scholarly journals Intervention to Prevent Mental Ill-Health Among Health Care Workers

2014 ◽  
Vol 4 (2) ◽  
pp. 117
Author(s):  
Hans Michélsen ◽  
Ulla Sebrant ◽  
Abbe Schulman

Psychological strain in working life is gaining ever more attention. Health care workers are often under extreme emotional stress, which can become so overwhelming that they show signs of mental ill-health. This project aimed to develop a model for sustainable psychological support within a hospital clinic to prevent mental ill-health among employees. Mental strains at work and mental ill-health among clinic employees were mapped out, after which interventions for psychological support were designed in collaboration with employees. The interventions were conducted over one year and evaluated. Throughout the process the clinic received continuous feedback. Both questionnaires and interviews were used. The results of identifying mental strains and conducting interventions showed that employees experienced mental strain at work and perceived a need for support. Intervention evaluations showed that the project provided support, new insights, and an increased acceptance for long-term prevention of mental strain. Quantitative and qualitative methodologies supported the results. The conclusion was that increased legitimacy for mental strain at work and continuous feedback between clinic management and employees, as well as organizational circumstances are important factors when developing long-term intervention programs with various forms of psychological support.

2020 ◽  
pp. 107755872093013 ◽  
Author(s):  
Ulrike Muench ◽  
Matthew Jura ◽  
Joanne Spetz ◽  
Rachel Mathison ◽  
Charlene Herrington

Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16 years of data from the American Time Use Survey, we examined the financial vulnerability of high-skill and low-skill LTSS workers in comparison with other health care workers, while providing insight into their well-being by measuring time spent on work and nonwork activities. We found that, regardless of skill status, working in LTSS was associated with lower wages and an increased likelihood of experiencing poverty compared with other health care workers. Results from time diary data indicated that the LTSS workforce spent a greater share of their time working and commuting to work. Low-skill LTSS workers were hardest hit, spending more time on paid and unpaid activities, such as household and child care responsibilities.


1998 ◽  
Vol 27 (suppl 2) ◽  
pp. 45-46 ◽  
Author(s):  
D. J. Stott ◽  
G. D. Murray ◽  
A. Elder ◽  
W. B. Carman ◽  

1997 ◽  
Vol 175 (1) ◽  
pp. 1-6 ◽  
Author(s):  
J. Potter ◽  
D. J. Stott ◽  
M. A. Roberts ◽  
A. G. Elder ◽  
B. O'Donnell ◽  
...  

2020 ◽  
Author(s):  
Mitch van Hensbergen ◽  
Casper D.J. den Heijer ◽  
Petra Wolffs ◽  
Volker Hackert ◽  
Henriette L.G. ter Waarbeek ◽  
...  

Abstract Background: The Dutch province of Limburg borders the German district of Heinsberg, which had a large cluster of COVID-19 cases linked to local carnival activities in February, before any cases were reported in the Netherlands. However, Heinsberg was not included as an area reporting local or community transmission per the national case definition at the time. In early March, two residents from a long-term care facility (LTCF) in Sittard, a Dutch town located in close vicinity to the district of Heinsberg, started experiencing respiratory symptoms and were admitted to the regional hospital at which they were tested for COVID-19. Introduction of the virus could have occurred following the carnival activities in the surrounding area by LTCF visitors or health care workers.Methods: Surveys and semi-structured oral interviews were conducted with all present residents by health care workers during regular points of care for information on new or unusual signs and symptoms of disease. Both throat and nasopharyngeal swabs were taken from residents suspect of COVID-19 for the detection of SARS-CoV-2 by Real-time Polymerase Chain Reaction and whole genome sequencing was performed using a SARS-CoV-2 specific amplicon-based Nanopore sequencing approach. Additionally, twelve random residents were sampled for possible asymptomatic infections.Results: Since the start of the outbreak, nineteen (19%) residents tested positive for COVID-19. Eleven samples were sequenced, along with three random samples from COVID-19 patients hospitalized in the regional hospital at the time of the LTCF outbreak. Conclusions: All samples were linked to COVID-19 cases from the cross-border region of Heinsberg, Germany. Symptoms were reported only in about two third of the cases, and tended to be generally mild. We therefore recommend low-level screening of HCWs and residents following a confirmed COVID-19 case, even in the absence of symptoms. Since the LTCF residents who tested positive did not meet the criteria for suspect cases of COVID-19 at the time, this highlights the importance of cooperation among cross-border partners in order to establish a coordinated implementation of infection control measures in the region on top of national guidelines to limit the spread of infectious diseases such as COVID-19.


