Effect of COVID-19 pandemic on sleep quality of frontline healthcare workers

Background: The 2019 coronavirus disease (COVID-19) outbreak, which was brought on by the SARS-CoV-2 novel coronavirus, has had a significant negative influence on our environment and exposed health-care personnel to a new level of risk. Very few studies have addressed the disturbances in the sleep quality of healthcare workers during COVID-19 pandemic. Aim and Objectives: The primary objective of the study was to examine the sleep quality of frontline healthcare workers during COVID-19 pandemic in a tertiary care center in northern Kerala. Material(s) and Method(s): Healthcare workers belonging to a tertiary care center were invited to participate in the study. An online questionnaire including sociodemographics, Pittsburgh sleep quality index, and Insomnia severity index was used to evaluate sleep disturbances in healthcare workers. Univariate and bivariate analysis of the results were done to identify the predictors of poor sleep quality. Result(s): A total of 250 frontline healthcare workers were enrolled in the study, out of which 243 participants provided usable responses. About 27.6% of health workers showed features of poor sleep quality. The prevalence rate of poor sleep quality was highest among nurses, 55.2% followed by doctors and ambulance drivers, 22.4% and 11.9%, respectively. About 17.7% of the study population had subthreshold insomnia and 1.2% had clinical insomnia of moderate intensity. Conclusion(s): The prevalence of poor sleep quality is high among healthcare workers confronting COVID pandemic. This study emphasizes the need to implement specific protective measures for maintaining the sleep quality and decreasing stress among frontline health care workers during pandemics.Copyright © 2023, Mr Bhawani Singh. All rights reserved.

An exploration of female healthcare workers' experiences during the COVID-19 pandemic in Bindura, Zimbabwe

This study explores the experiences and coping strategies of female frontline healthcare workers (HCWs) fighting the COVID-19 pandemic in resource-constrained settings. Female frontline HCWs face an elevated risk of contracting the COVID-19 infection and infecting their loved ones because when they return from work. The study adopted a qualitative approach to explore the experiences of female frontline HCWs working in high-volume departments at Bindura provincial hospital in Zimbabwe. Using purposive sampling, 15 participants were recruited. HCWs were asked to share their views and perspectives on COVID-19 and their work environment. The study focused on HCWs' experiences of stigma and discrimination once infected;access to treatment;understanding of transmission;and life experiences of living with COVID-19. The findings suggest that female HCWs working in high-volume departments experience a higher risk of exposure to infection, barriers to assessing personal protective equipment (PPE) and stigma, which impact their mental health. However, despite the complex interrelated challenges female frontline HCWs face in Zimbabwe, there are limited interventions to ameliorate this burden, a knowledge gap this research aims to illuminate.

Post-COVID Quality of Life and Sleep Among Younger Healthcare Workers of Designated COVID Care Centers: A Cross-Sectional Study.

Introduction Frontline healthcare workers (FLHCWs) have been persuaded to work this coronavirus disease (COVID) pandemic way in and out but the pandemic has not subsided. The persistence of symptoms after COVID infection, especially chest symptoms like early fatigue with breathlessness, has been documented very well. However, FLHCWs have repeatedly caught the COVID infection and have been working in traumatic and helpless situations since the pandemic started. Post-COVID infection, quality of life (QOL) and sleep are greatly affected, regardless of the time elapsed since discharge or recovery. The continuous assessment of COVID-infected persons for post-COVID sequelae is an important and effective step to reduce complications. Materials and methods This was a cross-sectional study conducted for a period of one year at R.L. Jalappa Hospital and Research Center, Kolar, and SNR District Hospital, Kolar, which were designated COVID care centers. FLHCWs working in these centers who had contracted COVID infection at least once, who were more than 18 years and less than 30 years, and who had experience of less than five years irrespective of their vaccination status were included in the study. FLHCWs with COVID-related health illnesses, which needed ICU admission and prolonged hospital admission, were excluded. To assess QOL, the WHO Quality of Life Brief Version (WHOQOL-BREF) questionnaire was used. To assess sleepiness, the Epworth daytime sleepiness scale was used. The study was started after the institutional ethical committee's clearance was obtained. Results A total of 201 healthcare workers (HCWs) completed the survey. Of the participants, 119 (59.2%) were male, 107 (53.2%) were junior residents, 134 (66.7%) were unmarried, and 171 (85.1%) said they followed regular shifts. Male HCWs had higher scores in the psychological, social relationship, and environmental domains of QoL. Consultants had higher scores in all domains of QoL. Married HCWs had higher scores in the physical, psychological, and social relationship domains of QoL. Out of 201 FLHCWs, 67 (33.3%) had moderate excessive daytime sleep, and 25 (12.4%) had severe excessive daytime sleep. Few factors like gender, occupation, duration of work in the hospital, and regular shifts were statistically significant factors associated with daytime sleepiness. Conclusion The present study has shown that even after the COVID vaccination doses received by the HCWs, sleep and Qol have still been impaired among infected younger healthcare staff. Acceptable and righteous efforts must be made by the institutions for proper policymaking to manage such infectious outbreaks in the future.

