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Lawton V, Pacey V, Jones TM, Dean CM. Developing work readiness in university graduates: a case study in mapping a university curriculum to work readiness domains in an Australian physiotherapy degree. Physiother Theory Pract 2024:1-13. [PMID: 39068666 DOI: 10.1080/09593985.2024.2384654] [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: 04/08/2024] [Revised: 07/17/2024] [Accepted: 07/20/2024] [Indexed: 07/30/2024]
Abstract
BACKGROUND Recent research has identified six domains of work readiness: Practical Wisdom, Interpersonal Capabilities, Personal Attributes, Organisational Acumen, Profession Specific Knowledge and Skills, and Professionally Relevant Experiences. OBJECTIVE Using a case study, the aim of this study was to demonstrate the process of curriculum mapping to evaluate the alignment of a university program to the work readiness framework. METHODS A retrospective audit of curriculum material for one cohort of Macquarie University's Doctor of Physiotherapy (DPT) was undertaken. Curriculum was categorized as declared, delivered, or assessed, mapped to the six work readiness domains through qualitative content analysis, and then quantitatively scored and expressed as percentages of maximum possible scores per unit, and average units scores per semester. RESULTS Mapping curriculum to a six domain work readiness framework revealed declared, delivered, and assessed curriculum within all six work readiness domains, with varying contributions across the degree. Mapping revealed that the Profession Specific Knowledge and Skills domain had the highest coverage of declared (M = 63%, SD = 12), delivered (M = 88%, SD = 11) and assessed (M = 80%, SD = 7) curriculum, highlighting a strength of the program. The Personal Attributes domain had the lowest coverage of declared (M = 5%, SD = 5), delivered (M = 48%, SD = 24) and assessed (M = 29%, SD = 20) curriculum, highlighting opportunities for development. CONCLUSION Mapping curriculum to a work readiness framework allows universities to consider alignment, and the strength and opportunities for the improvement of work readiness within its curriculum.
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Affiliation(s)
- V Lawton
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
| | - V Pacey
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
| | - T M Jones
- Deputy Vice Chancellor's Office (Academic), Macquarie University, Sydney, Australia
| | - C M Dean
- Department of Health Sciences, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, Australia
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McCall RK, Al-Sinawi H, Al-Kharusi N, Al Rawahi S, Al Balushi R, Al-Lawati N, Rizzo M, Al-Rasadi K, Al Maniri A. Retrospective study on the emotional status of healthcare workers in a COVID-19 field hospital in Oman. Front Public Health 2024; 12:1339703. [PMID: 38835615 PMCID: PMC11149611 DOI: 10.3389/fpubh.2024.1339703] [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: 11/16/2023] [Accepted: 04/30/2024] [Indexed: 06/06/2024] Open
Abstract
Overview To combat the overwhelming demand for medical services and care during the COVID-19 Pandemic, the Sultanate of Oman launched the COVID-19 Field Hospital in 2020, designed to respond and alleviate the burden on the medical infrastructure. Several studies globally and from the Middle East suggested that frontline healthcare workers (HCW) were at risk of developing markers of psychological distress. It was further understood through research findings that HCW were resilient during times of crisis. However, there is a dearth in studies evaluating the emotional status of frontline HCW posted in the COVID-19 field hospitals in Gulf Countries, including Oman. This study attempts to shed light on the emotional status of HCW that were on the frontlines in the field hospital in the Sultanate of Oman. Aim This study aims to quantify and evaluate the emotional status of HCW in the frontline field hospital by screening for symptoms of depression, anxiety, and sleep quality. Method The data was collected by a local private mental healthcare facility as part of digital feedback to design and implement supportive strategies. Data was collected between September 2021 and October 2021 from 121 HCW in the COVID-19 Field hospital in Oman via 'WhatsApp'. Results Chi square and binary logistic regression tests were administered to evaluate the data. The participants comprised of 63.6% females and 79.3% were between 30 and 39 years of age. Majority of the participants (65.2%) described themselves as 'financially unstable' and possess an average of 7.5 years of work experience. Of the participants 73.6% of the HCW were based solely in the field hospital for 6-9 months at the time of the survey. Majority of the participants denied the presence of emotional distress expressed through depression (92.6%), anxiety (92.6%) and poor quality of sleep (59.5%). Conclusion The findings of the present study reflect the HCW ability to cope during challenging situations likely owing to a variety of environmental, social and personal protective factors. The findings of this study can translate into further research on identifying and addressing stressors and targeting the enhancement of protective factors to safeguard the well-being of HCW.
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Affiliation(s)
| | - Hamed Al-Sinawi
- Al Harub Medical Center, Muscat, Oman
- Department of Behavioral Medicine, Sultan Qaboos University Hospital, Muscat, Oman
| | | | - Sulaiman Al Rawahi
- PDO Clinic, Corporate Health & Safety, MSEM, Petroleum Development of Oman, Muscat, Oman
| | | | | | - Manfredi Rizzo
- Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties (Promise), University of Palermo, Palermo, Italy
| | - Khalid Al-Rasadi
- Department of Biochemistry, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, Oman
- Medical Research Centre, Sultan Qaboos University, Muscat, Oman
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Zhang L, Ma X. Occupational well-being in medical workers in Inner Mongolia after the Normalized Epidemic Prevention and Control Strategy: A cross-sectional study. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2024; 79:33-43. [PMID: 38647193 DOI: 10.1080/19338244.2024.2343932] [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: 06/27/2023] [Accepted: 03/04/2024] [Indexed: 04/25/2024]
Abstract
Little is known about the status of occupational well-being among the Chinese medical workers after the implementation of Normalized Epidemic Prevention and Control strategy as most studies are performed during the COVID-19 pandemic. This study was designed to investigate the occupational well-being among the medical workers in our city in the COVID-19 after the release of Normalized Epidemic Prevention and Control Strategy since May 7, 2020 in mainland China. We included the medical workers involved in the front-line of COVID-19 that were randomly selected from 7 hospitals in Inner Mongolia Autonomous Region, China. The occupational well-being among medical workers was evaluated using the modified occupational well-being scales and the symptom Checklist-90 (SCL-90) scale. Then Logistic regression analysis was given to identify the risk factors that may affect the occupational well-being among the medical workers. Our data showed that hospital type (p < 0.01), hospital grade (p < 0.01), marital status (p < 0.01) and monthly income (p < 0.01) were independent risk factors for the occupational well-being among the medical workers. Obsessive-compulsive disorder, somatization, phobic anxiety, depression and interpersonal sensitivity were risk factors for poor occupational well-being. Therefore, attention should be given to the occupational well-being of the medical workers. Meanwhile, appropriate measurements are necessary to improve their working quality.
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Affiliation(s)
- Lina Zhang
- School of Humanity and International Education, Baotou Medical College, Baotou, China
| | - Xiaoling Ma
- School of Marxism, Baotou Medical College, Baotou, China
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Conolly AR, Maben J, Abrams R, Harris R, Kelly D, Kent B, Couper K, Rowland E. 'There was a pivotal moment'. The dynamics, transitions, adaptations and trajectories of nursing at the front-line in the UK during the COVID-19 pandemic. PLoS One 2024; 19:e0295394. [PMID: 38422041 PMCID: PMC10903883 DOI: 10.1371/journal.pone.0295394] [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: 04/25/2023] [Accepted: 11/21/2023] [Indexed: 03/02/2024] Open
Abstract
Using qualitative interview data (n = 142 interviews) generated with 50 nurses, over the course of the COVID-19 pandemic, this paper traces the trajectories of nurses in the UK and attempts to unpick the interplay between structure and agency in their narratives. Interviews were inductively analysed for themes and an additional narrative analysis was undertaken to preserve the form of each participant's narrative. We argue that nurses' pandemic trajectories occurred within the 'psychological vulnerability-stigma nexus' which operates within health and social care providers in the UK and whilst constraining nurses' agency at times it could also provide an impetus to act agentically. We found that the nurses' COVID-19 trajectories were characterised by: getting by, getting out (job-hopping) getting needs met and getting organised. We call for more considered systemic support to be generated and consistently provided to nurses to ensure retention of nurses and the security of society to avoid exacerbating existing workforce shortages.
