1
|
Makina-Zimalirana N, Bisnauth M, Shangase N, Davies N, Jiyane A, Buthelezi F, Rees K. Workplace wellbeing among health care workers providing HIV services in primary care in Johannesburg: a mixed methods study. Front Public Health 2023; 11:1220301. [PMID: 38026318 PMCID: PMC10643173 DOI: 10.3389/fpubh.2023.1220301] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 09/18/2023] [Indexed: 12/01/2023] Open
Abstract
Background Burnout among Health Care workers (HCWs) impacts on provider-patient relations and quality of care. Anova Health Institute (Anova) is a large South African non-profit organization and PEPFAR/USAID implementing partner. We conducted a study among HCWs providing HIV-related services in primary care settings in Johannesburg, South Africa, to examine levels of burnout, understand factors affecting workplace wellbeing, and explore strategies to prevent burnout. Methods We used a sequential mixed-method approach. Data were collected between February and April 2022. The first phase consisted of a survey using the Maslach Burnout Inventory Human Services Survey (MBI-HSS) to measure levels of burnout. We then interviewed a subset of survey participants to understand the experiences that may affect wellbeing. We used descriptive statistics to quantify burnout rates for each MBI dimension (emotional exhaustion, personal accomplishment, and depersonalization). Qualitative data analysis was guided by the Job Demands-Resources Framework that explores the interactions between demands and resources in the workplace. Results Survey findings (n = 194) revealed that although depersonalization rates were low at 6%, 21% of participants had high emotional exhaustion and 24% reported low professional accomplishment. Less than half (41%, n = 80) had scores in the high category for any one of the three MBI-HSS dimensions. The MBI-HSS dimensions differed significantly by type of work and job title. Roving positions (HCW working in more than one health facility) were more likely to experience higher emotional exhaustion and lower professional accomplishment. Qualitative findings (n = 25) indicate that a number of job demands, including high workload, inadequate mental health support, and challenging relationships with stakeholders, had a negative effect on HCWs' wellbeing. However, finding meaningfulness in their work, working as a team, and practicing autonomy were experienced as resources that reduced the negative effect of these demands. Conclusion While measured burnout syndrome rates were low, various experiences negatively impacted at least one in five HCW. We identified key resources that provided buffering against workplace stressors. We recommend that as well as addressing key drivers of burnout, access to these resources should be fostered, for example by strengthening interventions that offer recognition, and promoting team interactions through social activities and support groups.
Collapse
Affiliation(s)
| | | | | | | | - Anele Jiyane
- Anova Health Institute, Johannesburg, South Africa
| | | | - Kate Rees
- Anova Health Institute, Johannesburg, South Africa
- Department of Community Health, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| |
Collapse
|
2
|
Rasmussen PU, Uhrbrand K, Frederiksen MW, Madsen AM. Work in nursing homes and occupational exposure to endotoxin and bacterial and fungal species. Ann Work Expo Health 2023; 67:831-846. [PMID: 37300561 PMCID: PMC10410494 DOI: 10.1093/annweh/wxad032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 05/23/2023] [Indexed: 06/12/2023] Open
Abstract
Indoor microbial exposure may cause negative health effects. Only little is known about the occupational microbial exposure in nursing homes and the factors that influence the exposure. The exposure in nursing homes may be increased due to close contact with elderly persons who may carry infectious or antimicrobial-resistant microorganisms and due to handling of laundry, such as used clothing and bed linen. We investigated the microbial exposure in 5 nursing homes in Denmark, by use of personal bioaerosol samples from different groups of staff members taken during a typical working day, stationary bioaerosol measurements taken during various work tasks, sedimented dust samples, environmental surface swabs, and swabs from staff members' hands. From the samples, we explored bacterial and fungal concentrations and species composition, endotoxin levels, and antimicrobial resistance in Aspergillus fumigatus isolates. Microbial concentrations from personal exposure samples differed among professions, and geometric means (GM) were 2,159 cfu/m3 (84 to 1.5 × 105) for bacteria incubated on nutrient agar, 1,745 cfu/m3 (82 to 2.0 × 104) for bacteria cultivated on a Staphylococcus selective agar, and 16 cfu/m3 air for potential pathogenic fungi incubated at 37 °C (below detection limit to 257). Bacterial exposures were elevated during bed making. On surfaces, the highest bacterial concentrations were found on bed railings. The majority of bacterial species found were related to the human skin microflora, such as different Staphylococcus and Corynebacterium species. Endotoxin levels ranged from 0.02 to 59.0 EU/m3, with a GM of 1.5 EU/m3. Of 40 tested A. fumigatus isolates, we found one multiresistant isolate, which was resistant towards both itraconazole and voriconazole, and one isolate resistant towards amphotericin B. In conclusion, we give an overview of the general microbial exposure in nursing homes and show that microbial exposures are higher for staff with more care and nursing tasks compared with administrative staff.
