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Practical Research Ni Arame

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I.

3 Proposed Research Title

1. Health Protocols and Health risks of Medical Personnel of Naujan Oriental Mindoro

during COVID-19 Pandemic

2. Anxiety and Stress of Medical Personnel of MMG Hospital during COVID-19

Pandemic

3. Effects of Stress and Health risk of Medical Personnel In MMG Hospital during

COVID-19 Pandemic

II. One topic and 3 abstract

Topic:

Anxiety and Stress of Medical Personnel of MMG Hospital during COVID-19

Pandemic

Abstract:

1. Abstract

Aim

The long-term stress, anxiety and job burnout experienced by healthcare workers

(HCWs) are important to consider as the novel coronavirus disease (COVID-19)

pandemic stresses healthcare systems globally. The primary objective was to examine

the changes in the proportion of HCWs reporting stress, anxiety, and job burnout over

six months during the peak of the pandemic in Singapore. The secondary objective was

to examine the extent that objective job characteristics, HCW-perceived job factors, and

HCW personal resources were associated with stress, anxiety, and job burnout.

Method

A sample of HCWs (doctors, nurses, allied health professionals, administrative and

operations staff; N = 2744) was recruited via invitation to participate in an online survey
from four tertiary hospitals. Data were gathered between March-August 2020, which

included a 2-month lockdown period. HCWs completed monthly web-based self-reported

assessments of stress (Perceived Stress Scale-4), anxiety (Generalized Anxiety

Disorder-

7), and job burnout (Physician Work Life Scale).

Results

The majority of the sample consisted of female HCWs (81%) and nurses (60%). Using

random-intercept logistic regression models, elevated perceived stress, anxiety and job

burnout were reported by 33%, 13%, and 24% of the overall sample at baseline

respectively. The proportion of HCWs reporting stress and job burnout increased by

approximately 1·0% and 1·2% respectively per month. Anxiety did not significantly

increase. Working long hours was associated with higher odds, while teamwork and

feeling appreciated at work were associated with lower odds, of stress, anxiety, and job

burnout.

Conclusions

Perceived stress and job burnout showed a mild increase over six months, even after

exiting the lockdown. Teamwork and feeling appreciated at work were protective and are

targets for developing organizational interventions to mitigate expected poor outcomes

among frontline HCWs.

2. Background

Ensuring safety and wellbeing of healthcare providers is crucial, particularly during times

of a pandemic. In this study, we aim to identify the determinants of anxiety in physicians

on duty in coronavirus wards or quarantine centers.

Methods

We conducted a cross-sectional quantitative survey with an additional qualitative item.


Five constructs of workload, exhaustion, family strain, feeling of protection, and anxiety

were measured using items from two validated tools. Modifications were made for

regional relevance. Factor analysis was performed showing satisfactory Cronbach alpha

results.

Overall, 103 physicians completed the questionnaire.

Results

T-test results revealed significant associations between gender and anxiety. Structural

equation modeling identified that high workload contributed to greater exhaustion

(β = 0.41, R2 = 0.17, p < 0.001) and greater family strain (β = 0.47, R2 = 0.22, p < 0.001).

Exhaustion (β = 0.17, p < 0.005), family strain (β = 0.34, p < 0.001), and feelings of

protection (β = − 0.30, p < 0.001) significantly explained anxiety (R2 = 0.28). Qualitative

findings further identified specific needs of physicians with regard to protective

equipment, compensation, quarantine management, resource allocation, security and

public support, governance improvement, and health sector development.

Conclusions

It is imperative to improve governmental and social support for physicians and other

healthcare providers during the corona pandemic. Immediate attention is needed to

reduce anxiety, workload, and family strain in frontline practitioners treating coronavirus

patients, and to improve their (perceptions of) protection. This is a precondition for

patient safety.

3.

Objective

This study assessed perceived stress, anxiety and depression among healthcare

workers facing the COVID-19 pandemic in Egypt.


Setting

This was an online study where a Google form was prepared including

sociodemographic and occupational data as well as three validated questionnaires to

assess perceived stress, anxiety and depression, respectively. The form was distributed

online to all social media groups including healthcare workers all across the country, and

responses were collected until the sample size of 262.

Participants

Healthcare workers (physicians, dentists, pharmacists, physiotherapists, nurses,

technicians and administrators) working in governmental or educational hospitals from all

Egyptian governorates who are members of social media groups. The mean age of

participants was 33.4±5.9 years, 70% were women, about 70% were married and 66%

were physicians.

Outcomes

The frequency of perceived stress, anxiety and depression observed among the study

participants according to the results of their questionnaires. Then the frequencies were

compared between different sociodemographic characteristics.

Results

Only 1.3% showed low perceived stress while 98.5% showed moderate to severe stress.

About 9.5% did not experience generalized anxiety, while the remaining 90.5% had

different degrees of anxiety as mild anxiety showed the highest per cent affecting about

40% of participants followed by moderate anxiety about 32% then severe anxiety, 18.5%.

With regard to depression, 94% of participants showed mild to severe depression.


Conclusion

This study showed a high prevalence of perceived stress, anxiety and depression among

healthcare workers during the COVID-19 pandemic that affected all workers regardless

of different sociodemographic characteristics.

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