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Affiliation(s)
| | - Jill Maben
- School of Health Sciences, University of Surrey, Guildford, United Kingdom
| | - Ruth Abrams
- School of Health Sciences, University of Surrey, Guildford, United Kingdom
| | - Ruth Harris
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King’s College London, London, United Kingdom
| | - Daniel Kelly
- School of Nursing, Cardiff University, Cardiff, United Kingdom
| | - Bridie Kent
- School of Nursing and Midwifery, University of Plymouth, Plymouth, United Kingdom
| | - Keith Couper
- Warwick Medical School, University of Warwick and University Hospitals Birmingham NHS Foundation Trust, Warwick, United Kingdom
| | - Emma Rowland
- Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care, King’s College London, London, United Kingdom
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Kakemam E, Maassoumi K, Azimi S, Abbasi M, Tahmasbi F, Alizadeh M. Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study. BMC PRIMARY CARE 2024; 25:40. [PMID: 38279098 PMCID: PMC10811870 DOI: 10.1186/s12875-024-02268-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: 10/07/2023] [Accepted: 01/05/2024] [Indexed: 01/28/2024]
Abstract
BACKGROUND Different mental disorders may be associated with many work-related factors to which primary health care workers (PHCWs) are exposed. The current research aims to measure the rates of depression, anxiety, and stress among PHCWs, and their associated causes in primary health care (PHC) settings. METHODS An explanatory sequential mixed methods design was employed in this research from January 2021 to January 2022 in Tabriz, Iran's PHC centers. First, this study followed an online-based cross-sectional survey using a self-reported questionnaire. The Depression, Anxiety and Stress Scale-21 Items (DASS-21) and questions on demographic and work-related characteristics were completed by 303 frontline PHCWs during the quantitative phase. In the qualitative phase, a semi-structured interview was held with 12 PHCWs who had the highest level of depression, anxiety, and stress to identify the reasons and sources of mental health prevalence. Quantitative data were analyzed using descriptive statistics via SPSS-26. A content analysis was performed to analyze qualitative data. RESULTS The results showed that self-reported stress, anxiety, and depression had a prevalence of 40.3%, 42.9%, and 42.6%, respectively. Symptoms of at least one mental disorder were experienced by 54% of respondents, while 28% had all three. Major sources of stress, anxiety, and depression among PHCWs were working environment conditions, organizational policies, job-related reasons, and interpersonal relations. CONCLUSIONS The results of current study indicated that PHCWs experienced high levels of depression, anxiety, and stress. The main factors and reasons that contributed to these mental health issues among PHCWs were work environment conditions, organizational policies, job-related reasons and interpersonal relations. Therefore, interventions should be implemented to promote mental health of PHCWs. This can include measures such as psychological screening, supportive care, workload management, flexible scheduling, and access to mental health resources. Additionally, training programs can be implemented to enhance resilience and coping skills among healthcare professionals.
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Affiliation(s)
- Edris Kakemam
- Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Katayoun Maassoumi
- Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Somayeh Azimi
- Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Madineh Abbasi
- Infectious and Tropical Diseases Research Center, Tabriz University of Medical sciences, Tabriz, Iran
| | - Fateme Tahmasbi
- Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Mahasti Alizadeh
- Social Determinants of Health Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran.
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Osiurak S, Taylor NF, Albiston T, Williams K, Collyer TA, Snowdon DA. Interactive clinical supervision training added to self-education leads to small improvements in the effectiveness of clinical supervision of physiotherapists: a randomised trial. J Physiother 2024; 70:33-39. [PMID: 38049352 DOI: 10.1016/j.jphys.2023.11.002] [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: 08/15/2022] [Revised: 09/23/2023] [Accepted: 11/01/2023] [Indexed: 12/06/2023] Open
Abstract
QUESTION Does adding an interactive clinical supervision training program to self-education improve the effectiveness of clinical supervision of physiotherapists, reduce burnout, decrease intention to leave and increase participation in clinical supervision? DESIGN Randomised controlled trial with concealed allocation, assessor blinding and intention-to-treat analysis. PARTICIPANTS Physiotherapists (n = 58) working at a publicly funded health service. INTERVENTION Participants in both groups received a self-education clinical supervision training package. In addition, participants in the experimental group received interactive clinical supervision training consisting of three 90-minute workshops. OUTCOME MEASURES The primary outcome measure was effectiveness of clinical supervision 4 months after training measured using the Manchester Clinical Supervision Scale (MCSS-26). Secondary outcomes were the Maslach Burnout Inventory, the Intention to Leave Scale, and participation in supervision. Focus groups were also used to gauge impressions of the intervention. RESULTS The addition of interactive clinical supervision training slightly improved effectiveness of clinical supervision, with a between-group mean difference of 6.3 units (95% CI 0.3 to 12.3) on the MCSS-26. The estimate of the effect on the proportion of physiotherapists reporting effective clinical supervision (ie, MSCC-26 score ≥ 73) was unclear (OR 1.97, 95% CI 0.50 to 7.81). Physiotherapists in the experimental group reported slightly lower levels of depersonalisation (MD -3.0 units, 95% CI -4.6 to -1.3). There were negligible or uncertain effects on the other burnout domains, intention to leave and participation in clinical supervision. Qualitatively, participants reported that the workshops made them realise that supervisees could take greater ownership of where supervision focused. CONCLUSION Adding interactive clinical supervision training to self-education leads to small improvements in the effectiveness of clinical supervision of physiotherapists. REGISTRATION osf.io/yz3kx.
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Affiliation(s)
- Sarah Osiurak
- Physiotherapy Department, Eastern Health, Box Hill, Australia
| | - Nicholas F Taylor
- Allied Health Clinical Research Office, Eastern Health, Box Hill, Australia; College of Science, Health and Engineering, La Trobe University, Bundoora, Australia
| | | | | | - Taya A Collyer
- Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Australia; National Centre for Healthy Ageing, Melbourne, Australia
| | - David A Snowdon
- Peninsula Clinical School, Central Clinical School, Monash University, Frankston, Australia; National Centre for Healthy Ageing, Melbourne, Australia; Academic Unit, Peninsula Health, Frankston Australia.
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Di Ciaccio M, Bourhaba O, Khoury C, Assi A, Abu Zaki S, Lorente N, Castro Avila J, Niyongabo A, Gakima D, Diouh A, Riegel L, Ben Moussa A, Girard G, Karkouri M, Delabre RM, Rojas Castro D. How Community-Based Organizations Responded to the Covid-19 Crisis to Maintain HIV Services Among Vulnerable Populations in Burundi, Mauritania, and Lebanon: Qualitative Results From the Multicountry EPIC Program. J Int Assoc Provid AIDS Care 2024; 23:23259582241263686. [PMID: 39110012 PMCID: PMC11307353 DOI: 10.1177/23259582241263686] [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: 10/06/2023] [Revised: 03/13/2024] [Accepted: 06/03/2024] [Indexed: 08/10/2024] Open
Abstract
Little is known about the adaption of community-based organizations (CBOs) during the COVID-19 crisis. This study aimed to study how HIV CBOs and their community health workers (CHWs) faced the COVID-19 outbreak. Semi-structured interviews (n = 53) were conducted among CHWs in Burundi, Mauritania, and Lebanon in 2021. A thematic content analysis was performed. Results showed that CBOs had succeeded in maintaining HIV services and integrated COVID-19 prevention and awareness in their activities. COVID-19 led to innovation in terms of HIV services (eg, telemedicine and online psychosocial support) and to opportunities to try new modalities of antiretroviral therapy dispensation. Field workers (a specific group among CHWs) were negatively impacted by the COVID-19 crisis and showed resilience in their adaptation to ensure the continuity of their activities. Considering the essential role of field workers during the crisis, their status and the sustainability of their activities should be clearly supported by health policies and programs.
