scholarly journals 228 Resilience, Mindset and Burnout of Healthcare Workers During the COVID-19 Pandemic

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
M Lupi ◽  
R Maweni ◽  
R Foley ◽  
S Shirazi ◽  
D Machando ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Healthcare Workers ◽  
Institutional Support ◽  
Professional Associations ◽  
Electronic Survey ◽  
Healthcare Workforce ◽  
Resilience Scale ◽  
Resilience Training ◽  
The Impact ◽  
The Relationship

Abstract Introduction We investigated the impact of the Biopsychosocial challenges associated with the COVID-19 Pandemic on the Healthcare Workforce, exploring the impact on and relationship between Healthcare Workers’ Mindset, Resilience and Burnout. Method An electronic survey was distributed to Healthcare Workers through Professional Associations' websites and social media. The survey contained demographic questions, a Burnout Inventory, a General Resilience scale, a scale to assess for Resilience during the Pandemic, as well as an Adapted Dweck Mindset instrument to measure Mindset as related to Workplace Environment and Resilience. Univariate and multivariate analysis was undertaken to examine the relationship between these factors. Results 1,370 healthcare workers completed the questionnaire. 58.5%, 25.4%, 28.5% reported having Burnout, Low General Resilience and Low COVID Resilience, respectively. Burnout was significantly associated with Fixed Mindset, Low General Resilience and Low COVID Resilience. Resilience Training was found to be protective for Burnout. Conclusions The COVID-19 Pandemic has led to a higher proportion of HCWs experiencing Burnout than previously reported. Our findings demonstrate that HCWs with Low Resilience and Fixed Mindsets are more likely to experience Burnout, suggesting that, in combination with improved institutional support, there is a role for personalised Resilience and Mindset Training, in helping reduce the proportion of HCW Burnout.

Building Resilience: The Conceptual Basis and Research Evidence for Resilience Training Programs

2018 ◽  
Vol 22 (4) ◽  
pp. 452-468 ◽  
Author(s):  
Sarah Forbes ◽  
Deniz Fikretoglu
Keyword(s):  
Training Programs ◽  
Adverse Experiences ◽  
Psychological Training ◽  
Narrative Literature ◽  
Resilience Training ◽  
Narrative Literature Review ◽  
Well Differentiated ◽  
The Impact ◽  
The Relationship

The relationship between adverse experiences and later development has been explored by many researchers, leading to the conceptualization of resilience as a factor explaining the normal or optimal development of some individuals exposed to adversity. Today many different interventions exist aiming to improve the ability of individuals to respond to adversity. In this narrative literature review, we evaluate the literature surrounding resilience and resilience training, discussing the quality of the evidence supporting resilience training, theoretical and practical differences between types of training, and the impact of resilience and psychological training on outcome measures across a variety of settings. The results of our review show that the quality of the literature is mixed, resilience training is not well differentiated from other forms of training, and that the impact of psychological training on later functioning depends heavily on the type of outcome measured and the setting of the training. Further research must be conducted prior to the implementation of resilience training programs in order to assure their efficacy and effectiveness in proposed contexts.

scholarly journals Impact of malocclusion on the quality of life of Saudi children

2013 ◽  
Vol 83 (6) ◽  
pp. 1043-1048 ◽  
Author(s):  
Irfan Dawoodbhoy ◽  
Elsa K. Delgado-Angulo ◽  
Eduardo Bernabé
Keyword(s):  
Quality Of Life ◽  
Saudi Arabia ◽  
Multivariate Analysis ◽  
The Other ◽  
Arabic Version ◽  
Child Perception ◽  
Clinical Measures ◽  
The Impact ◽  
The Relationship

