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1.
Esc. Anna Nery Rev. Enferm ; 26(spe): e20210179, 2022. ilus
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1292850

RESUMO

Objetivo: O estudo objetivou compreender as repercussões da pandemia da Covid-19 no cuidado de lactentes prematuros, na perspectiva de mães e profissionais de saúde. Método: Foram realizadas entrevistas semiestruturadas nos meses de junho e julho de 2020, por meio de ligação telefônica, com 14 mães e quatro profissionais de saúde do serviço de follow-up de uma maternidade pública da Paraíba, Brasil. Resultados: A partir da análise temática indutiva, os impactos da pandemia no cuidado ao lactente nascido prematuro, foram: sobrecarga e afastamento dos profissionais dos serviços de saúde, desativação temporária da unidade mãe canguru, descontinuidade da assistência ao prematuro, medo materno de expor a criança à Covid-19 e baixa condição socioeconômica. Foram elencadas estratégias de enfrentamento para o cuidado dos lactentes durante a pandemia, como: maior espaçamento das consultas, acompanhamento por meio telefônico e cumprimento das medidas de biossegurança. Conclusão e implicações para a prática: A pandemia exigi adaptações na assistência, tornando necessárias novas formas de cuidado a essas crianças, como exemplo, as consultas de acompanhamento remotas, a fim de garantir o seu direito à vida e saúde


Objective: The study aimed at understanding the repercussions of the Covid-19 pandemic in the care of premature infants, from the perspective of mothers and health professionals. Method: Semi-structured interviews were conducted in the months of June and July 2020, over the telephone, with 14 mothers and four health professionals from the follow-up service of a public maternity hospital in Paraíba, Brazil. Results: From the inductive thematic analysis, the impacts of the pandemic on the care of premature infants were as follows: overload and distancing of health service professionals, temporary deactivation of the Kangaroo mother unit, discontinuity of care for the premature infant, maternal fear of exposing the child to Covid-19 and low socioeconomic status. Coping strategies for the care of infants during the pandemic were listed, such as: greater spacing between consultations, phone follow-up and compliance with biosafety measures. Conclusion and implications for the practice: The pandemic required adaptations in care, which make new forms of care necessary for these children, such as remote follow-up consultations, in order to guarantee their right to life and health


Objetivo: El estudio tuvo como objetivo comprender las repercusiones de la pandemia de Covid-19 en la atención de bebés prematuros, desde la perspectiva de las madres y los profesionales de la salud. Método: Se realizaron entrevistas semiestructuradas en los meses de junio y julio de 2020, por medio de llamadas telefónicas, a 14 madres y cuatro profesionales de la salud del servicio de seguimiento de una maternidad pública en Paraíba, Brasil. Resultados: A partir del análisis temático inductivo, los efectos de la pandemia en la atención de bebés prematuros fueron los siguientes: sobrecarga y distanciamiento de profesionales de los servicios de salud, inhabilitación temporal de la unidad Madre Canguro, discontinuidad de la atención al bebé prematuro, miedo materno a exponer al niño al Covid-19 y nivel socioeconómico bajo. Se enumeraron estrategias de afrontamiento para la atención infantil durante la pandemia, tales como: mayor intervalo entre consultas, seguimiento telefónico y cumplimiento de medidas de bioseguridad. Conclusión e implicaciones para la práctica: La pandemia requirió adaptaciones en la atención, que hacen necesarias nuevas formas de atención para estos niños, como las consultas de monitoreo remoto, para garantizar su derecho a la vida y a la salud


Assuntos
Humanos , Feminino , Lactente , Adulto , Pessoa de Meia-Idade , Recém-Nascido Prematuro/crescimento & desenvolvimento , Pessoal de Saúde , Serviços de Saúde Materno-Infantil , COVID-19 , Cuidado do Lactente , Mães , Carga de Trabalho/psicologia , Consulta Remota , Pesquisa Qualitativa , Cobertura Vacinal , Medo , Método Canguru , Higiene das Mãos , Distanciamento Físico , COVID-19/prevenção & controle
2.
Int J Public Health ; 66: 599831, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34744566

