scholarly journals 1227 The Impact of COVID-19 on the Wellbeing of Surgical Junior Doctors in a Tertiary Referral and Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F Griffin ◽  
M Heelan ◽  
M Kumar
Keyword(s):  
Teaching Hospital ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Junior Doctors ◽  
Cross Sectional ◽  
Web Based ◽  
Near Misses ◽  
Regulatory Bodies ◽  
The Impact

Abstract Introduction Protecting the wellbeing of staff in the NHS is becoming ever more critical as we progress through this pandemic. We sought to identify the impact of the pandemic and changes in working pattern on wellbeing of doctors in training in a teaching hospital. Method Cross sectional study, with primary data collection using a web-based survey. Questionnaire was designed to identify issues relating to the personal wellbeing before and since the onset of the pandemic (Nov 2019-Feb 2020 vs March 2020- June 2020). Trainees in all surgical specialities were invited to participate. Results Thirty-six doctors responded. Across the timepoints there was a marked increase in reports of the following: constant fatigue (+500%), headaches (250%), loss of motivation (+500%), loss of interest in hobbies/friends (+566%), anger (+500%), loss of focus (+320%) and heightened emotional state (+700%). Almost 70% reported difficulty sleeping in the preceding month, with only 50% feeling they received adequate rest between shifts. Feelings of ‘too tired to drive’ increased by 216% with accidents or near misses increasing by 500%. Use of alcohol as coping mechanism increased by 500%, and comfort eating rose by 244%. 50% considered leaving their post. Conclusions These findings are significant and point to a dangerous trend if left unchecked. The causes of these outcomes are multi-factorial; changes to working patterns, cancellation of leave, redeployment, and anxieties around career progression were noted. The long-term health implications on the workforce should not be overlooked. This requires a collective response and action by employers, training and regulatory bodies and government.

scholarly journals 1215 Training of Surgical Junior Doctors Impacted by COVID-19 in a Tertiary Referral and Teaching Hospital

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
F Griffin ◽  
M Heelan ◽  
M Kumar
Keyword(s):  
Hospital Management ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Junior Doctors ◽  
Training Experience ◽  
Cross Sectional ◽  
Career Support ◽  
Individual Perception ◽  
The Impact ◽  
And Training

Abstract Introduction The COVID-19 pandemic continues to cause significant disruption to the working lives, training, and career development for doctors in training. We sought to identify the impact this has had on colleagues and if these issues were in existence before the pandemic. Method This was a cross sectional study, with primary data collection using a web-based survey carried out. Trainees in all surgical specialities were invited to participate. The questionnaire was divided into 4 sections which included questions on individual perception of training experiences and support from Clinical/ Educational Supervisors (CS/ES) preceding and since the onset of the pandemic (Nov 2019-Feb 2020 vs March 2020- June 2020). Results In total, 36 trainees responded. Those reporting adequate support from relevant supervisors fell across the following domains: education and training (-39%), career support (-52%), overall support (-20%). Adequate support from hospital management fell from 42% pre-pandemic to 22% after. Trainees felt less valued, ranked morale lower and felt less integrated into a team since the onset of the pandemic. 39% said their consultants had no understanding of the issues they faced at work. Conclusions This study highlights relevant existing issues including supervision, training, workload, and support that were amplified following the onset of this pandemic. It does also highlight the discrepancy in the understanding of trainees’ role and their workload by supervisors and hospital management. Further studies are required to better understand and address these issues. The importance of representation in organisational decision-making in-service design can help improve workforce and training experience.

scholarly journals A Cross-Sectional Study on the Impacts of Perceived Job Value, Job Maintenance, and Social Support on Burnout among Long-Term Care Staff in Hawaii

2021 ◽  
Vol 18 (2) ◽  
pp. 476
Author(s):  
Bum Jung Kim ◽  
Sun-young Lee
Keyword(s):  
Social Support ◽  
Long Term Care ◽  
Cross Sectional Study ◽  
Care Staff ◽  
Hierarchical Regression ◽  
Sectional Study ◽  
Cross Sectional ◽  
Term Care ◽  
The Impact

Extensive research has demonstrated the factors that influence burnout among social service employees, yet few studies have explored burnout among long-term care staff in Hawaii. This study aimed to examine the impact of job value, job maintenance, and social support on burnout of staff in long-term care settings in Hawaii, USA. This cross-sectional study included 170 long-term care staff, aged 20 to 75 years, in Hawaii. Hierarchical regression was employed to explore the relationships between the key independent variables and burnout. The results indicate that staff with a higher level of perceived job value, those who expressed a willingness to continue working in the same job, and those with strong social support from supervisors or peers are less likely to experience burnout. Interventions aimed at decreasing the level of burnout among long-term care staff in Hawaii may be more effective through culturally tailored programs aimed to increase the levels of job value, job maintenance, and social support.

