Dublin hospital workers' mental health during the peak of Ireland's COVID-19 pandemic.

BACKGROUND: Hospital-based healthcare workers have experienced significant psychological stressors during the COVID-19 pandemic. AIM: To evaluate the mental health of hospital workers during the third wave of the COVID-19 pandemic in Dublin, Ireland. METHODS: Cross-sectional anonymous online survey of hospital workers (n = 377; 181 doctors (48.0%), 166 nurses (44.0%), 30 radiographers (8.0%)), collecting demographic information, COVID-19 exposure history and mental health measures. RESULTS: There were significant differences between profession groups in gender, experience, COVID-19 infection history, exposure to COVID-19 positive acquaintances, and work areas. Moderate-severe post-traumatic stress disorder (PTSD) symptoms were found in 45.1% (95% CI 40.1-50.1%) of all participants; significantly fewer doctors reported moderate-severe PTSD symptoms (26%; 95% CI 22-36%). A World Health Organisation-5 Wellbeing Index (WHO-5) score ≤ 32, indicating low mood, was reported by 52% (95% CI 47-57%) of participants; significantly fewer doctors reported low mood (46%; 95% CI 39-53%). One-week suicidal ideation and planning were reported respectively by 13% (95% CI 10-16%) and 5% (95% CI 3-7%) of participants with no between-group differences. Doctors reported significantly less moral injury than other groups. There were no significant between-group differences regarding coping styles. Work ability was insufficient in 39% (95% CI 34-44%) of staff; no between-group differences. CONCLUSIONS: Dublin hospital workers reported high levels of PTSD symptoms, mood disturbance, and moral injury during the COVID-19 pandemic. Concerning levels of suicidal ideation and planning existed in this cohort. Differences in degrees of post-traumatic stress, moral injury, and wellbeing were found between profession groups, which should be considered when planning any supports.

Psychological distress and related factors regarding COVID-19 among the ancillary hospital staff: A cross-sectional study.

Background: Healthcare workers (HCWs) are at the front line of the Coronavirus disease (COVID-19) outbreak response. They have faced great risks to both physical and mental health. We aimed to assess the psychological effect of COVID-19 among ancillary hospital staff. Methods: A cross-sectional study was conducted among 267 on-duty ancillary hospital staff using a semi-structured questionnaire to assess their psychological status and risk perception. In addition, their knowledge, attitude, and practices (KAP) and risk perception were also assessed. The General Health Questionnaire (GHQ-12) was used to screen for psychological distress. Results: Among 267 participants, the mean (±SD) age was 33.5 (7.6) years. The majority knew about the symptoms of COVID-19 (88.4%), droplet spread (99.3%), and the importance of isolation (99.3%). About 35.2% were worried about infecting family members, while 26.2% were worried about colleagues at the frontline. Only 38.9% of them had a good knowledge score. Participants with high school and above education level had significantly good knowledge about COVID-19 (OR = 1.99; 95% CI = 1.17- 3.39) than those with primary school or below. Being female (OR 1.99; 95% CI 1.17-3.39) and working with COVID-19 patients (OR 3.88, 95% CI 1.77-8.47, P = 0.001) was associated with psychological distress. Conclusion: The ancillary hospital staff had insufficient knowledge regarding the risk factors of COVID-19 but possessed positive attitudes and practices. Continued health education and appropriate psychological interventions may improve understanding and reduce psychological distress.

Assessment of Knowledge, Reported Attitudes and Practices Regarding Emergency Preparedness and Related Factors at Tertiary-Care Hospitals of Punjab Province Amid COVID-19 Pandemic

