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1.
PLoS One ; 16(2): e0246784, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33566863

RESUMO

BACKGROUND: COVID-19 pandemic has provoked a wide variety of psychological problems such as anxiety, depression, and panic disorders, especially among health service providers. Due to a greater risk of exposure to the virus, increased working hours, and fear of infecting their families, health service providers are more vulnerable to emotional distress than the general population during this pandemic. This online survey attempts to assess the psychological impact of COVID-19 and its associated variables among healthcare workers in Nepal. MATERIALS AND METHODS: For data collection purposes, Covid-19 Peritraumatic Distress Index (CPDI) Questionnaire, was used whose content validity was verified by Shanghai mental health center. Data for the survey were collected from 11 to 24 October 2020 which was extracted to Microsoft Excel-13 and analyzed. RESULTS: A total of 254 health care workers from different provinces of the country participated in this study with a mean age of 26.01(± 4.46) years. A majority 46.9% (n = 119) of the participants were not distressed (score ≤28) while 46.5% (n = 118) were mild to moderately distressed (score >28 to ≤51) and 6.7% (n = 17) were severely distressed (score ≥52) due to the current COVID-19 pandemic. Female participants (p = 0.004) and participants who were doctors by profession (p = 0.001) experienced significantly more distress. CONCLUSIONS: COVID-19 pandemic has heightened the psychological distress amongst health care service providers. The findings from the present study may highlight the need for constructing and implementing appropriate plans and policies by relevant stakeholders that will help to mitigate the distress among health service providers in the current pandemic so that we can have an efficient frontline health workforce to tackle this worse situation.


Assuntos
/psicologia , Pessoal de Saúde/psicologia , Estresse Ocupacional/epidemiologia , Adulto , Estudos Transversais , Medo/psicologia , Feminino , Humanos , Masculino , Nepal/epidemiologia , Adulto Jovem
2.
Artigo em Chinês | MEDLINE | ID: mdl-33535332

RESUMO

Objective: To analyze the status and its influencing factors of job burnout among female workers of labor-intensive enterprises. Methods: A total of 750 female workers from 5 labor-intensive enterprises in Guangdong Province were selected as the study subjects by random cluster sampling method in August, 2019. 665 valid questionnaires were collected, and the effective recovery rate was 88.67%. The Maslach Burnout Inventory-General Survey was used to assess job burnout and its influencing factors were analyzed. Results: Among 665 female workers, 429 (64.51%) found to have different levels of burnout, among which 380 (57.14%) were mild to moderate burnout and 49 (7.37%) were severe burnout. The comprehensive scores of job burnout in different age, marital status, current post working age, working time per week, personal monthly income, working system and occupational stress groups were statistically significant (P<0.01) . There were significant differences in the score of emotional exhaustion in different age, marital status, current working age, working time per week, personal monthly income and occupational stress groups (P<0.05) . There were significant differences in the dimensions of depersonalization in different age, weekly work time, personal monthly income, working system and occupational stress groups (P<0.05) . There were significant differences in the dimensions of low individual achievement in different education levels, weekly work time, working system and occupational stress groups (P<0.05) . Conclusion: The female workers of labor-intensive enterprises are generally have mild to moderate job burnout. The main influencing factors of job burnout are weekly work time and occupational stress.


Assuntos
Esgotamento Profissional , Estresse Ocupacional , Esgotamento Profissional/epidemiologia , Estudos Transversais , Emoções , Emprego , Feminino , Humanos , Satisfação no Emprego , Estresse Ocupacional/epidemiologia , Inquéritos e Questionários
3.
Br J Nurs ; 30(2): 133, 2021 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-33529112

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the stressful situation of the frontline response to COVID-19, and reflects on a gap between ideal ratios and reality.


Assuntos
/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , /epidemiologia , Inglaterra/epidemiologia , Hospitais Universitários , Humanos
4.
Medicine (Baltimore) ; 100(5): e24503, 2021 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-33592903

RESUMO

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 ±â€Š2.57. 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 ±â€Š0.38. 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.