RESUMO

Background: The effort-reward imbalance (ERI) model is widely used in job stress research. However, few studies using this model have been conducted in developing countries. This study tested the extrinsic and intrinsic hypotheses regarding the burnout of healthcare workers in China with the ERI model. Method: Job stress was assessed by Siegrist's ERI questionnaire, and burnout was evaluated by the Maslach Burnout Inventory-General Survey (MBI-GS). A total of 1,505 effective respondents were included in the final study. Multiple and hierarchical linear regression was used to analyze the association between components in the ERI model and burnout. Results: Emotional exhaustion and cynicism were positively correlated with ERI and overcommitment. Professional efficacy was positively related to ERI but not to overcommitment. ERI was the determining factor of emotional exhaustion and cynicism. Overcommitment moderated the relationship between ERI and emotional exhaustion and between ERI and cynicism. Conclusion: Changing workplace conditions and increasing personal resilience might alleviate burnout among hospital workers in China. The links between professional efficacy and stressful work environment need further exploration.


Assuntos
Esgotamento Profissional , Pessoal de Saúde , Esgotamento Profissional/epidemiologia , China/epidemiologia , Estudos Transversais , Pessoal de Saúde/psicologia , Humanos , Modelos Psicológicos , Recompensa , Inquéritos e Questionários , Carga de Trabalho/psicologia , Local de Trabalho
4.
An. psicol ; 37(2): 221-232, mayo-sept. 2021. tab, graf
Artigo em Inglês | IBECS | ID: ibc-202546

RESUMO

This study examined the mediator role of use of emotion (UoE) component of the emotional intelligence Scale in the relationship between extraversion (EX) and conscientiousness within the Big Five personality factors, and the dimensions of working excessively (WE) and working compulsively of the Dutch Work Addiction Scale. Along with this aim, da-ta were collected from healthcare staff, most of who were nurses, working at private hospitals serving in Istanbul. The findings indicated that WE had a non-significant direct effect on EX (β = −0.358; p > . 05), while the indirect effect of WE on EX through UoE was significant (β = 0.147; p < .05). This study reveals that UoE acts as a full mediator in the effect of WE on EX


Este estudio examinó el papel mediador del componente de uso de la emoción (UoE), de la Escala de inteligencia emocional, en la relación entre extraversión (EX) y conciencia dentro de los Cinco Grandes factores de personalidad, y las dimensiones de trabajar en exceso (WE) y trabajar compulsivamente de la Escala holandesa de adicción al trabajo. Junto con este objetivo, se recopilaron datos del personal sanitario, en su mayoría enfermeras, que trabajaba en hospitales privados que prestan servicios en Estambul. Los hallazgos indicaron que WE tuvo un efecto directo no significativo sobre EX (β = −0.358; p > .05), mientras que el efecto indirecto de WE sobre EX a través de UoE fue significativo (β = 0.147; p < .05). Este estudio revela que UoE actúa como un mediador completo en el efecto de WE sobre EX


Assuntos
Humanos , Masculino , Feminino , Adulto , Personalidade , Comportamento Aditivo/psicologia , Carga de Trabalho/psicologia , Emoções , Modelos Psicológicos , Inquéritos e Questionários , Análise de Classes Latentes , Análise Fatorial , Inteligência Emocional , Testes Psicológicos , Comportamento Compulsivo/psicologia , Extroversão Psicológica
5.
Medicine (Baltimore) ; 100(35): e27102, 2021 Sep 03.
Artigo em Inglês | MEDLINE | ID: mdl-34477148

RESUMO

ABSTRACT: The turnover rate among kindergarten teachers in advanced countries is extremely high. As such, there is an urgent need to determine the reasons for this turnover and to identify ways to prevent it. The current study investigates the individual and environmental factors that impact kindergarten teachers' willingness to continue working.A total of 600 kindergarten teachers in Japan participated in this study. Participants responded to questionnaires regarding their willingness to continue working, mental health, work engagement, and the availability of social support. Multiple logistic regression analysis was used to analyze participants' data, with willingness to continue working for 5 or more years as the dependent variable. Additionally, Spearman rank correlation was used to examine the correlations between factors associated with willingness to continue working.Factors such as older age, living with a spouse, caring for younger children (up to 2 years old) at work, good mental health, and higher work engagement were significantly associated with teachers' higher willingness to continue working. Factors such as marriage, health and family problems, overtime work, issues with workplace childcare, and education policy, working time/day problems, human relations, and difficulties taking care of children were correlated with teachers' lack of willingness to continue working.The findings of this cross-sectional study suggest that welfare benefits and individual support systems could be key elements to encourage kindergarten teachers to continue working and could lead to their improved job satisfaction and mental health. Balanced work conditions and workers' high agreement with their workplace's overall childcare or educational policies may lead to lower turnover. Some programs - such as relationship counselling - could have a positive impact on teachers' mental health and job satisfaction.


