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1.
PLoS One ; 16(2): e0246567, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33539418

RESUMO

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.


Assuntos
Neurologistas , Estresse Ocupacional/etiologia , Angústia Psicológica , Adulto , Controle de Doenças Transmissíveis , Feminino , Pessoal de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Neurologistas/psicologia , Noruega/epidemiologia , Estresse Ocupacional/psicologia , Pandemias , Assistência ao Paciente , Inquéritos e Questionários , Recursos Humanos
2.
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
3.
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
4.
PLoS One ; 15(10): e0240646, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33104711

RESUMO

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.


Assuntos
Alcoolismo/etiologia , Transtornos de Ansiedade/etiologia , Betacoronavirus , Infecções por Coronavirus/psicologia , Transtorno Depressivo/etiologia , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Adulto , Alcoolismo/epidemiologia , Transtornos de Ansiedade/epidemiologia , Relações Comunidade-Instituição , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Transtorno Depressivo/epidemiologia , Feminino , Comportamentos Relacionados com a Saúde , Política de Saúde , Humanos , Relações Interpessoais , Masculino , Modelos Teóricos , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Questionário de Saúde do Paciente , Pneumonia Viral/epidemiologia , Determinantes Sociais da Saúde , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estados Unidos
5.
BMC Res Notes ; 13(1): 493, 2020 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-33087166

RESUMO

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.


Assuntos
Infecções por Coronavirus/psicologia , Estresse Ocupacional/etiologia , Pandemias , Médicos/psicologia , Pneumonia Viral/psicologia , Transtornos do Sono-Vigília/etiologia , Adulto , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Prevalência , Arábia Saudita/epidemiologia , Transtornos do Sono-Vigília/epidemiologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários
6.
Ann Pharm Fr ; 78(6): 459-463, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33038309

RESUMO

OBJECTIVES: COVID-19 outbreak can impact mental health including health care workers. The aim of this study was to assess the psychological impact of COVID-19 in French community pharmacists. MATERIAL AND METHODS: We carried out a postal-based survey to assess the psychological impact of COVID-19 in French owner community pharmacists based on three validated self-report questionnaires: Perceived Stress scale, Impact of Event Scale-revised and Maslach Burnout Inventory. RESULTS: The sample consists of 135 community pharmacists. Twenty-three pharmacists reported significant post-traumatic stress symptoms (17%). High burnout symptoms were found in 33 (25%), 46 (34.9%) and 4 (3%) participants. Females scored higher than males for all questionnaires (P=0.01). CONCLUSIONS: This study is the first study which showed the psychological impact of COVID-19 in community pharmacists. Based on validated self-report questionnaires, up to 35% of pharmacists reported psychological disturbances. Interventions to promote psychological well-being of healthcare workers need to be developing.


Assuntos
Betacoronavirus , Esgotamento Profissional/etiologia , Infecções por Coronavirus/psicologia , Estresse Ocupacional/etiologia , Farmacêuticos/psicologia , Pneumonia Viral/psicologia , Transtornos de Estresse Pós-Traumáticos/etiologia , Estresse Psicológico/etiologia , Adulto , Idoso , Esgotamento Profissional/epidemiologia , Serviços Comunitários de Farmácia , Infecções por Coronavirus/epidemiologia , Despersonalização/epidemiologia , Despersonalização/etiologia , Emoções , Feminino , França/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Pandemias , Pneumonia Viral/epidemiologia , Autorrelato , Índice de Gravidade de Doença , Distribuição por Sexo , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Estresse Psicológico/epidemiologia , Inquéritos e Questionários
7.
Rev Esp Salud Publica ; 942020 Oct 09.
Artigo em Espanhol | MEDLINE | ID: mdl-33034306

RESUMO

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.


Assuntos
Betacoronavirus , Infecções por Coronavirus/psicologia , Fadiga/etiologia , Estresse Ocupacional/etiologia , Pneumonia Viral/psicologia , Quarentena/psicologia , Isolamento Social/psicologia , Infecções por Coronavirus/prevenção & controle , Fadiga/psicologia , Saúde Global , Humanos , Saúde do Trabalhador , Estresse Ocupacional/psicologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Qualidade de Vida , Fatores de Risco , Carga de Trabalho/psicologia
9.
Br J Educ Psychol ; 90(4): 1062-1083, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32975830

