scholarly journals Changes in the working conditions and learning environment of medical residents after the enactment of the Medical Resident Act in Korea in 2015: a national 4 year longitudinal study

2021 ◽  
Vol 18 ◽  
pp. 7
Author(s):  
Sangho Sohn ◽  
Yeonjoo Seo ◽  
Yunsik Jeong ◽  
Seungwoo Lee ◽  
Jeesun Lee ◽  
...  
Keyword(s):  
Learning Environment ◽  
Working Conditions ◽  
Achievement Goals ◽  
Working Hours ◽  
Working Environment ◽  
Medical Residents ◽  
Medical Resident ◽  
Training Environment ◽  
Cross Sectional ◽  
Training Conditions

Purpose: In 2015, the South Korean government legislated the Act for the Improvement of Training Conditions and Status of Medical Resid7`nn78bbbbbbbbbbnbents (Medical Resident Act). This study investigated changes in the working and learning environment pre- and post-implementation of the Medical Resident Act in 2017, as well as changes in training conditions by year post-implementation.Methods: An annual cross-sectional voluntary survey was conducted by the Korean Intern Resident Association (KIRA) between 2016 and 2019. The learning and working environment, including extended shift length, rest time, learning goals, and job satisfaction, were compared by institution type, training year, and specialty.Results: Of the 55,727 enrollees in the KIRA, 15,029 trainees took the survey, and the number of survey participants increased year by year (from 2,984 in 2016 to 4,700 in 2019). Overall working hours tended to decrease; however, interns worked the most (114 hours in 2016, 88 hours in 2019; P<0.001). Having 10 hours or more of break time has gradually become more common (P<0.001). Lunch breaks per week decreased from 5 in 2017 to 4 in 2019 (P<0.001). Trainees’ sense of educational deprivation increased from 17.5% in 2016 to 25.6% in 2018 (P<0.001). Awareness of tasks and program/work achievement goals increased from 29.2% in 2016 to 58.3% in 2018 (P<0.001). Satisfaction with the learning environment increased over time, whereas satisfaction with working conditions varied.Conclusion: The Medical Resident Act has brought promising changes to the training of medical residents in Korea, as well as their satisfaction with the training environment.

scholarly journals Associations between working environment and weight control efforts among workers with obesity in Korea

2018 ◽  
Vol 46 (6) ◽  
pp. 2307-2316 ◽  
Author(s):  
Hye Sun Hyun ◽  
Yunyoung Kim
Keyword(s):  
Working Conditions ◽  
Weight Control ◽  
Workplace Health Promotion ◽  
Working Hours ◽  
Working Environment ◽  
Multivariable Logistic Regression Analysis ◽  
Personal Factors ◽  
Regular Employment ◽  
Individual Variables ◽  
The Relationship

Objective The aim of this study was to investigate the relationship between working environment and weight control efforts among obese workers in Korea. Methods This study was based on the 2011 3rd Korean Working Conditions Survey, which was conducted on workers aged 15 years or older. A sample of 484 obese workers was included in the study. Multivariable logistic regression analysis was used to investigate the relationship between working environment and weight control efforts after controlling for individual variables. Adjusted odds ratios (ORs) and 95% confidence intervals were calculated. Results Of the participants, 63.4% reported that they made efforts to control their weight. After controlling for personal factors, the OR of weight control efforts for individuals working 40–49 hours per week was 2.4 times that for individuals working 60 hours or more per week. The OR of regular employment workers was 2.2 times that of non-regular workers. Conclusion We established that working hours and employment type were significantly related to weight control efforts. Therefore, we recommend that working conditions should be considered in designing effective workplace health promotion programs.

scholarly journals A Cross-sectional Analysis of Prevalence, Coping Strategies and Potential Causes of Depression among Doctors of Karachi

2021 ◽  
pp. 1-7
Author(s):  
Shahid Bilal ◽  
Jaiperkash Dayaram ◽  
Ali Nawaz Bijarani ◽  
Mariam Muneer ◽  
Saba Arshad ◽  
...  
Keyword(s):  
Coping Strategies ◽  
Sampling Technique ◽  
Working Hours ◽  
Female Gender ◽  
Coping Mechanisms ◽  
Working Environment ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Brief Cope