Assuntos
Satisfação no Emprego , Professores Escolares/psicologia , Adulto , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Humanos , Japão , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Reorganização de Recursos Humanos , Professores Escolares/estatística & dados numéricos , Inquéritos e Questionários , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Local de Trabalho/normas
6.
J Occup Health ; 63(1): e12247, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34375497

RESUMO

OBJECTIVES: To determine the prevalence of burnout according to job category after the first wave of COVID-19 in Japan and to explore its association with certain factors. METHODS: An online cross-sectional survey of health care workers (HCWs) from June 15 to July 6, 2020, was conducted at a tertiary hospital in Tokyo, Japan. Demographic characteristics, results of the Japanese version of the Maslach Burnout Inventory-General Survey, types of anxiety and stress, changes in life and work after the peak of the pandemic, and types of support aimed at reducing the physical or mental burden, were determined. RESULTS: Of 672 HCWs, 149 (22.6%) met the overall burnout criteria. Burnout was more prevalent in women (OR, 3.11; 95% CI, 1.45-6.67, P = .003), anxiety due to unfamiliarity with personal protective equipment (PPE) (OR, 1.98; 95% CI, 1.20-3.27, P = .007), and decreased sleep duration (OR, 1.96; 95% CI, 1.20-3.20, P = .008). Conversely, participants who felt that the delivery of COVID-19-related information (OR, .608; 95% CI, .371-.996, P = .048) and PPE education opportunities (OR, .484; 95% CI, .236-.993, P = .048) and messages of encouragement at the workplace (OR, .584; 95% CI, .352-.969; p = .037) was helpful experienced less burnout. CONCLUSIONS: There is a need to focus on the above factors to maintain the mental health of HCWs. The delivery of COVID-19-related information and educational interventions for PPE and messages of encouragement at the workplace may be needed to reduce the mental burden.


Assuntos
Esgotamento Psicológico/epidemiologia , COVID-19 , Pessoal de Saúde/psicologia , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , SARS-CoV-2 , Inquéritos e Questionários , Tóquio/epidemiologia , Adulto Jovem
7.
Ann Glob Health ; 87(1): 79, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34434715

RESUMO

Introduction: The mental health of people working in Covid-19 wards (nurses, doctors, etc.) may be compromised due to the specific conditions of the workplace and patients. Therefore, the aim of this study was to investigate the relationship between mental burden and quality of work life in nurses in intensive care units of Covid-19 patients. Method: In this cross-sectional study, a sample of 200 people-100 nurses in care units for patients with COVID-19 (group 1) and 100 nurses in non-COVID-19 patient care units (group 2-in three university hospitals were obtained. These 200 samples were randomly extracted from the list of employees and selected. Data were collected using three questionnaires, including (1) a demographic, (2) the NASA-Task Load Index (1988) (Hart & Staveland, 1988) and (3) National Institute for Occupational Safety and Health (NIOSH) Quality of Life. Data were analyzed using SPSS-24 software and descriptive and analytical statistical methods. Results: The overall mean scores of nurses' quality of work life were significantly different between the two groups (P < 0.05). The average score of quality of life in nurses caring for patients with COVID-19 is 92.57, more than nurses caring for patients without COVID-19, 79.43. Among the dimensions of mental workload: Performance and efficiency, with an average score of 77.32 ± 15.85, had the highest score, while discouragement and failure, with an average score of 58.04 ± 26.72, had the lowest score of mental workload. There is a significant difference between the mental load of work in the two groups (P = 0.001). There is a significant inverse relationship between total quality of work life and total mental workload (r = -14 and P = 0.01). Conclusion: In this study, it was observed that nurses caring for Covid-19 patients are in a more unfavorable situation in terms of the studied characteristics. Due to the work period, these nurses have a high workload and a low quality of work life to compensate for the mental and physical deficiencies required by a long presence in the work environment.


