scholarly journals Impact of exposure to patients with COVID-19 on residents and fellows: an international survey of 1420 trainees

2020 ◽  
pp. postgradmedj-2020-138789
Author(s):  
Anne L Cravero ◽  
Nicole J Kim ◽  
Lauren D Feld ◽  
Kristin Berry ◽  
Atoosa Rabiee ◽  
...  

ObjectivesTo determine how self-reported level of exposure to patients with novel coronavirus 2019 (COVID-19) affected the perceived safety, training and well-being of residents and fellows.MethodsWe administered an anonymous, voluntary, web-based survey to a convenience sample of trainees worldwide. The survey was distributed by email and social media posts from April 20th to May 11th, 2020. Respondents were asked to estimate the number of patients with COVID-19 they cared for in March and April 2020 (0, 1–30, 31–60, >60). Survey questions addressed (1) safety and access to personal protective equipment (PPE), (2) training and professional development and (3) well-being and burnout.ResultsSurveys were completed by 1420 trainees (73% residents, 27% fellows), most commonly from the USA (n=670), China (n=150), Saudi Arabia (n=76) and Taiwan (n=75). Trainees who cared for a greater number of patients with COVID-19 were more likely to report limited access to PPE and COVID-19 testing and more likely to test positive for COVID-19. Compared with trainees who did not take care of patients with COVID-19 , those who took care of 1–30 patients (adjusted OR [AOR] 1.80, 95% CI 1.29 to 2.51), 31–60 patients (AOR 3.30, 95% CI 1.86 to 5.88) and >60 patients (AOR 4.03, 95% CI 2.12 to 7.63) were increasingly more likely to report burnout. Trainees were very concerned about the negative effects on training opportunities and professional development irrespective of the number of patients with COVID-19 they cared for.ConclusionExposure to patients with COVID-19 is significantly associated with higher burnout rates in physician trainees.

2021 ◽  
pp. 095148482110486
Author(s):  
Marilyn V Whitman ◽  
Russell A Matthews ◽  
Eric S Williams

Introduction Supervisor undermining has recently gained increasing attention due to its negative effects on employee health and well-being. In the healthcare context, negative supervisor behaviors have been linked to unfavorable individual and organizational outcomes as well as medical errors and patient mortality. Our study, therefore, examines the influence that supervisor undermining behavior has on employee engagement and performance within a standard job stress framework. Methods Our sample consisted of occupational therapists, a health professions group who is growing in demand and importance in the U.S. and has unique job demands. Using an observational, cross-sectional study design, a convenience sample of 521 occupational therapists completed an online survey. A series of independent t-test and multiple-groups path analytic modeling was used. Results Participants who had a supervisor perceived as engaging in undermining behaviors reported lower levels of resources, higher levels of demands, less motivation, and more overload than those who did not perceive supervisor undermining. These participants were also less engaged and reported lower levels of performance. Conclusion Our results shed further light on the importance of supervisory behaviors specifically in a healthcare setting and the need for organizations to create an environment that promotes positive and productive workplace behaviors.


2015 ◽  
Vol 11 (2) ◽  
pp. 323-334 ◽  
Author(s):  
Andrea Caputo

This paper explores the potential role of gratitude on the reduction of loneliness feelings, even controlling for several variables related to social desirability, well-being (subjective happiness and life satisfaction) and socio-demographic characteristics. Through a web-based survey a convenience sample of 197 participants completed an online questionnaire including these measures. Correlation analyses and four-step hierarchical multiple regression analyses were conducted. The results show a negative correlation between gratitude and loneliness; specifically, gratitude succeeds in accounting for up to almost one-fifth of the total variability of loneliness even controlling for further variables. Being female, not having a stable and consolidated relationship and not participating in the labor force represent some risk factors affecting loneliness which should be taken into account in further research.


Author(s):  
Hanna Zagefka ◽  
Diane Houston ◽  
Leonie Duff ◽  
Nali Moftizadeh

AbstractThis study investigated whether having a dual identity as both a mother and an employed person constitutes a threat to well-being, or whether it is a positive resource. The study focused on indices of life satisfaction and self-esteem. A convenience sample of 208 mothers were exposed to a manipulation of identity conflict, whereby we manipulated whether working mothers perceived their identities as a mother and an employed person to be in conflict with each other or not. It was hypothesized that generally having multiple identities (as an employee and a mother) would be positively associated with well-being, that perceived identity conflict would have a negative impact on well-being, and that identity conflict would exacerbate the negative effects of identity-related stressors on well-being. Results supported these predictions. The applied implication is that policies that enable mothers to work will be conducive to maternal well-being, but that the policies must minimize conflict between demands associated with employment and parental responsibilities.