ABSTRACT Objective: To assess the relationship between malocclusion severity and quality of life in children. Materials and Method: Two hundred and seventy-eight children aged 11 to 14 years were recruited voluntarily from the Dental and Maxillofacial Centre of the Almana General Hospital in Alkhobar, Saudi Arabia. The children were asked to fill out the Arabic version of the Child Perception Questionnaire for 11- to 14-year-old children (CPQ11–14) and were then clinically examined to determine the severity of their malocclusion using the Dental Aesthetic Index (DAI). Multivariate analysis of variance was used to compare the four domains and the total CPQ11–14 scores between the four DAI severity groups. Results: Significant differences were found between DAI severity groups for the four domains and the total CPQ11–14 scores. Although children with very severe (handicapping) malocclusion had significantly higher domain and total CPQ11–14 scores than all the other groups (differences of up to 6 and 22 units, respectively, compared to children with no/minor malocclusion), there were no differences between those with no/minor, definite, and severe malocclusion. Conclusion: These findings suggest that only very severe malocclusion had an impact on the quality of life of the participants. Orthodontists should focus not only on clinical measures of malocclusion but should also consider the impact of severe malocclusion on patients' quality of life.

scholarly journals Stress and turnover intention among healthcare workers in Saudi Arabia during the time of COVID-19: Can social support play a role?

PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258101
Author(s):  
Khalid Al-Mansour
Keyword(s):  
Social Support ◽  
Saudi Arabia ◽  
Turnover Intention ◽  
Healthcare Workers ◽  
Mediating Effect ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Regression Weight ◽  
The Impact ◽  
The Relationship

The turnover intention of healthcare workers is a threat to the competence of health services, especially during COVID-19 time. This study aimed to investigate the association between stress and turnover intention among healthcare workers in Saudi Arabia and whether social support could affect this association. In this cross-sectional study, healthcare workers in primary healthcare centers in Saudi Arabia responded to an online questionnaire assessing their sociodemographic and occupational history, stress levels using the Perceived Stress Scale-10 (PSS-10), social support using the Multidimensional Scale of Perceived Social Support (MSPSS), and turnover intention within the next few months. Path analysis was conducted to assess the mediating effect of social support on the association between stress and turnover intention. A total of 1101 healthcare workers (242 physicians, 340 nurses, 310 paramedics, and 209 administrative workers) participated in this study. The path between stress and support had a significant standardized regression weight (-.34, p < .05). The path between support and turnover had a significant standardized regression weight (.08, p < .05). The standardized total effect of stress on turnover without the impact of support was significant (-.39, p < .05). The direct effect of stress on turnover with the presence of support was significant (-.36, p < .05). The indirect effect of stress on turnover with the presence of support was significant (-.03, p < .05). Thus, there is evidence to show that support mediates the relationship between stress and support. Stress is associated with turnover intention among healthcare workers in Saudi Arabia. Social support had a mitigating effect on the relationship between stress and turnover intention.

scholarly journals Resilience as a moderator in the relationship between burnout and subjective well-being among medical workers in Serbia during the COVID-19 pandemic

2021 ◽  
pp. 70-70
Author(s):  
Teodora Safiye ◽  
Branimir Vukcevic ◽  
Milanko Cabarkapa
Keyword(s):  
Mental Health ◽  
Interaction Analysis ◽  
Well Being ◽  
Subjective Well Being ◽  
Sociodemographic Data ◽  
Resilience Scale ◽  
Negative Effect ◽  
Resilience Training ◽  
The Relationship ◽  
Negative Predictor

Background/Aim. During the ongoing COVID-19 pandemic, exhaustion and difficulties at work can seriously endanger the mental health of medical workers. The aim of this study was to examine whether resilience is a moderator of association between burnout and subjective well-being among medical workers at the time of the pandemic. Methods. The research was conducted on a sample of 521 medical workers (354 female), among whom were 245 physicians and 276 medical technicians. The average age of the respondents was 38.66 years. Data were collected using online questionnaires comprising of the Brief Resilience Scale, the Work Burnout Scale, the Short Subjective Well-being Scale, and the Sociodemographic Data Questionnaire. Regression and interaction analysis (by SPSS macro ''PROCESS 3.5'', author A. F. Hayes) was used for data analysis and processing. Results. The results show that burnout is a significant negative predictor of subjective well-being of medical workers (? = -0.19; p <0.01), that resilience is a significant positive predictor of subjective well-being (? = 0.40; p <0.01), and that the interaction of resilience and burnout is a significant positive predictor of subjective well-being (? = 0.09; p <0.01). In subjects who had developed resilience at the level of +1 SD, the negative effect of burnout on subjective well-being was 2.8 times lower than in subjects who had resilience at the level of -1 SD. Conclusion. The findings of the study confirmed that resilience reduces the connection between burnout and subjective well-being, which is a significant argument that medical workers should be provided with resilience training programs in order to prevent burnout and preserve mental health during a pandemic.

scholarly journals Hyperbaric hyperoxemia as a risk factor for ventilator-acquired pneumonia?