Inequities in the mental health impacts on frontline responders and essential workers

Much of the research on the mental health impacts of the COVID-19 response have been focused on frontline healthcare workers (FHCW). However, other essential workers (OEW) have also faced many mental health challenges due to exposures associated with their employment status, which may be compounded by higher levels of social vulnerability. This chapter describes disparities among FHCW, OEW, and the general public regarding mental health outcomes associated with the pandemic. In addition, it considers the role that structural racism (e.g., historical redlining of neighborhoods and biased lending practices) plays in the higher vulnerability of OEW to the mental health impacts of the COVID-19 pandemic response. Mental health inequities overall, and among essential workers, must be addressed as part of the recovery from COVID-19 to build resilience to future public health emergencies. The model used by New York City to more equitably distribute mental health resources and support services is shared. © 2023 The authors.

Burnout, depression and associated risk factors among frontline healthcare workers in Bahrain during COVID-19

Background: Caring for patients during the COVID-19 pandemic has put frontline healthcare workers in Bahrain at risk of burnout and depression. Aims: To determine the prevalence of burnout, depression, and associated risk factors among frontline healthcare workers in Bahrain during the pandemic. Methods: A cross-sectional study was conducted from August 2020 to April 2021. The Maslach Burnout Inventory (MBI-HSS) and the Patient Health Questionnaire (PHQ-9) were administered online to 431 healthcare workers in COVID-19 treatment and quarantine facilities. Results: Almost all participants reported some degree of burnout across all three subscales: emotional exhaustion (98.8%), depersonalization (94%) and lack of personal achievement (47.9%). Moderate to severe levels of burnout were observed across the domains of emotional exhaustion (47.2%) and depersonalization (39.5%). Over half of the participants reported depressive symptoms (56.8%) and a quarter recorded moderate to severe levels of depression (20.6%). Statistically significant correlations were observed between burnout and depression. Conclusion: Frontline healthcare workers in Bahrain reported moderate to severe levels of burnout and depression during the COVID-19 pandemic. Single female doctors aged 25 to 34 years, who worked with COVID-19 patients, were more likely to report burnout. Age, nationality, profession, and work experience were the most significant determinants of burnout. Those who reported burnout also reported feeling depressed. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

"Why Am I Even Here If I Can't Save the Patients?": The Frontline Healthcare Workers' Experience of Burnout during COVID-19 Pandemic in Mthatha, South Africa.

INTRODUCTION: Globally, the high prevalence of burnout in healthcare workers (HCWs) is of the utmost concern. Burnout is a state of emotional exhaustion, depersonalization and a decreased sense of personal accomplishment. While the 2019 Coronavirus (COVID-19) exacerbated the burnout prevalence among HCWs, limited studies have explored this phenomenon using qualitative methodologies in the Eastern Cape Province and South Africa generally. This study explored how frontline healthcare workers experienced burnout during the COVID-19 pandemic in Mthatha Regional Hospital. METHODS: Ten face-to-face in-depth interviews were conducted with non-specialized medical doctors and nurses who directly cared for COVID-19-infected patients during the pandemic in Mthatha Regional Hospital (MRH). In-depth interviews were digitally recorded and transcribed verbatim. Data were managed through NVIVO 12 software before being thematically analyzed using Colaizzi's analysis method. RESULTS: Four main themes emerged from the analysis. These themes were burnout manifestation (emotional strain, detachment and irritability, uncertainty-induced fear, and anxiety, physical exhaustion, yet, low job accomplishment, dread and professional responsibility), precursors of burnout (occupational exposure to high mortality, staff shortages, elongated high patient volume and workload, disease uncertainties and consistent feeling of grief), alleviating factors of burnout (time off work, psychologist intervention, periods of low infection rate and additional staff), and the last theme was every cloud has a silver lining (improved infection prevention and control (IPC) measures, learning to be more empathetic, the passion remains and confidence grows). CONCLUSION: The COVID-19 pandemic brought about a rapid change in the work environment of healthcare workers who are the backbone of efficient healthcare services, thereby rendering them vulnerable to increased burnout risks. This study provides strategic information for policymakers and managers on developing and strengthening welfare policies to promote and protect frontline health workers' well-being and work functioning.

