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Cleofas J, Andrada-Poa MRJ, Jabal R. The Influence of COVID-19 Program Innovativeness on Occupational Stress Outcomes of Community Health Workers in a Selected City Health Department in the Philippines. Soc Work Public Health 2024; 39:156-168. [PMID: 38380906 DOI: 10.1080/19371918.2024.2320794] [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] [Subscribe] [Scholar Register] [Indexed: 02/22/2024]
Abstract
The COVID-19 pandemic has caused unprecedented strain on the health sector. Thus, public health organizations have been challenged to design innovative programs that address not only their constituents' needs but also their health workers' work conditions. In one City Health Department in the Philippines, a notable public health program innovation, which harmonizes COVID-19 testing and health risk assessments for other diseases in a single program, has been implemented. This study examined the relationship between the perceived innovativeness of said COVID-19 program and the occupational stress outcomes of community health workers in a selected city health unit in the Philippines. This study used a quantitative, cross-sectional descriptive design with comparative and correlational aspects. A total of 128 purposively selected community health workers involved in the said program participated in this online survey. Findings suggest that age, years of service, gender, and employment status were significantly associated with perceived innovativeness. Reported perceived personal stress level was significantly lower during the implementation of the innovative program compared to the pre-implementation period. Moreover, perceived program innovativeness was found to be significantly negatively correlated with personal stress and significantly positively correlated with occupational support.
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Affiliation(s)
- Jerome Cleofas
- Department of Sociology and Behavioral Sciences Department, De La Salle University, Manila, Philippines
| | | | - Ronaldo Jabal
- Department of Sociology and Behavioral Sciences Department, De La Salle University, Manila, Philippines
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Aldhuwayhi S, Shaikh SA, Mallineni SK, Kumari VV, Thakare AA, Ahmed Khan AR, Mustafa MZ, Manva MZ. Occupational Stress and Stress Busters Used Among Saudi Dental Practitioners During the COVID-19 Pandemic Outbreak. Disaster Med Public Health Prep 2022; 16:1975-1981. [PMID: 34176540 PMCID: PMC8387692 DOI: 10.1017/dmp.2021.215] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 06/13/2021] [Accepted: 06/20/2021] [Indexed: 12/18/2022]
Abstract
OBJECTIVE This study aims to assess the stress levels, stress busters (stress relievers), and coping mechanisms among Saudi dental practitioners (SDPs) during the coronavirus disease (COVID-19) pandemic outbreak. METHOD A self-administered questionnaire was sent to SDPs via Google Forms. Cohen's stress score scale was used for stress evaluation, and the mean scores were compared based on age, gender, qualification, and occupation. In addition, comparisons of the utilization of stress coping mechanisms and stress busters based on gender, age, and occupation were evaluated. Descriptive statistics were carried out using SPSS Version 21.0 (IBM Corp, Armonk, NY). RESULTS A total of 206 SDPs (69% males and 31% females) participated in the study. Male SDPs showed a higher score than females (P > 0.05). SDPs around age 50 years and above obtained high stress scores (25 ± 7.4) as compared with other age groups (P < 0.05). The occupational level showed higher stress scores (22.6 ± 4.6 than the other occupation groups (P < 0.05). The majority of the SDPs used watching TV/mobile/computer (80%) as a stress buster, followed by binge eating (64%), exercise (44%), smoking (32%), do-it-yourself (DIY; 23%), and meditation (17%). CONCLUSION SDPs are experiencing stress levels during the COVID-19 pandemic. Male SDPs above age 50 years and private practitioners showed higher levels of stress scores. An overall commonly used stress buster was smoking in males and meditation in females.
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Affiliation(s)
- Sami Aldhuwayhi
- Department of Prosthodontics, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
| | - Saquib Ahmed Shaikh
- Department of Prosthodontics, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
| | - Sreekanth Kumar Mallineni
- Department of Preventive Dental Sciences, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
| | | | - Amar Ashok Thakare
- Department of Prosthodontics, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
| | - Abdul Rehman Ahmed Khan
- Department of Preventive Dental Sciences, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
| | | | - Mohnish Z. Manva
- Department of Restorative Dental Sciences, College of Dentistry, Majmaah University, AlMajmaah, Saudi Arabia
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Abstract
OBJECTIVE Anecdotal evidence suggests work fatigue has increased during the COVID-19 pandemic, and work interventions to offset stresses have been effective. Our study sought to test these propositions, documenting and describing the complexity of worker well-being around two lockdown periods. METHODS Using 17 waves of data from a longitudinal study in Germany (December 2019 to June 2021, n = 1053 employees), we model discontinuous changes in work fatigue and how participation in a government-sponsored short-term work program (Kurzarbeit) affected change trajectories. RESULTS The COVID-19 pandemic has not invariably resulted in work fatigue, and individuals with Kurzarbeit at the first lockdown (but not the second) showed significantly larger decreases in each form of fatigue at this transition. CONCLUSIONS Future policy interventions will require more contextual nuance and to effectively support worker well-being during public health crises.
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Ghahramani S, Omidifar N, Garayemi S, Sayari M, Bagheri Lankarani K. Burnout in hospital staff using partial least squares path modeling for job-person fit: The case of a tertiary referral hospital in southwest Iran. PLoS One 2022; 17:e0262774. [PMID: 35061827 PMCID: PMC8782409 DOI: 10.1371/journal.pone.0262774] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2021] [Accepted: 01/04/2022] [Indexed: 02/05/2023] Open
Abstract
Recent studies on burnout (BO) have included both individual and situational factors, referred to as job-person fit (JPF). The present study aimed to evaluate the prevalence rate of BO in the hospital staff working at a tertiary referral hospital in southwest Iran and then to highlight the importance of the person in the context of his/her work life. This cross-sectional study was conducted in 2020 on all hospital staff using a three-part questionnaire comprised of personal and work-situational factors, the Perceived Stress Scale (PSS), and the Psychological Empowerment Scale (PES). The partial least squares (PLS) path modelling and the neural network (NN) model were used to identify the significant variables within the BO dimensions. A total of 358 staff completed the questionnaire and were recruited for the study. Emotional exhaustion (EE) was seen in 137 medical staff (38.3%) and depersonalization (DP) was observed in 75 individuals (20.1%). Thinking about job change was the most important factor positively correlated with EE. Positive stress and work experience were among the most significant factors negatively associated with PA and DP, respectively. The hospital staff experienced BO in a way comparable to the national results. Work-situational and personal variables interacted with the three dimensions of BO in the hospital staff. More experienced staff also felt more accomplished and successful, resulting in the identification of a decreased level of DP and elevated PA.
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Affiliation(s)
- Sulmaz Ghahramani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Navid Omidifar
- Research Center of Quran, Hadith and Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
- Department of Pathology, Medical School, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Saghar Garayemi
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Sayari
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Kamran Bagheri Lankarani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
- * E-mail:
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Affiliation(s)
- Pamela Herd
- McCourt School of Public PolicyGeorgetown UniversityWashingtonDistrict of ColumbiaUSA
| | - Donald Moynihan
- McCourt School of Public PolicyGeorgetown UniversityWashingtonDistrict of ColumbiaUSA
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Alyahya SA, Al-Mansour KA, Alkohaiz MA, Almalki MA. Association between role conflict and ambiguity and stress among nurses in primary health care centers in Saudi Arabia during the coronavirus disease 2019 pandemic: A cross-sectional study. Medicine (Baltimore) 2021; 100:e27294. [PMID: 34664892 PMCID: PMC8447988 DOI: 10.1097/md.0000000000027294] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2021] [Accepted: 09/02/2021] [Indexed: 11/26/2022] Open
Abstract
This study aimed to assess the association between role conflict and ambiguity among nurses in primary healthcare centers (PHCs) in Saudi Arabia and their stress levels during the coronavirus disease 2019 (COVID-19) pandemic.In this online cross-sectional study, sociodemographic and occupational characteristics, role conflict, and ambiguity of 432 nurses were assessed using the Bowling Scale for Role Conflict and Ambiguity and stress was assessed using the 10-item Perceived Stress Scale from September 27 to October 17, 2020. Logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs) for above-median stress levels of nurses with average and high (2nd and 3rd tertiles) role conflict and ambiguity compared with nurses with low role conflict and ambiguity (1st tertile).The mean (standard deviation) age of the nurses was 36.5 ± 6.6 years, and 25.9% of them were males. After adjusting for PHC type and working hours, nurses with average and high role conflict had significantly higher stress rates than those with low role conflict, with ORs (95% CIs) of 2.69 (1.62-4.46) and 6.31 (3.78-10.53), respectively. Similarly, nurses with average- and high-role ambiguity had significantly higher stress than those with low role ambiguity, with ORs (95% CIs) of 2.15 (1.30-3.55) and 7.68 (4.54-13.01), respectively. Increasing stress rates were detected across increasing categories of role conflict and ambiguity (P values for trend <.001).We found that role conflict and ambiguity were associated with stress among nurses in PHCs in Saudi Arabia during the COVID-19 pandemic.
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Affiliation(s)
| | - Khalid A. Al-Mansour
- General Administration for Primary Health Centers, Ministry of Health
- Department of Social Studies, College of Arts, King Saud University, Riyadh
| | | | - Mansour A. Almalki
- Department of Sociology and Social Work, Facility of Arts and Humanities, King Abdulaziz University, Jeddah, Saudi Arabia
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da Silva FCT, Barbosa CP. The impact of the COVID-19 pandemic in an intensive care unit (ICU): Psychiatric symptoms in healthcare professionals. Prog Neuropsychopharmacol Biol Psychiatry 2021; 110:110299. [PMID: 33716042 PMCID: PMC7948677 DOI: 10.1016/j.pnpbp.2021.110299] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Accepted: 03/07/2021] [Indexed: 11/21/2022]
Abstract
INTRODUCTION During the COVID-19 pandemic period, the structure of the Intensive Care Unit (ICU) activities changed fast. It was observed that the mental and physical health of the frontline workers reached levels of extreme clinical and psychological concern. OBJECTIVE Understand the impact that COVID-19 is having on the front-line clinical team in the ICU environment, as well as reveal what proposals are being made to mitigate the clinical and psychological impacts that this group experiences. METHOD A systematic review was made following the PRISMA protocol (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). We included any type of study on health workers during the COVID-19 pandemic, with results about their mental health. We were, therefore, interested in quantitative studies examining the prevalence of problems and effects of interventions, as well as qualitative studies examining experiences. We had no restrictions related to study design, methodological quality or language. RESULTS Twenty-one studies reported on the urgent need for interventions to prevent or reduce mental health problems caused by COVID-19 among health professionals in ICU. Eleven studies demonstrated possibilities for interventions involving organizational adjustments in the ICU, particularly linked to emotional conflicts in the fight against COVID-19. CONCLUSION The disproportion between the need for technological supplies of intensive care medicine and their scarcity promotes, among many factors, high rates of psychological distress. Anxiety, irritability, insomnia, fear and anguish were observed during the pandemic, probably related to extremely high workloads and the lack of personal protective equipment.
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Affiliation(s)
| | - Caio Parente Barbosa
- Postgraduate Program in Health Sciences, School of Medicine of ABC, Santo André, São Paulo, Brazil
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Grandey AA, Sayre GM, French KA. "A blessing and a curse": Work loss during coronavirus lockdown on short-term health changes via threat and recovery. J Occup Health Psychol 2021; 26:261-275. [PMID: 34292019 DOI: 10.1037/ocp0000283] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The coronavirus pandemic resulted in national lockdown orders, followed by employment changes to reduce labor costs. We assess how health varied for hospitality workers due to the lockdown (i.e., comparing health a month before to a month after), employment change (i.e., comparing those with loss vs. no change), and employee response (i.e., more job threat vs. more personal recovery). Comparing pre- and post-lockdown surveys of 137 U.S. and U.K. hospitality employees, psychological health (i.e., negative and positive affect) worsened but physical health (i.e., symptoms and sleep) improved. We proposed those facing work loss (66% had reduced hours, furloughs, or layoffs) had more job threat but also more personal recovery (i.e., relaxation, mastery, exercise), resulting in opposing pathways to health. Results from a path analysis showed that work loss indirectly linked to higher psychological distress due to job threat, but to lower distress and fewer physical symptoms due to relaxation. Regardless of work loss, mastery (e.g., hobbies) was related to immediate changes in positive affect and sleep, while exercise did not have short-term health benefits. Further, recovery benefits from work loss were short-lived; only job threat carried the effect to psychological distress 2 months later. We offer quotes from the hospitality workers to contextualize the blessing and curse of work loss during the lockdown for these particularly vulnerable employees. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | - Gordon M Sayre
- Department of Organizational Behavior, Emlyon Business School
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Zhang Y, Xiang D, Alejok N. Coping with COVID-19 in United Nations peacekeeping field hospitals: increased workload and mental stress for military healthcare providers. BMJ Mil Health 2021; 167:229-233. [PMID: 33177148 PMCID: PMC7661351 DOI: 10.1136/bmjmilitary-2020-001642] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2020] [Revised: 10/11/2020] [Accepted: 10/13/2020] [Indexed: 11/26/2022]
Abstract
INTRODUCTION This study aimed to explore the impact of COVID-19 on the United Nations peacekeeping field hospitals where medical supply and manpower are extremely insufficient. METHODS A level II hospital was deployed in Wau, South Sudan, as the regional referral centre of the United Nations Mission in South Sudan (UNMISS). It had a total strength of 63 personnel with 47 medical staff (average age 38.3±8.0 years, 33 men). A new 'appointment-triage-disinfection' work pattern was adopted to cope with the COVID-19 outbreak in the mission. Data on medical service statistics and workload before/after the outbreak were collected and compared. The mental health of staff was analysed from the quarterly psychological survey, including Perceived Stress Scale (PSS)-10, Generalised Anxiety Disorder (GAD)-7 and Patient Health Questionnaire (PHQ)-9. RESULTS The number of outpatients decreased slightly after the COVID-19 outbreak (41.9±11.9 to 37.6±11.8 per week, p=0.49), whereas the weekly hospital length of stay of inpatients increased significantly (0.4±1.0 to 3.1±3.9 days, p=0.02). Total weekly working hours increased from 1884.9±34.1 to 2023.5±67.3 hours (p<0.001). Elevated mental stress (PSS-10: 4.3±2.4 in February to 7.5±3.9 in May, p<0.001; GAD-7: 4.0±2.3 to 9.4±4.0, p<0.001; PHQ-9: 2.1±1.2 to 3.2±2.4, p<0.001) was documented among healthcare providers after the outbreak. The threat of COVID-19 infection, delay in rotation and family-related concerns constituted the main stressors. CONCLUSION COVID-19 imposes a huge pressure on peacekeeping field hospitals. Increased workload and mental stress among frontline healthcare providers deserve the attention of UNMISS officials. Facilitating the rotation of the medical staff might potentially improve the operational readiness of the hospital by bringing in well-trained personnel and sufficient medical supplies.
