scholarly journals Feelings, Stress, and Adaptation Strategies of Nurses against COVID-19 in Guayaquil

2020 ◽  
Vol 38 (3) ◽  
Author(s):  
Joicy Anabel Franco Coffré ◽  
Patricia de los Ángeles Leví Aguirre

Objective. To explore the feelings, stress factors, and adaptation strategies of nurses during the COVID-19 pandemic in Guayaquil, Ecuador. Methods. A cross-sectional, descriptive quantitative study, conducted through the application of a 52-item questionnaire with four sections (feelings, perceived stress, stress-reducing factors, and adaptation strategies). The study population was 227 nursing professionals from “Hospital General del Guasmo Sur” of the Ministry of Public Health, who worked during the peak of the pandemic from March to May 2020. The sample comprised 155 nurses who voluntarilyaccepted to participate. The study received 127 complete questionnaires for analysis. Results. The data showed the priority of humanist feelings and professional duty for these nurses, mostly young (59% under 35 years of age and with the professional exercise of three and fewer years), against the fear of contagion and the stress of strenuous work. They also revealed the great importance for them of the institutional support, recognition to the staff, and strict organization of safe care, like strategies for coping with this difficult experience. Conclusion. The COVID-19 pandemic represented for nurses from Guayaquil a great professional and emotional challenge. Health services and society could consider these findings to avoid burning out nurses and their professional desertion.

2019 ◽  
Vol 19 (1) ◽  
pp. 460-478
Author(s):  
Yessika Madelaine Abarca Arias ◽  
Tula Margarita Espinoza Moreno ◽  
Sara Gaby Llerenan Callata ◽  
Narda Yolanda Berrios Manrique

Objetivo: Determinar la asociación entre los tipos de conflictos laborales y el manejo de los mismos en el personal de enfermería del Hospital Regional Honorio Delgado de la ciudad de Arequipa del Perú (HRHD).Método: Estudio, observacional, descriptivo transversal, prospectivo, con enfoque cuantitativo y de nivel correlacional. La población de estudio fueron 190 profesionales encuestados en el año 2015. El instrumento fue un formulario de preguntas de forma anónima, con Test de Thomas Kilmann que consta de 30 ítems, cada uno con dos opciones de afirmaciones. Se realizó un análisis descriptivo y de asociación de variables utilizando el programa Infostat 2018, utilizando el estadístico χ2 con nivel de significancia p<0,05.Resultados: Los resultados mostraron una mayor cantidad de personal entre 50 y 59 años de edad, con un porcentaje de 34,7%, así como predominancia del personal femenino con 94,7%. El tipo de conflictos más frecuente fue el Comunicación-Personal con un 44,8%, en segundo lugar el conflicto personal con 26,8%, seguido por el conflicto de comunicación con 15,8%. En cuanto al manejo de conflictos, el 48,4% consideró al cooperativo como el más utilizado. No se encontró asociación estadísticamente significativa entre el tipo y el manejo conflictos (χ2 = 13,53; p = 0,139).Conclusiones: Para el personal de enfermería no existe relación entre los tipos de conflictos laborales y la forma de manejarlos, sin embargo, la mayoría de los sujetos estudiados considera que los conflictos de Comunicación-Personal son los más comunes y que su manejo es cooperativo. Objective: Determine the association between the labor conflicts types and their management in the nursing staff of Honorio Delgado Regional Hospital in Arequipa city, Peru (HRHD).Method: Observational study, cross-sectional, prospective, with quantitative and correlational level approach. The study population was the nursing professionals of Honorio Delgado Espinoza Regional Hospital in Arequipa city, surveyed in 2015. A questionnaire form was used as anonymous measurement tool. We Applied the Thomas Kilmann Test of 30 items, each of which has two options of statements that describe possible response behaviors. A descriptive and association analysis of variables was performed using the Infostat version 2018 software, using the χ2 statistic with significance level p <0.05.Results: The sample was 190 nursing professionals. The results showed a greater number of persons between 50 and 59 years of age, with a percentage of 34.7%, as well as predominance of female staff with 94.7%.The conflicts type most frequent in study population was the Communication-Personnel with 44.8%, leaving in second place the personal conflict with 26.8%, followed by communication conflict with 15.8%. Regarding conflict management, 48.4% considered the cooperative as the most used. No statistically significant association was found between type and conflicts management (χ2 = 13.53, p = 0.139).Conclusions: For nursing staff, there is no relationship between labor conflicts types and the way of management them, however, most of subjects studied consider that Communication-Personnel conflicts are most common and that their management is cooperative. Objetivo: Determinar a associação entre os tipos de conflitos laborais e seu manejo na equipe de enfermagem do Hospital Regional Honorio Delgado, na cidade de Arequipa, Peru (HRHD).Método: estudo observacional, transversal, prospectivo, com abordagem quantitativa e correlacional. A população do estudo foi a dos profissionais de enfermagem do Hospital Regional Honorio Delgado Espinoza, na cidade de Arequipa, pesquisada em 2015. Utilizou-se um questionário como ferramenta anônima de mensuração. Aplicamos o Teste Thomas Kilmann de 30 itens, cada um com duas opções de declarações que descrevem possíveis comportamentos de resposta. A análise descritiva e de associação das variáveis ​​foi realizada pelo software Infostat versão 2018, utilizando-se a estatística χ2 com nível de significância p <0,05.Resultados: A amostra foi de 190 profissionais de enfermagem. Os resultados mostraram um maior número de pessoas entre 50 e 59 anos de idade, com um percentual de 34,7%, assim como um predomínio do pessoal feminino com 94,7%.O tipo de conflitos mais frequente na população do estudo foi Comunicação-Pessoal com 44,8%, ficando em segundo lugar o conflito pessoal com 26,8%, seguido de conflito de comunicação com 15,8%. Em relação ao gerenciamento de conflitos, 48,4% consideraram a cooperativa como a mais utilizada. Não foi encontrada associação estatisticamente significativa entre tipo e gestão de conflitos (χ2 = 13,53, p = 0,139).Conclusões: Para a equipe de enfermagem, não há relação entre os tipos de conflitos trabalhistas e o modo de gestão, no entanto, a maioria dos sujeitos estudados que os conflitos entre comunicação e pessoal são mais comuns e que seu gerenciamento é cooperativo


