Association between COVID-19 post-infection and work capacity among healthcare workers in the National Referral Hospital in Indonesia

Background@#Patients who had severe COVID-19 infection were thought to be one of the factors affecting the suitability of work capacity. Functional capacity can be measured by 6-minute walking test (6MWT). Some particular jobs have a minimum functional capacity to be met. @*Objectives@#The aim of this research is to determine the relationship between severity of COVID-19 infection and work capacity among post-infected healthcare workers in the National Referral Hospital. @*Methods@#A cross-sectional study among healthcare workers who had COVID-19 infection from June to July 2021, and had undergone functional capacity examination from September to November 2021 was conducted. Data processing was carried out by collecting data from medical records of infected healthcare workers. Bivariate analysis statistic test was done to determine the association between degree of severity and work capacity. Determination of the suitability of work capacity was done by comparing the results of the functional capacity examination with the minimum estimated matabolic equivalents (METs) needs of workers. @*Results@#A total of 102 employees data from ages 25 to 58 years were collected. The result showed that 81 employees had unsuitable work capacity with most of them coming from the mild infected group (83.3%). Conclusion. There is no significant relationship (p>0.05) between age, gender, BMI, sequelae, comorbidities, and degree of severity of COVID-19 infection and work capacity among healthcare workers. Even though there is no signficant relationship between severity of COVID-19 and work capacity, this research shows there are more than 50% post-infected healthcare workers who have unsuitable work capacity.

Correlation between tryptophan daily intake and occupational factors with stress outcome scores among offshore and onshore workers

INTRODUCTION@#Offshore and onshore workers have a higher risk of psychological stress related to their job. Stress reactions vary depending on the type of stressor, the duration or severity of the stressor, their genetics, their coping styles, and their nutrition. Tryptophan is an essential amino acid precursor of serotonin and melatonin, which have an antidepressant effect and roles in stress perception and management. This study assessed the correlation of daily tryptophan intake and occupational factors with stress outcome scores based on the Indonesian Short Version New Brief Job Stress Questionnaire (SV-NBJSQ) among offshore and onshore workers.@*METHODS@#A cross-sectional study was conducted on 14 offshore workers and 20 onshore workers. Interviews and questionnaires were conducted to obtain demographic data, dietary intake, occupational factors, and stress outcome scores. Tryptophan daily intake was measured through a single 24-hour dietary recall and a one-day-weighted food record. Data of average daily intake for two days were analyzed using the NutriSurvey software based on the food composition table from The United States Department of Agriculture National Nutrient Database for calculating tryptophan intake.@*RESULTS@#The median (min-max) tryptophan daily intake of offshore workers was 5.5 (1.9–9.9) mg/kg, and 4.5 (1.4–7.5) mg/kg among onshore workers. There was no difference in tryptophan daily intake between offshore and onshore workers (p = 0.064). There was no significant difference between occupational factors except for the shorter tenure of offshore workers (12.5 vs 3, p < 0.001). There was no significant correlation between tryptophan daily intake and each of the stress outcome scores. There was a significant correlation between occupational factors and stress outcome scores among offshore and onshore workers, specifically between workload and fatigue (r = 0.35, p =0.04), workload and depression (r = 0.4, p = 0.02), interpersonal conflict and anxiety (r = 0.47, p = 0.005), role conflict and anxiety (r = 0.47, p = 0.005), as well as between tenure and physical reaction stress (r = -0.42, p = 0.02).@*CONCLUSION@#Adequate tryptophan daily intake and high stress outcome scores among offshore and onshore oil and gas workers are observed in this study, and no correlation was found between the two. Similar food sources, homogeneous occupational stressors, the selection bias of the “healthy worker effect” or other factors that were not studied may influence the findings. There is a correlation between occupational factors and stress outcome scores, namely workload and fatigue, workload and depression, interpersonal conflict and anxiety, role conflict and anxiety, and tenure and stress physical reactions.