Assuntos
Infecção Hospitalar , Profissionais Controladores de Infecções , Controle de Infecções , Exposição Ocupacional , Estresse Ocupacional , Adulto , /prevenção & controle , China/epidemiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Estudos Transversais , Feminino , Humanos , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Profissionais Controladores de Infecções/psicologia , Profissionais Controladores de Infecções/estatística & dados numéricos , Masculino , Saúde Mental/estatística & dados numéricos , Exposição Ocupacional/prevenção & controle , Exposição Ocupacional/estatística & dados numéricos , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Estresse Ocupacional/prevenção & controle , Medição de Risco , Inquéritos e Questionários
5.
Mo Med ; 118(1): 45-49, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33551485

RESUMO

Healthcare providers perform lifesaving work in unusually stressful work environments due to the challenges and related risks of battling the unprecedented COVID-19 pandemic. The potential personal and professional toll is substantial. This article describes how one healthcare facility benefited from existing peer support resources to address workforce well-being, ensuring that resources were available to support workforce resilience throughout the protracted COVID response.


Assuntos
/psicologia , Pessoal de Saúde/psicologia , Mão de Obra em Saúde/estatística & dados numéricos , Saúde do Trabalhador/normas , Local de Trabalho/psicologia , Adaptação Psicológica/fisiologia , Adulto , /epidemiologia , Assistência à Saúde/organização & administração , Recursos em Saúde/provisão & distribução , Humanos , Masculino , Saúde Mental/tendências , Missouri/epidemiologia , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , /isolamento & purificação , Grupos de Autoajuda/organização & administração , Universidades/organização & administração , Local de Trabalho/estatística & dados numéricos
6.
Mo Med ; 118(1): 55-62, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33551487

RESUMO

Background: Global pandemics have a profound psycho-social impact on health systems and their impact on healthcare workers is under-reported. Methods: We performed a cross-sectional survey with 13 Likert-scale responses and some additional polar questions pertaining to dressing habits and learning in a university hospital in the midwest United States. Descriptive and analytical statistics were performed. Results: The 370 respondents (66.1% response rate, age 38.5±11.6 years; 64.9% female), included 102 supervising providers [96 (25.9%) physicians, 6 (1.6%) mid-level], 64 (17.3%) residents/fellows, 73 (19.7% nurses, 45 (12.2%) respiratory therapists, 31 (8.4%) therapy services and others: 12 (3.2%) case-managers, 4 (1.1%) dietitians, 39 (10.5%) unclassified]. Overall, 200 (54.1%) had increased anxiety, 115 (31.1%) felt overwhelmed, 159 (42.9%) had fear of death, and 281 (75.9%) changed dressing habits. Females were more anxious (70.7% vs. 56%, X2 (1, N=292)=5.953, p=0.015), overwhelmed (45.6% vs. 27.3%, X2 (1, N=273)=8.67, p=0.003) and suffered sleep disturbances (52% vs. 39%, X2 (1, N=312)=4.91, p=0.027). Administration was supportive; 243 (84.1%, N=289), 276 (74.5%) knew another co-worker with COVID-19, and only 93 (25.1%) felt healthcare employment was less favorable. Residents and fellows reported a negative impact on their training despite feeling supported by their program. Conclusion: Despite belief of a supportive administration, over half of healthcare workers and learners reported increased anxiety, and nearly a third felt overwhelmed during this current pandemic.


Assuntos
Adaptação Psicológica/fisiologia , Pessoal de Saúde/psicologia , Psicologia/estatística & dados numéricos , Adulto , /epidemiologia , Estudos Transversais , Feminino , Pessoal de Saúde/estatística & dados numéricos , Pessoal de Saúde/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , /isolamento & purificação
7.
J Nepal Health Res Counc ; 18(4): 655-660, 2021 Jan 21.
Artigo em Inglês | MEDLINE | ID: mdl-33510505

