Senior tourism: travel motivators and perceived constraints and risks for the elderly

PurposeTo cater to the senior tourist market, it is essential to comprehend the factors motivating and deterring them from international travel post-COVID-19. This study aims to focus on senior citizens' destination choice intentions and aims to develop a model that prioritizes positive and negative factors leading to international travel destination choices. It uses push-pull factors, perceived travel risks (PTRs) and perceived travel constraints (PTCs). Design/methodology/approachDecision-making trial and evaluation laboratory (DEMATEL) and fuzzy technique for order of preference by similarity to ideal solution (Fuzzy TOPSIS) are two multi-criteria decision-making (MCDM) techniques used to identify connections between variables and determine their relative importance in the decision-making model. FindingsDEMATEL found push and pull factors are "effects" while PTCs and PTRs are "causes" affecting senior citizens' destination choices. Push factors and PTCs have a greater impact than pull factors and PTRs. Fuzzy TOPSIS highlighted "improving health and wellness" and "self-fulfillment and spirituality" as key push factors, "health safety and security quotient" as the most important pull factor, and "interpersonal constraints" as the most critical PTC. Finally, "health risks" is the top PTR. Originality/valueThis paper adds to the tourism literature by looking at the relationship between senior tourists' motivation, PTRs and PTCs and showing how the subfactors affect their choice of destination rank. The data analysis techniques used in this study are also novel, having never been used before in senior tourism research. Finally, even though there is a lot of research on senior tourism, not much is known about how Indian senior tourists act. In light of this study's findings, practical recommendations were offered to tourism stakeholders worldwide, interested in tapping into the market of Indian outbound senior tourists or repositioning product or destination offerings to take this promising market or similar markets into account.

Experiences of participants of a volunteer-supported walking intervention to improve physical function of nursing home residents - a mixed methods sub-study of the POWER-project.

BACKGROUND: Regular physical activity improves physical health and mental well-being and reduces the risk of falling in older adults. The randomized controlled "Prevention by lay-assisted Outdoor-Walking in the Elderly at Risk" POWER-study investigates whether volunteer-supported outdoor-walking improves physical function and quality of life in older people living independently or in nursing homes. This sub-study explores the experiences of older participants and volunteers in relation to their physical and psychosocial well-being as well as the challenges faced by both groups. A further aim was to explore volunteers' experience with people living in nursing homes during the first pandemic lockdown (spring 2020). METHODS: The sub-study was designed as mixed-methods approach consisting of 11 individual semi-structured guide-based interviews (nursing home residents), two focus group interviews (volunteers), and a cross-sectional questionnaire survey (volunteers). The interviews were audiotaped, transcribed verbatim, and analyzed by content analysis as described by Kuckartz. Topics addressed in the interviews were triangulated by means of a questionnaire. The quantitative data were analyzed using descriptive statistics. RESULTS: Participants' evaluation of the intervention was generally positive. Nursing home residents appreciated the social interaction associated with the assisted walking, which motivated them to take part regularly, provided a sense of safety, and caused pleasure on both sides. The impact on physical health status of the nursing home residents of this sub-study varied to a large degree as reported in interviews: in some cases, an improvement in physical performance, a decrease in physical complaints, and an improvement in gait or independence was reported. If not, reference was made to previous or sudden illnesses and the advanced age of the participants. Despite the COVID-19-lockdown and the associated restrictions, about 60% of contacts were still possible and participants planned to continue the assisted walks after the lockdown. CONCLUSION: Volunteers have a positive effect on the quality of life, mobility, and general health of nursing home residents. Even more than the improvement of physical performance, social interaction was seen as helpful. Despite their advanced age, the nursing home residents were curious and open to new contacts. When removing the identified barriers, it might be possible to integrate this program into the long-term everyday life of nursing homes. TRIAL REGISTRATION: DRKS-ID: DRKS00015188, date of registration: 31.08.2018.

