Occupational stress and self-rated health among nurses

OBJECTIVE: To analyze the association between job stress and self-rated health among nurses in public hospital emergency units. METHODS: This is a cross-sectional study undertaken through the administration of a self-administered questionnaire in a sample of 134 health professionals, using the brief version of the Job Stress Scale. Descriptive analyses of the socio-demographic, health and work variables were undertaken, as was multivariate analysis through unconditional logistic regression for adjustment of the association between job stress and poor self-rated health, in accordance with potential confounding variables, with a level of significance of 5%. RESULTS: 70% of the interviewees were classified as passive workers or as with high strain. Poor self-rated health was significantly greater among health professionals with high demand and low control, compared to those with low strain, after adjusting for co-variables. CONCLUSIONS: Low control, allied with low demand, can serve as a demotivating factor, contributing to the increase in professional dissatisfaction. It is recommended that institutions should adopt a policy of planning and managing human resources so as to encourage the participation of health professionals in decision-making, with a view to reducing job stress among nurses.

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Predictors of moral harassment in nursing work in critical care units

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2020-0442 ◽

2021 ◽

Vol 74 (3) ◽

Author(s):

Luana Silva de Sousa ◽

Roberta Meneses Oliveira ◽

Jênifa Cavalcante dos Santos Santiago ◽

Érika da Silva Bandeira ◽

Yane Carmem Ferreira Brito ◽

...

Keyword(s):

Critical Care ◽

Public Hospital ◽

Cross Sectional Study ◽

Cross Sectional ◽

Critical Care Units ◽

Young Professionals ◽

Work Related ◽

Emergency Units ◽

Nursing Professionals ◽

Negative Acts

ABSTRACT Objectives: to analyze the predictors of moral harassment in nursing work in critical care units. Methods: a cross-sectional study conducted in a public hospital in Fortaleza, Ceará, with 167 nursing professionals in 2016. Sociodemographic/occupational questionnaire and Negative Acts Questionnaire Revised were applied. The analysis included descriptive statistics, measures of central tendency and dispersion, as well as Mann-Whitney, Kruskal-Wallis and Conover Inman U-tests for multiple comparisons. Results: there was a 33% prevalence of self-perception of moral harassment, highlighting personal/professional disqualification and work-related harassment. The predictors of moral harassment included age, time working in the job and time in the unit, employment relationship and sector. Conclusions: young professionals (< 30 years), cooperative, crowded in intensive care or emergency units, with less time working in the job (< 5 years) or greater time in the unit (above 10 years) are the biggest victims of moral harassment in the work of nursing in critical environments.

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Prevalence of severe adverse events in health professionals after receiving the first dose of the COVID-19 vaccination in Togo, March 2021

10.1101/2021.04.20.21254863 ◽

2021 ◽

Author(s):

Yao Rodion KONU ◽

Fifonsi Gbeasor-Komlanvi ◽

Mouhoudine Yerima ◽

Arnold Junior Sadio ◽

Martin Kouame Tchankoni ◽

...

Keyword(s):

Adverse Events ◽

Health Professionals ◽

Cross Sectional Study ◽

Medical Doctor ◽

Current Data ◽

Cross Sectional ◽

Factors Associated ◽

Inability To Work ◽

Severe Adverse Events ◽

Self Administered Questionnaire

Introduction: Covid-19 vaccines can cause adverse events (AE) that can lead to increased hesitation or fear of vaccination. This study aims at estimating the prevalence of severe adverse events (SAEs) and their associated factors among health professionals (HPs) vaccinated with COVISHIELD(TM) vaccine in Togo. Methods: A cross-sectional study was conducted from March 13th to 19th, 2021 in Togo among HPs who received the first dose of vaccine. An online self-administered questionnaire was used to collect data on sociodemographic characteristics and vaccination. SAEs were defined as one resulting in hospitalization, medical consultation, or inability to work the day following the administration of the vaccine. Regression analysis were performed to assess factors associated with SAEs. Results: A total of 1,639 HP (70.2% male) with a median age [IQR] of 32 years [27-40] participated. At least one AE was reported among 71.6% (95%CI= [69.3-73.8]). The most commonly reported AEs were pain at the injection site (91.0%), asthenia (74.3%), headache (68.7%), soreness (55.0%), and fever (47.5%). An increased libido was also reported in 3.0% of HP. Among HP who experienced AEs, 18.2% were unable to go to work the day after vaccination, 10.5% consulted a medical doctor, and 1.0% were hospitalized. The SAE prevalence was 23.8% (95%CI= [21.8-25.9]). Being <30 years (aOR=5.54; p<0.001), or 30-49 years (aOR=3.62; p<0.001) and being female (aOR=1.97; p<0.001) were associated with SAEs. Conclusion: Despite the occurrence of SAEs, current data collected in Togo about adverse events are reassuring with COVISHIELD(TM) vaccine and how they could be managed. Keywords: Severe adverse event, COVID-19, vaccine, prevalence, health professionals, Togo.

