scholarly journals Long-term Effectiveness of Overnight Shiftwork Implementation on Pediatric Residents’ Wellness: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Hiro Nakao ◽  
Osamu Nomura ◽  
Mitsuru Kubota ◽  
Akira Ishiguro
Keyword(s):  
Demographic Data ◽  
Depression Scale ◽  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pediatric Residents ◽  
Work Style

Abstract BackgroundIn Japan, the “Work Style Reform Bill” was partially enacted in 2019. In 2011, an Overnight Call Shift (OCS) system was introduced for pediatric training at the National Center for Child Health and Development (NCCHD). A questionnaire survey was conducted twice during the introduction of this system, finding a decrease in working hours, but no change in the depressive tendency of the residents. We conducted a follow-up survey in 2019 to investigate the long-term effectiveness of the OCS system to improve the pediatric residents’ wellness at NCCHD.MethodsA questionnaire-based cross-sectional survey was conducted for pediatric residents in 2019, and the results were compared to those of the previous survey in 2012. The questionnaire includes demographic data, working conditions data, and wellness assessment by the Center for Epidemiologic Studies Depression scale (CES-D) and the Maslach Burnout Inventory (MBI).ResultsThe collection rate for the 2019 survey was 94.5% (37 participants/39 eligible). Compared to 2012, there were no significant changes in demographic data and working hours, a significant increase by about 30% in residents who took daytime off after night work, about 10% decrease in residents who scored 16 and above on the CES-D, and a significant decrease in the mean score for depersonalization (DP) in the MBI.ConclusionsThis survey demonstrated the long-term effectiveness of the implemented OCS system to improve pediatric residents’ wellness. This study provides evidence for the further initiative to improve pediatricians’ wellness for preparing for the government’s overtime regulations for physicians scheduled for 2024.

scholarly journals The prevalence and correlates of burnout among Chinese preschool teachers

2019 ◽  
Author(s):  
Shen Li ◽  
Yibo Li ◽  
Hao Lv ◽  
Rui Jiang ◽  
Peng Zhao ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Preschool Teachers ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Normal Weight ◽  
Chinese Version ◽  
Cross Sectional ◽  
Type Of School ◽  
Income Satisfaction

Abstract Background: A series of studies have suggested that teachers are likely to experience professional burnout in various regions around the world. To date, no known research has been conducted to investigate the prevalence and correlates of burnout among preschool teachers in China. Objective: This study examined the level of self-reported burnout and correlates of burnout among Chinese preschool teachers. Methods: A cross-sectional study was conducted among1795 preschool teachers in Tianjin, China, during August 2018- October 2018. The validated Chinese version of the 15-item Maslach Burnout Inventory was used to assess burnout. A self-administered questionnaire collected the sociodemographic factors. The psychological factors were collected by the Chinese version of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D) and the Perceived Stress Scale-14. Results: The prevalence of burnout in Chinese preschool teachers was 53.2% ( 95% CI：51%─56%). Burnout rate was significantly decreased in overweight (P=0.001, OR=0.58, 95% CI: 0.42-0.79) and obesity (P=0.048, OR=0.75, 95% CI: 0.56-1.00) teachers compared with teachers with normal weight. The type of school (P=0.007, OR=1.45, 95% CI: 1.11-1.91), income satisfaction (P=0.001, OR=0.67, 95% CI: 0.53-0.86), depression (P<0.001, OR=3.08, 95% CI: 2.34-4.05) and perceived stress (P<0.001, OR=1.15, 95%CI: 1.13-1.18) were significantly associated with burnout. Conclusions: The prevalence of burnout among preschool teachers in Tianjin, China, is high. Burnout was significantly associated with BMI, the type of school, income satisfaction, depression and perceived stress among Chinese preschool teachers. Keywords: Burnout, Stress, Preschool teachers, Depression

scholarly journals A survey of bolus tube feeding prevalence and practice in adult patients requiring home enteral tube feeding

2019 ◽  
Vol 122 (11) ◽  
pp. 1271-1278 ◽  
Author(s):  
Gary P. Hubbard ◽  
Sophie Andrews ◽  
Sean White ◽  
Gary Simpson ◽  
Sarah Topen ◽  
...  
Keyword(s):  
Demographic Data ◽  
Tube Feeding ◽  
Feeding Tube ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Feeding Method ◽  
Oral Nutritional Supplements ◽  
The Uk ◽  
At Home