Collapse
Affiliation(s)
- Pil Uthaug Rasmussen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark
| | - Katrine Uhrbrand
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark
| | - Margit W Frederiksen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark
| | - Anne Mette Madsen
- National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark
| |
Collapse
|
3
|
Belz FF, Adair KC, Proulx J, Frankel AS, Sexton JB. Corrigendum: The language of healthcare worker emotional exhaustion: a linguistic analysis of longitudinal survey. Front Psychiatry 2023; 14:1243602. [PMID: 37599867 PMCID: PMC10436078 DOI: 10.3389/fpsyt.2023.1243602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2023] [Accepted: 07/25/2023] [Indexed: 08/22/2023] Open
Abstract
[This corrects the article DOI: 10.3389/fpsyt.2022.1044378.].
Collapse
Affiliation(s)
- Franz F Belz
- Duke School of Medicine, Duke University, Durham, NC, United States
| | - Kathryn C Adair
- Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, United States
| | - Joshua Proulx
- Safe and Reliable Healthcare, Evergreen, CO, United States
| | | | - J Bryan Sexton
- Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, United States
| |
Collapse
|
4
|
Hosseinian S, de Assis R, Khalil G, Luu M, Jain A, Horvath P, Nakajima R, Palma AM, Hoang A, Razzak E, Garcia N, Alger J, Kalantari M, Silzel EK, Jasinskas A, Zaldivar F, Schubl SD, Felgner PL, Khan S. Analysis and comparison of SARS-CoV-2 variant antibodies and neutralizing activity for 6 months after a booster mRNA vaccine in a healthcare worker population. Front Immunol 2023; 14:1166261. [PMID: 37266444 PMCID: PMC10229859 DOI: 10.3389/fimmu.2023.1166261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2023] [Accepted: 05/02/2023] [Indexed: 06/03/2023] Open
Abstract
Introduction In the context of recurrent surges of SARS-CoV-2 infections, a detailed characterization of antibody persistence over a 6-month period following vaccine booster dose is necessary to crafting effective public health policies on repeat vaccination. Methods To characterize the SARS-CoV-2 antibody profile of a healthcare worker population over a 6-month period following mRNA vaccination and booster dose. 323 healthcare workers at an academic medical center in Orange County, California who had completed primary vaccination and booster dose against SARS-CoV-2 were recruited for the study. A total of 690 blood specimens over a 6-month period were collected via finger-stick blood and analyzed for the presence of antibodies against 9 SARS-CoV-2 antigens using a coronavirus antigen microarray. Results The primary outcome of this study was the average SARS-CoV-2 antibody level as measured using a novel coronavirus antigen microarray. Additional outcomes measured include levels of antibodies specific to SARS-CoV-2 variants including Delta, Omicron BA.1, and BA.2. We also measured SARS-CoV-2 neutralization capacity for a subset of the population to confirm correlation with antibody levels. Although antibodies against SARS-CoV-2 wane throughout the 6-month period following a booster dose, antibody levels remain higher than pre-boost levels. However, a booster dose of vaccine based on the original Wuhan strain generates approximately 3-fold lower antibody reactivity against Omicron variants BA.1 and BA.2 as compared to the vaccine strain. Despite waning antibody levels, neutralization activity against the vaccine strain is maintained throughout the 6-month period. Discussion In the context of recurrent surges of SARS-CoV-2 infections, our data indicate that breakthrough infections are likely driven by novel variants with different antibody specificity and not by time since last dose of vaccination, indicating that development of vaccinations specific to these novel variants is necessary to prevent future surges of SARS-CoV-2 infections.