Author(s):  
Lara Augustijn

Abstract Background Joint physical custody is a parental care arrangement in which children live roughly an equal amount of time with each parent after family dissolution, residing alternately in each of the two parental households. Because joint physical custody is characterised by fathers’ continued involvement in their children’s lives, this care arrangement is believed to compensate for the negative effects of family dissolution, and to contribute to children’s well-being in post-separation families. Objective This study aims to investigate potential differences in the experiences of stress of children living in joint physical custody and sole physical custody arrangements, while considering both the proportion of time the children spend with each of their parents and the number of transitions the children make between the parental households. Methods Based on data from the Family Models in Germany (FAMOD) study, a national convenience sample, linear regression models were estimated for 297 children between the ages of 11 and 14. Results The statistical analysis suggests that there was no significant association between the physical custody type (sole physical custody vs. joint physical custody) and the children’s levels of stress. In addition, the results revealed that children’s experiences of stress did not depend on how often they moved between their parents’ households. Conclusions This study does not corroborate the assumption that joint physical custody has a protective effect on children, but instead suggests that different physical custody arrangements are associated with different stressors that lead to similar levels of stress in children living in different post-separation families.


2020 ◽  
pp. 194589242096196
Author(s):  
P Papagiannopoulos ◽  
A Ganti ◽  
YJ Kim ◽  
RA Raad ◽  
EC Kuan ◽  
...  

Introduction The pandemic caused by the novel coronavirus virus has altered all facets of clinical practice in the United States. The goal of this study is to better understand the impact of COVID-19 on rhinologic ambulatory and operative practice. Methods A 27-item survey to assess these objectives was created and approved by the Division of Rhinology faculty at Rush University Medical Center in April 2020. The survey was then distributed to rhinologists in a web based format via www.surveymonkey.com from April 10 through April 23, 2020. Results A total of 277 U.S based rhinologists responded to the survey (23.04%). The most common practice types were single specialty private (44.9%) and academic (24.6%). 90.2% practice in a state under a shelter in place order. Comparing pre-COVID baseline to during-COVID, there was statistically significant reduction in the number of patients of seen daily in clinic ( p < 0.001). The number of nasal endoscopies in the office and surgical procedures fell dramatically. Overall, 5 respondent rhinologists have been infected with COVID-19 and 27 have been furloughed. Conclusion COVID-19 has drastically affected rhinologic practice. There is a dramatic reduction of in person care in the office setting and surgical management of sinonasal and skull base disease. Enhanced PPE is being used in only half of potentially aerosolizing procedures which represents an area of further education. Novel approaches such as use of virtual encounters and point of care testing should be considered as options to facilitate care.


2021 ◽  
pp. 1123-1134
Author(s):  
Prashasti Tripathi ◽  
Dr. Vibhuti Gupta

Since its outbreak in December, 2019, the novel coronavirus has wreaked a havoc across the world. Stringent measures such as lockdown and self-isolation were imposed in various nations to curb the transmission of the life-threatening virus. India had been under a complete lockdown from 25th March, 2020 to 3rd May,2020, compelling its citizens to stay indoors for an unprecedented amount of time. The ‘stay at home orders’ had serious implications on the mental health of the people. In light of the on-going pandemic, the current study aims to understand the lockdown experience of young married adults and its relationship with their psychological well-being. Also, with a spike in the digital habits of young adults during the Covid-19 lockdown, we intended to explore the impact of technology on the psychological well-being of its users. A convenience sample of 140 married, young adults (20 to 40 years old), staying with their partners in different parts of the country, was selected for the study. A single administration of WHO QOL BREF and self-constructed Lockdown Experience Scale was carried out. A separate list of technology usage items was also presented to the participants. Due to lockdown, the questionnaires were administered through Google forms. Results indicate that Lockdown Experience (Quality of Partner Relationship, sharing of household responsibilities, Personal Space) correlated significantly with Psychological Well Being as well as with Technology Use. Implications and suggestions for future research have been given.