Hospitals need to maintain a high level of preparedness of staff and systems to mitigate the consequences of health emergencies and disasters. Therefore, the knowledge, attitude and practices of the hospital staff are of key importance in strengthening the emergency preparedness of the health system.Objective: The objective of this study was to determine the knowledge, attitudes and practices of healthcare workers regarding emergency preparedness and factors related to them, at the tertiary care hospitals of Punjab PakistanMethods: This was an analytical cross-sectional study conducted at six tertiary care hospitals in Punjab from February 2022 to August 2022, approved by advanced studies and the research board of the University ofPunjab. A self-administered questionnaire was distributed among 450 staffmembers ofthese hospitals to identify gaps in the knowledge, reported attitudes and practices of healthcare workers and their willingness to report for duty, selectedby multistage sampling. Data were analysedby statistical package for social sciences (SPSS) Version 22.Results: The results found that 49.8% of the participants were aware of disasters that occurred, 50% knew the hospital emergency plan, and 70% agreed that hospitals need written plans yet 72.4% were not aware of the major components of the plan.Regarding attitude of the staff, 73.8% of accepted that it is their duty to take care of patients, 33.6% thought that hospital preparedness is adequate and only 36.7% agreed that the hospital had adequate staff in catering for the increased patient influx. Regarding hospital preparedness practices, only 29.3% stated that hospital conducts exercises and drills and 30.4% reported that the hospital conducts other training sessions and workshops for staff.Conclusion: The majority of the staff at the studied hospitals had a positive attitudes and willingness to report for duties in case of health emergencies. But there were lacks in the knowledge and practices at these hospitals which needs to be addressed by making a written hospital emergency plan, conducting simulation drills and mock exercises and arranging training.

Risk Factors for COVID-19: A Quantitative Study Conducted at Padang City Center Hospital

Objective: This study sought to estimate the prevalence of COVID-19 infection among hospital staff according to various factors. Moreover, it sought to identify any factors that predicted a higher probability of infection in this population. Methods: This descriptive research was conducted among medical and non-medical personnel at Padang City Center Hospital, Indonesia (n=129). A chi-square test analysis was used to determine the degree of interrelationship between the studied variables, while an odds ratio (OR) test was performed to identify more potential categories. Results: Some 31.8% of respondents tested positive for COVID-19, although this finding was insignificant (p>0.05). In terms of the OR, the following probabilities were calculated: age (OR=1.0 [0.36–2.88]);medical history (OR=1.3 [0.23– 2.0]);higher education (OR=1.9 [0.2–17.6]);wearing a good mask (OR=0.7 [0.07–7.02]);good hand washing (OR=1.8 [0.46–7.07]);good physical distancing (OR=1.8 [0.46–7.07]);good personal protective equipment (OR=0.7 [0.07–7.02]);normal depression, anxiety, and stress (OR<1.0);and comorbidity (OR=1,2 [0.46-3.06]). Conclusion: No significant relationship was found between the studied factors and COVID-19 infection. However, there were more potential trends, especially for highly educated medical teams, not wearing a mask, smoking, engaging in strenuous activity, poor psychology, and comorbidity. These findings should prompt policymakers tasked with developing resources and interventions to pay more attention to the needs of medical and non-medical staff during the COVID-19 pandemic, especially the availability of masks © 2023 Martini et al.;Licensee Lifescience Global

Intention to get Vaccinated against COVID-19 in Iranian Hospital Staff: Application of the Theory of Planned Behavior.

Background: This study aimed to identify the predictors of the intention to receive the COVID-19 vaccine among Iranian health care workers (HCWs) based on the Theory of Planned Behavior (TPB). Methods: The study was a descriptive cross-sectional study that was conducted on 473 personnel working in hospitals of Hamadan, in May 2021 and before COVID-19 vaccination on hospital staff. The multi-stage sampling method was used for choosing participants. The survey included socio-demographic, questions related to TPB dimensions, and intention to receive a COVID-19 vaccine. Qualitative and quantitative data analyses were performed using the Chi-square test and T-test, respectively. Predictors of COVID-19 vaccination intention were determined using the logistic regression model. Results: Seventy percent of 361 eligible respondents stated their willingness to receive COVID-19 vaccine. The participants with the intention to receive COVID-19 vaccine had higher scores of attitude (7.25 ± 3.92 vs. 4.40 ± 5.14) and norm (3.04 ± 2.92 vs. -0.5 ± 3.18) (P < 0.001). Having an underlying disease and being married were significantly associated with the intention to receive COVID-19 vaccine (P < 0.05). Higher attitude and norm scores as a construct of the TPB were associated with an increase in intention to receive COVID-19 vaccine. Conclusions: The results of this study showed that the vaccination intention was affected by social, demographic, health, and behavioral features, such as age, marital status, underlying diseases, subjective norms, and attitude. Therefore, age groups below 50, single people, and those with no underlying diseases were eligible to be the target of interventional programs.