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Affiliation(s)
| | - Othmane Bourhaba
- Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco
- Community-based Research Laboratory, Coalition PLUS, Dakar, Senegal
| | | | - Ayman Assi
- Marsa-Sexual Health Center, Beirut, Lebanon
| | | | - Nicolas Lorente
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
- Departament de Salut, Generalitat de Catalunya, Centre d’Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Badalona, España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | | | - Annabelle Niyongabo
- Community-based Research Laboratory, Coalition PLUS, Dakar, Senegal
- Association Nationale de Soutien aux Séropositifs et malades du sida, Bujumbura, Burundi
| | - Dévote Gakima
- Association Nationale de Soutien aux Séropositifs et malades du sida, Bujumbura, Burundi
| | | | - Lucas Riegel
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
| | - Amal Ben Moussa
- Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco
| | - Gabriel Girard
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, France
| | - Mehdi Karkouri
- Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco
| | | | - Daniela Rojas Castro
- Community-based Research Laboratory, Coalition PLUS, Pantin, France
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l’Information Médicale, ISSPAM, Marseille, France
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Hallam KT, Popovic N, Karimi L. Identifying the Key Elements of Psychologically Safe Workplaces in Healthcare Settings. Brain Sci 2023; 13:1450. [PMID: 37891818 PMCID: PMC10605501 DOI: 10.3390/brainsci13101450] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2023] [Revised: 09/21/2023] [Accepted: 09/27/2023] [Indexed: 10/29/2023] Open
Abstract
BACKGROUND Psychological safety is a key concern in the workplace as organisations continue to see increases in psychological injuries that have significant ramifications on individuals and workplaces. The COVID-19 pandemic has exacerbated this issue in healthcare workforces facing extraordinary pressures. This preliminary study aims to enhance our understanding of the factors that healthcare workers value in relation to psychological safety in their respective healthcare settings. METHODS To achieve the research objective, qualitative self-reflection examples were conducted with 12 participants from various health professional backgrounds across public, private, and aged-care settings. The data obtained were thematically analysed using NVivo software (V 12), enabling the identification of key elements associated with psychologically safe workplaces. RESULTS The results revealed several significant elements that contribute to psychologically safe workplaces in healthcare settings. These elements include effective communication, organisational culture, leadership practices, performance feedback mechanisms, respect among colleagues, staff development opportunities, teamwork, and trust. The findings underscore the critical importance of these foundational elements in fostering psychological safety within healthcare. CONCLUSION This study contributes to the existing body of knowledge by specifically identifying the key elements that healthcare workers value in terms of psychological safety. By exploring a wide range of healthcare professionals' perspectives, this research offers valuable insights into the unique challenges faced by healthcare workforces and the necessary conditions for fostering psychological safety. The implications of these findings are discussed in relation to the lessons they provide for healthcare employers, highlighting the potential for improving workplace wellbeing and performance.
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Affiliation(s)
- Karen T. Hallam
- Psychology Department, School of Applied Health, RMIT University, Melbourne, VIC 3000, Australia;
- Institute for Mental and Physical Health and Health Translation, Deakin University, Geelong, VIC 3217, Australia
| | - Natasha Popovic
- School of Health Sciences, La Trobe University, Geelong, VIC 3217, Australia
| | - Leila Karimi
- Psychology Department, School of Applied Health, RMIT University, Melbourne, VIC 3000, Australia;
- School of Medicine and Healthcare Management, Caucasus University, 0102 Tbilisi, Georgia
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Pracilio A, Cashin A, Wilson NJ. Barriers and Enablers to Nurses' Engagement With Continuing Professional Development: A Survey. J Contin Educ Nurs 2023; 54:405-412. [PMID: 37642448 DOI: 10.3928/00220124-20230816-16] [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: 08/31/2023]
Abstract
BACKGROUND Continuing professional development (CPD) is perceived as a pivotal component of building and maintaining nursing skill and capacity. Exploring motivators for CPD engagement can aid program adaptation and improvement. The goal of this study was to survey the barriers, enablers, and changes of Australian RNs' engagement with CPD in general during the coronavirus disease 2019 (COVID-19) pandemic. An additional goal was to understand factors influencing the interest of participants to engage with programs focused on care for people with intellectual disability and/or autism. METHOD This study was a cross-sectional exploratory survey. RESULTS Most of the sample had engaged with CPD in the previous 12 months, and the most reported topics were related to COVID-19. Sixty percent of nurses saw a change in volume of CPD. Younger nurses, with fewer years of experience, and practicing in major cities, were significantly more likely to report less CPD. CONCLUSION It is pivotal that the design and promotion of CPD curricula consider the motivators and barriers for nurses' engagement with them. [J Contin Educ Nurs. 2023;54(9):405-412.].
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Yin Y, Han S, Guan J, Wang D, Wang H, Yuan TF, Yang Y. Posttraumatic stress disorder symptoms among healthcare workers during the Omicron era. Front Psychiatry 2023; 14:1140511. [PMID: 37293404 PMCID: PMC10244510 DOI: 10.3389/fpsyt.2023.1140511] [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: 01/09/2023] [Accepted: 05/03/2023] [Indexed: 06/10/2023] Open
Abstract
Background The COVID-19 pandemic has caused significant psychological stress among healthcare workers. This study aimed to clarify the factors that influenced health workers' posttraumatic stress disorder (PTSD) symptoms. Method A total of 443 healthcare workers from eight Mental Health Centers in Shandong were recruited to attend an online survey. Participants completed self-evaluation measures of exposure to the COVID-19 environment and PTSD symptoms, as well as measures of potential protective factors such as euthymia and perceived social support. Results About 45.37% of healthcare workers had severe symptoms of PTSD symptoms. Healthcare workers with more serious PTSD symptoms were significantly related to higher exposure to COVID-19 (r = 0.177, p < 0.001), as well as lower levels of euthymia (r = -0.287, p < 0.001) and perceived social support (r = -0.236, p < 0.001). The structural equation model (SEM) further revealed that the impact of exposure to COVID-19 on PTSD symptoms was partially mediated by euthymia, and moderated by perceived social support, especially from others (e.g., friends, leaders, relatives and colleagues). Conclusion These findings suggested that improving the state of euthymia, getting social support from others could alleviate PTSD symptoms among healthcare workers during the COVID-19.
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Affiliation(s)
- YuanYuan Yin
- Shandong Mental Health Center, Jinan, Shandong, China
- Wenzhou Medical University, School of Mental Health, Wenzhou, Zhejiang, China
| | - Sizhu Han
- Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Jiaoqiong Guan
- Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Department of Rehabilitation Medicine, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China
| | - DuanWei Wang
- Shandong Mental Health Center, Jinan, Shandong, China
| | - HaiRong Wang
- Shandong Mental Health Center, Jinan, Shandong, China
| | - Ti-Fei Yuan
- Shanghai Key Laboratory of Psychotic Disorders, Brain Health Institute, National Center for Mental Disorders, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China
- Co-innovation Center of Neuroregeneration, Nantong University, Nantong, China
| | - Ying Yang
- Shandong Mental Health Center, Jinan, Shandong, China
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Holmes OS, Ellen S, Smallwood N, Willis K, Delaney C, Worth LJ, Dolan S, Dunlop L, McDonald G, Karimi L, Rees M, Ftanou M. The Psychological and Wellbeing Impacts of Quarantine on Frontline Workers during COVID-19 and Beyond. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:5853. [PMID: 37239579 PMCID: PMC10218533 DOI: 10.3390/ijerph20105853] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 04/20/2023] [Accepted: 04/27/2023] [Indexed: 05/28/2023]
Abstract
OBJECTIVE The current study investigated the experiences, wellbeing impacts, and coping strategies of frontline workers who participated in "Hotels for Heroes", an Australian voluntary hotel quarantine program during the COVID-19 pandemic. The program was open to those who were COVID-19 positive or exposed to COVID-19 as part of their profession. METHODS Frontline workers who had stayed in voluntary quarantine between April 2020 and March 2021 were invited to participate in a voluntary, anonymous, cross-sectional online survey including both quantitative and qualitative responses. Complete responses were collected from 106 participants, which included data on sociodemographic and occupational characteristics, experiences of the Hotels for Heroes program, and validated mental health measures. RESULTS Mental health problems were prevalent amongst frontline workers (e.g., moderate anxiety symptoms, severe depression symptoms, and greater than usual impact of fatigue). For some, quarantine appeared to be helpful for anxiety and burnout, but quarantine also appeared to impact anxiety, depression, and PTSD negatively, and longer stays in quarantine were associated with significantly higher coronavirus anxiety and fatigue impacts. The most widely received support in quarantine was from designated program staff; however, this was reportedly accessed by less than half of the participants. CONCLUSIONS The current study points to specific aspects of mental health care that can be applied to participants of similar voluntary quarantine programs in the future. It seems necessary to screen for psychological needs at various stages of quarantine, and to allocate appropriate care and improve its accessibility, as many participants did not utilise the routine support offered. Support should especially target disease-related anxiety, symptoms of depression and trauma, and the impacts of fatigue. Future research is needed to clarify specific phases of need throughout quarantine programs, and the barriers for participants receiving mental health supports in these contexts.