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Affiliation(s)
- Yongxue Zhang
- Department of Surgery, Handan Medical Center, Bethune International Peace Hospital, Handan, China
- Chinese Level II Hospital, Wau Field Office, Sector West, United Nations Mission in South Sudan (UNMISS), Wau, South Sudan
| | - D Xiang
- Department of Neurology, Handan Medical Center, Bethune International Peace Hospital, Handan, China
| | - N Alejok
- Level I Clinic, Wau Field Office, United Nations Mission in South Sudan (UNMISS), Wau, South Sudan
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Lin X, Zhu Y, Wang C, Wang F. Relationship among affective commitment, occupational stressors, and calling of psychiatrists in Shanghai. Medicine (Baltimore) 2021; 100:e26615. [PMID: 34232218 PMCID: PMC8270634 DOI: 10.1097/md.0000000000026615] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2021] [Accepted: 06/18/2021] [Indexed: 01/04/2023] Open
Abstract
The aim of the study is to investigate the levels of affective commitment, occupational stressors and calling in psychiatrists in Shanghai and try to find the relationship among 3 variables in the participants.We enrolled 81 participants using a survey with a combination of demographic information, affective part of organizational commitment questionnaire, portion of the scale for occupational stressors on clinicians and the calling and vocation questionnaire. Correlation analysis and multiple linear regression analysis were applied to probe into the relationship among the three variables. t Test and nonparametric test were utilized to compare the differences between the groups of individuals who were divided according to the demographic information.The mean score of the affective commitment, occupational stressors and calling of Shanghai psychiatrists were all at a moderate level. The scores in affective commitment had a significantly negative relationship with that of the occupational stressors, especially in the respect of organization and management, occupational interest, and development of work. Whereas the scores of calling revealed a remarkably positive connection with affective commitment. In addition, demographic groups under comparison, individuals who were >35 years' old, male, or have worked for >10 years are more likely to suffer from higher occupational development and interpersonal relationship stress.We found that the levels of affective commitment, occupational stressors and calling in psychiatrists in Shanghai were all moderate. These people who were men, >35 years' old, and had >10 years of work experiences had suffered from higher levels of occupational stressors, especially occupational development and interpersonal relationship stress. The affective commitment was positively correlated to the calling while negatively associated to the occupational stressors in Shanghai psychiatrists. For stronger bond for the psychiatrists, strengthen the calling and lessen the occupational stressors are required. These results provide some ideas for enhancing the occupational commitment of psychiatrists and conducting psychological interventions in a timely manner henceforth more effectively.
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Affiliation(s)
- Xiao Lin
- Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine
| | | | - Chao Wang
- Shanghai Changning Mental Health Center
| | - Fang Wang
- Shanghai Yangpu Mental Health Center, Shanghai, China
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Abstract
IMPORTANCE Mental health and coping difficulties among health care workers (HCWs) have been reported during pandemics and particularly during the COVID-19 pandemic. OBJECTIVE To examine sources of distress and concern for HCWs in Canada during the COVID-19 pandemic. DESIGN, SETTING, AND PARTICIPANTS In this qualitative study, a critical discourse analysis was performed of questions posed by HCWs to hospital senior leadership between March 16, 2020, and December 1, 2020, through an online employee forum as part of a larger mixed-methods evaluation of a stepped-care mental health support program for HCWs at 1 of Canada's largest health care institutions. Questions could be submitted online anonymously in advance of the virtual forums on COVID-19 by any of the University Health Network's 21 555 employees, and staff members were able to anonymously endorse questions by upvoting, indicating that an already posed question was of interest. MAIN OUTCOMES AND MEASURES Themes, text structure, and rhetorical devices used within the questions were analyzed, taking into consideration their larger institutional and societal context. RESULTS Unique individual views of the forums ranged from 2062 to 7213 during the study period. Major individual-level concerns related to risks of contamination and challenges coping with increased workloads as a result of the pandemic intersected with institutional-level challenges, such as feeling or being valued within the health care setting and long-standing stratifications between types of HCWs. Concerns were frequently reported in terms of calls for clarity or demands for transparency from the institutional leadership. CONCLUSIONS AND RELEVANCE The findings of this qualitative study suggest that larger institutional-level and structural concerns need to be addressed if HCWs are to be engaged in support and coping programs. Potential service users may be dissuaded from seeing their needs as being met by workplace mental health interventions that solely relate to individual-level concerns.
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Affiliation(s)
- Suze G. Berkhout
- University Health Network, Toronto, Ontario, Canada
- Temerty Faculty of Medicine, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
- University of Toronto Institute for the History and Philosophy of Science and Technology, Toronto, Ontario, Canada
| | - Kathleen A. Sheehan
- University Health Network, Toronto, Ontario, Canada
- Temerty Faculty of Medicine, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Susan E. Abbey
- University Health Network, Toronto, Ontario, Canada
- Temerty Faculty of Medicine, Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
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Teshome A, Shegaze M, Glagn M, Getie A, Tekabe B, Getahun D, Kanko T, Getachew T, Yenesew N, Meskele S, Tolosie K, Temtem Z, Yirgu T. Perceived stress and associated factors among health care professionals working in the context of COVID-19 pandemic in public health institutions of southern Ethiopia 2020. PLoS One 2021; 16:e0252809. [PMID: 34111170 PMCID: PMC8191883 DOI: 10.1371/journal.pone.0252809] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2020] [Accepted: 05/22/2021] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION Health care professionals are at higher risk of developing stress-related problems during outbreaks, due to the overwhelming clinical workload, fear of contagion, and inadequate protective gears. So, in order to monitoring mental health issues and to understand the factors evidence-based interventions is important. Therefore, this study was aimed to assess perceived stress and associated factors among health care professionals working in the context of COVID-19, Southern Ethiopia. METHODS Institution based cross-sectional study was conducted among 798 health care professionals from the 1st May to 1st June 2020. The study participants were selected using simple random sampling technique after allocating a proportion to each health institute based on the size of health care professionals. A pre-tested and structured interviewer-administered questionnaire using KOBO collect survey tool was used to collect data. A total score of >20 points was considered as the cut off for experiencing perceived stress based on perceived stress scale. Both bivariable and multivariable logistic regression analysis were performed to identify associated factors. The level of statistical significance was set at a p-value of less than 0.05 in multivariable logistic regression. RESULT Nearly two-thirds 61.8% (95% CI: 58.4%, 65.2%) of HCPs had perceived stress. Not having COVID-19 updated information (AOR = 2.41, 95% CI: 1.31, 4.43), not at all confident on coping with stress (AOR = 9.94, 95% CI:3.74, 26.41), somewhat confident in coping with stress (AOR = 4.69, 95% CI:2.81, 7.84), moderately confident on coping with stress (AOR = 2.36, 95% CI: 1.46, 3.82), and not getting along well with people (AOR = 4.88, 95% CI: 1.42, 16.72) were positively association with perceived stress. However, feeling overwhelmed by the demand of everyday life (AOR = 0.52 95% CI: 0.35, 0.77) and worrying about what other people think about them (AOR = 0.48, 95% CI: 0.24, 0.81) were negatively associated with perceived stress. CONCLUSION COVID-19 update, confidence in coping with stress, getting along with people, worrying about what other people think about them, and feeling overwhelmed by the demand of everyday life were factors significantly associated with perceived stress. The provision of COVID-19 update to HCPs along with wider strategies to support their psychological wellbeing is vital.
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Affiliation(s)
- Abinet Teshome
- Department of Biomedical Science, Arba Minch University, Arba Minch, Ethiopia
| | - Mulugeta Shegaze
- School of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Mustefa Glagn
- School of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | - Asmare Getie
- School of Nursing, Arba Minch University, Arba Minch, Ethiopia
| | - Beemnet Tekabe
- School of Public Health, Arba Minch University, Arba Minch, Ethiopia
| | | | - Tesfaye Kanko
- Department of Biomedical Science, Arba Minch University, Arba Minch, Ethiopia
| | - Tamiru Getachew
- Department of Anatomy, Arba Minch University, Arba Minch, Ethiopia
| | - Nuhamin Yenesew
- Department of Psychology, Arba Minch University, Arba Minch, Ethiopia
| | - Simeon Meskele
- Department of Anatomy, Arba Minch University, Arba Minch, Ethiopia
| | - Kabtamu Tolosie
- Department of Statistics, Arba Minch University, Arba Minch, Ethiopia
| | - Zebene Temtem
- Department of Psychology, Arba Minch University, Arba Minch, Ethiopia
| | - Teshome Yirgu
- Department of Geography, Arba Minch University, Arba Minch, Ethiopia
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Roberts T, Daniels J, Hulme W, Hirst R, Horner D, Lyttle MD, Samuel K, Graham B, Reynard C, Barrett M, Foley J, Cronin J, Umana E, Vinagre J, Carlton E. Psychological distress during the acceleration phase of the COVID-19 pandemic: a survey of doctors practising in emergency medicine, anaesthesia and intensive care medicine in the UK and Ireland. Emerg Med J 2021; 38:450-459. [PMID: 33832926 PMCID: PMC8042593 DOI: 10.1136/emermed-2020-210438] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 02/24/2021] [Accepted: 03/03/2021] [Indexed: 01/09/2023]
Abstract
OBJECTIVE To quantify psychological distress experienced by emergency, anaesthetic and intensive care doctors during the acceleration phase of COVID-19 in the UK and Ireland. METHODS Initial cross-sectional electronic survey distributed during acceleration phase of the first pandemic wave of COVID-19 in the UK and Ireland (UK: 18 March 2020-26 March 2020 and Ireland: 25 March 2020-2 April 2020). Surveys were distributed via established specialty research networks, within a three-part longitudinal study. Participants were doctors working in emergency, anaesthetic and intensive medicine during the first pandemic wave of COVID-19 in acute hospitals across the UK and Ireland. Primary outcome measures were the General Health Questionnaire-12 (GHQ-12). Additional questions examined personal and professional characteristics, experiences of COVID-19 to date, risk to self and others and self-reported perceptions of health and well-being. RESULTS 5440 responses were obtained, 54.3% (n=2955) from emergency medicine and 36.9% (n=2005) from anaesthetics. All levels of doctor seniority were represented. For the primary outcome of GHQ-12 score, 44.2% (n=2405) of respondents scored >3, meeting the criteria for psychological distress. 57.3% (n=3045) had never previously provided clinical care during an infectious disease outbreak but over half of respondents felt somewhat prepared (48.6%, n=2653) or very prepared (7.6%, n=416) to provide clinical care to patients with COVID-19. However, 81.1% (n=4414) either agreed (31.1%, n=2709) or strongly agreed (31.1%, n=1705) that their personal health was at risk due to their clinical role. CONCLUSIONS Findings indicate that during the acceleration phase of the COVID-19 pandemic, almost half of frontline doctors working in acute care reported psychological distress as measured by the GHQ-12. Findings from this study should inform strategies to optimise preparedness and explore modifiable factors associated with increased psychological distress in the short and long term. TRIAL REGISTRATION NUMBER ISRCTN10666798.