Respiratory function and physical fitness of Hospices Civils de Lyon staff with a long COVID, Effects of an exercise rehabilitation program

Introduction: The COVID-19 pandemic had a significant impact on hospital staff. At the Hospices Civils de Lyon (HCL), after a physiological evaluation an exercise rehabilitation program was proposed to hospital staff with suggestive symptoms of long COVID. The objective of our study was to evaluate the physiological impact of SARS-COV-2 infection in HCL employees presenting symptoms of long COVID and to evaluate the effects of an exercise rehabilitation program. Methods: Twenty-nine employees who consulted for symptoms of long COVID were included. Physiological evaluation (EFRs, 6-minute walk test [TM6], exercise tests) was used to measure the impact of COVID-19 on the respiratory function and physical fitness of these employees. A rehabilitation program was then proposed. At the end of the program, the TM6 and exercise tests were repeated in order to evaluate the effects of the program on the level of physical fitness. A subjective feeling questionnaire at the end of the program was proposed to the participants. Results: Respiratory function was preserved in participants with normal EFRs. The level of physical fitness was lowered with a TM6 in the lower limits of normal, as well as a lowered maximal power and VO2 max. The exercise rehabilitation program showed a significant improvement in TM6 and maximal power in the exercise test, suggesting a progression in the participants' muscle conditioning. The perception of the effects of the program by the questionnaire was positive. Conclusion: The follow-up of hospital staff with long forms of COVID should draw the attention of occupational physicians to the importance of a referral to a physiological evaluation, possibly leading to inclusion in an exercise rehabilitation program. This treatment is likely to improve work capacity and encourage job retention. © 2023 Elsevier Masson SAS Introduction: La pandémie de Covid-19 a fortement impacté le personnel hospitalier. Aux Hospices Civils de Lyon (HCL), un programme de réhabilitation à l'effort a été proposé à des personnels hospitaliers présentant des symptômes évocateurs de Covid long, après une évaluation physiologique. L'objectif de notre étude était d'évaluer l'impact physiologique d'une infection au SARS-COV-2 chez des salariés les HCL présentant des symptômes de Covid long, et les effets d'un programme de réhabilitation à l'effort. Méthodes: Il s'agit d'une étude observationnelle rétrospective incluant 29 salariés ayant consulté pour symptômes de Covid long. L'évaluation physiologique (EFR, test de marche de 6 minutes [TM6], épreuves d'efforts) permettait de mesurer l'impact de la Covid-19 sur la fonction respiratoire et l'aptitude physique de ces salariés. Un programme de réhabilitation était ensuite proposé. À la fin du programme, les TM6 et épreuves d'effort étaient renouvelés afin d'évaluer les effets du programme sur le niveau d'aptitude physique. Un questionnaire de ressenti subjectif à distance du programme était proposé aux participants. Résultats: La fonction respiratoire était préservée chez les participants avec des EFR normales. Le niveau d'aptitude physique était abaissé avec un TM6 dans les limites inférieures de la normale, ainsi qu'une puissance maximale et un VO2 max abaissées. Le programme de réhabilitation à l'effort montrait une amélioration significative du TM6 et de la puissance maximale à l'épreuve d'effort, suggérant une progression sur le conditionnement musculaire des participants. La perception des effets du programme par le questionnaire était positive. Conclusion: Le suivi du personnel hospitalier présentant des formes de Covid long doit attirer l'attention des médecins du travail sur l'importance d'une orientation vers une évaluation physiologique, conduisant éventuellement à inclure dans un programme de réhabilitation à l'effort. Cette prise en charge est susceptible d'améliorer les capacités de travail, et de favoriser le maintien dans l'emploi. © 2023 Elsevier Masson SAS

Fonction respiratoire et aptitude physique du personnel des Hospices Civils de Lyon présentant un Covid long , effets d'un programme de réhabilitation à l'effort