Harnessing distress to boost growth in frontline healthcare workers during COVID-19 pandemic: The protective role of resilience, emotion regulation and social support

This study examines the relationship between posttraumatic stress and posttraumatic growth, while assessing the moderating role of resilience, emotion regulation and social support. The authors expected that high-level distress would be associated with posttraumatic growth in healthcare workers with high resilience, high emotion regulation skills and high social support. To test this hypothesis, between 15 and 30 May, 2020, they collected data from healthcare workers (HCWs) working in worst-hit regions of central-northern Italy using an online questionnaire spread through a snowball sampling procedure. To investigate the relationship between PTSD and PTG under the influence of resilience, emotion regulation and social support, the authors performed a series of moderation analysis with 10 000 accelerated bootstrap sampling and bias-corrected confidence intervals, controlling for gender. The moderating role of resilience was significant as indicated by the model and the PTSD by resilience interaction. The same analysis performed with emotion regulation yielded a significant model for cognitive reappraisal as confirmed by the PTSD by cognitive reappraisal interaction. Finally, the moderating role of social support was significant as indicated by the interaction with PTSD. The current findings bridge the currently dichotomous narrative on HCW psychological wellbeing by showing that pandemic-related distress and growth are connected in a complex relationship that depends on intra and inter-personal factors. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Listening and learning from the COVID-19 frontline in one US healthcare system

Purpose: The on-going COVID-19 pandemic has drastically impacted healthcare systems worldwide. Understanding the perspectives and insights of frontline healthcare workers caring for and interacting with patients with COVID-19 represents a timely, topical, and important area of research. The purpose of this qualitative action research study was to assist one US healthcare system that has an expansive footprint with the implementation of a needs assessment among its frontline healthcare workers. The leadership within this healthcare system wanted to obtain a deeper understanding of how the COVID-19 pandemic was impacting the personal and professional lives of its workers. Further, the organisation wanted to solicit employees' feedback about what they needed, understand the issues they were facing, and solicit their ideas to help the organisation know where to take action. Design/methodology/approach: This qualitative research employed 45 focus groups, referred to as virtual listening calls (LCs) in this organisation, which were held over a four-week period. A total of 241 nursing staff, representing healthcare facilities across the country, attended 26 of the LCs. A total of 19 LCs were held with 116 healthcare workers who are employed in other clinical roles (e.g. therapists) or administrative functions. Findings: Extending beyond the available research at the time, this study was initiated from within a US healthcare system and informed by the frontline healthcare employees who participated in the LCs, the findings of this study include the perspectives of both nursing and other healthcare workers, the latter of which have not received considerable attention. The findings underscore that the COVID-19 pandemic has wreaked havoc on the personal and professional lives of all of these healthcare workers and has exacted an emotional toll as noted in other studies. However, this study also highlights the importance of listening to employees' concerns, but more importantly, their recommendations for improving their experiences. Notably, the organisation is in the midst of making changes to address these frontline workers' needs. Originality/value: The study, inclusive of nursing and other healthcare staff, demonstrates how an organisation can adapt to a crisis by listening and learning from its frontline employees. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

A study on the relationship between sociodemographic characteristics and job stress and satisfaction among healthcare workers in Turkey during the COVID-19 pandemic.

