuses on NRT's potential to improve cognition in community pilots, demonstrating its effectiveness in reducing cognitive deficits and enhancing job performance, even in high-pressure environments like aviation. The practical implications of NRT for pilots are profound. Tailored programs can address specific cognitive challenges, such as maintaining vigilance and decision-making under stress. Integrating NRT into training regimens enhances skill sets and mental resilience, contributing to safety and success. Additionally, NRT positively impacts emotional well-being, reducing stress and improving overall quality of life. In Conclusion, NRT emerges as a promising intervention for enhancing cognitive functioning in community-living pilots with depression and anxiety. Evidence suggests its potential to improve performance, job satisfaction, and overall well-being. Further research and implementation are crucial to fully realize its benefits and ensure pilots' safety and success.
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Affiliation(s)
- Nargiza Nuralieva
- School of Psychology, Shaanxi Normal University, Xi’an, Shaanxi, 710062, People’s Republic of China
- Shaanxi Provincial Key Laboratory of Behavioral and Cognitive Neuroscience, Xi’an, Shaanxi, 710062, People’s Republic of China
| | - Ming Chang
- School of Psychology, Shaanxi Normal University, Xi’an, Shaanxi, 710062, People’s Republic of China
- Shaanxi Provincial Key Laboratory of Behavioral and Cognitive Neuroscience, Xi’an, Shaanxi, 710062, People’s Republic of China
| | - Lei Huang
- School of Psychology, Shaanxi Normal University, Xi’an, Shaanxi, 710062, People’s Republic of China
- Shaanxi Provincial Key Laboratory of Behavioral and Cognitive Neuroscience, Xi’an, Shaanxi, 710062, People’s Republic of China
| | - Sanjayan TS
- School of Education, Goa University, Goa, India
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Jin Y, Feng H, Xiao Q, Tian F, Yao H, Zhang R, Wu Q, Zhu H, Zheng W, Chen J, Liu T, Ma W, Chen X, Dong X. Job burnout and its influencing factors among primary healthcare workers during the COVID-19 epidemic in Guangzhou, China, 2021-2022: from the perspective of institutional operation and management. BMC Public Health 2024; 24:2102. [PMID: 39097740 PMCID: PMC11298072 DOI: 10.1186/s12889-024-19633-0] [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: 12/22/2023] [Accepted: 07/29/2024] [Indexed: 08/05/2024] Open
Abstract
BACKGROUND The purpose of this study was to explore the job burnout of primary healthcare workers in Guangzhou during the prevention and control of COVID-19 epidemic and its influencing factors from the perspective of institutional operation and management in 2021-2022. METHODS A cross-sectional study involved 866 primary healthcare workers from different districts of Guangzhou, China. The Chinese version of the Maslach Burnout Inventory-General Survey (MBI-GS) was utilized to assess job burnout. From the perspective of organizational operation and management, the possible causes of job burnout among primary healthcare workers during COVID-19 have been categorized into 7 major aspects. Univariate and multivariate logistic regression analyses were conducted to identify influencing factors for job burnout in primary healthcare workers. RESULTS The detection rate of job burnout among primary healthcare workers was 78.29%. Men (OR = 2.39) and whose institution was located in urban-rural fringe (OR = 1.56) were more likely to detect job burnout. Conversely, institution heads showed a lower risk of job burnout. From the perspective of institutional operation and management, workers who were not satisfied with personnel management (OR = 2.41), materials and vehicles (OR = 2.89), subsidies and compensation (OR = 2.18), humanistic care (OR = 2.11), superior management (OR = 8.32) were found to have a higher risk of job burnout. CONCLUSION The detection rate of job burnout among primary healthcare workers in Guangzhou was relatively high during the period of COVID-19. When there is another sudden major epidemic, the managers of institutions can focus on and deal with the problems related to the operation and management of institutions such as personnel management, materials and vehicles, subsidies and compensation, humanistic care, and superior management, so as to provide logistical support for the workers and alleviate their job burnout.
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Affiliation(s)
- Yuqing Jin
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Huiyao Feng
- Development and Planning Department, Dongguan People's Hospital, Dongguan, Guangdong, China
| | - Qin Xiao
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Fenglin Tian
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Huan Yao
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Runquan Zhang
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Qiqi Wu
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Haiyuan Zhu
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Wanshan Zheng
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Jin Chen
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Tao Liu
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Wenjun Ma
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China
| | - Xiongfei Chen
- Department of Primary Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou, Guangdong, China.
| | - Xiaomei Dong
- Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China.
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de Bekker A, Beijer M, Lemmens L. Towards an integrative approach of healthcare: implementing positive health in three cases in the Netherlands. BMC Health Serv Res 2024; 24:882. [PMID: 39095783 PMCID: PMC11295315 DOI: 10.1186/s12913-024-11247-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Accepted: 06/25/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND The healthcare system is under tremendous pressure. One possible solution towards relieving some of this pressure is to use Positive Health, which takes 'health' as a starting point, rather than 'illness'. Positive Health provides opportunities for stimulating integrated care. METHODS Three cases in the Netherlands are studied in this paper. Their way of working with Positive Health is investigated through semi-structured and narrative interviews, using realist-evaluation and thematic analyses. RESULTS Seven 'working elements' are identified that enhance the chances of successfully implementing Positive Health in practice (part 1). The interviews show that healthcare professionals have noticed that people adopt a healthier lifestyle and gain a greater degree of control over their own health. This boosts job satisfaction for healthcare professionals too. The organisations and professionals involved are enthusiastic about working with Positive Health, but still experience barriers (part 2). CONCLUSIONS The results of this study imply that implementing Positive Health in practice can facilitate collaboration between organisations and professionals from different disciplines, such as healthcare, welfare, and municipal health services. Operating from the perspective of a shared goal, professionals from different disciplines will find it easier to jointly organise activities to foster citizens' health. Additionally, more attention is paid to non-medical problems affecting people's well-being, such as loneliness or financial problems.
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Affiliation(s)
- Ankie de Bekker
- National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention and Health Services, Bilthoven, The Netherlands.
| | - Maarten Beijer
- National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention and Health Services, Bilthoven, The Netherlands
| | - Lidwien Lemmens
- National Institute for Public Health and the Environment (RIVM), Centre for Nutrition, Prevention and Health Services, Bilthoven, The Netherlands
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Czyż-Szypenbejl K, Mędrzycka-Dąbrowska W. The Impact of Night Work on the Sleep and Health of Medical Staff-A Review of the Latest Scientific Reports. J Clin Med 2024; 13:4505. [PMID: 39124771 PMCID: PMC11313391 DOI: 10.3390/jcm13154505] [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: 06/23/2024] [Revised: 07/17/2024] [Accepted: 07/24/2024] [Indexed: 08/12/2024] Open
Abstract
Introduction: Employees working in shifts are exposed to many threats affecting their health, quality of life and safety at work. Those who perform their work only at night are particularly vulnerable. The purpose of the review is to identify risks to the health, quality of life and sleep of shift health workers. Method: A systematic review (SR) was used in the analysis. Electronic databases were searched. The search was limited to the latest studies published in the last five years: 2019-2023. Results: Finally, 36 articles were included in the review. Most authors have shown a link between sleep disturbance or its quality and shift work/night work. Moreover, a three-shift schedule was the most significant factor for poorer subjective sleep quality when compared to other work schedules. Furthermore, many authors have shown a link between shift/night work and health problems, which include cardiometabolic risk, glucose intolerance, breast cancer and immune vulnerability. Conclusions: The research results clearly show a significant impact of night work on the increased risk of sleep disorders and health disturbance. Healthcare workers should be aware of the risks associated with night work in order to take measures preventing sleep/health problems. Shift/night workers should have the opportunity to be screened for disorders linked with their work.
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Affiliation(s)
| | - Wioletta Mędrzycka-Dąbrowska
- Department of Anaesthesiology Nursing & Inte and Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, 80-211 Gdansk, Poland;
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Bartosiewicz A, Łuszczki E, Pieczonka M, Nowak J, Oleksy Ł, Stolarczyk A, Lewandowska A, Dymek A. Blood Pressure Trends, Demographic Data, Workload, and Lifestyle Factors Among Nurses in the Subcarpathian Region of Poland: A Cross-Sectional Observational Study. Med Sci Monit 2024; 30:e945148. [PMID: 39083460 DOI: 10.12659/msm.945148] [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: 08/02/2024] Open
Abstract
BACKGROUND Hypertension is one of the main modifiable risk factors linked to cardiovascular disease and its prevalence is currently increasing in various age groups. This study aimed to evaluate blood pressure, demographic data, workload, and lifestyle factors in nurses employed in hospitals in the Subcarpathian region of southeastern Poland. MATERIAL AND METHODS This cross-sectional observational study was conducted among 627 professionally active nurses. Certified devices were used for measurements: body mass analyzer (Tanita MC-980 PLUS MA), automated sphygmomanometer (Welch Allyn 4200B), stadiometer (Seca 213), and tape measure (Seca 201). The frequency of consumption of specific product groups was assessed using a survey method. Analysis using R software (version 4.3.1) employed logistic regression to examine variables affecting hypertension occurrence. RESULTS The study found that elevated blood pressure is more prevalent among nurses than they self-report. Logistic regression analysis identified significant predictors for hypertension, including age (odds ratio; OR=1.061; OR=1.045), working more than 1 job (OR=1.579; OR=1.864), and body mass index (OR=1.152; OR=1.113). CONCLUSIONS Regular monitoring of blood pressure is necessary for early detection and timely intervention of hypertension. Enhancing nurses' awareness of their own health will encourage proactive preventive measures. Implementing comprehensive education programs focused on the latest advances in cardiovascular disease prevention is essential.