Résumé Introduction La pandémie de Covid-19 a fortement impacté le personnel hospitalier. Aux Hospices Civils de Lyon (HCL), un programme de réhabilitation à l'effort a été proposé à des personnels hospitaliers présentant des symptômes évocateurs de Covid long, après une évaluation physiologique. L'objectif de notre étude était d'évaluer l'impact physiologique d'une infection au SARS-COV-2 chez des salariés les HCL présentant des symptômes de Covid long, et les effets d'un programme de réhabilitation à l'effort. Méthodes Il s'agit d'une étude observationnelle rétrospective incluant 29 salariés ayant consulté pour symptômes de Covid long. L'évaluation physiologique (EFR, test de marche de 6minutes [TM6], épreuves d'efforts) permettait de mesurer l'impact de la Covid-19 sur la fonction respiratoire et l'aptitude physique de ces salariés. Un programme de réhabilitation était ensuite proposé. À la fin du programme, les TM6 et épreuves d'effort étaient renouvelés afin d'évaluer les effets du programme sur le niveau d'aptitude physique. Un questionnaire de ressenti subjectif à distance du programme était proposé aux participants. Résultats La fonction respiratoire était préservée chez les participants avec des EFR normales. Le niveau d'aptitude physique était abaissé avec un TM6 dans les limites inférieures de la normale, ainsi qu'une puissance maximale et un VO2 max abaissées. Le programme de réhabilitation à l'effort montrait une amélioration significative du TM6 et de la puissance maximale à l'épreuve d'effort, suggérant une progression sur le conditionnement musculaire des participants. La perception des effets du programme par le questionnaire était positive. Conclusion Le suivi du personnel hospitalier présentant des formes de Covid long doit attirer l'attention des médecins du travail sur l'importance d'une orientation vers une évaluation physiologique, conduisant éventuellement à inclure dans un programme de réhabilitation à l'effort. Cette prise en charge est susceptible d'améliorer les capacités de travail, et de favoriser le maintien dans l'emploi. Summary Introduction The COVID-19 pandemic had a significant impact on hospital staff. At the Hospices Civils de Lyon (HCL), after a physiological evaluation an exercise rehabilitation program was proposed to hospital staff with suggestive symptoms of long COVID. The objective of our study was to evaluate the physiological impact of SARS-COV-2 infection in HCL employees presenting symptoms of long COVID and to evaluate the effects of an exercise rehabilitation program. Methods Twenty-nine employees who consulted for symptoms of long COVID were included. Physiological evaluation (EFRs, 6-minute walk test [TM6], exercise tests) was used to measure the impact of COVID-19 on the respiratory function and physical fitness of these employees. A rehabilitation program was then proposed. At the end of the program, the TM6 and exercise tests were repeated in order to evaluate the effects of the program on the level of physical fitness. A subjective feeling questionnaire at the end of the program was proposed to the participants. Results Respiratory function was preserved in participants with normal EFRs. The level of physical fitness was lowered with a TM6 in the lower limits of normal, as well as a lowered maximal power and VO2 max. The exercise rehabilitation program showed a significant improvement in TM6 and maximal power in the exercise test, suggesting a progression in the participants' muscle conditioning. The perception of the effects of the program by the questionnaire was positive. Conclusion The follow-up of hospital staff with long forms of COVID should draw the attention of occupational physicians to the importance of a referral to a physiological evaluation, possibly leading to inclusion in an exercise rehabilitation program. This treatment is likely to improve work capacity and encourage job retention.

Understanding the dynamics of non-clinical staff reallocation to clinical practice during the first wave of COVID-19-a qualitative study

Background: During the coronavirus disease 2019 (COVID-19) pandemic one responsive strategy to ensure hospital staff capacity was reallocation of staff between departments. Unpredicted factors may influence how such a strategy is executed and knowledge of potential moderating factors is essential to improve future staff contingency plans. The aim of this study was to explore the dynamics of reallocating non-clinical staff from departments with low activity to clinical practice during the first wave of the COVID-19 pandemic at a 530-bed university hospital in the Capital Region of Denmark. Methods: This was a qualitative study based on six individual semi-structured interviews with non-clinical staff who were reallocated during the first wave of the COVID-19 pandemic, and eight interviews with leaders from departments reallocating staff. Data was analyzed using inductive content analysis. Results: The results showed that implementation of a staff contingency plan is influenced by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Even though staff felt obligated and motivated to work and intended to cover shifts, reallocation was influenced by several other factors related to the contingency plan set-up, how the contingency plan and roles were interpreted by staff and leaders, how the leaders prioritized tasks and staff time, and the feeling of psychological safety. We found that staff and leaders interpreted the contingency plan in a social context, navigated the system, and made individual adjustments. Conclusions: This study sheds light on the dynamics of a reallocation process of non-clinical staff during the first wave of the COVID-19 pandemic. Reallocation is affected by a complex set of structural, perceptional, social, individual, and psychological moderating factors. Future staff contingency plans should take these factors into consideration to make better use of human resources in times of crisis and to improve staff experience with reallocation. © 2022 The authors.

Burnout among hospital staff during the COVID-19 pandemic: Longitudinal results from the international Cope-Corona survey study.