The aim of this study was to determine the sociodemographic characteristics that affect job stress and job satisfaction in 454 healthcare workers (physicians, nurses, midwives, technicians, and other healthcare personnel) working with COVID-19 patients in primary healthcare institutions in Turkey with a cross-sectional, web-based survey between 9 and 30 August 2021. The survey included a personal information form, a standard job stress scale, and the Minnesota Satisfaction Questionnaire. The levels of job stress and job satisfaction did not differ between male and female respondents. Singles reported lower job stress and higher job satisfaction than the married respondents. Job stress did not differ between departments, but respondents on the front line who worked in a COVID-19 intensive care unit (ICU) (at any point and/or at the time of the study) or the emergency department reported lower job satisfaction than those working in other departments. Similarly, while stress did not differ by educational status, satisfaction of respondents with bachelor's or master's degree was lower than that of the rest. Our findings also suggest that working in a COVID-19 ICU and age are significant predictors of higher stress, whereas lower education, working in a COVID-19 ICU, and being married are good predictors of lower satisfaction. Further research should include other sociodemographic variables that may affect stress and satisfaction at work, and similar studies should follow up to see what was left in the wake of the pandemic.

Urip iku urup (life is lit) by service to others: a qualitative study of frontline healthcare workers' lived experiences providing patient care in Indonesia's COVID-19-designated hospital.

BACKGROUND: While COVID-19 affects every walk of human life, it especially implicates healthcare workers at the forefront of the pandemic due to their vulnerable involvement in providing first-line treatment. This study presents the lived experiences of frontline healthcare workers serving in Indonesia's COVID-19-designated hospital, one of the severely afflicted healthcare settings wherein resource challenges, public health crisis, and political constraints intersect as policy conundrums. METHODS: Using a qualitative exploratory-descriptive approach, this study drew on thirteen in-depth, semi-structured interviews with frontline healthcare workers who have experiences providing first-line COVID-19 patient care in the COVID-19 hospital. The data analysis commenced with the verbatim transcription of the interview data, which was then subjected to a systematic thematic analysis employing hermeneutic phenomenological principles. RESULTS: The exploration of the participants' accounts reveals eight interconnected themes: facing resource scarcity and resignation; experiencing service-induced burnout due to occupational workload; encountering fears of being infected and infecting others; engaging in positivity through social connectedness; having dilemmas over healthcare rationing; developing negative emotions during patient interactions; coping through spirituality and religiosity; and embodying a life of service. CONCLUSION: Managing healthcare in resource-limited, crisis settings presents multifaceted challenges that exceed mere structural modifications, requiring prioritized public health investment to ensure optimal patient care. Therefore, healthcare policy development and implementation should equally emphasize the well-being of frontline healthcare workers to foster sustainable healthcare delivery and achieve improved patient outcomes.

Effects of COVID-19 pandemic on mental health among frontline healthcare workers: A systematic review and meta-analysis.

Background: As some countries announced to remove Coronavirus Disease 2019 (COVID-19) border, it indicates that the COVID-19 may have entered its terminal stage. In this COVID-19 pandemic, the mental health of frontline healthcare workers (HCWs) experienced unprecedented challenges. However, the impact of the COVID-19 pandemic on mental health among frontline HCWs lacks a high-quality and long-term systematic review and meta-analysis. Methods: We conducted a systematic review and meta-analysis according to PRISMA guidelines. The system searches EMBASE, MEDLINE, PsycINFO, Cochrane Library, ScienceNet, and ERIC. Analyze the mental health problems of frontline HCWs in different regions and periods, including insomnia, stress, anxiety and depression. This study was registered in PROSPERO under the number CRD42021253821. Results: A total of 19 studies on the effects of COVID-19 pandemic on mental health among frontline HCWs were included in this study. The overall prevalence of insomnia was 42.9% (95% CI, 33.9-51.9%, I 2 = 99.0%) extracted from data from 14 cross-sectional studies (n = 10 127), 1 cohort study (n = 4,804), and 1 randomized controlled trial (RCT; n = 482) in 10 countries. The overall prevalence of stress was 53.0% (95% CI, 41.1-64.9%, I 2 = 78.3%) extracted from data from nine cross-sectional studies (n = 5,494) and 1 RCT study (n = 482) from eight countries. The overall prevalence of anxiety and depression was 43.0% (95% CI, 33.8-52.3%, I 2 = 99.0%) and 44.6% (95% CI, 36.1-53.1%, I 2 = 99.0%) extracted from data from 17 cross-sectional studies (n = 11,727), one cohort study (n = 4,804), and one RCT study (n = 482) from 12 countries. The prevalence of stress and depression was higher in 2020, while the prevalence of insomnia and anxiety was higher in 2021. The prevalence of mental health problems among physicians was higher than that of other frontline HCWs. The prevalence of mental health problems among frontline HCWs is higher in South America and lower in North America. Conclusions: This systematic review and meta-analysis showed that the COVID-19 pandemic have significant effects on mental health among frontline HCWs. The overall prevalence of insomnia, stress, anxiety and depression among frontline HCWs is high. Therefore, the health policy-makers should pay attention to and respond to the mental health problems of frontline HCWs in the context of public health emergencies. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/.