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Affiliation(s)
- Oliver S. Holmes
- Psychosocial Oncology Program, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
| | - Steven Ellen
- Psychosocial Oncology Program, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
| | - Natasha Smallwood
- Chronic Respiratory Disease Laboratory, Central Clinical School, Monash University, Melbourne 3800, Australia
| | - Karen Willis
- Institute for Sport and Health, Victoria University, Melbourne 3011, Australia
| | - Clare Delaney
- Department of Medical Education, University of Melbourne, Melbourne 3010, Australia
| | - Leon J. Worth
- National Centre for Infections in Cancer, Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne 3010, Australia
| | - Shelley Dolan
- Executive Team, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
| | - Lisa Dunlop
- Clinical Governance and Strategic Projects, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
| | - Geraldine McDonald
- Prevention and Wellbeing, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
| | - Leila Karimi
- Department of Psychology, School of Applied Health, RMIT University, Melbourne 3000, Australia
| | - Megan Rees
- Respiratory, Sleep, and General Medicine, Royal Melbourne Hospital, Melbourne 3050, Australia
| | - Maria Ftanou
- Psychosocial Oncology Program, Peter MacCallum Cancer Centre Melbourne, Melbourne 3000, Australia
- School of Population and Global Health, University of Melbourne, Melbourne 3010, Australia
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12
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Araújo PS, Souza GS, Costa EA, Souza MKBD, Lima YOR. Effects of the COVID-19 pandemic on health surveillance work. CIENCIA & SAUDE COLETIVA 2023; 28:1365-1376. [PMID: 37194871 DOI: 10.1590/1413-81232023285.11852022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Accepted: 11/03/2022] [Indexed: 05/18/2023] Open
Abstract
The COVID-19 pandemic has challenged managers and exposed weaknesses in health systems. In Brazil, the pandemic emerged amid difficulties to work in the Brazilian Unified Health System (SUS) and in health surveillance (HS). The purpose of this article is to analyze the effects of COVID-19 on the organization, working conditions, management, and performance of HS, according to the perception of capital city managers from three regions of Brazil. This is an exploratory, descriptive research with qualitative analysis. The Iramuteq software was used in the treatment of the textual corpus and analysis of descending hierarchical classification, which generated four classes: characteristics of HS work during the pandemic (39.9%), HS organization and working conditions during the pandemic (12.3%), effects of the pandemic on work (34.4%), and the class of the health protection of workers and the population (13.4%). HS implemented remote work, expanded work shifts, and diversified its actions. However, it faced difficulties with personnel, infrastructure, and insufficient training. The present study also pointed out the potential for joint actions concerning HS.
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Affiliation(s)
- Patrícia Sodré Araújo
- Departamento de Ciências da Vida, Universidade do Estado da Bahia. R. Silveira Martins 2.555, Cabula. 41000-150 Salvador BA Brasil.
| | - Gisélia Santana Souza
- Programa de Pós-Graduação em Saúde Coletiva, Universidade Estadual de Feira de Santana. Feira de Santana BA Brasil
| | - Ediná Alves Costa
- Instituto de Saúde Coletiva, Universidade Federal da Bahia. Salvador BA Brasil
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13
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Gu A, Willis K, Kay M, Hutt K, Smallwood N. 'We are largely left out': workplace and psychosocial experiences of Australian general practitioners during the initial months of the COVID-19 pandemic. Aust J Prim Health 2023; 29:47-55. [PMID: 36377238 DOI: 10.1071/py22103] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2022] [Accepted: 10/13/2022] [Indexed: 11/16/2022]
Abstract
BACKGROUND The COVID-19 pandemic continues to exert a significant toll on the Australian primary healthcare system. Although wellbeing challenges faced by hospital-based healthcare workers are widely discussed, less is known about the experiences of general practitioners (GPs) during the initial phases of the pandemic. This paper reports qualitative survey data from Australian GPs, examining their workplace and psychosocial experiences during the initial months of the pandemic. METHODS An Australia-wide, cross-sectional, online survey of frontline healthcare workers was conducted in 2020. A qualitative approach using content analysis was utilised to examine responses to four free-text questions from GPs. RESULTS A total of 299 GPs provided 888 free-text responses. The findings reveal that general practice was overlooked and undervalued within the pandemic response, resulting in negative impacts on GP wellbeing. Four themes were identified: (1) marginalisation of GPs; (2) uncertainty, undersupported and undervalued in the workplace; (3) isolation and disrupted personal lives; and (4) strategies to support GPs during times of crises. Key concerns included poor access to personal protective equipment, occupational burnout and poor wellbeing, insufficient workplace support, and conflicting or confusing medical guidelines. CONCLUSIONS Primary healthcare constitutes an essential pillar of the Australian healthcare system. This study presents the many factors that impacted on GP wellbeing during the COVID-19 pandemic. Enabling GP voices to be heard and including GPs in decision-making in preparation for future crises will enhance the delivery of primary care, reducing the burden on hospital services, and help sustain a safe and effective health workforce long term.
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Affiliation(s)
- Allen Gu
- Melbourne Medical School, University of Melbourne, Parkville, Vic. 3010, Australia; and Royal Melbourne Hospital, 300 Grattan Street, Parkville, Vic. 3050, Australia
| | - Karen Willis
- Institute for Health and Sport, Victoria University, Footscray Park, Footscray, Vic. 3011, Australia
| | - Margaret Kay
- General Practice Clinical Unit, Level 8 Health Sciences Building, Royal Brisbane and Women's Hospital, Herston, Qld 4029, Australia
| | - Kathryn Hutt
- Doctors' Health Advisory Service (NSW), Suite 207, 69 Christie Street, St Leonards, NSW 2065, Australia
| | - Natasha Smallwood
- Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Vic. 3004, Australia; and Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Vic. 3004, Australia
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14
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Skogsberg M, Jarl G, Matérne M. Health care workers' need for support from managers during the initial phase of the COVID-19 pandemic. BMC Health Serv Res 2022; 22:1563. [PMID: 36544137 PMCID: PMC9768758 DOI: 10.1186/s12913-022-08937-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 12/06/2022] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic placed great pressure on health care workers and increased the risk of these workers developing mental illness. Effective leadership is essential to prevent mental illness from developing. The study aim was to investigate health care workers' perceptions of the support given by their managers, their need for such support, and their levels of anxiety during the initial phase of the COVID-19 pandemic. METHODS An electronic study-specific questionnaire was sent to health care workers. A convergent mixed-methods design was used, in which data were analyzed with descriptive statistics, t-tests, and qualitative content analysis. RESULTS The majority of the 1074 participants experienced support from a manager who was physically present, caring, and sensitive to their needs, who provided information, and listened to their opinions. Those who did not receive this support experienced more anxiety, and the majority of them expressed a need for this support. A minority of the participants had a manager who scheduled reflection time; few asked for this support, and it was not found to be associated with lower anxiety levels. The qualitative analysis resulted in four themes: 1) A physically present and responsive manager who provides support based on the workers' needs, 2) The workers understand their manager's tough work situation and lack of resources, 3) There is a need for clear dissemination of information and participation in organizing the work, and 4) The care of patients is carried out with good cooperation. CONCLUSIONS The majority of the health care workers received adequate support from their managers. A manager has to be physically present, caring, and supportive to meet the workers' needs and potentially reduce anxiety levels.