OBJECTIVE: Long-term changes in burnout and its predictors in hospital staff during the COVID-19 pandemic were investigated in an international study. METHODS: Two online surveys were distributed to hospital staff in seven countries (Germany, Andorra, Ireland, Spain, Italy, Romania, Iran) between May and October 2020 (T1) and between February and April 2021 (T2), using the following variables: Burnout (emotional exhaustion and depersonalization), job function, age, gender, and contact with COVID-19 patients; individual resources (self-compassion, sense of coherence, social support) and work-related resources and demands (support at the workplace, risk perception, health and safety at the workplace, altruistic acceptance of risk). Data were analyzed using linear mixed models repeated measures, controlled for age. RESULTS: A total of 612 respondents were included (76% women). We found an increase in burnout from T1 to T2. Burnout was high among personnel with high contact with COVID-19 patients. Individual factors (self-compassion, sense of coherence) and work-related factors (support at the workplace, risk perception, health and safety at the workplace) showed associations with burnout. Low health and safety at the workplace at T1 was associated with an increase in emotional exhaustion at T2. Men showed an increase in depersonalization if they had much contact with COVID-19 patients. CONCLUSION: Burnout represents a potential problematic consequence of occupational contact with COVID-19 patients. Special attention should be paid to this group in organizational health management. Self-compassion, sense of coherence, support at the workplace, risk perception, and health and safety at the workplace may be important starting points for interventions. REGISTRATION: Müller, M. M. (2020, August 30). Cope-Corona: Identifying and strengthening personal resources of hospital staff to cope with the Corona pandemic. Open Science Foundation.

Hospital resilience to extreme events: A staff capability of attendance perspective

The increasing frequency of natural hazards continues to stretch the operation of hospital services. Hospitals are expected to remain fully operational during and in the immediate aftermath of hazards to serve those who need healthcare. Despite the substantial research work on preparedness, hospitals still vulnerable and, in many cases, incapable of responding adequately due to issues such as damage to infrastructure and shortage of staff. Substantial research work was conducted on staff willingness to attend workplace;however, little work was able to ascertain the actual capability of staff to attend. This study aims to evaluate the capability of hospital staff to attend their workplace regardless of their backgrounds, jobs, and levels, making it a more accurate representation of the natural operation of hospitals. It contributes to the healthcare resilience body of knowledge, specifically related to hospital staff attendance during and post-disaster events. Data was collected through a questionnaire survey distributed to 1841 hospital staff members from different departments. Results show that the decision to attend the duty during or post-disaster event involves many complex personal and professional factors that can change, depending on the type of disaster, working environment preparedness and the personal responsibilities of the staff. Dependency, travel, training, and mental health in addition to age and work experience influence the capability to staff attend hospital post disasters. Findings established each of hospital's departments, services and professions play a key role in the provision of healthcare service no matter their backgrounds, role, and hierarchical levels.

Hospital-based telework: The pandemic pilot

This narrative inquiry dissertation study explored the experiences of nonclinical hospital staff placed on pandemic-imposed telework status from the spring of 2020, spring 2022 due to COVID-19. The purpose of this study is to address gaps in the existing literature regarding the feasibility of hospital staff to telework and identify ways to strengthen manager trust in the context of remote work. The study provides an in-depth narrative on the impact of telework on nonclinical care hospital departments and to addresses lessons learned in making remote work more feasible.This study utilized qualitative narrative inquiry approach to address the central research question and two sub-questions. A convenience sample of 11 hospital staff who experienced pandemic imposed telework participated in open ended Microsoft Teams interviews and gave in depth feedback on their lived experience with telework. Verbatim transcripts were used to code and analyze emerging themes. ATLAS.ti Cloud software was used to code and develop thematic analysis of the interviews. A total of 72 unique codes and eight themes resulted from the analysis of the interviews. The result is six recommendations that support the roll out of telework within hospitals. These findings support current research regarding strengths and weaknesses of telework and identify ways to support managers and staff moving forward. Additionally, the research fills the gap in literature regarding the feasibility and experience of telework by nonclinical hospital staff. (PsycInfo Database Record (c) 2022 APA, all rights reserved)

Investigating Organizational Learning and Adaptations for Improved Disaster Response Towards "Resilient Hospitals:" An Integrative Literature Review.

