scholarly journals Evaluation of Clinical Job Demands, Job Resources, and a Novel Intervention on Measures of Health Care Worker Stress at a Community Hospital Pre and Post COVID-19

2021 ◽  
Author(s):  
Jessica Sels ◽  
Dylan Carroll ◽  
Douglas Duffee
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Local Community ◽  
Community Hospital ◽  
Assessment Tool ◽  
Statistical Significance ◽  
Job Demands ◽  
Self Help ◽  
The Mean ◽  
Care Worker

Abstract: Objective: To explore the relationship and identity of Health Care Worker stressors to a measure of perceived burnout and to a novel intervention tool. Participants and Methods: From July 2019 to June 2020, we surveyed Health Care Workers (HCW) pre and post COVID19 in an independent local community hospital for burnout with the Health Care Provider Wellness Assessment tool. Linear regression and means comparison were used to identify overall job demand and resource perception with burnout, unique stressor portraits by provider subtype and mean survey scores between those who did or did not voluntarily complete at least 14 days of a 28 day novel self-help intervention tool. Results: Regarding the pre COVID-19 data, of 73 respondents, there was statistically significant (p<.01) correlation between overall job demands (directly) and resources (inversely) with burnout intensity. With respect to the HCW stressor characteristic analyses there was statistical significance (p<.05) between the mean frequency occurrence of the top 5 stressors identified by respondent subtype when compared to the mean occurrence of overall individual responses within the corresponding subtype. Finally, although limited by a low number of respondents, the intervention tool analysis suggested a therapeutic trend toward disruption of the stress-burnout relationship. Regarding the post COVID-19 data, 18 respondents did not show statistically significant characterizable stressor portraits (ie stressors were present but not patternable). Conclusion: Unique stressor portraits were identified by HCW subtype which correlated with more intense burnout self-perception. Additionally, there was a trend toward self-help tool efficacy in mitigating burnout

scholarly journals Comparison of Perforated Appendicitis Prior to and Post quarantine during COVID19 Pandemic

2021 ◽  
Author(s):  
Haley Lehman ◽  
Jeffrey Turnbull ◽  
Janice Prescod ◽  
Trevor Gohl ◽  
Peter Lopez ◽  
...  
Keyword(s):  
Health Care ◽  
Local Community ◽  
Community Hospital ◽  
Statistical Significance ◽  
Perforated Appendicitis ◽  
Retrospective Chart Review ◽  
Health Care Facilities ◽  
Emergency Department Visits ◽  
P Value ◽  
Number Of Patients

Abstract Background: The SARS-CoV-2 virus has caused patient aversion to health care facilities for fear of contracting the virus. It has been shown that there has been a decreased amount of emergency department visits since the pandemic started1, with an increased presentation of conditions with progressed pathology. At our community hospital, it was anecdotally noted that there was an increase in the number of patients presenting with perforated appendicitis during this time. Our hypothesis is that more patients presented with the progressed finding of perforated appendicitis during rather than prior to the pandemic because of fear of exposure to COVID-19 in the health care setting. Methods: Retrospective chart review of cases of perforated appendicitis at a local community hospital during March 10-December 31, 2019 (cohort A) and March 10-December 31, 2020 (cohort B).Results: A total of three hundred and fifty-two eligible patients received treatment for acute appendicitis at our community hospital. In Cohort A (prior to the pandemic), there were 53 perforations out of 188 patients (53/188) - 28.2%. In cohort B (during the pandemic), there was 61 perforations out of 164 patients (61/164) – 37.2%. Statistically, there was no difference in the rate of perforation between Cohort A and Cohort B, approaching significance (p-value = 0.072). The median age of patients in Cohort A was 38 and in Cohort B it was 43.5 years of age. There was no statistically significant differences between cohorts regarding age (p < 0.23) and sex (p < 0.8). Conclusion: This study found that the number of patients who presented with perforated appendicitis during the pandemic did increase compared to pre-pandemic (37.2% vs 28.2%) but this did not meet statistical significance (p=0.072).

scholarly journals Healthcare-associated SARS-CoV-2 transmission in a neonatal unit: the importance of universal masking, hand hygiene and symptom screening in containment

2020 ◽  
Author(s):  
S L Holgate ◽  
A Dramowski ◽  
M van Niekerk ◽  
H Hassan ◽  
Y Prinsloo ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Care Worker ◽  
Neonatal Unit ◽  
Preterm Neonates ◽  
Staff Members ◽  
Symptom Screening ◽  
Containment Measures ◽  
Healthcare Associated ◽  
Care Worker

Abstract Following exposure to a health care worker with an influenza-like illness, two preterm neonates and six staff members developed symptoms and tested positive for SARS-CoV-2. This neonatal unit COVID-19 outbreak occurred prior to implementation of universal masking and symptom screening policies. Both neonates and all staff recovered, with no further healthcare-associated SARS-CoV-2 transmission following implementation of effective outbreak containment measures.

scholarly journals Health care worker burnout after the first wave of the coronavirus disease 2019 (COVID‐19) pandemic in Japan

2021 ◽  
Vol 63 (1) ◽  
Author(s):  
Takahiro Matsuo ◽  
Fumika Taki ◽  
Daiki Kobayashi ◽  
Torahiko Jinta ◽  
Chiharu Suzuki ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Worker ◽  
Care Worker
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