scholarly journals Personal and professional factors influencing career choice regret during the COVID-19 pandemic

2021 ◽  
Vol 10 (1) ◽  
pp. 40
Author(s):  
Mary Kathryn Gaffney
Keyword(s):  
Career Choice ◽  
Intent To Leave ◽  
Female Gender ◽  
Healthcare Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Short Answer ◽  
Professional Characteristics ◽  
Healthcare Profession ◽  
Choice Regret

Objective: Many healthcare workers (HCWs) have been subjected to additional workplace and personal stressors during the COVID-19 pandemic. Some stressors may be more likely to contribute to career choice regret and the decision to leave the healthcare profession. Loss of critical numbers of personnel could leave healthcare systems without a ready, capable workforce. The purpose of this research was to determine which personal and professional characteristics increased frequency of career choice regret.Methods: An international, cross-sectional survey was conducted to determine if specific personal and professional characteristics were associated with career choice regret and intent to leave. One short-answer item was included in the 20-item survey. The sample consisted of 874 English-speaking HCWs from 18 countries with representation of various practice settings, disciplines, ages, and years in healthcare.Results: Significant correlations between pre- and intra-pandemic frequency of thoughts about leaving the healthcare profession were observed. Ordinal regression analyses were conducted, finding significant relationships between career regret thoughts and female gender, age, and death of a family member or friend. Death of a coworker was not associated with increased thoughts of leaving the healthcare profession. Themes from the short-answer item included fatigue, anger, doubt, fulfillment, and the pandemic as a journey.Conclusions: Healthcare systems may be vulnerable to a loss of HCWs due to the effects of working during the COVID-19 pandemic. Hospital and health system executives need to understand the current threats to the stability of the workforce and develop strategies to prevent attrition of skilled, capable professionals.

scholarly journals FREQUENCY OF FUNCTIONAL DISABILITY AND COGNITIVE IMPAIRMENTS IN SUB-ACUTE STROKE PATIENTS

2021 ◽  
Vol 10 (2) ◽  
pp. 69-74
Author(s):  
Aisha Sarfaraz ◽  
Dr Abdul Azeem ◽  
Mehwish Butt ◽  
Muhammad Umar
Keyword(s):  
Acute Stroke ◽  
Functional Disability ◽  
Cognitive Impairments ◽  
Age Groups ◽  
Female Gender ◽  
Primary Objective ◽  
P Value ◽  
Stroke Patients ◽  
Cross Sectional Survey ◽  
Cross Sectional

BACKGROUND & OBJECTIVE Stroke is a very common neurological condition affects various aspects of health. The primary objective of this study was to find out the frequency of functional disability and cognitive impairments in Sub-acute Stroke patients. MATERIAL AND METHODS A cross-sectional survey was conducted on 112 Sub-acute Stroke patients in Karachi, Pakistan. Using Barthel Index (BI) and Mini-Mental State Examination (MMSE) test was used to find out the frequency of functional disability and cognitive impairments of Sub-acute Stroke patients. RESULTS The correlation of BI scores with MMSE scores for the Male gender was 0.576 whilst the correlation of BI scores with MMSE scores for the Female gender was 0.440. The severity of functional disability concerning age groups assessed P-value was 0.026 using Chi-Square Test. The severity of functional disability (BI severity) concerning gender, P-value was found 0.097 using the same test. CONCLUSION Functional Disability is directly linked with age. However, there was no linkage established between Cognitive Impairment and age as well as gender. On close inspection, there was a trend between Functional disability and gender but not statistically significant.

scholarly journals Role Models as a Factor Influencing Career Choice Among Female Surgical Residents inSaudi Arabia

2021 ◽  
Author(s):  
Rawan Harun ◽  
Reem Almustafa ◽  
Zainab AlKhalifah ◽  
Abdullah Namazi ◽  
Abdalmohsen Albaqami ◽  
...  
Keyword(s):  
Career Choice ◽  
Role Models ◽  
Role Model ◽  
Positive Influence ◽  
Medical Field ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Surgical Residents ◽  
Surgical Career ◽  
Female Surgeons