BACKGROUND: For hospitals, learning from disaster response efforts and adapting organizational practices can improve resilience in dealing with future disruptions. However, amidst global disruptions by climate change, the coronavirus disease 2019 (COVID-19) pandemic, and other disasters, hospitals' ability to cope continues to be highly variable. Hence, there are increasing calls to improve hospitals' capabilities to grow and adapt towards enhanced resilience. AIM: This study aims two-fold: (1) to characterize the current state of knowledge about how hospitals are gaining knowledge from their responses to disasters, and (2) to explore how this knowledge can be applied to inform organizational practices for hospital resilience. METHOD: This study used Preferred Reporting Items of Systematic Reviews and Meta-Analysis (PRISMA) guidelines for data collection and framework for data analysis, Covidence software, and Medical Subject Headings (MeSH) terms and keywords relevant to "hospitals," "learn," "disaster response," and "resilience." The quality appraisal used an adapted version of the Mixed Methods Assessment Tool (MMAT). RESULTS: After applying inclusion and exclusion criteria and quality appraisal, out of the 420 articles retrieved, 22 articles remained for thematic and content analysis. The thematic analysis included the hospital's functional (operational) and physical (structural and non-structural) sections. The content analysis followed nine learning areas (Governance and Leadership, Planning and Risk Assessment, Surveillance and Monitoring, Communication and Network Engagement, Staff Practices and Safety, Equipment and Resources, Facilities and Infrastructure, Novelty and Innovation, and Learning and Evaluation).On applying the Deming cycle, only four studies described a completed learning cycle wherein hospitals adapted their organizational structures using the prior experience and evaluation gained in responding to disaster(s). CONCLUSIONS: There is a gap between hospitals' organizational learning and institutionalized practice. The conceptualized Hybrid Resilience Learning Framework (HRLF) aims to guide the hospitals' decision makers in evaluating organizational resilience and knowledge.In the face of disasters, both the stressful factors and the coping strategies that affect the health care workers (HCWs) should be substantially considered.

Fear of Illness and Convenient Access to Vaccines Appear to Be the Missing Keys to Successful Vaccination Campaigns: Analysis of the Factors Influencing the Decisions of Hospital Staff in Poland concerning Vaccination against Influenza and COVID-19.

The COVID-19 pandemic has lasted for two years as of 2022, and it is common knowledge that vaccines are an essential tool to mitigate the health, economic, and social fallout. Unfortunately, vaccine hesitancy is still a serious global problem, both in the general population and among healthcare workers. The authors used an original questionnaire to conduct an anonymous survey study in the University Clinical Hospital in Wroclaw, Poland, in April and May of 2021 after acquiring consent from the Medical University of Wroclaw, Poland Bioethical Committee. The study results demonstrate that, to a significant extent, the decisions concerning vaccinations are based on factors that are difficult to change with rational argumentation, including people's personal opinions or beliefs concerning vaccinations and their earlier experiences with vaccinations. The study results suggest that the impregnating effect of one's own opinions, beliefs, and experiences can be surmounted if vaccines are dispensed free and conveniently while the pathogen is irrationally and emotionally perceived as untamed and possibly severe and life threatening. It makes a significant difference as in such cases that the percentage of participants whose decisions concerning vaccination are influenced by the risks to life or health of one's own or others rises by about 27 and 36 percent points, respectively. Therefore, in order to succeed, campaigns for vaccinations need to include strong subjective and emotional communication, appealing to negative emotions and exploiting the public's fear of the unknown while stressing tangible and personal threats possibly resulting from acquiring a vaccine-preventable infectious disease.

Knowledge, Attitude and Practice Toward COVID-19: A Cross-Sectional Study of Staff in China-Guinea Friendship Hospital, Guinea.

Background: The purpose of this study was to assess the level of knowledge, attitude and practice of COVID-19 among staff in China-Guinea Friendship Hospital, and to confirm the effect of nosocomial infection management. Methods: This cross-sectional study was conducted in December 2021. Information on socio demographic data, knowledge, attitude and practices related to COVID-19 was collected through a self-administered questionnaire. Results: A total of 143 employees participated in the survey, with a response rate of 99.31% and a vaccination rate of 95.10%. The average knowledge score of COVID-19 was 8.39 ± 1.3 points (10 points in total), without significant differences between subgroups with different demographic variables (P > 0.05); more than 80% of the participants had a positive attitude, and 72.03-93.01% of the participants could take appropriate preventive practices in different environments such as hospital, outdoor or home. Conclusion: The staff of the China-Guinea Friendship Hospital has good knowledge of COVID-19, a positive attitude and appropriate preventive practices. It can be concluded that the current nosocomial infection management is active and effective. Therefore, this study suggests that comprehensive activities such as training, promotion and supervision of COVID-19-related knowledge and countermeasures should be widely and continuously implemented in healthcare facilities, which will continuously improve the overall KAP level of hospital staff and play an important role in curbing the COVID-19 pandemic.