Motivating factors for and barriers to the COVID-19 vaccine uptake: A review of social media data in Zambia

The study sought to explore the motivating factors for and barriers to the uptake of the coronavirus disease 2019 (COVID-19) vaccine in Zambia and recommend possible ways of addressing the challenges. The study used a qualitative case study approach, employing online media platforms as sources of data. Thematic analysis was to identify topics from posts, with each topic further grouped into themes. Motivating factors to vaccine uptake include an increase in reported cases of COVID-19, accessibility, and availability of vaccines, vaccine certificates required to travel, and credible sources of information. Barriers to uptake include lack of information, concerns about the safety of the vaccine, mistrust in Western medicine, lack of belief in conventional medicine versus belief in God, confusing information about eligibility, and belief that public figures used in the campaigns were not receiving the vaccine. Some of the strategies to encourage vaccination included the involvement of local scientists, demand generation through media platforms, community sensitization, vaccine materials, and creating an enabling environment for community involvement. The social media interactions on the COVID-19 vaccine revealed several factors that impede the uptake of the vaccine and encourage uptake. However, stakeholders' involvement in scaling up vaccination programs was reported to be one of the effective strategies to increase vaccine uptake in Zambia.Copyright © 2022 The Author(s). This open access article is distributed under a Creative Commons Attribution (CC-BY) 4.0 license.

Travel motives and constraints affecting student participation in a proposed study tour

While experiential learning activities undertaken through study tours are a valuable component of undergraduate student training, not all students seek to participate. This paper addresses the lack of investigations into reasons for participating in study tours by higher-education students, especially among prospective study tour participants. Seven independent variables were first tested for their influence on likelihood of attendance at an International Food Expo using a sample of 315 students. In addition, an open-ended question solicited 10,000 words for thematic analysis to shed further insights on reactions to study tour participation during the COVID-19 crisis. The results show that accessibility, friendship norms, personal interest, social approval, and perceived travel risk significantly influenced the likelihood of Food Expo attendance. In turn, the qualitative data revealed deeper insights into issues of emotional anxiety, subjective norms and normative behavior. The study has implications for study tour organizers beyond Covid-19. © 2023 Informa UK Limited, trading as Taylor & Francis Group.

Gamification for Learning Sustainability in the Blackboard System: Motivators and Obstacles from Faculty Members' Perspectives

Gamification is one of the basic components that enhance the sustainability of learning management systems (LMSs) in improving learning outcomes and motivating learners to face challenges and continue effectively in implementing educational tasks. Some of the LMSs do not have an integrated structure for gamification, but there are some simple tools that can be relied upon in managing gamification processes, and among these is the Blackboard system. Blackboard is witnessing a high level of use in the educational process within King Abdulaziz University, as it has been the main e-learning system at the university since the COVID-19 pandemic. Accordingly, the present study was an attempt to identify the motivators and obstacles of employing gamification through the Blackboard system from the faculty members' point of view. The study relied on the interpretive paradigm, where a phenomenological approach was used to find out the motivators that encourage 12 faculty members at King Abdulaziz University to use gamification via Blackboard, and to identify the obstacles that might dissuade them. The results of the study were as follows: the main motivators included attracting attention, engaging in learning, motivation, and entertainment, while the main obstacles included time, digital skills, technical issues, lack of resources, contentment, and indifference. The results of this study suggest that while there are motivators for faculty members to employ gamification in electronic courses, there are still the same number of obstacles facing staff members in employing gamification in digital learning environments. © 2023 by the authors.

Increasing vaccine uptake among employees within the non-health related critical infrastructure sectors: A review.

This review aimed to identify barriers to employee vaccination, motivators for vaccination, and vaccine uptake strategies within the critical infrastructure sectors. We focused on non-healthcare-related sectors, including food and agriculture, manufacturing, and education where employee vaccination is rarely mandated. We conducted a search for literature published from 2012 to 2022 from MEDLINE-PubMed, PsycINFO, and Web of Science Core Collection, which resulted in 22 studies that met the inclusion criteria. We found that 1) barriers to vaccination differ by infectious disease and population; 2) common motivators for vaccination were about protecting self, family, and community; and 3) common uptake strategies for influenza (which accounted for 83% of uptake strategies in reviewed studies) addressed convenience and confidence barriers such as vaccination cost and education. Our review highlights the need for employers, policymakers, and researchers to identify infectious disease and population-specific barriers to vaccination and implement strategies aimed at addressing the identified barriers.

The research interest, capacity and culture of NHS staff in South East Scotland and changes in attitude to research following the pandemic: a cross-sectional survey.

