scholarly journals Infodemia: Another Enemy for Romanian Frontline Healthcare Workers to Fight during the COVID-19 Outbreak

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 679
Author(s):  
Ica Secosan ◽  
Delia Virga ◽  
Zorin Petrisor Crainiceanu ◽  
Lavinia Melania Bratu ◽  
Tiberiu Bratu

Background and Objectives: The population has been overwhelmed with false information related to the Coronavirus disease (COVID-19) crisis, spreading rapidly through social media and other channels. We aimed to investigate if frontline healthcare workers affected by infodemia show different psychological consequences than frontline clinicians who do not declare to be affected by false news related to the COVID-19 pandemic. Materials and Methods: One hundred twenty-six frontline healthcare workers from the Intensive Care Unit (ICU) and Emergency Departments in Romania completed a survey to assess stress, depression, anxiety, and sleep disorders, between March and April 2020. We split the sample of frontline healthcare workers into two groups based on the self-evaluated criteria: if they were or were not affected by infodemia in their activity. Results: Considering limitations such as the cross-sectional design, the lack of causality relationship, and the sample size, the results show that, the frontline medical workers who declared to be affected by false news were significantly more stressed, felt more anxiety, and suffered more from insomnia than healthcare workers who are not affected by false information related to pandemic time. Conclusions: The infodemia has significant psychological consequences such as stress, anxiety, and insomnia on already overwhelmed doctors and nurses in the outbreak of the COVID-19 crisis. These findings suggest that medical misinformation’s psychological implications must be considered when different interventions regarding frontline healthcare workers during the COVID-19 pandemic are implemented.

Author(s):  
Quratul-Ain Zafar

Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout. Study Design: Observational cross-sectional study. Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020. Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation. Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group. Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.


Author(s):  
Suzanne Hodgkin ◽  
Warren Paul ◽  
Jeni Warburton

Objectives – Retaining older workers in the Australian Healthcare System in rural areas is critical in preventing an imminent workforce crisis. Traditionally, healthcare workers have retired earlier than other groups. Using an internationally recognised model of job stress, the aim of this study was to examine the influence of Effort-Reward Imbalance (ERI) in predicting psychological strain and intention to retire in older Australian healthcare workers. Method – Utilising a cross-sectional design, data was obtained from 295 women and men aged over 55 years, working as professional healthcare workers in a rural Australian setting. ERI was measured using the 23-item scale developed by Siegrist (Siegrist, 2002); psychological strain was measured using the 12-item version of the General Health Questionnaire (GHQ) and a question on retirement intentions was developed. Results – The results confirm that those employees who experience high ERI and higher levels of overcommitment (OVC) experience psychological strain. Support for the three-way interaction was mixed: at low levels of OVC, higher levels of effort and increasing reward decreased strain, yet at high levels of OVC, increasing reward increased strain. This study could not confirm an association between intention to retire early and effort, reward, OVC or strain.


Author(s):  
Suad Ajab ◽  
Balázs Ádam ◽  
Muna Al Hammadi ◽  
Najwa Al Bastaki ◽  
Mohamed Al Junaibi ◽  
...  

The study aim was to understand the availability of personal protective equipment (PPE) and the levels of anxiety, depression, and burnout of healthcare workers (HCWs) in the United Arab Emirates (UAE). This study was an online-based, cross-sectional survey during July and August 2020. Participants were eligible from the entire country, and 1290 agreed to participate. The majority of HCWs were females aged 30–39 years old, working as nurses, and 80% considered PPE to be available. Twelve percent of respondents tested positive for SARS-CoV-2. Half of HCWs considered themselves physically tired (52.2%), reported musculoskeletal pain or discomfort (54.2%), and perceived moderate-to-high levels of burnout on at least one of three burnout domains (52.8%). A quarter of HCWs reported anxiety (26.3%) or depression (28.1%). HCWs reporting not having musculoskeletal pain, having performed physical activity, and higher scores of available PPE reported lower scores of anxiety, depression, and burnout. UAE HCWs experienced more access to PPE and less anxiety, depression, and burnout compared with HCWs in other countries. Study findings can be used by healthcare organizations and policymakers to ensure adequate measures are implemented to maximize the health and wellbeing of HCWs during the current COVID-19 and future pandemics.