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Affiliation(s)
- Anna Bartosiewicz
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | - Edyta Łuszczki
- Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
| | | | - Justyna Nowak
- Department of Cardiovascular Disease Prevention, Faculty of Public Health in Bytom, Medical University of Silesia, Bytom, Poland
| | - Łukasz Oleksy
- Department of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Cracow, Poland
| | - Artur Stolarczyk
- Department of Orthopedics and Rehabilitation, Medical University of Warsaw, Warsaw, Poland
| | - Anna Lewandowska
- Faculty of Medical and Health Sciences, State Vocational University in Tarnobrzeg, Tarnobrzeg, Poland
| | - Agnieszka Dymek
- Students' Scientific Club of Dietetics, Institute of Health Sciences, Medical College of Rzeszów University, Rzeszów, Poland
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Rypicz Ł, Witczak I, Šupínová M, Salehi HP, Jarabicová O. Alarm fatigue and sleep quality in medical staff-a Polish-Czech-Slovak study on workplace ergonomics. Front Public Health 2024; 12:1345396. [PMID: 39145177 PMCID: PMC11322343 DOI: 10.3389/fpubh.2024.1345396] [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: 11/27/2023] [Accepted: 07/22/2024] [Indexed: 08/16/2024] Open
Abstract
Background Alarms are crucial in informing Healthcare Workers (HCWs) about critical patient needs, but unmanaged frequency and noise of alarms can de-sensitize medical staff and compromise patient safety. Alarm fatigue is identified as the major cause of the clinical alarm management problem. It occurs when the medical staff is overwhelmed by the number of clinical alarms. Methods The survey was conducted online using Google's form-making tools from June to July 2023. There were three parts to the survey used in the study: a socio-demographic metric, the Alarm Fatigue Assessment Questionnaire (AFAQ), and The Pittsburgh Sleep Quality Index (PSQI). A significance level of 0.05 was used in the analysis. Results The survey included 756 medical professionals from three European countries (Slovakia, the Czech Republic and Poland). The participants in the study were 42 years old on average, and they had 12 years of work experience. 603 out of 756 survey participants had poor sleep quality, 147 had good sleep quality, and 6 did not provide an answer. This study analyzed the alarm fatigue levels of respondents in every country. In the Czech Republic, Poland and Slovakia, a statistically significant association (p = 0.039, p = 0.001, p < 0.001) was found between alarm fatigue and sleep quality in medical staff. Conclusion Based on our study, alarm fatigue and sleep quality of HCWs are correlated. Therefore, alarm fatigue and sleep hygiene should be monitored.
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Affiliation(s)
- Łukasz Rypicz
- Department of Population Health, Division of Public Health, Faculty of Health Sciences, Medical University, Wroclaw, Poland
| | - Izabela Witczak
- Department of Population Health, Division of Public Health, Faculty of Health Sciences, Medical University, Wroclaw, Poland
| | - Mária Šupínová
- Faculty of Health Sciences, Catholic University in Ružomberok, Ružomberok, Slovakia
| | - Hugh Pierre Salehi
- Department of Biomedical, Industrial, and Human Factors Engineering, Wright State University, Dayton, OH, United States
| | - Oľga Jarabicová
- Department of Nursing, Faculty of Health Studies, Jan Evangelista Purkyne University in Ústí nad Labem, Ústí nad Labem, Czechia
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26
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Mwangilwa K, Chileshe C, Simwanza J, Chipoya M, Simwaba D, Kapata N, Mazaba ML, Mbewe N, Muzala K, Sinyange N, Fwemba I, Chilengi R. Evaluating the impact of COVID-19 on routine childhood immunizations coverage in Zambia. PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0003407. [PMID: 39078841 PMCID: PMC11288450 DOI: 10.1371/journal.pgph.0003407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/01/2023] [Accepted: 06/03/2024] [Indexed: 08/02/2024]
Abstract
There are growing concerns about the comeback of vaccine-preventable diseases. Epidemics exert shocks which affect other health performance indicators such as routine immunizations. Early model forecasts indicate decreased use of immunization services, which puts children at greater risk. Concerns about an increase in morbidity and mortality for illnesses other than COVID-19, particularly in children missing routine vaccinations, are of public health interest. In this study, we evaluate COVID-19 effects on the uptake of routine immunization in Zambia.This was an interrupted time series study. National data on routine immunization coverage between January 2017 and December 2022 were analyzed. Interrupted time series analysis was performed to quantify changes in immunization utilization. To determine if changes in the underlying patterns of utilization of immunization service were correlated with the commencement of COVID-19, seasonally adjusted segmented Poisson regression model was utilised.Utilization of health services was similar with historical levels prior to the first case of COVID-19. There was a significant drop in immunization coverage for measles dose two (RR, 0.59; 95% CI: 0.43-0.80). A decreased slope was observed in immunization coverage of Rotavirus dose one (RR, 0.97; 95% CI: 0.96-0.98) and Rotavirus dose two (RR, 0.97; 95% CI: 0.96-0.98). A growing slope was observed for Oral Poliovirus two (RR, 1.007; 95% CI: 1.004-1.011) and Oral Poliovirus three (RR, 1.007; 95% CI: 1.002-1011). We also observed a growing slope in BCG Bacille Calmette-Guerin (BCG) (RR, 1.001; 95% CI: 1.000-1011) and Pentavalent one (RR, 1.00; 95% CI: 1.001-1008) and three (RR, 1.004; 95% CI: 1.001-1008).The COVID-19 pandemic has had a number of unintended consequences that have affected the use of immunization services. Ensuring continuity in the provision of health services, especially childhood immunization, during pandemics or epidemics is crucial. Therefore, Investing in robust healthcare infrastructure to withstand surges, training and retaining a skilled workforce capable of handling emergencies and routine services simultaneously is very cardinal to avoid vaccine-preventable diseases, causing long-term health effects especially child mortality.
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Affiliation(s)
| | | | - John Simwanza
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | - Musole Chipoya
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | - Davie Simwaba
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | - Nathan Kapata
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | | | - Nyuma Mbewe
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | - Kapina Muzala
- Zambia National Public Health Institute, Kabulonga, Lusaka
| | | | - Isaac Fwemba
- Department of Epidemiology and Biostatistics, University of Zambia, Lusaka, Zambia
| | - Roma Chilengi
- Zambia National Public Health Institute, Kabulonga, Lusaka
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27
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Mehrotra A, Sood A. Battling on two fronts: The mental wellbeing of war zone medics. MEDICAL TEACHER 2024:1-3. [PMID: 39024023 DOI: 10.1080/0142159x.2024.2379452] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2024] [Accepted: 07/09/2024] [Indexed: 07/20/2024]
Abstract
The essential roles and responsibilities of healthcare professionals commissioned on the frontlines of active war zone/s are indispensible, wherein they are explicitly exposed to detrimental conditions due to conflicting situations. With compromised healthcare infrastructure in active war zones, the role of healthcare workers becomes fundamental in delivering urgent medical care while facing significant risks. Beyond instantaneous availability of medication, healthcare workers manoeuvre through the psychological trauma of war, addressing prevalent ordeal and inadequate mental health support. They appear as supporters for peace, documenting rampant atrocities and contribute actively to post-war revival by rebuilding healthcare infrastructure, providing psychosocial support and participation in public health initiatives. This viewpoint highlights the comprehensive impact of conflicting situations on healthcare infrastructure, thus underscoring the necessity for cooperation required for safeguarding of mental wellbeing of healthcare professionals required at the intersection of health and war.