Assuntos
COVID-19 , Enfermeiras e Enfermeiros , Qualidade de Vida , Carga de Trabalho , Adulto , COVID-19/epidemiologia , COVID-19/enfermagem , Estudos Transversais , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Inquéritos e Questionários , Carga de Trabalho/psicologia
8.
Ann Glob Health ; 87(1): 51, 2021 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-34221904

RESUMO

Background: Nurses working in treating patients with COVID-19 are exposed to various stressors, such as fear of COVID-19, stress, and high workload, leading to burnout. Objectives: This study aimed to identify the level of burnout and its predictors in nurses working in hospitals for COVID-19 patients. Methods: Participants in this study were nurses working in 11 hospitals for COVID-19 patients in the Fars province of Iran. The Maslach burnout and the UK Health and Safety stress questionnaires were used to assess burnout and stress, respectively. Analysis, using multiple regression in the SPSS21 software, aimed to identify the factors affecting burnout. Findings: The mean level of burnout in the nurses at the COVID-19 hospitals was 57 out of 120, and burnout was affected by workload (ß = 0.69, p < 0.001), job stress (ß = 0.25, p < 0.001) and inadequate hospital resources for the prevention of COVID-19 (ß = -0.16, p < 0.001). These three variables explained 87% of the variance in burnout. Conclusions: The burnout of nurses directly exposed to COVID-19 patients is more than nurses in other wards, and workload is the most significant cause of burnout in them. Therefore, necessary measures such as hiring more nurses, reducing working hours and increasing rest periods are necessary to reduce workload. In addition, the job stress of these nurses should be managed and controlled, and the hospital resources needed to prevent this disease should be provided.


Assuntos
Esgotamento Profissional , COVID-19 , Enfermeiras e Enfermeiros , Estresse Ocupacional , Tolerância ao Trabalho Programado/psicologia , Carga de Trabalho , Adulto , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , COVID-19/enfermagem , COVID-19/psicologia , Medo/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Controle de Infecções/métodos , Irã (Geográfico)/epidemiologia , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/provisão & distribuição , Estresse Ocupacional/complicações , Estresse Ocupacional/prevenção & controle , SARS-CoV-2 , Carga de Trabalho/psicologia , Carga de Trabalho/normas , Carga de Trabalho/estatística & dados numéricos
9.
J Healthc Manag ; 66(4): 304-322, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34228687

RESUMO

EXECUTIVE SUMMARY: While the COVID-19 pandemic has added stressors to the lives of healthcare workers, it is unclear which factors represent the most useful targets for interventions to mitigate employee distress across the entire healthcare team. A survey was distributed to employees of a large healthcare system in the Southeastern United States, and 1,130 respondents participated. The survey measured overall distress using the 9-item Well-Being Index (WBI), work-related factors, moral distress, resilience, and organizational-level factors. Respondents were also asked to identify major work, clinical, and nonwork stressors. Multivariate regression was used to evaluate associations between employee characteristics and WBI distress score. Overall, 82% of employees reported high distress (WBI ≥ 2), with nurses, clinical support staff, and advanced practice providers reporting the highest average scores. Factors associated with higher distress included increased job demands or responsibilities, heavy workload or long hours, higher frequency of moral distress, and loneliness or social isolation. Factors associated with lower distress were perceived organizational support, work control, perceived fairness of salary cuts, and resilience. Most factors significantly associated with distress-heavy workloads and long hours, increased job demands, and moral distress, in particular-were work-related, indicating that efforts can be made to mitigate them. Resilience explained a small portion of the variance in distress relative to other work-related factors. Ensuring appropriate staffing levels may represent the single largest opportunity to significantly move the needle on distress. However, the financial impact of the COVID-19 pandemic on the healthcare system may represent a barrier to addressing these stressors.


Assuntos
COVID-19 , Pessoal de Saúde/psicologia , Satisfação no Emprego , Estresse Ocupacional , Equipe de Assistência ao Paciente , Estresse Psicológico , Carga de Trabalho/psicologia , Adulto , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Inquéritos e Questionários , Carga de Trabalho/estatística & dados numéricos
10.
J Occup Health ; 63(1): e12251, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-34302320

