scholarly journals Experiences of renal healthcare practitioners during the COVID-19 pandemic: a multi-methods approach

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Clare Mc Keaveney ◽  
Joanne Reid ◽  
Claire Carswell ◽  
Ann Bonner ◽  
Ilaria de Barbieri ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Online Survey ◽  
General Health Questionnaire ◽  
Maslach Burnout Inventory ◽  
Future Research ◽  
Structured Interviews ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Abstract Background Globally, renal healthcare practitioners provide intensive and protracted support to a highly complex multi-morbid patient population however knowledge about the impact of COVID-19 on these practitioners is extremely limited. Objective This study aimed to explore the experiences of COVID-19 with renal healthcare practitioners during the first global lockdown between June 2020 and September 2020. Methods A multi-methods approach was carried out including a quantitative survey and qualitative interviews. This was a multinational study of renal healthcare practitioners from 29 countries. Quantitative: A self-designed survey on COVID-19 experiences and standardised questionnaires (General Health Questionnaire-12; Maslach Burnout Inventory). Descriptive statistics were generated for numerical data. Qualitative: Online semi-structured interviews were conducted. Data was subjected to thematic analysis. Renal healthcare practitioners (n = 251) completed an online survey. Thirteen renal healthcare practitioners took part in semi-structured interviews (12 nurses and 1 dietician). Results The majority of participants surveyed were female (86.9 %; n = 218), nurses (86.9 %; n = 218) with an average 21.5 (SD = 11.1) years’ experience since professional qualification, and 16.3 years (SD = 9.3) working in renal healthcare. Survey responses indicated a level of preparedness, training and satisfactory personal protective equipment during the pandemic however approximately 40.3 % experienced fear about attending work, and 49.8 % experienced mental health distress. The highest prevalence of burnout was emotional exhaustion (35.9 %). Three themes emerged from the qualitative analysis highlighting the holistic complexities in managing renal healthcare, a neglected specialist workforce, and the need for appropriate support at work during a pandemic. Conclusions Results have highlighted the psychological impact, in terms of emotional exhaustion and mental health distress in our sample of renal healthcare practitioners. As the pandemic has continued, it is important to consider the long-term impact on an already stretched workforce including the risk of developing mental health disorders. Future research and interventions are required to understand and improve the provision of psychological support for specialist medical and nursing personnel.

scholarly journals Essential but Ill-Prepared: How the COVID-19 Pandemic Affects the Mental Health of the Grocery Store Workforce

2021 ◽  
pp. 003335492110458
Author(s):  
Brian Mayer ◽  
Mona Arora ◽  
Sabrina Helm ◽  
Melissa Barnett
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Online Survey ◽  
Well Being ◽  
Workplace Safety ◽  
Health Care Sector ◽  
Grocery Store ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Objectives Frontline essential workers face elevated risks of exposure to COVID-19 because of the interactive nature of their jobs, which require high levels of interaction with the general public and coworkers. The impact of these elevated risks on the mental health of essential workers, especially outside the health care sector, is not well studied. To address this knowledge gap, we examined correlations between perceptions of workplace risks and mental health distress among grocery store workers in Arizona. Methods We collected the first statewide sample of essential workers outside the health care sector focused on mental health and well-being. A total of 3344 grocery store workers in Arizona completed an online survey in July 2020. We used multiple regression models to identify demographic and work-based correlates of mental health distress. Results Levels of mental health distress among respondents were high: 557 of 3169 (17.6%) reported severe levels and 482 of 3168 (15.2%) reported moderate levels. Perceptions of workplace safety were strongly correlated with significantly reduced levels of mental health distress (ß = –1.44; SE = 0.20) and reduced perceived stress (ß = –0.97; SE = 0.16). Financially disadvantaged workers and employees aged <55 reported high levels of mental health distress. Perceptions of safety and protection in the workplace were significantly correlated with availability of safety trainings, social distancing, and policies governing customer behaviors. Conclusions Lacking sufficient workplace protections, grocery store employees in Arizona experienced high levels of mental health distress during the COVID-19 pandemic. Providing clear federal and state policies to employers to guide implementation of workplace protections may help reduce sources of mental health distress.