AbstractAnecdotal evidence suggests the use of bolus tube feeding is increasing in the long-term home enteral tube feed (HETF) patients. A cross-sectional survey to assess the prevalence of bolus tube feeding and to characterise these patients was undertaken. Dietitians from ten centres across the UK collected data on all adult HETF patients on the dietetic caseload receiving bolus tube feeding (n 604, 60 % male, age 58 years). Demographic data, reasons for tube and bolus feeding, tube and equipment types, feeding method and patients’ complete tube feeding regimens were recorded. Over a third of patients receiving HETF used bolus feeding (37 %). Patients were long-term tube fed (4·1 years tube feeding, 3·5 years bolus tube feeding), living at home (71 %) and sedentary (70 %). The majority were head and neck cancer patients (22 %) who were significantly more active (79 %) and lived at home (97 %), while those with cerebral palsy (12 %) were typically younger (age 31 years) but sedentary (94 %). Most patients used bolus feeding as their sole feeding method (46 %), because it was quick and easy to use, as a top-up to oral diet or to mimic mealtimes. Importantly, oral nutritional supplements (ONS) were used for bolus feeding in 85 % of patients, with 51 % of these being compact-style ONS (2·4 kcal (10·0 kJ)/ml, 125 ml). This survey shows that bolus tube feeding is common among UK HETF patients, is used by a wide variety of patient groups and can be adapted to meet the needs of a variety of patients, clinical conditions, nutritional requirements and lifestyles.

scholarly journals Burden and Depression among Caregivers of Visually Impaired Patients in a Canadian Population

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Zainab Khan ◽  
Puneet S. Braich ◽  
Karim Rahim ◽  
Jaspreet S. Rayat ◽  
Lin Xing ◽  
...  
Keyword(s):  
At Risk ◽  
Visually Impaired ◽  
Tertiary Care ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Group 2 ◽  
Risk For Depression

Purpose/Background. This study reports the degree of burden and the proportion at risk for depression among individuals who provide care to visually impaired patients.Study Design. This is clinic-based, cross-sectional survey in a tertiary care hospital.Methods. Caregivers were considered unpaid family members for patients whose sole impairment was visual. Patients were stratified by vision in their better seeing eye into two groups: Group 1 had visual acuity between 6/18 and 6/60 and Group 2 were those who had 6/60 or worse. Burden was evaluated by the Burden Index of Caregivers and the prevalence of being at risk for depression was determined by the Center for Epidemiologic Studies Depression scale.Results. 236 caregivers of 236 patients were included. Total mean BIC scores were higher in Group 2. Female caregivers, caregivers providing greater hours of care, and caregivers of patients who have not completed vision rehabilitation programs are at higher risk for depression.

scholarly journals COVID-19 Factors and Psychological Factors Associated with Elevated Psychological Distress among Dentists and Dental Hygienists in Israel

2020 ◽  
Vol 17 (8) ◽  
pp. 2900 ◽  
Author(s):  
Maayan Shacham ◽  
Yaira Hamama-Raz ◽  
Roni Kolerman ◽  
Ori Mijiritsky ◽  
Menachem Ben-Ezra ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Self Efficacy ◽  
Psychological Factors ◽  
Demographic Data ◽  
Dental Hygienists ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Dental Staff

The aim of this study was to evaluate the association of COVID-19 factors and psychological factors with psychological distress among dental staff during the COVID-19 pandemic outbreak. A cross-sectional survey was conducted among 338 Israeli dentists and dental hygienists, who provided their demographic data; answered questions about COVID-19-related factors; and were assessed by subjective overload, self-efficacy, and psychological distress scales. Data were analyzed using a multivariate logistic regression. Results revealed that elevated psychological distress was found among those who have background illness, fear of contracting COVID-19 from patient, and a higher subjective overload. Lower psychological distress was associated with being in a committed relationship and having higher scores for self-efficacy. Given these results, gathered during times of an infectious disease outbreak, exploring psychological distress among dental staff is warranted as the effects may be long-term.

scholarly journals Depressive Symptoms: The Interaction between Rumination and Self-Reported Insomnia

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Monique Malmberg ◽  
Junilla K. Larsen
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Epidemiologic Studies ◽  
Short Version ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Moderation Effect ◽  
Athens Insomnia Scale

Objective. Prior research has found consistent support that rumination and insomnia are important risk factors for depressive symptoms. The aim of the present cross-sectional study is to examine the interaction between these two previously well-established risk factors (i.e., rumination and insomnia) in the explanation of depressive symptoms.Design. A total of 417 participants (277 women) with a mean age of 39 (SD = 17.59; range 18–85) completed a cross-sectional survey.Main Outcome Measures. Participants filled out the Response Rumination Scale, the Athens Insomnia Scale, and the short version of the Center for Epidemiologic Studies Depression Scale.Results. It was predicted and found that self-reported insomnia moderated the relationship between rumination and depressive symptoms. We found that particularly participants who reported higher levels of rumination as well as insomnia had the highest depressive symptoms.Conclusion. This study is the first to suggest that particularly individuals exhibiting both self-reported insomnia and higher levels of rumination also report higher levels of depressive symptoms. Health professionals screening for mental problems should be aware of this specific combination of insomnia and rumination. Explanations for this moderation effect were discussed in light of study’s limitations.