RESUMO

OBJECTIVES: This study aimed to evaluate characteristics of the work environment, job insecurity, and health of marginal part-time workers (8.0-14.9 hours/week) compared with full-time workers (32.0-40.0 hours/week). METHODS: The study population included employees in the survey Work Environment and Health in Denmark (WEHD) in 2012, 2014, or 2016 (n = 34 960). Survey information from WEHD on work environment and health was linked with register-based information of exposure based on working hours 3 months prior to the survey, obtained from the register Labour Market Account. Associations between marginal part-time work and work environment and health were assessed using logistic regression models. RESULTS: Marginal part-time workers reported less quantitative job demands, lower levels of influence at work, poorer support from colleagues and leaders, less job satisfaction and poorer safety, as well as more job insecurity. Results on negative social relations in the workplace and physical workload were more ambiguous. Marginal part-time workers were more likely to report poorer self-rated health, treatment-requiring illness, and depressive symptoms compared with full-time workers. Adjusting for characteristics of the work environment showed an indication of altered odds ratios for self-rated health and depressive symptoms, whereas job insecurity did not. CONCLUSIONS: This study finds that marginal part-time workers experience a poorer psychosocial work environment and safety, higher job insecurity, and poorer health than full-time workers. Work environment characteristics may confound or mediate the association between marginal part-time work and health. However, prospective studies are needed to determine the causal direction of the revealed associations.


Assuntos
Emprego/psicologia , Saúde do Trabalhador , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Dinamarca , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
11.
Healthc Manage Forum ; 34(4): 200-204, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34128425

RESUMO

Every year around Nurses Week, Dr. Rhonda Collins, DNP, RN, FAAN, Chief Nursing Officer for Vocera Communications, publishes a report examining important issues that impact the nursing profession worldwide. Her 2021 CNO report examines how the COVID-19 pandemic put a spotlight on the realities of the nursing profession and how the lack of resources, infrastructure, and policies impact nurses' work and lives. Dr. Collins addresses the toll of mental, emotional, and physical fatigue and outlines steps to help leaders create environments that protect the well-being of nurses and their patients. Dr. Collins closes the report by asking nurses to participate in a study to measure the mental, emotional, and physical burden nurses experience during communication. The study will use the NASA Task Load Index, a tool that has been used to measure the task load of workers in high-intensity jobs, such as pilots and air traffic controllers. The objective is to gain insight and a body of knowledge toward reducing nurses' cognitive burden going forward.


Assuntos
COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/enfermagem , Gestão da Segurança , Adulto , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Feminino , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Pandemias , Equipamento de Proteção Individual , Pneumonia Viral/virologia , SARS-CoV-2 , Análise e Desempenho de Tarefas , Carga de Trabalho/psicologia , Violência no Trabalho/prevenção & controle , Violência no Trabalho/psicologia
12.
Rev Gaucha Enferm ; 42(spe): e20200117, 2021.
Artigo em Inglês, Português | MEDLINE | ID: mdl-34133684

RESUMO

OBJECTIVE: To identify Nursing practices in the Family Health Strategy in Brazil and interfaces in the illness of these professionals. METHOD: Qualitative research, carried out in the five Regions of Brazil, with 79 nursing professionals from 20 health units. Data were collected from 2015 to 2017, using interviews, observation and documentary study. The analysis with the aid of the software ATLAS.ti 8.0, guided by the theorization of the Work Process and Workloads. RESULTS: The practices of the care dimension prevailed, followed by the administrative-managerial and educational dimensions. The illness resulting from workloads, predominantly psychic, was related to care practices, potentiated by overload and poor working conditions. CONCLUSION: The centrality of nursing practices in the dimension of care and administrative management characterized the professional work in Primary Care. The findings indicate that improved working conditions may minimize the wear and tear of these professionals in this scenario.


Assuntos
Saúde da Família , Profissionais de Enfermagem/psicologia , Saúde do Trabalhador , Atenção Primária à Saúde/organização & administração , Prática Profissional , Carga de Trabalho/psicologia , Adulto , Brasil , Humanos , Cuidados de Enfermagem , Pesquisa Qualitativa
13.
PLoS One ; 16(6): e0252179, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34138890

RESUMO

The emergence of musculoskeletal symptoms (MSSs) in computer workers is a relevant occupational health problem. This study tests a multilevel model of analysis of risk factors in the appearance of musculoskeletal pain and discomfort in computer workers that integrates indicators from different areas: temporal usage patterns, ergonomic factors, psychosocial factors, and individual variables, specifically testing the possible mediating role of the mental workload. A cross-sectional study was performed through online registration with a non-probabilistic sample of 1198 workers from Spanish organizations. The results show that mental workload has a higher association than the rest of the factors with the onset of pain and discomfort in various body areas: neck in men, neck, shoulders and upper back in women. They also support the mediation role of mental workload in the relationship between usage patterns and the appearance of musculoskeletal symptoms. The use of multilevel theoretical models that adequately consider the complexity of the relationships between the different risk factors is necessary for a better understanding and intervention on MSSs in computer workers.