2011 ◽  
Vol 5 (7) ◽  
pp. 1691
Author(s):  
Azenath Helena Silva ◽  
Poliana Silva Brito ◽  
Pollyana Maciel Oliveira ◽  
Regina Célia Oliveira

ABSTRACTObjective: to evaluate venous puncture technique developed by nursing professionals. Method: this is about a descriptive, exploratory and cross-sectional study from a quantitative approach, approved by the Ethical Committee for Research at the Hospital da Restauração, with the following CAAE: 0041.0.102.000-09. The study population was consisted by nursing professionals responsible for drug therapy and 44 of them composed the samples. The collection technique used was of non-participant observation. Using a checklist, the data were statistically treated related to frequency and percentages. Results: the authors verified that the criterion of washing hands did not happen before the procedure in 82%(74) of the punctures and 81%(73) after the procedure was not observed. The professionals used procedure gloves in 32%(29) of all times. Antisepsis was not performed in 57%(51) of the cases. The use of the same device occurred in 10%(9) of punctures. 51%(46) of the professionals did not observe the patient's complaints. Most professionals 92%(83) guided not the patient about the puncture care. Conclusion: It was noted with this study how the procedure of venous puncture has been neglected. Descriptors: peripheral catheterization; blood vessels; nursing care.RESUMOObjetivo: avaliar a técnica da punção venosa desenvolvida pelos profissionais de enfermagem. Método: estudo descritivo–exploratório, quantitativo e de corte transversal aprovado pelo Comitê de Ética em Pesquisa do Hospital da Restauração com o seguinte CAAE: 0041.0.102.000-09. A população foi constituída por profissionais de Enfermagem responsáveis pela terapia medicamentosa e desta, 44 compuseram amostra. A técnica de coleta utilizada foi a de observação não participante. Utilizando-se um check-list, cujos dados foram tratados estatisticamente e levou-se em conta a frequência e as porcentagens. Resultados: constatou-se que, quanto ao critério da lavagem das mãos, que isto não aconteceu antes do procedimento em 82%(74) das punções e em 81%(73), após o procedimento, também não foi observada. Em apenas 32%(29) das vezes os profissionais usaram luvas de procedimento. Já a antissepsia não foi realizada em 57% (51) dos casos. O uso do mesmo dispositivo aconteceu em 10%(9) das punções. E 51%(46) dos profissionais não observaram as queixas do paciente. A maioria dos profissionais, 92%(83), não orientou o paciente quanto ao cuidado com a punção. Conclusão: percebeu-se, com este estudo, o quanto o procedimento da punção venosa vem sendo negligenciado. Descritores: cateterismo periférico; vasos sanguíneos; assistência de enfermagem.RESUMENObjetivo: evaluar la técnica de la venopunción periférica desarrollada por los profesionales de enfermería. Método: estudio descriptivo, exploratorio, cuantitativo y comprobado por el Comité de Ética y Busca del Hospital de Restauración con el siguiente CAEE: 0041.0.102.000-09. La población fue constituida por los profesionales de enfermería responsables del tratamiento medicamentoso y compuesto por 44 muestras. La técnica de recolección fue utilizada por la observación no participante utilizando una lista de comprobación, los datos fueron tratados estadísticamente relativos a la frecuencia y porcentajes. Resultados: los autores verificaron que, en relación con el criterio de lavarse las manos que no ocurrió antes del procedimiento en el 82%(74) de las punciones  y en 81%(73) después del procedimiento no observado tampoco. En sólo 32%(29) los profesionales utilizan guantes de procedimiento. Ya antisepsia no fue realizada en 57%(51) de los casos. El uso del mismo dispositivo ocurrió en 10%(9) de las punciones. Y 51%(46) del profesionales no observaran las quejas del pacientes. La mayoría de los profesionales, 92%(83) no orientan a los pacientes cuidar de la punción. Conclusión: se observó en este estudio como el procedimiento de venopunción se ha descuidado. Descriptores: cateterización periférica; los vasos sanguíneos; los cuidados de enfermería.