Collapse
Affiliation(s)
- Sina Hosseinian
- School of Medicine, University of California Irvine, Irvine, CA, United States
| | - Rafael de Assis
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Ghali Khalil
- School of Medicine, University of California Irvine, Irvine, CA, United States
| | - Madeleine K. Luu
- School of Biological Sciences, University of California Irvine, Irvine, CA, United States
| | - Aarti Jain
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Peter Horvath
- Institute for Clinical and Translational Science, University of California Irvine, Irvine, CA, United States
| | - Rie Nakajima
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Anton M. Palma
- Institute for Clinical and Translational Science, University of California Irvine, Irvine, CA, United States
| | - Anthony Hoang
- School of Biological Sciences, University of California Irvine, Irvine, CA, United States
| | - Eisa Razzak
- School of Biological Sciences, University of California Irvine, Irvine, CA, United States
| | - Nicholas Garcia
- School of Medicine, University of California Irvine, Irvine, CA, United States
| | - Joshua Alger
- Institute for Clinical and Translational Science, University of California Irvine, Irvine, CA, United States
| | - Mina Kalantari
- Innovative Health Diagnostics, Irvine, CA, United States
| | - Emily K. Silzel
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Algis Jasinskas
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Frank Zaldivar
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
- Department of Pediatrics, University of California Irvine, Irvine, CA, United States
| | - Sebastian D. Schubl
- Department of Surgery, School of Medicine, University of California Irvine, Irvine, CA, United States
| | - Philip L. Felgner
- Department of Physiology and Biophysics, University of California Irvine, Irvine, CA, United States
| | - Saahir Khan
- Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
| |
Collapse
|
5
|
El-Gammal MA, Elgendy A, Heidler P, Owais TA, Eltewacy NK, Hamza N. The psychological impact of COVID-19 on healthcare work force in the Middle East region C-S study. Front Psychiatry 2023; 14:1112501. [PMID: 36950256 PMCID: PMC10026837 DOI: 10.3389/fpsyt.2023.1112501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 01/23/2023] [Indexed: 03/08/2023] Open
Abstract
Introduction COVID-19, is one of the biggest challenges facing humanity in the 21st century (1). The pandemic outbreak as affected all human activities, starting with healthcare and medical service passing with economy and social relationships, as well as political, religious and cultural enactments (2). The healthcare workers were the most affected fighting in the frontline working longer hours under a high risk of being infected (3). This study aims to assess the depression, anxiety and stress levels of the healthcare workforce (physicians, nurses, pharmacists and dentists) in the Middle East and North Africa-MENA-region. Methods We invited healthcare workers in the Middle East to participate in our cross-sectional survey by answering to the DASS-21 questionnaire. Results A total of 4,845 healthcare workers participated in the study. The participants were from 11 countries as follows: 436 from Egypt, 430 from Algeria, 458 from Iraq, 453 from Jordan, 473 from Libya, 428 from Palestine, 419 from Saudi Arabia, 452 from Sudan, 451 from Syria, 424 from Tunisia, and 421 from Yemen. The doctors among the healthcare workers were 51.7%, 19.0% were from the nursing staff, 16.8% were pharmacists, and 12.5% were from dentists. The depression level among the healthcare workers was as follows: 29.1% were normal, 13.7% were mildly depressed, 26.9% were moderately depressed, 14.4% were suffering from severe depression, and the depression state was extremely severe for the last 15.9%. At the same time, 29.1% were suffering from no anxiety, while 6.9% were at a mild level, 22.3% were at a moderate level, 13.4% were at a severe level, and 28.3% were at an extremely severe level. For the stress levels, 38.6% were normal, 14.9% were suffering from mild stress, 20.3% were moderate, 17.4% were severe, and the stress level was extremely severe for the other 8.9%. Discussion This study indicates that in the Middle East and North Africa-MENA-region, the prevalence of depression, anxiety, and stress among the healthcare workforce during the COVID-19 pandemic was 70.9, 70.9, 61.4, respectively.
Collapse
Affiliation(s)
- Marwa Ahmed El-Gammal
- Nanotechnology Program, The American University of Cairo, Cairo, Egypt
- *Correspondence: Marwa Ahmed El-Gammal,
| | - Amira Elgendy
- Medical Agency for Research and Statistics, Cairo, Egypt
| | - Petra Heidler
- Department of International Business and Export Management, IMC University of Applied Management Sciences Krems, Krems an der Donau, Austria
- Department of Health Sciences, St. Pölten University of Applied Sciences, St. Pölten, Austria
| | - Tarek A. Owais
- Faculty of Pharmacy, Beni-Suef University, Beni Suef, Egypt
| | - Nael Kamel Eltewacy
- Faculty of Pharmacy, Beni-Suef University, Beni Suef, Egypt
- Eltewacy Arab Research Group, Cairo, Egypt
| | - Nouran Hamza
- Medical Agency for Research and Statistics, Cairo, Egypt
- Clinical Research Key, Nairobi, Kenya
