Substantiation of the methodology of physiological assessment of the functional state of medical personnel during COVID-19 pandemic

Introduction. The work of medical personnel in the extreme conditions of the COVID-19 pandemic is related to the impact of nervous and emotional labor tension, high visual loads, which contributes to the formation of fatigue and overwork and requires the attention of labor physiologists. The study aims to substantiate the methodology of physiological assessment of functional fatigue of medical workers during work in a covid hospital to determine the duration of periods of work in a pandemic. Materials and methods. Comprehensive physiological and hygienic studies of the medical staff of the covid hospital during 6 months of work were aimed at a physiological study of the state of the cardiovascular system with the study of the characteristics of the response to stress loads (ECG registration on a 12-channel electrocardiograph and continuously using Holter monitoring, determination of the vegetative Kerdo index and Kvass endurance coefficient), the study of psychological conditions, hygienic assessment of the intensity of the labor process. The researchers have studied the physiological state of the central nervous system and the visual analyzer according to generally accepted methods. The authors have studied the features of neurohumoral regulation (the main mediator of the stress-implementing system — cortisol) in medical workers. We have carried out a total of 1728 measurements of psychophysiological indicators. The scientists carried out statistical data processing of the received data using statistical programs Statistika 10, Microsoft Excel 2010. Results. The researchers found that indicators of the functional state of the cardiovascular system, reflecting the degree of adaptation of the body of medical workers to industrial activity, can be used to determine physiologically justified work periods in a pandemic, further accumulation of scientific data and risk assessment of medical workers. After four months of work in medical organizations with COVID-19, the formation of an unfavorable functional state in medical personnel is reflected in changes in ECG and systemic blood pressure, increased detrenability of the cardiovascular system, the predominance of sympathetic influences. Limitations. There are quantitative restrictions due to the number of medical staff of the hospital with COVID-19. Conclusion. Pronounced loads on the visual analyzer when watching video terminal screens against the background of nervous and emotional labor tension are the leading professional factors and determine the formation of the functional state of overwork (third degree) in the medical staff of the hospital with COVID-19. Ethics. The study was approved by the Local Ethics Committee of the Izmerov Research Institute of Occupational Health (Protocol No. 4 of 04/14/2021). © 2023, Izmerov Research Institute of Occupational Medicine. All rights reserved.

The gendered effect of an overwork climate and high personal standards for work-home conflict during the pandemic

Although working from home and various other forms of flexible work are often presented as measures to strengthen work-life balance, research depicts a less optimistic picture. Previous research has shown that the impact of telework on work-home conflict is controversial, depending on various factors that are also frequently gender-specific. In this study, the authors evaluate and compare the effects of external expectations (i.e., an organizational overwork climate) and internal expectations (i.e., high personal standards) on changes in work-home conflict between working men and women during the COVID-19 pandemic in Lithuania. Both types of expectations were associated with difficulties reconciling work and private life. Due to their interactions with stereotypical gender roles, organizational expectations encouraging overtime work had a more pronounced effect on male employees. Results suggest that an overwork climate within organizations is a problem not only for employees' well-being but also poses a risk to gender equality in work and private life.

Occupational Burnout in Healthcare Workers, Stress and Other Symptoms of Work Overload during the COVID-19 Pandemic in Poland.

This study explored the level and selected determinants of burnout among five groups of healthcare workers (physicians, nurses, paramedics, other medical and nonmedical staff) working during the COVID-19 pandemic in Poland. This cross-sectional study was conducted from February to April 2022, with the use of a self-administered mostly online survey. The BAT-12 scale was used to measure burnout, and the PSS-4 scale was used to measure stress. The sample was limited to 2196 individuals who worked with patients during the COVID-19 pandemic. A series of multivariate logistic regression models with three to nine predictors was estimated. The prevalence of burnout ranged from 27.7% in other nonmedical staff to 36.5% in nurses. Adjusting for age and gender, both physicians (p = 0.011) and nurses (p < 0.001) were at higher risk of burnout. In the final model, elevated stress most likely increased the risk of burnout (OR = 3.88; 95%CI <3.13-3.81>; p < 0,001). Other significant predictors of burnout included traumatic work-related experience (OR =1.91, p < 0.001), mobbing (OR = 1.83, p < 0.001) and higher workload than before the pandemic (OR = 1.41, p = 0.002). Only 7% of the respondents decided to use various forms of psychological support during the pandemic. The presented research can contribute to the effective planning and implementation of measures in the face of crisis when the workload continues to increase.