Assuntos
Doenças Musculoesqueléticas/psicologia , Doenças Profissionais , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
14.
J Occup Health Psychol ; 26(3): 155-174, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34096761

RESUMO

Job demands may affect employee resilience in future stress events. However, not all job demands are equal. Drawing on the challenge-hindrance framework, we argue that challenge and hindrance demands differentially relate to psychological and physiological resilience. Further, based on the concept of habituation, we propose that it is essential to factor in temporal issues, that is job demands' variance. By including job demands' type, level, and variance we add to a more holistic understanding of the job demands-resilience relationship. To test our assumptions, we combined field and experimental data. Specifically, over the course of 1 month 63 employees repeatedly provided information on their experience of job challenge and hindrance demands. Following, using the paradigm of the Trier Social Stress Test (TSST) we exposed participants to an acute stress situation within a laboratory setting. Piecewise growth curve modeling revealed that moderate levels of challenge demands may enhance employees' ability to demonstrate psychological resilience. Further, moderate levels of challenge demands related to a stronger cortisol reactivity and marginally enhanced cortisol recovery. Hindrance demands as well as demands' variance did not affect employee resilience. Overall, our results suggest that moderate levels of challenge demands may train employees' resilience, particularly psychological resilience, in future stress events. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Estresse Ocupacional/psicologia , Resiliência Psicológica , Carga de Trabalho/psicologia , Adulto , Feminino , Alemanha , Humanos , Hidrocortisona/análise , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/fisiopatologia , Medição de Risco , Apoio Social , Trabalho/psicologia
15.
Medicine (Baltimore) ; 100(21): e25945, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34032703

RESUMO

ABSTRACT: To investigate the prevalence of anxiety and depressive symptoms and the associated risk factors among first-line medical staff in Wuhan during the coronavirus disease 2019 (COVID-19) epidemic.From March 5 to 15, 2020, the Hamilton Anxiety Scale and Hamilton Depression scale were used to investigate the anxiety and depression status of medical staff in Wuhan Cabin Hospital (a Hospital). Two hundred seventy-six questionnaires were received from 96 doctors and 180 nurses, including 79 males and 197 females.During the COVID-19 epidemic, the prevalence rate of anxiety and depression was 27.9% and 18.1%, respectively, among 276 front-line medical staff in Wuhan. The prevalence rate of anxiety and depression among doctors was 19.8% and 11.5%, respectively, and the prevalence rate of anxiety and depression among nurses was 32.2% and 21.7%, respectively. Females recorded higher total scores for anxiety and depression than males, and nurses recorded higher scores for anxiety and depression than doctors.During the COVID-19 epidemic, some first-line medical staff experienced mental health problems such as depression and anxiety. Nurses were more prone to anxiety and depression than doctors. Effective strategies toward to improving the mental health should be provided to first-line medical staff, especially female medical staff and nurses.


Assuntos
Ansiedade/epidemiologia , COVID-19/epidemiologia , Depressão/epidemiologia , Corpo Clínico/psicologia , Unidades Móveis de Saúde/estatística & dados numéricos , Adulto , Ansiedade/psicologia , COVID-19/diagnóstico , COVID-19/terapia , COVID-19/transmissão , China/epidemiologia , Estudos Transversais , Depressão/psicologia , Medo , Feminino , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional , Masculino , Corpo Clínico/estatística & dados numéricos , Pessoa de Meia-Idade , Pandemias , Prevalência , Fatores de Risco , SARS-CoV-2/isolamento & purificação , SARS-CoV-2/patogenicidade , Autorrelato/estatística & dados numéricos , Fatores Sexuais , Carga de Trabalho/psicologia
16.
World Neurosurg ; 151: e857-e870, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33974985