Impact of social activity restriction and routine patient screening as a preventive measurement for tertiary referral hospital staff in a country with high COVID-19 incidence.

Background: Measuring COVID-19 incidence among hospital staff and the influencing factors and preventative measures affecting outcomes is important given their high risk of exposure and potential impacts on health service provision. Method: Study participants included all hospital staff with COVID-19 confirmed by real-time reverse transcription-polymerase chain reaction (RT-PCR) from March 2020 to July 2021. Data were collected on age, gender, occupation, working area, symptoms and vaccination status. We also collected data on pediatric oncology patients and their caregivers to review the hospital screening policy. Results: Approximately 59% of positive cases among hospital staff occurred in the green zone; 75% were fully vaccinated. Whole-genome sequencing indicated that staff infections in June 2021 were Delta variant. A decrease in cases coincided with government implementation of social activity restriction. When RT-PCR was performed in suspected cases, 3 of 36 pediatric oncology patients and 10 staff tested positive. After routine screening, 8 of 121 patients, 3 patient caregivers, and 5 staff tested positive, all were asymptomatic, and all were infected in the community. Conclusions: Routine testing for staff, patients and caregivers, vaccination booster programs, continuing education of health care workers, and government policy, such as social activity restriction, are needed to protect frontline workers.

Examining the relationship between the thinking styles and the motivation aspects of the individuals working in the health sector in Turkey during the COVID-19 pandemic: The case of hospital staff.

Aim: The aim of this study is to evaluate the relationship between the thinking styles of hospital staff and their motivation tools during the pandemic in Turkey. Materials and methods: Top 100 hospitals in Turkey that have the highest number of examinations on the list, constitute the population and 1220 participants from all over Turkey took part in the study. The data set was analyzed with descriptive statistics, independent groups t-test, ANOVA and regression analysis. Results: Most of the sample were women (66.4%), undergraduate (49%), working in a medical position (72%) and nurses (50.6%). T-test conclusion was showed that intrinsic motivation values are higher than extrinsic motivation values. There was no significant difference between administrative/medical position status and the mean score of any of the scales. As the results of regression analysis, it was determined that thinking style significantly predicted motivation. Conclusions: The results of the present study suggest that hospital staff used the experiential thinking style more than rational thinking and behaved with intrinsic motivation more than extrinsic motivation during COVID-19 pandemic.

Objectif: L'objectif de cette étude est d'évaluer la relation entre les styles de pensée du personnel hospitalier et leurs outils de motivation pendant la pandémie en Turquie. Matériels et méthodes: Les 100 meilleurs hôpitaux en Turquie, qui ont le plus grand nombre d'examens sur la liste, constituent la population, et 1 220 participants de toute la Turquie ont participé à l'étude. L'ensemble de données a été analysé avec des statistiques descriptives, des groupes indépendants t-test, ANOVA et une analyse de régression. Résultats: L'échantillon était composé pour la plupart de femmes (66,4 %), de premier cycle (49 %), travaillant dans un poste médical (72 %) et des infirmières (50,6 %). La conclusion du test-T a montré que les valeurs de motivation intrinsèques sont plus élevées que les valeurs de motivation extrinsèques. Il n'y a pas de différence significative entre le statut du poste administratif/médical et le score moyen de l'une des échelles. Selon les résultats de l'analyse de régression, il a été déterminé que le style de pensée prédisait de manière significative la motivation. Conclusions: Les résultats de la présente étude suggèrent que le personnel hospitalier a utilisé le style de pensée expérientielle plus que la pensée rationnelle, et s'est comporté avec une motivation intrinsèque plus qu'une motivation extrinsèque pendant la pandémie de COVID-19.

Impact of the COVID-19 pandemic on the mental health of hospital staff: An umbrella review of 44 meta-analyses.