BACKGROUND: The UK National Health Service (NHS) is ideally placed to undertake research. The UK Government recently launched its vision of research within the NHS to improve research culture and activity amongst its staff. Currently, little is known about the research interest, capacity and culture of staff in one Health Board in South East Scotland and how their attitudes to research may have changed as a result of the SARS-CoV-2 pandemic. METHODS: We used the validated Research Capacity and Culture tool in an online survey of staff working in one Health Board in South East Scotland to explore attitudes to research at the organisation, team and individual level together with involvement in, barriers to and motivators to engage in research. Questions included changes in attitude to research as a result of the pandemic. Staff were identified by professional group: nurses/midwives, medical/dental, allied health professionals (AHP), other therapeutic and administrative roles. Median scores and interquartile ranges were reported and differences between groups assessed using the Chi-square and Kruskal-Wallis tests with P < 0.05 accepted as statistical significance. Free-text entries were analysed using content analysis. RESULTS: Replies were received from 503/9145 potential respondents (5.5% response), of these 278 (3.0% response) completed all sections of the questionnaire. Differences between groups were noted in the proportions of those with research as part of their role (P = 0.012) and in being research-active (P < 0.001). Respondents reported high scores for promoting evidence-based practice and for finding and critically reviewing literature. Low scores were returned for preparing reports and securing grants. Overall, medical and other therapeutic staff reported higher levels of practical skills compared with other groups. Principal barriers to research were pressure of clinical work and lack of time, backfill and funds. 171/503 (34%) had changed their attitude to research as a result of the pandemic with 92% of 205 respondents more likely to volunteer for a study themselves. CONCLUSION: We found a positive change in attitude to research arising from the SARS-CoV-2 pandemic. Research engagement may increase after addressing the barriers cited. The present results provide a baseline against which future initiatives introduced to increase research capability and capacity may be assessed.

Prevalence and Motivators of Getting a COVID-19 Booster Vaccine in Canada: Results from the iCARE Study.

Studies have shown that the protection afforded by COVID-19 vaccines against hospitalization and death decreases slowly over time due to the emergence of new variants and waning immunity. Accordingly, booster doses remain critical to minimizing the health impacts of the pandemic. This study examined the prevalence rate, sociodemographic determinants, and motivators of getting a COVID-19 booster vaccine within the Canadian population. We recruited a representative sample of 3001 Canadians aged 18+ years as part of the iCARE study using an online polling form between 20 January and 2 February 2022. Participants self-reported their booster status and were dichotomized into two groups: those who did vs. did not receive at least one booster dose. A total of 67% of participants received a booster dose. Chi-square analyses revealed that older age (p < 0.001) and having a chronic disease diagnosis (p < 0.001) were associated with being more likely to get a booster. Boosted individuals reported motivators tied to efficacy and altruism, whereas non-boosted individuals reported motivators tied to efficacy and safety. Results suggest that messaging will require careful tailoring to address the identified behavioral motivators among non-boosted individuals who emphasize safety and efficacy of additional vaccine doses.

Beliefs and Barriers Associated with COVID-19 Vaccination among Students

Background: The spread of COVID-19 is considered as a challenge all over the world since it was declared as a pandemic by World Health Organization (WHO) on March 11, 2020. In addition to protective measures, early diagnosis, and medical managements, there is urgent need for safe, effective prophylactic vaccine to control the pandemic, several vaccines have been developed and approved for emergency immunization in many countries for examples Pfizer BioNTech and Moderna vaccines. Objective: Is to explore the beliefs, barriers, and motivators associated with COVID-19 vaccination among students in Iraqi University, and to assess the association between the sociodemographic factors and the acceptance of vaccination among students. Method: A cross-sectional study was conducted in July 2021. The questionnaire distributed for 441 students in four colleges in a private University in Iraq. Th questionnaire form consisted of 15 questions that classified into four sections (section 1 concerns sociodemographic data, section 2 deals with respondent’s beliefs, section 3 consists of the barriers to take the vaccine, and section 4 include the respondent’s motivators to accept the vaccination.). Results: (60.3%) believe that the COVID-19 vaccination is important, the most reported barriers of COVID-19 vaccination were its safety and adverse effects (64.2%) and (48.3%) had concerns for the acquisition of COVID-19 from the vaccine itself. Participant’s concern regarding their family infection with COVID-19 correlate significantly with vaccination acceptance with p<0.05. Conclusion: The study concluded that the majority of students perceived the importance of the COVID-19 vaccine, but about half of them had vaccination hesitancy. Most of the students had concerns regarding the vaccine’s adverse effects and effectiveness. Having family members being infected was one of the motivators to accept vaccination. Most of students did not know the differences between the vaccines available, the students who had information about the vaccines preferred Pfizer BioNTech vaccine. © 2022, ResearchTrentz Academy Publishing Education Services. All rights reserved.