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Affiliation(s)
| | - Gustav Jarl
- grid.15895.300000 0001 0738 8966University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden ,grid.15895.300000 0001 0738 8966Department of Prosthetics and Orthotics, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Marie Matérne
- grid.15895.300000 0001 0738 8966University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden ,grid.15895.300000 0001 0738 8966School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
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15
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Lucas D, Brient S, Le Grand T, Dewitte JD, Loddé B, Pougnet R, Eveillard BM. Evolution of Global Health and Psychosocial Factors among Hospital Workers during First Year of SARS-CoV-2 Pandemic: A Longitudinal Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15260. [PMID: 36429989 PMCID: PMC9696107 DOI: 10.3390/ijerph192215260] [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: 09/20/2022] [Revised: 11/15/2022] [Accepted: 11/16/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVES To assess trends in overall health (mental and physical) and psychosocial factors in a population of workers (both healthcare and non-healthcare) in a French teaching hospital during the first year of the SARS-CoV-2 pandemic in France. METHODS A validated version of the SATIN questionnaire with adapted scoring was used to collect data on health and impacts of work stressors. This questionnaire was sent to all workers at the hospital in T1 (July-August 2020) and T2 (July-August 2021) and self-administered online. RESULTS A total of 1313 participants who completed the questionnaire at T1 and 826 at T2 were included. Overall, 568 workers completed the questionnaire at T1 and T2. We found a deterioration in overall health and especially stress and mental health in hospital workers and healthcare workers (HCWs), with a negative impact of the workload and work environment. CONCLUSIONS The SARS-CoV-2 pandemic impacted negatively the mental health, work stressors, and psychosocial perceptions of both HCW and non-HCW in a French hospital. The study confirms that hospital workers are an important target.
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Affiliation(s)
- David Lucas
- ORPHY Laboratory, University Brest, F-29200 Brest, France
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest-Bretagne Occidentale, F-29200 Brest, France
| | - Sandrine Brient
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
| | - Tanguy Le Grand
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
| | - Jean-Dominique Dewitte
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest-Bretagne Occidentale, F-29200 Brest, France
| | - Brice Loddé
- ORPHY Laboratory, University Brest, F-29200 Brest, France
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
| | - Richard Pougnet
- Occupational Health Service, Teaching Hospital, F-29200 Brest, France
- Laboratoire d’Etude et de Recherche en Sociologie (EA 3149), Université de Brest-Bretagne Occidentale, F-29200 Brest, France
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16
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Mai T, Franke V, Todisco L, Schilder M, Rohde G. [The situation of physicians in acute hospitals during the second wave of the SARS-CoV-2 pandemic: An online survey]. ZEITSCHRIFT FUR EVIDENZ, FORTBILDUNG UND QUALITAT IM GESUNDHEITSWESEN 2022; 174:52-58. [PMID: 36209033 PMCID: PMC9534542 DOI: 10.1016/j.zefq.2022.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Revised: 07/28/2022] [Accepted: 08/23/2022] [Indexed: 11/05/2022]
Abstract
BACKGROUND The SARS-CoV-2 pandemic has an impact on the wellbeing of health care workers. The influence of a work-related sense of coherence as well as perceived organizational support on the level of burnout and the intention to leave the job is largely unknown, especially for physicians in German hospitals. METHOD In December 2020 and January 2021, physicians of 81 hospitals in Hessian (Germany) participated in an online survey using the BAT (Burnout Assessment Tool), Work-SoC (Work-related Sense of Coherence), the POS-s (Perceived Organizational SUPPORT - short version) and literature-based items based. RESULTS Of 181 physicians, 34% showed a moderate or high burnout level, 21% would leave the job after the pandemic. The higher the work-SoC (β = -0.560; p < 0.001) and the higher the POS-s (β = -0.125; p < 0.05), the lower the burnout level. Not being able to care sufficiently for their patients has a negative impact on the sense of coherence. 46.4% reported that they did not feel sufficiently prepared by their employer during the pandemic. They wished to have support in the form of the mindfulness and resilience trainings (45%), emergency childcare (41%) and a crisis counselor in their team (32%). CONCLUSION Regardless of the pandemic, health-promoting work conditions have to be developed that facilitate coherent work and prevent "moral injuries" or enable physicians to deal with them.
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Affiliation(s)
- Tobias Mai
- Stabsstelle Pflegentwicklung, Pflegedirektion, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland.
| | - Vanessa Franke
- Stabsstelle Pflegentwicklung, Pflegedirektion, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland
| | - Laura Todisco
- Stabsstelle Pflegentwicklung, Pflegedirektion, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland
| | - Michael Schilder
- Fachbereich Pflege- und Gesundheitswissenschaft ev. Hochschule Darmstadt, Darmstadt, Deutschland
| | - Gernot Rohde
- Leiter des Schwerpunktes Pneumologie/ Allergologie, Universitätsklinikum Frankfurt am Main, Frankfurt am Main, Deutschland
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17
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Di Pietro G. Changes in household income during COVID-19: a longitudinal analysis. SN BUSINESS & ECONOMICS 2022; 2:159. [PMID: 36212552 PMCID: PMC9526203 DOI: 10.1007/s43546-022-00342-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Accepted: 09/21/2022] [Indexed: 11/26/2022]
Abstract
This paper investigates how Italian household income has changed across different stages of COVID-19 after considering the effects of support measures taken by the government to lessen the detrimental economic impact of the pandemic. We use longitudinal microdata from six waves of a nationally representative household survey conducted by the Bank of Italy at various points in time during 2020 and most of 2021. Panel data results show an improvement or at least no deterioration in the household's financial situation following the initial negative shock of COVID-19 in early 2020. Additionally, while our estimates suggest that the economic crisis instigated by COVID-19 has not had any differential effect by household area of residence and household size, the level of education of the household head seems to matter. Specifically, households headed by individuals with higher education are less likely to have been financially harmed by the pandemic than those headed by individuals with a lower level of education.
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Affiliation(s)
- Giorgio Di Pietro
- European Commission, Joint Research Centre, Edificio Expo. Calle Inca Garcilaso, 3, 41092 Seville, Spain
- IZA (Instititute of Labor Economics), Bonn, Germany
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18
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Armstrong SJ, Porter JE, Larkins JA, Mesagno C. Burnout, stress and resilience of an Australian regional hospital during COVID-19: a longitudinal study. BMC Health Serv Res 2022; 22:1115. [PMID: 36056342 PMCID: PMC9438236 DOI: 10.1186/s12913-022-08409-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2022] [Accepted: 07/26/2022] [Indexed: 11/10/2022] Open
Abstract
Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.
