Implementation of a Web-Based Resilience Enhancement Training for Nurses: Pilot Randomized Controlled Trial.

BACKGROUND: Global workforce challenges faced by health care providers are linked to low levels of job satisfaction, recruitment, retention, and well-being, with detrimental impacts on patient care outcomes. Resilience-building programs can provide support for staff who endure highly stressful environments, enhance resilience, and support recruitment and retention, with web-based formats being key to increasing accessibility. OBJECTIVE: We aimed to examine participants' engagement with a newly developed Resilience Enhancement Online Training for Nurses (REsOluTioN), explore its acceptability, and compare levels of resilience and psychological well-being in nurses who completed REsOluTioN with those who did not. METHODS: We carried out a pilot randomized trial (1:1), conducted at a single site (mental health and community trust in South England) between August 2021 and May 2022. Local research ethics approvals were obtained. Nurses were invited to participate and were randomly assigned to a waitlist group or REsOluTioN group. Training lasted for 4 weeks, consisting of prereading, web-based facilitated sessions, and mentorship support. We evaluated trial engagement, acceptability of training, and pre-post changes in resilience, measured by the Brief Resilience Scale, and psychological well-being, measured by the Warwick Edinburgh Mental Wellbeing Scale. Qualitative participant feedback was collected. Consolidated Standards of Reporting Trials 2010 extension guidelines for reporting pilot and feasibility trials were used. RESULTS: Of 108 participants recruited, 93 completed the study. Participants' mean age was 44 (SD 10.85) years. Most participants were female (n=95, 88.8%), White (n=95, 88.8%), and worked in community settings (n=91, 85.0%). Sixteen facilitated and 150 mentoring sessions took place. Most REsOluTioN program participants reported the sessions helped improve their resilience (n=24, 72.8%), self-confidence (n=24, 72.7%), ability to provide good patient care (n=25, 75.8%), relationships with colleagues (n=24, 72.7%), and communication skills (n=25, 75.8%). No statistically significant differences between training and control groups and time on well-being (F1,91=1.44, P=.23, partial η2=0.02) and resilience scores (F1,91=0.33, P=.57, partial η2=0.004) were revealed; however, there were positive trends toward improvement in both. Nurse participants engaged with the REsOluTioN program and found it acceptable. Most found web-based training and mentoring useful and enjoyed learning, reflection, networking, and participatory sessions. CONCLUSIONS: The REsOluTioN program was acceptable, engaging, perceived as useful, and nurses were keen for it to be implemented to optimize resilience, psychological health, communication, and workplace environments. The study has evidenced that it is acceptable to implement web-based resilience programs with similar design features within busy health care settings, indicating a need for similar programs to be carefully evaluated. Mentorship support may also be a key in optimizing resilience. Trial limitations include small sample size and reduced statistical power; a multicenter randomized controlled trial could test effectiveness of the training on a larger scale. TRIAL REGISTRATION: ClinicalTrials.gov NCT05074563; https://clinicaltrials.gov/ct2/show/NCT05074563. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/37015.

Implementation of the Synergy Tool: A Potential Intervention to Relieve Health Care Worker Burnout.

(1) Background: Healthcare workers experienced rising burnout rates during and after the COVID-19 pandemic. A practice-academic collaboration between health services researchers and the surgical services program of a Canadian tertiary-care urban hospital was used to develop, implement and evaluate a potential burnout intervention, the Synergy tool. (2) Methods: Using participatory action research methods, this project involved four key phases: (I) an environmental scan and a baseline survey assessment, (II), a workshop, (III) Synergy tool implementation and (IV) a staffing plan workshop. A follow-up survey to evaluate the impact of Synergy tool use on healthcare worker burnout will be completed in 2023. (3) Results: A baseline survey assessment indicated high to severe levels of personal and work-related burnout prior to project initiation. During the project phases, there was high staff engagement with Synergy tool use to create patient care needs profiles and staffing recommendations. (4) Conclusions: As in previous research with the Synergy tool, this patient needs assessment approach is an efficient and effective way to engage direct care providers in identifying and scoring acuity and dependency needs for their specific patient populations. The Synergy tool approach to assessing patient needs holds promise as a means to engage direct care providers and to give them greater control over their practice-potentially serving as a buffer against burnout.