RESUMO

BACKGROUND: Frontline Health Care Workers are at risk of developing mental and psychological distress during Corona virus disease 2019 pandemic. This study aimed to assess level of stress, anxiety, depression and their associated factors among health care workers during Corona virus disease 2019 pandemic in Nepal. METHODS: This is a web based cross-sectional survey conducted among 404 Health Care Workers during early phase of Corona virus disease 2019 pandemic. The participants were selected using convenience sampling technique and were invited to participate via various online networks. Depression, anxiety and stress were assessed using the Depression Anxiety Stress Scale-21 (DASS-21) and their associated factors were measured using structured questionnaires. Multivariable logistic regression was carried out to determine the associated factors. RESULTS: The symptoms of stress, anxiety and depression among health care workers were found to be 28.9%, 35.6% and 17.0% respectively. Females were found to be 2 fold more likely to have anxiety and depression than male. Nurses were found to be two times more likely to have anxiety than doctors. Laboratory personnel were almost three folds more likely to have anxiety than doctors. Health care workers with insufficient/ no PPE were almost three fold more likely to have depression. health care workers working in high-risk areas had almost 2 fold higher odds of having depression. CONCLUSIONS: Health care workers experienced symptoms of stress, anxiety and depression in varied level of severity. This experience was higher among the nurses and laboratory workers than doctors. Pandemic preparedness assuring PPE and appropriate psychological interventions may be beneficial to promote mental health and well-being of health care workers.


Assuntos
/epidemiologia , Pessoal de Saúde/psicologia , Saúde Mental/estatística & dados numéricos , Adulto , Ansiedade/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Nepal/epidemiologia , Estresse Ocupacional/epidemiologia , Pandemias , Índice de Gravidade de Doença , Fatores Sexuais , Fatores Socioeconômicos , Adulto Jovem
8.
Gen Hosp Psychiatry ; 68: 90-96, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33418193

RESUMO

OBJECTIVE: We aimed to explore anxiety status across a broad range of HCWs supporting patients with COVID-19 in different global regions. METHOD: This was an international online survey in which participation was on voluntary basis and data were submitted via Google Drive, across a two-week period starting from March 18, 2020. The Beck Anxiety Inventory was used to quantify the level of anxiety. RESULTS: 1416 HCWs (70.8% medical doctors, 26.2% nurses) responded to the survey from 75 countries. The distribution of anxiety levels was: normal/minimal (n = 503, 35.5%), low (n = 390, 27.5%); moderate (n = 287, 20.3%), and severe (n = 236, 16.7%). According to multiple generalized linear model, female gender (p = 0.001), occupation (ie, being a nurse dealing directly with patients with COVID-19 [p = 0.017]), being younger (p = 0.001), reporting inadequate knowledge on COVID-19 (p = 0.005), having insufficient personal protective equipment (p = 0.001) and poor access to hand sanitizers or liquid soaps (p = 0.008), coexisting chronic disorders (p = 0.001) and existing mental health problems (p = 0.001), and higher income of countries where HCWs lived (p = 0.048) were significantly associated with increased anxiety. CONCLUSIONS: Front-line HCWs, regardless of the levels of COVID-19 transmission in their country, are anxious when they do not feel protected. Our findings suggest that anxiety could be mitigated ensuring sufficient levels of protective personal equipment alongside greater education and information.


Assuntos
Ansiedade/epidemiologia , Enfermeiras e Enfermeiros/estatística & dados numéricos , Estresse Ocupacional/epidemiologia , Equipamento de Proteção Individual/estatística & dados numéricos , Médicos/estatística & dados numéricos , Adulto , Fatores Etários , /terapia , Feminino , Pesquisas sobre Serviços de Saúde , Inquéritos Epidemiológicos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores Sexuais
9.
PLoS One ; 16(1): e0245473, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33444419