Abstract Background and purposeRole models in the medical field are professional and experienced persons whose actions unconsciously inspire juniors to strive to be like them. To our knowledge, no studies have examined whether having a female surgical role model has influenced women to pursue a surgical career in Saudi Arabia. Hence, we sought to evaluate the effect of having a female surgical role model and the presence of female surgeons on female surgical residents and their choice of surgery as a career.MethodsWe employed a cross-sectional, survey- based study design, conducted between June 2020 and January 2021, in which female surgical residents completed a questionnaire on their perceptions and influence of role models in general surgery specialty at the time they pursuit a career in surgery.ResultsA total of 51 respondents (78.5%) completed the questionnaire. The majority of them (78.4%) had a role model and (19.6%) indicated that their role model was a female. Of those who had a role model, (67.5%) agreed that they had a positive influence on their surgical career choice. Clinical and operation skills were reported as the most important factor to be considered about role models. Working directly with a male surgical consultant and female surgical residents left a positive influence but this did not reach a statistical significance.ConclusionPersonal exposure to role models can have a positive influence on female surgical residents in choosing a surgical career. provide a appropriate role models as well as formal mentorship programs are warranted, that would allow female trainees to interact with senior surgeon mentors, thereby drawing attention to the field of surgery.

scholarly journals Out-of-Pocket Spending for Cancer Medication, Financial Burden, and Cost Communication with Oncologists in the Last Six Months of Life in Israel

Healthcare ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1120
Author(s):  
Aviad Tur-Sinai ◽  
Netta Bentur ◽  
Damien Urban
Keyword(s):  
Private Health Insurance ◽  
Financial Burden ◽  
Female Gender ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Complex Interactions ◽  
The Cost ◽  
Treatment Alternatives ◽  
Financial Burden Of Cancer ◽  
Heavy Financial Burden

Honest communication between oncologists and patients is important in alleviating the financial burden of cancer care. This study explored patient–relative–oncologist communication regarding the affordability of out-of-pocket (OOP) medication and the extent to which this communication addresses itself to the families’ financial burden. A cross-sectional survey was conducted among primary caregivers of deceased cancer patients. About 43% of relatives said that they and/or the patients had paid out of pocket for medications during the last six months of the patient’s life. Most (73%) oncologists suggested an OOP medication without asking about financial ability, 43% hardly explained the advantages of an OOP medication, and 52% hardly explained any treatment alternatives. Older age and female gender were related to less communication about an OOP medication, and better education, greater affluence, and having private health insurance were related to more communication. About 56% of relatives said that OOP payment for medications inflicted a very heavy or heavy financial burden on patients and their households. Physicians’ interest in financial ability and giving explanation lightened the burden. Given the difficulty of explaining the complex interactions of cost and clinical outcomes, oncologists need to be better educated in skills that would enable them to communicate costs more openly and should consider the cost of a treatment when prescribing it.

Depression and Anxiety Plus Levels of Stress among Secondary School Students during the COVID-19 Lockdown: an Online CrossSectional Survey

2021 ◽  
Author(s):  
Gunn Pungpapong ◽  
Rasmon Kalayasiri
Keyword(s):  
Substance Use ◽  
Secondary School ◽  
Secondary School Students ◽  
Female Gender ◽  
Depression And Anxiety ◽  
Cross Sectional Survey ◽  
School Students ◽  
Cross Sectional ◽  
Increased Risk ◽  
Patient Health