scholarly journals Mental health and the built environment: Cross – sectional survey of individual and contextual risk factors for depression

2002 ◽  
Vol 180 (5) ◽  
pp. 428-433 ◽  
Author(s):  
Scott Weich ◽  
Martin Blanchard ◽  
Martin Prince ◽  
Elizabeth Burton ◽  
Bob Erens ◽  
...  
Keyword(s):  
Built Environment ◽  
Odds Ratio ◽  
Economic Status ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Contextual Risk ◽  
Socio Economic Status ◽  
Prevalence Of Depression

BackgroundLittle is known about the effects of the physical environment on individual health.AimsThe present study tested the hypothesis that the prevalence of depression is associated with independently rated measures of the built environment, after adjusting for individuals' socio-economic status and the internal characteristics of their dwellings.MethodCross-sectional survey of 1887 individuals aged 16 years and over in two electoral wards in north London. Depression was ascertained using the Center for Epidemiologic Studies Depression scale (CES–D). The built environment was rated independently, using a validated measure.ResultsAfter adjusting for socio-economic status, floor of residence and structural housing problems, statistically significant associations were found between the prevalence of depression and living in housing areas characterised by properties with predominantly deck access (odds ratio=1.28, 95% Cl 1.03–1.58; P=0.02) and of recent (post-1969) construction (odds ratio=l.43, 95% Cl 1.06–1.91; P=0.02).ConclusionsThe prevalence of depression was associated with independently rated features of the built environment, independent of individuals' socio-economic status and internal characteristics of dwellings.

scholarly journals The prevalence and correlates of burnout among Chinese preschool teachers

2020 ◽  
Author(s):  
Shen Li ◽  
Yibo Li ◽  
Hao Lv ◽  
Rui Jiang ◽  
Peng Zhao ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Preschool Teachers ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Normal Weight ◽  
Chinese Version ◽  
Cross Sectional ◽  
Type Of School ◽  
Income Satisfaction

Abstract Background: A series of studies have suggested that teachers are likely to experience professional burnout in various regions around the world. To date, no known research has been conducted to investigate the prevalence and correlates of burnout among preschool teachers in China. Objective: This study examined the level of self-reported burnout and correlates of burnout among Chinese preschool teachers. Methods : A cross-sectional study was conducted among1795 preschool teachers in Tianjin, China, during August 2018- October 2018. The validated Chinese version of the 15-item Maslach Burnout Inventory was used to assess burnout. A self-administered questionnaire collected the sociodemographic factors. The psychological factors were collected by the Chinese version of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D) and the Perceived Stress Scale-14. Results : The prevalence of burnout in Chinese preschool teachers was 53.2% ( 95% CI：51%─56%). Burnout rate was significantly decreased in overweight ( P =0.001, OR=0.58, 95% CI: 0.42-0.79) and obesity ( P =0.048, OR=0.75, 95% CI: 0.56-1.00) teachers compared with teachers with normal weight. The type of school ( P =0.007, OR=1.45, 95% CI: 1.11-1.91), income satisfaction ( P =0.001, OR=0.67, 95% CI: 0.53-0.86), depression ( P <0.001, OR=3.08, 95% CI: 2.34-4.05) and perceived stress ( P <0.001, OR=1.15, 95%CI: 1.13-1.18) were significantly associated with burnout. Conclusions : The prevalence of burnout among preschool teachers in Tianjin, China, is high. Burnout was significantly associated with BMI, the type of school, income satisfaction, depression and perceived stress among Chinese preschool teachers. Keywords: Burnout, Stress, Preschool teachers, Depression

scholarly journals Differential item functioning of the CESDR-R and GAD-7 in African and white working adults

2019 ◽  
Vol 45 ◽  
Author(s):  
Carolina Henn ◽  
Brandon Morgan
Keyword(s):  
Differential Item Functioning ◽  
Survey Design ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression And Anxiety ◽  
Measurement Instruments ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Working Adults ◽  
Item Functioning

Orientation: Depression and anxiety can have undesirable consequences for employees and their employers. It is therefore important that employers pay attention to the existence and extent of depression and anxiety. However, measuring these constructs requires unbiased, reliable and valid instruments.Research purpose: To facilitate unbiased measurement of depression and anxiety, we investigated differential item functioning of the Centre for Epidemiologic Studies Depression Scale-Revised (CESD-R) and Generalised Anxiety Disorder Scale 7 (GAD-7) in a sample of non-clinical African and white working adults.Motivation for the study: Biased measurement instruments can lead to serious problems when comparing scores between groups, using raw score cut-offs, or creating norm scores. Practitioners are legally and ethically required to ensure that any instrument used is unbiased.Research approach/design and method: A cross-sectional survey design was used. The CESD-R and GAD-7 were administered to working adults. A final sample of 551 CESD-R responses and 529 GAD-7 responses were included in the analyses. Ordinal logistic regression was performed to investigate differential item functioning.Main findings: Both CESD-R and GAD-7 showed some evidence of differential item functioning although it was mostly small in magnitude. Item bias had some minor non-negligible impact on aggregated observed scores within specific ranges of the underlying traits.Practical/managerial implications: Both CESD-R and GAD-7 show promise as instruments that can be utilised to explore the experience of anxiety and depression in African and white employees.Contribution/value-add: This study is a promising first step towards the measurement fairness of the CESD-R and GAD-7 in the South African context.