RESUMO

BACKGROUND: The SARS-CoV-2 virus has spread rapidly around the globe since December 2019 creating much uncertainty among medical staff. Due to close patient contact, medical assistants are at increased risk of an infection. Several studies have investigated psychological consequences of the SARS-CoV-2 pandemic on medical staff, yet studies in the outpatient setting are scarce and studies addressing medical assistants are lacking. This study aimed to investigate pandemic-related stressors, attitudes, and work outcomes among medical assistants and to identify possible determinants. METHODS: The population under study were medical assistants across entire Germany. A self-devised online questionnaire was published between April 7th, 2020, and April 14th. including questions on pandemic-related stressors, attitudes and work outcomes. Additionally, symptoms of depression and anxiety disorder were measured by PHQ-2 and GAD-2, respectively. Logistic regression was performed to identify possible determinants. RESULTS: 2150 medical assistants provided complete data (98.0% female, mean age 37.6 years). Major stressors were uncertainty about the temporal scope of the pandemic (95.1% agreement), about how to act correctly (77.5%), feelings of not being allowed to let patients down (75.9%), uncertainty about one's financial situation (67.4%) and about contact persons for further information (67.1%). One third (29.9%) of the study population screened positively for depression and 42.6% for anxiety disorder. Feeling burdened by one's financial situation was significantly associated with working in specialist practices (1.32 [1.08-1.62]), caring for children (1.51 [1.22-1.87]), depression (1.28 [1.01-1.62]), and anxiety disorder (1.93 [1.55-2.39]). Feeling burdened by thoughts about virus contraction at work was also significantly associated with working in specialist practices (1.33 [1.07-1.64]), caring for children (1.33 [1.07-1.66]), depression (1.54 [1.18-2.00]), and anxiety (4.71 [3.71-5.98]). CONCLUSIONS: This study provides novel evidence regarding major SARS-CoV-2 pandemic-related stressors among medical assistants and suggests need for special support for medical assistants caring for children and working in specialist practices.


Assuntos
/epidemiologia , Pessoal de Saúde/psicologia , Estresse Ocupacional/epidemiologia , Estresse Psicológico/epidemiologia , Adulto , Estudos Transversais , Feminino , Alemanha/epidemiologia , Humanos , Masculino , Estresse Ocupacional/psicologia , Pandemias , Equipe de Assistência ao Paciente , /isolamento & purificação
11.
Ann Surg ; 273(3): e91-e96, 2021 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-33351461

RESUMO

OBJECTIVE: To explore the impact of the Covid-19 pandemic on the stress levels and experience of academic surgeons by training status (eg, housestaff or faculty). BACKGROUND: Covid-19 has uniquely challenged and changed the United States healthcare system. A better understanding of the surgeon experience is necessary to inform proactive workforce management and support. METHODS: A multi-institutional, cross-sectional telephone survey of surgeons was conducted across 5 academic medical centers from May 15 to June 5, 2020. The exposure of interest was training status. The primary outcome was maximum stress level, measured using the validated Stress Numerical Rating Scale-11 (range 0-10). RESULTS: A total of 335 surveys were completed (49.3% housestaff, 50.7% faculty; response rate 63.7%). The mean maximum stress level of faculty was 7.21 (SD 1.81) and of housestaff was 6.86 (SD 2.06) (P = 0.102). Mean stress levels at the time of the survey trended lower amongst housestaff (4.17, SD 1.89) than faculty (4.56, SD 2.15) (P = 0.076). More housestaff (63.6%) than faculty (40.0%) reported exposure to individuals with Covid-19 (P < 0.001). Subjects reported inadequate personal protective equipment in approximately a third of professional exposures, with no difference by training status (P = 0.557). CONCLUSIONS: During the early months of the Covid-19 pandemic, the personal and professional experiences of housestaff and faculty differed, in part due to a difference in exposure as well as non-work-related stressors. Workforce safety, including adequate personal protective equipment, expanded benefits (eg, emergency childcare), and deliberate staffing models may help to alleviate the stress associated with disease resurgence or future disasters.


Assuntos
/epidemiologia , Docentes de Medicina/psicologia , Cirurgia Geral/educação , Internato e Residência , Corpo Clínico/psicologia , Estresse Ocupacional/epidemiologia , Adulto , Estudos Transversais , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Equipamento de Proteção Individual , Inquéritos e Questionários , Estados Unidos
13.
BMJ Open ; 10(12): e042930, 2020 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-33371046

RESUMO

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.


