scholarly journals Determining levels of nurse burnout during the COVID-19 pandemic and Lebanon’s political and financial collapse

BMC Nursing ◽  
2022 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael Clinton ◽  
Karen Bou-Karroum ◽  
Myrna Abdullah Doumit ◽  
Nathalie Richa ◽  
Mohamad Alameddine
Keyword(s):  
Rating Scale ◽  
National Sample ◽  
Measurement Properties ◽  
Nursing Workforce ◽  
Policy And Practice ◽  
Convenience Sample ◽  
Work Related ◽  
Nurse Burnout ◽  
The Mean ◽  
The Government

Abstract Background The COVID-19 pandemic compounded political and financial pressures on the nursing workforce in Lebanon. The government resigned in October 2019 in response to the popular uprising that called for an end to corruption and economic mismanagement 5 months before the first COVID-19 case appeared in the country. The continuing crises and the added stress of COVID-19 has increased the risk of occupational burnout and turnover in the nursing workforce. Therefore, valid and reliable measurement is imperative to determine burnout levels, prioritize intervention, and inform evidence-based workforce policy and practice. The primary aim of the study was to delineate burnout levels and cut-points in a national sample of nurses to inform workforce policies and prioritize interventions. Methods Multidimensional and unidimensional Rasch analyses of burnout data collected from a national convenience sample of 457 hospital nurses 9–12 months after Lebanon’s political and economic collapse began. The data were collected in July–October 2020. Results Multidimensional Rasch analysis confirmed that the Copenhagen Burnout Inventory has three highly correlated unidimensional scales that measure personal burnout, work-related burnout, and client-related burnout. Except for a ceiling effect of ~ 2%, the three scales have excellent measurement properties. For each scale, Rasch rating scale analysis confirmed five statistically different nurse burnout levels. The mean personal burnout scores and work-related burnout scores (50.24, 51.11 respectively) were not higher than those reported in the international literature. However, the mean client-related burnout score of 50.3 was higher than reported for other countries. Compared with a baseline study conducted at the beginning of Lebanon’s political and economic crises, only client-related burnout scores were higher p. <.01. Conclusions The CBI scales are reliable and valid measures for monitoring nurse burnout in crises torn countries. Stakeholders can use the CBI scales to monitor nurse burnout and prioritize burnout interventions. Urgent action is needed to reduce levels of client-related burnout in Lebanon’s nursing workforce.

scholarly journals KOOS-JR Demonstrates Psychometric Limitations in Measuring Knee Health in Individuals After ACL Reconstruction

2018 ◽  
Vol 11 (3) ◽  
pp. 242-246 ◽  
Author(s):  
Jennifer L. Hunnicutt ◽  
Brittany N. Hand ◽  
Chris M. Gregory ◽  
Harris S. Slone ◽  
Michelle M. McLeod ◽  
...  
Keyword(s):  
Rasch Model ◽  
Rasch Analysis ◽  
Rating Scale ◽  
Short Form ◽  
Model Fit ◽  
Measurement Properties ◽  
Factor Analysis Model ◽  
Ceiling Effects ◽  
The Mean ◽  
The Rasch Model

Background: Measurement properties of the short form of the Knee injury and Osteoarthritis Outcome Score (KOOS-JR) are not established in individuals after anterior cruciate ligament reconstruction (ACLR). The purpose of this study was to determine the extent to which the KOOS-JR measures the construct of knee health in individuals post-ACLR using Rasch analysis. Hypothesis: The KOOS-JR will fit the Rasch model, but significant ceiling effects will be present. Study Design: Cross-sectional study. Level of Evidence: Level 3. Methods: Rasch analysis of the KOOS-JR from 166 individuals 10 months post-ACLR was conducted. Unidimensionality, a key criterion of the Rasch model, was evaluated using confirmatory factor analysis. Model fit of the rating scale, items, and persons were evaluated. Mean square fit statistics ≥1.6 and standardized z-scores ≥2.0 were indicative of person or item misfit. Additionally, reliability indicators including person reliability and separation indices were examined. Results: The KOOS-JR fit the criteria of unidimensionality. All items demonstrated model fit; however, ceiling effects were noted (n = 36; 22%). Person reliability was low (0.47). Calculation of person strata revealed that the KOOS-JR did not separate participants into more than 1 stratum. The mean person measure was 3.56 logits higher than the mean item measure, indicating that this sample is skewed toward increased knee health. Conclusion: Although the KOOS-JR represented a unidimensional construct with items and persons fitting the Rasch model, several limitations were noted: ceiling effects, low person reliability, and poor person differentiation. Ceiling effects indicate that many individuals in this sample experienced better knee health than the KOOS-JR items were able to measure. Clinical Relevance: Evaluating the measurement properties of the KOOS-JR is necessary to determine its clinical value in sports medicine. In later stages after ACLR recovery, administration of the KOOS-JR may not be adequate.