WORK MOTIVATION OF BANK EMPLOYEES IN CASE OF IMPLEMENTING AI AND ROBOTS IN THE BANK ACTIVITIES: COMPARATIVE ANALYSIS OF RUSSIA AND KAZAKHSTAN

The dynamic changes in the banking industry as a result of the AI application and robotisation lead to substantial organisational changes and redefining the roles of bank employees. This, of course, has an impact on bank employees’ work motivation. In 2020-2021 the businesses, including banking, encountered one more influencing factor – the Covid-19 pandemic and related quarantine and lockdown measures, leading to forced move to remote work. This research aims to find out if the work motivation of the bank employees has changed, and if yes – in what directions. The analysis is based on the findings of a survey, conducted in the two countries in the period November 2020 – February 2021 and the results show some significant differences between the work motivation in the banking industry in the two countries. The questionnaire items target the main work motivation factors. Two working hypotheses were studied in this research: H1: The intensive implementation of AI in the banking sector positively affects the work motivation of bank employees in Russia and Kazakhstan. H2: The age of the employees matters for appreciation of the AI implementation, as younger employees 18-40 are more positive compared to employees beyond 40. H1 was confirmed, while H2 was confirmed regarding the difference in the opinions and motivation of the two age groups (under 40 and above 40 years of age), but not in regard to the appreciation of the changes by the two age groups. The main beneficiaries of the results of this research are the bank managers, both HRM and line managers, who are directly responsible for supporting the work motivation in the process of intensive implementation of AI and robotisation, e.g., chatbots, in the sector. It is also believed that the managers in the other sectors of the economy may benefit from these findings as well. © 2022, Bulgarska Akademiya na Naukite. All rights reserved.

The Relationship between Sociodemographic, Professional, and Incentive Factors and Self-Reported Level of Physical Activity in the Nurse Population: A Cross-Sectional Study.

Research indicates that while nurses are aware of the benefits of physical activity (PA), their adherence to PA is low. The results of workplace interventions that increase PA are inconsistent. The study aim was identification the sociodemographic, professional, and incentive factors influencing nurses' PA and investigation its relationship with the level of PA that they report. This study was based on observational cross-sectional research conducted among professionally active nurses working in a clinical setting (n = 350). The self-reported questionnaire was used to collect sociodemographic and employment data and motivators and barriers of participating in PA. The level of PA was assessed using International Physical Activity Questionnaire. The analysis revealed significant differences in the Total Physical Activity Score (TPAS) depending on the variables related to professional activity (working in a management position: p = 0.015; workplace: p = 0.01; shift type: p ≤ 0.002). Cluster analysis revealed that the most important statement in the group division about motivation was fear of the pain occurring after exercise. Nurses who were more motivated to be active showed a higher level of leisure-time PA than less motivated nurses. The recommendation of PA in the nursing population should be focused on increasing the leisure time PA, ensuring the appropriate time to recovery, and compliance with the principles of work ergonomics to prevent musculoskeletal disorders.

Barriers and Motivators of Adherence among University Students to Social Distancing Recommendations during Covid-19

Introduction: Young adults have been identified to potentially have a low compliance rate with public health measures aimed at curbing the spread of the coronavirus disease 2019 (COVID-19). It is thus, critical to recognize barriers and motivators of social distancing adherence among this population to inform of ongoing and future public health initiatives. Therefore, this study aims to determine the level of the mental health status, barriers and motivators of adherence to social distancing measuring among university students. Methods: A cross-sectional, online survey-based research was conducted. A total of 142 undergraduate students completed the questionnaire. A questionnaire was taken from the Wisconsin residents’ beliefs, attitudes, feelings, and self-reported behaviors related to social distancing and COVID-19. Data were statistically analyzed using the Statistical Package for Social Sciences. Results: Of the 142 respondents, 22.5% reported moderate stress, 33% reported severe anxiety, and 46.5% reported moderate symptoms of depression. There was significant effect on attitudes and belief towards the barriers in compliance towards social distance among the university difference. In contrast, no significance was shown in possible reinforcement in keeping the social distancing among the students. Conclusion: The attitude and belief factors should be considered when healthcare policies are designed to uphold social distancing, especially among young adults. © 2022 UPM Press. All rights reserved.