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Affiliation(s)
- Samantha J Armstrong
- Victoria University, 70/104 Ballarat Rd, Footscray, VIC, 3011, Australia. .,Federation University, University Dr, Mount Helen, VIC, 3350, Australia.
| | - Joanne E Porter
- Federation University, University Dr, Mount Helen, VIC, 3350, Australia
| | - Jo-Ann Larkins
- Federation University, University Dr, Mount Helen, VIC, 3350, Australia
| | - Christopher Mesagno
- Victoria University, 70/104 Ballarat Rd, Footscray, VIC, 3011, Australia.,Federation University, University Dr, Mount Helen, VIC, 3350, Australia
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19
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Lee SG, Kim B. Factors Affecting Nurses' Health Promotion Behavior during the COVID-19 Pandemic Based on the Information-Motivation-Behavioral Skills Model. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58060720. [PMID: 35743983 PMCID: PMC9227015 DOI: 10.3390/medicina58060720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Revised: 05/23/2022] [Accepted: 05/26/2022] [Indexed: 12/02/2022]
Abstract
Background and Objectives: The COVID-19 pandemic has emerged as a major threat to nurses’ health. This study aimed to investigate the factors affecting nurses’ health promotion behaviors during the coronavirus disease 2019 (COVID-19) pandemic. Material and Methods: The participants were clinical nurses who had direct contact with patients at a university hospital in G province, Korea. Data were collected from March 16 to April 16, 2021, and the final analysis included data from 162 nurses. The general and lifestyle characteristics of the participants were analyzed using descriptive statistics, and the effect on health promotion behavior was analyzed using multiple regression with SPSS/WIN 21.0. Results: The results showed that the factors influencing nurses’ health promotion behavior during the COVID-19 pandemic were social support (β = 0.40, p < 0.001), self-efficacy (β = 0.27, p = 0.014), being married (β = 0.18, p = 0.018), having good health (β = 0.31, p < 0.001), and not skipping meals (β = 0.20, p = 0.001). The explanatory power of the variables was 51.4%. Therefore, health promotion programs to promote social support and self-efficacy are needed to improve nurses’ health promotion behaviors during the COVID-19 pandemic. Conclusions: These results indicate that the development of additional management strategies for health promotion among nurses during the COVID-19 pandemic is necessary. It is necessary to prepare organizational policies and manage self-care to improve nurses’ irregular eating habits during the ongoing pandemic.
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Affiliation(s)
- Sun-gyung Lee
- Gyeongsang National University Hospital, Jinju 52727, Korea;
| | - Boyoung Kim
- Department of Nursing, College of Nursing, Chonnam National University, Gwangju 61469, Korea
- Correspondence: ; Tel.: +82-62-530-4936
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20
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Pascoe A, Paul E, Willis K, Smallwood N. Cross-sectional survey of COVID-19-related impacts on mental health of nurses: Occupational disruption, organisational preparedness, psychological harm, and moral distress. Contemp Nurse 2022; 58:212-227. [PMID: 35585037 DOI: 10.1080/10376178.2022.2080089] [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: 11/03/2022]
Abstract
BACKGROUND The COVID-19 pandemic has presented unprecedented levels of prolonged strain on healthcare systems and healthcare workers (HCWs) globally, with nurses are at the forefront. OBJECTIVES To describe types and prevalence of occupational disruptions and exposure to COVID-19, and their impacts on mental health, moral distress, coping strategies, and help-seeking behaviours of Australian nurses. DESIGN A cross-sectional online anonymous survey distributed amongst Australian healthcare workers between 27th August and 23rd October 2020. METHODS Data was collected on demographics, workplace disruption, personal relationships, and mental health. Predictors of mental health impacts and coping strategies were identified through multivariate regression analyses. RESULTS 7845 complete responses were returned, of which 3082 (39.3%) were from nurses and 4763 (60.7%) were from all other professions ('other HCWs'). Occupational disruption was common, with nurses specifically reporting additional paid hours (p<0.001). Nurses were exposed to, and infected with, COVID-19 more frequently than other HCWs (p<0.001) and were more likely to report concerns around stigmatisation from the broader community (p<0.001). Symptoms of mental illness (anxiety, depression, PTSD and burnout) were significantly more prevalent in nurses than other HCWs, despite both groups scoring high on resilience. Common predictors of mental health symptoms included exposure to COVID-19 and worsening of personal relationships. Nurses reported a variety of coping strategies and were more likely than other HCWs to increase alcohol consumption. Engagement with formal support services was low for both groups. Personal and professional predictors for coping strategy use were identified. CONCLUSIONS Urgent action is needed to address staff shortages and burnout which have been exacerbated by COVID-19. Initiatives which recognise the importance of nursing staff and incentivise current and future nurses to join and remain in the workforce are essential. IMPACT STATEMENT Nurses faced significant occupational disruption, infection risk, and psychological harm during the first year of the COVID-19 pandemic in Australia.
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Affiliation(s)
- Amy Pascoe
- Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria 3004
| | - Eldho Paul
- Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University.,Clinical Haematology Department, Alfred Hospital
| | - Karen Willis
- School of Public Health, College of Health and Biomedicine, Victoria University, Footscray Park, Melbourne Vic 3011, Australia.,Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Grattan Street Parkville, Vic 3050
| | - Natasha Smallwood
- Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria 3004.,Department of Respiratory Medicine, The Alfred Hospital, 55 Commercial Road, Prahran, Victoria 3004
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21
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Tham R, Pascoe A, Willis K, Kay M, Smallwood N. Differences in psychosocial distress among rural and metropolitan health care workers during the COVID-19 pandemic. Aust J Rural Health 2022; 30:683-696. [PMID: 35511109 PMCID: PMC9347496 DOI: 10.1111/ajr.12873] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 03/24/2022] [Accepted: 04/06/2022] [Indexed: 01/22/2023] Open
Abstract
Objective The Australian COVID‐19 Frontline Healthcare Workers study examined the prevalence and severity of mental health symptoms during the second wave of the COVID‐19 pandemic. This substudy examined the differences in psychological well‐being between rural and metropolitan health care workers (HCWs). Design A nationwide survey conducted between August and October 2020. Setting and Participants Australian HCWs were recruited through multiple strategies. Main outcome measures Demographics, mental health outcomes (anxiety, depression, post‐traumatic stress disorder [PTSD] and burnout). Results Complete responses were included from 7846 participants, with 1473 (18.8%) in regional or remote (‘rural’) areas and 81.2% in metropolitan areas. Rural participants were older, more likely to work in allied health, nursing or in health administration, and had worked longer in their profession than metropolitan participants. Levels of resilience were similar (p = 0.132), but there was significantly higher prevalence of pre‐COVID‐19 pandemic mental illness in the rural workforce (p < 0.001). There were high levels of current mental health issues: moderate–severe PTSD (rural 38.0%; metropolitan 41.0% p = 0.031); high depersonalisation (rural 18.1%; metropolitan 20.7% p = 0.047); and high emotional exhaustion (rural 46.5%; metropolitan 43.3% p = 0.002). Among rural participants, mental health symptoms were associated with younger age, worry about being blamed if they contracted COVID‐19, fear of transmitting COVID‐19 to their family, experiencing worsening relationships and working in primary care or allied health. Conclusion Despite having low COVID‐19 case numbers in rural Australian health services compared with metropolitan counterparts over the course of 2020, there were widespread mental health impacts on the workforce. Rural health services need specific and flexible training, education, work policies and practices that support psychological well‐being now in preparedness for ongoing or future crises.
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Affiliation(s)
- Rachel Tham
- Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.,La Trobe Rural Health School, La Trobe University, Bendigo, Victoria, Australia.,Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Victoria, Australia
| | - Amy Pascoe
- Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia
| | - Karen Willis
- College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia.,Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Margaret Kay
- Primary Care Clinical Unit, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia
| | - Natasha Smallwood
- Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia.,Department of Respiratory Medicine, The Alfred Hospital, Prahran, Victoria, Australia
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22
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Durns T, Gethin-Jones T, Monson E, O'Donohoe J. Response of US psychiatric programs to the COVID-19 pandemic and the impact on trainees. BMC MEDICAL EDUCATION 2022; 22:229. [PMID: 35365125 PMCID: PMC8972686 DOI: 10.1186/s12909-022-03286-x] [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: 06/21/2021] [Accepted: 03/22/2022] [Indexed: 05/10/2023]
Abstract
BACKGROUND Medical training program and hospital response to the COVID-19 pandemic has varied greatly and has impacted trainee well-being. Which factors have specifically related to trainee wellness, however, has not yet been examined in depth. The aim of the study was to understand trainee perspectives on the individual psychiatry trainee programs' hospitals' objective COVID-19 preparedness management. We also sought and to gauge how program changes, and general pandemic-related concerns, have been associated with trainee satisfaction and burnout. METHODS A cross-sectional survey study of psychiatric trainees was distributed electronically throughout the country via various psychiatry residency program listservs in April 2020. Statistical analyses were performed utilizing simple linear regression. RESULTS From 352 respondents (346 complete responses and 6 partial responses), the most frequent program changes were "decreased number of rotations requiring in-person patient care" and "increased call hours or duties." Of pandemic-related concerns surveyed, the two greatest were "spreading COVID-19 to family/friends" and "co-residents' burnout and anxiety." A positive relationship was found between trainee satisfaction with perceived COVID-19 departmental response and comfort level of residents/fellows in expressing concerns with attending clinicians and department leadership. CONCLUSIONS Since the start of the COVID-19 pandemic, trainees have experienced a variety of changes to trainee program policies and guidelines. Overall, poor communication and trainee dissatisfaction with departmental response correlated with concern of infection and anxiety/burnout. Insights garnered from this study could provide scaffolding for the best practices to reduce trainee physician anxiety/burnout for the current and future pandemics of this variety and magnitude.