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Affiliation(s)
- Arpit Mehrotra
- Department of Allied Health Sciences, Chitkara School of Health Sciences, Chitkara University, Punjab 140401, India
| | - Abhilasha Sood
- Department of Allied Health Sciences, Chitkara School of Health Sciences, Chitkara University, Punjab 140401, India
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Mkubwa B, Angwenyi V, Nzioka B, Newton CR, Sijbrandij M, Abubakar A. Knowledge, attitudes, and practices on child and adolescent mental health among healthcare workers in sub-Saharan Africa: a scoping review. Int J Ment Health Syst 2024; 18:27. [PMID: 39014469 PMCID: PMC11253363 DOI: 10.1186/s13033-024-00644-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Accepted: 07/09/2024] [Indexed: 07/18/2024] Open
Abstract
INTRODUCTION Child and adolescent mental health is a global priority. In sub-Saharan Africa, despite the high burden, there is a gap in health services for children and adolescents with mental health disorders. To bridge this gap, healthcare workers require a good understanding of child and adolescent mental health, the right attitude, and practices geared to improving child and adolescent mental health. This scoping review examined the knowledge, attitudes, and practices related to child and adolescent mental health among sub-Saharan African healthcare workers. METHODS The search was restricted between January 2010, the year when the Mental Health Gap Action Programme guidelines were launched, and April 2024. The review followed the methodological framework proposed by Arksey and O'Malley for conducting scoping reviews. The databases searched included CINHAL, PubMed, Web of Science, PsycINFO, and grey literature databases. Additional articles were identified through cited references of the studies included. A data extraction template was used to retrieve relevant text. A narrative synthesis approach was adopted to explore the relationships within and between the included studies. RESULTS The literature search yielded 4658 studies. Among these, 817 were identified as duplicates, and 3740 were excluded after screening. Only twenty-one articles met the criteria for inclusion in the review. The findings showed that healthcare workers have insufficient knowledge of child and adolescent mental health, hold negative attitudes toward children and adolescents with mental health problems, and exhibit poor practices related to child and adolescent mental health. CONCLUSION It is crucial to build capacity and improve healthcare workers' practices, knowledge, and attitudes toward child and adolescent mental health in sub-Saharan Africa. This could lead to better access to mental health services for children and adolescents in the region.
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Affiliation(s)
- Beatrice Mkubwa
- Institute for Human Development, Aga Khan University, Nairobi, Kenya.
- Department of Clinical, Neuro- and Developmental Psychology, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
| | - Vibian Angwenyi
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Brenda Nzioka
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
| | - Charles R Newton
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
- Neuroscience Unit, KEMRI-Wellcome Trust, Center for Geographic Medicine Research Coast, Kilifi, Kenya
- Department of Psychiatry, University of Oxford, Oxford, UK
| | - Marit Sijbrandij
- Department of Clinical, Neuro- and Developmental Psychology, WHO Collaborating Center for Research and Dissemination of Psychological Interventions, Amsterdam Public Health Research Institute, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Amina Abubakar
- Institute for Human Development, Aga Khan University, Nairobi, Kenya
- Neuroscience Unit, KEMRI-Wellcome Trust, Center for Geographic Medicine Research Coast, Kilifi, Kenya
- Department of Psychiatry, University of Oxford, Oxford, UK
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Storman D, Jemioło P, Sawiec Z, Swierz MJ, Antonowicz E, Bala MM, Prokop-Dorner A. Needs Expressed in Peer-to-Peer Web-Based Interactions Among People With Depression and Anxiety Disorders Hospitalized in a Mental Health Facility: Mixed Methods Study. J Med Internet Res 2024; 26:e51506. [PMID: 38996331 DOI: 10.2196/51506] [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: 08/02/2023] [Revised: 04/03/2024] [Accepted: 05/06/2024] [Indexed: 07/14/2024] Open
Abstract
BACKGROUND Hospitalization in psychiatric wards is a necessary step for many individuals experiencing severe mental health issues. However, being hospitalized can also be a stressful and unsettling experience. It is crucial to understand and address the various needs of hospitalized individuals with psychiatric disorders to promote their overall well-being and support their recovery. OBJECTIVE Our objectives were to identify and describe individual needs related to mental hospitals through peer-to-peer interactions on Polish web-based forums among individuals with depression and anxiety disorders and to assess whether these needs were addressed by peers. METHODS We conducted a search of web-based forums focused on depression and anxiety and selected samples of 160 and 176 posts, respectively, until we reached saturation. A mixed methods analysis that included an in-depth content analysis, the Pearson χ2 test, and φ coefficient was used to evaluate the posts. RESULTS The most frequently identified needs were the same for depression and anxiety forums and involved informational (105/160, 65.6% and 169/393, 43%, respectively), social life (17/160, 10.6% and 90/393, 22.9%, respectively), and emotional (9/160, 5.6% and 66/393, 16.8%, respectively) needs. The results show that there is no difference in the expression of needs between the analyzed forums. The needs were directly (42/47, 89% vs 98/110, 89.1% of times for depression and anxiety, respectively) and not fully (27/47, 57% vs 86/110, 78.2% of times for depression and anxiety, respectively) addressed by forum users. In quantitative analysis, we found that depression-related forums had more posts about the need for informational support and rectification, the expression of anger, and seeking professional support. By contrast, anxiety-related forums had more posts about the need for emotional support; social life; and information concerning medications, hope, and motivation. The most common co-occurrence of expressed needs was between sharing own experience and the need for professional support, with a strong positive association. The qualitative analysis showed that users join web-based communities to discuss their fears and questions about psychiatric hospitals. The posts revealed 4 mental and emotional representations of psychiatric hospitals: the hospital as an unknown place, the ambivalence of presumptions and needs, the negative representation of psychiatric hospitals, and the people associated with psychiatric hospitals. The tone of the posts was mostly negative, with discussions revolving around negative stereotypes; traumatic experiences; and beliefs that increased anxiety, shock, and fright and deterred users from hospitalization. CONCLUSIONS Our study demonstrates that web-based forums can provide a platform for individuals with depression and anxiety disorders to express a wide range of needs. Most needs were addressed by peers but not sufficiently. Mental health professionals can benefit from these findings by gaining insights into the unique needs and concerns of their patients, thus allowing for more effective treatment and support.
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Affiliation(s)
- Dawid Storman
- Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Jagiellonian University Medical College, Kraków, Poland
| | | | - Zuzanna Sawiec
- Students' Scientific Research Group of Systematic Reviews, Jagiellonian University Medical College, Kraków, Poland
| | - Mateusz Jan Swierz
- Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Jagiellonian University Medical College, Kraków, Poland
| | - Ewa Antonowicz
- Students' Scientific Research Group of Systematic Reviews, Jagiellonian University Medical College, Kraków, Poland
| | - Malgorzata M Bala
- Chair of Epidemiology and Preventive Medicine, Department of Hygiene and Dietetics, Jagiellonian University Medical College, Kraków, Poland
| | - Anna Prokop-Dorner
- Chair of Epidemiology and Preventive Medicine, Department of Medical Sociology, Jagiellonian University Medical College, Kraków, Poland
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Ugwu OPC, Alum EU, Ugwu JN, Eze VHU, Ugwu CN, Ogenyi FC, Okon MB. Harnessing technology for infectious disease response in conflict zones: Challenges, innovations, and policy implications. Medicine (Baltimore) 2024; 103:e38834. [PMID: 38996110 PMCID: PMC11245197 DOI: 10.1097/md.0000000000038834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Accepted: 06/14/2024] [Indexed: 07/14/2024] Open
Abstract
Epidemic outbreaks of infectious diseases in conflict zones are complex threats to public health and humanitarian activities that require creativity approaches of reducing their damage. This narrative review focuses on the technology intersection with infectious disease response in conflict zones, and complexity of healthcare infrastructure, population displacement, and security risks. This narrative review explores how conflict-related destruction is harmful towards healthcare systems and the impediments to disease surveillance and response activities. In this regards, the review also considered the contributions of technological innovations, such as the improvement of epidemiological surveillance, mobile health (mHealth) technologies, genomic sequencing, and surveillance technologies, in strengthening infectious disease management in conflict settings. Ethical issues related to data privacy, security and fairness are also covered. By advisement on policy that focuses on investment in surveillance systems, diagnostic capacity, capacity building, collaboration, and even ethical governance, stakeholders can leverage technology to enhance the response to infectious disease in conflict settings and, thus, protect the global health security. This review is full of information for researchers, policymakers, and practitioners who are dealing with the issues of infectious disease outbreaks in conflicts worn areas.