| | - the EARG groupAmir RaisMohammedAshrafRemankamal abdouEntesarSobhy KiddeesEreenAbdelrazek AbdellahArwaAbd El-MaksoudMostafa S. M.MitwallyAwadAseelHananiAhmadYousef SubohDuhaElkhaderSamaaHanaysheSalsabeelKiswaniGharamBen AmmarHanenHamdiGhadaBrahmi lLinamohamed AyadiMalekZitaniBayanKarkarNourothmanTasneemAssalyehTasnimAl SariBatoulAltweelBaraaElzahafRaga A.abdulrasoul HasanMoufiqAli MohammedAlmajdoubHasanWisam AAlkokhiya aldareHajarAkwaisahAyoubAhmed AwasAliFateh MohammedDaresAl-duaisHarethAl-subariKholood AhmedAlhaloolBadrAbdelrahim MusbahAhmedAbdelrahim MusbahElhusseiniSalih EisaHassanAltayeb BakheetKhiderMonje AmirMohammed AlRiyadh abdulabbasAliAl-DabaghJaafar D.AlnajjarKarrar H.Hameed AhmedMarebAdil TawfeeqDaniahAloweiwiWahidAlkayedZaidSughayerAbdullahThaer AlbaddaweAyaAbu-SirhanLina A.AbdAlla HamadHindOmer IbrahimOmniaabdulmonem AhmedAsmaaDMD, Algiers Department of Dental Medicine, Algeria: Faculty of Medicine, Al-Azhar University, Egypt: Faculty of Pharmacy, Damanhour University, Egypt: Faculty of Pharmacy, Sohag University, Sohag, Egypt: Faculty of Pharmacy (Boys), Al-Azhar University, Assiut Branch, Egypt: Faculty of Pharmacy Mansoura University, Egypt: Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine: Faculty of Medicine, Al-Quds University, Palestine: Faculty of Medicine of Tunis, University Tunis El Manar, Tunisia: Faculty of Medicine of Monastir, Tunisia: Faculty of Medicine Sfax, Sfax University Tunisia, Sfax, Tunisia: Faculty of Medicine, Aleppo University, Syria: College of Medical Technology, Department of Public Health, Derna, Libya: Radiologist Almogarief Teaching Hospital, Libya: Internal Medicine Resident at Brega General Hospital BGH, Libya: Faculty of Medicine, Omar Al-Mukhtar University, Al-Bayda, Libya: Faculty of Medicine of Sabha University, Sabha, Libya: Benghazi Medical Center, Benghazi, Libya: Internal Medicine Department, University of Science and Technology Hospital, Yemen: Faculty of Medicine and Health Sciences, University of Science and Technology, Yemen: Faculty of Medicine and Health Science, University of Gadarif, Sudan: Faculty of Medicine, Gabir Ibin Hayyan Medical University, Iraq: Faculty of Medicine, University of Baghdad, Iraq: College of Medicine, Al-Nahrain University, Baghdad, Iraq: Alnoor University College, Mosul, Iraq: University of Mosul, Aljumhori Hospital, Iraq: School of Medicine, University of Jordan, Amman, Jordan: Faculty of Engineering and IT, British University in Dubai, United Arab Emirates: Albalqa Applied University, Jordan: Ribat University Hospital, National Ribat University, Khartoum, Sudan: Alsalam Health Medical Hospital, Saudi Arabia
| |
Collapse
|
6
|
Belz FF, Adair KC, Proulx J, Frankel AS, Sexton JB. The language of healthcare worker emotional exhaustion: A linguistic analysis of longitudinal survey. Front Psychiatry 2022; 13:1044378. [PMID: 36590605 PMCID: PMC9800594 DOI: 10.3389/fpsyt.2022.1044378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2022] [Accepted: 11/30/2022] [Indexed: 12/23/2022] Open
Abstract
Importance Emotional exhaustion (EE) rates in healthcare workers (HCWs) have reached alarming levels and been linked to worse quality of care. Prior research has shown linguistic characteristics of writing samples can predict mental health disorders. Understanding whether linguistic characteristics are associated with EE could help identify and predict EE. Objectives To examine whether linguistic characteristics of HCW writing associate with prior, current, and future EE. Design setting and participants A large hospital system in the Mid-West had 11,336 HCWs complete annual quality improvement surveys in 2019, and 10,564 HCWs in 2020. Surveys included a measure of EE, an open-ended comment box, and an anonymous identifier enabling HCW responses to be linked across years. Linguistic Inquiry and Word Count (LIWC) software assessed the frequency of one exploratory and eight a priori hypothesized linguistic categories in written comments. Analysis of covariance (ANCOVA) assessed associations between these categories and past, present, and future HCW EE adjusting for the word count of comments. Comments with <20 words were excluded. Main outcomes and measures The frequency of the linguistic categories (word count, first person singular, first person plural, present focus, past focus, positive emotion, negative emotion, social, power) in HCW comments were examined across EE quartiles. Results For the 2019 and 2020 surveys, respondents wrote 3,529 and 3,246 comments, respectively, of which 2,101 and 1,418 comments (103,474 and 85,335 words) contained ≥20 words. Comments using more negative emotion (p < 0.001), power (i.e., references relevant to status, dominance, and social hierarchies, e.g., own, order, and allow) words (p < 0.0001), and words overall (p < 0.001) were associated with higher current and future EE. Using positive emotion words (p < 0.001) was associated with lower EE in 2019 (but not 2020). Contrary to hypotheses, using more first person singular (p < 0.001) predicted lower current and future EE. Past and present focus, first person plural, and social words did not predict EE. Current EE did not predict future language use. Conclusion Five linguistic categories predicted current and subsequent HCW EE. Notably, EE did not predict future language. These linguistic markers suggest a language of EE, offering insights into EE's etiology, consequences, measurement, and intervention. Future use of these findings could include the ability to identify and support individuals and units at high risk of EE based on their linguistic characteristics.