scholarly journals Systematic Human Rights Violations, Traumatic Events, Daily Stressors and Mental Health of Rohingya Refugees in Bangladesh

2020 ◽  
Author(s):  
Andrew Riley ◽  
Yasmin Akther ◽  
Mohammed Noor ◽  
Rahmat Ali ◽  
Courtney Welton-Mitchell
Keyword(s):  
Mental Health ◽  
Human Rights ◽  
Traumatic Events ◽  
Future Research ◽  
Human Rights Violations ◽  
Refugee Camps ◽  
Daily Stressors ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Abstract Background: Almost 900,000 Rohingya refugees currently reside in refugee camps in Southeastern Bangladesh. Prior to fleeing Myanmar, Rohingya experienced years of systematic human rights violations, in addition to recent and historical traumatic events such as the burning of their villages and murder of family members, friends and neighbors. Currently, many Rohingya struggle to meet basic needs in refugee camps in Bangladesh. The purpose of this study is to examine the associations between historical systematic human rights violations, additional traumatic events, daily stressors, mental health distress and related functioning. Methods: Cross-sectional data was collected from a representative sample of 495 Rohingya refugee adults residing in camps in Bangladesh in August of 2018. Results: Systematic human rights violations, traumatic events, daily stressors, and mental health distress were common among Rohingya refugees. Historic systematic human rights violations, additional trauma events, and daily stressors were predictive of symptoms of posttraumatic stress, depression and anxiety among Rohingya refugees. Conclusions: Findings underscore the impact of systematic human rights violations, targeted violence, and daily stressors associated with life in the refugee camps, on the mental health of Rohingya in Bangladesh. Future research should include examination of human rights violations, in addition to other variables, in predicting mental health outcomes.

scholarly journals Medical Studies during the COVID-19 Pandemic: The Impact of Digital Learning on Medical Students’ Burnout and Mental Health

2021 ◽  
Vol 18 (1) ◽  
pp. 349
Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou
Keyword(s):  
Mental Health ◽  
Medical Students ◽  
Emotional Exhaustion ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Junior Doctors ◽  
Digital Learning ◽  
Student Survey ◽  
Medical Studies ◽  
The Impact

Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and overall mental health (MH) of medical students. Background: During the unprecedented era of the COVID-19 pandemic, the majority of countries worldwide adopted very strong measures. Universities closed their doors, and education continued through digital learning lectures. Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory—Student Survey (MBI-SS). Results: The overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre-COVID-19 18.1% vs. COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre-COVID-19 40.7% vs. COVID-19 16.7%, p = 0.011), whereas it increased significantly in year 6 (pre-COVID-19 27.6% vs. COVID-19 50%, p = 0.01). When looking at each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6, and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre-COVID-19 58.8 ± 21.6 vs. COVID-19 48.3 ± 23, p < 0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only does the MH deteriorate, but cynicism levels also increase. Emotional exhaustion was found to increase particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.

Do Primary Care Physicians Help the Bereaved With Their Suicide Losses: Loss Survivor Perceptions of Helpfulness From Physicians

2017 ◽  
Vol 80 (3) ◽  
pp. 476-489 ◽  
Author(s):  
William Feigelman ◽  
Rebecca L. Sanford ◽  
Julie Cerel
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Social Media ◽  
Data Analysis ◽  
Primary Care Physicians ◽  
Online Survey ◽  
Survivors Of Suicide ◽  
Health Distress ◽  
Mental Health Distress ◽  
Suicide Bereaved

Several previous studies suggested that primary care physicians can provide important bereavement assistance to survivors of suicide, yet no study has investigated whether suicide-bereaved patients perceive their physicians as helpful. Contacting bereavement communities on social media, we collected online survey data from 146 bereaved respondents reporting suicides causing them severe emotional distress. Data analysis suggested that nearly half (48%) of the respondents encountered positive, help-offering responses from physicians, compared to 10% whose responses were deemed as negative. Analysis of our data suggested that loss survivors’ perceptions of a physician’s helping or reproachful responses were associated with differences in grief difficulties and mental health distress.