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Prescription errors and administration of injectable antimicrobials in a public hospital

Revista Brasileira de Farmácia Hospitalar e Serviços de Saúde ◽

10.30968/rbfhss.2018.094.002 ◽

2019 ◽

Vol 9 (4) ◽

Author(s):

Ionara Vieira Rocha Da Mota ◽

Paulo Henrique Ribeiro Fernandes Almeida ◽

Lucas Brasileiro Lemos ◽

Mario Borges Rosa ◽

Gisele Da Silveira Lemos

Keyword(s):

Social Sciences ◽

Public Hospital ◽

Medical Specialty ◽

Cross Sectional Study ◽

Medical Clinic ◽

Chi Square ◽

Cross Sectional ◽

Exact Test ◽

The Social ◽

Level Of Significance

To analyze the errors of prescription and administration of antimicrobials powder for solution for injection in a public hospital. This is a cross-sectional study carried out in a public hospital, in which antimicrobials prescriptions and administrations were analyzed for patients admitted to the Intensive Care Unit (ICU) and Medical Clinic (CM) from November 2015 to February 2016. The tabulation and data analysis were done in Epidata software version 3.1 of 2008 and IBM Statistical Package for the Social Sciences (SPSS). In the statistical analysis, chi-square tests or Fisher’s exact test were applied when necessary. The level of significance was 5%. Among the statistically significant results, the following are the errors related to medical prescription with the variables: age at 57% and medical specialty at 67%, both at the ICU; bed with 30% and hospitalization unit with 37%, both in CM. In the administration of antimicrobials, statistically significant differences were observed only in the failure to identify the patient (30% in CM). Regarding the use of antimicrobials, Cefepime was the most prescribed with 65.1%. In view of these aspects, it is extremely important that errors arising from an incomplete and misleading prescribing are identified, to propose improvements in the medication system, in order to prevent errors, and to promote a more rational antibiotic therapy, avoiding infections.

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Knowledge, Attitudes, and Smoking Behaviours among Physicians Specializing in Public Health: A Multicentre Study

BioMed Research International ◽

10.1155/2014/516734 ◽

2014 ◽

Vol 2014 ◽

pp. 1-8 ◽

Cited By ~ 7

Author(s):

Giuseppe La Torre ◽

Rosella Saulle ◽

Brigid Unim ◽

Italo Francesco Angelillo ◽

Vincenzo Baldo ◽

...

Keyword(s):

Public Health ◽

Smoking Cessation ◽

Health Professionals ◽

Role Models ◽

Ad Hoc ◽

Smoking Status ◽

Cross Sectional Study ◽

Cross Sectional ◽

Lemeshow Test ◽

Level Of Significance

Background. Healthcare professionals have an important role to play both as advisers—influencing smoking cessation—and as role models. However, many of them continue to smoke. The aims of this study were to examine smoking prevalence, knowledge, attitudes, and behaviours among four cohorts physicians specializing in public health, according to the Global Health Profession Students Survey (GHPSS) approach.Materials and Methods. A multicentre cross-sectional study was carried out in 24 Italian schools of public health. The survey was conducted between January and April 2012 and it was carried out a census of students in the selected schools for each years of course (from first to fourth year of attendance), therefore among four cohorts of physicians specializing in Public Health (for a total of n. 459 medical doctors). The GHPSS questionnaires were self-administered via a special website which is created ad hoc for the survey. Logistic regression model was used to identify possible associations with tobacco smoking status. Hosmer-Lemeshow test was performed. The level of significance wasP≤0.05.Results. A total of 388 answered the questionnaire on the website (85%), of which 81 (20.9%) declared to be smokers, 309 (79.6%) considered health professionals as behavioural models for patients, and 375 (96.6%) affirmed that health professionals have a role in giving advice or information about smoking cessation. Although 388 (89.7%) heard about smoking related issues during undergraduate courses, only 17% received specific smoking cessation training during specialization.Conclusions. The present study highlights the importance of focusing attention on smoking cessation training, given the high prevalence of smokers among physicians specializing in public health, their key role both as advisers and behavioural models, and the limited tobacco training offered in public health schools.