Collapse
Affiliation(s)
- Franz F. Belz
- Duke School of Medicine, Duke University, Durham, NC, United States
| | - Kathryn C. Adair
- Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, United States
| | - Joshua Proulx
- Safe and Reliable Healthcare, Evergreen, CO, United States
| | | | - J. Bryan Sexton
- Duke Center for Healthcare Safety and Quality, Duke University Health System, Durham, NC, United States
| |
Collapse
|
7
|
Zhang N, Lei H, Li L, Jin T, Liu X, Miao D, Su B, Bu Z, Fan L, Xue P, Xie J, Li Y. COVID-19 Vaccination Did Not Change the Personal Protective Behaviors of Healthcare Workers in China. Front Public Health 2022; 9:777426. [PMID: 34993170 PMCID: PMC8724136 DOI: 10.3389/fpubh.2021.777426] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 11/30/2021] [Indexed: 01/01/2023] Open
Abstract
Personal protective behaviors of healthcare workers (HCWs) and dynamic changes in them are known to play a major role in the hospital transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). In this study, 1,499 HCWs in Chinese hospitals completed an online survey about their knowledge on SARS-CoV-2 transmission and their personal protective behaviors before and after coronavirus disease 2019 (COVID-19) vaccination. Of all the respondents, 89% were vaccinated at the time of the survey and 96% believed that the vaccine was effective or highly effective. Further, 88% of the vaccinated HCWs expressed that they would get revaccinated if the vaccination failed. Compared with HCWs with a lower education level, those with a higher education level had less fear of being infected with SARS-CoV-2 and reported a lower negative impact of the pandemic on how they treated patients. Physicians and nurses were willing to believe that short-range airborne and long-range fomite are possible transmission routes. HCWs with a higher education level had a better knowledge of COVID-19 but worse personal protective behaviors. The fact that HCWs with a longer work experience had worse personal protective behaviors showed that HCWs gradually relax their personal protective behaviors over time. Moreover, vaccination reduced the negative effects of the COVID-19 pandemic on how the HCWs treated patients. Importantly, the survey revealed that after vaccination, HCWs in China did not relax their personal protective behaviors, and it may bring a low potential risk for following waves of variant virus (e.g., delta).
Collapse
Affiliation(s)
- Nan Zhang
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Hao Lei
- School of Public Health, Zhejiang University, Hangzhou, China
| | - Li Li
- China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Tianyi Jin
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Xiyue Liu
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Doudou Miao
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Boni Su
- Department of Clean Energy Research, China Electric Power Planning and Engineering Institute, Beijing, China
| | - Zhongming Bu
- Department of Energy and Environmental System Engineering, Zhejiang University of Science and Technology, Hangzhou, China
| | - Lin Fan
- China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Peng Xue
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Jingchao Xie
- Beijing Key Laboratory of Green Built Environment and Energy Efficient Technology, Beijing University of Technology, Beijing, China
| | - Yuguo Li
- Department of Mechanical Engineering, The University of Hong Kong, Pokfulam, Hong Kong SAR, China.,School of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong SAR, China
| |
Collapse
|
8
|
Bannon J, Evans CT, Freedman M, Lee C, Vu TH, Wallia A, Wilkins JT, Moskowitz JT, Hirschhorn LR. Psychological wellbeing and the association with burnout in a cohort of healthcare workers during the COVID-19 pandemic. Front Health Serv 2022; 2:994474. [PMID: 36925776 PMCID: PMC10012723 DOI: 10.3389/frhs.2022.994474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Accepted: 09/27/2022] [Indexed: 03/18/2023]
Abstract
Burnout, depression, and anxiety are prevalent among healthcare workers (HCWs) during the COVID-19 pandemic and have been previously shown to contribute to poor health outcomes and reduced quality of care. Positive psychological constructs such as positive affect and meaning and purpose are related to resilience in the face of significant stress. No studies have examined these associations among a cohort of HCWs during this pandemic. The purpose of this study was to examine the association of depression, anxiety, positive affect, and meaning and purpose with burnout among HCWs during the COVID-19 pandemic. We utilized data from a cross-sectional survey conducted between September 29-December 8, 2021, among a cohort of 2,411 HCWs from a large, tertiary academic health care system in the Chicago area. We employed the Patient-Reported Outcomes Measurement Information System (PROMIS) measures for depression, anxiety, positive affect, and meaning and purpose and burnout was measured by the Oldenburg Burnout Inventory (OLBI). The majority (80.88%) of HCWs in this study identified as White, Non-Hispanic race/ethnicity, female sex (82.37%), and roughly one third were between ages 30-39 years old (30.98%). Registered nurses (26.96%) accounted for the largest single occupation group. The mean burnout score was 36.87 (SD = 7.65), with 53.38% of participants classified as having burnout, and registered nurses demonstrating the highest proportions of burnout (63.54%). Higher depression (coef = 0.15, SE = 0.03, p < 0.001) and anxiety (coef = 0.25, SE = 0.02, p < 0.001) scores were associated with higher burnout in multivariable linear regression models. Increased positive affect (coef= -0.19, SE= 0.02, p < 0.001) and meaning and purpose (coef= -0.12, SE= 0.01, p < 0.001) scores were significantly associated with reduced burnout. Positive affect and meaning and purpose were inversely associated with burnout among a cohort of HCWs during the COVID-19 pandemic. Previous studies of positive affect and meaning and purpose suggest the potential buffering effect that these indices may have on burnout. Future research is needed to examine the effect of positive affect and meaning and purpose on mitigating the negative impacts of burnout, depression, and anxiety among HCWs as they cope with the stress of the COVID-19 pandemic and beyond.