scholarly journals THE IMPACT OF ONLINE GAMING ADDICTION ON MENTAL HEALTH AMONG IIUM STUDENTS

2020 ◽  
Vol 3 (11) ◽  
pp. 01-20
Author(s):  
Nur Shazreen Zul Kamal ◽  
Saodah Wok
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Cognitive Theory ◽  
Sampling Technique ◽  
Online Gaming ◽  
Sampling Procedure ◽  
Future Research ◽  
Gaming Addiction ◽  
Media Effect ◽  
The Impact

This study was designed to examine the impact of online gaming addiction on mental health among International Islamic University Malaysia (IIUM) students. The objectives of this study are to determine: (a) the exposure to online gaming, (b) the levels of online gaming addiction and mental health, and (c) the relationship between online gaming addiction and mental health, particularly depression, anxiety, and loneliness. This study employed a quantitative research design with the network sampling procedure applied as the sampling technique for data selection and an online survey questionnaire as the research instrument. A total of 210 respondents participated in this study, comprising both undergraduate and postgraduate students. The findings show that the most popular type of online game is PlayerUnknown’s Battlegrounds (PUBG), followed by Mobile Legend (ML), Call of Duty (CoD), Defense of the Ancients (DotA), and Free Fire. The levels of online gaming addiction and mental health among IIUM students were found to be significantly low. The relationships between online gaming addiction and mental health components, namely depression, anxiety, and loneliness, were found to be significant and positive. Based on the social cognitive theory tested, all the developed hypotheses were accepted. This study suggests that future research should examine the impact of online gaming addiction on academic performance and physical health. Besides, future research can investigate other theories such as agenda-setting theory, cultivation theory, dependency theory, and media effect theory.

scholarly journals Effect of Online Psychological Intervention on Burnout in Medical Residents From Different Majors: An Exploratory Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Jian Wang ◽  
Bijia Song ◽  
Yun Shao ◽  
Junchao Zhu
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Online Survey ◽  
Psychological Intervention ◽  
Maslach Burnout Inventory ◽  
Personal Accomplishment ◽  
Medical Residents ◽  
Emotional States ◽  
Pediatric Residents ◽  
Anesthesia Residents

Background: Work-related stress among healthcare professionals poses a serious economic and healthcare burden. This study aimed to investigate the prevalence of burnout as well as anxiety, depression, and stress in medical residents from different majors, and assess the effects of an online psychological intervention on the mental health status of medical residents with a high degree of burnout.Methods: We conducted an online survey that collected information on the demographics, mental health, and burnout conditions of medical residents from Shengjing Hospital. The mental health condition was assessed by the Depression, Anxiety, and Stress Scale (DASS)−21. Further, burnout was assessed by the Maslach Burnout Inventory (MBI). Medical residents with a total MBI score between 50 and 75 were selected to receive online psychological intervention for 3 months.Results: Two-hundred and ten medical residents completed the questionnaire, of whom, 63 residents with an MBI score between 50 and 75 received the 3-month online psychological intervention. Anesthesia residents showed the highest level of depression, anxiety, and stress, and presented with a lower sense of personal accomplishment, higher emotional exhaustion, and higher depersonalization. Furthermore, pediatric residents had the second highest DASS and MBI scores following anesthesia residents. Following the online psychological intervention, negative emotional states and burnout levels were significantly lower among anesthesia and pediatric residents. There were no differences in the level of stress and sense of personal accomplishment pre- and post-online psychological intervention among the different majors.Conclusion: Our findings revealed high levels of burnout, as well as depression, anxiety, and stress symptoms in medical residents, with marked differences among different majors. The online psychological intervention effectively improved emotional exhaustion, and depersonalization, and relieved the psychological problems such as anxiety and depression in medical residents.