When working from home might come at a cost: the relationship between family boundary permeability, overwork climate and exhaustion

Purpose Drawing on boundary theory, this study aims to analyse whether the intensity of working from home will be related to higher exhaustion through family boundary permeability, with this relationship being more robust when overwork climate is high. Design/methodology/approach In this paper eight hundred eighty-three white-collar employees working from home during the COVID-19 pandemic in Lithuania were surveyed online. Findings The results confirmed the hypotheses, demonstrating that family boundary permeability may explain the relationship between telework intensity and exhaustion. Furthermore, the mediating relationship between the intensity of working from home, family boundary permeability and exhaustion were moderated by overwork climate. Employees who felt the pressure to overwork were more likely to have a more permeable family boundary when working from home and appeared to experience a much higher psychological cost in terms of emotional exhaustion. Originality/value The study provides an insight into the relationships between the intensity of working from home, boundary permeability and exhaustion and their boundary conditions when working from home during the COVID-19 pandemic.

Death from Overwork in a Time of Pandemic: How Delivery Work Became a Locus of Public Debate in South Korea

During the COVID-19 pandemic in South Korea, the plight of delivery workers suddenly became a locus of public debate. On the surface, this seems puzzling. Although the severely exploitative working conditions of delivery workers have been endemic for decades, these conditions had never before caused a society-wide controversy. Drawing insights from Jeffrey Alexander’s theory of societalisation, this article examines how the global health crisis not only worsened working conditions but also provided opportunities for workers and labour unions to problematise previously neglected aspects of labour exploitation. The analysis identifies three different states of the issue: (i) the disregard for ill-treatment of delivery workers, (ii) the emergence of shocking narratives, and (iii) attempts to regulate the practices of contract-based labour. [ FROM AUTHOR] Copyright of Journal of Contemporary Asia is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

A Social Policy Case for a Four-Day Week

There has been an explosion of interest in the "four-day-week" movement across the globe, especially due to its potential in addressing many of the societal challenges left by the COVID-19 pandemic. Four-day-week is a movement set to shorten the working hours of full-time workers without a reduction in pay. I aim to set out the case for a national move towards a four-day-week explaining why social policy scholars should lead the debate. First, I provide evidence of the societal costs that the current long-hours work culture has on workers' and their family's well-being and welfare, social inequality, and social cohesion. Shorter working can help tackle these issues by giving workers right to time, shifting the balance between work and non-work activities in our lives and valuing them both. Social policy scholars need to lead this debate owing to our existing knowledge and expertise in dealing with these social issues and state-level interventions. In addition, without pressing for fundamental changes in our labour market, we cannot adequately address some of the key challenges we face as a society. The paper ends with key research questions social policy scholars should address as a part of this move.

Stress among nurses from countries variously affected by the COVID-19 pandemic - results collected in Poland and Iran.

BACKGROUND: Nursing involves numerous stressful situations, such as overwork, night shifts, responsibility for the patients' health, rapid pace of work, emotional demands, contact with suffering individuals, and patients' aggressive behaviors. The SARS-CoV-2 pandemic is an additional demand on the already demanding profession. Thus, the aim of the current study was to assess the character of the relationship between overwork and subjectively experienced stress, taking into account the moderating role of contact with patients and work in facilities dedicated for COVID-19 patients, and the strategies of coping with stress, including resilience, in countries affected by the pandemic to various degrees. MATERIAL AND METHODS: The study was carried out on 151 Iranian and 158 Polish nurses at the beginning of June 2020. The following research tools were used: the Overwork Climate Scale, the Brief COPE, the Resilience Scale, and the Perception of Stress Questionnaire. The participants were also asked about their contacts with patients infected with COVID-19, and work in facilities dedicated for such patients. RESULTS: Polish and Iranian nurses reported similar levels of overwork, but they differed with respect to the level of subjectively experienced stress and they used different coping strategies to various degrees. Contact with patients infected with COVID-19 and work in facilities dedicated for such patients also moderated the relationship between overwork climate and resilience. CONCLUSIONS: Stress levels among Iranian and Polish nurses during the pandemic are different and are related to the intensity of contact with patients infected with COVID-19. Culture and context have an important impact on coping strategies which requires further studies with a multinational approach. Med Pr. 2021;72(5):457-65.