RESUMO

BACKGROUND: On 20 March 2020, in response to COVID-19, UK schools were closed to most pupils. Teachers were required to put remote teaching and learning in place with only two days' notice from the government. AIMS: The current study explores teachers' experiences of this abrupt change to their working practices, and during the 5-6 weeks that followed. SAMPLE: Twenty-four teachers from English state schools were interviewed, representing mainstream primary and secondary schools and a range of years of experience and seniority. METHODS: Participants were asked to tell stories of three key scenes during the first 5-6 weeks of lockdown: a low point, a high point, and a turning point. A reflexive thematic analysis of their narratives was conducted. RESULTS AND CONCLUSIONS: Six themes were identified: uncertainty, finding a way, worry for the vulnerable, importance of relationships, teacher identity, and reflections. Teachers' narratives suggest that, after an initial period of uncertainty they settled into the situation and found a way forward, supported by strong relationships. However, they remain extremely worried about the most vulnerable pupils and want more joined-up thinking from the government on how to support them effectively, along with clarity from policymakers to enable planning ahead. Teachers reflected on how to use their learning during this period to improve pupils' experiences of education post-COVID-19, and on how aspects of shared teacher identity have worked as stressors and coping mechanisms. These initial interviews form the baseline for a longitudinal interview study of teachers' experiences of COVID-19 in England.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Professores Escolares/psicologia , Adaptação Psicológica , Infecções por Coronavirus/psicologia , Educação a Distância , Inglaterra/epidemiologia , Feminino , Humanos , Controle de Infecções , Entrevistas como Assunto , Masculino , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral/psicologia , Instituições Acadêmicas
10.
Med Arch ; 74(3): 210-215, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32801438

RESUMO

Introduction: Several research studies have started to investigate the health conditions of medical doctors and nurses in order to find a relationship if any between their work environment, their usually heavy duties and the result of these two parametric on patients' health. Aim: The present research study is an effort to investigate the relationship between the physical activity and sleep disorders among health care professionals, particularly among medical doctors and nurses. Methods: Participants of the study were asked to fill a questionnaire which was a mixture of other internationally accredited questionnaires regarding physical activity level as well as sleeping functions. Data were collected among 204 physicians and nurses. The statistical analysis revealed a correlation between physical activity and some aspects of sleep disorders. Results: A total number of 204 questionnaires have been distributed to medical doctors and nurses working in public hospitals in Athens Greece from the middle of February until the middle of April 2020. The hospitals were assigned by the health authorities to the fight of the pandemic of COVID 19. The majority of the participants were women 71,3% and 28,7% were men. From a total of 204 half of them were medical doctors and half of them were nurses. 43% were married, 49% were single and 8% were divorced and there were no widows. Regarding the participant nurses, 43% had a university degree and 38,4% had a technological education degree. The results of the statistical analysis showed that there are positive correlations between the level of physical activity during the daily work and the free time of the participants with parameters that are related to sleep disorders. Conclusion: The sample of the study was not a large one but nevertheless a stressful situation such as is the epidemic of COVID19 can provide useful information in order to better understand the relationship between physical activity and sleeping disorders in such working conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Médicos Hospitalares , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília , Adulto , Atitude do Pessoal de Saúde , Betacoronavirus , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Grécia/epidemiologia , Médicos Hospitalares/psicologia , Médicos Hospitalares/estatística & dados numéricos , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Estresse Ocupacional/etiologia , Estresse Ocupacional/fisiopatologia , Pandemias , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Equilíbrio Trabalho-Vida , Carga de Trabalho
11.
Curr Med Sci ; 40(4): 625-635, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32767264

RESUMO

Nurses' work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses' social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson's correlation analysis. The significant factors which resulted in nurses' fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses' fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses' fatigue, the frequency of exercise and nurses' fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses' fatigue, and the frequency of weekly night shift had a low positive correlation with nurses' fatigue (P<0.01). There was a moderate level of fatigue among the first-line nurses fighting against COVID-19 pandemic in Wuhan, China. Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide. Promoting both medical and nursing safety while combating with the pandemic currently is warranted.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Fadiga/etiologia , Enfermeiras e Enfermeiros , Doenças Profissionais/etiologia , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral/enfermagem , Adulto , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Fadiga/epidemiologia , Fadiga/psicologia , Feminino , Humanos , Modelos Lineares , Masculino , Fadiga Mental/epidemiologia , Fadiga Mental/etiologia , Fadiga Mental/psicologia , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/psicologia , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/psicologia , Pneumonia Viral/epidemiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Centros de Atenção Terciária , Carga de Trabalho/psicologia , Adulto Jovem
12.
J Thorac Cardiovasc Surg ; 160(4): 980-987, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32605730