Exploring the Impact of Storytelling for Hospitalized Patients Recovering from COVID-19.

There are mental and physical deficits associated with COVID-19 infection, particularly among individuals requiring hospitalization. Storytelling is a relational intervention that has been used to help patients make sense of their illness experiences and to share their experiences with others, including other patients, families and healthcare providers. Relational interventions strive to create positive, healing stories versus negative ones. In one urban acute care hospital, an initiative called the Patient Stories Project (PSP) uses storytelling as a relational intervention to promote patient healing, including the development of healthier relationships among themselves, with families and with healthcare providers. This qualitative study employed a series of interview questions that were collaboratively developed with patient partners and COVID-19 survivors. The questions asked consenting COVID-19 survivors about why they chose to tell their stories and to flesh out more about their recovery process. Thematic analyses of six participant interviews resulted in the identification of key themes along a COVID-19 recovery pathway. Patients' stories revealed how survivors progress from being overwhelmed by their symptoms to making sense of what is happening to them, providing feedback to their care providers, feeling gratitude for care received, becoming aware of a new state of normal, regaining control of their lives, and ultimately discovering meaning and an important lesson behind their illness experience. Our study's findings suggest that the PSP storytelling approach holds potential as a relational intervention to support COVID-19 survivors along a recovery journey. This study also adds knowledge about survivors beyond the first few months of recovery.

A Cross-Sectional Study of SARS-CoV-2 Antibodies and Risk Factors for Seropositivity in Staff in Day Care Facilities and Preschools in Denmark.

The aim of this study was to provide information about immunity against COVID-19 along with risk factors and behavior among employees in day care facilities and preschools (DCS) in Denmark. In collaboration with the Danish Union of Pedagogues, during February and March 2021, 47,810 members were offered a point-of-care rapid SARS-CoV-2 antibody test (POCT) at work and were invited to fill in an electronic questionnaire covering COVID-19 exposure. Seroprevalence data from Danish blood donors (total Ig enzyme-linked immunosorbent assay [ELISA]) were used as a proxy for the Danish population. A total of 21,018 (45%) DCS employees completed the questionnaire and reported their POCT result {median age, 44.3 years (interquartile range [IQR], [32.7 to 53.6]); females, 84.1%}, of which 20,267 (96.4%) were unvaccinated and included in analysis. A total of 1,857 (9.2%) participants tested seropositive, significantly higher than a seroprevalence at 7.6% (risk ratio [RR], 1.2; 95% confidence interval [CI], 1.14 to 1.27) among 40,541 healthy blood donors (median age, 42 years [IQR, 28 to 53]; males, 51.3%). Exposure at work (RR, 2.9; 95% CI, 2.3 to 3.6) was less of a risk factor than exposure within the household (RR, 12.7; 95% CI, 10.2 to 15.8). Less than 25% of participants reported wearing face protection at work. Most of the participants expressed some degree of fear of contracting COVID-19 both at work and outside work. SARS-CoV-2 seroprevalence was slightly higher in DCS staff than in blood donors, but possible exposure at home was associated with a higher risk than at work. DCS staff expressed fear of contracting COVID-19, though there was limited use of face protection at work. IMPORTANCE Identifying at-risk groups and evaluating preventive interventions in at-risk groups is imperative for the ongoing pandemic as well as for the control of future epidemics. Although DCS staff have a much higher risk of being infected within their own household than at their workplace, most are fearful of being infected with COVID-19 or bringing COVID-19 to work. This represents an interesting dilemma and an important issue which should be addressed by public health authorities for risk communication and pandemic planning. This study design can be used in a strategy for ongoing surveillance of COVID-19 immunity or other infections in the population. The findings of this study can be used to assess the need for future preventive interventions in DCS, such as the use of personal protective equipment.

Three Outbreaks of COVID-19 in a Single Nursing Home over Two Years of the SARS-CoV-2 Pandemic.