Cancer Patients' Mental Health Distress and Suicidality

Crisis ◽  
2019 ◽  
Vol 40 (6) ◽  
pp. 429-436 ◽  
Author(s):  
Leeat Granek ◽  
Ora Nakash ◽  
Samuel Ariad ◽  
Shahar Shapira ◽  
Merav Ben-David
Keyword(s):  
Mental Health ◽  
Cancer Patients ◽  
Healthcare Providers ◽  
Communication Style ◽  
Patient Suicide ◽  
Grounded Theory Method ◽  
Health Distress ◽  
Support Seeking ◽  
Mental Health Distress ◽  
The Impact

Abstract. Background: A substantial number of people with cancer endorse suicidality when compared with the general population. Thus, oncology healthcare workers may experience the death of a patient to suicide over their careers. Aims: To explore the impact of patients' mental health distress and suicidality on oncology personnel with a secondary aim of exploring how personnel cope with these types of events. Method: We interviewed 61 healthcare professionals (HCPs) at two cancer centers. The grounded theory method (GT) was used. Results: The impact of patients' mental health distress and suicidal ideation on oncology HCPs included sadness, depression, worry and concern, and feeling emotionally overwhelmed. The impact of patient suicide on HCPs included trauma, guilt, and surprise. Oncology personnel reported a change in practice, including communication style, being attuned to patient cues, and changing the physical environment. Coping strategies included colleague support, seeking professional help, and setting boundaries between their work and home life. Limitations: It is likely that HCPs who participated in the study represent those who are more willing to discuss issues related to suicide. Thus, the impact of patient suicide on healthcare providers may be even more pronounced among the general oncology HCP community. Conclusion: Given the higher risk of suicide among cancer patients, it is necessary to increase awareness about the impact these events may have on HCPs. Professional guidelines can highlight the need for a balance between ensuring the availability of informal support and more formal methods of help.

scholarly journals Does burnout affect clinical reasoning? An observational study among residents in general practice

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Philippe Guillou ◽  
Thierry Pelaccia ◽  
Marie-Frédérique Bacqué ◽  
Mathieu Lorenzo
Keyword(s):  
General Practice ◽  
Observational Study ◽  
Clinical Reasoning ◽  
Emotional Exhaustion ◽  
Negative Impact ◽  
Maslach Burnout Inventory ◽  
Conventional Approach ◽  
Personal Accomplishment ◽  
Future Research ◽  
The Impact

Abstract Background Burnout results from excessive demands at work. Caregivers suffering from burnout show a state of emotional exhaustion, leading them to distance themselves from their patients and to become less efficient in their work. While some studies have shown a negative impact of burnout on physicians’ clinical reasoning, others have failed to demonstrate any such impacts. To better understand the link between clinical reasoning and burnout, we carried out a study looking for an association between burnout and clinical reasoning in a population of general practice residents. Methods We conducted a cross-sectional observational study among residents in general practice in 2017 and 2019. Clinical reasoning performance was assessed using a script concordance test (SCT). The Maslach Burnout Inventory for Human Services Survey (MBI-HSS) was used to determine burnout status in both original standards of Maslach’s burnout inventory manual (conventional approach) and when individuals reported high emotional exhaustion in combination with high depersonalization or low personal accomplishment compared to a norm group (“emotional exhaustion +1” approach). Results One hundred ninety-nine residents were included. The participants’ mean SCT score was 76.44% (95% CI: 75.77–77.10). In the conventional approach, 126 residents (63.31%) had no burnout, 37 (18.59%) had mild burnout, 23 (11.56%) had moderate burnout, and 13 (6.53%) had severe burnout. In the “exhaustion + 1“ approach, 38 residents had a burnout status (19.10%). We found no significant correlation between burnout status and SCT scores either for conventional or “exhaustion + 1“ approaches. Conclusions Our data seem to indicate that burnout status has no significant impact on clinical reasoning. However, one speculation is that SCT mostly examines the clinical reasoning process’s analytical dimension, whereas emotions are conventionally associated with the intuitive dimension. We think future research might aim to explore the impact of burnout on intuitive clinical reasoning processes.

scholarly journals Psychosocial Well-Being of Patients with Kidney Failure Receiving Haemodialysis during a Pandemic: A Survey