2018 ◽  
Author(s):  
Wendy Chicoine

Seasonal influenza is a serious public health problem that contributes to significant morbidity and mortality locally, nationally, and globally. The Centers for Disease Control and Prevention (CDC) estimates that influenza has caused between 9.2 million and 60.8 million illnesses, between 140,000 and 710,000 hospitalizations, and between 12,000 and 56,000 deaths annually since 2010, and approximately 80- 90 percent of influenza related deaths occurred in people 65 years and older. In 2012, prompted by the mounting\ evidence of the risk of nosocomial influenza infection for patients and low influenza vaccination rates of health care workers, the Rhode Island Department of Health (RIDOH) amended its Rules and Regulations for Immunization and Testing for Healthcare Workers. This amendment included mandatory influenza vaccinations for all health care workers, students, volunteers, and trainees who have direct patient contact within a health care facility. The purpose of this study was to evaluate the impact of the regulation of mandating influenza vaccination for health care workers in Rhode Island on influenza incidence, hospitalizations, and deaths of residents of long-term care facilities (LTCF). Surveillance data for influenza incidence, hospitalizations, and deaths among residents of LTCF pre and post the policy implementation are analyzed and results presented. Policy and practice implications for public health nursing are discussed.


2021 ◽  
Vol 17 (12) ◽  
pp. 177-184
Author(s):  
Haval Y. Yacoob Aldosky ◽  
Dindar S. Bari ◽  
Ørjan Grøttem Martinsen

Continues wearing gloves is a crucial problem among health care workers treating patients with coronavirus (COVID-19) infection that may cause skin complications. In the present study, the skin conductance (SC), skin potential (SP) and skin susceptance (SS) were used to identify the effects of long-term wearing gloves among health care workers managing COVID-19. The experimental procedure was repeated 30 times on three subjects recruited as volunteers to wear gloves for 4 hours. The baseline of parameters SC, SP, and SS were recorded at normal conditions without wearing the glove at zero time (To). The parameters were again recorded in the cases of glove-wearing with and without zinc oxide ointment (ZnO) for the same period. Noticeable differences were found in each of SC, SP and SS for subjects who wore gloves when compared to the baseline for 4 h. Results also showed significant differences in each of SP and SS during the same period with applying ZnO comparing to wearing gloves without applying ZnO. The results show that skin hydration is significantly improved by using ZnO. However, changing gloves at least every four hours of continuous wearing is recommended.


2020 ◽  
Vol 98 (4) ◽  
pp. 99-108
Author(s):  
M.A. Shurupova ◽  
R.A. Abdurahmanov ◽  
L.I. Esejkina ◽  
T.V. Kutejnikova ◽  
D.A. Popova ◽  
...  

In addition to physical mortality, the COVID-19 pandemic has a broad psychosocial and emotional impact on all population groups. Medical workers in the hospitals are experiencing unprecedented physical and psychological difficulties. Guided by the principles of providing professional psychological assistance to health care workers and based on the analysis of international experience, the “FCBN” of the FMBA of Russia organized several forms of psychological support. The purpose of this study was to investigate the methods and results of psychological support to health care workers during the period of re-profiling hospital for patients with COVID-19. The study sample includes 578 employees of the “FCBN” of the FMBA of Russia, covered during a weekly call; 25 of them participated in "social questionnaire"; 33 people completed the MBI and GAD-7 questionnaires; more than 30 people received personal or distant consultations. The results of questionnaires show that employees reacted to the new conditions adequately. The average values of indicators on the scales "emotional exhaustion" and "depersonalization" for the group fell within the normal range for medical workers in Russia. Investigation of effectiveness of different psychological methods shows that for supporting health care workers in the new condition, the most effective were personal consultations, and to identify the actual problems of work organization and building vertical communication between staff and management – weekly calls and ≪social questionnaire≫. In conclusion, our experience has shown the importance of maintaining the functioning of psychological service to help health care workers in an emergency situation for the health system.


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