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253198
Author(s):  
Morgan Caplan ◽  
Thibault Duburcq ◽  
Anne-Sophie Moreau ◽  
Julien Poissy ◽  
Saad Nseir ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mechanical Ventilation ◽  
Multivariate Analysis ◽  
Risk Factor ◽  
Radiological Criteria ◽  
Clinical Investigations ◽  
Independent Risk Factors ◽  
Hospital Transport ◽  
The Impact ◽  
The Relationship

Objectives Ventilator-acquired pneumonia (VAP) is the leading cause of serious associated infections in Intensive Care Units (ICU) and is associated with significant morbidity. The use of hyperbaric oxygen therapy (HBOT) in patients on mechanical ventilation may increase exposure to certain risk factors such as hyperoxemia and the need for multiple transfers. The aim of our study was to assess the relationship between HBOT and VAP. Method This retrospective observational study was performed from March 2017 to March 2018 in a 10-bed ICU using HBOT. All patients receiving mechanical ventilation (MV) for more than 48 hours were eligible. VAP was defined using clinical and radiological criteria. Data collection was carried out via digital medical records. Risk factors for VAP were determined by univariate and multivariate analysis. Results Forty-two (23%) of the 182 patients enrolled developed at least one episode of VAP. One hundred and twenty-four (68%) patients received HBOT. The incidence rate of VAP was 34 per 1000 ventilator days. The occurrence of VAP was significantly associated with immunosuppression (p<0.029), MV duration (5 [3–7] vs 8 [5–11.5] days, p<0.0001), length of stay (8 [5–13] vs 19.5 [13–32] days, p<0.0001), reintubation (p<0.0001), intra-hospital transport (p = 0.001), use of paralytic agents (p = 0.013), tracheotomy (p = 0.003) and prone position (p = 0.003). The use of HBOT was not associated with the occurrence of VAP. Multivariate analysis identified reintubation (OR: 8.3 [2.6–26.6]; p<0.0001), intra-hospital transport (OR: 3.5 [1.3–9.2]; p = 0.011) and the use of paralytic agents (OR: 3.3 [1.3–8.4]; p = 0.014) as independent risk factors for VAP. Conclusion Known risk factors for VAP are to be found within our ICU population. HBOT, however, is not an extra risk factor for VAP within this group. Further experimental and clinical investigations are needed to understand the impact of HBOT on the occurrence of VAP and on physiological microbiome.

scholarly journals From Resilience to Burnout in Healthcare Workers During the COVID-19 Emergency: The Role of the Ability to Tolerate Uncertainty

2021 ◽  
Vol 12 ◽  
Author(s):  
Michela Di Trani ◽  
Rachele Mariani ◽  
Rosa Ferri ◽  
Daniela De Berardinis ◽  
Maria G. Frigo
Keyword(s):  
High Risk ◽  
Healthcare Workers ◽  
Linear Models ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
High Risk Group ◽  
Lazio Region ◽  
Resilience Scale ◽  
The Impact

The COVID-19 outbreak has placed extraordinary demands upon healthcare systems worldwide. Italy's hospitals have been among the most severely overwhelmed, and as a result, Italian healthcare workers' (HCWs) well-being has been at risk. The aim of this study is to explore the relationships between dimensions of burnout and various psychological features among Italian healthcare workers (HCWs) during the COVID-19 emergency. A group of 267 HCWs from a hospital in the Lazio Region completed self-administered questionnaires online through Google Forms, including the Maslach Burnout Inventory (MBI), Resilience Scale, and Intolerance of Uncertainty Scale Short Form (IU). Cluster analysis highlighted two opposite burnout risk profiles: low burnout and high-risk burnout. The high-risk group had lower resilience and greater difficulties in tolerating the uncertainty than the low-burnout group. A set of general linear models confirmed that both IU subscales, prospective and inhibition, moderated the relationship between resilience and burnout (specifically in the depersonalization dimension). In conclusion, the results showed that individual levels of resilience and one's ability to tolerate uncertainty have been significant factors in determining the impact of the COVID-19 emergency on HCWs. The use of emotional strategies that allow individuals to stay in a critical situation without the need to control it appears to protect against burnout in these circumstances.