Relationship between social support, anxiety, and depression among frontline healthcare workers in China during COVID-19 pandemic.

Background: Social support is an important factor affecting individual mental health. However, the relationship between social support and mental health in frontline healthcare workers (FHW) during the coronavirus disease 2019 (COVID-19) pandemic has garnered less attention. In this study, we aimed to investigate the level of social support and the prevalence of depression and anxiety in FHW during the COVID-19 pandemic and determine the factors affecting the relationship between social support, depression, and anxiety. Methods: A cross-sectional study using an online survey was conducted to collect data from FHW between 15 February and 31 March 2020 in China. The data included demographic factors, Self-rated Depression Scale (SDS), Self-rated Anxiety Scale (SAS), and Social Support Rate Scale (SSRS). Spearman correlation test was performed to determine the correlation among SAS, SDS, and SSRS scores. Multiple linear regression analysis was performed to determine the relationship among demographic factors, social support, depression, and anxiety in FHW. Results: Of all 201 participants, 44 (21.9%) had depressive symptoms and 32 (15.9%) had anxiety symptoms. The average total SSRS scores among FHW were lower than that of the norms of the Chinese general population (37.17 ± 7.54 versus 44.38 ± 8.38, P < 0.001). Marital status positively affected the SSRS score (ß = 7.395, P < 0.01). Age over 40 years old negatively affected the SSRS score (ß = -5.349, P = 0.017). The total SSRS score, subjective social support score, objective social support score, and support utilization score among FHW negatively correlated with the SAS score and SDS score (P < 0.05). A lower support utilization score was significantly associated with high anxiety and depressive symptoms (ß = -0.869, P = 0.024; ß = -1.088, P = 0.035, respectively). Conclusion: During the COVID-19 pandemic, FHW experienced depression, anxiety, and inadequate social support. The marital status and age had a major impact on social support. Social support was inversely associated with depression and anxiety. Improving the mental health of FHW by strengthening social support is crucial. Future studies are needed to investigate how to improve the level of social support and mental health condition of FHW facing public health emergencies in the future.

Impact of personal protective equipment on psychological and physical health during menstruation: A cross-Sectional study among female frontline healthcare workers during COVID pandemic.

Introduction: During the Coronavirus disease 2019 (COVID-19) pandemic, personal protective equipment (PPE) has undoubtedly provided a shield of protection for the healthcare workers fighting the disease. However, the layers of the PPE kit restrict basic human activities and also have been associated with various other problems like dehydration, suffocation, breathlessness, headache, and dermatitis. Material and Methods: A cross-sectional study was done among 180 Female health workers who wore the PPE kit during COVID-19 duty in a tertiary health care center during the period March 2021 to May 2021. The content-validated survey tool developed by Google Forms used as a platform was sent to 180 Female health workers of COVID-19 hospitals to minimize face-to-face or physical interaction. The Work-Related Quality of Life Scale (WRQoL) was used. Results: The majority of the participants were interns (48.9%) and belonged to the age group of 21 to 25 years (67.7%). The approximate duration of wearing a PPE kit was 6 to 12 h for almost half of the study participants. Sanitary pads were used by over 90% of the participants. Only 59 out of 180 (32.7%) were provided with an extra PPE kit during menstruation. About 131 (72.7%) Female Health workers (FHWs) (FHWs) had to remove the PPE kit due to excessive sweat during menstruation; 110 FHW's out of 180 (61.1%) who participated in the study had to remove the PPE kit due to severe thirst and dehydration. Sweating (91%), dehydration (86.7%), rashes (49.9%), extreme thirst (56.5%), abdominal cramps (53.3%), and headache (59.8%) were the major complaints of the participants. The majority of the participants had low quality of life scores based on WRQoL. Conclusions: Use of PPE for long hours especially during menstruation can affect one both physically and psychologically compromising the work performance and decision-making. Minor changes in the work place environment can drastically improve the work-related quality of life.

