ABSTRACT
Purpose: To identify leadership styles and staffing strategies in Missouri long-term care (LTC) facilities that stood out among their peers as "positive deviants" with regard to COVID-19 infections and staffing shortages. Methods: Statewide survey of all LTC facilities to identify exemplar facilities with stable staffing and low rates of COVID-19. Interviews with senior leaders were conducted in 10 facilities in the state to understand the strategies employed that led to these "positive outliers." A result-based educational program was designed to describe their actions and staff reactions. Results: Exemplar leaders used transformational leadership style. Top reasons for their success were as follows: (1) trusting and supportive staff relationships;(2) positive presence and communication;and (3) use of consistent staffing assignments. Strong statewide participation was noted in the educational programs.
ABSTRACT
Background The coronavirus disease 2019 (COVID-19) pandemic has extensively affected the public physical and mental health, especially the medical staff working in the COVID-19 wards of hospitals. Objective This study aims to evaluate the relationship between post-traumatic stress disorder (PTSD), anxiety sensitivity (AS), and resilience among hospital medical staff in Rasht, during the COVID-19 pandemic. Methods This is an analytical cross-sectional study. The study population consists of all medical staff working in the COVID-19 wards of Poursina and Razi hospitals in Rasht, Iran. Of these, 94 participated who were selected using a convenience sampling method. Weathers et al.'s post-traumatic stress disorder checklist, Reiss et al.'s AS index, and Connor-Davidson resilience scale were used for data collection. The data were analyzed using Pearson correlation test and multiple linear regression analysis. Results There was a significant negative correlation between PTSD and resilience (r = -0.405, P = 0.001). and a significant positive correlation between PTSD and AS (r=0.633, P=0.001). The results of multiple analyses showed that resilience (B=-0.208, P=0.004) and AS (B=0.574, P=0.001) could significantly explain the PTSD in medical staff. Conclusion Resilience can be an important protective factor against PTSD in hospital medical staff during the COVID-19 pandemic. The medial staff with AS may experience the symptoms of PTSD more.
ABSTRACT
Background The SARS-CoV-2 pandemic continues to negatively impact the healthcare system globally despite the availability of vaccination since late 2020.Until July 2022, Iraq registered 2,438,101 million COVID-19 cases and 25,304 deaths putting Iraq in third place among the Eastern Mediterranean Sea countries. Methods This study included ninety volunteered medical staff whois working in the Neurosurgery Teaching Hospital and were diagnosed with COVID-19 by PCR and accepted to give 5 ml of their blood.The medical staff was categorized into two groups and every group containforty-five, we collected bloodfrom the first group after one month (30 days) from the day of COVID-19 infection diagnosis while the second group after 4 months (120 days).We used an ELISA kit (Diacino R: cat.No. DS 207704, china) which is an indirect ELISAto estimate Cov-19 -SI-RBD(anti-spike). Results the independent two-sample Mann-Whitney test was used which showed that there was a significant decrease (P<0.05) in the SARS Cov-2 S1-RBD serum levels of the volunteered medical staff after 4 months compared to the one month. Conclusion SARS - CoV-2 S1- RBD IgGsignificantly decreasedafter 4 months (120 days).