Physician's Burnout and the COVID-19 Pandemic—A Nationwide Cross-Sectional Study in Austria

Background: The current study assesses the prevalence of burnout and psychological distress among general practitioners and physicians of various specialities, who are not working in a hospital, during the COVID-19 pandemic. Additionally in this context, contributing factors are registered.Materials and Methods: Burnout and psychological distress were assessed with the Copenhagen Burnout Inventory (CBI) and the Brief Symptom Inventory (BSI-18). A newly developed self-reporting questionnaire was used to evaluate demographic data and pandemic-associated stress factors.Results: 252 general practitioners and 229 private practice physicians provided sufficient responses to the outcome variables for analysis. The prevalence of clinically relevant psychological distress was comparable between groups (12.4 vs. 9.2%). A larger proportion of general practitioners than specialists had intermediate (43.8 vs. 39.9%) or high burnout (26.9 vs. 22.0%) without reaching statistical significance for either category. When combining study participants with intermediate and high levels of burnout, the group difference attained significance (70.7 % vs. 61.9%).Conclusion: Our findings provide evidence that practicing physicians are at high risk of burnout in the context of the pandemic. Being single (standardized beta = 0.134), financial problems (beta = 0.136), and facing violence in patient care (beta = 0.135) were identified as significant predictors for psychological distress. Burnout was predicted by being single (beta = 0.112), financial problems (beta= 0.136), facing violence in patient care (beta = 0.093), stigmatization because of treatment of SARS-CoV-2-positive patients (beta = 0.150), and longer working hours during the pandemic (beta = 0.098).

Download Full-text

P095 PSYCHOLOGICAL DISTRESS IN PATIENTS WITH CROHN'S DISEASE: A CROSS-SECTIONAL STUDY USING THE BRIEF SYMPTOM INVENTORY INSTRUMENT

Gastroenterology ◽

10.1053/j.gastro.2017.11.140 ◽

2018 ◽

Vol 154 (1) ◽

pp. S49

Author(s):

Shmuel Odes ◽

Vered Slonim-Nevo ◽

Ruslan Sergienko ◽

Michael Friger ◽

Doron Schwartz ◽

...

Keyword(s):

Crohn’S Disease ◽

Psychological Distress ◽

Crohn's Disease ◽

Cross Sectional Study ◽

Brief Symptom Inventory ◽

Sectional Study ◽

Cross Sectional ◽

Symptom Inventory

Download Full-text

Utilization of Non-Pharmacological Methods and the Perceived Barriers for Adult Postoperative Pain Management by the Nurses at Selected National Hospitals in Asmara, Eritrea

10.21203/rs.3.rs-39743/v3 ◽

2020 ◽

Author(s):

Betiel Yihdego Kidanemariam ◽

Traudl Elsholz ◽

Laban L. Simel ◽

Eyasu H. Tesfamariam ◽

Yonatan Mehari Andemeskel

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Health Care Providers ◽

Work Experience ◽

Statistical Significance ◽

Demographic Data ◽

Postoperative Pain Management ◽

Perceived Barriers ◽

Care Providers ◽

Cross Sectional

Abstract Background: Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals.Methods: This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses' utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05.Results: The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p=0.013), level of education (p=0.012), work experience (p=0.001) and place of work (p=0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p<0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified.Conclusion: The use of non-pharmacological methods in the studied hospitals varied greatly on the knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.

Download Full-text

Psychological Distress and Somatization in Immigrants in Primary Health Care Practices

10.20944/preprints202011.0391.v1 ◽

2020 ◽

Author(s):

Rosa GARCÍA-SIERRA ◽

María Isabel Fernández-Cano ◽

Josep María MANRESA-DOMÍNGUEZ ◽

María FEIJOO-CID ◽

Eduard MORENO-GABRIEL ◽

...

Keyword(s):

Psychological Distress ◽

Female Gender ◽

Cross Sectional Study ◽

Mean Value ◽

Brief Symptom Inventory ◽

Psychosocial Risk ◽

Cross Sectional ◽

Symptom Inventory ◽

Health Care Practices ◽

Sub Saharan

The process of international migration causes a situation of vulnerability in people's health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from 4 communities: Maghrebis, Sub-Saharans, South Americans and South Asian. A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the Primary Care Centres of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI). The average psychosocial risk obtained was 0.35, with the highest values in the sub-Saharan community. Psychological distress showed a mean value of 0.66, with the sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1.65, with the sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress. Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.