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Affiliation(s)
| | - Esther Ugo Alum
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
| | - Jovita Nnenna Ugwu
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
| | - Val Hyginus Udoka Eze
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
| | - Chinyere N Ugwu
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
| | - Fabian C Ogenyi
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
| | - Michael Ben Okon
- Department of Publication and Extension, Kampala International University, Uganda, Kampala, Uganda
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Wang Z, Zhou Z, Liu G, Lu J, Zhai X, Fan X, Lai S, Wang Y. Restricted health service utilization and subsequent positive self-care behavior during the early COVID-19 pandemic in China. Front Public Health 2024; 12:1398271. [PMID: 39045166 PMCID: PMC11263186 DOI: 10.3389/fpubh.2024.1398271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2024] [Accepted: 06/25/2024] [Indexed: 07/25/2024] Open
Abstract
Background The reallocation of health resources, epidemic prevention and control measures during the COVID-19 pandemic triggered widespread restricted health service utilization, some residents and patients tried positive self-care behavior to maintain their health, yet the efficacy of this intervention remains unclear. Object Based on the reasoned action approach (RAA) theory, this study aimed to investigate the correlation between self-care behavior and restricted health service utilization among adults in China, trying to discover the vulnerable groups and external and intrinsic factors that affect self-care behavior among Chinese adults. Methods Data on demographics, socioeconomic, health status, and self-care behavior were collected in "The Early China COVID-19 Survey," a cross-sectional anonymous online survey of the general population in China. Self-care behavior was measured by four indicators: weight control (WC), physical activity (PA), prevention behavior (PB), and online medical consultation (OMC). The multiple linear models and binary logistic regression were used to examine whether restricted health service utilization (RHSU) is associated with self-care behaviors; also, adjusted multivariate logistic regression was used to analyze subgroup heterogeneity. Results In total, 8,428 adult participants completed the survey, the mean OMC score was 1.51 (SD 1.34), the mean PB score was 18.17 (SD 3.44), and the proportion of participants who engaged in WC and PA was 42.30 and 62.57%, respectively. According to the multiple regression model, the RHSU was significantly positively correlated with all four indicators of self-care (WC: OR = 1.34, p < 0.001, PA: OR = 1.34, p < 0.05, MC: OR = 1.30, p < 0.001, PB: coef = 0.16, p < 0.05). We also observed some significant differences in the intensity of this relationship by subgroup analysis, precisely, OMC (high vs. moderate vs. low infection-risk level: OR = 1.48; 1.41; 1.19, p < 0.1), PA (male vs. female: OR = 1.27;1.06; p < 0.05, high vs. Moderate and low infection-risk level: OR = 1.51; 1.17; 1.02, p < 0.05), PB (Chronic disease groups vs. no: coef = 0.46; 0.1, p < 0.05). Conclusion Restricted health service utilization predicts more positive self-care behavior, and the intensity of partial correlation was significantly different in the subgroups of sex, actual infection risk level of the living area, and chronic diseases. These findings highlight the urgent demand for self-care behavior among Chinese adults during the pandemic and provide new insights for developing self-care and reducing the burden on the healthcare system in the long term.
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Affiliation(s)
- Zhichao Wang
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Zhongliang Zhou
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Guanping Liu
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Jiao Lu
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Xiaohui Zhai
- School of Public Health, Health Science Center, Xi’an Jiaotong University, Xi’an, China
| | - Xiaojing Fan
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Sha Lai
- School of Public Policy and Administration, Xi’an Jiaotong University, Xi’an, China
| | - Youfa Wang
- School of Public Health, Global Health Institute, Xi’an Jiaotong University Health Science Center, Xi’an, China
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Hassan H, Shado R, Novo Pereira I, Mistry M, Craig D. Efficacy and cost analysis of intravenous conscious sedation for long oral surgery procedures. Br J Oral Maxillofac Surg 2024; 62:523-538. [PMID: 38797651 DOI: 10.1016/j.bjoms.2024.04.006] [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: 02/06/2024] [Revised: 04/03/2024] [Accepted: 04/11/2024] [Indexed: 05/29/2024]
Abstract
The aim of this study was to determine what is considered a long oral surgery and conduct a cost-effective analysis of sedative agents used for intravenous sedation (IVS) and sedation protocols for such procedures. Pubmed and Google Scholar databases were used to identify human studies employing IVS for extractions and implant-related surgeries, between 2003 and July/2023. Sedation protocols and procedure lengths were documented. Sedative satisfaction, operator satisfaction, and sedation assessment were also recorded. Cost estimation was based on The British National Formulary (BNF). To assess bias, the Cochrane Risk of Bias tools were employed. This review identified 29 randomised control trials (RCT), six cohorts, 14 case-series, and one case-control study. The study defined long procedures with an average duration of 31.33 minutes for extractions and 79.37 minutes for implant-related surgeries. Sedative agents identified were midazolam, dexmedetomidine, propofol, and remimazolam. Cost analysis revealed midazolam as the most cost-effective option (<10 pence per procedure per patient) and propofol the most expensive option (approximately £46.39). Bias analysis indicated varying degrees of bias in the included studies. Due to diverse outcome reporting, a comparative network approach was employed and revealed benefits of using dexmedetomidine, propofol, and remimazolam over midazolam. Midazolam, dexmedetomidine, propofol, and remimazolam demonstrated safety and efficacy as sedative agents for conscious IVS in extended procedures like extractions or implant-related surgeries. While midazolam is the most cost-effective option, dexmedetomidine, propofol, and remimazolam offer subjective and clinical benefits. The relatively higher cost of propofol may impede its widespread use. Dexmedetomidine and remimazolam stand out as closely priced options, necessitating further clinical investigations for comparative efficacy assessment.
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Affiliation(s)
- Haidar Hassan
- Barts & The London School of Medicine & Dentistry, Queen Mary University, Centre for Cutaneous Research, Blizard Institute of Cell and Molecular Science, 4 Newark Street, Whitechapel, London E1 2AT, United Kingdom; Barts & The London School of Medicine & Dentistry, Queen Mary University, Institute of Dentistry, Royal London Dental Hospital, Turner Street, London E1 2AD, United Kingdom.
| | - Rawand Shado
- Barts & The London School of Medicine & Dentistry, Queen Mary University, Institute of Dentistry, Royal London Dental Hospital, Turner Street, London E1 2AD, United Kingdom
| | - Ines Novo Pereira
- University of Porto, Faculty of Dental Medicine, R. Dr. Manuel Pereira da Silva, 4200-393 Porto, Portugal
| | - Manisha Mistry
- Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
| | - David Craig
- Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom
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Morgenstern J, Levak S, Madden SP, Moon KC, Muench F, Koroly L, Bancroft C, Grella M, Romano RJ, Katechia M, Sapra M. Improving Access and Quality of Behavioral Health Services for Health Care Employees. J Occup Environ Med 2024; 66:e258-e265. [PMID: 38595306 DOI: 10.1097/jom.0000000000003109] [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: 04/11/2024]
Abstract
OBJECTIVE To describe key features and the initial implementation of an employer-sponsored program designed to increase access to quality mental health treatment for employees of a large health care system. Methods: Retrospective data were collected on employer's efforts to develop a programmatic solution to address barriers to accessing quality mental health treatment among its employees and on initial program implementation. Results: Data from the initial cohort ( N = 1049) of program participants support the use of low threshold digital tools to enhance access to care, the importance of care navigation and a robust curated provider network in matching employees to appropriate care options, and the value of providing online, evidence-based psychotherapy to facilitate high rates of treatment engagement. Conclusions: Findings can help inform employers about approaches to improve access to quality mental health treatment for their employees.
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Affiliation(s)
- Jon Morgenstern
- From the Northwell, New Hyde Park, New York (J.M., S.L., S.P.M., K.C.M., F.M., L.K., C.B., M.G., R.J.R., M.K., M.S.); Institute of Behavioral Science, Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York (J.M.); and Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (J.M., M.S.)
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Rangel T, Timmerman R, Bock D, Keller M, Long J. Spiritual Support Staff Influence Stress Among Hospital-Based Health Care Personnel: A Cross-Sectional Study. West J Nurs Res 2024; 46:509-516. [PMID: 38655675 DOI: 10.1177/01939459241247802] [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] [Indexed: 04/26/2024]
Abstract
BACKGROUND Stress negatively affects well-being, relating to poor physical, emotional, and occupational outcomes for health care personnel. Health care professionals faced extreme stressors in the context of the COVID-19 pandemic, making occupational stress relief a top priority for hospital administrators. Many health systems employ specially trained spiritual support staff as one strategy to alleviate work-related stressors. It is unclear whether health care personnels' perceptions of the availability of spiritual care staff influence self-reported stress. OBJECTIVE The purpose of this study was to explore relationships between perceived stress and perceptions of availability of spiritual support among acute care health care personnel. METHODS This study analyzed cross-sectional, survey-based data collected between February and April 2022 from 1352 interdisciplinary health care staff working in a large, nonprofit Catholic health system in the Western United States. Bivariate tests and multivariate linear regression models were conducted to test for factors influencing perceived stress. RESULTS Results support that high stress was prevalent in the sample. Perceived availability of spiritual support staff in the hospital and seeking coworker and professional support for work-related stress all independently influence stress in this population when controlling for confounders. CONCLUSIONS Stress of health care personnel may be influenced by the perceived availability of specially trained spiritual support staff. Hospital administrators should advocate for spiritual support staff availability in all health care settings as one strategy to mitigate occupational stress that health care professionals may experience through providing high-stakes patient care. Further research is warranted to uncover targeted spirituality-related strategies to reduce stress and preserve well-being of health care personnel.
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Affiliation(s)
| | | | - Dawn Bock
- Santa Rosa Memorial Center, Santa Rosa, CA, USA
| | | | - JoAnn Long
- Lubbock Christian University, Lubbock, TX, USA
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Nesic D, Slavkovic M, Zdravkovic N, Jerkan N. Predictors of Perceived Healthcare Professionals' Well-Being in Work Design: A Cross-Sectional Study with Multigroup PLS Structural Equation Modeling. Healthcare (Basel) 2024; 12:1277. [PMID: 38998812 PMCID: PMC11241477 DOI: 10.3390/healthcare12131277] [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: 05/13/2024] [Revised: 06/14/2024] [Accepted: 06/23/2024] [Indexed: 07/14/2024] Open
Abstract
The growing attention paid to employee well-being in the healthcare system, along with the reinforcement of factors that drive change in the work environment, provides a strong foundation for studying the relationship between work design and its related outcomes. The aim of this study was to examine the relationship between the elements of work design and the overall well-being of healthcare professionals, particularly the differences across multiple groups of various genders and age brackets. A cross-sectional study design was employed, and a convenience sampling method was used. The study participants were healthcare professionals, and a total of 427 valid surveys were collected. The partial least squares structural equation modeling (PLS-SEM) approach was deployed to test the relationship between the determinants of work design and the perceived well-being of healthcare professionals. The results indicate a strong positive relationship between the social characteristics of work and overall well-being, as well as a positive contribution of the work context to the perceived well-being of healthcare professionals. The findings validated that knowledge characteristics had no beneficial impacts on overall well-being; nor did the task characteristics of work design. Although the mentioned associations failed to demonstrate statistical significance, the results nonetheless have significant practical consequences that are comparable to those of the relationships that demonstrated statistical significance.