Assuntos
Ansiedade , Pessoal de Saúde , Hospitais/estatística & dados numéricos , Estresse Ocupacional , Transtornos de Estresse Pós-Traumáticos , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/etiologia , /psicologia , Feminino , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Política de Saúde , Humanos , Irlanda/epidemiologia , Masculino , Saúde Mental/tendências , Determinação de Necessidades de Cuidados de Saúde , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Serviços Preventivos de Saúde , Escalas de Graduação Psiquiátrica , Angústia Psicológica , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etiologia
14.
BMJ Open ; 10(12): e046620, 2020 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-33380488

RESUMO

OBJECTIVES: Essential healthcare workers (HCW) uniquely serve as both COVID-19 healers and, potentially, as carriers of SARS-CoV-2. We assessed COVID-19-related stigma and bullying against HCW controlling for social, psychological, medical and community variables. DESIGN: We nested an analytical cross-sectional study of COVID-19-related stigma and bullying among HCW within a larger mixed-methods effort assessing COVID-19-related lived experience and impact. Adjusted OR (aOR) and 95% CIs evaluated the association between working in healthcare settings and experience of COVID-19-related bullying and stigma, controlling for confounders. Thematic qualitative analysis provided insight into lived experience of COVID-19-related bullying. SETTING: We recruited potential participants in four languages (English, Spanish, French, Italian) through Amazon Mechanical Turk's online workforce and Facebook. PARTICIPANTS: Our sample included 7411 people from 173 countries who were aged 18 years or over. FINDINGS: HCW significantly experienced more COVID-19-related bullying after controlling for the confounding effects of job-related, personal, geographic and sociocultural variables (aOR: 1.5; 95% CI 1.2 to 2.0). HCW more frequently believed that people gossip about others with COVID-19 (OR: 2.2; 95% CI 1.9 to 2.6) and that people with COVID-19 lose respect in the community (OR: 2.3; 95% CI 2.0 to 2.7), both which elevate bullying risk (OR: 2.7; 95% CI 2.3 to 3.2, and OR: 3.5; 95% CI 2.9 to 4.2, respectively). The lived experience of COVID-19-related bullying relates frequently to public identities as HCW traverse through the community, intersecting with other domains (eg, police, racism, violence). INTERPRETATION: After controlling for a range of confounding factors, HCW are significantly more likely to experience COVID-19-related stigma and bullying, often in the intersectional context of racism, violence and police involvement in community settings.


Assuntos
Bullying , Pessoal de Saúde , Estresse Ocupacional/epidemiologia , Racismo , Estigma Social , Violência , Adulto , Bullying/prevenção & controle , Bullying/psicologia , Bullying/estatística & dados numéricos , /prevenção & controle , Estudos Transversais , Feminino , Saúde Global , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Humanos , Internacionalidade , Masculino , Racismo/prevenção & controle , Racismo/estatística & dados numéricos , Violência/legislação & jurisprudência , Violência/estatística & dados numéricos
15.
Trials ; 21(1): 1019, 2020 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-33308290

RESUMO

BACKGROUND: Burnout is an occupational syndrome that leads to mental health problems, job turnover, and patient safety events. Those caring for critically ill patients are especially susceptible due to high patient mortality, long hours, and regular encounters with trauma and ethical issues. Interventions to prevent burnout in this population are needed. Preliminary studies suggest debriefing sessions may reduce burnout. This study aims to assess whether participation in regular debriefing can prevent burnout in intensive care unit (ICU) clinicians. METHODS: A randomized controlled trial will be conducted in two large academic medical centers. Two hundred ICU clinicians will be recruited with target enrollment of 100 physicians and 100 non-physicians (nurses, pharmacists, therapists). Participants must have worked in the ICU for the equivalent of at least 1 full time work week in the preceding 4 weeks. Enrolled subjects will be randomized to virtually attend biweekly debriefing sessions facilitated by a psychotherapist for 3 months or to a control arm without sessions. Our debriefs are modeled after Death Cafés, which are informal discussions focusing on death, dying, loss, grief, and illness. These sessions allow for reflection on distressing events and offer community and collaboration among hospital employees outside of work. The primary outcome is clinician burnout as measured by the Maslach Burnout Inventory (MBI) Score. Secondary outcomes include depression and anxiety, as measured by the Patient Health Questionnaire 8 (PHQ-8) and Generalized Anxiety Disorder 7-item scale (GAD-7), respectively. Questionnaires will be administered prior to the intervention, at 1 month, at 3 months, and at 6 months after enrollment. These values will be compared between groups temporally. Qualitative feedback will also be collected and analyzed. DISCUSSION: With ICU clinician burnout rates exceeding 50%, Death Café debriefing sessions may prove to be an effective tool to avert this debilitating syndrome. With COVID-19 limiting social interactions and overloading ICUs worldwide, the virtual administration of the Death Café for ICU clinicians provides an innovative strategy to potentially mitigate burnout in this vulnerable population. TRIAL REGISTRATION: ClinicalTrials.gov NCT04347811 . Registered on 15 April 2020.