Download Full-text

Population-based survey of HIV sero-status and vertical transmission among naive pregnant women in Sokoto, Nigeria

Asian Journal of Medical Sciences ◽

10.3126/ajms.v6i3.11530 ◽

2014 ◽

Vol 6 (3) ◽

pp. 49-57 ◽

Cited By ~ 2

Author(s):

Fiekumo Igbida Buseri ◽

Charity Ngozi Okonkwo

Keyword(s):

Antiretroviral Therapy ◽

Pregnant Women ◽

Vertical Transmission ◽

Statistical Significance ◽

Demographic Data ◽

Age Groups ◽

P Value ◽

Full Time ◽

Cross Sectional ◽

Significant Difference

Background: This study aims at investigating the seroprevalence of HIV infection among status naive pregnant women and probable vertical transmission in Sokoto, Nigeria.Materials and Methods: This cross-sectional study examined 13,026 apparently healthy pregnant women aged between 14 and 45 years and 312 mother-baby pairs in 4 different hospital settings in Sokoto State, North West, Nigeria between March, 2011 and February, 2013. The babies were aged between 8 and 16 months. HIV screening was performed using qualitative rapid tests and ELISA and HIV-DNA polymerase chain reaction (PCR) techniques. Measurement of CD4+ T-lymphocytes was carried out by the BD FACScount System. All seropositive pregnant women were immediately placed on triple antiretroviral therapy (ART) throughout the duration of the pregnancy and beyond.Results: An overall 2.4% prevalence of HIV-1 infection among the pregnant women and 20.5% incident of mother-to-child transmission were found. Of the seropositive pregnant women, 75.0% were full-time house wives, 13.8% and 11.2% were traders and civil servants respectively; of which, 70.2% were within the ages of 14 and 27 years (youthful predominance). Pearson’s χ2analysis did not show any statistically significant difference in the Mean values in the 4 health facilities (χ2 =2.084, df=3, P-value=0.555). Similarly, no significant difference in HIV seropositivity in the demographic data of the pregnant women were observed (P>0.05). Infection was recorded in all age groups but there was no statistical significance between age groups and infection (P = 0.833). Of the 64 seropositive babies, 62 (92.5%) contracted HIV from antiretroviral therapy non-adherence mothers (χ2 =271.457, df=1, P<0.01), OR=1506.6 (95%CI=285.5-7950.4). Conclusion: This study found high prevalence of vertical transmission due to ART non-adherence. Intervention initiatives should, therefore, focus seriously on ART non-adherence. DOI: http://dx.doi.org/10.3126/ajms.v6i3.11530Asian Journal of Medical Sciences Vol.6(3) 2015 49-57

Download Full-text

P095 PSYCHOLOGICAL DISTRESS IN PATIENTS WITH CROHN’S DISEASE: A CROSS-SECTIONAL STUDY USING THE BRIEF SYMPTOM INVENTORY INSTRUMENT

Inflammatory Bowel Diseases ◽

10.1093/ibd/izy019.107 ◽

2018 ◽

Vol 24 (suppl_1) ◽

pp. S34-S34

Author(s):

Shmuel Odes ◽

Vered Slonim-Nevo ◽

Ruslan Sergienko ◽

Michael Friger ◽

Doron Schwartz ◽

...

Keyword(s):

Crohn’S Disease ◽

Psychological Distress ◽

Crohn's Disease ◽

Cross Sectional Study ◽

Brief Symptom Inventory ◽

Sectional Study ◽

Cross Sectional ◽

Symptom Inventory

Download Full-text

Schizophrenias’ Quality of Life and Emotional Intelligence in Songklanagarind Hospital

Songklanagarind Medical Journal ◽

10.31584/smj.2018.36.1.768 ◽

2018 ◽

Vol 36 (1) ◽

pp. 61

Author(s):

Warut Aunjitsakul ◽

Jarurin Pitanupong

Keyword(s):

Quality Of Life ◽

Emotional Intelligence ◽

Statistical Significance ◽

Demographic Data ◽

Cross Sectional Study ◽

Cross Sectional ◽

Best Available Techniques ◽

Two Factors ◽

Relationship Of

Objective: To estimate the level of quality of life (QoL), emotional intelligence (EI) and the association between QoL and EI in schizophreniaMaterial and Method: A cross-sectional study was conducted at the outpatient department of Songklanagarind Hospital from; May to November, 2016. A total of 96 participants were interviewed. Demographic data and medical history were collected. QoL and EI were assessed using the WHO QOL BREF (Best available techniques REFerence document) Thai version and the Thai EI Screening Test for ages of 18-60. The results were analyzed by descriptive statistics and multiple logistic regression.Results: Our subjects were predominantly single males. Sixty-seven point seven percent of the participants were poor to moderate QoL while only two factors significantly related to their poor to moderate QoL; difficulties from psychiatric conditions and a lower level of life satisfaction. Fifty-seven point four to eighty-seven point two percent of the participants were generally within normal EI in every subscale. Moreover, there was statistical significance for positive relationships between EI with QoL in schizophrenia.Conclusion: The high prevalence of schizophrenia was a moderate QoL. A positive relationship of individual subscales of EI towards QoL was substantially found.