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Knowledge and utilization of non-pneumatic anti-shock garment for the management of postpartum hemorrhage among Midwives in government hospitals in Ogun State, Nigeria

Babcock University Medical Journal (BUMJ) ◽

10.38029/bumj.v3i1.40 ◽

2020 ◽

Vol 3 (1) ◽

pp. 59-66

Author(s):

Samuel Dada ◽

Folasade Aina ◽

Mary Oyedele ◽

Daniel Aina

Keyword(s):

Cross Sectional Study ◽

Good Knowledge ◽

Chi Square ◽

Cross Sectional ◽

Healthcare Facilities ◽

Ogun State ◽

Level Of Significance ◽

Knowledge Scale ◽

The Relationship ◽

Self Administered Questionnaire

Objective: To assess the knowledge and determine the level of utilization of Non-Pneumatic Anti-Shock Garment (NASG) for the management of PPH among Midwives. Method: The study employed a descriptive cross-sectional study design, using a validated self-administered questionnaire. A total of 198 randomly selected midwives across three health facilities in Ogun State participated in the study. A 10-point knowledge scale was used to assess the knowledge of midwives on NASG. Descriptive statistics were used to determine the level of utilization of NASG among midwives, while Chi-square statistics were used to determine the relationship between the dependent and independent variables of interest at p<0.05 level of significance. Results: Most (88.9%) of the respondents were female with a mean age of 40.2±5.6years. Most (48.5%) had a BNS degree. The majority (74.7%) of the respondents were aware of NASG. Close to a half (49.3%) of the respondents had fair knowledge scores, 34.5% had good knowledge scores, while 16.2% had poor knowledge scores. Only 22.7% of the respondents had ever used NASG in the management of PPH; 77.3% never used it before. Also, 67.2% of the respondents reported NASG was not available in their facilities. There was a significant influence of knowledge of NASG on the utilization among midwives (X2=37.151, P<0.05, df=2). Conclusion: This study demonstrated that midwives in healthcare facilities were aware, but did not have good knowledge of NASG. The utilization of the garment for the management of PPH was also very poor, probably due to suboptimal knowledge and non-availability of the garment.

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Knowledge, Attitude, Risk and Fear Assessment of Health Professionals towards Covid-19 in Perspective of Workplace, Local and National Policy

Global Journal of Medical Research ◽

10.34257/gjmrfvol20is11pg61 ◽

2020 ◽

pp. 61-71

Author(s):

Ram Lochan Yadav ◽

Laxmi Kumari Yadav ◽

Rosan Churasiya ◽

Md. Nazrul Islam

Keyword(s):

Health Professionals ◽

Health Workers ◽

National Policy ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Negative Attitudes ◽

Medical College ◽

Self Administered Questionnaire ◽

Fear Assessment

Background: Health professionals, the frontline fighters, are under high risk of being infected with a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Many health workers in the world, including Nepal, have lost their lives in fighting with COVID-19. Thus, we assessed the knowledge, attitude, risk, and fear among health professionals towards COVID-19 and evaluated their satisfaction with local and governmental policies of Nepal. Methods: A self-administered questionnaire-based descriptive cross-sectional study included 150 (male-44% and female-56%) health professionals with mean age 26.14±6.092 years working at Chitwan Medical College, Nepal. The questionnaire included 40 statements having four categories to assess 1) the participant’s knowledge about COVID-19, 2) the risk and attitude, 3) their fears, and 4) stake holder’s role in encouraging health professionals to allay their fears and avert negative attitudes.