scholarly journals Factors Associated with Non-Adherence to Social Distancing Rules During The COVID-19 Pandemic: A Logistic Regression Analysis

2020 ◽  
Author(s):  
Stephen James Hills ◽  
Yolanda Eraso
Keyword(s):  
Logistic Regression ◽  
Doctoral Degree ◽  
Shared Responsibility ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Social Distancing ◽  
Work Related ◽  
Explanatory Factors ◽  
The Government

Abstract Background: On March 23, 2020, the government of the United Kingdom told the British people to stay home, an unprecedented request designed to limit the spread of the COVID-19 virus and stop the National Health Service from being overwhelmed. Methods: This study undertook a cross-sectional design to survey a convenience sample of 681 residents of North London on their social distancing behaviours, demographics, housing situation, politics, psychology and social support using an online questionnaire. Logistic regression was used to measure the associations between these explanatory factors and non-adherence to all social distancing rules and intentional non-adherence to social distancing rules.Results: The majority (92.8%) of participants did not adhere to all social distancing rules and nearly half (48.6%) engaged in intentional non-adherence of rules. The odds of not adhering to all social distancing rules increased if a participant was not identified as highly vulnerable to COVID-19 [OR=4.5], had lower control over others’ distancing [OR=.724], had lower control over responsibilities for which coming into contact with others was unavoidable [OR=.642], and if social distancing behaviours were reported after lockdown was first relaxed [OR=.261]. The odds of intentionally not adhering to social distancing rules increased if a participant had a lower intention to socially distance [OR=.468], had lower control over others’ distancing [OR=.829], had a doctoral degree compared to a master’s degree [OR=.332], a professional qualification [OR=.307], a bachelor’s degree [OR=.361] or work-related qualification [OR=.174], voted for the UK Government compared to not voting for the Government [OR=.461], perceived higher normative pressure from neighbours [OR=1.121] and had greater support from friends [OR=1.465]. Conclusions: Non-adherence to all social distancing rules had a stronger association with vulnerability to COVID-19 and control over social distancing, whereas intentional non-adherence had a stronger association with intention and anti-social psychological factors. It is recommended that people living in high-risk environments, such as those living in houses of multiple occupancy, should be specially supported to not have to leave their home, that public health messaging should emphasise shared responsibility and public consciousness and that there should be greater policing, larger fines and more direct issuing of fines.

scholarly journals 2044 Investigation of patient-reported outcomes following ACL reconstruction using Rasch analysis

2018 ◽  
Vol 2 (S1) ◽  
pp. 16-16
Author(s):  
Jenny Hunnicutt ◽  
Chris Gregory ◽  
Brian Pietrosimone ◽  
Chris Kuenze ◽  
Brittany Hand ◽  
...  
Keyword(s):  
Rasch Analysis ◽  
Rating Scale ◽  
Model Fit ◽  
Measurement Properties ◽  
Reliability Indicators ◽  
Patient Reported ◽  
Study Population ◽  
The Mean ◽  
Relationship Of

OBJECTIVES/SPECIFIC AIMS: The knee injury osteoarthritis and outcomes survey (KOOS) is a commonly used instrument to measure patient-reported quality of life (QOL) post-ACLR. The purpose is to evaluate the psychometric properties of the QOL subscale of the KOOS. METHODS/STUDY POPULATION: Rasch analysis of KOOS QOL subscale from 39 individuals 1–2 years post ACLR was conducted. Measurement properties and model fit of the rating scale, items, and persons were evaluated. Relationship of item difficulties and person measures was evaluated using probability curves and item maps. Reliability indicators were also examined. RESULTS/ANTICIPATED RESULTS: All items demonstrated infit and outfit mean squares and standard z-scores. The majority of persons (n=38, 97.4%) demonstrated fit to the Rasch model. However, ceiling effects were noted (n=4, 10.26%), indicating some participants report higher QOL than is measurable. The mean person measure was 1.73 logits higher than the mean item measure: this sample is skewed toward higher QOL. Person reliability was adequate (0.67) and person separation was 1.42. Calculation of person strata revealed that the KOOS QOL separated participants into 2 strata. DISCUSSION/SIGNIFICANCE OF IMPACT: Although all items of the KOOS QOL fit the model, not all categories of the rating scale were used. Overall, this sample reported high QOL, which is to be expected given the time since ACLR. If participants with a broader range of time since ACLR were included, that the KOOS QOL could identify additional person strata.