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Affiliation(s)
- Tom Roberts
- TERN, Royal College of Emergency Medicine, London, UK
- Emergency Department, Bristol Royal Hospital for Children, Bristol, UK
| | - Jo Daniels
- Department of Psychology, University of Bath, Bath, Somerset, UK
| | | | - Robert Hirst
- Department of Anaesthesia, North Bristol NHS Trust, Bristol, UK
| | - Daniel Horner
- TERN, Royal College of Emergency Medicine, London, UK
- Department of Intensive Care and Emergency Department, Salford Royal NHS Foundation Trust, Salford, UK
| | - Mark D Lyttle
- Emergency Department, Bristol Royal Hospital for Children, Bristol, UK
- UWE Faculty of Health and Applied Sciences, Bristol, UK
| | - Katie Samuel
- Department of Anaesthesia, North Bristol NHS Trust, Westbury on Trym, Bristol, UK
| | - Blair Graham
- Faculty of Health and Human Sciences, University of Plymouth Faculty of Health and Human Sciences, Plymouth, UK
- Emergency Department, Derriford Hospital, Plymouth, UK
| | - Charlie Reynard
- Division of Cardiovascular Sciences, University of Manchester, Manchester, UK
| | - Michael Barrett
- Department of Emergency Medicine, Our Lady's Children's Hospital, Dublin, Ireland
- Department of Women's and Children's Health, University College Dublin, Dublin, Ireland
| | - James Foley
- Department of Emergency Medicine, University Hospital Waterford, Waterford, Ireland
| | - John Cronin
- Department of Emergency Medicine, St Vincents University Hospital, Dublin, Ireland
- Department of Women's and Children's Health, University College Dublin School of Medicine, Dublin, Ireland
| | - Etimbuk Umana
- Emergency Department, Connolly Hospital Blanchardstown, Blanchardstown, Dublin, Ireland
| | - Joao Vinagre
- College of Anaesthesiologists of Ireland, Dublin, Ireland
| | - Edward Carlton
- Emergency Department, North Bristol NHS Trust, Westbury on Trym, UK
- School of Health and Social Care, University of the West of England Bristol, Bristol, UK
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Wang Y, Duan Z, Peng K, Li D, Ou J, Wilson A, Wang N, Si L, Chen R. Acute Stress Disorder Among Frontline Health Professionals During the COVID-19 Outbreak: A Structural Equation Modeling Investigation. Psychosom Med 2021; 83:373-379. [PMID: 32815855 DOI: 10.1097/psy.0000000000000851] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE The outbreak of COVID-19 that commenced in December 2019 in Wuhan, China, has caused extensive public health concerns and posed substantial challenges to health professionals, especially for those in the center of the epidemic. The current study aimed to assess the prevalence, related factors, and mechanism of acute stress disorder (ASD) among health professionals in Wuhan during this critical period. METHODS The study used a cross-sectional design. Self-administered questionnaires were distributed to the frontline health professionals in Wuhan hospitals from January 28 to February 1, 2020. Mental health-related measurements included ASD, depression, anxiety, conflict experiences, hostility, and psychosomatic symptoms. Structural equation modeling was used to analyze the factors associated with ASD among health professionals. RESULTS A total of 332 frontline health professionals were included in the analysis (mean [standard deviation] age = 32.21 [8.77] years; 78.0% women). ASD was a prominent mental health problem in the health professionals surveyed, with a prevalence of 38.3%. Anxiety (24.7%) and depression (20.2%) were also common. Structural equation modeling analyses revealed that emotional distress (i.e., anxiety and depressive symptoms) fully mediated the association between conflicts with ASD (the standardized indirect coefficient β = 0.47, p = .016). The most common reported symptom was chest pain (51.2%). ASD was significantly associated with psychosomatic symptoms. The majority (67.8%) reported being easily annoyed or irritated, and ASD was associated with hostility. CONCLUSIONS During the COVID-19 outbreak, a substantial number of health professionals in Wuhan suffered from ASD. Furthermore, ASD was found to be associated with psychosomatic symptoms as well as the hostility. The poor mental health of health professionals has detrimental impacts both on the well-being of staff in health care systems and may adversely affect the quality of patient care. We call for interventions that aim to relieve the psychological and occupational stress. Considering that most of our participants were young, female frontline health professionals, the results may not be generalized to more heterogenous samples.
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Affiliation(s)
- YuanYuan Wang
- From the National Clinical Research Centre for Mental Disorders, Department of Psychiatry, and Hunan Medical Centre for Mental Health (Wang, Peng, Ou, Wang, Chen), The Second Xiangya Hospital of Central South University, Changsha, Hunan; School of Health Sciences (Duan), Wuhan University, Wuhan, China; The George Institute for Global Health (Peng, Si), UNSW, Sydney, Australia; Jin Yin-tan Hospital (Li), Wuhan, China; Division of Psychology, Faculty of Health and Life Sciences (Wilson, YuanYuan Wang), De Montfort University, Leicester, United Kingdom
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15
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Abstract
OBJECTIVE Primary care physicians (PCPs) play a key role in responding to the COVID-19 epidemic. The objective of this study was to explore the influencing factors associated with self-reported psychological distress among a sample of PCPs in China in relation to COVID-19. METHODS An online survey was distributed to a sample of PCPs in Chengdu city between February 10 and February 13, 2020. The survey consisted of three sections: demographic characteristics, COVID-19-related questions, and the General Health Questionnaire-12 (GHQ-12). After 5 months, a follow-up survey investigating the change of the GHQ-12 was conducted. RESULTS A total of 712 PCPs completed the baseline survey (11.8% of those invited), 55.6% were female and 74.4% were aged between 30 and 49 years. High levels of psychological distress (GHQ-12 ≥3) were observed in 29.2% and were associated with low preparedness, high work impact, working with infected residents, personal life impact, and concerns, as well as older age and being married (p values < .05). Logistic regression analysis showed that psychological distress was associated with low preparedness (odds ratio [OR] = 0.91, 95% confidence interval [CI] = 0.87-0.96), high work impact (OR = 1.11, 95% CI = 1.03-1.20), personal life impact (OR = 1.12, 95% CI = 1.07-1.17), and safety-related concerns (OR = 1.09, 95% CI = 1.02-1.16). At the 5-month assessment point, high psychological distress was less frequent (21.8%). CONCLUSIONS COVID-19 has resulted in high levels of distress in approximately 30% of PCPs in China. Factors associated with high psychological distress levels include low preparedness and high levels of work impact, personal life impact, and concerns. These findings highlight the importance of enhancing psychological health throughout the course of infectious pandemics.
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Affiliation(s)
- Xin Zeng
- From the Department of General Practice (Zeng, Peng, Hao, Zou), Chengdu Fifth People's Hospital, Chengdu University of TCM, Chengdu; Family Medicine Centre (Lin), The First Affiliated Hospital of Shantou University Medical College, Shantou; The Department of General Practice (Liao), West China Hospital, Sichuan University, Chengdu; The Department of Geriatric Medicine (Chen), Chengdu Fifth People's Hospital, Chengdu University of TCM, Chengdu, China; and The Department of Primary Care and Public Health (Hayhoe), Imperial College London, London, United Kingdom
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16
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Mahat N, Zubaidi SA, Soe HHK, Nah SA. Paediatric surgical response to an 'adult' COVID-19 pandemic. Med J Malaysia 2021; 76:284-290. [PMID: 34031324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
INTRODUCTION The Coronavirus Disease 2019 (COVID-19) has dramatically affected global healthcare systems. We aimed to determine the response of our paediatric surgical fraternity to a disease that overwhelmingly affects adults. MATERIALS AND METHODS We conducted a cross-sectional questionnaire-based study over 6 weeks during a federally mandated lockdown. Using snowball sampling, we recruited paediatric surgeons, trainees and medical officers from paediatric surgical units in Malaysia. The anonymous online questionnaire covered sociodemographic information, changes in patient care, redeployment, concerns regarding family members, and impact on training. Mental well-being was assessed using the Depression, Anxiety and Stress Scale (DASS-21). Kruskal-Wallis, ANOVA and multiple regression analysis was used, with significance level 0.05. RESULTS Of the 129 eligible participants, 100(77%) responded. Junior doctors had clinically higher levels of depression, anxiety, and stress. Age <30 years was significantly associated with anxiety. Junior doctors believed that redeployment led to loss of surgical skills (p<0.001) and trainees felt that clinical application of knowledge had reduced (p<0.020). CONCLUSION Specific to our paediatric surgical community, this study highlights areas of concern, particularly among junior doctors. It is likely that recurrent cycles of the pandemic will occur soon. These issues must be addressed to preserve the mental and emotional well-being of all health care workers.
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Affiliation(s)
- N Mahat
- University of Malaya, Faculty of Medicine, Department of Surgery, Division of Paediatric Surgery, Kuala Lumpur, Malaysia
| | - S A Zubaidi
- University of Malaya Medical Centre, Faculty of Medicine, Department of Surgery, Division of Paediatric Surgery, Kuala Lumpur, Malaysia
| | - H H K Soe
- Melaka Manipal Medical College, Department of Community Medicine, Melaka, Malaysia
| | - S A Nah
- University of Malaya, Faculty of Medicine, Department of Surgery, Division of Paediatric Surgery, Kuala Lumpur, Malaysia.
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Dosil Santamaría M, Ozamiz-Etxebarria N, Redondo Rodríguez I, Jaureguizar Alboniga-Mayor J, Picaza Gorrotxategi M. Psychological impact of COVID-19 on a sample of Spanish health professionals. Rev Psiquiatr Salud Ment (Engl Ed) 2021; 14:106-112. [PMID: 32622882 PMCID: PMC7264016 DOI: 10.1016/j.rpsm.2020.05.004] [Citation(s) in RCA: 66] [Impact Index Per Article: 22.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Revised: 05/21/2020] [Accepted: 05/21/2020] [Indexed: 02/08/2023]
Abstract
INTRODUCTION After the outbreak of the COVID-19 was considered a global pandemic in March 2020, the state of alarm was declared in Spain. In this situation, health professionals are experiencing high levels of stress due to the overload of work the pandemic is generating and the conditions in which they are working. The aim of this study was to evaluate the factors that can destabilize the mental health of these professionals in our context. MATERIALS AND METHODS The sample was composed of 421 health professionals. The data were gathered by an online questionnaire sent to them by e-mail. The DASS-21 was used to assess anxiety, stress and depression, and the EAI to measure sleep difficulties. In addition, other descriptive variables that could be related to psychological symptomatology were collected from the sample. RESULTS The results show that the COVID-19 pandemic has generated symptoms of stress, anxiety, depression and insomnia among health workers, with higher levels among women and older professionals. Some factors such as having been in contact with the virus or fear at work, triggered greater symptomatology. CONCLUSIONS In this critical situation, professionals are in the front line and therefore, are directly exposed to certain risks and stressors. This contributes to the development of diverse psychological symptoms. Consequently, it is recommended to offer them psychological help in order to reduce the emotional impact of the COVID-19, and thus, to ensure not only the mental health of our health professionals, but also the adequate care they provide.
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Affiliation(s)
- María Dosil Santamaría
- Departamento de Métodos de Investigación y Diagnóstico en Educación, Universidad del País Vasco, Lejona, España
| | - Naiara Ozamiz-Etxebarria
- Departamento de Psicología Evolutiva y de la Educación, Universidad del País Vasco, Lejona, España.
| | - Iratxe Redondo Rodríguez
- Departamento de Psicología Evolutiva y de la Educación, Universidad del País Vasco, Lejona, España
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Affiliation(s)
- Anaëlle Caillet
- Intensive Care Unit, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, ICU, F-69310, Pierre-Bénite, France.
| | - Ismaël Conejero
- University Hospital, Nîmes, France; PSNREC, INSERM, University of Montpellier, France
| | - Bernard Allaouchiche
- Intensive Care Unit, Hospices Civils de Lyon, Centre Hospitalier Lyon-Sud, ICU, F-69310, Pierre-Bénite, France; Université Claude Bernard, Lyon1, Lyon, France; Université de Lyon, VetAgro Sup, Campus Vétérinaire de Lyon, UPSP 2016.A101, Pulmonary and Cardiovascular Aggression in Sepsis, F-69280, Marcy l'Étoile, France
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Zhang Y, Tian L, Li W, Wen X, Wu H, Gong R, Zeng L, Zhou F, Liu Z, Tang Z, Wu A, Huang X. Mental health status among Chinese healthcare-associated infection control professionals during the outbreak of coronavirus disease 2019: A national cross-sectional survey. Medicine (Baltimore) 2021; 100:e24503. [PMID: 33592903 PMCID: PMC7870200 DOI: 10.1097/md.0000000000024503] [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] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 01/07/2021] [Indexed: 01/05/2023] Open
Abstract
Recently, the coronavirus disease 2019 (COVID-19) epidemic has greatly threatened global public health. The responsibility of healthcare-associated infection control professionals (ICPs) is to prevent and control the nosocomial infections. The mental health status of ICPs deserves more attention, however, the correlational research is still lacking. This study aims to investigate the incidence and risk factors of mental health status among ICPs in China during the outbreak of COVID-19.A national cross-sectional survey was performed. The online questionnaire was completed by 9228 ICPs from 3776 hospitals throughout China. Data collection tools were used, including demographics data questionnaire, the Chinese version of the 12-item general health questionnaire (GHQ-12) and the Chinese version of the psychological capital questionnaire (PCQ) for medical staff. Univariate and multivariable analyses were conducted.The total score of mental health of Chinese ICPs was 3.45 ± 2.57. 5608 (60.77%) ICPs might have mental health problems. The psychological capital was in the upper-middle level with an average score of 3.72 ± 0.38. An increased mental health problem risk was associated with the greater self-efficacy and working in the public hospital; a significantly lower risk was obtained by working in the second-class hospital rather than in the third-class hospitals. Besides, mental health problem risk of ICPs working in hospitals of the western economic region or northeast economic region was more significant than that in hospitals of the central economic region. However, a lower risk was caused by the unmarried than married, and working years in department ≤1 year contributed to the lower risk than that >20 years. Moreover, fewer working hours per week, higher values of hope, and optimism each were contributed to a lower risk.Chinese healthcare-associated ICPs were under different levels of mental health problems in fighting against COVID-19. More importantly, we should actively deal with the mental health problem of ICPs and help them get rid of psychological disorders.