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Intention to receive vaccine against COVID-19 and associated factors among health professionals working at public hospitals in resource limited settings

PLoS ONE ◽

10.1371/journal.pone.0254391 ◽

2021 ◽

Vol 16 (7) ◽

pp. e0254391

Author(s):

Mohammedjud Hassen Ahmed ◽

Shuma Gosha Kanfe ◽

Mohammedamin Hajure Jarso

Keyword(s):

Health Professionals ◽

Statistical Significance ◽

Cross Sectional Study ◽

Public Hospitals ◽

P Value ◽

Cross Sectional ◽

Resource Limited ◽

Study Participants ◽

To Receive ◽

Self Administered Questionnaire

Backgrounds Health professionals are among the frontline of COVID-19 pandemic exposure and identified as a priority target group that need to receive COVID-19 vaccines. However, intention to receive vaccine is still matters the extent of COVID-19 vaccinations among health professionals. This study aimed to assess intention to receive COVID-19 vaccine and the factors that will determine their intention among health professionals working at public hospitals of Illu Aba Bora and Buno Bedelle zone hospitals. Methods A cross-sectional study design was applied to assess the intention to receive COVID-19 vaccines among health professionals working in public health hospitals of Illu Aba Bora and Buno Bedelle zone hospitals. Self-administered questionnaire were used for assessing intention to receive COVID-19 Vaccine. Multiple linear regressions were performed to identify factors associated with intention to receive COVID-19 vaccine with p-value< 0.05 as cutoff point for statistical significance at 95% confidence interval (CI). Result In this study, almost half of respondents 217(53.1% [95.0%: CI 49.3–58.9]) of study participants scored above the mean. Attitude (β = 0.54, 95% CI: [0.49, 0.63], p<0.01), knowledge (β = 0.27, 95% CI: [0.21, 0.35], p<0.01, perception (β = 0.43, 95% CI: [0.39, 0.56], p = 0.02 and age (β = 0.64, 95% CI: [0.51, 0.72], p<0.01 were variables associated with intention to receive vaccine against COVID-19. Conclusions This study result indicated that the overall magnitude of intention to receive COVID-19 is low. increasing attitudes, knowledge and perception among health professionals related to COVID-19 vaccine will helps to increase the overall intention to receive vaccine against COVID-19.

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Knowledge and attitudes among health professionals about poliomyelitis and post-poliomyelitis syndrome: a cross-sectional study in Brazil

10.21203/rs.2.11698/v1 ◽

2019 ◽

Author(s):

Claudio Andre Barbosa de Lira ◽

Douglas Assis Teles Santos ◽

Ricardo Borges Viana ◽

Juliana Moreira Guimarães ◽

Jéssica Nathalia Soares Oliveira ◽

...

Keyword(s):

Health Professionals ◽

Clinical Condition ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Knowledge And Attitudes ◽

General Physicians ◽

Self Administered Questionnaire

Abstract Background Post-poliomyelitis syndrome is a clinical condition that can affect poliomyelitis survivors. Our aim was to evaluate post-poliomyelitis syndrome knowledge among Brazilian health professionals. Methods A self-administered questionnaire (30 questions) was designed to probe knowledge about poliomyelitis and post-poliomyelitis syndrome. From the questionnaire, we created a structured exam to evaluate the performance of the professionals. The exam was composed of 20 questions and a score was provided, varying from 0 (totally ill advised) to 20 (totally well-informed). Results In general, physicians, physiotherapists and nurses demonstrated a better understanding of poliomyelitis and post-polio syndrome. The health professionals who had received previous information about poliomyelitis and PPS had significantly higher scores than those that had never received information (p<0.001). On average, this difference was approximately 28.6%. Conclusions The findings of the present study indicate a critical need for the improvement of PPS knowledge among Brazilian health professionals.

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Prevalência de empatia, ansiedade e depressão, e sua associação entre si e com gênero e especialidade almejada em estudantes de medicina

Revista Brasileira de Educação Médica ◽

10.1590/1981-5271v45.3-20210177 ◽

2021 ◽

Vol 45 (3) ◽

Author(s):

Camila Brunfentrinker ◽

Regina Pinho Gomig ◽

Suely Grosseman

Keyword(s):

Prevalence Rate ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Chi Square ◽