Aims: The aim of current study is to find out the prevalence of depression in doctors in different hospitals of Karachi and its association with lifestyle, the field of specialty and coping mechanisms. Place and Duration of Study: The sample was collected from 10 different hospitals of Karachi, in a period of one Year i.e., March 2019 to February 2020. Methodology: A descriptive cross-sectional study design using non-probability consecutive type of sampling technique was used. Sample size was calculated at 95% confidence interval and was found to be 368. The sample was classified in two broader categories Surgery & Allied and Medicine & Allied. For identification of depression level, Public Health Questionnaire (PHQ-9) was used. A 28-item questionnaire Brief COPE was used to asses coping mechanisms. Results: In total 400 forms were used for data analysis. The mean age of doctors was 35 ± 4 years, 65% were males while 35% were females, there was a statistically significant association of female gender with depression. Chi-Square was applied to determine the association of depression and departments and it was found to be highly significant with a P < .001. Highest level of depression was found in Orthopedics and Psychiatry departments followed by Surgery and Gynecology. While Otolaryngology was the least depressed department. Chi-square was applied and a statistically significant association of low monthly income and depression with a p-value of 0.02. In Surgery and allied there was a statistically significant association of depression with extensive working hours and lack of facilities with a p-value of 0.01 and 0.04. While in Medicine and allied there was a statistically significant association of depression with a harsh attitude of seniors and an uncomfortable working environment with a p-value of 0.02 and 0.03. A linear regression model comparing depression and its associations with coping strategies was applied. Conclusion: Our study shows that depression is present in a vast majority of doctors from multiple specialties. Various risk factors for depression have also been identified so appropriate coping strategies should be formulated to deal with it.

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

BACKGROUND Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. OBJECTIVE This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. METHODS A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. RESULTS A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. CONCLUSIONS The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

scholarly journals Case analysis and justification of physicians, collective actions

2021 ◽  
Vol 64 (2) ◽  
pp. 159-170
Author(s):  
Young In Oh ◽  
Jeong Hun Park ◽  
Duck Sun Ahn ◽  
Sun Mi Lim
Keyword(s):  
Collective Action ◽  
Working Conditions ◽  
Statistical Data ◽  
Case Analysis ◽  
Working Hours ◽  
Working Environment ◽  
Collective Actions ◽  
The World ◽  
The Media ◽  
The Government

Since the last 100 years, physicians from many countries have been taking collective action. However, the media, civic groups, and the government have denounced them as inhuman and unethical. This study comprehensively analyzed the background and results of physicians’ collective actions that occurred in countries around the world, and reviewed the issues surrounding them. Among 314 cases in 70 countries discussed in the literature, 180 cases in 65 countries were analyzed. Of these 180 cases, 111 (61.7%) were successful, indicating that collective action has brought favorable results to physicians. Furthermore, 177 out of 301 requirements brought favorable results (58.8%). The main reason for collective actions was ‘improvement of working conditions’, which includes improving the medical and the reimbursement systems, adjusting working hours and wages, increasing manpower, supporting medical research, and improving other working environment and conditions. This study is significant because it provides statistical data on the causes and results of collective actions taken by physicians in countries around the world.

scholarly journals Impact of the COVID-19 on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in a Local Pandemic Area

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1274
Author(s):  
In-Hwan Yeo ◽  
Yun-Jeong Kim ◽  
Jong-Kun Kim ◽  
Dong-Eun Lee ◽  
Jae-Young Choe ◽  
...  
Keyword(s):  
Emergency Department ◽  
Working Conditions ◽  
Psychosocial Stress ◽  
Healthcare Workers ◽  
Working Hours ◽  
Depression And Anxiety ◽  
Post Traumatic Stress ◽  
Cross Sectional Survey ◽  
Optimal Care ◽  
Cross Sectional

Background and Objectives: Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. Materials and Methods: This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. Results: A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. Conclusions: Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study