“I want to get myself as fit as I can and not die just yet” – Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study

Cachexia is a prevalent muscle wasting syndrome among people with advanced cancer that profoundly impacts patient quality of life (QoL) and physical function. Exercise can improve QoL, physical function, and overall health in people with cancer and may be an important addition to treatment approaches for cancer cachexia. Greater understanding of patients’ perception of exercise can help elucidate the feasibility of implementing exercise interventions for cancer cachexia and facilitate the design of patient-centered interventions. We aimed to describe the perception of exercise in patients with advanced cancer and cachexia, and capture exercise motivators, barriers, and preferences, to inform the feasibility of exercise interventions. Individual interviews (n = 20) with patients with locally advanced or metastatic cancer with cachexia were conducted and analyzed using reflexive thematic analysis. Main themes from interviews were: 1) Life is disrupted by cancer and cachexia;2) Exercise offers hope;3) Exercise barriers are multifaceted;and 4) Exercise access and support are important. Participants reported that their cancer and cachexia had intensely altered their lives, including ability to exercise. Exercise was perceived as important and participants described a hope for exercise to improve their health and wellbeing. Yet, several complex exercise barriers, such as burdensome cancer symptoms and the overwhelming impact of the COVID-19 pandemic, hindered exercise participation and prevented participants from fully realizing the perceived benefits of exercise. Factors believed to improve exercise engagement and overcome exercise barriers included increased exercise support (e.g., professional supervision) and accessibility (e.g., convenient locations). Patient-reported exercise barriers and preferences can inform the design of exercise interventions, particularly within future research studies aiming to establish exercise feasibility and efficacy in people with advanced cancer and cachexia.

"I want to get myself as fit as I can and not die just yet" - Perceptions of exercise in people with advanced cancer and cachexia: a qualitative study.

Cachexia is a prevalent muscle wasting syndrome among people with advanced cancer that profoundly impacts patient quality of life (QoL) and physical function. Exercise can improve QoL, physical function, and overall health in people with cancer and may be an important addition to treatment approaches for cancer cachexia. Greater understanding of patients' perception of exercise can help elucidate the feasibility of implementing exercise interventions for cancer cachexia and facilitate the design of patient-centered interventions. We aimed to describe the perception of exercise in patients with advanced cancer and cachexia, and capture exercise motivators, barriers, and preferences, to inform the feasibility of exercise interventions. Individual interviews (n = 20) with patients with locally advanced or metastatic cancer with cachexia were conducted and analyzed using reflexive thematic analysis. Main themes from interviews were: 1) Life is disrupted by cancer and cachexia; 2) Exercise offers hope; 3) Exercise barriers are multifaceted; and 4) Exercise access and support are important. Participants reported that their cancer and cachexia had intensely altered their lives, including ability to exercise. Exercise was perceived as important and participants described a hope for exercise to improve their health and wellbeing. Yet, several complex exercise barriers, such as burdensome cancer symptoms and the overwhelming impact of the COVID-19 pandemic, hindered exercise participation and prevented participants from fully realizing the perceived benefits of exercise. Factors believed to improve exercise engagement and overcome exercise barriers included increased exercise support (e.g., professional supervision) and accessibility (e.g., convenient locations). Patient-reported exercise barriers and preferences can inform the design of exercise interventions, particularly within future research studies aiming to establish exercise feasibility and efficacy in people with advanced cancer and cachexia.

Taking a Health Perspective on Roller Derby: A Qualitative Exploration of Women’s Experiences

Although far fewer women exercise regularly than men, one women-dominated sport growing in popularity internationally is roller derby. A limited number of predominantly US-based and qualitative studies have explored roller derby. This Scotland-based qualitative study explored reasons for women starting, continuing, and stopping participation in roller derby in order to inform people involved in promoting physical activity for health benefits. Semi-structured interviews with six participants from a Scottish women’s roller derby league were recorded and transcribed verbatim. Data analysis using Interpretative Phenomenological Analysis generated five super-ordinate themes. Most participants learned about roller derby from watching the sport on film, attending a bout (game), or word of mouth. The main motivators and benefits of participating in this sport were found to be challenge, enjoyment, increased confidence, health benefits, and motivation to exercise. Participants were empowered by involvement and motivated by community, team spirit, and support to develop. Despite high commitment, some women could not sustain team involvement due to barriers such as injury, changing life roles, and conflicting commitments—a lack of support was described when this happened. Greater inclusivity is needed to enable changing levels of participation as women’s commitments change, to facilitate ongoing health benefits and inspire others.

Protective motivators and precautionary behaviors against COVID-19 in Turkey.