Objective: To assess prevalence and factors associated with depression, anxiety and stress among adolescents experiencing lockdown during the 2019 coronavirus disease 2019 (COVID-19) in both Asian and Western countries. Material and Methods: From May-June 2020, secondary school students were enrolled in an online cross-sectional survey, through social media; including, but not limited to, Instagram, Snapchat, WhatsApp and LINE. We assessed the presence and severity of depression (Patient Health Questionnaire-9), anxiety (Generalized Anxiety Disorder Scale-7) and stress (Perceived Stress Scale-10) within the last month, and assessed significant associations with demographics, degree of social distancing, and other associated issues using univariate and multivariate logistic regression analyses.Results: From 392 respondents (56.4% male, 43.1% female), from Thailand (59.2%), the United Kingdom (26.5%) and other countries (14.3%), we identified depressive symptoms in 58.7%, anxiety in 40.3% and high levels of stress in 9.7%. By multivariate analysis, we found significant associations between being female and depression and anxiety, being in late secondary school years and depression, and changes in patterns of substance use and anxiety and stress. Participants not located in Thailand had increased risk of depression.Conclusion: Our study demonstrated depression, anxiety and stress in six, four and one out of ten adolescents, respectively, who were experiencing lockdowns due to the COVID-19 pandemic. We found female gender, older school years, and changes in substance use patterns to be significantly associated with these mental health conditions.

scholarly journals Online Learning in the Face of COVID-19 Pandemic: Assessment of Students’ Satisfaction at Chitwan Medical College of Nepal

2020 ◽  
Vol 18 (2) ◽  
pp. 40-47
Author(s):  
K. Sharma ◽  
G. Deo ◽  
S. Timalsina ◽  
A. Joshi ◽  
N. Shrestha ◽  
...  
Keyword(s):  
Online Learning ◽  
Student Satisfaction ◽  
Virus Disease ◽  
Female Gender ◽  
Weak Links ◽  
Online Classes ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Medical College ◽  
Students Satisfaction

Background Online learning can play a vital role in the process of teaching and learning during Corona Virus Disease 2019 (COVID-19) pandemic. However, learners’ satisfaction is extremely important in effective implementation of the online learning, especially at institutions where it is newly adopted. Objective To assess satisfaction towards online learning and its predictors among students at Chitwan Medical College, Bharatpur. Method A web-based cross-sectional survey was undertaken among 434 undergraduate and postgraduate students from various academic programs who had participated in the online classes started during this COVID-19 pandemic. A structured questionnaire consisting of 31 items (5-point Likert scale) covering four major student satisfaction domains (learners’ dimensions, technological characteristics, instructors’ characteristics and course management and coordination) was distributed to the students using Google Form. Result More than half (53.5%) of the students were satisfied with the online learning, while 29.7% gave neutral views. Bivariate analyses found that all four domains scores were positively correlated with each other as well as with the students’ overall satisfaction towards learning. In multivariate analysis, female gender [aOR: 2.72, p = 0.013], WiFi as internet modality for learning [aOR: 3.36, p = 0.001) and learners’ dimension score [aOR: 1.27, p<0.001] were the significant predictors of students’ satisfaction. Conclusion Although recently adopted, the satisfaction of the students towards online classes appears good, and prioritizing the identified predictors and working on the weak links could assist in enhancing students’ satisfaction and better outcomes.

scholarly journals Prevalence and Correlates of Binge Drinking among Young Adults Using Alcohol: A Cross-Sectional Survey

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Francesco Bartoli ◽  
Daniele Carretta ◽  
Cristina Crocamo ◽  
Alessandro Schivalocchi ◽  
Giulia Brambilla ◽  
...  
Keyword(s):  
Young Adults ◽  
Binge Drinking ◽  
Protective Factor ◽  
Electronic Cigarettes ◽  
Female Gender ◽  
Anglo Saxon ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Usa ◽  
Prevention Programmes