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Affiliation(s)
- Tyler Durns
- Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA.
| | - Thomas Gethin-Jones
- Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA
| | - Eric Monson
- Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA
| | - Jennifer O'Donohoe
- Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA
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23
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Tran J, Willis K, Kay M, Hutt K, Smallwood N. The Workplace and Psychosocial Experiences of Australian Senior Doctors during the COVID-19 Pandemic: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19053079. [PMID: 35270770 PMCID: PMC8910257 DOI: 10.3390/ijerph19053079] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Revised: 02/04/2022] [Accepted: 03/02/2022] [Indexed: 01/27/2023]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic has had significant mental health impacts among healthcare workers (HCWs), related to resource scarcity, risky work environments, and poor supports. Understanding the unique challenges experienced by senior doctors and identifying strategies for support will assist doctors facing such crises into the future. A cross-sectional, national, online survey was conducted during the second wave of the Australian COVID-19 pandemic. Inductive content analysis was used to examine data reporting workplace and psychosocial impacts of the pandemic. Of 9518 responses, 1083 senior doctors responded to one or more free-text questions. Of the senior doctors, 752 were women and 973 resided in Victoria. Four themes were identified: (1) work-life challenges; (2) poor workplace safety, support, and culture; (3) poor political leadership, planning and support; and (4) media and community responses. Key issues impacting mental health included supporting staff wellbeing, moral injury related to poorer quality patient care, feeling unheard and undervalued within the workplace, and pandemic ill-preparedness. Senior doctors desired better crisis preparedness, HCW representation, greater leadership, and accessible, authentic psychological wellbeing support services from workplace organisations and government. The pandemic has had significant impacts on senior doctors. The sustainability of the healthcare system requires interventions designed to protect workforce wellbeing.
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Affiliation(s)
- Jonathan Tran
- The Melbourne Medical School, The University of Melbourne, Parkville, VIC 3010, Australia;
| | - Karen Willis
- Public Health, College of Health and Biomedicine, Victoria University, Footscray Park, Melbourne, VIC 3011, Australia;
- Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Grattan Street, Parkville, VIC 3050, Australia
| | - Margaret Kay
- General Practice Clinical Unit, Level 8 Health Sciences Building, Royal Brisbane and Women’s Hospital, Herston, QLD 4029, Australia;
| | - Kathryn Hutt
- Doctors’ Health Advisory Service, Suite 207, 69 Christie Street, St Leonards, NSW 2065, Australia;
| | - Natasha Smallwood
- Department of Respiratory Medicine, The Alfred Hospital, Prahan, VIC 3004, Australia
- Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, VIC 3004, Australia
- Correspondence: ; Tel.: +61-3-9903-8735
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Stone E, Irving L, Tonga KO, Thompson B. Sustaining the Australian respiratory workforce through the COVID-19 pandemic - a scoping literature review. Intern Med J 2022; 52:1115-1122. [PMID: 35195945 PMCID: PMC9111702 DOI: 10.1111/imj.15718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Accepted: 02/10/2022] [Indexed: 11/29/2022]
Abstract
The outbreak of the COVID‐19 pandemic in late 2019 and in 2020 presented challenges to healthcare workers (HCW) around the world that were unexpected and dramatic. The relentless progress of infection, starting in China and rapidly spreading to Europe, North America and elsewhere gave more remote countries, like Australia, time to prepare but also time for unease. HCW everywhere had to readjust and change their work practices to cope. Further waves of infection and transmission with newer variants pose challenges to HCW and health systems, even after mass vaccination. Respiratory medicine HCW found themselves at the frontline, developing critical care services to support intensive care units and grappling with unanticipated concerns about safety, risk and the need to retrain. Several studies have addressed the need for rapid changes in the healthcare workforce for COVID‐19 and the impact of this preparation on HCW themselves. In this paper, we present a scoping review of the literature on preparing HCW for the pandemic, explore the Australian experience of building the respiratory workforce and propose evidence‐based recommendations to sustain this workforce in an unprecedented high‐risk environment.
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Affiliation(s)
- Emily Stone
- Department of Thoracic Medicine and Lung Transplantation, St Vincent's Hospital Sydney, New South Wales, Australia.,School of Clinical Medicine, UNSW Medicine & Health St Vincent's Clinical Campus
| | - Lou Irving
- Department of Respiratory and Sleep Medicine, Royal Melbourne Hospital, Melbourne, Victoria, Australia
| | - Katrina O Tonga
- Department of Thoracic Medicine and Lung Transplantation, St Vincent's Hospital Sydney, New South Wales, Australia.,School of Clinical Medicine, UNSW Medicine & Health St Vincent's Clinical Campus; Northern Clinical School, University of Sydney, New South Wales, Australia
| | - Bruce Thompson
- Swinburne University of Technology, 3783, School of Health Sciences, Hawthorn, Victoria, Australia
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Hunter R, Willis K, Smallwood N. The workplace and psychosocial experiences of Australian junior doctors during the COVID-19 pandemic. Intern Med J 2022; 52:745-754. [PMID: 35189019 PMCID: PMC9111491 DOI: 10.1111/imj.15720] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Revised: 02/07/2022] [Accepted: 02/11/2022] [Indexed: 11/29/2022]
Abstract
Background Junior doctors experience high levels of psychological distress and emotional exhaustion. The current Coronavirus disease 2019 (COVID‐19) pandemic has resulted in significant changes to healthcare globally, with quantitative studies demonstrating increased fatigue, depression and burnout in junior doctors. However, there has been limited qualitative research to examine junior doctors' experiences, challenges and beliefs regarding management of future crises. Aims To investigate the workplace and psychosocial experiences of Australian junior doctors working during the second wave of the COVID‐19 pandemic. Methods Australian healthcare workers were invited to participate in a nationwide, voluntary, anonymous, single time point, online survey between 27 August and 23 October 2020. A qualitative descriptive study of responses to four free‐text questions from 621 junior doctors was undertaken, with responses analysed using inductive content analysis. Results Participants were predominantly female (73.2%), aged 31–40 years (48.0%) and most frequently reported working in medical specialties (48.4%), emergency medicine (21.7%) or intensive care medicine (11.4%). Most (51.9%) participants had 0–5 years of clinical experience since medical graduation. Junior doctors described experiences related to four key themes: a hierarchical, difficult workplace culture; challenging working conditions; disrupted training and career trajectories; and broader psychosocial impacts. The COVID‐19 pandemic exacerbated longstanding, workplace issues and stressors for junior doctors and highlighted the threat that crises pose to medical workforce retention. There is an urgent need for authentic, positive workplace cultural interventions to engage, validate and empower junior doctors. Conclusions Challenging workplace cultures and conditions, which have worsened during the COVID‐19 pandemic, are associated with poor psychological well‐being in junior doctors. There exists a need for long‐term, widespread improvements in workplace culture and working conditions to ensure junior doctors' well‐being, facilitate workforce retention and enhance the safety and quality of patient care in Australia.