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Affiliation(s)
- Ying Zhang
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Lingyun Tian
- Xiangya School of Nursing, Central South University, Changsha
- School of Nursing, Anhui University of Chinese Medicine, Hefei, China
| | - Wan Li
- Xiangya School of Nursing, Central South University, Changsha
| | - Ximao Wen
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Hongman Wu
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Ruie Gong
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Lanman Zeng
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Feng Zhou
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Zhenru Liu
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Ziyuan Tang
- Teaching and Research Section of Clinical Nursing
- Infection Control Center, Xiangya Hospital, Central South University
| | - Anhua Wu
- Infection Control Center, Xiangya Hospital, Central South University
| | - Xun Huang
- Infection Control Center, Xiangya Hospital, Central South University
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20
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Kristoffersen ES, Winsvold BS, Sandset EC, Storstein AM, Faiz KW. Experiences, distress and burden among neurologists in Norway during the COVID-19 pandemic. PLoS One 2021; 16:e0246567. [PMID: 33539418 PMCID: PMC7861439 DOI: 10.1371/journal.pone.0246567] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2020] [Accepted: 01/21/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND The ongoing COVID-19 pandemic has caused rapid changes in the healthcare system. Workforce reorganization, reduced standard of care and a lack of personal protection equipment (PPE) for health care workers were among the concerns raised in the first wave of the pandemic. Our aim was to explore the experiences, distress and burden among Norwegian neurologists during the first weeks of the pandemic. METHODS Hospital-based neurologists in Norway (n = 400) were invited to a web-based survey in April 2020. The study focused on patient management, organizational changes and personal stress during the first weeks of the pandemic lockdown. Work-home interface stress was assessed by the Cooper Job Stress Questionnaire. RESULTS In total, 135 neurologists participated. Seventy-three% experienced a change in their personal work situation, and 67% examined patients with suspected COVID-19 infection and neurological disease. Changed access to resources, and the perception that medical follow-up was unsatisfactory, were associated with a high degree of burden and stress. Neurologists were also worried about the potential lack of PPE and the fear of spreading SARS CoV-2 to close family members. The mean score of work-home interface stress was 2.8 with no significant differences between gender or specialist status. Reduced standard of care was reported for all neurological conditions, and in particular for non-emergency treatments. CONCLUSION The vast majority of neurologists in Norway experienced a change in their personal work situation during the first phase of the pandemic. The fear of becoming infected and ill was not a major contributor to burden and stress.
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Affiliation(s)
- Espen Saxhaug Kristoffersen
- Department of Neurology, Akershus University Hospital, Lørenskog, Norway
- Department of General Practice, University of Oslo, Oslo, Norway
| | - Bendik Slagsvold Winsvold
- Department of Research, Innovation and Education, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway
- Department of Neurology, Oslo University Hospital, Oslo, Norway
| | - Else Charlotte Sandset
- Department of Neurology, Oslo University Hospital, Oslo, Norway
- The Norwegian Air Ambulance Foundation, Oslo, Norway
| | | | - Kashif Waqar Faiz
- Department of Neurology, Akershus University Hospital, Lørenskog, Norway
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21
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Khan TS, Hirschman KB, McHugh MD, Naylor MD. Self-efficacy of family caregivers of older adults with cognitive impairment: A concept analysis. Nurs Forum 2021; 56:112-126. [PMID: 32888197 PMCID: PMC8549654 DOI: 10.1111/nuf.12499] [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: 12/19/2019] [Revised: 07/01/2020] [Accepted: 08/13/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Research demonstrates that increased self-efficacy can help family caregivers of older adults with Alzheimer's and other types of cognitive impairment experience lower burden and depressive symptom severity. AIMS The purpose of this concept analysis is to address fundamental gaps in the understanding of self-efficacy in family caregivers of older adults with cognitive impairment, including updating the 26-year-old concept analysis with a contemporary definition. METHODS This study utilizes Walker and Avant's (2019) concept analysis method, an eight-step iterative process that helps to clarify ambiguous concepts. A literature review was conducted from July 1993 through March 2019 using PubMed/MEDLINE, Scopus, CINAHL, and Embase. Inclusion criteria encompassed peer-reviewed research articles and review articles that included family caregivers of older adults with cognitive impairment. RESULTS Eight defining attributes of this concept are identified. The revised definition of self-efficacy in this population is a family caregiver's confidence in their ability to: manage behaviors and other caregiving stresses, control upsetting thoughts, acquire medical information, manage medical issues, obtain self-care, access community supports, assist with activities of daily living and other care, and maintain a good relationship with a relative, friend, or neighbor of an older adult with cognitive impairment. CONCLUSION This paper utilizes over a quarter-century of research to build on the original analysis by Mowat and Spence Laschinger (1994) and update the concept's definition. This analysis should provide researchers with a clearer understanding of this concept and a renewed emphasis on the importance of targeting interventions to improve self-efficacy in this vulnerable caregiving population.
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Affiliation(s)
- Tarik S. Khan
- School of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Karen B. Hirschman
- School of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Matthew D. McHugh
- School of Nursing, Center for Health Outcomes and Policy Research, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Mary D. Naylor
- School of Nursing, New Courtland Center for Transitions and Health, University of Pennsylvania, Philadelphia, Pennsylvania
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22
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Aljehani YM, Othman SA, Telmesani NK, Alghamdi RA, AlBuainain HM, Alghamdi ZM, Zakaria HM, Alreshaid FT, Busbait SA, Alqarzaie AA, Alharbi TM, Alnajim RK. Stress and psychological resilience among general surgery residents during COVID-19 pandemic. Saudi Med J 2020; 41:1344-1349. [PMID: 33294893 PMCID: PMC7841594 DOI: 10.15537/smj.2020.12.25577] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Objectives: To evaluate the impact of coronavirus-19 (COVID-19) pandemic and its consequences on general surgery residents. Methods: Cross-sectional, survey based study including surgical residents in Kingdom of Saudi Arabia and Kingdom of Bahrain. Results: Surgical trainees who participated in our survey (n=234) were young (mean age 28), single (53.8%), and males (65.8%). Approximately half (50.4%) have been deployed to cover the staff shortage in intensive care units (ICUs) or emergency departments (EDs). Half of our trainees (117) scored positive in the screening tool of generalized anxiety disorder (GAD). There was a significant association between experiencing anxiety and male gender (p=0.055), level of training (p=0.002), deployment to cover ICUs (p=0.050), testing positive for COVID-19 (p=0.054) and having an infected family member (p=0.004). Conclusion: Coronavirus-19 pandemic has a serious effect on all healthcare workers and surgical residents have experienced a considerable amount of stress. Accordingly, this psychological burden should be appropriately addressed in organizations planning strategies. We suggest formulating guidelines to help surgical trainees to continue their learning process with least psychological burden.
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Affiliation(s)
- Yasser M Aljehani
- Department of Surgery, King Fahad Hospital of the University, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia. E-mail.
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23
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Ali S, Maguire S, Marks E, Doyle M, Sheehy C. Psychological impact of the COVID-19 pandemic on healthcare workers at acute hospital settings in the South-East of Ireland: an observational cohort multicentre study. BMJ Open 2020; 10:e042930. [PMID: 33371046 PMCID: PMC7750872 DOI: 10.1136/bmjopen-2020-042930] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 11/04/2020] [Accepted: 11/30/2020] [Indexed: 11/17/2022] Open
Abstract
OBJECTIVE Our study aims to understand the psychological impact of the COVID-19 pandemic among healthcare workers (HCWs) at acute hospital settings in the South-East of Ireland, as a crucial step in guiding policies and interventions to maintain their psychological well-being. DESIGN Observational cohort study. PARTICIPANTS AND SETTING 472 HCWs participated from two distinct acute hospital settings, A and B, in the South-East of Ireland. PRIMARY AND SECONDARY OUTCOME MEASURES Measures of psychological distress-depression, anxiety, acute and post-traumatic stress disorder (PTSD)-as dictated by the Depression, Anxiety and Stress Scale (DASS-21) and Impact of Event Scale-Revised (IES-R). An independent sample t-test and a Mann-Whitney U test was used to determine significance of difference in continuous variables between groups. Categorical variables were assessed for significance with a χ2 test for independence. RESULTS The DASS-21 provided independent measures of depression (mean 4.57, IQR 2-7), anxiety (mean 3.87, IQR 1-6) and stress (mean 7.41, IQR 4-10). Positive scores were reflected in 201 workers (42.6%) for depression and 213 (45.1%) for both anxiety and stress. The IES-R measured subjective distress on three subscales: intrusion (mean 1.085, IQR 0.375-1.72), avoidance (mean 1.008, IQR 0.375-1.5) and hyperarousal (mean 1.084, IQR 0.5-1.667). Overall, 195 cases (41.3%) were concerning for PTSD. Site B scored significantly higher across all parameters of depression (5.24 vs 4.08, p<0.01), anxiety (4.66 vs 3.3, p<0.01), stress (8.91 vs 6.33, p<0.01) and PTSD (0.058 vs 0.043, p<0.01). Worse outcomes were also noted in HCWs with underlying medical ailments. CONCLUSION Psychological distress is prevalent among HCWs during the COVID-19 pandemic; screening for adverse mental and emotional outcomes and developing timely tailored preventative measures with effective feedback are vital to protect their psychological well-being, both in the immediate and long-term.
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Affiliation(s)
- Saied Ali
- Department of General Medicine, University Hospital Waterford, Waterford, Ireland
| | - Sinead Maguire
- Department of Rheumatology, St James' Hospital, Dublin, Ireland
| | - Eleanor Marks
- Department of Geriatric Medicine, St. Luke's General Hospital, Kilkenny, Ireland
| | - Maeve Doyle
- Department of Microbiology, University Hospital Waterford, Waterford, Ireland
| | - Claire Sheehy
- Department of Rheumatology, University Hospital Waterford, Waterford, Ireland
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24
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Goyal H, Gajendran M, Boregowda U, Perisetti A, Aziz M, Bansal P, Inamdar S, Tharian B. Current and future implications of COVID-19 on gastroenterology training and clinical practice. Int J Clin Pract 2020; 74:e13717. [PMID: 32955773 PMCID: PMC7537026 DOI: 10.1111/ijcp.13717] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 06/27/2020] [Accepted: 09/11/2020] [Indexed: 12/13/2022] Open
Abstract
The novel coronavirus disease 2019 (COVID-19) pandemic has affected almost every country on the globe, affecting 185 countries with more than 2.6 million cases and 182,000 deaths as of April 22, 2020. The United States (US) has seen an exponential surge in the COVID-19 patients and has become the epicentre with more than 845,000 confirmed cases and 46,000 deaths. The governments and healthcare providers all over the world are racing with time to reduce the rate of increase in active cases by social distancing to flatten the curve of this pandemic. Practicing gastroenterologists are facing multiple challenges in the safe practice of medicine because of patient's inability to visit physicians' offices, endoscopy centers and the threat of potential virus spread through gastrointestinal secretions by endoscopies in emergent cases. The gastroenterological associations from Europe and North America have made position statements to guide gastroenterologists to navigate through the clinical practice during the COVID-19 pandemic. Gastroenterology fellows are on the frontlines during the COVID-19 pandemic, experiencing personal, physical and economic stresses. They had to balance the programmatic changes to meet the demands of the patient care with the additional pressure to meet training requirements. Given the imperatives for social and physical distancing, training programmes have to implement innovative educational methods to substitute traditional teaching. Healthcare organisations must synchronise institutional workforce needs with trainee safety, education and well-being. In this perspective, we have discussed the challenges that can be anticipated and implementing strategies to support fellows during the times of the COVID-19 pandemic.
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Affiliation(s)
- Hemant Goyal
- The Wright Center for Graduate Medical EducationScrantonPAUSA
| | - Mahesh Gajendran
- Department of Internal MedicinePaul L Foster School of MedicineTexas Tech UniversityEl PasoTXUSA
| | | | - Abhilash Perisetti
- Department of Gastroenterology and HepatologyUniversity of Arkansas for Medical SciencesLittle RockARUSA
| | - Muhammad Aziz
- Department of Internal MedicineThe University of ToledoToledoOHUSA
| | - Pardeep Bansal
- Division of GastroenterologyMoses Taylor Hospital and Reginal Hospital of ScrantonScrantonPAUSA
| | - Sumant Inamdar
- Department of Gastroenterology and HepatologyUniversity of Arkansas for Medical SciencesLittle RockARUSA
| | - Benjamin Tharian
- Department of Gastroenterology and HepatologyUniversity of Arkansas for Medical SciencesLittle RockARUSA
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Hennein R, Lowe S. A hybrid inductive-abductive analysis of health workers' experiences and wellbeing during the COVID-19 pandemic in the United States. PLoS One 2020; 15:e0240646. [PMID: 33104711 PMCID: PMC7588050 DOI: 10.1371/journal.pone.0240646] [Citation(s) in RCA: 37] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Accepted: 09/30/2020] [Indexed: 01/09/2023] Open
Abstract
The COVID-19 pandemic puts health workers at increased risk of adverse mental health outcomes. However, no studies have assessed health workers' experiences using qualitative methods during the COVID-19 outbreak in the United States to identify novel factors that could relate to their mental health. In May 2020, we distributed an online survey to health workers across 25 medical centers throughout the United States. The Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Primary Care-Post-Traumatic Stress Disorder, and Alcohol Use Disorders Identification Test-Concise and associated cutoff values were used to assess rates of probable major depression, generalized anxiety disorder, post-traumatic stress disorder, and alcohol use disorder, respectively. To provide insight into the factors shaping these and other mental health conditions, we included two open-ended questions asking respondents to recount their most upsetting and hopeful experiences during the COVID-19 pandemic and how it made them feel. Using a hybrid inductive-abductive approach and thematic content analysis, we created a Social Ecological Model to represent themes among health workers' experiences within five ecological levels: individual, interpersonal, organization, community, and public policy. Of the 1,132 participants who completed the survey, 14.0% had probable major depression, 15.8% probable generalized anxiety disorder, 23.1% probable post-traumatic stress disorder, and 42.6% probable alcohol use disorder. Individual level themes included participants' personal health and self-care behaviors. Interpersonal level themes included the health of their social circle, family functioning, and social support. Organization level themes included their hospital's management, resources, patient care, routine, and teams. Themes in the community level included the media, scientific knowledge about COVID-19, morale, behavior, and support of health workers. Lastly, government and health system leadership and shelter-in-place policy were themes within the public policy level. Our findings provide insights into novel factors that have impacted health workers' wellbeing during the COVID-19 pandemic. These factors should be further explored to inform interventions and public policy that mitigate mental health morbidities among health workers during this and future outbreaks.