2020 ◽  
Vol 10 (1) ◽  
pp. 22
Author(s):  
Mazdak Irani ◽  
Saeed Banihashemi

The consequences of climate change are observed in several ways in human settlements, one of which is the threat it poses to the physical elements and infrastructures of cities. To mitigate it, cities apply adaptation strategies. These strategies have proper effectiveness and are adapted according to local characteristics. This study applied the cross-sectional survey method and Structural Equation Modeling (SEM) to assess the possible relations between variables. The study population was the architects of Tehran metropolis with a sample size of 85. The study instrument was a researcher-developed questionnaire consisting of four sections. Five hypotheses were assessed for relations of knowledge, tendency, perceived threats, and the adaptation strategies, all of which were proved by the study results. The results of the study showed that knowledge on the climate change significantly affects the perceived threats, tendency and the adaptation strategies. The adaptation strategies were also dependent on tendency and the perceived threats. The findings of this study can be helpful for planners and decision makers and the Architecture Society of Tehran to address the problem of climate change more adequately.


2021 ◽  
Author(s):  
Mohamed Hassan Elnaem ◽  
Nor Hidayah Mohd Taufik ◽  
Norny Syafinaz Ab Rahman ◽  
Nor Ilyani Mohd Nazar ◽  
Che Suraya Zin ◽  
...  

Abstract Background: Vaccination programs are crucial in global efforts to control the COVID-19 pandemic. Little has been reported regarding the attitudes and experiences of participants in the ongoing Malaysian vaccination program. Therefore, this study aimed to investigate the attitudes, perceptions, and experiences of side effects with the COVID-19 vaccines in Malaysia. Methods: This study was a cross-sectional survey conducted among vaccine-eligible and vaccinated individuals in Malaysia between May and July 2021. A self-administered 27-item questionnaire was developed and validated before distributing it through an online medium. Descriptive and inferential statistics were performed using SPSS version 22.Results: A total of 428 respondents completed the survey. More than half of the respondents (71.1%) were 18 to 45 years old, and 66.4% were females. A vast majority (98.6%) of the respondents had registered for the National COVID-19 Vaccination Program. A total of 20 participants (4.7%) expressed their concerns about either registering or receiving the COVID-19 vaccination, and the most reported concern was the uncertainty of vaccine safety. Among the study population, 332 participants (77.5%) received their vaccinations. About 50% received the Pfizer-BioNTech (Cominarty®) vaccine. A majority (76.8%) of the respondents experienced side effects following vaccination. Approximately 40% of the reported side effects occurred more with the second dose, particularly in those who received the Pfizer-BioNTech vaccine (p < .0005). Pain at the injection site (61.1%) and tiredness (48.8%) were the most commonly reported side effects. Those who received Sinovac (CoronaVac®) vaccine were more likely to report fewer side effects than Pfizer-BioNTech (p = .012) and Oxford-AstraZeneca (ChAdOx1-S) groups (p = .001). The logistic regression showed that all age groups, except those aged ≥ 60 years, were more likely to exhibit vaccine-related side effects. Male participants (OR: 0.51, CI:0.27-0.93) and those who received the Sinovac (CoronaVac®) vaccine (OR: 0.08, CI:0.03-0.22) were at lower risk of experiencing vaccine-related side effects.Conclusions: the overall attitudes toward the national vaccination program were positive, with a vast majority registered to be vaccinated. Several differences in the experiences of vaccine-related side effects in terms of prevalence and number were attributed to age, gender, and received vaccine type.