Collapse
Affiliation(s)
- Jacqueline Bannon
- Department of General Medicine, Northwestern Memorial Hospital, Chicago, IL, United States
| | - Charlesnika T Evans
- Center for Health Services and Outcomes Research, Feinberg School of Medicine, Institute for Public Health and Medicine, Northwestern University, Chicago, IL, United States.,Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States.,Department of Veterans Affairs, Center of Innovation for Complex Chronic Healthcare, Edward Hines, Jr. VA Hospital, Hines, IL, United States
| | - Melanie Freedman
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Cerina Lee
- Institute for Public Health and Medicine, Center for Education in Health Sciences, Northwestern University, Chicago, IL, United States
| | - Thanh Huyen Vu
- Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Amisha Wallia
- Center for Health Services and Outcomes Research, Feinberg School of Medicine, Institute for Public Health and Medicine, Northwestern University, Chicago, IL, United States.,Department of Medicine, Division of Endocrinology, Metabolism, and Molecular Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - John T Wilkins
- Center for Health Services and Outcomes Research, Feinberg School of Medicine, Institute for Public Health and Medicine, Northwestern University, Chicago, IL, United States.,Department of Medicine, Division of Cardiology, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Judith T Moskowitz
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| | - Lisa R Hirschhorn
- Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL, United States
| |
Collapse
|
9
|
Xu B, Zhang Y, Chen L, Yu L, Li L, Wang Q. The influence of social network on COVID-19 vaccine hesitancy among healthcare workers: a cross-sectional survey in Chongqing, China. Hum Vaccin Immunother 2021; 17:5048-5062. [PMID: 34982646 PMCID: PMC8903998 DOI: 10.1080/21645515.2021.2004837] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
The factors that lead to coronavirus disease 2019 (COVID-19) vaccine hesitancy among health-care workers (HCWs) are unclear. We aimed to identify the factors that influence HCWs' hesitancy, especially the influence of their social network. Using an online platform, we surveyed HCWs in Chongqing, China, in January 2021 to understand the factors that influence the COVID-19 vaccine hesitancy among HCWs. Proportional allocation stratified sampling method was used to recruit respondents. Multivariable logistic regression and social network analysis (SNA) were used to analyze the influence factors. A total of 5247 HCWs were included and 23.3% of them were vaccine-hesitant. Participants were more hesitant if they had chronic diseases (OR = 1.411, 95% CI: 1.146-1.738), worked in tertiary hospitals (OR = 1.546, 95% CI: 1.231-1.942), and reported a history of vaccine hesitancy (OR = 1.637, 95% CI: 1.395-1.920) and refusal toward other vaccines (OR = 2.433, 95% CI: 2.067-2.863). The participants with a social network to communicate COVID-19 immunization were less hesitant (OR = 0.850, 95% CI: 0.728-0.993). Several influential members with social networks were found in SNA. Most of these influential members in the networks were department leaders who were willing to get COVID-19 vaccines (P < .05). Hesitant subgroups among Chinese HCWs were linked to the lack of a social network to communicate COVID-19 immunization. Our findings may lead to tailored interventions to enhance COVID-19 vaccine uptake among HCWs by targeting key members in social network.