scholarly journals Predictors of adherence to influenza vaccination for healthcare workers from a teaching hospital: a study in the prepandemic era

2010 ◽  
Vol 43 (6) ◽  
pp. 611-614 ◽  
Author(s):  
Ricardo de Souza Cavalcante ◽  
Aline Maia Zambonatto Jorge ◽  
Carlos Magno Castelo Branco Fortaleza
Keyword(s):  
Multivariate Analysis ◽  
Influenza Vaccination ◽  
Teaching Hospital ◽  
Healthcare Workers ◽  
Influenza A ◽  
Vaccine Coverage ◽  
Vaccination Campaign ◽  
Cross Sectional Survey ◽  
The Impact ◽  
Predictors Of Adherence

INTRODUCTION: Even before the 2009 pandemics, influenza in healthcare workers (HCW) was a known threat to patient safety, while Influenza vaccine coverage in the same group was generally low. Identification of predictors for HCW adherence to Influenza vaccination has challenged infection control committees. METHODS: Our group conducted a cross-sectional survey in December 2007, interviewing 125 HCWs from a teaching hospital to identify adherence predictors for Influenza vaccination. The outcomes of interest were: A - adherence to the 2007 vaccination campaign; B - adherence to at least three yearly campaigns in the past five years. Demographic and professional data were assessed through univariate and multivariate analysis. RESULTS: Of the HCWs interviewed, 43.2% were vaccinated against Influenza in 2007. However, only 34.3% of HCWs working in healthcare for more than five years had adhered to at least three of the last five vaccination campaigns. Multivariate analysis showed that working in a pediatric unit (OR = 7.35, 95%CI = 1.90-28.44, p = 0.004) and number of years in the job (OR = 1.32, 95%CI = 1.00-1.74, p = 0.049) were significant predictors of adherence to the 2007 campaign. Physicians returned the worst outcome performances in A (OR = 0.40, 95%CI = 0.16-0.97, p = 0.04) and B (OR = 0.17, 95%CI = 0.05-0.60, p = 0.006). CONCLUSIONS: Strategies to improve adherence to Influenza vaccination should focus on physicians and newly-recruited HCWs. New studies are required to assess the impact of the recent Influenza A pandemics on HCW-directed immunization policies.

scholarly journals Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Huan Wang ◽  
Xinyao Zhou ◽  
Xiuli Jia ◽  
Caiping Song ◽  
Xu Luo ◽  
...  
Keyword(s):  
Emotional Exhaustion ◽  
Healthcare Workers ◽  
Time Pressure ◽  
Process Analysis ◽  
Cognitive Reappraisal ◽  
Dark Side ◽  
Front Line ◽  
Social Sharing ◽  
The Impact ◽  
The Relationship

Abstract Background With the increasing spread of COVID-19, healthcare workers, especially front-line medical staff, have become more vulnerable to emotional exhaustion. Objectives This study aimed to determine the influence of time pressure on the emotional exhaustion of front-line healthcare workers, and explore the effects of social sharing and cognitive reappraisal on this. Methods This cross-sectional study was conducted in March 2020. A total of 232 questionnaires were completed by front-line healthcare workers in Wuhan city, Hubei province, China. Hierarchical linear regression and conditional process analysis were performed to explore the relationships among time pressure, social sharing, cognitive reappraisal, and emotional exhaustion. Results Time pressure was positively associated with social sharing and emotional exhaustion. Social sharing presented the dark side, a negative effect that was always kept concealed, in terms of the impact on emotional exhaustion. Cognitive reappraisal negatively moderated the relationship between time pressure and social sharing, and it further indirectly influenced the relationship between time pressure and emotional exhaustion through social sharing. Conclusions Our findings shed light on how time pressure influences the emotional exhaustion of healthcare workers during the COVID-19 period. Although social sharing is commonly regarded as a positive behavior, we identified a dark side in terms of its impact. We also identified that improving cognitive reappraisal may present a positive strategy toward alleviating emotional exhaustion.