Older people in nursing homes (NH) have been hit particularly hard by the COVID-19 pandemic. We conducted a retrospective study of three outbreaks of COVID-19, occurring during the waves of the initial pre-Alpha, Delta and Omicron SARS-CoV-2 variants, in one NH in suburban Belgrade, Serbia. All staff and 95% residents were vaccinated in February 2021, mostly with BBIBP-CorV, and two thirds were boosted with a third dose in August 2021. COVID-19 was diagnosed by positive PCR and/or antigen test. After the first outbreak, 80 affected individuals were tested for SARS-CoV-2 specific antibodies. The first outbreak involved 64/126 (50.8%) residents and 45/64 (70.3%) staff, the second 22/75 (29.3%) residents and 3/40 (7.5%) staff, and the third involved 36/110 (32.7%) residents and 19/56 (33.9%) staff. Clinical presentation ranged from asymptomatic to severe, with severe cases referred to hospital ICUs. Deaths occurred only in residents, and the case fatality rate was 31.2%, 9.1% and 0%, respectively in outbreaks 1, 2 and 3. Specific IgG antibodies were detected in all 35 residents and 44 of the 45 staff, and higher IgG levels were detected in the residents (417.3±273.5) than in the staff (201.9±192.9, p<0.0001) despite a double difference in age (79.0±7.4 vs. 40.1±11.5 years). Outbreaks 2 and 3 involved four and 23 breakthrough infections, respectively. Older individuals mounted a good immunological response to SARS-CoV-2 infection and vaccination, which prevented significant mortality and severe morbidity in the subsequent outbreaks, despite a significant number of breakthrough infections.

COVID-19 Incidence and Vaccine Effectiveness in University Staff, 1 March 2020-2 April 2022.

Background: University workers undergo intense social interactions due to frequent contact with students and colleagues and lectures in crowdy conditions. The aim of our study was to assess the incidence of COVID-19 infection and vaccine effectiveness in a cohort of workers of the University of Trieste from 1 March 2020 (start of the pandemic) through 2 April 2022. Methods: The University of Trieste implemented a number of public health policies to contain the spread of SARS-CoV-2 on the campus, including prompt contact tracing, enhanced ventilation of all premises, fomites disinfection and mandatory use of face masks indoors. In compliance with the surveillance protocol of the local public health department, university personnel were tested for SARS-CoV-2 by polymerase chain reaction (PCR) on a nasopharyngeal swab on demand, in the event of symptoms consistent with COVID-19 or for contact tracing, following close contact with a confirmed COVID-19 case. The incidence rates of SARS-CoV-2 infections were estimated as number of cases by number of person-days (p-d) at risk. Multivariable Cox proportional hazard regression model was employed to investigate the risk of primary COVID-19 infection, controlling for a number of potential confounders and expressing the risk as the adjusted hazard ratio (aHR) with a 95% confidence interval (95% CI). Results: The incidence of SARS-CoV-2 infection among university staff was lower than that of healthcare workers (HCWs) of the same area. Compared to unvaccinated colleagues (6.55 × 10,000 p-d), the raw incidence of SARS-CoV-2 infection was higher among university workers immunized with one (7.22 × 10,000 p-d) or two (7.48 × 10,000 p-d) doses of COVID-19 vaccines, decreasing in those receiving the booster (1.98 × 1000 p-d). The risk of infection increased only in postgraduate medical trainees (aHR = 2.16; 95% CI: 1.04; 4.48), though this was limited to the Omicron transmission period. After the implementation of the national vaccination campaign against COVID-19, workers immunized with the booster were less likely than unvaccinated workers to be infected by SARS-CoV-2 both before (aHR = 0.10; 95% CI: 0.06; 0.16) and after (aHR = 0.37; 95% CI: 0.27; 0.52) the Omicron transmission period. Vaccine effectiveness of the booster was 90% (=(1-0.10) × 100) before versus 63% (=(1-0.37) × 100) during the Omicron wave, without a significant difference between homologous (three doses of m-RNA vaccines) and heterologous immunization (first two doses of Vaxzevria followed by a third dose of m-RNA vaccine). Conclusions: The incidence of SARS-CoV-2 infection in university staff was lower than that of HCWs of ASUGI, likely because the testing-on-demand schedule inevitably missed the vast majority of asymptomatic infections. Therefore, the observed significantly protective effect of the booster dose in university personnel referred to symptomatic SARS-CoV-2 infections. The infection prevention and control policies implemented by the University of Trieste managed to equalize the biological risk between administrative and teaching staff.

Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey.

COVID-19 has caused a major crisis all over the world. To manage this crisis, a fixed shift system was applied to nursing home staff in Turkey to protect nursing home residents from the COVID-19 pandemic. Staff were not allowed to leave the institution during fixed shifts. It is thought that this practice for the COVID-19 outbreak, while protecting nursing home residents on the one hand, increased the workload and related stress of nursing home staff on the other hand. To the best of our knowledge, there is no study examining the workload and stress caused by the COVID-19 pandemic for nursing home staff in Turkey. The aim of this study was to examine the level of workload and work stress experienced by staff working in nursing homes during the COVID-19 pandemic in Turkey. METHODS: A cross-sectional research design was used in the study. The sample of the study consisted of nursing home personnel working in nursing homes in the provinces of Istanbul, Ankara, Izmir and Antalya between October 2021 and January 2022. A personal information form and a workload and stress scale were used for collecting the data. Cluster analysis was performed with SPSS software. RESULTS: In total, 154 nursing home personnel participated in the study. A statistically significant difference was found between the mean age of the two clusters. The first cluster was described as "old" and the second as "young". Statistically significant and high values were found in the quantitative workload, qualitative workload, job organization, social work area and fatigue factors in the nursing home staff in the older participant cluster. CONCLUSION: The results of this study provide new information about the concepts of workload and work stress experienced during the COVID-19 pandemic in Turkey, which will serve as a guide for the management of future pandemics. Therefore, this study will contribute to the strategies to be followed in future pandemics in Turkey.

هم هگیری کووید- 19 در شهر رشت در سال 14اختلال استرس پس از آسیب حساسیت اضطرابی و تا بآوری در کارکنان خدمات درمانی طی

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.

Development of a job profile for occupational health managers

Background: The tasks of occupational health managers (OHMs) are diverse. Currently there is no up-to-date job profile for OHMs that can be used for demand-oriented selection of personnel and the development of training curricula in workplace health management (WHM). Objectives: The aim of this study was to develop a job profile for OHMs involving subject-matter experts. Materials and methods: We conducted a job analysis with Task Analysis Tools (TAToo) [6]. The three-step approach comprised 21 semi-structured interviews with job holders and supervisors, two workshops, and an online survey (n = 46) to ecologically validate the results. On that basis, a job profile for OHMs was developed. Results: The tasks, targets, and interfaces of OHMs are diverse. Expertise in health sciences, psychology, ergonomics, and business administration is particularly important for their work. Regarding methodological skills, networking, systematic work, presentation and project management skills are relevant. Important soft skills are trustworthiness, passion for health, enthusiasm, reliability, and the readiness for teamwork. COVID-19 has slightly changed the job profile, so that digital skills, healthy leadership, mental health, healthy home-offices, and pandemic preparedness have become more important. Conclusions: Limitations with regard to the generalizability of the job profile may result from the fact that the analysis is not based on a representative sample. Expertise around occupational safety, occupational health, return-to-work, evaluation, and digitalization should play a greater role in the training and selection of OHMs. © 2023, The Author(s).

An Introductory BIM Course for Engineering Students

Building Information Modelling is being adopted worldwide and universities are thus expected to provide the market with new professionals with BIM knowledge and skills. However, introduction of this theme into the curriculum can be challenging to teaching staff. Having successful implementation examples can help carrying on this task. This paper presents the structure, syllabus, adopted tools and activities of an introductory BIM course offered to first-year engineering students. Implemented with only 2 credits, it covers BIM fundamental concepts and develops collaboration skills and abilities with BIM software tools. It was effectively deployed on big classes and successfully offered both in face-to-face and remote modes, adopting a practice focus. An innovative organization for student group projects was adopted, enabling student participation on several projects, performing a different role in each one. Perceived benefits to students' development are reported. The covid-19 pandemics impact is discussed. Future improvements in the course are suggested. Overall results achieved were considered very good. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Suicide among nurses: how talking can reduce risk and stigma: With increasing workplace and home pressures for many, nurses can support colleagues through open, honest

In the BBC TV programme 'This Is Going to Hurt', hospital staff plant a tree in memory of a colleague who has died by suicide.