scholarly journals A cross-sectional survey of burnout in a sample of resident physicians in Sudan

2021 ◽  
Author(s):  
Yasir Ahmed Mohammed Elhadi ◽  
Abdelmuniem Ahmed ◽  
Elhadi B. Salih ◽  
Osman S. Abdelhamid ◽  
Mohamed Hayder Hamid Ahmed ◽  
...  
Keyword(s):  
Working Hours ◽  
Maslach Burnout Inventory ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Teaching Hospitals ◽  
Cross Sectional Survey ◽  
Related Factors ◽  
Cross Sectional ◽  
Resident Physicians ◽  
High Level

Background Resident physicians in Sudan suffer multiple physical and psychological stressors. Nevertheless, the prevalence of burnout among this critical population remains unknown. The purpose of this study was to estimate the prevalence of burnout and its related factors in a sample of Sudanese resident physicians. Methods: A cross-sectional design was used to assess burnout among resident physicians at the teaching hospitals of Wad-Medani, Gezira state in Sudan. All resident physicians across nine hospitals were asked to join the study. The Arabic version of Maslach Burnout Inventory was distributed to respondents from July to October 2021. Results: Out of 300 resident physicians 69.3% responded. The study population had a mean age of 29.99 years, more than half were females (56.7%) and single (59.6%). In total, 86.1% met the criteria for burnout in at least one dimension, and 13.9 % in all three dimensions.70.7% suffer from a high level of burnout on the dimension of emotional exhaustion (EE), while 44.2% reported a high level on depersonalization (DP) and 73.1% experienced a sense of decreased professional accomplishment (PA). There were significant differences in the levels of burnout, EE and DP among different specialties. Burnout syndrome was associated with working hours per single duty; with participants working for more than 24 hours had experienced higher levels of burnout, EE and DP. Conclusions: High prevalence of burnout syndrome was found in this sample of resident physicians in Sudan. Stakeholders should urgently implement effective remedies to protect the mental health of resident physicians.

scholarly journals The prevalence and correlates of burnout among Chinese preschool teachers

2020 ◽  
Author(s):  
Shen Li ◽  
Yibo Li ◽  
Hao Lv ◽  
Rui Jiang ◽  
Peng Zhao ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Preschool Teachers ◽  
Depression Scale ◽  
Maslach Burnout Inventory ◽  
Epidemiologic Studies ◽  
Normal Weight ◽  
Chinese Version ◽  
Cross Sectional ◽  
Type Of School ◽  
Income Satisfaction

Abstract Background: A series of studies have suggested that teachers are likely to experience professional burnout in various regions around the world. To date, no known research has been conducted to investigate the prevalence and correlates of burnout among preschool teachers in China. Objective: This study examined the level of self-reported burnout and correlates of burnout among Chinese preschool teachers. Methods : A cross-sectional study was conducted among1795 preschool teachers in Tianjin, China, during August 2018- October 2018. The validated Chinese version of the 15-item Maslach Burnout Inventory was used to assess burnout. A self-administered questionnaire collected the sociodemographic factors. The psychological factors were collected by the Chinese version of the 20-item Center for Epidemiologic Studies Depression Scale (CES-D) and the Perceived Stress Scale-14. Results : The prevalence of burnout in Chinese preschool teachers was 53.2% ( 95% CI：51%─56%). Burnout rate was significantly decreased in overweight ( P =0.001, OR=0.58, 95% CI: 0.42-0.79) and obesity ( P =0.048, OR=0.75, 95% CI: 0.56-1.00) teachers compared with teachers with normal weight. The type of school ( P =0.007, OR=1.45, 95% CI: 1.11-1.91), income satisfaction ( P =0.001, OR=0.67, 95% CI: 0.53-0.86), depression ( P <0.001, OR=3.08, 95% CI: 2.34-4.05) and perceived stress ( P <0.001, OR=1.15, 95%CI: 1.13-1.18) were significantly associated with burnout. Conclusions : The prevalence of burnout among preschool teachers in Tianjin, China, is high. Burnout was significantly associated with BMI, the type of school, income satisfaction, depression and perceived stress among Chinese preschool teachers. Keywords: Burnout, Stress, Preschool teachers, Depression

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