RESUMO

OBJECTIVES: The coronavirus 2019 (COVID-19) pandemic has overwhelmed health care systems and disrupted routine care internationally. Health care workers face disruption to their work routines and professional development, as well as an elevated risk of infection and morbidity. We sought to establish the impact of the COVID-19 pandemic on the well-being, practice, and progression of all trainees in cardiothoracic surgery in the United Kingdom. METHODS: A 31-item questionnaire was designed, validated, and disseminated via e-mail and an instant-messaging platform. RESULTS: In total, 76 (of 118, 64%) cardiothoracic surgical trainees responded, representing all training grades and programs nationally; 48 (63%) and 24 (32%) were concerned about their physical and mental health, respectively, 25 (33%) had taken time off work due to COVID-19, 65 (86%) had treated patients with COVID-19, 36 of whom (55%) were wearing satisfactory personal protective equipment at the time, 41 (54%) remain concerned about personal protective equipment provision at their institution, 42 (55%) had been redeployed to cover other specialties, and 23 (30%) had encountered ethical dilemmas related to care of patients. There was a significant impact on time spent in outpatient clinics (44% reduction), multidisciplinary team meetings (79% reduction), and operating theaters (78% reduction). In total, 67 (88%) of respondents were concerned about the impact on their training, and 54 (71%) felt that the deviation may require an extension in their planned training time. CONCLUSIONS: The duration and impact of the current pandemic is, as yet, uncertain. Timely sharing of experiences, concerns, and expectations will inform health care and education policy and influence practice in the pandemic era and beyond.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Educação de Pós-Graduação em Medicina , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral , Estudantes de Medicina/psicologia , Cirurgiões/psicologia , Cirurgia Torácica/educação , Adulto , Atitude do Pessoal de Saúde , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Infecções por Coronavirus/transmissão , Humanos , Saúde do Trabalhador , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , Pneumonia Viral/transmissão , Inquéritos e Questionários , Reino Unido
13.
Saudi Med J ; 41(6): 657-660, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32518935

RESUMO

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.


Assuntos
Atitude do Pessoal de Saúde , Betacoronavirus , Infecções por Coronavirus , Pessoal de Saúde/psicologia , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral , Adulto , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Família , Feminino , Saúde Global , Humanos , Controle de Infecções/instrumentação , Controle de Infecções/métodos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Masculino , Estresse Ocupacional/economia , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Pandemias/prevenção & controle , Equipamento de Proteção Individual , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Arábia Saudita/epidemiologia , Inquéritos e Questionários , Carga de Trabalho/economia
14.
In Vivo ; 34(3 Suppl): 1685-1694, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32503830

RESUMO

BACKGROUND/AIM: Despite the large amount of clinical data available of Coronavirus-19 (COVID-19), not many studies have been conducted about the psychological toll on Health Care Workers (HCWs). PATIENTS AND METHODS: In this multicentric descriptive study, surveys were distributed among 4 different Breast Cancer Centers (BCC). BCCs were distinguished according to COVID-19 tertiary care hospital (COVID/No-COVID) and district prevalence (DP) (High vs. Low). DASS-21 score, PSS score and demographic data (age, sex, work) were evaluated. RESULTS: A total of 51 HCWs were analyzed in the study. Age, work and sex did not demonstrate statistically significant values. Statistically significant distribution was found between DASS-21-stress score and COVID/No-COVID (p=0.043). No difference was found in the remaining DASS-21 and PSS scores, dividing the HCWs according to COVID-19-hospital and DP. CONCLUSION: Working in a COVID-19-hospital represents a factor that negatively affects psychosocial well-being. However, DP seems not to affect the psychosocial well-being of BCC HCWs. During the outbreak, psychological support for low risk HCWs should be provided regardless DP.


Assuntos
Neoplasias da Mama , Institutos de Câncer , Infecções por Coronavirus/psicologia , Doenças Profissionais/prevenção & controle , Equipe de Assistência ao Paciente , Recursos Humanos em Hospital/psicologia , Pneumonia Viral/psicologia , Adulto , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Depressão/epidemiologia , Depressão/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Prevalência , Equipamentos de Proteção/provisão & distribução , Sistemas de Apoio Psicossocial , Roma , Índice de Gravidade de Doença , Centros de Atenção Terciária , Incerteza , Carga de Trabalho
15.
J Vet Emerg Crit Care (San Antonio) ; 30(4): 493-497, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32598096