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Affiliation(s)
- Rachel Hennein
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, United States of America
- Yale School of Medicine, New Haven, Connecticut, United States of America
| | - Sarah Lowe
- Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, United States of America
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Alnofaiey YH, Alshehri HA, Alosaimi MM, Alswat SH, Alswat RH, Alhulayfi RM, Alghamdi MA, Alsubaie RM. Sleep disturbances among physicians during COVID-19 pandemic. BMC Res Notes 2020; 13:493. [PMID: 33087166 PMCID: PMC7576978 DOI: 10.1186/s13104-020-05341-6] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 10/14/2020] [Indexed: 12/15/2022] Open
Abstract
OBJECTIVES To assess prevalence and related factors of sleep disturbances among Saudi physicians during COVID-19 pandemic. Data were collected through a questionnaire including items about demographic characters, knowledge about covid-19 and items to assess sleep quality that were extracted from Pittsburgh Sleep Quality Index (PSQI) scale. RESULTS Prevalence of sleep disorders was 43.9%, doctors in the age group of 31-40 years, associate consultants had a significant higher prevalence of sleep disorders. Medical interns and laboratory/pathology/microbiology doctors had a significant more difficulty in fall asleep during COVID-19, and internists and surgeons had a significant higher percent of those who used sleeping pills. Resident doctors had a significant higher percent of having trouble in staying awake, and residents and consultants had a significant higher percent of those who suffered decreased sleep duration. Sleep quality during COVID-19 was very good, fair good and very bad in 23.4%, 60% and 3.5% of HCW respectively. The study observed a negative impact of COVID-19 pandemic on HCW sleep quality. Hospitals administrations should provide optimal working hours with enough break and employ more doctors during the pandemic. Doctors experiencing sleep problems should have mandatory leaves.
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Affiliation(s)
| | | | | | | | | | | | | | - Reem M. Alsubaie
- Department of Internal Medicine, KAMC, Makkah city, KSA Saudi Arabia
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27
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Venegas Tresierra CE, Leyva Pozo AC. [Fatigue and mental workload among workers: about social distancing.]. Rev Esp Salud Publica 2020; 94:e202010112. [PMID: 33034306] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Accepted: 08/18/2020] [Indexed: 06/11/2023] Open
Abstract
BACKGROUND Covid-19 is a latent threat; a sector of the population with a labor obligation carries out its work not in person in an unplanned context due to the extraordinary social distancing expressed in remote work, without previous experience in many cases and with health exposure due to psychosocial risk factors conditioning stress. Our objective was to describe the fatigue and mental burden in teleworkers through a bibliographic review, of interest for occupational health, public health, clinical research, psychology and other areas of knowledge. We also intend to inform the community about these issues to promote safe telework and ensure a balanced quality of life. METHODS Structured information on the topics of fatigue and mental load was presented, based on the analysis of international literature, mainly from recent years, obtained from the search engine reviews of scientific publications Ebsco, PubMed, and supplemented with Google Scholar, according to recognized thesauri, in English and Spanish. RESULTS There are also psychosocial risks in teleworking; work-related stress can be linked to fatigue, which should also be addressed as a psychosocial risk. Fatigue, although multi-causal, can be occupational in origin and may be conditioned by various aspects of labour, such as the mental workload, which is pernicious at its extremes. CONCLUSIONS We conclude that both fatigue and mental workload must be watched, their extremes threaten the quality of work life.
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Affiliation(s)
- Carlos Eduardo Venegas Tresierra
- Facultad de Ciencias de la Salud. Escuela Profesional de Medicina Humana. Facultad de Medicina Humana. Universidad Privada Antenor Orrego. Trujillo. Perú
| | - Astrid Carolina Leyva Pozo
- Facultad de Ciencias de la Salud. Escuela Profesional de Medicina Humana. Facultad de Medicina Humana. Universidad Privada Antenor Orrego. Trujillo. Perú
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Kratzke IM, Campbell A, Yefimov MN, Mosaly PR, Adapa K, Meltzer-Brody S, Farrell TM, Mazur LM. Pilot Study Using Neurofeedback as a Tool to Reduce Surgical Resident Burnout. J Am Coll Surg 2020; 232:74-80. [PMID: 33022395 DOI: 10.1016/j.jamcollsurg.2020.08.762] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 08/17/2020] [Accepted: 08/31/2020] [Indexed: 02/03/2023]
Abstract
BACKGROUND Burnout is prevalent among surgical residents. Neurofeedback is a technique to train the brain in self-regulation skills. We aimed to assess the impact of neurofeedback on the cognitive workload and personal growth areas of surgery residents with burnout and depression. STUDY DESIGN Fifteen surgical residents with burnout (Maslach Burnout Inventory [MBI] score > 27) and depression (Patient Health Questionnaire-9 Depression Screen [PHQ-9] score >10), from 1 academic institution, were enrolled and participated in this institutional review board-approved prospective study. Ten residents with more severe burnout and depression scores were assigned to receive 8 weeks of neurofeedback treatments, and 5 others with less severe symptoms were treated as controls. Each participant's cognitive workload (or mental effort) was assessed initially, and again after treatment via electroencephalogram (EEG) while the subjects performed n-back working memory tasks. Analysis of variance (ANOVA) tested for significance between the degree of change in the treatment and control groups. Each subject was also asked to rate changes in growth areas, such as sleep and stress. RESULTS Both groups showed high cognitive workload in the pre-assessment. After the neurofeedback intervention, the treatment group showed a significant (p < 0.01) improvement in cognitive workload via EEG during the working memory task. These differences were not noted in the control group. There was significant correlation between time (NFB sessions) and average improvement in all growth areas (r = 0.98) CONCLUSIONS: Residents demonstrated high levels of burnout, correlating with EEG patterns indicative of post-traumatic stress disorder. There was a notable change in cognitive workload after the neurofeedback treatment, suggesting a return to a more efficient neural network.
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Affiliation(s)
- Ian M Kratzke
- Department of Surgery, University of North Carolina, Chapel Hill, NC.
| | - Alana Campbell
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC
| | - Mae N Yefimov
- Neurocognition and Imaging Research Lab, University of North Carolina, Chapel Hill, NC
| | - Prithima R Mosaly
- Department of Psychiatry, University of North Carolina, Chapel Hill, NC
| | - Karthik Adapa
- Division of Healthcare Engineering, University of North Carolina, Chapel Hill, NC
| | | | - Timothy M Farrell
- Department of Surgery, University of North Carolina, Chapel Hill, NC
| | - Lukasz M Mazur
- Division of Healthcare Engineering, University of North Carolina, Chapel Hill, NC
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Wyman PA, Pisani AR, Brown CH, Yates B, Morgan-DeVelder L, Schmeelk-Cone K, Gibbons RD, Caine ED, Petrova M, Neal-Walden T, Linkh DJ, Matteson A, Simonson J, Pflanz SE. Effect of the Wingman-Connect Upstream Suicide Prevention Program for Air Force Personnel in Training: A Cluster Randomized Clinical Trial. JAMA Netw Open 2020; 3:e2022532. [PMID: 33084901 PMCID: PMC7578767 DOI: 10.1001/jamanetworkopen.2020.22532] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
IMPORTANCE Suicide has been a leading manner of death for US Air Force personnel in recent years. Universal prevention programs that reduce suicidal thoughts and behaviors in military populations have not been identified. OBJECTIVES To determine whether the Wingman-Connect program for Airmen-in-training reduces suicidal ideation, depression, and occupational problems compared with a stress management program and to test the underlying network health model positing that cohesive, healthy units are protective against suicidal ideation. DESIGN, SETTING, AND PARTICIPANTS This cluster randomized clinical trial was conducted from October 2017 to October 2019 and compared classes of personnel followed up for 6 months. The setting was a US Air Force technical training school, with participants studied to their first base assignment, whether US or international. Participants in 216 classes were randomized, with an 84% retention rate. Data analysis was performed from November 2019 to May 2020. INTERVENTIONS The Wingman-Connect program used group skill building for cohesion, shared purpose, and managing career and personal stressors (3 blocks of 2 hours each). Stress management training covered cognitive and behavioral strategies (2 hours). Both conditions had a 1-hour booster session, plus text messages. MAIN OUTCOMES AND MEASURES The primary outcomes were scores on the suicidal ideation and depression scales of the Computerized Adaptive Test for Mental Health and self-reports of military occupational impairment. Class network protective factors hypothesized to mediate the effect of Wingman-Connect were assessed with 4 measures: cohesion assessed perceptions that classmates cooperate, work well together, and support each other; morale was measured with a single item used in other studies with military samples; healthy class norms assessed perceptions of behaviors supported by classmates; and bonds to classmates were assessed by asking each participant to name classmates whom they respect and would choose to spend time with. RESULTS A total of 215 classes including 1485 individuals (1222 men [82.3%]; mean [SD] age, 20.9 [3.1] years) participated; 748 individuals were enrolled in the Wingman-Connect program and 737 individuals were enrolled in the stress management program. At 1 month, the Wingman-Connect group reported lower suicidal ideation severity (effect size [ES], -0.23; 95% CI, -0.39 to -0.09; P = .001) and depression symptoms (ES, -0.24; 95% CI, -0.41 to -0.08; P = .002) and fewer occupational problems (ES, -0.14; 95% CI, -0.31 to -0.02; P = .02). At 6 months, the Wingman-Connect group reported lower depression symptoms (ES, -0.16; 95% CI, -0.34 to -0.02; P = .03), whereas the difference in suicidal ideation severity was not significant (ES, -0.13; 95% CI, -0.29 to 0.01; P = .06). The number needed to treat to produce 1 fewer participant with elevated depression at either follow-up point was 21. The benefits of the training on occupational problems did not extend past 1 month. The Wingman-Connect program strengthened cohesive, healthy class units, which helped reduce suicidal ideation severity (estimate, -0.035; 95% CI, -0.07 to -0.01; P = .02) and depression symptom scores (estimate, -0.039; 95% CI, -0.07 to -0.01; P = .02) at 1 month. CONCLUSIONS AND RELEVANCE Wingman-Connect is the first universal prevention program to reduce suicidal ideation and depression symptoms in a general Air Force population. Group training that builds cohesive, healthy military units is promising for upstream suicide prevention and may be essential for ecological validity. Extension of the program to the operational Air Force is recommended for maintaining continuity and testing the prevention impact on suicidal behavior. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT04067401.
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Affiliation(s)
- Peter A Wyman
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Anthony R Pisani
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - C Hendricks Brown
- Department of Psychiatry and Behavioral Sciences, Feinberg School of Medicine, Northwestern University, Chicago, Illinois
| | - Bryan Yates
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Lacy Morgan-DeVelder
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Karen Schmeelk-Cone
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Robert D Gibbons
- Department of Medicine, Biological Sciences, The University of Chicago, Chicago, Illinois
- Department of Public Health Sciences, Biological Sciences, The University of Chicago, Chicago, Illinois
| | - Eric D Caine
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
| | - Mariya Petrova
- Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, New York
- Now with Miller School of Medicine, University of Miami, Miami, Florida
| | - Tracy Neal-Walden
- US Air Force Surgeon General's Office, Falls Church, Virginia
- Now with Cohen Veterans Network, Silver Spring, Maryland
| | - David J Linkh
- US Air Force Surgeon General's Office, Falls Church, Virginia
| | | | | | - Steven E Pflanz
- US Air Force Surgeon General's Office, Falls Church, Virginia
- Now with Syracuse Veterans Affairs Medical Center, Syracuse, New York
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30
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Khattab MF, Kannan TMA, Morsi A, Al-Sabbagh Q, Hadidi F, Al-Sabbagh MQ, M Taha M, Bourghli A, Obeid I. The short-term impact of COVID-19 pandemic on spine surgeons: a cross-sectional global study. Eur Spine J 2020; 29:1806-1812. [PMID: 32591880 PMCID: PMC7317075 DOI: 10.1007/s00586-020-06517-1] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/06/2020] [Revised: 05/29/2020] [Accepted: 06/18/2020] [Indexed: 01/08/2023]
Abstract
Purpose The outbreak of COVID-19 erupted in December 2019 in Wuhan, China. In a few weeks, it progressed rapidly into a global pandemic which resulted in an overwhelming burden on health care systems, medical resources and staff. Spine surgeons as health care providers are no exception. In this study, we try to highlight the impact of the crisis on spine surgeons in terms of knowledge, attitude, practice and socioeconomic burden.