scholarly journals Rasch Analysis of Lebanese Nurses’ Responses to the Copenhagen Burnout Inventory Alternative to the Maslach Burnout Inventory

2021 ◽  
Vol 7 ◽  
pp. 237796082110209
Author(s):  
Michael Clinton ◽  
Roula Shehadeh, MSN, RN
Keyword(s):  
Rating Scale ◽  
Three Dimensional ◽  
Maslach Burnout Inventory ◽  
Measurement Properties ◽  
Work Settings ◽  
Work Related ◽  
Study Results ◽  
Acute Hospitals ◽  
Highly Correlated ◽  
High Level

Introduction Lebanon struggled with political and economic crises before it was affected by the COVID-19 pandemic. Executive nurses and hospital administrations need reliable open-source measures to monitor burnout and prioritize nurses for intervention as Lebanon struggles with the multiple crises compounded by rising numbers of COVID-19 cases and deaths. Objectives The study aimed to determine whether the Copenhagen Burnout Inventory scales are suitable for settings experiencing multiple crises. Its objectives were to investigate the CBI scales' measurement properties, identify burnout levels in a sample of nurses experiencing compound stressors, assess whether the scales' three-dimensional burnout model is plausible, and establish norms for using the scales in work settings subject to compound external stressors. Methods The study is a psychometric analysis of the anonymous survey data of 142 registered nurses working in acute hospitals in Lebanon. We fitted the data to unidimensional and multidimensional Rasch rating scale models. Item fit, person separation and reliability, targeting, differential item functioning, and scale norms were estimated. Results Nurses in the sample had a high level of burnout. The Copenhagen Burnout Inventory scales have excellent reliability. The personal burnout and work-related scales were highly correlated and moderately correlated with the client-related burnout scale. Possible differential functioning in the work-related burnout scale requires further investigation. Conclusion More extensive and diverse studies in workplaces subjected to compound stressors are required to confirm the study results. Meanwhile, executive nurses and hospital administrations can use the norms reported to prioritize nurses for burnout prevention and intervention programs. In Lebanon, our reported CBI scale values can be used as baseline standards for studies tracking how the COVID-19 pandemic is impacting the nursing workforce.

Environmental Congruence and Work-Related Stress in Acute Care Hospital Medical/Surgical Units: A Descriptive, Correlational Study

2011 ◽  
Vol 5 (1) ◽  
pp. 23-42 ◽  
Author(s):  
Nancy Dendaas
Keyword(s):  
Physical Environment ◽  
Self Report ◽  
Physical Work ◽  
Care Hospital ◽  
Convenience Sample ◽  
Work Related Stress ◽  
Work Related ◽  
Surgical Units ◽  
The Mean ◽  
Related Stress

Objective: To describe the degree to which Environmental Congruence (EC) is present in sampled units and considered important/desirable by staff RNs; staff RNs' reported level of work-related stress (WRS); the perceived contribution of the physical environment to WRS; and the relationship between existing levels of EC and WRS. Background: Few studies have focused on how the physical environment might contribute to nurses' WRS and chronic nursing shortages. The construct of EC can be used, within a Person Environment (PE)-Fit framework, to assess the fit among nurses, nursing work, the physical work environment, and WRS. Methods: EC was measured using investigator-developed, literature/criterion-based survey instruments. Staff RNs reported WRS variables by using two single-item self-report measures. The final convenience sample consisted of 471 staff RNs from 39 medical/surgical units from 12 hospitals in the upper Midwest. Data were collected over a 7-month period. Results: The mean level of existing EC in the sample was roughly 70% percent of highest capacity and that of important/desired EC in the sample was 93%. Staff RNs' mean level of WRS was 6.7; the mean contribution of the physical environment to WRS was 5.8. Moderate negative correlations were found between EC and WRS ( r = −.41, p < .05), and between physical environment contribution to WRS and EC ( r = −.55, p <.001). Conclusions: Staff RNs in the sampled units wanted a significantly higher level of EC. They rated their WRS moderately high and the contribution of the physical environment to it as moderate. A moderately negative relationship was found between EC and WRS. EC may be a useful construct in research that attempts to improve hospital nursing work environments.