Healthcare ◽  
2021 ◽  
Vol 9 (8) ◽  
pp. 1087
Author(s):  
Clare McKeaveney ◽  
Helen Noble ◽  
Claire Carswell ◽  
William Johnston ◽  
Joanne Reid
Keyword(s):  
Mental Health ◽  
Kidney Failure ◽  
Patient Population ◽  
Mental Health Problems ◽  
Well Being ◽  
Assessment Tools ◽  
Free Text ◽  
Health Distress ◽  
Mental Health Distress ◽  
The Impact

Background: Living with kidney failure and undergoing hospital haemodialysis (HD) is associated with a high prevalence of mental health problems and poor quality of life. However, the COVID-19 pandemic has brought additional challenges for this patient population. Objectives: To understand the impact on mental health and well-being during the COVID-19 pandemic in people receiving HD. Methods: An online survey using a cross-sectional study design. Two validated assessment tools (General Health Questionnaire-12 (GHQ-12); Personal Wellbeing Index (PWI)), binary, Likert and free-text qualitative questions were included. Individuals with kidney failure receiving HD, over 18 years of age, were recruited online between July and August 2020. Results: Forty-four participants were recruited. Approximately, 54% of respondents were tested for COVID-19; however, no positive results were reported by patients or associated family members. Scores of GHQ-12 and PWI were compared with those from previous studies. Mental health distress was higher in prevalence (68.2%) and severity (M = 18.3) in this study when compared to that of the general population in Northern Ireland during COVID-19 (April 2020). In addition, well-being (M = 37.16, SD = 18.19) was poorer when compared to that of pre-COVID-19 dialysis patient population. Conclusion: During the current pandemic, individuals receiving hospital HD have heightened mental health distress, and their well-being is impacted negatively. This study reinforces the need to provide appropriate psychosocial care as well as supportive interventions for mental distress to patients with kidney failure during and after the COVID-19 pandemic.

scholarly journals Medical studies during the COVID-19 pandemic: the impact of digital learning on burnout and mental health

2020 ◽  
Author(s):  
Panagiotis Zis ◽  
Artemios Artemiadis ◽  
Panagiotis Bargiotas ◽  
Antonios Nteveros ◽  
Georgios M. Hadjigeorgiou
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Short Form ◽  
Maslach Burnout Inventory ◽  
Junior Doctors ◽  
Digital Learning ◽  
Student Survey ◽  
Medical Studies ◽  
Sf 36 ◽  
The Impact

Abstract Objectives: The aim of this ecological study was to investigate what the impact of digital learning due to the COVID-19 pandemic was on the burnout and the overall mental health (MH) of medical students.Background: During the unprecedent era of COVID-19 pandemic, the majority of countries worldwide adopted very strong measurements. The universities closed their doors and the education continued through digital learning lectures.Methods: An anonymous questionnaire was administered to all 189 eligible candidates before and during the COVID-19 pandemic. Mental health was assessed via the MH domain of the 36-item Short Form Health Survey (SF-36) and burnout with the Maslach Burnout Inventory – Student Survey (MBI-SS).Results: Overall response rate was 81.5%. The overall burnout prevalence did not differ significantly between the two periods (pre COVID-19 18.1% vs COVID-19 18.2%). However, the burnout prevalence dropped significantly in year 4 (pre COVID-19 40.7% vs COVID-19 16.7%, p=0.011) whereas it increased significantly in year 6 (pre COVID-19 27.6% vs COVID-19 50%, p=0.01). When looking each MBI-SS dimension separately, we found that emotional exhaustion decreased significantly in year 4 but increased in year 6 and cynicism increased in all years. The overall MH deteriorated significantly between the two periods (pre COVID-19 58.8±21.6 vs COVID-19 48.3±23, p<0.001). Conclusions: Digital learning in medical studies carries significant risks. Not only the MH deteriorates the cynicism levels increase. Emotional exhaustion increases particularly in final year students, who struggle with the lack of clinical experience just before they start working as qualified junior doctors.

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