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Affiliation(s)
- Danijela Nesic
- Health Center Nis, Vojvode Tankosica 15, 18101 Nis, Serbia; (D.N.); (N.J.)
| | - Marko Slavkovic
- Department of Management and Business Administration, Faculty of Economics, University of Kragujevac, Liceja Knezevine Srbije 3, 34000 Kragujevac, Serbia
| | - Nebojsa Zdravkovic
- Faculty of Medical Science, University of Kragujevac, Svetozara Markovica 69, 34000 Kragujevac, Serbia;
| | - Nikola Jerkan
- Health Center Nis, Vojvode Tankosica 15, 18101 Nis, Serbia; (D.N.); (N.J.)
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Muñoz-Ortega S, Santamaría-Guayaquil D, Pluas-Borja J, Alvarado-Villa G, Sandoval V, Alvarado R, Cherrez-Ojeda I, Faytong-Haro M. Mental Health in Healthcare Workers Post-COVID-19: A Latin American Review and Insights into Personalized Management Strategies. J Pers Med 2024; 14:680. [PMID: 39063934 PMCID: PMC11278025 DOI: 10.3390/jpm14070680] [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: 04/30/2024] [Revised: 05/13/2024] [Accepted: 05/21/2024] [Indexed: 07/28/2024] Open
Abstract
Over the COVID-19 pandemic, the impact of enduring mental health on healthcare workers has become increasingly evident. This review focuses on post-pandemic mental health challenges faced by healthcare personnel in Latin America. This highlights the persistent burden on healthcare workers, especially women, which is exacerbated by economic disparities, inadequacies in the healthcare system, and ongoing occupational stressors. Our literature review, utilizing databases such as PubMed, Scopus, and Google Scholar, scrutinized the mental health status of healthcare professionals in the region after the pandemic's peak. The analysis indicated sustained levels of psychological distress, with frontline workers and women continuing to be affected disproportionately. These findings emphasize the urgent need for personalized interventions to effectively address the complex mental health challenges in this context. This review advocates strategic interventions, including tailored psychological support, innovative diagnostics, and technological solutions, integrated into patient-centered care models. Such approaches aim to enhance the mental resilience and overall well-being of healthcare professionals across Latin America in the post-COVID era.
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Affiliation(s)
- Sandra Muñoz-Ortega
- School of Health, Universidad Espíritu Santo-Ecuador, Samborondón 092301, Guayas, Ecuador; (S.M.-O.); (D.S.-G.); (J.P.-B.); (G.A.-V.); (I.C.-O.)
| | - Daniela Santamaría-Guayaquil
- School of Health, Universidad Espíritu Santo-Ecuador, Samborondón 092301, Guayas, Ecuador; (S.M.-O.); (D.S.-G.); (J.P.-B.); (G.A.-V.); (I.C.-O.)
| | - Jade Pluas-Borja
- School of Health, Universidad Espíritu Santo-Ecuador, Samborondón 092301, Guayas, Ecuador; (S.M.-O.); (D.S.-G.); (J.P.-B.); (G.A.-V.); (I.C.-O.)
| | - Geovanny Alvarado-Villa
- School of Health, Universidad Espíritu Santo-Ecuador, Samborondón 092301, Guayas, Ecuador; (S.M.-O.); (D.S.-G.); (J.P.-B.); (G.A.-V.); (I.C.-O.)
| | - Verónica Sandoval
- Research Center, Universidad Estatal de Milagro, Milagro 091050, Guayas, Ecuador;
| | - Rubén Alvarado
- Interdisciplinary Centre for Health Studies (CIESAL), Department of Public Health, School of Medicine, Faculty of Medicine, Universidad de Valparaíso, Valparaíso 2362735, Chile;
| | - Ivan Cherrez-Ojeda
- School of Health, Universidad Espíritu Santo-Ecuador, Samborondón 092301, Guayas, Ecuador; (S.M.-O.); (D.S.-G.); (J.P.-B.); (G.A.-V.); (I.C.-O.)
- Research Department, Ecuadorian Development Research Lab, Daule 090656, Guayas, Ecuador
- Research Department, Respiralab Research Group, Guayaquil 090512, Guayas, Ecuador
| | - Marco Faytong-Haro
- Research Center, Universidad Estatal de Milagro, Milagro 091050, Guayas, Ecuador;
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Butler S. Using journalling to support nurses' mental well-being and self-care in challenging times. Nurs Manag (Harrow) 2024:e2136. [PMID: 38915253 DOI: 10.7748/nm.2024.e2136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2024] [Indexed: 06/26/2024]
Abstract
Nurses frequently experience multiple challenges and face numerous demands in their professional role, which may lead to adverse effects such as stress, depression, anxiety and burnout. Therefore, it is important to identify effective and accessible strategies that can support them. This article explores how nurses can use journalling as a tool for navigating the challenges they experience in their practice. It offers a step-by-step guide that provides nurses with an accessible and effective approach to journalling, which they can use to support their mental well-being and self-care.
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Affiliation(s)
- Sarah Butler
- programme director - PGCert Clinical Practice, University of Hull, Hull, England
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Qureshi N, Huilgol SS, Timmins G, Meredith LS, Gidengil CA. Misaligned Supports: Differences in Reported Health Care Worker Well-being Supports Provided and Needed During the COVID-19 Pandemic. Am J Health Promot 2024:8901171241255764. [PMID: 38907369 DOI: 10.1177/08901171241255764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/24/2024]
Abstract
PURPOSE To describe the well-being supports provided to health care workers (HCWs) during the COVID-19 pandemic in health centers and hospitals. DESIGN Cross-sectional qualitative interviews before and after implementation of a peer-based support intervention. SETTING Purposively sampled hospitals and health centers across the US. PARTICIPANTS 28 site leaders and 56 HCWs sampled from 16 hospitals and 12 health centers. METHOD Site leaders and HCWs were asked to describe supports available to HCWs during the COVID-19 pandemic. Thematic and content coding and analysis of interview responses were conducted using Dedoose. RESULTS Both site leaders and HCWs identified a range of support resources available. Communication resources were the most frequently cited in both groups. Health care workers reported bi-directional communication, while one-way communication was emphasized by site leaders. Hospitals highlighted counseling support, particularly Employee Assistance Programs (EAP), while health centers prioritized community support. Wellness activities were more prevalent in hospital settings, while health centers offered specific workplace-provided training for HCWs. Health care workers encountered barriers when accessing support, including limited time, fear of stigma, and disruptions to their existing support networks attributable to the pandemic. CONCLUSION While there are resources for HCWs, the available supports may not align with their needs and barriers to access may limit the effectiveness of these supports. Continued engagement between leaders and HCWs could help better align resources with needs.
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Affiliation(s)
- Nabeel Qureshi
- RAND Corporation, Santa Monica, CA, USA
- Pardee RAND Graduate School, Santa Monica,CA, USA
| | | | - George Timmins
- RAND Corporation, Santa Monica, CA, USA
- Pardee RAND Graduate School, Santa Monica,CA, USA
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Xu C, Li K, Li CJ, Xu H, Sun Y. Covid-19 pandemic, social normative compliance, and sustainable consumption: Evidence from experiments. Soc Sci Med 2024; 351:116952. [PMID: 38749255 DOI: 10.1016/j.socscimed.2024.116952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2024] [Revised: 03/18/2024] [Accepted: 05/07/2024] [Indexed: 06/17/2024]
Abstract
This research aims to investigate the causal effects of consumers' Covid-19 pandemic experiences on their preferences for sustainable consumption. Drawing on social identity theory, we argue that pandemic experiences heighten consumers' awareness of the importance of adhering to collective social norms, subsequently motivating them to adopt sustainable consumption practices that promote collective interests. Through three preregistered experiments, we demonstrate that: (i) Covid-19 pandemic experiences increase consumers' preferences for sustainable consumption; (ii) this effect is more pronounced for individuals with severer pandemic experiences and females; (iii) pandemic experiences influence sustainable consumption preferences by enhancing consumers' social normative compliance. This study contributes to the understanding of Covid-19's consequences from a micro-level perspective of consumer behavior and offers insights into the factors driving consumers' sustainable consumption preferences.