RESUMO

BACKGROUND: The COVID-19 pandemic has presented veterinary emergency hospitals with unique challenges. Rapid online surveys represent an efficient way of collating responses to rapidly shifting circumstances. METHODS: Fifty, 24-h small animal emergency veterinary hospital representatives were recruited to participate in weekly surveys in April 2020 to catalog changes due to COVID-19 pandemic. KEY FINDINGS: The majority of emergency veterinary hospitals surveyed reported significant changes to day-to-day operations as a result of the COVID-19 pandemic. SIGNIFICANCE: Reporting of weekly survey results provides useful information on how emergency veterinary hospitals with similar challenges are responding to the COVID-19 pandemic.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Hospitais Veterinários/tendências , Pneumonia Viral/epidemiologia , Animais , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Gatos , Cães , Emergências/veterinária , Serviço Hospitalar de Emergência/tendências , Feminino , Furões , Hospitais Veterinários/economia , Masculino , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Pandemias , Equipamento de Proteção Individual/provisão & distribução , Preparações Farmacêuticas/provisão & distribução , Inquéritos e Questionários , Estados Unidos/epidemiologia
16.
Eur Spine J ; 29(8): 1806-1812, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32591880

RESUMO

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 (ß = 0.33, 95% CI 0.11-0.56), orthopedic spine surgeons (ß = 0.30, 95% CI 0.01-0.61) and those who work in the private sector (ß = 0.05, 95% CI 0.19-0.61) were the most affected by COVID-19. Those who work in university hospitals (ß = - 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.


Assuntos
Atitude do Pessoal de Saúde , Betacoronavirus , Competência Clínica/estatística & dados numéricos , Infecções por Coronavirus , Cirurgiões Ortopédicos , Pandemias , Pneumonia Viral , Padrões de Prática Médica/estatística & dados numéricos , Adulto , Idoso , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/psicologia , Efeitos Psicossociais da Doença , Estudos Transversais , Feminino , Saúde Global , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/economia , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Cirurgiões Ortopédicos/economia , Cirurgiões Ortopédicos/psicologia , Pandemias/economia , Pandemias/prevenção & controle , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/psicologia , Inquéritos e Questionários
17.
Br J Psychiatry ; 217(4): 537-539, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32423523
18.
Gastroenterology ; 159(4): 1568-1570.e5, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32464147
20.
Surg Infect (Larchmt) ; 21(4): 350-356, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32275463

RESUMO

Background: The novel coronavirus (COVID-19) emerged in Wuhan, China, in December 2019. This study aims to evaluate the knowledge of anesthesiology specialists and residents in Turkey about COVID-19 and their attitudes toward the strategies and application methods to be used for a suspected/confirmed COVID-19 case that needs to be operated on or followed up in an intensive care unit, as well as to raise awareness about this issue. Methods: This descriptive study comprised anesthesiology specialists and residents working in various health institutions in Turkey. The data used in this study were obtained online between March 13, 2020 and March 25, 2020 through the website SurveyMonkey (SurveyMonkey, San Mateo, CA) by using a survey form. We contacted members of the Turkish Anaesthesiology and Reanimation Society through the social media platforms Twitter, LinkedIn, and WhatsApp, as well as through their e-mail addresses and invited them to participate in the study. Those who agreed to participate responded to the aforementioned survey. We used SPSS 22.0 (IBM, Armonk, NY) to analyze the survey data statistically. Results: A total of 346 anesthesiology specialists and residents participated in the study. Although the majority of the participants exhibited the correct attitudes toward airway management, research assistants with little professional experience were observed to be undecided or had the tendency to make incorrect decisions. Conclusions: The COVID-19 pandemic is spreading rapidly worldwide. The incidence of COVID-19 cases is increasing daily, and this disease can cause patient death. Anesthesiology specialists and residents who perform emergency operations on these patients in settings other than intensive care units should follow simple and easy-to-understand algorithms to ensure safety. The provision of theoretical and practical training to healthcare providers before they meet patients will help ensure patient-healthcare provider safety and prevent panic, which can cause distress among healthcare providers.


Assuntos
Manuseio das Vias Aéreas/normas , Anestesiologia/normas , Atitude do Pessoal de Saúde , Infecções por Coronavirus/psicologia , Infecções por Coronavirus/terapia , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pneumonia Viral/psicologia , Pneumonia Viral/terapia , Adulto , Manuseio das Vias Aéreas/psicologia , Algoritmos , Anestesiologistas/psicologia , Anestesiologistas/normas , Anestesiologia/educação , Competência Clínica , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/transmissão , Cuidados Críticos/psicologia , Cuidados Críticos/normas , Feminino , Pesquisas sobre Serviços de Saúde , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Humanos , Controle de Infecções/normas , Internato e Residência/normas , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/etiologia , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Pandemias/prevenção & controle , Pânico , Pneumonia Viral/prevenção & controle , Pneumonia Viral/transmissão , Mídias Sociais , Especialização , Procedimentos Cirúrgicos Operatórios/psicologia , Procedimentos Cirúrgicos Operatórios/normas , Turquia , Adulto Jovem
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