ABSTRACT
The COVID-19 pandemic has caused an enormous psychological impact worldwide. This study aimed to assess anxiety, depression, stress, and compensatory behaviors among Moroccan healthcare workers (HCWs) during COVID-19. This descriptive cross-sectional study was conducted using a snowball sampling strategy. This descriptive cross-sectional study was conducted using a snowball sampling strategy. Online surveys were sent to groups of HCWs working in Casablanca and Fez cities. Post-traumatic stress disorder (PTSD) was measured using the Impact of Event Scale revised (IES-R) scale, and the DASS-21 was used to measure anxiety, depression, and stress among participants. Compensatory behaviors used by HCWs to manage these symptoms were also investigated. The majority of participants (72.5%) experienced moderate to severe distress during the COVID-19 pandemic. The majority of participants (53.1%) reported symptoms of mild to extremely severe depression. Overall, nurses, female, and frontline HCWs experienced more stress, anxiety, and depression (P < .001). Leisure activities (29%), sport (19%), and drinking tea/coffee (19%) were the most common compensatory behaviors. Our findings suggest that psychological support and interventions targeting high-risk HCWs with heavy psychological distress are needed. It is of paramount importance to improve the psychological endurance and safeguard the mental and physical well-being of HCWs, who find themselves on the frontline of health and humanitarian crises, when they are needed the most.
Subject(s)
COVID-19 , Humans , Female , COVID-19/epidemiology , Cross-Sectional Studies , Depression/epidemiology , Depression/psychology , Pandemics , Morocco/epidemiology , SARS-CoV-2 , Anxiety/epidemiology , Anxiety/psychology , Health Personnel/psychology , Delivery of Health CareABSTRACT
Background: During the COVID-19 pandemic, concerns were raised about the lack of knowledge and awareness of health workers (HW) in hampering the implementation of COVID-19 preventive strategies in hospitals. Objective: This cross-sectional study aims to explore the knowledge, attitudes, and practices (KAP) of the health workers related to COVID-19 in Moroccan hospitals and health facilities. Materials and methods: We administered an adapted questionnaire to 242 HW working in Azemmour and El Jadida hospital (two sites) and in 41 health centers in El Jadida province. We carried out a bivariate analysis and used contingency tables and logistic regression models to identify factors associated with different KAP levels. Results: We found that 90.1%, 8.3% and 60.3% of HW had respectively high levels of knowledge, risk perception attitudes and preventive practices towards COVID-19. High level of knowledge was associated with gender (OR: 0.267; 95% CI: 0.113-0.634; p=0.002), and professional profile (p<0.001). Levels of attitudes were associated with gender (OR: 17.143; 95% CI: 5.450-53.932; p<0.001) whereas levels of preventive practices were associated with position of the HW in COVID-19 (frontline or not frontline) (OR: 0.404; 95% CI: 0.236-0.691; p=0.001) and the overworked status of the HW (OR: 0.421; 95% CI: 0.242-0.730; p=0.002). Conclusion: Professionals' knowledge and practice levels were higher than their COVID-19 risk perception attitudes. Therefore, efforts should be made to improve the attitudes of health professionals.
Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Cross-Sectional Studies , Health Knowledge, Attitudes, Practice , Morocco , Pandemics/prevention & control , Health Personnel , Surveys and QuestionnairesABSTRACT
Résumé Contexte. - Pendant la pandémie de Covid-19, dans les pays à revenu faible ou intermédiaire, la résilience des hôpitaux a joué un rôle essentiel pour apporter une réponse adéquate à la pandémie. En Afrique du Nord et au Moyen-Orient, peu d'attention a été accordée aux stratégies de résilience des hôpitaux. Objectif. - Explorer les stratégies de résilience organisationnelle hospitalière dans un hôpital marocain. Méthode . - Étude de cas unique à méthodes mixtes. Dix entretiens ont été réalisés avec des gestionnaires et des professionnels de santé de première ligne. Le concept de résilience hospitalière a été évalué à l'aide d'un questionnaire remis à 50 gestionnaires et professionnels de première ligne. Résultat. - Les stratégies de résilience des hôpitaux consistaient à développer des plans de préparation aux crises, engager des professionnels, organiser rapidement les soins. Les défis étaient : la pénurie de médicaments et de ressources humaines, le manque d'équipement de protection individuelle, la capacité en lits insuffisante ainsi que l'impact émotionnel et psychologique du surmenage sur les professionnels. Niveau de preuve: 5 Background. - During the Covid-19 pandemic, in low- and middle-income countries, hospital resilience was critical to the success of the pandemic response. In North Africa and Middle East region, little attention was paid to hospital resilience strategies. Objective. – To explore hospital organizational resilience strategies in a Moroccan hospital. Method. - Single case study with mixed methods. Ten interviews were conducted with managers and frontline healthcare workers. The concept of hospital resilience was assessed using a questionnaire given to 50 managers and frontline health workers. Result. - Hospital resilience strategies included developing crisis preparedness plans, hiring professionals, and organizing care quickly. The challenges were: shortage of medication and human resources, lack of personal protective equipment, insufficient bed capacity and emotional and psychological impact of overwork on frontline professionals. Level of evidence: 5
ABSTRACT
Contexte. - Pendant la pandémie de Covid-19, dans les pays à revenu faible ou intermédiaire, la résilience des hôpitaux a joué un rôle essentiel pour apporter une réponse adéquate à la pandémie. En Afrique du Nord et au Moyen-Orient, peu d'attention a été accordée aux stratégies de résilience des hôpitaux. Objectif. - Explorer les stratégies de résilience organisationnelle hospitalière dans un hôpital marocain. Méthode . - Étude de cas unique à méthodes mixtes. Dix entretiens ont été réalisés avec des gestionnaires et des professionnels de santé de première ligne. Le concept de résilience hospitalière a été évalué à l'aide d'un questionnaire remis à 50 gestionnaires et professionnels de première ligne. Résultat. - Les stratégies de résilience des hôpitaux consistaient à développer des plans de préparation aux crises, engager des professionnels, organiser rapidement les soins. Les défis étaient : la pénurie de médicaments et de ressources humaines, le manque d'équipement de protection individuelle, la capacité en lits insuffisante ainsi que l'impact émotionnel et psychologique du surmenage sur les professionnels. Niveau de preuve: 5