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Affiliation(s)
- Cheng Xu
- International Business School Suzhou, Xi'an Jiaotong-Liverpool University, No.8 Renai road, SIP, Suzhou, Jiangsu, PR China.
| | - KunJing Li
- School of Innovation and Entrepreneurship, Hubei University of Economics, No.8 Yangqiaohu Avenue, Wuhan, Hubei, 430062, PR China.
| | - Chang-Jun Li
- Economics and Management School, Wuhan University, No. 299 Bayi Road, Wuhan, Hubei, 430072, PR China.
| | - Hao Xu
- Carson College of Business, Washington State University, 1815 Wilson Rd, Pullman, WA 99163, USA.
| | - Yanqi Sun
- Beijing Institute of Petrochemical Technology, PR China.
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Kajee N, Montero-Marin J, Saunders KEA, Myall K, Harriss E, Kuyken W. Mindfulness training in healthcare professions: A scoping review of systematic reviews. MEDICAL EDUCATION 2024; 58:671-686. [PMID: 38234144 DOI: 10.1111/medu.15293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 11/10/2023] [Accepted: 11/17/2023] [Indexed: 01/19/2024]
Abstract
PURPOSE The effectiveness of mindfulness training (MT) on mental health and wellbeing in different groups and contexts is well-established. However, the effect of MT on different healthcare professionals' (HCPs) mental health and wellbeing needs to be synthesised, along with a focus on outcomes that are specifically relevant to healthcare settings. The aim of this study is to summarise the effect of MT interventions on HCPs' mental health and wellbeing, to explore its effect on communication skills and to identify potential gaps in the literature. METHODS A scoping review of systematic reviews (SRs) investigating MT interventions in HCPs was conducted. A comprehensive systematic search was conducted from database inception to 22 February 2023 on Ovid MEDLINE, Ovid Embase, Scopus, Cochrane (CENTRAL), EBSCHOhost CINAHL, Ovid PsycINFO, Web of Science (Core Collection), OpenGrey, TRIP Database and Google Scholar. Snowballing of reference lists and hand-searching were utilised. Risk of bias and quality of included SRs were assessed using the ROBIS and AMSTAR2 tools. RESULTS Sixteen SRs were included in this review. We found substantial evidence for MT interventions improving mental health and wellbeing across different HCPs, with the exception of burnout, where evidence is mixed. There is a paucity of SRs evaluating communication skills other than empathy. However, the available evidence is suggestive of improvements in self-reported empathy. Details of MT fidelity and dosage are largely absent in the SRs, as is study populations from representative EDI samples. CONCLUSIONS Synthesis of SRs suggests that MT improves mental health and wellbeing in HCPs. The exception is burnout, where results are inconclusive. Insufficient data exists to evaluate effects of MT on the full spectrum of communication skills. Other HCPs than medicine and nursing are inadequately represented. Further research is required that considers the specific target population of HCPs and MT curriculum, and reports on fidelity, dosage and the effects on communication skills.
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Affiliation(s)
- Nabeela Kajee
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK, OX3 7JX
| | - Jesus Montero-Marin
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK, OX3 7JX
- Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, Spain
- Consortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiology and Public Health, CIBERESP), Madrid, Spain, 28029
| | - Kate E A Saunders
- Associate Professor, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK, OX3 7JX
| | - Kearnan Myall
- Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK, OX3 7JX
| | - Elinor Harriss
- Outreach and Enquiry Services Manager, Bodleian Health Care Libraries, University of Oxford, UK, OX3 7JX
| | - Willem Kuyken
- Professor, Department of Psychiatry, University of Oxford, Warneford Hospital, Oxford, UK, OX3 7JX
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Zheng M, Zhao J, Zhang X. When You Think of and Identify Yourself as a Nurse, You Will Become More Deontological and Less Utilitarian. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:712. [PMID: 38928958 PMCID: PMC11203591 DOI: 10.3390/ijerph21060712] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Revised: 05/26/2024] [Accepted: 05/30/2024] [Indexed: 06/28/2024]
Abstract
This study aims to examine how the activation of the role of nursee and professional identification as a nurse can influence moral judgments in terms of deontological and utilitarian inclinations. In Study 1, a priming technique was used to assess the impact of activating the nursing concept on moral reasoning. Participants were randomly assigned to either a nursing prime or neutral prime condition. By using a scrambled-sentence task, participants were prompted to think about nursing-related or neutral thoughts. Following the priming task, participants were asked to respond to 20 moral dilemmas. The process dissociation approach was employed to measure the degree of deontological and utilitarian tendencies in their moral reasoning. In Study 2, participants completed the nursing profession identification scale and the moral orientation scale before engaging in moral judgments similar to those in Study 1. The findings revealed that priming the concept of being a nursee resulted in an increase in deontological clinical inclinations while having no significant effect on utilitarian inclinations. Additionally, a positive correlation was observed between identification with the nursing profession and deontological clinical inclinations, whereas a negative correlation was found with utilitarian inclinations. Deliberation orientation acted as a complete mediator in the relationship between nursing professional identification and deontological tendencies and as a partial mediator for utilitarian tendencies.
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Affiliation(s)
- Mufan Zheng
- Department of Psychology, Wuhan University, Wuhan 430072, China;
| | - Junhua Zhao
- Department of Psychology, Wuhan University, Wuhan 430072, China;
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Pribadi H, Atmoko A, Hitipeuw I, Indreswari H. Career continuity: possessing transferable skills for the health workforce. J Public Health (Oxf) 2024; 46:e330-e331. [PMID: 38040495 DOI: 10.1093/pubmed/fdad249] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Accepted: 11/10/2023] [Indexed: 12/03/2023] Open
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Kleinau E, Lamba T, Jaskiewicz W, Gorentz K, Hungerbuehler I, Rahimi D, Kokota D, Maliwichi L, Jamu E, Zumazuma A, Negrão M, Mota R, Khouri Y, Kapps M. Effectiveness of a chatbot in improving the mental wellbeing of health workers in Malawi during the COVID-19 pandemic: A randomized, controlled trial. PLoS One 2024; 19:e0303370. [PMID: 38805444 PMCID: PMC11132445 DOI: 10.1371/journal.pone.0303370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 03/12/2024] [Indexed: 05/30/2024] Open
Abstract
We conducted a randomized, controlled trial (RCT) to investigate our hypothesis that the interactive chatbot, Vitalk, is more effective in improving mental wellbeing and resilience outcomes of health workers in Malawi than the passive use of Internet resources. For our 2-arm, 8-week, parallel RCT (ISRCTN Registry: trial ID ISRCTN16378480), we recruited participants from 8 professional cadres from public and private healthcare facilities. The treatment arm used Vitalk; the control arm received links to Internet resources. The research team was blinded to the assignment. Of 1,584 participants randomly assigned to the treatment and control arms, 215 participants in the treatment and 296 in the control group completed baseline and endline anxiety assessments. Six assessments provided outcome measures for: anxiety (GAD-7); depression (PHQ-9); burnout (OLBI); loneliness (ULCA); resilience (RS-14); and resilience-building activities. We analyzed effectiveness using mixed-effects linear models, effect size estimates, and reliable change in risk levels. Results support our hypothesis. Difference-in-differences estimators showed that Vitalk reduced: depression (-0.68 [95% CI -1.15 to -0.21]); anxiety (-0.44 [95% CI -0.88 to 0.01]); and burnout (-0.58 [95% CI -1.32 to 0.15]). Changes in resilience (1.47 [95% CI 0.05 to 2.88]) and resilience-building activities (1.22 [95% CI 0.56 to 1.87]) were significantly greater in the treatment group. Our RCT produced a medium effect size for the treatment and a small effect size for the control group. This is the first RCT of a mental health app for healthcare workers during the COVID-19 pandemic in Southern Africa combining multiple mental wellbeing outcomes and measuring resilience and resilience-building activities. A substantial number of participants could have benefited from mental health support (1 in 8 reported anxiety and depression; 3 in 4 suffered burnout; and 1 in 4 had low resilience). Such help is not readily available in Malawi. Vitalk has the potential to fill this gap.