RESUMO

OBJECTIVE: The impact of the coronavirus disease 2019 (COVID-19) pandemic has led to a significant transformation in medical practice and training. This nationwide survey study aims to evaluate the 1-year impact of the pandemic on training of neurosurgical residents. METHODS: A 38-question Web-based survey was sent to 356 neurosurgery residents. Two hundred and thirty-five participated in the study (66% response rate), representing more than half of all neurosurgical residents in the country. RESULTS: Assignment to direct COVID-19 medical care was common (85.5%). Many of the neurosurgery residents (37.9%) were tested positive for COVID-19. Almost half of the respondents reported a decrease in work hours. Most participants (84.3%) reported a decline in total operative case volume (mean change, -29.1% ± 1.6%), largely as a result of a decrease in elective (-33.2% ± 1.6%) as opposed to emergency cases (-5.1% ± 1.8%). For theoretic education, most respondents (54.9%) indicated a negative impact, whereas 25.1% reported a positive impact. For practical training, most respondents (78.7%) reported an adverse effect. A decrease in elective surgical case volume predicted a positive impact on theoretic training but a negative impact on practical training. Research productivity was reported by 33.2% to have decreased and by 23% to have increased. Forty-two percent indicated an increase in concerns about their training and career, with a negative impact on practical training being the most important predictor. Most (57.4%) had considered extending residency training to overcome negative effects of the pandemic. CONCLUSIONS: COVID-19 has had a significant impact on neurosurgical practice and training. Effective measures should be used to mitigate these effects and better prepare for the future challenges.


Assuntos
COVID-19/epidemiologia , Internato e Residência/tendências , Neurocirurgia/educação , Neurocirurgia/tendências , Inquéritos e Questionários , COVID-19/prevenção & controle , COVID-19/psicologia , Feminino , Humanos , Masculino , Neurocirurgia/psicologia , Fatores de Tempo , Turquia/epidemiologia , Carga de Trabalho/psicologia
17.
Appl Nurs Res ; 59: 151416, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33947510

RESUMO

BACKGROUND: Covid-19 has brought healthcare workers in general and nurses in particular into the limelight as never before. It is important to study the intensity of the impact of this pandemic on the profession. OBJECTIVE: This study aims to assess the occupational satisfaction during the pandemic of Covid-19 among the nurses in Israel, to shed light on conditions of work and to identify factors associated with low occupational satisfaction. METHODS: Cross-sectional study of 130 Israeli nurses. Minnesota Satisfaction and Measure of Job Satisfaction questionnaire with 28 items was used to assess occupational satisfaction. RESULTS: In the multivariable model, nurses working in the community had higher occupational satisfaction than those working in hospitals (ß = 0.24, p = .032); nurses who took care of patients who tested positive for Covid-19 had significantly lower occupational satisfaction than others (ß = -0.48, p = .009). Most of the sample reported lack of personal protective equipment (PPE). Nurses who experienced lack of PPE reported lower occupational satisfaction than those who did not (3.4 vs. 3.8, p = .039). Occupational satisfaction was mainly based on the component, built by the intrinsic characteristics of the occupation related to the personal accomplishment. Most of nurses had to increase their workload as a result of staff shortages, but the elevation of the workload was not associated with lower occupational satisfaction. CONCLUSION: Even under the circumstances of the pandemic, the most important nurses` occupational values are worthwhile accomplishments, importance of professional challenge, diversity and interest in the job, personal growth and development and independence in their practice.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/enfermagem , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Satisfação Pessoal , Reorganização de Recursos Humanos/estatística & dados numéricos , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Israel , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Inquéritos e Questionários
18.
PLoS One ; 16(5): e0250563, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33979350

RESUMO

Rates of mental illness and heavy alcohol use are exceedingly high in the legal profession, while attrition among women has also been a longstanding problem. Work overcommitment, work-family conflict, permissiveness toward alcohol in the workplace, and the likelihood of promotion are all implicated but have yet to be systematically investigated. Data were collected from 2,863 lawyers randomly sampled from the California Lawyers Association and D.C. Bar to address this knowledge gap. Findings indicated that the prevalence and severity of depression, anxiety, stress, and risky/hazardous drinking were significantly higher among women. Further, one-quarter of all women contemplated leaving the profession due to mental health concerns, compared to 17% of men. Logistic models were conducted to identify workplace factors predictive of stress, risky drinking, and contemplating leaving the profession. Overcommitment and permissiveness toward alcohol at work were associated with the highest likelihood of stress and risky drinking (relative to all other predictors) for both men and women. However, women and men differed with respect to predictors of leaving the profession due to stress or mental health. For women, work-family conflict was associated with the highest likelihood of leaving, while overcommitment was the number one predictor of leaving for men. Mental health and gender disparities are significant problems in the legal profession, clearly requiring considerable and sustained attention.