The impact of periodontal disease on physical and psychological domains in long-term hemodialysis patients: a cross-sectional study

2017 ◽  
Vol 49 (7) ◽  
pp. 1261-1266 ◽  
Author(s):  
Gabriel Veisa ◽  
Alexandra Tasmoc ◽  
Ionut Nistor ◽  
Liviu Segall ◽  
Dimitrie Siriopol ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Cross Sectional Study ◽  
Hemodialysis Patients ◽  
Sectional Study ◽  
Cross Sectional ◽  
The Impact

scholarly journals Stress gradation of medical practitioners during the pandemic (covid-19) along with ways to de-stress; a cross sectional study at tertiary care hospitals using Kessler’s 10 psychological distress scale.

2021 ◽  
Vol 28 (09) ◽  
pp. 1239-1244
Author(s):  
Umair Toqueer ◽  
Muhammad Usama Zardad ◽  
Mahwish Toqueer ◽  
Anila Riyaz ◽  
Sana Khan ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Junior Doctors ◽  
Sectional Study ◽  
Cross Sectional ◽  
Psychological Distress Scale ◽  
Tertiary Care Hospitals ◽  
Distress Scale ◽  
The Impact

Objectives: To determine stress grades of doctors working in tertiary care  hospitals by using a standard measuring tool i.e. Kessler 10 psychological distress scale along with finding out different coping methods adopted by doctors during the COVID-19 pandemic. Study Design: Cross Sectional study. Setting: Tertiary Care Hospitals of Khyber Pakhtunkhwa (KPK), Pakistan. Period: 15 March 2020 to 20 June 2020. Material & Methods: A structured questionnaire was sent online to the junior and senior doctors working during the pandemic. The data was automatically collected with the help of Google docs and then analysed using SPSS 26. Results: Of the 219 doctors who completed the questionnaire 142 were males (64.8%) and 77 were females (35.2%). Interestingly, analysis of the score revealed that 38.8% of the doctors were found likely to be well, 16.4% of the doctors were likely to have mild disease and 20.5% were likely to have a moderate disorder while 24.2% were likely to have a severe disorder. Further analysis showed that the mean of  Kessler’s score was greater for junior doctors as  compared to Consultants which was found to be statistically significant (p=0.044). Conclusion: The impact of Corona virus disease (COVID-19) on the stress levels of health workers warrants considerable attention as it was declared a pandemic. Assessing the psychological impact and ways to tackle them will not only help the health care workers during this pandemic but will be beneficial in future pandemics as well.

scholarly journals What the impact of the economic crisis on the Brazilian’s lifestyle between 2013 and 2016? A long-term trend cross-sectional study.

2020 ◽  
Author(s):  
Sonny Állan Bezerra ◽  
Denilson Menezes Santos ◽  
Michele Maria Oliveira ◽  
Claudia Vanisse Costa ◽  
Elaynne de Oliveira ◽  
...  
Keyword(s):  
Economic Crisis ◽  
Negative Impact ◽  
Health Indicators ◽  
Cross Sectional Study ◽  
Sharp Drop ◽  
Cross Sectional ◽  
The Impact ◽  
Long Term Trend

Abstract Background: Brazil has been going through a period of economic crisis since 2015 and the impact on health indicators and the quality of life of the most recent crisis is unclear. This study sought to establish a relationship between the impact of the economic crisis experienced by Brazil during the period 2013-2016 and the lifestyle of adult populations in the 27 capitals of the Brazilian state.Results: According to the binary logistic regression model, at least completing secondary education increases the probability of individuals presenting higher LS by 4.9% (OR=1,049, 95% CI 1,029–1,070); being involved in some type of relationship decreases the probability of presenting a higher LS by 5.3% (OR=0.947, 95% CI 0.029-0.965); having an adequate body mass index increases LS by 27.3% (OR=1.273, 95% CI 1,245.10.10). Living in a city with a lower unemployment rate increases the probability of having a higher LS score by 3.8%(OR=1,038, 95% CI 1,012-1.064); living in a city with a more basic food basket decreases the probability of having a higher LS score by 5.4% (OR=0.946, 95% CI 0.910-0.982). Presenting higher yields decreases the probability of having a higher LS by 12% (OR=0.880, 95% CI 0.860-0.900). In addition, there was an increase in the percentage of leisure-time PA in 2015 (20.9%), followed by a decrease to 18.1% in 2016, after a stabilization period in 2013 (19.5%) and 2014 (19.6%). The physical exercise showed a steady annual increase, with a score of 49.6% in 2013, followed by 50.9% and 51.9% in 2014 and 2015, respectively, and ending with 54.5% in 2016. The "Watch TV 5x per week" indicator recorded a sharp drop between 2013 (27.9%) and 2015 (22.7%), as well as the consumption of soft drinks, which went from stable values in 2013 (19.5%) and 2014 (19%) 17.3% in 2015.Conclusion: In the case of Brazil, the economic crisis initially started in 2015 had a negative impact on the population over time, but these effects were only observed in the second year of crisis, being preceded by a temporary improvement of indicators.