Methods This was global, multicentric cross-sectional study on 781 spine surgeons that utilized an Internet-based validated questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment, future perceptions, effect of this crisis on practice and psychological distress. Univariate and multivariate ordinal logistic regression analyses were used to evaluate the predictors for the degree of COVID-19 effect on practice.
Results Overall, 20.2%, 52% and 27.8% of the participants were affected minimally, intermediately and hugely by COVID-19, respectively. Older ages (β = 0.33, 95% CI 0.11–0.56), orthopedic spine surgeons (β = 0.30, 95% CI 0.01–0.61) and those who work in the private sector (β = 0.05, 95% CI 0.19–0.61) were the most affected by COVID-19. Those who work in university hospitals (β = − 0.36, 95% CI 0.00 to − 0.71) were affected the least. The availability of N95 masks (47%) and disposable eye protectors or face shields (39.4%) was significantly associated with lower psychological stress (p = 0.01). Only 6.9%, 3.7% and 5% had mild, moderate and severe mental distress, respectively.
Conclusion While it is important to recognize the short-term impact of COVID-19 pandemic on the practice of spine surgery, predicting where we will be standing in 6–12 months remains difficult and unknown. The COVID-19 crisis will probably have an unexpected long-term impact on lives and economies.
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Affiliation(s)
- Mohamed Fawzy Khattab
- Orthopedic Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt
| | - Tareq M A Kannan
- Spine Unit, Jordan University Hospital, University of Jordan, Amman, Jordan
| | - Ahmed Morsi
- Orthopedic Surgery Department, Faculty of Medicine, Ain-Shams University, Cairo, Egypt
| | - Qussay Al-Sabbagh
- Spine Unit, Jordan University Hospital, University of Jordan, Amman, Jordan
| | - Fadi Hadidi
- Spine Unit, Jordan University Hospital, University of Jordan, Amman, Jordan
| | | | - Muzahem M Taha
- Orthopaedic Surgery Department, Kirkuk University, Kirkuk, Iraq
| | - Anouar Bourghli
- Orthopedic and Spine Surgery Department, Kingdom Hospital, Riyadh, Saudi Arabia
| | - Ibrahim Obeid
- Spine Surgery Unit, Elsan Group Jean Villar Private Hospital, Bruges-Bordeaux, France.
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Abstract
Objectives: To analyze healthcare workers experiences in dealing with the Coronavirus (COVID-19) pandemic. Methods: An anonymous open web-based survey study was conducted among healthcare workers from the March 2020 to April 2020. A total of 24 relevant questions were asked based on participants’ characteristics, obligations, and preparedness in healthcare workers in the event of COVID-19 pandemic. Results: Approximately 1036 healthcare workers participated in this study with high response rate. Out of all the participants, 70% were women, 52% belonged to the 26-34 year age range, 50% were nurses, 33.7% were clinicians, 74.3% agreed to work overtime, 93.1% understand why they should stay past their shift end, 97.7% thought that preventing illness among healthcare workers and providing safety to family members, nearly 94% thought that personal protective equipment (PPE) for employees will enhance their willingness to report to work. Approximately 89.3% express a desire for incentives and financial support for family members. Conclusion: We recommend that providing PPE, reducing psychological stress, financial support and safety to family members of healthcare workers will increase the willingness to report to work.
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Affiliation(s)
- Rana H Almaghrabi
- Department of Pediatrics, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia. E-mail.
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32
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Sugihara G, Takei N. Obsolete medical law in Japan harms doctors' health. Lancet 2020; 395:1113. [PMID: 32247390 DOI: 10.1016/s0140-6736(20)30176-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Accepted: 01/17/2020] [Indexed: 11/27/2022]
Affiliation(s)
- Genichi Sugihara
- Department of Psychiatry and Behavioural Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8510, Japan.
| | - Nori Takei
- Research Centre for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan
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Conejero S J. [Not Available]. Rev Chil Pediatr 2020; 91:302-303. [PMID: 32730553 DOI: 10.32641/rchped.vi91i2.2162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Affiliation(s)
- Jennifer Conejero S
- Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de Chile, Santiago, Chile
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Yen PY, Pearl N, Jethro C, Cooney E, McNeil B, Chen L, Lopetegui M, Maddox TM, Schallom M. Nurses' Stress Associated with Nursing Activities and Electronic Health Records: Data Triangulation from Continuous Stress Monitoring, Perceived Workload, and a Time Motion Study. AMIA Annu Symp Proc 2020; 2019:952-961. [PMID: 32308892 PMCID: PMC7153131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
As health IT has become overloaded with patient information, provider burnout and stress has accelerated. Studies have shown that EHR usage leads to heightened cognitive workload for nurses, and increases in cognitive workload can result in stronger feelings of exhaustion and burnout. We conducted a time motion study in an oncology division to examine the relationships between nurses' perceived workload, stress measured by blood pulse wave (BPw), and their time spent on nursing activities, and to identify stress associated with EHR use. We had a total of 33 observations from 7 nurses. We found that EHR-related stress is associated with nurses' perceived physical demand and frustration. We also found that nurses' perceived workload is a strong predictor of nurses' stress as well as how they spent time with their patients. They also experienced higher perceived mental demand, physical demand, and temporal demand when they were assigned to more patients, regardless of patient acuity. Our study presents a unique data triangulation approach from continuous stress monitoring, perceived workload, and a time motion study.
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Affiliation(s)
- Po-Yin Yen
- Institute for Informatics, Washington University School of Medicine, St. Louis, MO, USA
- Goldfarb School of Nursing, Barnes-Jewish College, BJC HealthCare, St. Louis, MO, USA
| | - Nicole Pearl
- Institute for Informatics, Washington University School of Medicine, St. Louis, MO, USA
| | - Cierra Jethro
- Goldfarb School of Nursing, Barnes-Jewish College, BJC HealthCare, St. Louis, MO, USA
| | - Emily Cooney
- Goldfarb School of Nursing, Barnes-Jewish College, BJC HealthCare, St. Louis, MO, USA
| | - Brittany McNeil
- Goldfarb School of Nursing, Barnes-Jewish College, BJC HealthCare, St. Louis, MO, USA
| | - Ling Chen
- Division of Biostatistics, Washington University School of Medicine, St. Louis, MO, USA
| | - Marcelo Lopetegui
- Instituto de Ciencias e Innovación en Medicina, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, Chile
| | - Thomas M Maddox
- Healthcare Innovation Lab, BJC HealthCare/Washington University School of Medicine, St. Louis, MO, USA
- Division of Cardiology, Washington University School of Medicine, St. Louis, MO, USA
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Rippon D, McDonnell A, Smith M, McCreadie M, Wetherell M. A grounded theory study on work related stress in professionals who provide health & social care for people who exhibit behaviours that challenge. PLoS One 2020; 15:e0229706. [PMID: 32108179 PMCID: PMC7046268 DOI: 10.1371/journal.pone.0229706] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 02/13/2020] [Indexed: 11/18/2022] Open
Abstract
Providing direct health and social care services for people who exhibit behaviours that challenge can be a highly stressful occupation. Existing literature has suggested that there is a need to develop further theoretical understanding of how work related stress can be reduced in professions that consist of providing care for people who exhibit behaviours that challenge. The aim for this study was to use a Classic Grounded Theory approach to develop a theoretical framework to illustrate a common issue that could influence work related stress levels experienced when managing behaviours that challenge in health and social care settings. A series of focus groups and 1:1 semi-structured interviews were conducted to explore the articulated experiences of 47 health/social care professionals who provide care for people who exhibit behaviours that challenge. This led to the development of Therapeutic Engagement Stress Theory (TEST), which illustrates that the perceived capacity to therapeutically engage with people who exhibit behaviours that challenge is an issue that can influence the levels of stress experienced by health/social care professionals. TEST provides a framework that could be applied to identify specific factors that inhibit staff to successfully deliver caring interventions for people who exhibit behaviours that challenge, and also inform bespoke support mechanisms to reduce stress in health/social care professionals.
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Affiliation(s)
- Daniel Rippon
- University of Northumbria at Newcastle, Newcastle upon Tyne, United Kingdom
- * E-mail:
| | - Andrew McDonnell
- Studio III Training Systems and Clinical Support, Warwick, United Kingdom
| | - Michael Smith
- University of Northumbria at Newcastle, Newcastle upon Tyne, United Kingdom
| | - Michael McCreadie
- Studio III Training Systems and Clinical Support, Warwick, United Kingdom
| | - Mark Wetherell
- University of Northumbria at Newcastle, Newcastle upon Tyne, United Kingdom
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36
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O'Sullivan G, O'Sullivan K, Gallagher J. Work-Related Stress Induced Takotsubo Cardiomyopathy. Ir Med J 2020; 113:27. [PMID: 32407012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Aim To report a case of Takotsubo cardiomyopathy secondary to a verbal altercation in an employee who presented with chest pain. Methods The clinical history was obtained from the patient's occupational health record and correspondence from her treating cardiologist. Results The patient was diagnosed with Takotsubo cardiomyopathy following investigations for chest pain. Her echocardiogram was diagnostic. She was treated with beta blockers and advised to have complete rest; she remained out of work for six months. Conclusion There are few published cases of work related Takotsubo cardiomyopathy; it poses a challenge to physicians to be cognisant of this condition in a case of chest pain following emotional turmoil.
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Affiliation(s)
- G O'Sullivan
- Occupational Health Department, Cork University Hospital, Wilton, Cork
| | - K O'Sullivan
- Occupational Health Department, Cork University Hospital, Wilton, Cork
| | - J Gallagher
- Occupational Health Department, Cork University Hospital, Wilton, Cork
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Hasselqvist-Ax I, Nordberg P, Svensson L, Hollenberg J, Joelsson-Alm E. Experiences among firefighters and police officers of responding to out-of-hospital cardiac arrest in a dual dispatch programme in Sweden: an interview study. BMJ Open 2019; 9:e030895. [PMID: 31753873 PMCID: PMC6887046 DOI: 10.1136/bmjopen-2019-030895] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
OBJECTIVES The objective of this study was to explore firefighters' and police officers' experiences of responding to out-of-hospital cardiac arrest (OHCA) in a dual dispatch programme. DESIGN A qualitative interview study with semi-structured, open-ended questions where critical incident technique (CIT) was used to collect recalled cardiac arrest situations from the participants' narratives. The interviews where transcribed verbatim and analysed with inductive content analysis. SETTING The County of Stockholm, Sweden. PARTICIPANTS Police officers (n=10) and firefighters (n=12) participating in a dual dispatch programme with emergency medical services in case of suspected OHCA of cardiac or non-cardiac origin. RESULTS Analysis of 60 critical incidents was performed resulting in three consecutive time sequences (preparedness, managing the scene and the aftermath) with related categories, where first responders described the complexity of the cardiac arrest situation. Detailed information about the case and the location was crucial for the preparedness, and information deficits created stress, frustration and incorrect perceptions about the victim. The technical challenges of performing cardiopulmonary resuscitation and managing the airway was prominent and the need of regular team training and education in first aid was highlighted. CONCLUSIONS Participating in dual dispatch in case of suspected OHCA was described as a complex technical and emotional process by first responders. Providing case discussions and opportunities to give, and receive feedback about the case is a main task for the leadership in the organisations to diminish stress among personnel and to improve future OHCA missions.
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Affiliation(s)
- Ingela Hasselqvist-Ax
- Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet, Stockholm, Sweden
| | - Per Nordberg
- Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet, Stockholm, Sweden
| | - Leif Svensson
- Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet, Stockholm, Sweden
| | - Jacob Hollenberg
- Department of Medicine, Centre for Resuscitation Science, Karolinska Institutet, Stockholm, Sweden
| | - Eva Joelsson-Alm
- Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden
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Carson F, Malakellis M, Walsh J, Main LC, Kremer P. Examining the Mental Well-Being of Australian Sport Coaches. Int J Environ Res Public Health 2019; 16:ijerph16234601. [PMID: 31756968 PMCID: PMC6926512 DOI: 10.3390/ijerph16234601] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 11/18/2019] [Accepted: 11/18/2019] [Indexed: 11/17/2022]
Abstract
Background: Research has highlighted the multitude of factors that are negatively associated with coach mental well-being but has failed to investigate how the determinants of mental well-being can affect the coach both positively and negatively. Accordingly, the aim of this study was to investigate levels of mental well-being among sport coaches and assess whether areas of work life—specifically workload and control—are related to levels of mental well-being. Method: An online survey comprising demographic and coaching experience details, the Areas of Work Life Scale (AWS), and the Warwick–Edinburgh Mental Well-Being Scale was completed by 464 Australian coaches involved in a range of sports. Differences in coach mental well-being according to key demographic and coaching-related subgroups were assessed using separate t-test and ANOVA analyses and the magnitude of effects was determined using Cohen’s d and the eta-squared (ή2) statistics. Multiple linear regression was used to examine relationships between both workload and control and mental well-being after controlling for age, gender, coaching setting and weekly coaching activity. Results: The findings indicate poorer mental well-being among both male and younger coaches and indicate that coach mental well-being is related to the ability to self-manage the workload associated with their role as a coach as well as greater autonomy over coaching-related tasks and activities. Specifically, a one-unit increase in AWS workload and AWS control were associated with ~three- and ~four-unit increases in coach mental well-being, respectively. Conclusion: Greater provision of resources and education is required to assist coaches to manage their own mental well-being, while being supported by the organisation they coach for. Enabling coaches to balance their coaching requirements and to have control over their environment will improve their ability to constantly coach at a high standard.