"Pandemic Fatigue! It's Been Going On since March 2020": A Photovoice Study of the Experiences of BIPOC Older Adults and Frontline Healthcare Workers during the Pandemic.

The coronavirus disease 2019 (COVID-19) pandemic intensified the stressful and already difficult circumstances of communities of color. Yet, there is no current photovoice research highlighting the lived experiences of these communities from two perspectives-the older adults (OAs) and the frontline healthcare workers (FLHWs). This qualitative study used photovoice to visually portray the struggles of Black, Indigenous, and persons of color (BIPOC) OAs (n = 7) and younger FLHWs (n = 5) who worked with older adults during the pandemic and how they coped and recovered from the challenges of the pandemic. The investigators conducted a three-day training of ten research assistants (RAs) who were paired with either an OA or an FLHW for the photovoice sessions conducted in four stages. Upon examination of the narratives, focus group transcriptions, and photo stories, it became clear that participants faced different challenges during the pandemic, such as the fear of COVID-19 exposure, struggles to adopt COVID-19 mitigation strategies, workplace challenges, and social isolation. Amid this crisis of suffering, isolation, and sadness, participants employed two major strategies to deal with the challenges of the pandemic: positive reappraisal and self-care practices. The findings have implications for clinical social workers, mental health counselors, faith communities, nurse managers and administrators, and policymakers.

Burnout and work engagement among healthcare workers during the COVID-19 pandemic: the role of satisfaction with job resources.

Objectives: The COVID-19 pandemic represents a major public health challenge, particularly among frontline healthcare workers. This study examines the impact of satisfaction with job resources (leader-, task-, team-and organizational-level) on burnout and work engagement. Material(s) and Method(s): one-hundred and twenty-five healthcare workers (physicians, nur-ses) from a private health institution filled an anonymous online survey. Seventy-six participants were females. Result(s): Bivariate correlation and multiple regression analyses showed that satisfaction with job resources positively influences work engagement, and negatively influences burnout. In particular, regression analyses showed that burnout symptoms were mainly predicted by satisfaction with organizational resources (betaexhaustion =-.22;betacynicism =-.53) and work engagement was best predicted by satisfaction with task resources (betadedication = .45;betaabsorption = .34). Conclusion(s): Current findings point the value of satisfaction with job resources to protect the mental health of frontline healthcare workers during health crises and extreme work overload. Suggestions aimed at reducing burnout, promoting work engagement and protecting the well-being and mental health of healthcare workers during future public health crises are proposed. Copyright © 2022, Federacion Argentina de Cardiologia. All rights reserved.

The effects of the 2019 coronavirus on the mental health of healthcare workers in nursing home settings

The research project utilized an explorative, descriptive method that required the administration of a Pre-COVID Employee Wellness Questionnaire, a Present Employee Wellness Questionnaire to assess the health care workers feelings before and during the COVID-19 pandemic. At the same time, the Administration Questionnaire measured each facility's challenges from a financial, work environment, and staffing perspective. The use of the Patient Health Questionnaire Depression Scale (PHQ8), the Insomnia Severity Index (ISI), and the Generalize Anxiety Disorder Screener (GAD-7) assessed symptoms of depression, insomnia, and anxiety in health care workers that have treated COVID-19 patients in a nursing home settings. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Willingness to Pay for Covid-19 Vaccine by Frontline Health Workers in Tertiary Institutions in Nigeria

OBJECTIVE: To explore the willingness to pay (WTP) for COVID-19 vaccines among the frontline Health workers in Nigeria and the determinants of payment for COVID-19 Vaccines. METHODOLOGY: A descriptive cross-section survey was carried out among 115 randomly nominated frontline healthcare workers using a multistage sampling technique in Kwara and Ogun States of Nigeria. The workers aged 18 years and above who consented to participate in the survey were eligible for the study. Data analysis was done using SPSS version 23, and ethical approval was obtained from the institution. RESULTS: The results showed a 35.7% level of WTP, of which 78.6% of WTP respondents were ready to pay USD$10 for the Vaccine. More respondents with chronic diseases were eager to pay for the Vaccine at 77.8%, which was statistically significant. CONCLUSION: The predisposition of frontline healthcare workers to pay for the COVID-19 Vaccine increased with vaccine efficacy and less vaccine cost. The study revealed that most respondents were WTP USD$10 for COVID-19 vaccines. Trusted policy makers should be used for advocacy in combating the misinformation on COVID-19 vaccines.