The Carcinogen in Our Daily Life - A Cross-Sectional Study

2021 ◽  
Vol 8 (7) ◽  
pp. 223-227
Author(s):  
Rani Nallathamby ◽  
Boban Babu ◽  
Meril Ann Soman
Keyword(s):  
Adverse Effects ◽  
Teaching Hospital ◽  
Daily Life ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Short Term ◽  
Cross Sectional ◽  
Large Teaching Hospital ◽  
Safe Limit

Objective: To study about the awareness of toxic effects of Formaldehyde in Chronic users Design: Questionnaire study. Questionnaires were sent to chronic formaldehyde users and responses were analysed. Setting: Large teaching hospital-various medical colleges in south Karnataka and Kerala. Results: Most of the participants are aware about the adverse effects of formaldehyde but they are unaware of the major carcinogenic and teratogenic risks. Most of the participants don’t know the safe limit of exposure to formaldehyde and most of them don’t care whether the exhaust fans are working or windows are open. Majority of the participants had experienced the short term effects of formaldehyde whereas only 67 had experienced long term sequelae. Keywords: Formaldehyde, Carcinogen, Embalming.

scholarly journals Impact of Delays on Cost of Construction Project- A Cross Sectional Study of Pakistani Construction Industry

2020 ◽  
Vol 39 (4) ◽  
pp. 815-825
Author(s):  
Raza Ali Khan ◽  
Muhammad Umer
Keyword(s):  
Linear Regression ◽  
Construction Industry ◽  
Construction Projects ◽  
Cross Sectional Study ◽  
Primary Data ◽  
Cross Sectional ◽  
Degree Of Association ◽  
Causes Of Delays ◽  
The Impact ◽  
Cost Of Construction

It is widely believed that construction sector helps developing aggregate economy and reducing unemployment. Currently, Pakistan is experiencing a major transformational phase in the back drop of China-Pakistan Economic Corridor (CPEC). CPEC is valued at US$ 62 Billion. The present study is undertaken to ascertain the impact of time overrun of projects on their cost, the correlation between stakeholders and to predict the effect of delays on cost overruns. Causes of delays are identified by stakeholders of the construction industry of Pakistan. Two models for projects that had delay less and greater than 100 days are developed. Structured questionnaires and personal interviews are carried out to extract primary data for the study. Relative Importance Index (RII) was utilized for ranking of delay causes, and Pearson’s correlation to formulate correlation between causes of delays and cost of construction projects from the perspective of client, contractors and consultants. For predicting the impact of delays on cost of projects Linear Regression technique has been used. The results reveal that the causes of delay related to design, procurement and on-site has significant impact on delays. Pearson’s result indicates strong covenant between client and contractor. Whereas, there is a weak degree of association between consultant and contractor. Results from linear regression concluded that there is a significant effect of delay on cost of the project.

scholarly journals Characteristics of patients with cancer in European long-term care facilities

2021 ◽  
Author(s):  
Emanuele Rocco Villani ◽  
Domenico Fusco ◽  
Laura Franza ◽  
Graziano Onder ◽  
Roberto Bernabei ◽  
...  
Keyword(s):  
Cancer Patients ◽  
Long Term Care ◽  
Cross Sectional Study ◽  
Do Not Resuscitate ◽  
Cross Sectional ◽  
Term Care ◽  
Patients With Cancer ◽  
Care Approach ◽  
The Impact

Abstract Purpose Up to 26% of residents in nursing homes (NHs) are affected by cancer. Their care represents a challenge, because NHs are not usually considered a setting focused on oncologic management and care. The aim of this paper is to describe socio-demographic and clinical features of patients with cancer residing in European NHs. Methods Cross-sectional study based on data from the Services and Health for Elderly in Long TERm care (SHELTER) study. Participants were assessed through the interRAI-LTCF, which includes cancer assessment. Results Among 4140 participants (mean age 83.4 years; female 73%), 442 (10.7%) had cancer. Patients with cancer had a higher prevalence of do-not-resuscitate directives compared to those without cancer (21.1% vs 16.5%, p = 0.019). Variables directly associated with cancer were male sex (adj OR 1.67, 95% CI 1.36–2.05), pain (adj OR 1.43, 95% CI 1.16–1.77), fatigue (adj OR 1.25, 95% CI 1.01–1.55), polypharmacy (adj OR 1.59, 95% CI 1.21–2.08) and falls (adj OR. 1.30, 95% CI 1.01–1.67). Dementia was inversely associated with cancer (adj OR 0.74, 95% CI 0.58–0.94). Symptomatic drugs such as opioids (23.5% vs 12.2, p < .001), NSAIDS (7.2% vs 3.9%, p = 0.001), antidepressants (39.1% vs 33.8%, p = 0.026) and benzodiazepines (40.3% vs 34.3, p = 0.012) were all prescribed more in participants with cancer compared to those without cancer. Conclusions Cancer patients are prevalent in European NHs and they show peculiar characteristics. Studies are needed to evaluate the impact of a supportive care approach on the management of NHs residents with cancer throughout all its phases, until the end-of-life care

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