In this research, we investigated the protection motivators and precautionary behaviors against coronavirus disease 2019 (COVID-19) and the associations between them. To do this, we developed two original scales, collected data (2783 responses) using an online survey, after removing the responses (319), which were filled in incompletely or incorrectly in the questionnaire, we obtained 2464 participants covering the aged 18+ population in Turkey. Based on random sampling, our sample complies with these ratios and generally reflects the aged 18+ population of Turkey. We confirmed the psychometrical validity and reliability of our two scales using the collected data. Herewith, we found that perceived susceptibility of COVID-19 infection is very high, perceived severity of COVID-19 is medium, COVID-19 related information seeking is high, beliefs on precautions' efficacy is high and also the practice of precautionary behaviors is high. Our research depicts that all protection motivators significantly are related with the practice of precautionary behaviors (routine and leisure). However, with the only exception of perceived severity of COVID-19 is not related with precautionary behaviors (routine). Besides, we saw that females' average in all variables is significantly higher than males and some variables are sensitive to age, education level, marital status and the number of children. We believe that the findings provide essential inputs for authorities in establishing public health policies against the present pandemic and likely ones in the future.

Exploring Female University Students' Participation in Physical Activity in Saudi Arabia: A Mixed-Methods Study.

Background: The importance of physical activity in improving physical and mental health has been emphasized in many studies. Researchers in Saudi Arabia have reported an increase in physical inactivity among Saudis, especially among University female population. Current efforts in the field in Saudi Arabia have yet to explore barriers and facilitators that influence female University student's participation in physical activity. This study aims to provide an assessment of the situation regarding physical activity among female University students in Saudi Arabia. Methods: This mixed method study preceded a participatory action research initiative. The first part of the mixed method consisted of a cross-sectional survey of 375 female University students in Saudi Arabia who completed the short form of the International Physical Activity Questionnaire. The second part consisted of semi-structured, in-depth interviews with 14 female University students and 16 female exercise trainers. Results: Results showed that most participants (91%) spent more time in walking activity compared to moderate (66%) and vigorous activity (57%) for at least 10 min at a time over a period of 7 days. Results showed that 70% of participants did not meet the WHO recommendation of 150 min per week of moderate activity, while around 62% of participants did not meet the WHO recommendation of 75 min per week of vigorous activity. Barriers to participation included limited facilities for physical activities, academic workload, gender role, and the need to adhere to cultural standards. Facilitators included valuing positive results, general health concerns, and family support. Conclusion: Knowledge gained from this study might support organizations and public health authorities to develop physical activity interventions that better address Saudi women's perceived needs. These findings are an important contribution to current knowledge in light of recent advances in women's rights in Saudi Arabia.

From Epidemic to Pandemic: Comparing Hospital Staff Emotional Experience Between MERS and COVID-19.

Objective: Both Middle East Respiratory Syndrome (MERS) and Coronavirus Disease 2019 (COVID-19) have an emotional toll on healthcare workers (HCWs), but the difference of the impact between the two diseases remains unknown.Design: A cross sectional descriptive survey.Setting: A tertiary care hospital.Participants: 125 HCWs who worked during the 2014 MERS as well as the 2020 COVID-19 outbreaks in high-risk areas of the hospital including critical care, emergency room and COVID-19 clinics.Methods: The comprehensive survey comprised 5 sections and 68 questions and was administered to HCWs before availability of the COVID-19 vaccine. The survey evaluated hospital staff emotions, perceived stressors, external factors that reduced stress, personal coping strategies, and motivators for future outbreaks. The participants rated each question for MERS and COVID-19 simultaneously on a scale from 0-3. The responses were reported as mean and standard deviation, while Wilcoxon signed-rank test was used to calculate the difference in responses.Results: There were 102 (82%) participants who returned the questionnaire. The ritual of obsessive hand washing, emotional and physical fatigue, ongoing changes in infection control guidelines, fear of community transmission, and limitations on socialization and travel were the major stressors that were significantly worse during COVID-19 compared to MERS (P<0.05) and led to HCWs adoption of additional 'personal' coping strategies during COVID-19. There was no difference between COVID-19 and MERS, however, among preferences for 'external' factors made available to HCWs that could reduce stress or in their preferences for motivators to work in future outbreaks (P>.05).Conclusion: Both the MERS and COVID-19 outbreaks were emotionally draining for HCWs. However, COVID-19 was a relatively more stressful experience than MERS for HCWs and led to greater personal, behavioral, and protective adaptations by the hospital staff.