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Affiliation(s)
- Fraser Carson
- Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia; (M.M.); (J.W.); (P.K.)
- Correspondence: ; Tel.: +61-3-5227-2388
| | - Mary Malakellis
- Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia; (M.M.); (J.W.); (P.K.)
| | - Julia Walsh
- Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia; (M.M.); (J.W.); (P.K.)
| | - Luana C. Main
- Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia;
| | - Peter Kremer
- Centre for Sport Research, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia; (M.M.); (J.W.); (P.K.)
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Ganguli I, Simpkin AL, Lupo C, Weissman A, Mainor AJ, Orav EJ, Rosenthal MB, Colla CH, Sequist TD. Cascades of Care After Incidental Findings in a US National Survey of Physicians. JAMA Netw Open 2019; 2:e1913325. [PMID: 31617925 PMCID: PMC6806665 DOI: 10.1001/jamanetworkopen.2019.13325] [Citation(s) in RCA: 93] [Impact Index Per Article: 18.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
IMPORTANCE Incidental findings on screening and diagnostic tests are common and may prompt cascades of testing and treatment that are of uncertain value. No study to date has examined physician perceptions and experiences of these cascades nationally. OBJECTIVE To estimate the national frequency and consequences of cascades of care after incidental findings using a national survey of US physicians. DESIGN, SETTING, AND PARTICIPANTS Population-based survey study using data from a 44-item cross-sectional, online survey among 991 practicing US internists in a research panel representative of American College of Physicians national membership. The survey was emailed to panel members on January 22, 2019, and analysis was performed from March 11 to May 27, 2019. MAIN OUTCOMES AND MEASURES Physician report of prior experiences with cascades, features of their most recently experienced cascade, and perception of potential interventions to limit the negative consequences of cascades. RESULTS This study achieved a 44.7% response rate (376 completed surveys) and weighted responses to be nationally representative. The mean (SE) age of respondents was 43.4 (0.7) years, and 60.4% of respondents were male. Almost all respondents (99.4%; percentages were weighted) reported experiencing cascades, including cascades with clinically important and intervenable outcomes (90.9%) and cascades with no such outcome (94.4%). Physicians reported cascades caused their patients psychological harm (68.4%), physical harm (15.6%), and financial burden (57.5%) and personally caused the physicians wasted time and effort (69.1%), frustration (52.5%), and anxiety (45.4%). When asked about their most recent cascade, 33.7% of 371 respondents reported the test revealing the incidental finding may not have been clinically appropriate. During this most recent cascade, physicians reported that guidelines for follow-up testing were not followed (8.1%) or did not exist to their knowledge (53.2%). To lessen the negative consequences of cascades, 62.8% of 376 respondents chose accessible guidelines and 44.6% chose decision aids as potential solutions. CONCLUSIONS AND RELEVANCE The survey findings indicate that almost all respondents had experienced cascades after incidental findings that did not lead to clinically meaningful outcomes yet caused harm to patients and themselves. Policy makers and health care leaders should address cascades after incidental findings as part of efforts to improve health care value and reduce physician burnout.
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Affiliation(s)
- Ishani Ganguli
- Harvard Medical School, Boston, Massachusetts
- Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
| | - Arabella L. Simpkin
- Harvard Medical School, Boston, Massachusetts
- Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital, Boston
| | - Claire Lupo
- Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
| | | | - Alexander J. Mainor
- The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - E. John Orav
- Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
- Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Meredith B. Rosenthal
- Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts
| | - Carrie H. Colla
- The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire
| | - Thomas D. Sequist
- Harvard Medical School, Boston, Massachusetts
- Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
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Wahjudi JW, Findyartini A, Kaligis F. The relationship between empathy and stress: a cross-sectional study among undergraduate medical students. Korean J Med Educ 2019; 31:215-226. [PMID: 31455051 PMCID: PMC6715901 DOI: 10.3946/kjme.2019.132] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2019] [Revised: 07/03/2019] [Accepted: 07/22/2019] [Indexed: 05/28/2023]
Abstract
PURPOSE Empathy is critical for medical doctors, as it enables them to conduct good patient-centred care. Medical students are expected to learn this ability as part of their education and training. METHODS Using a cross-sectional design, the present study was conducted to identify whether the empathy levels of medical students are affected by their stress levels. A translated version of the Perceived Stress Scale-10 was used to measure the students' stress levels, while the Jefferson Scale of Physician Empathy was used to measure their empathy levels. RESULTS A total of 464 students from one medical school in Indonesia participated in the study. Stress levels among medical students peak in their first year of study and maintain a downward trend over the following years. The students' empathy levels increased during their first 3 years, declined significantly upon entering the first clinical year, and increased during the second clinical year. However, no correlations were found between stress level and empathy level. CONCLUSION These findings suggest that there may be other underlying factors that contribute to empathy decline among medical students upon entering their first clinical year. Further research should be conducted to identify these factors. The bounced-back of empathy level to a higher level in the second year highlights the importance of student adaptation in the clinical learning environment and the support system.
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Affiliation(s)
- James Wiguna Wahjudi
- Undergraduate Medical Program, Indonesia Medical Education and Research Institute (IMERI), Indonesia
| | - Ardi Findyartini
- Department of Medical Educationr, Indonesia Medical Education and Research Institute (IMERI), Indonesia
- Medical Education Center, Indonesia Medical Education and Research Institute (IMERI), Indonesia
| | - Fransiska Kaligis
- Department of Psychiatry, Faculty of Medicine, Universitas Indonesia, Indonesia
- Department of Psychiatry, Dr. Cipto Mangunkusumo Hospital, Central Jakarta, Indonesia
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Joliat GR, Demartines N, Uldry E. Systematic review of the impact of patient death on surgeons. Br J Surg 2019; 106:1429-1432. [PMID: 31373690 DOI: 10.1002/bjs.11264] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Accepted: 05/13/2019] [Indexed: 11/07/2022]
Abstract
BACKGROUND The death of a patient is experienced at some time by most surgeons. The aim of this review was to use existing literature to establish how surgeons have dealt with the death of patients. METHODS A systematic review of the medical literature was performed. MEDLINE/PubMed, Ovid, Web of Science, Embase, and Google Scholar were searched for qualitative and quantitative studies on surgeon reactions when facing death or a dying patient. This systematic review was performed following the recommendations of the Cochrane collaboration and reported following the PRISMA guidelines. Individual and interview-based opinions were summarized and synthesized. RESULTS An initial search found 652 articles. After exclusion of articles that did not satisfy the inclusion criteria, 20 articles remained and seven were included. Two of these articles were personal opinion of the author and five were interviews or surveys. The main findings were that facing death routinely induces a strong psychological burden and that surgeons are more at risk than the general population to develop psychological morbidity. CONCLUSION Although it is a frequent and emotional subject in the surgical world, the impact of patient death on surgeons is not abundantly studied in the literature. Dealing with patient death or taking care of a dying patient might have long-lasting psychological impact on surgeons.
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Affiliation(s)
- G-R Joliat
- Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland
| | - N Demartines
- Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland
| | - E Uldry
- Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland
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Yeoh CM, Thong KS, Seed HF, Nur Iwana AT, Maruzairi H. Psychological morbidities amongst house officers in Sarawak General Hospital Kuching. Med J Malaysia 2019; 74:307-311. [PMID: 31424038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
INTRODUCTION Psychological morbidities are common amongst healthcare professionals particularly among junior house officers (HO) who are in a transitional stage from being a medical student to a doctor. They undergo many stressors during this period and hence might suffer from higher psychological morbidities such as depression, anxiety and stress. OBJECTIVES To determine the prevalence of depression, anxiety and stress among HO in Sarawak General Hospital (SGH), Kuching, Sarawak. The socialdemographic factors were also evaluated to identify the high-risk groups. MATERIALS AND METHODS This is a descriptive cross-sectional study involving 227 house officers in SGH over a period of three months. The social-demographic data such as age, sex, marital status, current posting, duration of posting, place of graduate and state of origin were obtained from interviews with the respondents. The Depression, Anxiety and Stress scale (DASS) questionnaire was completed to assess the psychological morbidities. RESULTS HO were found to have high prevalence of psychiatric morbidities such as depression (42%), anxiety (50%) and stress (42.7%). Foreign graduates showed a significantly higher odds of depression (odds ratio, OR: 3.851; 95% confidence interval, 95%CI: 2.165, 6.851), anxiety (OR: 2.427; 95%CI: 1.394, 4.225) and stress (OR: 2.524; 95%CI: 1.439, 4.427) as compared to local graduates.. Further, non-Sarawakians were observed to have higher odds of developing anxiety (OR: 1.772; 95%CI: 1.022, 3.073) as compared to the Sarawakians. CONCLUSION HO in SGH had high prevalence of depression, anxiety and stress. Therefore, psychiatric morbidities should be screened regularly amongst the HOs in Malaysia.
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Affiliation(s)
- C M Yeoh
- Hospital Sentosa, Kuching, Sarawak, Malaysia.
| | - K S Thong
- Sarawak General Hospital, Kuching, Sarawak, Malaysia
| | - H F Seed
- Hospital Sentosa, Kuching, Sarawak, Malaysia
| | | | - H Maruzairi
- Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia
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Lowndes BR, Abdelrahman AM, Thiels CA, Mohamed AO, McConico AL, Bingener J, Hallbeck MS. Surgical team workload comparison for 4-port and single-port laparoscopic cholecystectomy procedures. Appl Ergon 2019; 78:277-285. [PMID: 29960648 DOI: 10.1016/j.apergo.2018.06.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/15/2017] [Revised: 05/15/2018] [Accepted: 06/19/2018] [Indexed: 06/08/2023]
Abstract
Advanced minimally invasive procedures may cause postural constraints and increased workload and stress for providers. This study compared workload and stress across surgical team roles for 48 laparoscopic cholecystectomies (4-port vs single-port) using a task load index (NASA-TLX), a procedural difficulty question, and salivary stress hormones. Statistical analyses were performed based on the presence intra-cluster correlation within team roles, at α=0.05. The single-port technique resulted in an 89% increase in physical workload for the surgeon and 63% increase for the assistant (both p<0.05). The surgeon had significantly higher salivary stress hormones during single-port surgeries. The degree of procedural difficulty was positively correlated between the surgeon and most roles: resident (r=0.67), assistant (r=0.81), and technician (r=0.81). There was a statistically significant positive correlation between the surgeon and assistant for all selfreported workload measures (p<0.05). The single-port technique requires further improvement to balance surgical team workload for optimal patient safety and satisfaction.
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Affiliation(s)
- Bethany R Lowndes
- Department of Health Sciences Research, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, 68198, USA
| | - Amro M Abdelrahman
- Department of Health Sciences Research, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
| | - Cornelius A Thiels
- Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Department of Surgery, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA
| | - Amani O Mohamed
- Department of Health Sciences Research, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Department of Surgery, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA
| | - Andrea L McConico
- Department of Surgery, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA
| | - Juliane Bingener
- Department of Surgery, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA
| | - M Susan Hallbeck
- Department of Health Sciences Research, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA; Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA; Department of Surgery, College of Medicine and Science, Mayo Clinic, Rochester, MN, USA.
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Linzer M, Poplau S, Prasad K, Khullar D, Brown R, Varkey A, Yale S, Grossman E, Williams E, Sinsky C. Characteristics of Health Care Organizations Associated With Clinician Trust: Results From the Healthy Work Place Study. JAMA Netw Open 2019; 2:e196201. [PMID: 31225894 PMCID: PMC6593631 DOI: 10.1001/jamanetworkopen.2019.6201] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Accepted: 05/07/2019] [Indexed: 11/14/2022] Open
Abstract
Importance There is new emphasis on clinician trust in health care organizations but little empirical data about the association of trust with clinician satisfaction and retention. Objective To examine organizational characteristics associated with trust. Design, Setting, and Participants This prospective cohort study uses data collected from 2012 to 2014 from 34 primary care practices employing physicians (family medicine and general internal medicine) and advanced practice clinicians (nurse practitioners and physician assistants) in the upper Midwest and East Coast of the United States as part of the Healthy Work Place randomized clinical trial. Analyses were performed from 2015 to 2016. Main Outcomes and Measures Clinician trust was measured using a 5-item scale, including belonging, loyalty, safety focus, sense of trust, and responsibility to clinicians in need (range, 1-4, with 1 indicating low and 4 indicating high; Cronbach α = 0.77). Other metrics included work control, work atmosphere (calm to chaotic), organizational culture (cohesiveness, emphases on quality and communication, and values alignment; range, 1-4, with 1 indicating low and 4 indicating high), and clinician stress (range, 1-5, with 1 indicating low and 5 indicating high), satisfaction (range, 1-5, with 1 indicating low and 4 indicating high), burnout (range, 1-5, with 1 indicating no burnout and 5 indicating very high feeling of burnout), and intention to leave (range, 1-5, with 1 indicating no intention to leave and 5 indicating definite intention to leave). Analyses included 2-level hierarchical modeling controlling for age, sex, specialty, and clinician type. Cohen d effect sizes (ESs) were considered small at 0.20, moderate at 0.50, and large at 0.80 or more. Results The study included 165 clinicians (mean [SD] age, 47.3 [9.2] years; 86 [52.1%] women). Of these, 143 (87.7%) were physicians and 22 (13.3%) were advanced practice clinicians; 105 clinicians (63.6%) worked in family medicine, and 60 clinicians (36.4%) worked in internal medicine. Compared with clinicians with low levels of trust, clinicians who reported high levels of trust had higher mean (SD) scores for work control (2.49 [0.52] vs 2.18 [0.45]; P < .001), cohesiveness (3.11 [0.46] vs 2.51 [0.51]; P < .001), emphasis on quality vs productivity (3.12 [0.48] vs 2.58 [0.41]; P < .001), emphasis on communication (3.39 [0.41] vs 3.01 [0.44]; P < .001), and values alignment (2.61 [0.59] vs 2.12 [0.52]; P < .001). Men were more likely than women to express loyalty (ES, 0.35; 95% CI, 0.05-0.66; P = .02) and high trust (ES, 0.31; 95% CI, 0.01-0.62; P = .04). Compared with clinicians with low trust at baseline, clinicians with high trust at baseline had a higher mean (SD) satisfaction score (3.99 [0.08] vs 3.51 [0.07]; P < .001; ES, 0.70; 95% CI, 0.39-1.02). Compared with clinicians in whom trust declined or remained low, clinicians with improved or stable high trust reported higher mean (SD) satisfaction (4.01 [0.07] vs 3.43 [0.06]; P < .001; ES, 0.98; 95% CI, 0.66-1.31) and lower stress (3.21 [0.09] vs 3.53 [0.09]; P = .02; ES, -0.39; 95% CI, -0.70 to -0.08) scores and had approximately half the odds of intending to leave (odds ratio, 0.481; 95% CI, 0.241-0.957; P = .04). Conclusions and Relevance Addressing low levels of trust by improving work control and emphasizing quality, cohesion, communication, and values may improve clinician satisfaction, stress, and retention.
