Compassion satisfaction and compassion fatigue among the nursing staff of Northern Mindanao Medical Center during the Covid-19 pandemic

Background and Objective@#The burden of caring for others comes naturally for healthcare providers particularly nurses as this is part of their altruistic nature. The right balance of caring for others and self-care is key to a healthy professional quality of life (ProQOL) which encompasses Compassion Satisfaction and prevents Burnout (BO) and Secondary Traumatic Stress (STS). With the challenge of the COVID-19 pandemic that has resulted in higher morbidity and mortality, the demands of the healthcare system on nurses are overwhelming. The objective of this study was to determine the prevalence, and the related factors of compassion satisfaction, burnout, and secondary traumatic stress among nurses in a government facility during a pandemic@*Method@#This was a cross-sectional descriptive study which utilized a validated Professional Quality of Life (ProQOL) selfadministered questionnaire measuring Compassion Satisfaction, Burnout, and Secondary Traumatic Stress (Stamm, 2010). The survey was conducted from June 1-30, 2020 among a sample size of 204 qualified and willing nurses who signed an informed consent. All data were analyzed using descriptive statistics and parametric statistical tests (T-test and ANOVA). Statistical significance was at 99% CI and p-value of 0.05.@*Results@#A total of 204 qualified and willing nurses were included in the study. Majority of the respondents belonged to the 2035 years of age bracket. Sixty-seven percent were female, married (54%); with no children (50%); finished BSN (91%); currently holding a Nurse II position (34%) with less than 5 years government service (56%) and with less than 5 years of field experience (58%). Seventy-seven percent (77%) did not have pre-existing diseases while 33% had either Hypertension, Diabetes Mellitus, Bronchial Asthma and other non-communicable diseases. Overall ProQOL mean scores ranged from average to high compassion satisfaction; low to average Burnout; and low to average Secondary Traumatic Stress. Related factors found significant at p vale 0.05 or less were areas of rotation and years in the field of practice@*Conclusion@#The study showed that the mean scores of the nurse respondents’ ProQOL encompassing Compassion Satisfaction, Burnout, and Secondary Traumatic Stress indicate a healthy ProQOL from June 1-30, 2020. Areas of rotation and years in the field of practice are statistically significant in relation to ProQOL mean scores. All other factors are not statistically significant correlates

The waiting time of non-urgent patients in the Emergency Room-Triage and Ambulatory Care in the Northern Mindanao Medical Center from May 2016 to October 2016

@#<p style="text-align: justify;"><strong>BACKGROUND:</strong> The Northern Mindanao Medical Center has set standards for quality of care as it was awarded ISO accreditation last 2015. Patient's waiting time in the Emergency Room (ER) of a tertiary hospital is a measure of effective health care delivery.</p><p style="text-align: justify;"><strong>OBJECTIVE:</strong> To determine the waiting time among non-urgent adult patients seen in the Emergency Room-Triage and Ambulatory Care of the Northern Mindanao Medical Center-Department of Family and Community Medicine (NMMC-DFCM) from May 2016 to October 2016.</p><p style="text-align: justify;"><strong>METHODOLOGY:</strong> The descriptive research design using time and motion activities of each non-urgent case at the NMMC Emergency Room was used. The following variables were included: the socio-demographic data as to the patient's age, gender, address,and occupation; as well as physician-related and administrative-related factors. Tabulation was done using Microsoft Excel. The Central Tendency (Mean) and Dispersion (SD,Range) were computed. </p><p style="text-align: justify;"><strong>RESULTS:</strong> A total of 1,290 patients were examined and who experienced average waiting time of 247.1 minutes. Patients were mostly in 18-30 age group (45%), females (52%), came from within Cagayan de Oro City (71%) and unemployed (67%). The longest waiting time (257.3 minutes) were handled by junior residents and seen in the Morning shift (263.7 minutes). Higher caseloads were noted in the Afternoon Shift (587 patients). On the other hand, the weekdays were busiest and longest waiting time (762 patients and 263.4 minutes, respectively).</p><p style="text-align: justify;"><strong>CONCLUSIONS:</strong> The demographic profile of the youngest and female population in the study and coming from Cagayan de Oro City used the ER for non-urgent conditions and majority of patients were unemployed. The mean waiting time was 247.1 minutes. Patients managed by junior residents and seen during the Morning shift revealed longest waiting time On the other hand, Weekdays were busiest overall and were noted in the Afternoon Shift; with pronounced during the Holidays.</p>