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Affiliation(s)
- Eckhard Kleinau
- University Research Co. (URC), Chevy Chase, Maryland, United States of America
| | - Tilinao Lamba
- Dept. of Psychology, University of Malawi–Chancellor College, Zomba, Malawi
| | - Wanda Jaskiewicz
- Global Health Division, Chemonics International, Washington, District of Columbia, United States of America
| | - Katy Gorentz
- Global Health Division, Chemonics International, Washington, District of Columbia, United States of America
| | | | - Donya Rahimi
- Global Health Division, Chemonics International, Washington, District of Columbia, United States of America
| | - Demoubly Kokota
- Dept. of Psychology, University of Malawi–Chancellor College, Zomba, Malawi
| | - Limbika Maliwichi
- Dept. of Psychology, University of Malawi–Chancellor College, Zomba, Malawi
| | - Edister Jamu
- Dept. of Psychology, University of Malawi–Chancellor College, Zomba, Malawi
| | - Alex Zumazuma
- Department of Mental Health, Kamuzu University of Health Sciences (KUHES), Blantyre, Malawi
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Tan-Lim CSC, Javelosa MAU, Sanchez JT, Dans LF, Rey MP, Elepano AG, De Mesa RYH, Dans AL. Impact of primary care system interventions on healthcare worker satisfaction and intention to stay in the Philippines: a follow-up study. BMJ Open Qual 2024; 13:e002788. [PMID: 38769027 PMCID: PMC11110574 DOI: 10.1136/bmjoq-2024-002788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 05/08/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND The Philippines has a shortage and uneven distribution of healthcare workers (HCWs). Job satisfaction is an important element to HCW retention and attracting new HCWs into the health system. OBJECTIVE This study measured HCWs' intent to stay and HCWs' satisfaction after implementation of multiple interventions intended to strengthen the primary care system, and determine factors significantly associated with HCWs' intent to stay. METHODOLOGY This is a serial cross-sectional study in urban, rural and remote primary care sites in the Philippines. All physicians, nurses, midwives, dentists, community health workers and support staff were invited to participate. Baseline HCWs' intent to stay and satisfaction were obtained using a self-administered questionnaire prior to implementation of interventions. The same survey was again conducted in the years 2021 and 2022, corresponding to 5 and 6 years after initial implementation for the urban site, and 2 and 3 years for the rural and remote sites. We used multiple logistic regression to determine factors associated with intent to stay. RESULTS There were 430 survey respondents (89.4% response rate) for year 2021, and 417 survey respondents (97.4% response rate) for year 2022. The urban and rural sites had significant increase in several HCW satisfaction domains, while the remote site had significant decrease in several HCW satisfaction domains. There was no significant difference in the intent to stay in the three sites. Factors that decreased intent to stay included length of employment, job involvement and employment as a nurse, while factors that increased intent to stay included job satisfaction, enjoyment and working in the urban site. CONCLUSION HCW satisfaction improved in the urban site and rural site, while HCW satisfaction declined in the remote site. Intention to stay of primary care HCWs did not significantly change.
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Affiliation(s)
- Carol Stephanie Chua Tan-Lim
- Department of Clinical Epidemiology, University of the Philippines Manila College of Medicine, Manila, Philippines
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Mark Anthony U Javelosa
- Department of Clinical Epidemiology, University of the Philippines Manila College of Medicine, Manila, Philippines
| | - Josephine T Sanchez
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Leonila F Dans
- Department of Clinical Epidemiology, University of the Philippines Manila College of Medicine, Manila, Philippines
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Mia P Rey
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
- Department of Accounting and Finance, Cesar E A Virata School of Business, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Anton G Elepano
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Regine Ynez H De Mesa
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
| | - Antonio L Dans
- Program on Health Systems Development - Philippine Primary Care Studies, Center for Integrative and Development Studies, University of the Philippines Diliman, Quezon City, Metro Manila, Philippines
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Jeffrey H, Yamagishi H. Identifying post-traumatic stress symptom typologies in clinical and non-clinical healthcare staff: a latent profile analysis. Eur J Psychotraumatol 2024; 15:2351323. [PMID: 38753619 PMCID: PMC11100435 DOI: 10.1080/20008066.2024.2351323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Accepted: 04/24/2024] [Indexed: 05/18/2024] Open
Abstract
Background: There has been growing concern regarding increasing levels of post-traumatic stress (PTS) symptoms experienced by healthcare workers (HCW) in the UK, particularly following the COVID-19 pandemic.Objectives: PTS symptom typologies have been investigated in other adult populations using person-centred latent variable approaches, revealing profiles showing differing symptom levels and patterns. We aimed to explore typologies among clinical and non-clinical healthcare staff to elucidate heterogeneity of presentation. Methods: This was a retrospective study using referral data from treatment-seeking healthcare staff in the North of England (N = 1600). We employed latent profile analysis using the PTSD International Trauma Questionnaire domains as profile indicators. We included covariates relating to role-type, depression, anxiety and mental health concerns before March of 2020. Results: A model with six profiles fit the data best. Profile names were given as follows: 'No symptom'; 'Low symptom'; 'Low symptom (moderate Sense of current threat (Th_dx) and Functional impairment (FI))'; 'Moderate symptom (low Th_dx and high Avoidance (Av_dx))'; 'Moderate symptom'; and 'High symptom'. Covariates were shown to have differential predictive power on profile membership. Conclusions: The finding of profiles with pattern differences suggests a need for both differential and specifically targeted treatments, as well as a consideration of early intervention for those individuals with subclinical PTS symptoms. As expected, anxiety and depression were both predictors of several of the symptomatic profiles, with anxiety producing a larger effect. Further research is required to fully understand the link between role-type and PTS symptom typologies among HCW. .
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Affiliation(s)
- Holly Jeffrey
- The Humber and North Yorkshire Resilience Hub , York, UK
- NAViGO Health and Social Care CIC, Grimsby, UK
- Tees, Esk and Wear Valleys NHS Foundation Trust, Durham, UK
| | - Hina Yamagishi
- The Humber and North Yorkshire Resilience Hub , York, UK
- NAViGO Health and Social Care CIC, Grimsby, UK
- Tees, Esk and Wear Valleys NHS Foundation Trust, Durham, UK
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Al Maqbali M, Alsayed A, Hughes C, Hacker E, Dickens GL. Stress, anxiety, depression and sleep disturbance among healthcare professional during the COVID-19 pandemic: An umbrella review of 72 meta-analyses. PLoS One 2024; 19:e0302597. [PMID: 38722888 PMCID: PMC11081353 DOI: 10.1371/journal.pone.0302597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2024] [Accepted: 04/08/2024] [Indexed: 05/13/2024] Open
Abstract
The outbreak of SARS-CoV-2, which causes COVID-19, has significantly impacted the psychological and physical health of a wide range of individuals, including healthcare professionals (HCPs). This umbrella review aims provide a quantitative summary of meta-analyses that have investigated the prevalence of stress, anxiety, depression, and sleep disturbance among HCPs during the COVID-19 pandemic. An umbrella review of systematic reviews and meta-analyses reviews was conducted. The search was performed using the EMBASE, PubMed, CINAHL, MEDLINE, PsycINFO, and Google Scholar databases from 01st January 2020 to 15th January 2024. A random-effects model was then used to estimate prevalence with a 95% confidence interval. Subgroup analysis and sensitivity analyses were then conducted to explore the heterogeneity of the sample. Seventy-two meta-analyses involved 2,308 primary studies were included after a full-text review. The umbrella review revealed that the pooled prevalence of stress, anxiety, depression, and sleep disturbance among HCPs during the COVID-19 pandemic was 37% (95% CI 32.87-41.22), 31.8% (95% CI 29.2-34.61) 29.4% (95% CI 27.13-31.84) 36.9% (95% CI 33.78-40.05) respectively. In subgroup analyses the prevalence of anxiety and depression was higher among nurses than among physicians. Evidence from this umbrella review suggested that a significant proportion of HCPs experienced stress, anxiety, depression, and sleep disturbance during the COVID-19 pandemic. This information will support authorities when implementing specific interventions that address mental health problems among HCPs during future pandemics or any other health crises. Such interventions may include the provision of mental health support services, such as counseling and peer support programs, as well as the implementation of organizational strategies to reduce workplace stressors.
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Affiliation(s)
| | - Ahmad Alsayed
- Faculty of Pharmacy, Department of Clinical Pharmacy and Therapeutics, Applied Science Private University, Amman, Jorden
| | - Ciara Hughes
- Institute of Nursing and Health Research School of Health Sciences, Ulster University, Belfast, United Kingdom
| | - Eileen Hacker
- University of Texas MD Anderson Cancer Center, Houston, Texas, United States of America
| | - Geoffrey L. Dickens
- Midwifery and Health Faculty of Health and Life Sciences, Mental Health Nursing Department of Nursing, Northumbria University, Newcastle-Upon-Tyne, United Kingdom
- Adjunct Professor Western Sydney University, Parramatta, NSW, Australia
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Crișan CA, Pop R, Stretea R, Milhem Z, Forray AI. Coping strategies, resilience and quality of life: reaction to the COVID-19 pandemic among Romanian physicians. HUMAN RESOURCES FOR HEALTH 2024; 22:28. [PMID: 38715124 PMCID: PMC11075254 DOI: 10.1186/s12960-024-00909-w] [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: 10/04/2023] [Accepted: 04/24/2024] [Indexed: 05/12/2024]
Abstract
BACKGROUND The COVID-19 pandemic has presented multiple psychological challenges for healthcare workers, such as anxiety, depression, burnout, and substance use disorders. In this research, we investigate the different ways Romanian physicians dealt with the difficult period of the COVID-19 pandemic. We also analyze how positive and negative stress-reducing strategies, as well as demographic variables, affect their psychological resilience and quality of life. Our goal is to provide a comprehensive overview of how physicians coped with the unprecedented global health challenges. METHODS We carried out a national cross-sectional study of 265 physicians in Romania between January 2021 and January 2022 using a web-based questionnaire. The study employed a web-based questionnaire to assess coping mechanisms using the COPE inventory, resilience through the Connor-Davidson Resilience Scale 25 (CD-RISC 25), and quality of life via the WHOQOL-BREF scale. The COPE inventory, consisting of 60 items across 15 subscales, categorizes coping strategies into problem-focused, emotion-focused, and dysfunctional types, with each item rated on a 4-point scale. The CD-RISC 25 measures resilience on a 5-point Likert scale, with total scores ranging from 0 to 100. WHOQOL-BREF assesses quality of life through 26 items in 4 domains: physical, mental, social relations, and environmental, scored from 1 to 5 and converted to a 0-100 scale for domain scores. Univariate and multivariate linear regression models were employed to discern the intricate relationships between coping strategies, resilience levels, quality of life dimensions, and pertinent demographic factors. RESULTS The average CD-RISC score among participants was 66.2. The mean scores for the values for the QOL subscales were 64.0 for physical well-being, 61.7 for psychological well-being, 61.2 for social relationships, and 64.7 for environment. Individuals tend to use problem-focused and emotion-focused coping more than dysfunctional mechanisms, according to the COPE inventory. Problem-focused and emotion-focused coping are positively correlated with resilience, while dysfunctional coping is negatively correlated. Resilience is significantly influenced by gender and professional status, with males and senior specialists reporting higher levels while younger physicians and residents reporting lower levels. CONCLUSIONS Our data points to specific protective characteristics and some detrimental factors on physicians' resilience and quality of life during the pandemic.