Assuntos
Esgotamento Profissional/prevenção & controle , Unidades de Terapia Intensiva/estatística & dados numéricos , Estresse Ocupacional/psicologia , Assistência Terminal/psicologia , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Conscientização/fisiologia , Esgotamento Profissional/epidemiologia , /virologia , Estudos de Casos e Controles , Comunicação , Estado Terminal/mortalidade , Estado Terminal/psicologia , Depressão/diagnóstico , Depressão/epidemiologia , Humanos , Estresse Ocupacional/epidemiologia , Questionário de Saúde do Paciente/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Reorganização de Recursos Humanos/estatística & dados numéricos , Inquéritos e Questionários , Interface Usuário-Computador
16.
Front Public Health ; 8: 590190, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33344401

RESUMO

Objectives: COVID-19 has been recognized as a pandemic by the World Health Organization, and physicians are at the frontline to confront the disease. Burnout syndrome (BOS) is a syndrome resulting from chronic workplace stress that has not been successfully managed. The objective of this study is to evaluate the frequency and associated risk factors of BOS among a sample of Egyptian physicians during the COVID-19 pandemic. Methods: Using Maslach Burnout Inventory Human Services Survey, a cross-sectional electronic survey was conducted to assess BOS among the target group. Results: Two hundred and twenty physicians participated in the study. The frequency of BOS among the research group was 36.36%. The possibility of development of BOS increased two times with the need to buy personal protective equipment (PPE) from participants' own money, with harassment by patients' families, and was less likely to develop in doctors with older age. While male gender was a predictor of depersonalization (DP), female gender showed a significant association with higher emotional exhaustion (EE). Infection or death from COVID-19 among colleagues or relatives showed significant association with elevated EE and lowered personal achievement (PA), respectively. Conclusion: COVID-19 pandemic added new factors to the development of BOS in our research group. Several measures should be taken to support physicians at this stage. These measures include psychological support, organizing work hours, adjusting salaries, and providing personal protective equipment and training on safety measures.


Assuntos
Esgotamento Profissional/psicologia , Estresse Ocupacional/psicologia , Pandemias , Médicos/psicologia , Carga de Trabalho/psicologia , Adulto , Esgotamento Profissional/epidemiologia , Estudos Transversais , Egito/epidemiologia , Feminino , Humanos , Masculino , Estresse Ocupacional/epidemiologia , Prevalência , Fatores Socioeconômicos , Inquéritos e Questionários
17.
Rev. enferm. UERJ ; 28: e50740, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1123446

RESUMO

Objetivo: avaliar o aspecto psicossocial do ambiente de trabalho de profissionais de enfermagem de um hospital universitário. Método: estudo transversal, exploratório e quantitativo realizado com 124 profissionais de enfermagem de um hospital universitário do interior de Minas Gerais, A coleta de dados foi realizada entre os meses de julho e setembro de 2018 e utilizouse a Job Stress Scale (JSS). O presente estudo foi aprovado pelo CEP/UFTM. Resultados: os profissionais foram alocados nos quadrantes do modelo Demanda-Controle e identificou-se a seguinte prevalência: 30,6% na situação de alta exigência; 28,2% na de baixa exigência; 21,8% de trabalho ativo e 19,4% na situação de trabalho passivo. Conclusão: a avaliação do aspecto psicossocial do ambiente de trabalho evidenciou maiores taxas de indivíduos em situação de trabalho de alta exigência entre profissionais de enfermagem atuantes nas enfermarias (41,9%) e no setor de bloco cirúrgico (33,3%).