Background. Although binge drinking prevalence and correlates among young people have been extensively studied in the USA and Northern Europe, less is known for Southern Europe countries with relatively healthier drinking cultures.Objective. We aimed at analyzing prevalence and correlates of binge drinking in a representative sample of young adults in Italy.Methods. We conducted a cross-sectional survey among alcohol-consuming young adults. We carried out univariate and multivariate analyses to assess associations between recent binge drinking and candidate variables.Results. We selected 654 subjects, with 590 (mean age: 20.65 ± 1.90) meeting inclusion criteria. Prevalence for recent binge drinking was 38.0%, significantly higher for females than males. Multivariate analysis showed that high alcohol expectancies, large amount of money available during the weekend, interest for parties and discos, female gender, cannabis use, influence by peers, and electronic cigarettes smoking all were significantly associated with recent binge drinking, whereas living with parents appeared a significant protective factor.Conclusions. More than a third of young adults using alcohol are binge drinkers, and, in contrast with findings from Anglo-Saxon countries, females show higher risk as compared with males. These data suggest the increasing importance of primary and secondary prevention programmes for binge drinking.

Advice and Care for Headaches: Who Seeks it, Who Gives it?

Cephalalgia ◽  
2004 ◽  
Vol 24 (9) ◽  
pp. 740-752 ◽  
Author(s):  
E Thomas ◽  
HF Boardman ◽  
H Ogden ◽  
DS Millson ◽  
PR Croft
Keyword(s):  
Population Survey ◽  
Female Gender ◽  
Population Based ◽  
Linkage Study ◽  
Self Report ◽  
Care Seeking ◽  
Sources Of Information ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Increased Risk

Using data from a cross-sectional survey and a prospective record linkage study the aims of this study were to: (i) determine sources of advice and care for headaches in a population survey of adults, and (ii) investigate prospectively the influences of headaches on general practice consultation in a 12-month follow-up of the responders to the population survey. A population based cross-sectional survey was mailed to 4885 adults (aged ≥ 18 years) with an adjusted response rate of 56% ( n = 2662). The main outcome measures of interest were (i) self-report advice and care-seeking in the survey (ii) consultation with general practitioner for headache and for other conditions in 12-month period subsequent to the survey. Reporting a recent GP consultation for headache was associated with younger age (mean: 46 vs 48 years), female gender (68% vs 60%), and greater headache severity as measured by frequency, pain, and associated disability. The commonest sources of advice and care in the past were GPs (27%), opticians (21%), and pharmacists (8%). Consultations for headache were not common in the 12-months following the survey ( n = 144); however, those reporting a recent headache were almost 4 times more likely to consult subsequently with a headache than those not (relative risk; 95% CI: 3.7; 1.9, 7.0). Recent reporting of headache was also associated with an increased risk of consulting for mental disorders (1.7; 1.2, 2.6), diseases of the digestive (1.6; 1.1, 2.3) and respiratory system (1.4; 1.1, 1.8), and a decreased risk of consulting for circulatory diseases (0.8; 0.7, 1.0). Only a minority of headache sufferers consult their GP, regardless of severity, with opticians and pharmacists being other important sources of information. Headache appears to have an additional impact upon GP workload through increased rates of consultations for nonheadache conditions amongst headache sufferers. The interesting findings regarding rates of consultation for digestive and circulatory conditions amongst headache sufferers may be linked to the use of headache medication.

scholarly journals Osteopathy in Germany: attitudes, beliefs and handling among general practitioners – results of a nationwide cross-sectional questionnaire survey

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Gordian L. Schmid ◽  
Jeremias Kluge ◽  
Tobias Deutsch ◽  
Anne-Kathrin Geier ◽  
Markus Bleckwenn ◽  
...  
Keyword(s):  
General Practitioners ◽  
Spinal Column ◽  
Female Gender ◽  
Chronically Ill ◽  
Treatment Recommendation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Federal States ◽  
Osteopathic Treatment ◽  
Clinical Conditions