Collapse
Affiliation(s)
- Binyue Xu
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Sichuan, China,EPI Department, Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China
| | - Yi Zhang
- School of Electronic Science and Engineering, University of Electronic Science and Technology of China, Chengdu, China
| | - Lei Chen
- EPI Department, Yuzhong Distinct Center for Disease Control and Prevention, Chongqing, China
| | - Linling Yu
- EPI Department, Yubei Distinct Center for Disease Control and Prevention, Chongqing, China
| | - Lanxin Li
- EPI Department, Shapingba Distinct Center for Disease Control and Prevention, Chongqing, China
| | - Qing Wang
- EPI Department, Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China,CONTACT Qing Wang EPI Department, Chongqing Municipal Center for Disease Control and Prevention, Chongqing, China
| |
Collapse
|
10
|
Portugal LCL, Gama CMF, Gonçalves RM, Mendlowicz MV, Erthal FS, Mocaiber I, Tsirlis K, Volchan E, David IA, Pereira MG, de Oliveira L. Vulnerability and Protective Factors for PTSD and Depression Symptoms Among Healthcare Workers During COVID-19: A Machine Learning Approach. Front Psychiatry 2021; 12:752870. [PMID: 35095589 PMCID: PMC8790177 DOI: 10.3389/fpsyt.2021.752870] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Accepted: 11/08/2021] [Indexed: 01/06/2023] Open
Abstract
Background: Healthcare workers are at high risk for developing mental health problems during the COVID-19 pandemic. There is an urgent need to identify vulnerability and protective factors related to the severity of psychiatric symptoms among healthcare workers to implement targeted prevention and intervention programs to reduce the mental health burden worldwide during COVID-19. Objective: The present study aimed to apply a machine learning approach to predict depression and PTSD symptoms based on psychometric questions that assessed: (1) the level of stress due to being isolated from one's family; (2) professional recognition before and during the pandemic; and (3) altruistic acceptance of risk during the COVID-19 pandemic among healthcare workers. Methods: A total of 437 healthcare workers who experienced some level of isolation at the time of the pandemic participated in the study. Data were collected using a web survey conducted between June 12, 2020, and September 19, 2020. We trained two regression models to predict PTSD and depression symptoms. Pattern regression analyses consisted of a linear epsilon-insensitive support vector machine (ε-SVM). Predicted and actual clinical scores were compared using Pearson's correlation coefficient (r), the coefficient of determination (r2), and the normalized mean squared error (NMSE) to evaluate the model performance. A permutation test was applied to estimate significance levels. Results: Results were significant using two different cross-validation strategies to significantly decode both PTSD and depression symptoms. For all of the models, the stress due to social isolation and professional recognition were the variables with the greatest contributions to the predictive function. Interestingly, professional recognition had a negative predictive value, indicating an inverse relationship with PTSD and depression symptoms. Conclusions: Our findings emphasize the protective role of professional recognition and the vulnerability role of the level of stress due to social isolation in the severity of posttraumatic stress and depression symptoms. The insights gleaned from the current study will advance efforts in terms of intervention programs and public health messaging.
Collapse
Affiliation(s)
- Liana C L Portugal
- Neurophysiology Laboratory, Department of Physiological Sciences, Roberto Alcantara Gomes Biology Institute, Biomedical Center, State University of Rio de Janeiro, Rio de Janeiro, Brazil.,Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Camila Monteiro Fabricio Gama
- Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Raquel Menezes Gonçalves
- Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Mauro Vitor Mendlowicz
- Department of Psychiatry and Mental Health, Fluminense Federal University, Rio de Janeiro, Brazil
| | - Fátima Smith Erthal
- Laboratory of Neurobiology, Institute of Biophysics Carlos Chagas Filho, Rio de Janeiro, Brazil
| | - Izabela Mocaiber
- Laboratory of Cognitive Psychophysiology, Department of Natural Sciences, Institute of Humanities and Health, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Konstantinos Tsirlis
- Centre for Medical Image Computing, University College London, London, United Kingdom
| | - Eliane Volchan
- Laboratory of Neurobiology, Institute of Biophysics Carlos Chagas Filho, Rio de Janeiro, Brazil
| | - Isabel Antunes David
- Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Mirtes Garcia Pereira
- Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| | - Leticia de Oliveira
- Laboratory of Neurophysiology of Behavior, Department of Physiology and Pharmacology, Biomedical Institute, Federal Fluminense University, Rio de Janeiro, Brazil
| |
Collapse
|
11
|
Vento S, Cainelli F, Vallone A. Violence Against Healthcare Workers: A Worldwide Phenomenon With Serious Consequences. Front Public Health 2020; 8:570459. [PMID: 33072706 PMCID: PMC7531183 DOI: 10.3389/fpubh.2020.570459] [Citation(s) in RCA: 65] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Accepted: 08/14/2020] [Indexed: 12/28/2022] Open
Affiliation(s)
- Sandro Vento
- Faculty of Medicine, University of Puthisastra, Phnom Penh, Cambodia
| | - Francesca Cainelli
- Faculty of Medicine, University of Puthisastra, Phnom Penh, Cambodia.,Raffles Medical Group Clinic, Phnom Penh, Cambodia
| | - Alfredo Vallone
- Infectious Diseases Unit, G. Jazzolino Hospital, Vibo Valentia, Italy
| |
Collapse
|
12
|
Dacosta-Urbieta A, Rivero-Calle I, Pardo-Seco J, Redondo-Collazo L, Salas A, Gómez-Rial J, Martinón-Torres F. Seroprevalence of SARS-CoV-2 Among Pediatric Healthcare Workers in Spain. Front Pediatr 2020; 8:547. [PMID: 33042908 PMCID: PMC7516980 DOI: 10.3389/fped.2020.00547] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Accepted: 07/29/2020] [Indexed: 01/11/2023] Open
Abstract
Spain is one of the countries most severely affected by the SARS-CoV-2 pandemic, with almost 190,000 cases as of April 18, 2020. As healthcare workers (HCW) are one of the groups hardest hit by the infection, it is important to know the seroprevalence of antibodies against SARS-CoV-2 in pediatric departments. We performed 175 immunoglobulin (Ig)M and IgG immunochromatographic rapid tests in the personnel working at the Pediatric Department of the Hospital Clínico Universitario of Santiago de Compostela (Spain), including pediatricians, residents, nurses, and other staff, on days 31-33 since the lockdown started. Seven out of the 175 tests were positive, including four for IgM and three for IgG, leading to a seroprevalence of 4.0% (95% CI: 1.1-6.9%). Only one of them had symptoms at the time of testing (sore throat). All seropositive cases yielded negative RT-PCR of the upper and lower respiratory tract. This is the first SARS-CoV-2 serological survey among HCWs reported in Spain. Notwithstanding the test limitations, our results reveal that personal protection policy and lockdown measures have been effective to limit population exposure. The low seroprevalence rate poses a significant challenge for the next strategic steps of pandemic control.