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Affiliation(s)
- Mark Linzer
- Hennepin Healthcare Research Institute, Hennepin Healthcare, University of Minnesota, Minneapolis
| | - Sara Poplau
- Hennepin Healthcare Research Institute, Hennepin Healthcare, University of Minnesota, Minneapolis
| | - Kriti Prasad
- Hennepin Healthcare Research Institute, Hennepin Healthcare, University of Minnesota, Minneapolis
| | - Dhruv Khullar
- Cornell University Medical Center, New York, New York
| | - Roger Brown
- University of Wisconsin School of Nursing, Madison
| | - Anita Varkey
- Loyola University School of Medicine, Chicago, Illinois
| | - Steven Yale
- University of Central Florida College of Medicine, Lake Nona, Orlando
| | | | - Eric Williams
- Culverhouse College of Business, University of Alabama, Tuscaloosa
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Lewis-Schroeder NF, Kieran K, Murphy BL, Wolff JD, Robinson MA, Kaufman ML. Conceptualization, Assessment, and Treatment of Traumatic Stress in First Responders: A Review of Critical Issues. Harv Rev Psychiatry 2019; 26:216-227. [PMID: 29975339 PMCID: PMC6624844 DOI: 10.1097/hrp.0000000000000176] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
First responders are regularly confronted with exposure to traumatic events, including potentially life-threatening situations as well as the grave injuries and deaths of colleagues and civilians. Evidence indicates that the prevalence of posttraumatic stress disorder (PTSD) is substantially higher among first responders than the general population. This article provides information about the outpatient trauma services at McLean Hospital's LEADER (Law Enforcement, Active Duty, Emergency Responder) program to assist clinicians who encounter these first responders in their practices or who are specifically interested in working with this patient population. We begin by synthesizing the literature on the prevalence of PTSD in first responders following work-related exposure to traumatic stress, and by addressing the occupation-specific risk factors and the third-variable risk factors that may contribute to potentiated risk. We then discuss assessment strategies and treatment options used in our program, which is tailored for individuals who are dealing with mental health issues stemming from occupation-specific traumatic-stress exposure. We also address the unique challenges of treating traumatized first responders with more complex issues such as traumatic stress exposure across the lifespan and safety issues, including acute suicidality. We conclude by discussing notable gaps in the literature, including the need to investigate why and how women present with different PTSD symptoms than men and how these differences need to be taken into account in determining appropriate treatment for women.
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Affiliation(s)
- Nina F Lewis-Schroeder
- From Harvard Medical School (Drs. Lewis-Schroeder, Murphy, Robinson, and Kaufman) and McLean Hospital, Belmont, MA (all)
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Noor Dalila IZA, Rosnah I, Ismail NH. Psychosocial stressors at work and well-being of male employees. Med J Malaysia 2019; 74:160-167. [PMID: 31079128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Psychosocial stressors appear to alter the state of mind and adoption of overeating behaviour, resulting in high body mass index. This study was conducted to determine the magnitude of psychosocial stressors on male employees' well-being. METHOD This study used secondary data retrieved from a cross-sectional study involving 492 male employees' completed data. Eligible participants completed validated questionnaires of the Psychosocial Safety Climate (PSC-12) scale, short version Demand Induced Strain Compensation (DISQ 2.1), Oldenburg Burnout Inventory - Emotional Exhaustion domain and the Three Eating Factor Questionnaire (TEFQ) -Uncontrolled Eating domain; assessing psychosocial safety climate, job demands and job resources, emotional exhaustion, and uncontrolled eating behaviour, respectively. Body mass index (BMI) was calculated based on weight and height. The research statistical model was tested by two-steps of assessment replicating partial least squares structural equation modelling (PLS-SEM). RESULT The results show that psychosocial stressors (psychosocial safety climate, job demands and job resources) had significant effects on emotional exhaustion (β= -0.149, p=0.004; β= 0.223, p<0.001; β= -0.127, p=0.013). Emotional exhaustion predicted by work stressors may act as a chain reaction which could result in uncontrolled eating (β=0.138, p=0.005) and high BMI (β=0.185, p<0.001). Emotional exhaustion does mediate the relationship between PSC and uncontrolled eating behaviour (β= -0.021 [95% boot CI bias corrected: -0.048, -0.002]). CONCLUSION The psychosocial stressors at work are significant factors for emotional exhaustion, which further signifies the positive effect on uncontrolled eating behaviour and BMI among Malaysian male employees.
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Affiliation(s)
- I Z A Noor Dalila
- Universiti Kebangsaan Malaysia Medical Center, Faculty of Medicine, Department of Community Health, Cheras, Kuala Lumpur, Malaysia.
| | - I Rosnah
- Universiti Kebangsaan Malaysia Medical Center, Faculty of Medicine, Department of Community Health, Cheras, Kuala Lumpur, Malaysia
| | - N H Ismail
- Universiti Kebangsaan Malaysia Medical Center, Faculty of Medicine, Department of Community Health, Cheras, Kuala Lumpur, Malaysia
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Bauer H, Herbig B. Occupational Stress in Helicopter Emergency Service Pilots From 4 European Countries. Air Med J 2019; 38:82-94. [PMID: 30898289 DOI: 10.1016/j.amj.2018.11.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Revised: 10/18/2018] [Accepted: 11/16/2018] [Indexed: 11/18/2022]
Abstract
OBJECTIVE Working conditions are known to affect motivation, well-being, and ultimately work performance. Helicopter emergency medical services (HEMS) pilots' work is highly demanding and safety critical, but virtually no published data on occupational stress and strain symptoms in HEMS pilots are available. We investigated work stressors and resources and their association with work engagement, subjective well-being, and energy levels in European HEMS pilots. METHODS Cross-sectional questionnaire data were collected consecutively from 72 European HEMS pilots (24 Western European and 48 Eastern European, mean age = 51.9 years). We examined the stressor, resource, and strain symptom levels by age group and region of origin and the association of stressors and resources with work engagement, well-being, and energy. RESULTS Although the responses differed notably between the Eastern and Western European pilots, their overall profile was quite favorable. At the same time, those stressor/resource variables, which on average had the most favorable ratings, were the most strongly associated with (reduced) well-being and energy. CONCLUSION On the whole, the HEMS pilots' perception of their work situation appears to be positive, and they are highly engaged in their work. The pilots' strong identification with their work should be taken into account in pilot mental health support systems.
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Affiliation(s)
- Hans Bauer
- Institute and Clinic for Occupational, Social, and Environmental Medicine, University Hospital of Ludwig Maximilian University, Munich, Germany.
| | - Britta Herbig
- Institute and Clinic for Occupational, Social, and Environmental Medicine, University Hospital of Ludwig Maximilian University, Munich, Germany
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Rosemberg MAS, Li Y, McConnell DS, McCullagh MC, Seng JS. Stressors, allostatic load, and health outcomes among women hotel housekeepers: A pilot study. J Occup Environ Hyg 2019; 16:206-217. [PMID: 30615593 PMCID: PMC7045341 DOI: 10.1080/15459624.2018.1563303] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Hotel housekeepers are exposed to stressors at work and outside of work. A minimal amount is known about these workers' pathophysiological responses to those stressors. Allostatic load is a concept increasingly used to understand pathophysiologic manifestations of individuals' bodily response to stress. The purpose of this study was to examine the associations between work and nonwork stressors, allostatic load, and health outcomes among hotel housekeepers. Work and nonwork stressors (e.g., the number of traumatic events, everyday discrimination, and job strain) and health outcomes (e.g., general health status, physical and mental health, and chronic diseases) were measured. Biometric and anthropometric measures and fasting blood specimens were collected. Blood biomarkers included CRP, HbA1c, HDL, and cortisol. Descriptive analyses, correlations, regressions, and t-tests were conducted. Forty-nine women hotel housekeepers participated, with a mean age of 40 years. One-fifth reported high job strain and more than 40% had at least one traumatic event. Chronic conditions were commonly reported, with about 78%, 55%, and 35% reporting one, two, and three chronic conditions, respectively. Correlation analyses showed that reports of high job strain and everyday discrimination were significantly associated with high ALI quartile score (r = 0.39, p = 0.011; r = 0.41, p = 0.004). Job strain and everyday discrimination had medium to large effect sizes on ALI quartile scores. High ALI quartile score was significantly associated with having at least one chronic disease (r = 0.40, p = 0.005), and it had a large effect size on chronic diseases. To our knowledge, this is the first study to explore allostatic load among hotel housekeepers. Hotel housekeepers have high exposure to stressors within and outside of their work and experience poor chronic conditions. Allostatic load had strong associations with both stressors and health outcomes. Despite this worker group being a hard-to-reach worker group to participate in research studies, this study demonstrates the feasibility of accessing, recruiting and collecting survey data and blood samples among them to determine health risks and guide future targeted interventions.
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Affiliation(s)
- Marie-Anne S. Rosemberg
- Department of Systems, Populations and Leadership, School of Nursing, University of Michigan, Ann Arbor, Michigan
- University of Michigan, School of Nursing, Ann Arbor, Michigan
| | - Yang Li
- University of Michigan, School of Nursing, Ann Arbor, Michigan
| | - Daniel S. McConnell
- Epidemiology, University of Michigan, School of Public Health, Ann Arbor, Michigan
| | - Marjorie C. McCullagh
- Occupational Health Nursing Program, University of Michigan School of Nursing, Ann Arbor, Michigan
| | - Julia S. Seng
- Department of Systems, Populations and Leadership, School of Nursing, University of Michigan, Ann Arbor, Michigan
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Seijas-Solano DE. Riesgos psicosociales, estrés laboral y síndrome burnout en trabajadores universitarios de una escuela de bioanálisis. Rev Salud Publica (Bogota) 2019; 21:102-108. [PMID: 33206916 DOI: 10.15446/rsap.v21n1.71907] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Accepted: 11/26/2018] [Indexed: 11/09/2022] Open
Abstract
Objetivo Evaluar los riesgos psicosociales, el estrés laboral y el Síndrome Burnout en trabajadores universitarios de una escuela de bioanálisis venezolana.Metodología La investigación fue descriptiva y de corte transversal, la muestra estuvo constituida por 75 trabajadores. El análisis de riesgos psicosociales, el estrés laboral y el Síndrome Burnout se realizó a través de la metodología CoPsoQ-istas21.Resultados Los principales riesgos psicosociales fueron el ritmo de trabajo (80,8 %) y la inseguridad en las condiciones de trabajo (54,9%) en la situación más desfavorable a la salud, la doble presencia (52,7%) y el conflicto de roles (38,9%) en la situación intermedia, y el reconocimiento (98,6%) y la confianza vertical (94,3 %) en la situación más favorable. tanto el estrés laboral (3%) como el Síndrome Burnout (5%) se presentaron en la situación más desfavorable. Fueron directas las relaciones entre la antigüedad laboral y la escala de sueldos (r=0,361; p≤0,001), entre los niveles de estrés laboral y el Síndrome de Burnout (r=0,512; p≤0,01), y entre la satisfacción laboral y el estado de salud auto-percibida (r=0,485; p≤0,01).Conclusiones Se debe analizar y reforzar la descripción de cargos y funciones desempeñados por los trabajadores, construir indicadores de desempeño del personal, establecer mejores mecanismos para la planificación del trabajo y sistemas de información que ayuden a mejorar el modelo gerencial en la escuela.
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Affiliation(s)
- David E Seijas-Solano
- DS: Ecomista. M. Sc. Administración de Empresas. Centro de Investigaciones Toxicológicas de la Universidad de Carabobo (CITUC). Facultad de Ciencias de la Salud, Universidad de Carabobo. Valencia. Venezuela.
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