PLoS ONE ◽  
2021 ◽  
Vol 16 (10) ◽  
pp. e0258475
Author(s):  
Konstantinos Kapetanos ◽  
Stella Mazeri ◽  
Despo Constantinou ◽  
Anna Vavlitou ◽  
Marios Karaiskakis ◽  
...  

Introduction The spread of COVID-19 into a global pandemic has negatively affected the mental health of frontline healthcare-workers. This study is a multi-centre, cross-sectional epidemiological study that uses nationwide data to assess the prevalence of stress, anxiety, depression and burnout among health care workers managing COVID-19 patients in Cyprus. The study also investigates the mechanism behind the manifestation of these pathologies, as to allow for the design of more effective protective measures. Methods Data on the mental health status of the healthcare workers were collected from healthcare professionals from all over the nation, who worked directly with Covid patients. This was done via the use of 64-item, self-administered questionnaire, which was comprised of the DASS21 questionnaire, the Maslach Burnout Inventory and a number of original questions. Multivariable logistic regression models were used to investigate factors associated with each of the mental health measures. Results The sample population was comprised of 381 healthcare professionals, out of which 72.7% were nursing staff, 12.9% were medical doctors and 14.4% belonged to other occupations. The prevalence of anxiety, stress and depression among the sample population were 28.6%, 18.11% and 15% respectively. The prevalence of burnout was 12.3%. This was in parallel with several changes in the lives of the healthcare professionals, including; working longer hours, spending time in isolation and being separated from family. Discussion This study indicates that the mental health of a significant portion of the nation’s workforce is compromised and, therefore, highlights the need for an urgent intervention particularly since many countries, including Cyprus, are suffering a second wave of the pandemic. The identified risk factors should offer guidance for employers aiming to protect their frontline healthcare workers from the negative effects of the COVID-19 pandemic.


2021 ◽  
Author(s):  
Sanne Preuter ◽  
Bastian Jaeger ◽  
Marielle Stel

Deceiving others is generally viewed as immoral. However, most people lie on a daily basis. This paper examines the psychological consequences for the liars themselves, as they are participating in what is generally perceived as immoral behavior. More specifically, this paper focuses on the effects of self-centered and other-oriented lying on the liar’s self-esteem and affect. We tested 1) if lying, in comparison to telling the truth, lowers liars’ self-esteem and positive affect and 2) if these effects are stronger for self-centered than other-oriented lying, as self-centered lying is generally seen as more immoral. In total, three cross-sectional and one longitudinal studies were conducted (N = 783). Results showed that lying decreased people’s self-esteem and increased negative affect, regardless of the type of lie. Furthermore, lying on a given day decreased people’s self-esteem compared to their self-esteem on the previous day and to their average level of self-esteem.


Author(s):  
Natasha Subhas ◽  
Nicholas Tze-Ping Pang ◽  
Wei-Cheng Chua ◽  
Assis Kamu ◽  
Chong-Mun Ho ◽  
...  