Author(s):  
Nham Phong Tuan ◽  
Nguyen Ngoc Quy ◽  
Nguyen Thi Thanh Huyen ◽  
Hong Tra My ◽  
Tran Nhu Phu

The objective of this study is to investigate the impact of seven factors causing academic stress on students of University of Economics and Business - Vietnam National University: Lack of leisure time, Academic performance, Fear of failure, Academic overload, Finances, Competition between students, Relationships with university faculty. Based on the results of a practical survey of 185 students who are attending any courses at the University of Economics and Business - Vietnam National University, the study assesses the impact of stress factors on students. The thesis focuses on clarifying the concept of "stress" and the stress level of students, while pointing out its negative effects on students. This study includes two cross-sectional questionnaire surveys. The first survey uses a set of 16 questions to assess students’ perceptions and attitudes based on an instrument to measure academic stress - Educational Stress Scale for Adolescents (ESSA). The second survey aims to test internal consistency, the robustness of the previously established 7-factor structure. Henceforth, the model was brought back and used qualitatively, combined with Cronbach’s Alpha measurement test and EFA discovery factor analysis. This study was conducted from October 2019 to December 2019. From these practical analyzes, several proposals were made for the society, the school and the students themselves.


2019 ◽  
Vol 17 (1) ◽  
pp. 17-23
Author(s):  
B.B. Subba ◽  
N. Rimal ◽  
B.M. Shrestha

Introduction: TB is considered one of the opportunistic infection among PLHIV. The increasing burden of HIV/TB co-infection among key population cause problem to maintain adherence to ART and DOTS services. The emergence of MDR-TB is one of the greatest challenge to control and management of both diseases. However, having knowledge and information of both diseases are important role to access the available HIV/TB services. Methods: A cross-sectional survey was conducted among key population who had HIV/TB co-infection in two-epidemic zone of Nepal. A pretested semi-structured questionnaire was used to collect data. ANOVA test was done to analyze the collected data by using SPSS version 20.0. Results: A total of 343 HIV/TB co-infected individuals were enrolled to the study. Most of participants were from ART and DOTS clients. Therefore, the study found that there was significance difference found between knowledge about TB (F=4.400, p= 0.005), causative agent of TB (F=3.160, p=0.025), risk of TB illness among PLHIV (F=8.491, p=0.001) and among key affected population. Moreover, there was significance difference found between access to OI treatment (F=5.113, p=0.002) and access to viral load (F=4.642, p=0.003) among key study population. In gender perspective, there was no significance difference to use and access to available HIV/TB services. Conclusion: The general knowledge on HIV/TB co-infection was significant association with key population. The knowledge on HIV/TB and access to NGOs’ help can significant effect to access the available HIV and TB services.


2017 ◽  
Vol 56 (6) ◽  
pp. 325
Author(s):  
Surya Jayanti Kadek ◽  
Dewi Kumara Wati Ketut ◽  
Karyana Putu Gede

Background About 60% of individuals with atopic dermatitis (AD) develop their first manifestation during infancy. Cow’s milk (CM) exposure is considered to be a risk factor for AD.Objective To evaluate for an association between cow’s milk exposure and atopic dermatitis in infants > 6 months of age.  Methods This cross-sectional study consisted of subjects from a previous study and new subjects recruited in order to meet the minimum required number of subjects. Our study population comprised 120 infants, born between 1 February and 30 November, 2012 in Sanglah Hospital, Denpasar. Subjects were divided into CM and non-CM groups and analyzed for their risk of AD. Subjects were included to CM group if they were fed with cow’s milk/formula  and included to non-CM group if they were breastfeed exclusively in the first six months of life. Other possible risk factors were assessed by multivariate analysis. Results One hundred twenty subjects were enrolled and analyzed (59 in the CM and 61 in the non-CM groups). The prevalence of AD was 30%. Multiple logistic regression analysis revealed a significant association between CM exposure and AD, with odds ratio (OR) 2.37 (95%CI 1.036 to 5.420; P=0.04). In addition, maternal diet including eggs and/or cow’s milk during the breastfeeding period was significantly associated with AD in infants (OR 3.18; 95%CI 1.073 to 9.427; P=0.04).Conclusion Cow’s milk exposure is significantly associated with atopic dermatitis in infants  > six months of age. 