BACKGROUND: Hospital staff is at high risk of developing mental health issues during the coronavirus (COVID-19) pandemic. However, the literature lacks an overall and inclusive picture of mental health problems with comprehensive analysis among hospital staff during the COVID-19 pandemic. OBJECTIVES: To ascertain the prevalence of anxiety, depression and other mental health outcomes as reported in original articles among hospital staff during the COVID-19 pandemic. DESIGN: A PRISMA 2020 and MOOSE 2000 compliant umbrella review of published meta-analyses of observational studies evaluating the prevalence of mental health problems in hospital staff during the pandemic. REVIEW METHODS: Systematic searches were conducted in PubMed/Medline, CINAHL, EMBASE, and PsycINFO from December 1st, 2019, until August 13th 2021. The random effects model was used for the meta-analysis, and the I2 index was employed to assess between-study heterogeneity. Publication bias using Egger test and LFK index was examined. Data was analyzed using STATA 17.0 software. AMSTAR-2 was applied for the quality assessment of systematic reviews, while we used GRADE to rate the quality of evidence. RESULTS: Forty-four meta-analyses from 1298 individual studies were included in the final analysis, encompassing the prevalence of 16 mental health symptoms. One-third of hospital workers reported anxiety (Prevalence: 29.9%, 95% CI:27.1% to 32.7%) and depression (Prevalence: 28.4%, 95% CI:25.5% to 31.3%) symptomatology, while about 40% (95% CI: 36.9% to 42.0%) suffered from sleeping disorders. Fear-related symptoms, reduced well-being, poor quality of life, and acute stress symptoms had the highest prevalence among hospital staff. However, the quality of evidence in these areas varied from low to very low. Nurses suffered more often from sleep problems and symptoms of anxiety and depression than doctors, whereas doctors reported a higher prevalence of acute stress and post-traumatic disorders. The burden of anxiety, depression, and sleep disorders was higher among female employees than their male counterparts. Remarkably, acute stress and insomnia affected more than half of first-line medical staff. CONCLUSIONS: The prevalence of mental health problems among hospital staff during the COVID-19 pandemic is generally high, with anxiety, depression and insomnia symptoms representing the most robust evidence based on a large dataset of prevalence meta-analyses. However, there is no strong confidence in the body of evidence for each outcome assessed. REGISTRATION: Not registered. TWEETABLE ABSTRACT: The COVID-19 pandemic is having a major impact on the mental health of hospital staff. The need for support must be different for nurses and doctors @eldi12345.

Effect of Alpha Wave-Containing Music on the Psychological Stress Level of Hospital Staffs and their Cognitive Performance

This study aims to investigate the effect of alpha music therapy that is an affordable, easily implemented, and sustainable method on stress level, cognitive functions, and physiological response of hospital staff amidst the context of the COVID-19 pandemic. The testing group was required to listen to alpha music for two weeks. Stress questionnaires, cognitive tasks, and physiological data were collected before and after the intervention. Blood pressure and heart rate between the two groups do not differ significantly and change after intervention. The increase in PSS scores and fast response time in the Matrix Task of the Control group indicate increasing stress levels, reduced attention, and remembering ability. These results of the Control group explain the high workload at the year-end and COVID-19 outbreak in Vietnam occurring during the second data collection week. In contrast, both the PSS and Respond time measures suggest a positive effect of alpha music on the Testing group. © 2021 ECBIOS 2021. All rights reserved.

Prevalence of SARS-CoV-2 antibodies in hospital employees, Central Germany

Objectives Unidentified SARS-CoV-2 infections among hospital staff can become a major burden for healthcare systems worldwide. We hypothesized that the number of previous SARS-CoV-2 infections among hospital employees is substantially higher than known on the basis of direct testing strategies. A serological study was thus performed among staff of Marburg University Hospital, Germany, in May and June 2020. Methods Anti-SARS-CoV-2 antibody titers were measured by spike protein (S1)-specific IgG ELISA (Euroimmun) and by nucleoprotein-(NCP) specific total antibody CLIA (Roche). Selected sera were analyzed by SARS-CoV-2 neutralization test. Participants provided questionnaires regarding occupational, medical, and clinical items. Data for 3,623 individuals (74.7% of all employees) were collected. Results Individuals reactive to both S1 and NCP were defined as seropositive;all of those were confirmed by neutralization test (n=13). Eighty-nine samples were reactive in only one assay, and 3,521 were seronegative. The seroprevalence among hospital employees at Marburg University Hospital was 0.36% (13/3,623). Only five of the 13 seropositive employees had reported a positive SARS-CoV-2 RT-PCR test result. Conclusions Usage of a single S1-specific assay highly overestimated seroprevalence. The data provided no evidence for an increased risk for a SARS-CoV-2 infection for staff involved in patient care compared to staff not involved in patient care.