Objective: to evaluate the psychosocial aspect of the work environment of nursing personnel at a university hospital. Method: in this exploratory, quantitative, cross-sectional study of 124 nursing professionals at a university hospital in Minas Gerais state, data were collected between July and September 2018. The Job Stress Scale (JSS) was used. The study was approved by the research ethics committee of the Universidade Federal do Triângulo Mineiro. Results: participants were allocated to quadrants of the Demand-Control model, and the following prevalences were identified: 30.6% in high-stress situations; 28.2% in lowstress; 21.8% in active work; and 19.4% in passive work. Conclusion: assessment of the psychosocial aspect of the work environment found higher rates of individuals in high-stress jobs among nursing personnel on the wards (41.9%) and in the surgical sector (33.3%).


Objetivo: evaluar el aspecto psicosocial del entorno laboral del personal de enfermería de un hospital universitario. Método: en este estudio exploratorio, cuantitativo y transversal de 124 profesionales de enfermería de un hospital universitario del estado de Minas Gerais, se recolectaron datos entre julio y septiembre de 2018. Se utilizó la Job Stress Scale (JSS). El estudio fue aprobado por el comité de ética en investigación de la Universidade Federal do Triângulo Mineiro. Resultados: los participantes fueron asignados a cuadrantes del modelo Demanda-Control, y se identificaron las siguientes prevalencias: 30,6% en situaciones de alto estrés; 28,2% en bajo estrés; 21,8% en trabajo activo; y el 19,4% en trabajo pasivo. Conclusión: la evaluación del aspecto psicosocial del ambiente de trabajo encontró tasas más altas de individuos en trabajos de alto estrés entre el personal de enfermería en las salas (41,9%) y en el sector quirúrgico (33,3%).


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Ambiente de Trabalho , Saúde do Trabalhador , Estresse Ocupacional/psicologia , Profissionais de Enfermagem/psicologia , Brasil/epidemiologia , Estudos Transversais , Coleta de Dados , Técnicos de Enfermagem/psicologia , Estresse Ocupacional/epidemiologia , Hospitais Universitários , Enfermeiras e Enfermeiros/psicologia , Assistentes de Enfermagem/psicologia
18.
Artigo em Inglês | MEDLINE | ID: mdl-33171618

RESUMO

Anesthetist-intensivists who treat patients with coronavirus disease 19 (COVID-19) are exposed to significant biological and psychosocial risks. Our study investigated the occupational and health conditions of anesthesiologists in a COVID-19 hub hospital in Latium, Italy. Ninety out of a total of 155 eligible workers (59%; male 48%) participated in the cross-sectional survey. Occupational stress was assessed with the Effort Reward Imbalance (ERI) questionnaire, organizational justice with the Colquitt Scale, insomnia with the Sleep Condition Indicator (SCI), and mental health with the Goldberg Anxiety and Depression Scale (GADS). A considerable percentage of workers (71.1%) reported high work-related stress, with an imbalance between high effort and low rewards. The level of perceived organizational justice was modest. Physical activity and meditation-the behaviors most commonly adopted to increase resilience-decreased. Workers also reported insomnia (36.7%), anxiety (27.8%), and depression (51.1%). The effort made for work was significantly correlated with the presence of depressive symptoms (r = 0.396). Anesthetists need to be in good health in order to ensure optimal care for COVID-19 patients. Their state of health can be improved by providing an increase in individual resources with interventions for better work organization.