Assuntos
Consumo de Bebidas Alcoólicas/epidemiologia , Ansiedade/psicologia , Família/psicologia , Advogados/psicologia , Saúde Mental/estatística & dados numéricos , Estresse Psicológico/epidemiologia , Carga de Trabalho/psicologia , Adulto , Idoso , Consumo de Bebidas Alcoólicas/psicologia , Feminino , Humanos , Advogados/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Fatores Sexuais , Estresse Psicológico/psicologia , Estados Unidos/epidemiologia
19.
Intensive Crit Care Nurs ; 65: 103059, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33875341

RESUMO

OBJECTIVE: Burnout is a global work-related phenomenon. Intensive care unit (ICU) nurses are at risk of burnout and the COVID-19 pandemic may increase this risk. The objectives of this study were to assess the prevalence of burnout risk and identify risk factors among ICU nurses during the COVID-19 pandemic. RESEARCH METHODOLOGY: Web-based survey performed during the first wave of the COVID-19 pandemic in French speaking Belgium. MAIN OUTCOME MEASURES: Risk of burnout was assessed with the Maslach Burnout Inventory scale. RESULTS: A total of 1135 ICU nurses responded to the questionnaire. The overall prevalence of burnout risk was 68%. A total of 29% of ICU nurses were at risk of depersonalisation (DP), 31% of reduced personal accomplishment (PA), and 38% of emotional exhaustion (EE). A 1:3 nurse-to-patient ratio increased the risk of EE (OR = 1.77, 95% CI: 1.07-2.95) and DP (OR = 1.38, 95% CI: 1.09-2.40). Those who reported having a higher perceived workload during the COVID-19 pandemic were at higher risk for all dimensions of burnout. Shortage of personal protective equipment increased the risk of EE (OR = 1.78, 95% CI: 1.35-3.34) and nurses who reported having symptoms of COVID-19 without being tested were at higher risk of EE (OR = 1.40, 95% CI: 1.68-1.87). CONCLUSIONS: Two-thirds of ICU nurses were at risk of burnout and this risk was associated with their working conditions during the first wave of the COVID-19 pandemic. We recommend monitoring the risk of burnout and implementing interventions to prevent and manage it, taking into account the factors identified in this study.


Assuntos
Esgotamento Profissional/diagnóstico , COVID-19/complicações , Adulto , Bélgica , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/psicologia , COVID-19/prevenção & controle , COVID-19/psicologia , Surtos de Doenças , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/complicações , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Inquéritos e Questionários , Carga de Trabalho/psicologia , Carga de Trabalho/normas
20.
BMC Pregnancy Childbirth ; 21(1): 287, 2021 Apr 09.
Artigo em Inglês | MEDLINE | ID: mdl-33836689

RESUMO

BACKGROUND: In 2017, a total of 295,000 women lost their lives due to pregnancy and childbirth across the globe, with sub-Saharan Africa and South Asia accounting for approximately 86 % of all maternal deaths. The maternal mortality ratio in Ghana is exceptionally high, with approximately 308 deaths/100,000 live births in 2017. Most of these maternal deaths occur in rural areas than in urban areas. Thus, we aimed to explore and gain insights into midwives' experiences of working and providing women-centred care in rural northern Ghana. METHODS: A qualitative descriptive exploratory design was used to explore the challenges midwives face in delivering women-centred midwifery care in low-resource, rural areas. A total of 30 midwives practicing in the Upper East Region of Ghana were purposefully selected. Data were collected using individual semistructured interviews and analysed through qualitative content analysis. RESULTS: Five main themes emerged from the data analysis. These themes included were: inadequate infrastructure (lack of bed and physical space), shortage of midwifery staff, logistical challenges, lack of motivation, and limited in-service training opportunities. CONCLUSIONS: Midwives experience myriad challenges in providing sufficient women-centred care in rural Ghana. To overcome these challenges, measures such as providing adequate beds and physical space, making more equipment available, and increasing midwifery staff strength to reduce individual workload, coupled with motivation from facility managers, are needed.


Assuntos
Serviços de Saúde Materna/organização & administração , Tocologia/organização & administração , Motivação , Serviços de Saúde Rural/organização & administração , Feminino , Gana , Humanos , Gravidez , Pesquisa Qualitativa , Carga de Trabalho/psicologia
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