Collapse
Affiliation(s)
- Ana Dacosta-Urbieta
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain
| | - Irene Rivero-Calle
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain
| | - Jacobo Pardo-Seco
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain.,Unidade de Xenética, Instituto de Ciencias Forenses (INCIFOR), Facultade de Medicina, Universidade de Santiago de Compostela, and GenPoB Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago (Servicio Gallego de Salud), Galicia, Spain
| | - Lorenzo Redondo-Collazo
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain
| | - Antonio Salas
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Unidade de Xenética, Instituto de Ciencias Forenses (INCIFOR), Facultade de Medicina, Universidade de Santiago de Compostela, and GenPoB Research Group, Instituto de Investigaciones Sanitarias (IDIS), Hospital Clínico Universitario de Santiago (Servicio Gallego de Salud), Galicia, Spain
| | - Jose Gómez-Rial
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Laboratorio de Inmunología, Servicio de Análisis Clínicos, Hospital Clínico Universitario Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain
| | - Federico Martinón-Torres
- Grupo de Investigación en Genética, Vacunas, Infecciones y Pediatría (GENVIP), Instituto de Investigación Sanitaria de Santiago (IDIS) and Hospital Clínico Universitario and Universidade de Santiago de Compostela (Servicio Gallego de Salud), Galicia, Spain.,Translational Pediatrics and Infectious Diseases, Department of Pediatrics, Hospital Clínico Universitario de Santiago de Compostela, Galicia, Spain
| |
Collapse
|
13
|
Leung V, Harper S, Slavin M, Thursky K, Worth L. Are they protected? Immunity to vaccine-preventable diseases in healthcare workers at an Australian hospital. Aust N Z J Public Health 2015; 38:83-6. [PMID: 24494952 DOI: 10.1111/1753-6405.12163] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2013] [Revised: 08/01/2013] [Accepted: 10/01/2013] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVE Australian guidelines for healthcare worker (HCW) vaccination were updated in 2010, and pre-employment assessment of new employees has previously been identified as a priority. We determined the vaccination status of a cohort of existing HCWs at a tertiary hospital in Melbourne, Victoria. METHODS Random sampling of HCWs employed prior to 2006 with unknown/incomplete immunisation status was conducted between April and August 2011. Immunity to vaccine-preventable diseases (VPDs) was determined serologically (hepatitis B, varicella, measles, mumps, rubella) and by questionnaire (diphtheria, tetanus and pertussis), with vaccination by a nurse immuniser. RESULTS Overall, 95 HCWs were evaluated. Mean age and duration of employment were 47.2 and 12.6 years, respectively. Forty-seven staff (49%) required vaccination to comply with Australian immunisation guidelines: 18% were non-immune to hepatitis B, 2% to varicella, 8% to measles, 19% to mumps and 13% to rubella. HCWs without serological hepatitis B immunity were all staff with clinical roles. Total costs were $7,527.34 (mean $222.79/HCW). CONCLUSIONS Immunity to VPDs among existing HCWs was inadequate. About half assessed HCWs were non-immune to at least one VPD, and non-immunity to hepatitis B was high. A comprehensive assessment strategy for existing employees is required to enhance vaccination coverage and compliance with national guidelines. IMPLICATIONS Adequately resourced 'look-back' immunisation assessment programs are required to reduce the risks of VPDs among existing staff and patients. Review of current approaches and national consensus regarding the need for mandatory strategies would assist this process.
Collapse
Affiliation(s)
- Vivian Leung
- Department of Infectious Diseases and Infection Control, Peter MacCallum Cancer Centre, Victoria
| | | | | | | | | |
Collapse
|