Download Full-text

Utilization of non-pharmacological methods and the perceived barriers for adult postoperative pain management by the nurses at selected National Hospitals in Asmara, Eritrea

BMC Nursing ◽

10.1186/s12912-020-00492-0 ◽

2020 ◽

Vol 19 (1) ◽

Author(s):

Betiel Yihdego Kidanemariam ◽

Traudl Elsholz ◽

Laban L. Simel ◽

Eyasu H. Tesfamariam ◽

Yonatan Mehari Andemeskel

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Health Care Providers ◽

Work Experience ◽

Statistical Significance ◽

Demographic Data ◽

Postoperative Pain Management ◽

Perceived Barriers ◽

Care Providers ◽

Cross Sectional

Abstract Background Pharmacological methods are widely used for postoperative pain management however, poorly controlled pain continues to pose a significant challenge. Non pharmacological methods could contribute to the unresolved postoperative pain management in assisting nurses’ routine care and reducing the need for medication. This study aimed to assess nurses’ utilization of non-pharmacological methods in postoperative pain and the perceived barriers for their implementation at the National Hospitals. Methods This was a descriptive cross sectional study conducted among 154 nurses working at the National Referral Hospitals and Sembel Private Hospital. A standardized five-point Likert-scale questionnaire which assesses nurses’ utilization of selected non-pharmacological methods and the perceived barriers for the implementation was used to collect data. Descriptive statistics for the demographic data, independent samples t-test, one way ANOVA and factorial ANOVA were used to analyze the data. Statistical significance level was set at P < 0.05. Results The study found out that emotional support (45.5%), helping with daily activities (67.5%) and creating a comfortable environment (61%) were mostly used while, cognitive-behavioral (5.9%) and physical methods (5.8%) were hardly used. The results also showed that, characteristics such as, age (p = 0.013), level of education (p = 0.012), work experience (p = 0.001) and place of work (p = 0.001), were significantly related to the use of non-pharmacological methods at bivariate level. However, hospitals were the only determinants of the non-pharmacological methods at multivariable level with a statistical significance of (p < 0.001). On the perceived barriers; heavy work load (87.7%), shortage of time (84.4%), limited resources (82.5%), deficit in the guidelines for pain management (77.3%), patient’s uncooperative behavior (57.1%), language difference (64.4%), nurse’s lack of knowledge (50%) and experience (40.3%) were identified. Conclusion The use of non-pharmacological methods in the studied hospitals varied greatly due to knowledge and experience of the nurses. Therefore, it is recommended that exposure and training for all health care providers at all level is a paramount importance in order to appreciate the benefits of non-pharmacological methods applicable to postoperative pain management. This could be achieved through on job training, seminars, scientific conferences and other brainstorming forums.

Download Full-text

Psychological Distress and Somatization in Immigrants in Primary Health Care Practices

Healthcare ◽

10.3390/healthcare8040557 ◽

2020 ◽

Vol 8 (4) ◽

pp. 557

Author(s):

Rosa García-Sierra ◽

María Isabel Fernández-Cano ◽

Josep María Manresa-Domínguez ◽

María Feijoo-Cid ◽

Eduard Moreno Gabriel ◽

...

Keyword(s):

Psychological Distress ◽

Female Gender ◽

Cross Sectional Study ◽

Mean Value ◽

Brief Symptom Inventory ◽

Psychosocial Risk ◽

Cross Sectional ◽

Symptom Inventory ◽

Health Care Practices ◽

Sub Saharan

The process of international migration causes a situation of vulnerability in people’s health and greater difficulty in coping with disease. Furthermore, the adversities suffered during migration can trigger reactive signs of stress and cause anxious, depressive, confusional and somatic symptoms. This article studies the relationships between psychosocial risk, psychological distress and somatization in immigrants from four communities: Maghrebis, Sub-Saharans, South Americans and South Asian. A cross-sectional study was carried out with questionnaires on 602 immigrants who were surveyed in the primary care centers of an urban area of Catalonia. The instruments used were the Demographic Psychosocial Inventory (DPSI), the Brief Symptom Inventory (BSI) and the Somatic Symptom Inventory (SSI). The average psychosocial risk obtained was 0.35, with the highest values in the Sub-Saharan community. Psychological distress showed a mean value of 0.66, with the Sub-Saharan community scoring the lowest in all dimensions except depression. The average somatization values were 1.65, with the Sub-Saharan community scoring the least. The female gender is a risk factor for somatization and psychological distress. Perceived psychosocial risk is a predictor of psychological distress, but not somatization, suggesting that the use of more adaptive coping strategies could minimize the effect of the migration process on somatizations.