Developmental Experiences in Seasonal Employment: A National Mixed-Methods Study of Camp Staff

As the labor market has tightened, seasonal recreation employers have struggled to find and hire quality staff. Operating under tight budgetary constraints due to the COVID-19 pandemic, many seasonal employers are looking for alternatives to pay increases to attract staff. Emerging adults, defined as people between 18 and 29 years of age, are commonly seeking seasonal employment to complement their school schedules during the summer months. Therefore, adding non-monetary value to these seasonable employment experiences may encourage further interest from emerging adults.Emerging adults are generally focused on understanding who they are and what they want out of life. This type of learning is often facilitated through experiences that offer opportunities to be socially and emotionally supported (Yohalem et al., 2007), build meaningful relationships with others (Lerner & Lerner, 2013), try and experiment in new contexts and activities (Durlak et al., 2010), and contribute in significant ways (Eccles & Gootman, 2002). Collectively, such experiences are often termed developmental experiences (Nagaoka et al., 2015). Seasonal employ-ment experiences that are developmental offer emerging adults non-monetary value that they may find attractive. Therefore, the purpose of this paper was to understand developmental experiences reported by emerging adult summer camp employees as a way to inform seasonal staffing efforts.Participants were 254 individuals (Mage = 19.8 years), majority female (68.9%) and White (76%) who were recruited from a longitudinal study and were camp staff during summer 2018. A convergent design was used, including data from semi-structured interviews and quantitative surveys. Qualitative data were ana-lyzed inductively and deductively, and within-subjects designs (RMANOVAs and paired t-tests) were used to analyze quantitative data. The reported employment experiences generally aligned with the existing literature on important character-istics of developmental experiences and were categorized as experiential and en-gaging activities, positive social and emotional climate, supportive relationships, and meaningful contributions. An additional characteristic, less consistent with the extant literature, separate time and space, was also present. Implications for practice are offered, highlighting ways to facilitate developmental experiences for camp staff and reduce characteristics that may hinder developmental experiences.

Sharing Lessons From Successes: Long-term Care Facilities That Weathered the Storm of COVID-19 and Staffing Crises

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.

Coronaviruses Pathogens in Human in Third Millennium (SARS-CoV, MERS, COVID-19): A Review Article

This study aimed to investigate the most common Coronavirus pathogens in humans in the third millennium. In this study, all documents in English on pathogenic coronaviruses were examined from the beginning of 2002 to March 27, 2020. Articles were searched through reliable databases such as PubMed, Web of Science, Scopus, Google scholar, Science Direct, Cochrane library, and BioRxiv using the keywords "COVID-19", "Coronavirus 2019", "SARS-CoV," and" MERS-CoV." In addition, reliable health websites, such as WHO and the Centers for Disease Control and Prevention (CDC), were used to obtain new figures and information on these diseases. A total of 1563 articles and documents were extracted, and after reviewing the full texts of these articles, 100 papers and documents with necessary eligibility were finally selected in the present review study. The outbreak of pathogenic viruses, especially the latest one, i.e., COVID-19, as a severe threat can affect the entire global community, in particular medical staff who are at the forefront of fighting against the virus. It can generally be concluded that coronaviruses have high pathogenesis, with very rapid person-to-person transmission. Since human knowledge is not yet complete about the new type of this virus, i.e., COVID-19, there are no definitive treatments for the virus. Thus, the best and only way to prevent affection from this virus is currently fully implementing health protocols and preventing self-infection and the virus outbreak.