An Investigation of the Relationship Between Nurses’ Views on Spirituality and Spiritual Care and Their Level of Burnout

2016 ◽  
Vol 35 (3) ◽  
pp. 214-220 ◽  
Author(s):  
Senay Karadag Arli ◽  
Ayse Berivan Bakan ◽  
Ela Erisik
Keyword(s):  
Spiritual Care ◽  
Rating Scale ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Personal Accomplishment ◽  
Sectional Study ◽  
Cross Sectional ◽  
Convenience Sample ◽  
The Mean ◽  
The Relationship

Purpose: This study aims to evaluate the relationship between nurses’ views on spirituality and spiritual care and their level of burnout. Method: This cross-sectional study used a convenience sample that comprised 118 nurses from one state hospital in eastern Turkey. The data were collected through questionnaires that were filled by the nurses individually, using a sociodemographic characteristics form, the Spirituality and Spiritual Care Rating Scale, and the Maslach Burnout Inventory. Results: A statistically significant relationship was found between subscale scores of Maslach Burnout Inventory and total score of Spirituality and Spiritual Care Rating Scale. With the increase in nurses’ spiritual care mean scores, there was an increase in the mean scores of the Emotional Exhaustion, Depersonalization, and Personal Accomplishment subscales. Conclusions: Nurses’ burnout levels increased with the increase in their spirituality and spiritual care mean scores. This situation can be associated with the fact that providing spiritual care increases nurses’ workload. Therefore, similar studies are recommended to be conducted with wider groups of participants.

scholarly journals Factors associated with non-adherence to social distancing rules during the COVID-19 pandemic: a logistic regression analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stephen Hills ◽  
Yolanda Eraso
Keyword(s):  
Logistic Regression ◽  
Doctoral Degree ◽  
Shared Responsibility ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Social Distancing ◽  
Work Related ◽  
Explanatory Factors ◽  
The Government

Abstract Background On March 23, 2020, the government of the United Kingdom told the British people to stay home, an unprecedented request designed to limit the spread of the COVID-19 virus and stop the National Health Service from being overwhelmed. Methods This study undertook a cross-sectional design to survey a convenience sample of 681 residents of North London on their social distancing (SD) behaviours, demographics, housing situation, politics, psychology and social support using an online questionnaire. Logistic regression was used to measure the associations between these explanatory factors and non-adherence to all SD rules and intentional non-adherence to SD rules. Results The vast majority (92.8%) of participants did not adhere to all SD rules and nearly half (48.6%) engaged in intentional non-adherence of rules. The odds of not adhering to all SD rules increased if a participant was not identified as highly vulnerable to COVID-19 [OR = 4.5], had lower control over others’ distancing [OR = .724], had lower control over responsibilities for which coming into contact with others was unavoidable [OR = .642], and if SD behaviours were reported after lockdown was first relaxed [OR = .261]. The odds of intentionally not adhering to SD rules increased if a participant had a lower intention to socially distance [OR = .468], had lower control over others’ distancing [OR = .829], had a doctoral degree compared to a master’s degree [OR = .332], a professional qualification [OR = .307], a bachelor’s degree [OR = .361] or work-related qualification [OR = .174], voted for the UK Government compared to not voting for the Government [OR = .461], perceived higher normative pressure from neighbours [OR = 1.121] and had greater support from friends [OR = 1.465]. Conclusions Non-adherence to all SD rules had a stronger association with vulnerability to COVID-19 and control over SD, whereas intentional non-adherence had a stronger association with intention and anti-social psychological factors. It is recommended that people living in high-risk environments, such as those living in houses of multiple occupancy, should be specially supported when asked to stay at home, and public health messaging should emphasise shared responsibility and public consciousness.

Relationship of Sense of Coherence to Other Psychosocial Indices

2004 ◽  
Vol 20 (4) ◽  
pp. 227-236 ◽  
Author(s):  
Sara Holmberg ◽  
Anders Thelin ◽  
Eva-Lena Stiernström
Keyword(s):  
Social Support ◽  
Psychosocial Factors ◽  
Sense Of Coherence ◽  
Living Conditions ◽  
Strong Negative Correlation ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Work Related ◽  
Job Demand ◽  
The Mean

Summary: The concept of “sense of coherence” (SOC) has been widely recognized since it was first introduced by Antonovsky. The originality and usefulness of the SOC scale and its relation to other psychosocial measures has been the subject of lively debate. The aim of this paper was to test for associations between SOC and work-related psychosocial factors (mainly the Job Demand-Control model), general living conditions, education, and social network factors. Cross-sectional data from a population-based sample of 1782 rural males from nine counties in Sweden were analyzed with a multiple regression technique. The subjects were occupationally active at inclusion and the mean age was 50 years (range 40-60). SOC was assessed with the original 29-item questionnaire. Psychosocial variables and lifestyle factors were assessed using questionnaires and structured interviews. The mean SOC among the subjects was 152.3 (standard deviation, 19.4). A strong negative correlation was found between SOC and job demand, whereas a positive correlation with job control was demonstrated. A positive correlation with general living conditions and with social support was also found. However, there was no correlation to education and occupation. Thus, SOC was shown to be strongly correlated to work-related psychosocial factors and social support, but independent of sociodemographic factors.