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Affiliation(s)
- Roseanna Hunter
- Department of Medicine, St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, Victoria, 3065, Australia
| | - Karen Willis
- Public Health, College of Health and Biomedicine, Victoria University, Footscray Park, Melbourne, Victoria, 3011, Australia.,Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Grattan Street Parkville, Victoria, 3050, Australia
| | - Natasha Smallwood
- Department of Respiratory Medicin, The Alfred Hospital, 55 Commercial Road, Prahran, Victoria, 3004, Australia.,Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, 3004, Australia
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Smallwood N, Harrex W, Rees M, Willis K, Bennett CM. COVID-19 infection and the broader impacts of the pandemic on healthcare workers. Respirology 2022; 27:411-426. [PMID: 35048469 DOI: 10.1111/resp.14208] [Citation(s) in RCA: 42] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/05/2021] [Accepted: 12/12/2021] [Indexed: 12/14/2022]
Abstract
The severe acute respiratory syndrome coronavirus (SARS-CoV-2) disease or COVID-19 pandemic is associated with more than 230 million cases and has challenged healthcare systems globally. Many healthcare workers (HCWs) have acquired the infection, often through their workplace, with a significant number dying. The epidemiology of COVID-19 infection in HCWs continues to be explored, with manifold exposure risks identified, leading to COVID-19 being recognised as an occupational disease for HCWs. The physical illness due to COVID-19 in HCWs is similar to the general population, with some HCWs experiencing a long-term illness, which may impact their ability to return to work. HCWs have also been affected by the immense workplace and psychosocial disruption caused by the pandemic. The impacts on the psychological well-being of HCWs globally have been profound, with high prevalence estimates for mental health symptoms, including emotional exhaustion. Globally, governments, healthcare organisations and employers have key responsibilities, including: to be better prepared for crises with comprehensive disaster response management plans, and to protect and preserve the health workforce from the physical and psychological impacts of the pandemic. While prioritising HCWs in vaccine rollouts globally has been critical, managing exposures and outbreaks occurring in healthcare settings remains challenging and continues to lead to substantial disruption to the health workforce. Safeguarding healthcare workforces during crises is critical as we move forward on the new path of 'COVID normal'.
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Affiliation(s)
- Natasha Smallwood
- Department of Respiratory Medicine, The Alfred Hospital, Prahran, Victoria, Australia.,Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia
| | - Warren Harrex
- Consultant Occupational & Environmental Physician, Woden, Australian Capital Territory, Australia
| | - Megan Rees
- Department of Respiratory and Sleep Disorders Medicine, The Royal Melbourne Hospital, Parkville, Victoria, Australia.,Department of Medicine, RMH, Faculty of Medicine, Dentistry and Health, The University of Melbourne, Melbourne, Victoria, Australia
| | - Karen Willis
- Public Health, College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia.,Division of Critical Care and Investigative Services, Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Catherine M Bennett
- Institute for Health Transformation, Deakin University, Burwood, Victoria, Australia
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Petrie K, Smallwood N, Pascoe A, Willis K. Mental Health Symptoms and Workplace Challenges among Australian Paramedics during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:1004. [PMID: 35055836 PMCID: PMC8775775 DOI: 10.3390/ijerph19021004] [Citation(s) in RCA: 23] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/13/2021] [Revised: 01/11/2022] [Accepted: 01/14/2022] [Indexed: 01/27/2023]
Abstract
BACKGROUND Paramedics are vital to the health system response to the COVID-19 pandemic; however, the pressures on this workforce have been intense and challenging. This study reports on mental health symptoms and the working environment among Australian paramedics during the COVID-19 pandemic and explores their experiences of work and wellbeing during this time. METHODS An anonymous, online survey of frontline healthcare workers examined work environment, psychological wellbeing, and contained four open-ended qualitative items. Using a mixed method approach, quantitative data were analysed descriptively and qualitative data were analysed using content analysis. RESULTS This paper reports findings from 95 paramedics who provided complete quantitative data and 85 paramedics who provided free-text responses to at least one qualitative item. Objectively measured mental health symptoms were common among paramedics, and almost two thirds of paramedics self-reported experiencing burnout. Qualitative analysis highlighted key issues of safety and risk in the workplace, uncertainty and upheaval at work and at home, and lack of crisis preparedness. Qualitative analysis revealed four themes; 'the pervasiveness of COVID-19 disruptions across all life domains'; 'the challenges of widespread disruption at work'; 'risk, uncertainty and feeling unsafe at work', and 'the challenges of pandemic (un)preparedness across the health system'. CONCLUSIONS The COVID-19 pandemic resulted in considerable occupational disruption for paramedics and was associated with significant negative impacts on mental health. Findings emphasise the need for more adaptive working conditions, mental health support for paramedics, and enhanced crisis preparedness across the health system for future crises.
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Affiliation(s)
- Katherine Petrie
- Black Dog Institute, School of Psychiatry, University of New South Wales, Sydney 2000, Australia;
| | - Natasha Smallwood
- Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Monash University, Melbourne 3004, Australia; (N.S.); (A.P.)
| | - Amy Pascoe
- Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital, Monash University, Melbourne 3004, Australia; (N.S.); (A.P.)
| | - Karen Willis
- Public Health, College of Health and Biomedicine, and Institute for Health and Sport, Victoria University, Melbourne 3011, Australia
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Differences in Coping Strategies and Help-Seeking Behaviours among Australian Junior and Senior Doctors during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182413275. [PMID: 34948889 PMCID: PMC8706730 DOI: 10.3390/ijerph182413275] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/13/2021] [Accepted: 12/14/2021] [Indexed: 01/12/2023]
Abstract
BACKGROUND Throughout the COVID-19 pandemic, hospital medical staff (HMS) have faced significant personal, workplace, and financial disruption. Many have experienced psychosocial burden, exceeding already concerning baseline levels. This study examines the types and predictors of coping strategies and help-seeking behaviours utilised by Australian junior and senior HMS during the first year of the pandemic. METHODS A cross-sectional online survey of Australian frontline healthcare workers was conducted between 27 August and 23 October 2020. Data collected included demographics, personal and workplace disruptions, self-reported and validated mental health symptoms, coping strategies, and help-seeking. RESULTS The 9518 participants included 1966 hospital medical staff (62.1% senior, 37.9% junior). Both groups experienced a high burden of anxiety, depression, post-traumatic stress disorder, and burnout. Coping strategies varied by seniority, with maintaining exercise the most common strategy for both groups. Adverse mental health was associated with increased alcohol consumption. Engagement with professional support, although more frequent among junior staff, was uncommon in both groups. CONCLUSIONS Junior and senior staff utilised different coping and help-seeking behaviours. Despite recognition of symptoms, very few HMS engaged formal support. The varied predictors of coping and help-seeking identified may inform targeted interventions to support these cohorts in current and future crises.
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"Covid Just Amplified the Cracks of the System": Working as a Frontline Health Worker during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910178. [PMID: 34639479 PMCID: PMC8508504 DOI: 10.3390/ijerph181910178] [Citation(s) in RCA: 23] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 09/06/2021] [Accepted: 09/22/2021] [Indexed: 01/07/2023]
Abstract
The COVID-19 pandemic has intensified existing workplace stresses and created new challenges for people working on the healthcare frontline, including rapid workplace changes and increasing uncertainty at work, along with fear of contracting the virus. The purpose of this study is to examine the workplace challenges described by Australian frontline health workers during the pandemic. Drawing on a national online anonymous survey of 9518 healthcare workers, we analysed free-text responses to the question: “What did you find to be the main challenges that you faced during the pandemic?” A qualitative content analysis was undertaken. We identified five key themes relating to participant experiences of workplace challenges. These were: Work-life imbalance; Following orders or caring for patients; Unpredictability, disruption, and inconsistency at work; The right to be safe at work; and (Un)preparedness in the workplace. We argue that working during the COVID-19 pandemic illuminated existing occupational health and safety issues that have serious implications for job satisfaction, health workforce retention, and ultimately, patient care.
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