Assessing webinar outcomes for health professionals: a perspective from Indonesia during coronavirus disease 2019 pandemic / 한국의학교육

Purpose@#With the ongoing coronavirus disease 2019 (COVID-19) pandemic, health institutions and hospitals are increasingly relying on e-learning for continuing education. However, in many countries there is still limited data on the effectiveness of online learning particularly in the healthcare field. This study aims to evaluate whether webinar as a form of online educational intervention is satisfactory and effective for the continuing education of health professionals in Indonesia. @*Methods@#We collected participants’ demographic information including health profession, place of work, work unit, and year of graduation. There were six independent webinars included in this study. Webinar outcomes included satisfaction and learning scores. Regarding satisfaction, participants were told to complete a satisfaction survey and asked whether they would recommend the webinar to their colleagues. Regarding learning, information on their mean pre-test and post-test scores was collected. @*Results@#A total of 3,607 health professionals were enrolled, with the highest participation in webinars about emergency cases and COVID-19 management. The response towards satisfaction was overwhelmingly positive. In all six webinars, post-test scores were statistically significantly higher than pre-test scores. Recently graduated physicians scored higher in learning than senior physicians, while place of work and work unit did not significantly affect the scores. @*Conclusion@#The use of webinar for health professionals training in Indonesia was well-received amid the ongoing pandemic. In the future, health institutions and teaching hospitals should optimize the implementation of webinar training as it is associated with low cost, high flexibility, and less time commuting.

Assessing webinar outcomes for health professionals: a perspective from Indonesia during coronavirus disease 2019 pandemic / 한국의학교육

Purpose@#With the ongoing coronavirus disease 2019 (COVID-19) pandemic, health institutions and hospitals are increasingly relying on e-learning for continuing education. However, in many countries there is still limited data on the effectiveness of online learning particularly in the healthcare field. This study aims to evaluate whether webinar as a form of online educational intervention is satisfactory and effective for the continuing education of health professionals in Indonesia. @*Methods@#We collected participants’ demographic information including health profession, place of work, work unit, and year of graduation. There were six independent webinars included in this study. Webinar outcomes included satisfaction and learning scores. Regarding satisfaction, participants were told to complete a satisfaction survey and asked whether they would recommend the webinar to their colleagues. Regarding learning, information on their mean pre-test and post-test scores was collected. @*Results@#A total of 3,607 health professionals were enrolled, with the highest participation in webinars about emergency cases and COVID-19 management. The response towards satisfaction was overwhelmingly positive. In all six webinars, post-test scores were statistically significantly higher than pre-test scores. Recently graduated physicians scored higher in learning than senior physicians, while place of work and work unit did not significantly affect the scores. @*Conclusion@#The use of webinar for health professionals training in Indonesia was well-received amid the ongoing pandemic. In the future, health institutions and teaching hospitals should optimize the implementation of webinar training as it is associated with low cost, high flexibility, and less time commuting.

Evaluating knowledge retention and perceived benefits of medical webinar for professional development among Indonesian physicians / 한국의학교육

Purpose@#To assess knowledge retention of physicians after participating in a webinar series and its perceived benefits on daily practice and career development. @*Methods@#The webinar series comprised six separate webinars about daily practice. Online questionnaires were sent to all participating physicians via email 3 months after the webinars. The questionnaire assessed knowledge retention through the difference between initial and follow-up post-test as well as the webinar series’ benefits on daily practice and career development. Participants’ demographic information, including their age, gender, education, year of graduation, and work details, were collected to compare outcomes between demographic groups. @*Results@#A total of 689 responses were gathered, and 622 were analyzed. At follow-up, the median knowledge score was significantly lower than the initial median knowledge score (Z=-6.973, p<0.001). Participants’ perception of the webinar series’ benefits on daily practice and career development was very positive. A significant weak negative correlation was found between age and knowledge score at follow-up (rs=-0.157, p<0.001). Physicians who graduated more recently and worked for less than 3 years scored significantly higher on knowledge tests at follow-up. Meanwhile, perception score towards webinar series’ benefits on daily practice was significantly higher among physicians with more extended work history. Male physicians scored significantly higher on perception score towards webinar series’ benefits on career development. @*Conclusion@#Online continuing medical education programs like webinars can encourage physicians to maintain their competence, but further research on improving knowledge retention over time is necessary. Overall, physicians perceived webinars to be beneficial for their professional development.