2019 ◽  
Vol 9 (1) ◽  
pp. 53
Author(s):  
Joel McCay

School meetings, which today are often called teacher workshops are to conduct teacher professional development which may still be desired by today’s teachers. This study was to discover if technological alternatives might be desired by one public school system in the USA. Choices included delivery of professional development via web-based learning material, CD-ROM, and PDF documents as downloadable files for print from the Internet. A questionnaire was designed to find out which media was selected most often for delivery of their own professional development. The study material for this investigation served as professional development modules. Data from surveys were collected to discover why they select them, and whether or not they prefer those modes of professional development to the more traditional modes previously experienced such as teacher meetings/workshops. There were 28 participants in this study. To assess the role of the media for delivery of professional development via learning modules. Descriptive statistics were used to identify demographics and patterns in the educators’ preferences and perceptions. A major conclusion of the study included the medium selected most often was online (82% of respondents)


2017 ◽  
Vol 29 (3) ◽  
pp. 251-268 ◽  
Author(s):  
Carl Peter Borchgrevink ◽  
Allan Lewis Sherwin

Purpose The purpose of this paper is to outline Tim Hanni’s vinotype theory and to test some of the theories foundational propositions. Specifically, this paper tests whether the wine preferences of novice wine consumers can be predicted using novice consumers’ historic and current food and beverage consumption patterns and preferences. Design/methodology/approach The sample consists of college students at a large Midwest University in the USA with an average age of 21.5 years. Data are collected via focus group (n = 4), a web-based survey (n = 231) and via recorded hedonic responses to food and wines in a controlled lab setting (n = 75). Correlation, regression and factor analyses are performed. Findings The findings support the vinotype theory. Predicted order and structure was found and near-past consumer consumption patterns and preferences predicted the consumer wine preferences of novice wine consumers. Research limitations/implications The use of a convenience sample of college-student wine drinkers from a single university in Midwestern USA limits the paper. While the paper provides support for the vinotype theory, the results are not generalizable to other countries, regions or populations with a different wine-consumption culture. Additional research is necessary to further test and validate the vinotype theory and model. Practical implications The support for the foundational propositions of the vinotype theory suggests that it is reasonable to consider adopting the vinotypic approach. Businesses that sell wine can have their sales and service staff use the vinotypic approach to assist consumers in selecting wines the consumer will find delicious. This should lead to customer satisfaction and possible repeat sales/visits. Consumers can use the vinotype theory to develop an understanding of which wines they like and the reason for liking such. Researchers should use this foundational support to test the model outright. Originality/value This is a first academic review of the vinotype theory and a first test of the theory’s foundational propositions independent of the theory’s author. This paper is important, as it provides some independent support for the vinotype theory. The vinotype theory provides a basis for increased understanding and clarity in the realm of wine choice and preference.


GeroPsych ◽  
2018 ◽  
Vol 31 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Ljiljana Kaliterna Lipovčan ◽  
Tihana Brkljačić ◽  
Zvjezdana Prizmić Larsen ◽  
Andreja Brajša-Žganec ◽  
Renata Franc

Abstract. Research shows that engagement in leisure activities promotes well-being among older adults. The objective of the current study was to examine the relationship between subjective well-being (flourishing) and leisure activities (total number of different activities in the previous year) in a sample of older adults in Croatia, thereby considering the variables of sex, marital status, financial status, and self-perceived health. The differences in the examined variables between the groups of older adults who reported to be engaged in new activities with those who did not were also examined. The sample of N = 169 older adults aged 60 years and above was drawn from a convenience sample of adult internet users in Croatia. Participants reported their self-perceived health and the number of leisure activities they engaged in over the previous year as well as completing the Flourishing Scale. Hierarchical regression analyses indicated that older adults who were engaged in more various leisure activities, who perceived better financial status, and who were married reported higher levels of flourishing. A comparison of the two groups of older adults with and without engagement in leisure activities showed that those engaged in at least one leisure activity were more likely to be women, reported higher levels of flourishing, and perceived their own financial status as better. This study indicated that engaging in leisure activities in later life might provide beneficial effects for the well-being of older adults.


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