ABSTRACT
BACKGROUND: Doctors at primary health care are prone to have work stress and it can affect their performance. Employee engagement may have close relationship with the doctor's performance during the COVID-19 pandemic. AIM: This study aims to determine the relationship between work stress and the doctor's performance at primary health care using employee engagement mediation and COVID-19 pandemic moderation. METHOD(S): This research is a descriptive study using a quantitative approach which was conducted on 354 doctors at Malang primary health care. The questionnaire was analyzed using partial least square. RESULT(S): The work stress had a significant positive effect on the doctor's performances (beta = 0.257, t-stat = 3.324). Work stress has a significant positive effect on employee engagement (beta = 0.726, t-stat = 22,967). Employee engagement does not significantly affect the doctor's performance (beta = 0.044, t-stat 0.105). Employee engagement does not mediate the work stress effect on doctor's performance (beta = 0.032, t-stat = 0.105). The COVID-19 pandemic did not moderate the work stress effect on doctors' performance (beta = -0.222, t-stat = 0.981). CONCLUSION(S): Primary health care leaders still need to pay attention to factors that can reduce the doctor's performance and employee engagement, include factors that can increase the work stress during the COVID-19 Pandemic.Copyright © 2023 Fida Rahmayanti, Noermijati Noermijati, Armanu Armanu, Fatchur Rohman.
ABSTRACT
BACKGROUND: The COVID-19 pandemic greatly affected doctors' increasing workload, especially in Primary Health Care Facilities. If this is not addressed immediately, it will affect the performance or quality of a doctor's service. AIM: This research objective is to identify the role of Primary Healthcare Facility doctors' workload in moderating the impact of the COVID-19 Pandemic on their performance. METHOD(S): The explanatory-descriptive research was conducted using a quantitative approach. The research respondents were 103 general practitioners who worked at a Primary Healthcare Facility in Malang City (35.0% male and 65.0% female, the most extensive age range was 26-35 years (74.8%), with a working period of 1-5 years. 57 (55.3%) The research instrument was a questionnaire declared valid and reliable, distributed online, and analyzed using Partial Least Square. RESULT(S): The findings demonstrated that the COVID-19 pandemic significantly positively affected the performance of Primary Healthcare Facility doctors (beta = 0.455, t stat = 11.390). The pandemic also significantly impacted workload (beta = 0.283, t stat = 4.347). Workload impacted performance significantly and positively (beta = 0.224, t stat 4.157). Workload mediates the COVID-19 Pandemic influence on doctors' performance (beta = 0.063, t stat = 3.005). CONCLUSION(S): Doctors at Primary Health Care have not all experienced a decline in performance despite the increased workload due to the COVID-19 Pandemic. It forces doctors to juggle between completing their tasks, fighting against disease, and improving their performance.Copyright © 2023.
ABSTRACT
Vaccine is important to defend human against SARS-CoV-2, the coronavirus that cause COVID-19. Recently, several cases of allergic reaction after injection of the mRNA COVID-19 Vaccine had been reported, which has resulted a recommendation to prohibit any individual with a record of a serious or type 1 hypersensitivity reaction to certain of the vaccine constituents. To report the treatment and pathogenesis of injection-induced trigeminal neuralgia and cervical radiculopathy of 25 years old female patient after Covid-19 vaccine. The patient reported pain less than 24 hours on left shoulder, mandibular and periauricular after received an intramuscular Covid- 19 vaccine. She was diagnosed with injection-induced trigeminal neuralgia and cervical radiculopathy. Previous clinical diagnosis was adverse vaccine reactions and neuromuscular injuries. Radiograph examination revealed dextroscoliosis. Acetaminophen was given for 4 days and the complaint was diminished on the fifth day. This case emphasizes the importance of taking thorough history especially patient with scoliosis before receiving intramuscular vaccines injection © 2022, Journal of International Dental and Medical Research.All Rights Reserved.