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Affiliation(s)
- Cătălina Angela Crișan
- Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hațieganu, University of Medicine and Pharmacy, 400349, Cluj-Napoca, Romania
| | - Răzvan Pop
- Clinical Hospital for Infectious Diseases, 400347, Cluj-Napoca, Romania.
| | - Roland Stretea
- Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hațieganu, University of Medicine and Pharmacy, 400349, Cluj-Napoca, Romania
| | - Zaki Milhem
- Department of Neurosciences, Discipline of Psychiatry and Pediatric Psychiatry, Iuliu Hațieganu, University of Medicine and Pharmacy, 400349, Cluj-Napoca, Romania
| | - Alina-Ioana Forray
- Department of Community Medicine, Discipline of Public Health and Management, Iuliu Hațieganu University of Medicine and Pharmacy, 400349, Cluj-Napoca, Romania
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Batanda I. Prevalence of burnout among healthcare professionals: a survey at fort portal regional referral hospital. NPJ MENTAL HEALTH RESEARCH 2024; 3:16. [PMID: 38710834 DOI: 10.1038/s44184-024-00061-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 02/29/2024] [Indexed: 05/08/2024]
Abstract
The work environment in most hospitals is characterised by activities that are strenuous both physically and mentally. These can result in physical and mental exhaustion, which can lead to burnout if not adequately addressed. Burnout among healthcare professionals can negatively affect their clinical decision-making, quality of communication with patients and colleagues as well as their ability to cope with work-related pressure, and ultimately affect the quality of care and patient outcomes. The inclusion of burnout in the 11th revision of the International Classification of Diseases (ICD-11) as an occupational phenomenon indicates that it is an issue of concern in the workplace for which people may need professional attention. This descriptive cross-sectional survey aimed to determine the point prevalence of burnout among healthcare professionals at Fort Portal Regional Referral Hospital and the factors contributing to burnout. The study also evaluated the linear relationship between the age of workers, their work duration at the hospital, and their burnout score, in addition to the possible impact on patient care. Participants were selected from the hospital WhatsApp group and invitations to participate were sent to their individual accounts. Burnout was assessed using the Copenhagen Burnout Inventory. Generally, burnout scores ranged from 16% to 86%, with an overall mean burnout score of 57.4%. The notable factors contributing to burnout included imbalances in duty allocation, physically strenuous work, and resource constraints. Burnout of varying levels was found to be prevalent across all carders in the hospital, although the results indicate that most healthcare professionals experience moderate burnout. Most of the factors contributing to burnout are within the scope of hospital leadership to address. The possible impact on staff performance and patients' clinical outcomes is speculative, and additional studies are required.
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Affiliation(s)
- Ian Batanda
- Fort Portal Regional Referral Hospital, Fort Portal, Uganda.
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Berger-Estilita J, Salvisberg D, Köselerli E, Haupt S, Meço BC. Impact of Burnout on Anaesthesiologists. Turk J Anaesthesiol Reanim 2024; 52:54-59. [PMID: 38700106 DOI: 10.4274/tjar.2024.241565] [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: 05/05/2024] Open
Abstract
Professional burnout syndrome (PBS) is an issue affecting individuals and organizations alike, characterized by emotional exhaustion and reduced effectiveness resulting from overwhelming work demands. Root causes include excessive workload, unrealistic expectations, and blurred work-life boundaries, which are often intensified by organizational culture and inadequate support systems. The consequences range from decreased productivity and creativity to high turnover rates and financial strain on organizations. Mitigating PBS requires a comprehensive approach that addresses both individual and organizational levels. Individually, stress management techniques and self-care practices are crucial for building resilience and coping with work-related stressors. Organizations play a vital role in promoting employee well-being by fostering a supportive work environment, promoting work-life balance and providing access to support systems such as counseling and mentorship programs. Leadership is key in creating a culture that values employee health and prioritizes open communication and empathy. Policy interventions can further support efforts to combat PBS by enforcing labor laws that protect employee rights, such as setting limits on working hours and ensuring access to mental health services. Additionally, incentivise organizations to prioritize employee well-being through tax incentives or certification programs can encourage proactive measures against burnout. The aim of this review is to provide a comprehensive exploration of PBS, examining its causes, consequences, and potential mitigation strategies in individuals and organizations, with a focus on anaesthesiology.
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Affiliation(s)
- Joana Berger-Estilita
- Hirslanden Medical Group Salem Spital, Institute of Anaesthesiology and Intensive Care, Bern, Switzerland
- University of Bern, Institute for Medical Education, Bern, Switzerland
- University of Porto Faculty of Medicine, Centre for Health Technology and Services Research, Porto, Portugal
| | | | - Ekin Köselerli
- Ankara University Faculty of Medicine, İbn-i Sina Hospital, Department of Anaesthesiology and Intensive Care Unit, Ankara, Turkey
| | - Stefan Haupt
- Hirslanden Medical Group Salem Spital, Institute of Anaesthesiology and Intensive Care, Bern, Switzerland
| | - Başak Ceyda Meço
- Ankara University Faculty of Medicine, İbn-i Sina Hospital, Department of Anaesthesiology and Intensive Care Unit, Ankara, Turkey
- Ankara University Brain Research Center (AÜBAUM), Ankara, Turkey
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Jansen EJ, Czabanowska K, de Pagter APJ, de Koeijer RJ. Implementing coaching programmes for healthcare professionals-A review of the barriers and facilitators. Int J Health Plann Manage 2024; 39:860-878. [PMID: 38354069 DOI: 10.1002/hpm.3761] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 01/03/2024] [Indexed: 02/16/2024] Open
Abstract
BACKGROUND The European Union faces severe and worsening personnel shortages in healthcare. Coaching has emerged as a human-centred strategy to enhance sustainable employment and retention. While the number of efficacy studies on coaching continues to grow, knowledge about the barriers and facilitators to implementing coaching interventions among healthcare professionals (HCPs) remains scarce. OBJECTIVES This systematic review aimed to describe common barriers and facilitators to the implementation of coaching interventions for HCPs. METHODS In April 2023, five databases were searched for eligible articles. Barriers and facilitators were systematically identified and mapped onto the constructs of the Consolidated Framework for Implementation Research (CFIR). Directed content analysis yielded thematic areas and a reporting frequency. RESULTS A total of thirty (n = 30) studies were included in this review, representing twenty-five (n = 25) distinct coaching programmes. Implementation determinants were clustered under two CFIR domains: the Inner Setting (8 facilitators, 5 barriers) and Implementation Process (6 facilitators, 1 barrier). Barriers included (i) limited organisational capacity, (ii) lack of psychological safety, (iii) competing work demands, and (iv) insufficient leadership buy-in, while facilitators were the (i) allocation of protected time for participants and coaches, (ii) promotion through opinion leaders, (iii) embeddedness in existing Continuous Professional Development programmes, and (iv) programme co-creation. CONCLUSION The findings of this study provide practical insights to guide the future implementation of coaching interventions at an organisational level. In particular, the identified barriers and facilitators suggest, for optimal efficacy and sustainment, coaching interventions must be implemented within a safe, supportive organisational climate.
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Affiliation(s)
- E J Jansen
- Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands
- School of Public Health, Physiotherapy & Population Science, University College Dublin, Dublin, Ireland
- Department of International Health, Care and Public Health Research Institute (CAPHRI), FHML, Maastricht University, Maastricht, The Netherlands
| | - K Czabanowska
- Department of International Health, Care and Public Health Research Institute (CAPHRI), FHML, Maastricht University, Maastricht, The Netherlands
| | - A P J de Pagter
- Department of Quality and Patient Safety, Leiden University Medical Center, Leiden, The Netherlands
- Department of Quality and Patient Safety, Erasmus Medical Center Rotterdam, Rotterdam, The Netherlands
| | - R J de Koeijer
- Institute of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands
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