Previous pandemics have demonstrated short and long-term impacts on healthcare workers’ mental health, causing knock-on effects on patient care and professional functioning. Indeed, the present COVID-19 pandemic has created unprecedented disruption in social interactions and working conditions. Malaysia has been under the Recovery Movement Control Order since June 2020; however, with the upsurge of cases, healthcare workers face pressure not only from working in resource-deprived settings but also from the increasing patient load. The primary objective of the present study was to examine the cross-sectional relationship of COVID-19 fear and stress to psychological distress (operationalized as anxiety and depression) in healthcare workers. The present sample included 286 frontline healthcare workers from three hospitals in Selangor, Malaysia. Self-administered questionnaires containing sociodemographic and occupational items, the Malay versions of the Coronavirus Stress Measure scale, the Fear of Coronavirus-19 scale, the Generalized Anxiety Disorder-7, and the Patient Health Questionnaire-9 were distributed via online platforms. Hierarchical multiple regression findings suggest that age, shift work, and COVID-19 stress consistently predicted anxiety and depression among frontline healthcare workers after adjusting for sociodemographic and occupational variables. The present findings suggest that frontline healthcare workers are not only inoculated against COVID-19 itself but also against the psychological sequelae of the pandemic.


2020 ◽  
Author(s):  
Rafia Tasnim ◽  
Safaet Hossain Sujan ◽  
Md. Saiful Islam ◽  
Asmaul Husna Ritu ◽  
Abid Bin Siddique ◽  
...  

Background: Healthcare workers (HCWs) who are in the frontline during the COVID-19 pandemic are often under significant pressures which may predispose them to mental ill-health. This study aimed to investigate the prevalence of anxiety and depression among HCWs and factors correlated with mental problems during the COVID-19 pandemic in Bangladesh.Methods: A cross-sectional survey was conducted between July and August 2020. A self-reported online questionnaire was utilized to collect data. The survey included questions concerning socio-demographic, lifestyle, and work setting and the Hospital Anxiety and Depression Scale (HADS).Results: Data from 803 HCWs (50.7% male; mean age: 27.3 [SD=6.9]; age range: 18-58 years) were included in analyses. Prevalence estimates of anxiety and depression were, respectively, 69.5% and 39.5% for at least borderline abnormal, 41.2% and 15.7% for at least abnormal symptoms. Regression analyses with HADS-score as dependent variable revealed significant (p<0.05) associations with female sex, moderate and poor health status, irregular physical exercising, smoking, having had regrets about their profession because of the pandemic and many unexpected experiences, not updating on the latest COVID-19-related research, experiencing discrimination in the workplace, and facing social problems due to working in a lab or hospital.Conclusions: Symptoms of mental ill-health are prevalent among HCWs during the COVID-19 pandemic in Bangladesh. The findings suggest a need for monitoring and early interventions to help these individuals.


2020 ◽  
Vol 15 (2) ◽  
pp. 59-64
Author(s):  
Kartika Setyaningsih Sunardi ◽  
Evi Martha ◽  
Essi Guspaneza

Background: Indonesia's largest population group is adolescents. Adolescents have a critical period in the human life cycle and put adolescents vulnerable to the influence of sexual risky behavior. The purpose of this study was to describe the self-portrait system that causes the sexual risky behavior of adolescents in Jambi Province.Method: This was quantitative research using a cross-sectional design. As much as 661 unmarried male and female adolescents (15-24 years) in Jambi Province involved as the sample of the 2017 IDHS. Data were analyzed using univariate, bivariate, and multivariate analysis.Results: The result showed 68.1% of adolescents performed sexual risky behavior in Jambi Province. The Self-System Factors associated with sexual risky behavior of adolescents were age, knowledge, attitude, and alcohol consumption. The probability of adolescents in the age group of 20-24 years, who have low knowledge, negative attitudes, and consumed alcohol will perform sexual risky behavior of 95.78%. The result of the multivariate analysis found that the most influential variable with sexual risky behavior in adolescents was the attitude. It is suggested to the Department of Health and BKKBN to increase sexual knowledge about reproductive health and sexuality to adolescents.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Austin Matus ◽  
Gladys Thomas ◽  
Jenna Garo ◽  
Michela Luciani ◽  
Davide Ausili ◽  
...  

