Health Workers' Mindfulness-Based Stress Reduction and Resilience During COVID-19 Pandemic.

Background: Research indicates that a significant number of healthcare workers accounted for all confirmed Coronavirus disease 2019 (COVID-19) cases, and many of the infected healthcare workers were asymptomatic. During the COVID-19 outbreak, a considerable number of people in Taiwan contracted the disease. Therefore, health workers in Taiwan often experienced lack of medical resources, and this problem is worse for outer island areas. In terms of stress and mental health, this study investigated the effect of poor healthcare capacity and high workload on health workers during the COVID-19 pandemic. This study also explored mindfulness-based stress reduction and resilience in health workers. Methods: This study conducted an in-depth interview to investigate stress perceived by health workers in a hospital located on an outer island of Taiwan as well as their mental health and stress relieving strategies. Results: It was found that during the COVID-19 outbreak, some common sources of stress for health workers included exposure to infectious diseases, heavy workloads, facing ethical dilemma in clinical decision-making, and unfamiliar problems from the pandemic. These types of stress cause worries, anxiety, and depression in health workers, which affects their mental and physical health as well as their patient-care performance. Conclusion: This study proposed that mindfulness-based stress reduction and protecting mental health are important for health workers.

A study on transboundary governance of marine plastic debris-the case of an adjacent waters between China and Taiwan.

This study aimed to construct a transboundary marine governance mechanism in the Kinmen-Xiamen waters through literature review, field survey, in-depth interview, and expert opinion survey. The study finds that monsoons, ocean currents, and tides are the main factors affecting the drift of marine debris in the Xiamen Sea area to the beaches of Kinmen. The marine debris mainly included marine plastic debris (MPD), bamboo, and wood in Kinmen and was documented impacting a variety of species, including the horseshoe crab to marine mammals the IndoPacific dolphin. In addition, the problem of marine micro-plastic pollution is becoming increasingly worrisome and hazardous to rare creatures in the Xiamen Sea area. The pollution sources of MPD in Xiamen Bay included coastal tourism activities, micro-plastic discharged from sewage treatment plants, plastic waste produced by lost and discarded marine aquaculture, and plastic drifting terrestrial waste transported from the Jiulong River Basin. Our results show that microplastic pollution in the Kinmen-Xiamen waters may have a greater impact on marine ecology and the surrounding environment. The relevant transboundary marine governance mechanisms are discussed in this study.