Immunogenicity evaluation of Gam-COVID-Vac (Sputnik V)

In November 2020, the Armed Forces of the Russian Federation began mass immunisation of the personnel with Gam-COVID-Vac (Sputnik V), the first Russia vaccine against the new coronavirus infection (COVID-19). Thus, it became necessary to assess post-vaccination antibody levels and the duration and intensity of humoral immunity to COVID-19. The aim of the study was to investigate the immunogenicity and efficacy of Gam-COVID-Vac in military medical staff after vaccination. Materials and methods: the authors determined the presence of specific antibodies in the serum of individuals immunised with Gam-COVID-Vac (477 volunteers) and COVID-19 convalescents (73 patients), using virus neutralisation (VN), enzyme-linked immunosorbent assay (ELISA) with reagent kits by several manufacturers, and immunoblotting. The results of the study were evaluated using analysis of variance. Results: VN detected virus neutralising antibodies in 90.7% of vaccinated subjects;ELISA, in 95.4%. Both VN and ELISA showed lower antibody levels in the vaccinated over 50 years of age. ELISA demonstrated a significantly higher concentration of anti-SARS-CoV-2 spike IgG in the Gam-COVID-Vac group than in the COVID-19 convalescent group. The correlation between antibody detection results by VN and ELISA was the strongest when the authors used their experimental reagent kit for quantitative detection of virus neutralising antibodies by competitive ELISA with the recombinant human ACE2 receptor. Having analysed the time course of neutralising antibody titres, the authors noted a significant, more than two-fold decrease in geometric means of the titres three months after administration of the second vaccine component. Conclusions: the subjects vaccinated with Gam-COVID-Vac gain effective humoral immunity to COVID-19. The decrease in titres indicates the need for revaccination in 6 months.

Organizational resilience under COVID-19: the role of digital technology in R&D investment and performance

Purpose: This study aims at the sudden outbreak of COVID-19, which had an unprecedented negative impact on the Chinese economy, with firms being affected most. Firms differ in terms of their specific internal environment, shaping their ability to respond to the outbreak, so the impact may also vary. Design/methodology/approach: In this paper Chinese listed firms are selected as samples to investigate the mediating effect of prior digital technology on the relationship between R&D (research and development) investment (funds and staff) and firm performance during the epidemic. Firm size and diversification are then introduced as moderating variables to explore the conditional mediating effect of digital technology. Findings: The results indicate that the higher the firm's prior R&D investment, the higher its digital technology level, and thus the stronger its resistance to the epidemic. Moreover, compared with large-scale firms, small-scale firms have the advantage of strategic flexibility to technological changes, which can help them accumulate experience from R&D activities for digital transformation, thus attenuating the negative impact of the COVID-19 on firm performance. Finally, the results also show that digital technology mediates more strongly between R&D investment and firm performance in diversified firms than in centralized firms. Originality/value: The study builds a mediation model to reveal the process mechanism through which R&D investment affects firm performance via digital technology. Firm size and diversification are then innovatively introduced as situational factors to build the moderated mediation model, which opens up a new perspective for understanding the effect of firm internal factors on the relationship between R&D investment, digital transformation and firm performance. © 2022, Emerald Publishing Limited.

Has COVID-19 influenced the perceived quality of service of hotels?

Purpose: The purpose of this paper is to analyze the perceived quality of service by guests in the reopening process during the COVID-19 pandemic. Design/methodology/approach: The authors analyzed 1,679 TripAdvisor reviews from 2019 and 2020 that were written for hotels in Gran Canaria, Spain. The authors compared the average rating for 2019 and 2020 and the authors performed a content analysis of the reviews. Findings: Guests perceived the quality of their stay to be worse during 2020, especially regarding food and beverage and staff behavior. The only service quality dimension that showed an improvement was related to open-air hotel installations. Research limitations/implications: The authors only analyzed reviews in one language. The authors were not able to determine if the lower ratings in 2020 were due to the way in which they perceived the quality of service or to the fact that the quality of service was objectively worse. Originality/value: This paper contributes to theory development in the field of hospitality management by providing new insights into how external events can influence hotel services and guests' perceptions. This research shows how a health crisis that is external to the tourism industry has caused an impact on hotel staff management and on how hotel staff behavior is perceived. However, it is also possible that regardless of anything managers do, the rating that a guest awards a hotel will be lower than it would have been before the pandemic. © 2022, Emerald Publishing Limited.

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.