Experiences of the Frontline Healthcare Professionals Amid the COVID-19 Health Hazard: A Phenomenological Investigation.

The highly infectious novel coronavirus (COVID-19), officially SARS-CoV-2, was discovered in Wuhan, China, and quickly spread to the rest of the world in 2020. Frontline workers had frequent interactions with COVID-19-infected and -uninfected patients. Therefore, the study's overarching goal is to investigate the experiences of frontline healthcare professionals in dealing with the COVID-19 health emergency. The study used a qualitative research approach with a phenomenological research design. Using a purposeful sampling approach, the researcher collected data from 24 participants. The MAXQDA program was used to analyze the data, and followed Collaizzi's 7-step technique. All ethical standards were met to perform the study. Four main themes and ten subthemes were derived from the 24 in-depth interviews. The key themes were emotional suffering, intense physical pressure, social connection deterioration, and the inability to manage family obligations. Extensive social, emotional, and organizational aid is necessary to assist individuals in dealing with this unprecedented health crisis. Furthermore, the government and non-governmental organizations must work together to come up with the right policies to limit the COVID-19 burden on frontline health professionals.

COVID-19 Booster Uptake among First Responders and Their Household Members May Be Lower than Anticipated.

(1) Background: COVID-19 vaccination status varies widely among law enforcement and emergency medical services professionals. Though at high risk of exposure, these first responders have demonstrated significant vaccine hesitancy, with only 70% reportedly vaccinated. We sought to understand whether similar vaccine hesitancy exists for first responders and their household contacts around COVID-19 boosters. (2) Methods: In a prospective longitudinal cohort of first responders and their household contacts, survey data was collected, including demographics, medical history, COVID-19 exposure risks, and vaccination and/or booster status. The statistical analysis focused on primary vaccination and booster rates of both the first responders and their household contacts. (3) Results: Across 119 study participants, 73% reported having received some combination of vaccine and/or booster, and 26% were unvaccinated. Vaccinated individuals were older, reported less prior exposure to COVID-19 and had more comorbidities. Only 23% reported having received a COVID-19 booster. Pairing of the data for household contacts demonstrated a 60% agreement to receive primary vaccination but only a 20% agreement for boosters within households. (4) Conclusions: This study provides insight into the vaccination and booster rates of first responders and household contacts. Focused efforts to enhance vaccinations is essential for the protection and maintenance of this critical workforce.

Psycho-behavioral responses of Nigerian health workers to an initial human-to-human transmission of the coronavirus disease.

Previous pandemics have had significant impact on psychological well-being of front-line health care workers. Issues such as fear of contracting the disease, high workload as a result of high numbers of infected cases, increased job stress and unavailability of personal protective equipment have been implicated in development of psychological distress in this subset of individuals. The aim of the present paper is to describe psychobehavioral responses of health care workers and potential predictors of emotional response at onset of COVID- 19 outbreak in Nigeria. Cross-sectional web-based survey and 7-item Generalized Anxiety Disorder Questionnaire (GAD-7) were administered anonymously to 444 respondents comprising various categories of frontline healthcare workers. Stepwise multiple linear regression was used to determine predictors of anxiety scores. Participants were mostly young adults (mean age 38 years), females (57%), living with a partner (78.2%) and medical doctors (56.8%). Restrictions in clinical activities and use of hand sanitizers were commonest precautionary behaviors. Commonest emotional responses were anger and despair (27.0% and 25.7%), respectively. About 42.8% had clinically significant anxiety symptoms with highest burden among nurses. Perception of likelihood of 2nd wave (p=0.03), self-preparedness (p=0.04), gender (p=0.01) and cadre (p=0.02) were significant predictors of emotional response of anxiety. Study findings highlighted diverse psychological reactions of health care workers with a large proportion screening positive for significant anxiety symptoms. This has implications for planning a comprehensive psychosocial response to COVID-19 pandemic and for future pandemics among frontline health care workers in lowresource settings.