Cross Sectional ◽

And Performance ◽

Student’S T ◽

Level Of Significance ◽

Self Administered Questionnaire ◽

Severe Anxiety

Abstract: Introduction: Empathy and mental health are crucial for medical students’ self-care and performance as well as for patient care. Objective: to assess the prevalence of empathy, anxiety and depression, and their association with each other and sex, intended specialty and course semester. Method: Cross-sectional study with 405 of 543 students (74.6%) from odd semesters and from the 12th semester of the medical course of two universities in southern Brazil. Data were collected using a self-administered questionnaire containing information on age, sex, medical course semester, intended specialty, Jefferson Scale of Empathy (JSE) and Beck Anxiety and Depression Inventories (BAI and BDI). The data were analyzed using descriptive statistics, Student’s t-tests, Chi-square, and bidirectional ANOVA between groups. The level of significance was set at p < 0.05. Results: The mean JSE score was 120.2 (SD = 10.6) [116.9 (SD = 11.0) in men and 123.4 (SD = 9.2) in women, p = 0.000], being higher among students who wanted to follow medical areas aimed at people [123.1 (SD = 10.1)], than among those whose intended areas aimed at techniques and procedures [118.5 (SD = 11.2)], p = .003. There was no difference between the course periods. The anxiety and depression mean rates were, respectively, 16.2 (SD = 11.3) and 11.9 (SD = 9.0) [13.1 (SD = 10.3) and 9.9 (SD = 8.3) in men and 19.1 (SD = 11.4), and 13.8 (SD = 9.4) in women, p = .000 for both]. The prevalence rate of moderate and high anxiety was 33.8% and, when including mild anxiety, it was 59%. The prevalence rate of dysphoria (BDI = 16 - 20) and depression (BDI > 20) was 26.4%, and 11.9% for suicidal ideation. An association was observed between severe anxiety and the JSE subscale ‘Walking in patient’s shoes’, more related to empathic stress. Conclusions: Empathy is high and stable throughout the medical course at the studied institutions and higher in women and students who want to follow people-oriented specialties. Anxiety and depression have higher prevalence rates in women. Severe anxiety is associated with the JSE subscale ‘Walking in patient’s shoes’.

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Nurses’ knowledge, practice and confidence about wound care based on the competency standards in 8 hospitals in Vietnam

Journal of Clinical Images and Medical Case Reports ◽

10.52768/2766-7820/1364 ◽

2021 ◽

Vol 2 (5) ◽

Author(s):

Phan Thi Dung ◽

◽

Dao khac Hung ◽

Bui Manh Cuong ◽

Le Thi Thuy Trang ◽

...

Keyword(s):

Wound Care ◽

Knowledge Score ◽

Cross Sectional Study ◽

Cross Sectional ◽

Infected Wounds ◽

Strict Compliance ◽

Knowledge Practice ◽

Knowledge And Practice ◽

Level Of Significance ◽

Self Administered Questionnaire

Background: Wound Care (WC) plays a crucial role in patient care conducted by nurses. It directly affects treatment outcomes, especially when chronic or infected wounds remain a big challenge for WC specialists and requires huge medical recourses in wound care and treatment. Objectives: This research aimed to explore the actual situation of WC conducted by nurses to inform the development of a training program based on the Vietnam’s Basic Nursing Competency Standards (VNBNCS). Settings: Eight hospitals in Vietnam. Participants: 518 nurses directly performing WC. Design: Descriptive cross-sectional study. Methods: The study was implemented from June 2020 to October 2020, and the research indicators are nurses’ mean knowledge, practice, and confidence scores. The data collection tools included: 1) a self-administered questionnaire about nurses’ general characteristics (4 items) and WC knowledge (48 items), a WC evaluation checklist (16 items), and a self-administered questionnaire about their confidence in performing WC (12 items). Data were entered using EpiData 3.1 and analyzed with SPSS 16.0. A p<0.05 was the level of significance. Results: The highest knowledge score of 1.67 ± 0.47 points was found in the item on clean WC. The highest practice score of 8.79 ± 1.20 points belonged to the item on in strict compliance with disinfection principles, compared to the lowest one of 7.58 ± 1.94 points found in the item on observing the patient’s post-WC reactions, such as pain and bleeding. Nurses who felt very confident in their bandage replacement skills formed 21.2% (110/518 nurses). Conclusion: Nurses had high mean knowledge and practice scores in all items, and nurses who were confident and highly confident in performing WC accounted for more than 50%. Keywords: nurse; wound; knowledge; practice; confidence.

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