Assuntos
Anestesistas , Infecções por Coronavirus , Coronavirus , Saúde Mental , Estresse Ocupacional , Pandemias , Pneumonia Viral , Anestesistas/psicologia , Ansiedade/epidemiologia , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Estudos Transversais , Feminino , Pessoal de Saúde , Humanos , Masculino , Estresse Ocupacional/epidemiologia , Cultura Organizacional , Pneumonia Viral/psicologia , Justiça Social
19.
Artigo em Inglês | MEDLINE | ID: mdl-33153198

RESUMO

The coronavirus disease (COVID-19) pandemic has exposed nurses to conditions that threaten their health, well-being, and ability to work. It is therefore critical to study nurses' experiences and well-being during the current crisis in order to identify risk groups for ill health and potential sources of organizational intervention. The aim of this study was to explore perceptions of the most salient sources of stress in the early stages of the coronavirus pandemic in a sample of U.S. nurses. A cross-sectional online survey was conducted among a sample of 695 U.S. nurses in May 2020. Content analysis was conducted on nurses' responses (n = 455) to an open-ended question on the most stressful situations they had experienced during the pandemic. Six distinct themes emerged from the analysis: exposure/infection-self; illness/death-others; workplace; personal protective equipment/supplies; unknowns; opinions/politics. Two sub-themes concerned restrictions associated with the pandemic and feelings of inadequacy/helplessness regarding patients and their treatment. More than half of all comments concerned stress related to problems in workplace response to the pandemic. Healthcare institutions should provide opportunities for nurses to discuss the stress they are experiencing, support one another, and make suggestions for workplace adaptations during this pandemic.


Assuntos
Infecções por Coronavirus/psicologia , Enfermeiras e Enfermeiros/psicologia , Estresse Ocupacional/epidemiologia , Pneumonia Viral/psicologia , Betacoronavirus , Estudos Transversais , Humanos , Pandemias , Inquéritos e Questionários
20.
J Occup Health ; 62(1): e12175, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33131192

RESUMO

OBJECTIVES: The SARS-CoV-2 global pandemic has subjected healthcare workers (HCWs) to high risk of infection through direct workplace exposure, coupled with increased workload and psychological stress. This review aims to determine the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and formulate recommendations for future action. METHODS: A systematic review was performed between 31st December 2019 and 17th June 2020 through Ovid Medline and Embase databases (PROSPERO ID CRD42020181204). Studies were included for review if they investigated the impact of SARS-CoV-2 on mental health outcomes of hospital-based HCWs and used validated psychiatric scoring tools. Prevalence of ICD-10 classified psychiatric disorders was the primary outcome measure. RESULTS: The initial search returned 436 articles. Forty-four studies were included in final analysis, with a total of 69,499 subjects. Prevalence ranges of six mental health outcomes were identified: depression 13.5%-44.7%; anxiety 12.3%-35.6%; acute stress reaction 5.2%-32.9%; post-traumatic stress disorder 7.4%-37.4%; insomnia 33.8%-36.1%; and occupational burnout 3.1%-43.0%. Direct exposure to SARS-CoV-2 patients was the most common risk factor identified for all mental health outcomes except occupational burnout. Nurses, frontline HCWs, and HCWs with low social support and fewer years of working experience reported the worst outcomes. CONCLUSION: The SARS-CoV-2 pandemic has significantly impacted the mental health of HCWs. Frontline staff demonstrate worse mental health outcomes. Hospitals should be staffed to meet service provision requirements and to mitigate the impact onmental health. This can be improved with access to rapid-response psychiatric teams and should be continually monitored throughout the pandemic and beyond its conclusion.


Assuntos
Esgotamento Profissional/epidemiologia , Infecções por Coronavirus/epidemiologia , Pessoal de Saúde/psicologia , Saúde do Trabalhador , Estresse Ocupacional/epidemiologia , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Transtornos de Ansiedade/diagnóstico , Transtornos de Ansiedade/epidemiologia , Infecções por Coronavirus/prevenção & controle , Depressão/epidemiologia , Depressão/fisiopatologia , Feminino , Humanos , Masculino , Saúde Mental , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Prevalência , Medição de Risco , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Estados Unidos
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