Vaccines ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 119 ◽  
Author(s):  
Rahul Shekhar ◽  
Abu Baker Sheikh ◽  
Shubhra Upadhyay ◽  
Mriganka Singh ◽  
Saket Kottewar ◽  
...  

Background: Acceptance of the COVID-19 vaccine will play a major role in combating the pandemic. Healthcare workers (HCWs) are among the first group to receive vaccination, so it is important to consider their attitudes about COVID-19 vaccination to better address barriers to widespread vaccination acceptance. Methods: We conducted a cross sectional study to assess the attitude of HCWs toward COVID-19 vaccination. Data were collected between 7 October and 9 November 2020. We received 4080 responses out of which 3479 were complete responses and were included in the final analysis. Results: 36% of respondents were willing to take the vaccine as soon as it became available while 56% were not sure or would wait to review more data. Only 8% of HCWs do not plan to get vaccine. Vaccine acceptance increased with increasing age, education, and income level. A smaller percentage of female (31%), Black (19%), Lantinx (30%), and rural (26%) HCWs were willing to take the vaccine as soon as it became available than the overall study population. Direct medical care providers had higher vaccine acceptance (49%). Safety (69%), effectiveness (69%), and speed of development/approval (74%) were noted as the most common concerns regarding COVID-19 vaccination in our survey.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kelly Huang ◽  
Shu-Wen Lin ◽  
Wang-Huei Sheng ◽  
Chi-Chuan Wang

AbstractThe coronavirus disease of 2019 (COVID-19) has caused a global pandemic and led to nearly three million deaths globally. As of April 2021, there are still many countries that do not have COVID-19 vaccines. Before the COVID-19 vaccines were developed, some evidence suggested that an influenza vaccine may stimulate nonspecific immune responses that reduce the risk of COVID-19 infection or the severity of COVID-19 illness after infection. This study evaluated the association between influenza vaccination and the risk of COVID-19 infection. We conducted a retrospective cross-sectional study with data from July 1, 2019, to June 30, 2020 with the Claims data from Symphony Health database. The study population was adults age 65 years old or older who received influenza vaccination between September 1 and December 31 of 2019. The main outcomes and measures were odds of COVID-19 infection and severe COVID-19 illness after January 15, 2020. We found the adjusted odds ratio (aOR) of COVID-19 infection risk between the influenza-vaccination group and no-influenza-vaccination group was 0.76 (95% confidence interval (CI), 0.75–0.77). Among COVID-19 patients, the aOR of developing severe COVID-19 illness was 0.72 (95% CI, 0.68–0.76) between the influenza-vaccination group and the no-influenza-vaccination group. When the influenza-vaccination group and the other-vaccination group were compared, the aOR of COVID-19 infection was 0.95 (95% CI, 0.93–0.97), and the aOR of developing a severe COVID-19 illness was 0.95 (95% CI, 0.80–1.13). The influenza vaccine may marginally protect people from COVID-19 infection.


Author(s):  
Chidebe Christian Anikwe ◽  
Philip Chidubem Osuagwu ◽  
Cyril Chijioke Ikeoha ◽  
Okechukwu B Ikechukwu Dimejesi ◽  
Bartholomew Chukwunonye Okorochukwu

Background Cervical cancer is a preventable disease that contributes significantly to the death of women. This study is aimed at determining the level of knowledge and utilization of cervical cancer screening and its determinants among female undergraduates of Ebonyi State University. Methods A structured questionnaire was used for a cross-sectional survey of the study population between January 1 and March 3, 2018. The data were analyzed using IBM SPSS Statistics version 20. Data were represented with frequency table, simple percentage, mode, range, Chi square and pie chart. The level of significance is at P-value < 0.05. Results Majority (74.8%) of the respondents were aware of cervical cancer and it could be prevented (70.8%). More than three-fifths (68.30%) were informed via health workers, and 86.8% were aware that post-coital vaginal bleeding is a symptom. Less than half (49.8%) knew that HPV is the primary cause, and only 32.9% were aware of the HPV vaccine. One-quarter of the respondent were aware that early coitarche is a risk factor for cervical cancer. Only 41.8% of the women were aware of Pap smear, 9.2% had undergone screening, and 97.6% were willing to be screened. Marital status was the significant determinant of being screened while class level did not significantly influence uptake of cervical cancer screening. The most common reason (20.6%) for not being screened was lack of awareness of the test. Conclusion Our study population had a good knowledge of cervical cancer, but utilization of cervical cancer screening was poor. Awareness creation through the mass media and provision of affordable screening services can promote the use of cervical cancer screening in the study area.


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