scholarly journals The COVID-19 pandemic: Impact on interns in a paediatric rotation

2021 ◽  
Vol 6 (2) ◽  
pp. 57-65
Author(s):  
Nicholas Beng Hui Ng ◽  
Mae Yue Tan ◽  
Shuh Shing Lee ◽  
Nasyitah binti Abdul Aziz ◽  
Marion M Aw ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Response Rate ◽  
Coping Mechanisms ◽  
Protective Mechanisms ◽  
Multifaceted Approach ◽  
Stress Scale ◽  
Resilience Scale ◽  
Paediatric Department ◽  
Group Interviews ◽  
The Impact

Introduction: The coronavirus disease 2019 (COVID-19) pandemic has brought about additional challenges beyond the usual transitional stresses faced by a newly qualified doctor. We aimed to evaluate the impact of COVID-19 on interns’ stress, burnout, emotions, and implications on their training, while exploring their coping mechanisms and resilience levels. Methods: Newly graduated doctors interning in a Paediatric department in Singapore, who experienced escalation of the pandemic from January to April 2020, were invited to participate. Participants completed the Perceived Stress Scale (PSS), Maslach’s Burnout Inventory (MBI), and Connor Davidson Resilience Scale 25-item (CD-RISC 25) pre-pandemic and 4 months into COVID-19. Group interviews were conducted to supplement the quantitative responses to achieve study aims. Results: Response rate was 100% (n=10) for post-exposure questionnaires and group interviews. Despite working through the pandemic, interns’ stress levels were not increased, burnout remained low, while resilience remained high. Four themes emerged from the group interviews – the impacts of the pandemic on their psychology, duties, training, as well as protective mechanisms. Their responses, particularly the institutional mechanisms and individual coping strategies, enabled us to understand their unexpected low burnout and high resilience despite the pandemic. Conclusion: This study demonstrated that it is possible to mitigate stress, burnout and preserve resilience of vulnerable healthcare workers such as interns amidst a pandemic. The study also validated a multifaceted approach that targets institutional, faculty as well as individual levels, can ensure the continued wellbeing of healthcare workers even in challenging times.

scholarly journals Healthcare workers’ experiences of working on the frontline and views about support during COVID-19 and comparable pandemics: A rapid review and meta-synthesis

2020 ◽  
Author(s):  
Jo Billings ◽  
Brian Chi Fung Ching ◽  
Vasiliki Gkofa ◽  
Talya Greene ◽  
Michael Bloomfield
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Psychosocial Support ◽  
Opportunity To Learn ◽  
Health Impact ◽  
Rapid Review ◽  
Health And Wellbeing ◽  
Healthcare Workforce ◽  
Frontline Healthcare Workers ◽  
The Impact

AbstractHealthcare workers across the world have risen to the demands of treating COVID-19 patients, potentially at significant cost to their own health and wellbeing. There has been increasing recognition of the potential mental health impact of COVID-19 on frontline healthcare workers and growing calls to provide psychosocial support for them. However, little attention has so far been paid to understanding the impact of working on a pandemic from healthcare workers’ own perspectives or what their views are about support. This rapid review identified 40 qualitative studies which have explored healthcare workers’ experiences and views from previous pandemics, including and comparable to COVID-19. Meta-synthesis of this qualitative data using thematic analysis derived eight key themes which transcended pandemics, time, and geographical boundaries. This pandemic is not unprecedented; the themes that arose from previous pandemics were remarkably resonant with what we are hearing about the impact of COVID-19 globally today. We have an opportunity to learn from the lessons of these previous pandemics, mitigate the negative mental health impact of COVID-19 and support the longer-term wellbeing of the healthcare workforce worldwide.

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