Download Full-text

Common mental disorders among seasonal migrant farmworkers in Northwest Ethiopia

BMC Psychiatry ◽

10.1186/s12888-021-03068-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kassahun Alemu Gelaye ◽

Malede Mequanent Sisay ◽

Temesgen Yihunie Akalu ◽

Destaw Fetene Teshome ◽

Haileab Fekadu Wolde ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Mental Disorders ◽

Perceived Stress ◽

Common Mental Disorders ◽

Demographic Data ◽

Northwest Ethiopia ◽

Migrant Farmworkers ◽

Cross Sectional ◽

Self Reporting Questionnaire

Abstract Background Seasonal migrant farmworkers in Ethiopia are a vulnerable segment of the population facing numerous threats to their mental health. This research aimed to determine the magnitude of common mental disorders (CMDs) and its associated factors among seasonal migrant farmworkers in the northwest of Ethiopia. Methods A cross-sectional study was conducted. A total of 950 seasonal migrant farmworkers were selected randomly. CMDs were assessed using the self-reporting questionnaire (SRQ-20) and a structured questionnaire was employed to collect the associated characteristics of socio-demographic data. Data were analyzed using descriptive statistics, bivariate, and multivariable binary logistic regression. The adjusted odds ratio (AOR) with a 95% confidence level was used to declare a statistically significant association with CMDs. Results The prevalence of CMDs was found to be 23.05% (219/950; 95% CI 20.47–25.84) among seasonal migrant farmworkers. The prevalence of psychological stress was 74.53% (708/950; 95% CI 71.65–77.20). Having a daily income below USD 5 (AOR = 1.53, 95% CI: 1.10–2.15), moderate perceived stress (AOR = 3.18, 95% CI: 1.18, 5.36), severe perceived stress (AOR = 16.15, 95% CI: 8.96, 29.11), and heat-related illness (AOR = 1.60, 95% CI: 1.11, 2.30) were associated with a higher likelihood of experiencing CMD. On the other hand, those seasonal migrant farmworkers who migrated for the first time (AOR = 0.38, 95% CI: 0.23–0.65) and those who received health related information (AOR = 0.60, 95% CI: 0.42, 0.85) were less likely to have CMDs. Conclusion In this study, CMDs were found to be prevalent among seasonal migrant farmworkers. These findings highlight the importance of systematic development of community-based mental health services in combination with rural primary health care centers and an integrated approach to the health care of farmworkers such as screening, early identification, and treatment of CMDs of seasonal migrant farmworkers.

Download Full-text

Clinical, Epidemiological and Demographic Profile of Patients Undergoing Holter (24 h) at a Health Center in Belém do Pará: a Retrospective Study

Journal of Cardiac Arrhythmias ◽

10.24207/jca.v34i1.3419 ◽

2021 ◽

Vol 34 (1) ◽

pp. 1-11

Author(s):

Fábio Benedito Filo Creão Garcia Pereira ◽

Lizandra Lujan Delpupo Trivilin ◽

Marcia Rayssa Farias Torres

Keyword(s):

Retrospective Study ◽

Health Center ◽

Statistical Significance ◽

Demographic Data ◽

Clinical Manifestations ◽

Clinical Importance ◽

Cardiac Events ◽

Cross Sectional ◽

Demographic Profile ◽

Electrocardiographic Changes

Introduction: Dynamic electrocardiography by the Holter system can be divided into four major groups: evaluation of clinical manifestations related to the presence of altered heart rhythm; assessment of myocardial ischemia; risk assessment of future cardiac events; and therapeutic assessment. Objective: To identify the clinical, epidemiological and demographic profile that is associated with electrocardiographic changes in the 24-hour Holter in patients seen at the Escola do Marco Health Center in Belém do Pará, Brazil. Methods: We carried out a cross-sectional and retrospective study, with data from patients such as: clinical and electrocardiographic correlation, indications, tachyarrhythmias, bradyarrhythmias, medications in use, provenance, demographic data and behavior modification. All of the information was compiled in a standardized protocol. Results: The main electrocardiographic findings were: supraventricular and ventricular extrasystoles less than 1% (reported in 71 and 57% of patients, respectively). Conclusion: The 24-hour Holter still has an important role in the identification of patients with electrocardiographic changes. The main indications for the examination were to assess the severity of arrhythmia (32%) and palpitation to clarify (23%), and there were uncommon findings, but of great clinical importance and with statistical significance, such as almost three times more frequent nonsustained ventricular tachycardia in patients with heart failure, cardiac, symptomatic frequent extrasystole (> 3%), more frequent atrial fibrillation in the elderly and men (60%) and with underuse of anticoagulant therapy (20%) due to non-diagnosis prior to the exam, and changes in the ST segment with a tendency in patients with systemic arterial.

Download Full-text