An autoethnography of pregnancy and birth during Covid times: Transcending the illusio of overwork in academia?

Under the pressure of always increasing demands of publication, excessive working hours are widespread in academia. Based on an autoethnography of myself as a pregnant woman under Covid, I explore the extent of my being caught by the illusio-"being taken in and by the game" (Bourdieu & Wacquant, 1992), that prompted me to remain absorbed by the publishing game and to overwork until the very last day before giving birth to my son. I also explore how the forced deceleration induced by the maternity leave as well as the Covid confinement contributed to increased awareness and reflection thus helping me to transcend the illusio that prompted me to overwork. I also reflect to the extent of this conversion being reversible given the continued pressures of the academic context.

The Uncounted Casualties of a Hidden COVID-19 Epidemic in China: Cross-sectional Study on Deaths Related to Overwork.

BACKGROUND: During the COVID-19 response, nonclinical essential workers usually worked overtime and experienced significant work stress, which subsequently increased their risk of mortality due to cardiovascular diseases, stroke, and pre-existing conditions. Deaths on duty, including deaths due to overwork, during the COVID-19 response were usually reported on web-based platforms for public recognition and solidarity. Although no official statistics are available for these casualties, a list of on-duty deaths has been made publicly available on the web by crowdsourcing. OBJECTIVE: This study aims to understand the trends and characteristics of deaths related to overwork among the frontline nonclinical essential workers participating in nonpharmaceutical interventions during the first wave of COVID-19 in China. METHODS: Based on a web-based crowdsourced list of deaths on duty during the first wave of the COVID-19 response in China, we manually verified all overwork-related death records against the full-text web reports from credible sources. After excluding deaths caused by COVID-19 infection and accidents, a total of 340 deaths related to overwork among nonclinical essential workers were attributed to combatting the COVID-19 crisis. We coded the key characteristics of the deceased workers, including sex, age at death, location, causes of death, date of incidence, date of death, containment duties, working area, and occupation. The temporal and spatial correlations between deaths from overwork and COVID-19 cases in China were also examined using Pearson correlation coefficient. RESULTS: From January 20 to April 26, 2020, at least 340 nonclinical frontline workers in China were reported to have died as a result of overwork while combatting COVID-19. The weekly overwork mortality was positively correlated with weekly COVID-19 cases (r=0.79, P<.001). Two-thirds of deceased workers (230/340, 67.6%) were under 55 years old, and two major causes of deaths related to overwork were cardiovascular diseases (138/340, 40.6%) and cerebrovascular diseases (73/340, 21.5%). Outside of Hubei province, there were almost 2.5 times as many deaths caused by COVID-19-related overwork (308/340, 90.6%) than by COVID-19 itself (n=120). CONCLUSIONS: The high number of deaths related to overwork among nonclinical essential workers at the frontline of the COVID-19 epidemic is alarming. Policies for occupational health protection against work hazards should therefore be prioritized and enforced.

Remote monitoring contributes to preventing overwork-related events in health workers on the COVID-19 frontlines.

Fighting on the frontlines against the coronavirus disease 2019 (COVID-19) pandemic, health workers are at high risk of virus infection and overwork-related sudden death and disorders including cardiovascular diseases and stress. When we noted the increase of overwork-related sudden deaths in physicians and nurses in the first 2 weeks after lockdown of Wuhan, we organized the 'Touching Your Heart' program by remote monitoring, aiming to protect health workers from overwork-related disorders through integrated volunteer work by physicians and medical engineering researchers from Wuhan Huoshenshan Hospital, Nanjing Medical University, and Tiangong University. By remotely monitoring the health conditions of the medical aid team working at Wuhan Huoshenshan Hospital, the program successfully helped in avoiding severe overwork-related events. The results from our program should be used to remind frontline health workers around the world to take precautions against overworked-related severe events, and show that precision monitoring is effective in improving work efficiency and maintaining a sustainable workforce during emergency situations like a pandemic.