Abstract Background Osteopathy is a type of complementary medicine based on specific manual techniques. In many countries, including Germany, the profession is not officially regulated, and evidence for the effectiveness of osteopathy is insufficient for most diseases. Nevertheless, many health insurances in Germany offer reimbursement for therapy costs, if osteopathy is recommended by a physician. This cross-sectional survey of German general practitioners (GPs) explored beliefs and attitudes towards osteopathic medicine and described their daily interactions with it. Methods A random sample of 1000 GPs from all federal states was surveyed by mail using a self-designed questionnaire. We collected data on sociodemographics, personal experiences with osteopathy, and attitudes and expectations towards osteopathy. In particular, participants were asked about indications for osteopathic treatment and their beliefs about its effectiveness for different patient groups and diagnoses. A self-designed score was used to estimate general attitudes towards osteopathy and identify factors correlated with greater openness. Additionally, we performed logistic regression to reveal factors associated with the frequency of recommending osteopathy to patients. Results Response rate was 34.4%. 46.5% of participants were women, and the median age was 56.0 years. 91.3% of GPs had referred patients to an osteopath, and 88.0% had recommended osteopathy to their patients. However, 57.5% acknowledged having little or no knowledge about osteopathy. Most frequent reasons for a recommendation were spinal column disorders (46.2%), other complaints of the musculoskeletal system (18.2%) and headaches (9.8%). GPs estimated the highest benefit for chronically ill and middle-aged adults. Female gender (OR 2.09; 95%CI 1.29–3.38) and personal treatment experiences (OR 5.14; 95%CI 2.72–9.72) were independently positively associated with more frequent treatment recommendation. Conclusion GPs in Germany have frequent contact with osteopathy, and the vast majority have recommended osteopathic treatment to some extent in their practice, with foci and opinions comparable to other Western countries. The discrepancy between GPs making frequent referrals for osteopathic treatment while self-assessing to have little knowledge about it demonstrates need for intensified research on the collaboration with osteopaths and how to best integrate osteopathic treatments. Our results may help to focus future effectiveness studies on most relevant clinical conditions in general practice.

scholarly journals Burnout and Compassion Satisfaction: Survey Findings of Healthcare Employee Wellness During COVID-19 Pandemic using ProQOL

2021 ◽  
Vol 14 ◽  
pp. 121-127
Author(s):  
Meagan Dwyer ◽  
Marcus Alt ◽  
Joanna Brooks ◽  
Hannah Katz ◽  
Albert Poje
Keyword(s):  
Compassion Fatigue ◽  
Online Survey ◽  
Medical Center ◽  
Academic Medical Center ◽  
Compassion Satisfaction ◽  
Healthcare Systems ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Healthcare Employees

Introduction. Healthcare systems are being bombarded during the COVID-19 pandemic. Understanding burnout, compassion fatigue, and potential protective factors, such as compassion satisfaction, will be important in supporting the vital healthcare workforce. The goal of the current study was to understand the key factors of burnout, compassion fatigue, and compassion satisfaction among healthcare employees during the pandemic within the U.S. in April 2020. Methods. The authors conducted a single-center, cross-sectional online survey using the Professional Quality of Life (ProQOL) Questionnaire and three open-ended questions around stress and responses to stress during COVID-19 at a large Midwestern academic medical center with nearly 16,000 employees.    Results. Healthcare employees (613) representing over 25 professions or roles and 30 different departments within the health system were surveyed. Participants reported low levels of compassion fatigue and burnout, but moderate levels of compassion satisfaction. Compassion satisfaction was notably higher than prior literature. Key areas of stress outside of work included family, finances and housing, childcare and homeschooling, and personal health.  Conclusions. This was a cross-sectional survey, limiting causal analyses. Also, based on the qualitative responses, the ProQOL was somewhat insufficient in assessing the breadth of stressors, particularly outside of work, that healthcare employees faced due to the pandemic. Although compassion satisfaction was elevated during the initial phases of the pandemic, providing some possible protection against burnout, this may change as COVID-19 continues to surge. Healthcare systems are encouraged to assess and address the broad range of work and non-work-related stressors to best serve their vital workforce.

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