10.2196/14238 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e14238 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

Background Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. Objective This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. Methods A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. Results A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. Conclusions The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

scholarly journals Determinant Factors of Work-Related Complaints

2018 ◽  
Vol 7 (1) ◽  
pp. 46
Author(s):  
Qoni Mulia Sagita ◽  
Yuliani Setyaningsih ◽  
Sulistiyani Sulistiyani
Keyword(s):  
Medical History ◽  
Ventilation System ◽  
Health And Safety ◽  
Working Hours ◽  
Working Environment ◽  
Cross Sectional ◽  
Work Related ◽  
Shoe Industry ◽  
Home Based ◽  
Home Workers

Home-based workers of Footwear industries in Semarang Regency are all womans. The employment status of home-based workers usually unrecognized or unregulated by the employer or their itermediaries so that they did not paid close attention about HWBs’s working condition. They often work on inadequate working environment such as poor ventilation system, bad lighting, humid working space (damp wall and floor), and also poor layout of furnitures and work equipments. That condition exaberated by lack of HWBs’s knowledge and awareness regarding their health and safety at work. In addition HBWs often with little to none education, work on long extended working hours and working under intensive labor.This research was aimed to determine the relationship between respondent characteristics, medical history, and use of PPE with work-related complaints on home workers of shoe industry in Semarang regency. This was an observational analytic study using cross sectional approach. Population in this study was 80 home workers of shoe industry in Semarang regency. The samples are 66 home workers were taken using stratified random sampling method. Data were analyzed using frequency distribution and Chi-Square test. The results of this study showed that there were some variables that have significant association with work-related complaints (p≤ 0.05) including, length of work, duration of work, personal protective equipment (PPE). While the variables of age, body mass index (BMI), and medical history did not show significant association with work-related complaints (p&gt; 0.05). Multivariate analysis using logistic regression showed the duration of work had the most powerful influence to the work-related complaints. The conclusion of this study was important for home workers to maintain health condition by doing exercise to avoid work-related complaints. Home workers that have long duration of work should increase the use of PPE such as masks and gloves.

Crash Involvement and Risky Riding Behaviors among Delivery Riders in China: The Role of Working Conditions

2019 ◽  
Vol 2673 (4) ◽  
pp. 1011-1022 ◽  
Author(s):  
Yubing Zheng ◽  
Yang Ma ◽  
Lixin Guo ◽  
Jianchuan Cheng ◽  
Yunlong Zhang
Keyword(s):  
Working Conditions ◽  
Latent Variables ◽  
Time Pressure ◽  
Mental Workload ◽  
Route Planning ◽  
Working Hours ◽  
Probit Model ◽  
Stair Climbing ◽  
Cross Sectional

Delivery riders (usually e-bike riders employed in the delivery industry), an emerging occupation as a result of the booming of online commerce in China, have attracted social controversies for the prevalence of unsafe riding and high rates of crash involvement. Given their ever-increasing number and stressful working conditions, more attention should be paid to safety issues involving delivery riders. To illuminate the role of working conditions in influencing safety-related risks of delivery riders, this cross-sectional study was conducted among 824 delivery riders, who answered a self-administered questionnaire gathering information about their demographics, working conditions, riding behaviors, and crash involvement. A mixed probit model of the number of crashes involving riders that allowed for hierarchical relationships between the latent variables identified (i.e., time pressure, fatigue, risky riding behaviors) was employed to determine the underlying association between factors surveyed. The results portrayed a picture of worrisome working conditions for delivery riders. Respondents reported an average of 9.1 daily working hours with insufficient rest. Frequent stair climbing, route planning, and disputes with customers also added to their physical and mental workload. The tested model indicated that a heavy workload, feelings of fatigue, as well as risk-taking behaviors all exerted direct and significant impacts on the involvement in crashes, and time pressure as well as several work-related traits affected crash involvement indirectly, through influencing riders’ feeling of fatigue and riding behaviors. Findings of this study may provide an empirical basis for road safety interventions for delivery riders in China.

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