Introduction: Most patients with HF are living at home with care provided to them by loved ones. Informal caregiving is demanding and stressful, may exceed the caregiver’s ability to adapt, and many eventually become care recipients themselves. Engaging in self-care may improve caregivers’ health. Purpose: To describe the self-care behaviors of HF caregivers and compare self-care behaviors based on hours of daily caregiving. Methods: Using a cross-sectional design, we analyzed enrollment data from lay caregivers in the iCare4Me clinical trial testing the efficacy of a virtual support intervention promoting caregiver self-care. All caregivers were providing informal care to someone with HF for ≥ 8 hours/week. Self-care behaviors were measured with two instruments: Health Self-Care Neglect scale (9 dichotomous items summed for a final score) and the Self-Care Inventory (3 scales: Self-Care Maintenance, Monitoring, and Management with standardized scores 0-100; higher scores, better self-care). A Health Self-Care Neglect score ≥ 2 is considered poor self-care. A Self-Care inventory score < 70 is considered inadequate. Hours of caregiving were self-reported. Results: The sample (n=40) was mostly older adults (56 ± 13.2 years, female 97.5%) and many were Black (37.5%). Caregivers reported caregiving (10.8± 8.4 hours/day, range 1-24 hours/day). Differences in self-care were observed between those caregiving > 8 hours (n=18, 18.4 ± 6.6) vs. ≤ 8 hours/day (n=22, 4.6± 2.6). Mean Health Self-Care Neglect was higher in caregivers reporting ≥ 8 hours/day compared to < 8 hours (6.7 ± 2.0 vs. 4.9 ± 2.1, p=0.004). The most commonly neglected areas of self-care were “Put off recreational activities you enjoy” and “Taken medications improperly”. All Self-Care Inventory scale scores were inadequate (Maintenance 69.1 ± 17.1, Monitoring 63.7 ± 21.8, Management 58.2 ± 18.9). Those providing care for ≥ 8 hours/day reported significantly poorer Self-Care Maintenance (64.1 ± 11.7 vs. 73.9 ± 19.4, p=0.03). Conclusion: Self-care is poor in all the caregivers, but especially among those responsible for caregiving relatively more hours/day. Interventions to improve caregivers’ self-care are needed.


Author(s):  
Sameer A. Alkubati ◽  
Sultan A. M. Saghir ◽  
Khaled M. Al-Sayaghi ◽  
Abdullah Alhariri ◽  
Mahmoud Al-Areefi

Abstract Objectives Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in patients requiring mechanical ventilation in intensive care units (ICUs). VAP is associated with delayed extubation, prolonged hospital stays, increased healthcare costs and mortality rates. The aims of this study to evaluate the level of knowledge for the prevention of VAP among healthcare workers (HCWs) in ICUs and to assess their knowledge in relation to their socio-demographic characteristics. Methods A descriptive, cross-sectional design was conducted to assess HCWs’ knowledge of the guidelines for prevention of VAP in the ICUs of public and private hospitals in Hodeida city, Yemen. Around 140 self-administered multiple-choice questionnaires were distributed between April and July 2017. Results A total of 120 (85.6%) HCWs completed questionnaire were obtained (20 physicians, 20 anesthesia technicians and 80 nurses) in this study. The total mean score of the HCWs’ knowledge was low (41 ± 18). A statistically significant difference was found in the HCWs’ knowledge scores according to their specialties and gender. Anesthesia technicians had the highest knowledge score followed by physicians and nurses (52.2 ± 16.2, 45.6 ± 21.2 and 37.1 ± 16.9, respectively, p=0.002). Males had higher scores than females (Median [IQR] 4 [3–5] vs. 3 [2–4], p<0.001). Participants who received information about the prevention of VAP had better knowledge than those who did not (46.2 ± 17.7 vs. 36.8 ± 17.3, p=0.006). Conclusions HCWs had a low knowledge level of the guidelines for the prevention of VAP, which may affect their practice. HCWs’ knowledge was affected by their previous received information that increases the necessity to provide them with regular in-service education and training programs.


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