Work-related musculoskeletal disorders in highway sanitary workers

2015 ◽  
Author(s):  
Happiness Anulika Aweto ◽  
Oluwatoyosi Babatunde Owoeye ◽  
Korede Sunday Adegbite
Keyword(s):  
Musculoskeletal Disorders ◽  
Body Part ◽  
Sudden Onset ◽  
Work Related ◽  
Significant Relationships ◽  
Lower Back ◽  
Gradual Onset ◽  
Work Related Musculoskeletal Disorders ◽  
The Mean ◽  
Low Prevalence

Background: Highway sanitary workers are exposed to various health hazards in the course of duty. This study investigated the prevalence of work-related musculoskeletal disorders (WMSDs) among highway sanitary workers in Lagos Waste Management Authority (LAWMA), Lagos, Nigeria.Method: Two hundred fifty highway sanitary workers (46 males and 204 females) of LAWMA selected from four Local Government Areas of Lagos State, Nigeria completed a 26-item questionnaire that collected information on WMSDs.Results: The 12-month prevalence of WMSDs among the workers was 24.8%. The most commonly affected body part was the lower back (22.0%). Thirty-seven (59.7%) of the respondents reported gradual onset of musculoskeletal disorders (MSDs) while 25 (40.3%) reported sudden onset. The mean years of working experience was 3.22 + 0.23 years with 111 (44.4%) of the respondents having worked for 4 years and 7 (2.8%) having worked for 1year. The three major job risk factors identified were: continuing to work when injured (87.2%), working in the same position for long periods (53.6%) and lifting heavy materials (52.4%). Pearson’s Product Moment Correlation Coefficient analysis showed that there were significant relationships between prevalence of WMSDs and age (r = 0.42, p = 0.001*) and years on the job (r = 0.17, p = 0.01*).Conclusion: There was a low prevalence of WMSDs among highway sanitary workers of LAWMA. The most commonly affected body part was the lower back. Increasing age and years of working experience are significant factors that can contribute to the development of WMSDs among these workers.

Effect of the Interaction Between Hypertension and Cerebral White Matter Changes on the Progression of Alzheimer Disease

2018 ◽  
Vol 15 (14) ◽  
pp. 1354-1360 ◽  
Author(s):  
Ping-Song Chou ◽  
Yi-Hui Kao ◽  
Meng-Ni Wu ◽  
Mei-Chuan Chou ◽  
Chun-Hung Chen ◽  
...  
Keyword(s):  
White Matter ◽  
Alzheimer Disease ◽  
Rating Scale ◽  
Vital Role ◽  
Independent Effect ◽  
Cerebral White Matter ◽  
Clinical Dementia Rating ◽  
White Matter Changes ◽  
Age Related ◽  
The Mean

Background: Cerebrovascular pathologies and hypertension could play a vital role in Alzheimer disease (AD) progression. However, whether cerebrovascular pathologies and hypertension accelerate the AD progression through an independent or interaction effect is unknown. Objective: To investigate the effect of the interactions of cerebrovascular pathologies and hypertension on AD progression. Method: A retrospective longitudinal study was conducted to compare AD courses in patients with different severities of cerebral White Matter Changes (WMCs) in relation to hypertension. Annual comprehensive psychometrics were performed. WMCs were rated using a rating scale for Age-related WMCs (ARWMC). Results: In total, 278 patients with sporadic AD were enrolled in this study. The mean age of the patients was 76.6 ± 7.4 years, and 166 patients had hypertension. Among AD patients with hypertension, those with deterioration in clinical dementia rating-sum of box (CDR-SB) and CDR had significantly severe baseline ARWMC scales in total (CDR-SB: 5.8 vs. 3.6, adjusted P = 0.04; CDR: 6.4 vs. 4.4, adjusted P = 0.04) and frontal area (CDR-SB: 2.4 vs. 1.2, adjusted P = 0.01; CDR: 2.4 vs. 1.7, adjusted P < 0.01) compared with those with no deterioration in psychometrics after adjustment for confounders. By contrast, among AD patients without hypertension, no significant differences in ARWMC scales were observed between patients with and without deterioration. Conclusion: The effect of cerebrovascular pathologies on AD progression between those with and without hypertension might differ. An interaction but not independent effect of hypertension and WMCs on the progression of AD is possible.

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