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Copyright of Acibadem Saglik Bilimleri Dergisi is the property of Acibadem University Medical School 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

Despite the significant consequences for medical practice and public health, burnout in healthcare workers remains underestimated. Pandemic periods have increased the reactivity to stress by favoring some changes whose influence are still felt. Purpose: This study aims to identify opportune factors during pandemic periods that predispose medical personnel to burnout and the differences between medical staff which worked with COVID-19 patients and those who did not work with COVID-19 patients. Material and Methods: This is a prospective study on 199 subjects, medical staff and auxiliary staff from national health units, COVID-19 and non-COVID-19, who answered questions using the Google Forms platform about the level of stress related to the workplace and the changes produced there. All statistical analyses were conducted using IBM SPSS Statistics (Version 28). Results: The limited equipment and disinfectant solutions from the lack of medical resources category, the fear of contracting or transmitting the infection from the fears in relation to the COVID-19 pandemic category and the lack of personal and system-level experience in combating the infection due to the lack of information on and experience with COVID-19 were the most predisposing factors for burnout. No significant differences were recorded between those on the front line and the other healthcare representatives. Conclusions: The results of this study identify the stressors generated in the pandemic context with prognostic value in the development of burnout among medical personnel. At the same time, our data draw attention to the cynicism or false-optimism stage of burnout, which can mask a real decline. [ABSTRACT FROM AUTHOR]

Aim: This study systematically compared the efficacy of various dressings that may prevent facial medical device‐related pressure injury (MRDPI) in medical staff during the COVID‐19 pandemic. Background: During the COVID‐19 pandemic, medical staff who are required to wear masks, goggles and other personal protective equipment (PPE) are susceptible to facial MRDPI, which exacerbates working conditions. Dressings can effectively prevent or alleviate MRDPI, but it is unclear which dressings are most effective. Design: A systematic review and network meta‐analysis, in accordance with PRISMA. Methods: A comprehensive literature search was conducted in four English and four Chinese databases to identify relevant studies published up to 8 September 2022. The selected studies were randomised controlled trials, with populations comprising medical staff who wore PPE during the COVID‐19 pandemic and included an observation and control group. Results: The network meta‐analysis of the 12 selected articles showed that foam dressing, hydrocolloid dressing and petrolatum gauze were better than conventional protection for preventing MRDPI. The surface under the cumulative ranking curve indicated that foam dressing was the best preventative. Conclusion: Foam dressing is more effective than other dressings in preventing facial MRDPI in medical staff. When PPE must be worn for many hours, such as during the COVID‐19 pandemic, medical staff can use foam dressings to prevent MRDPI. Relevance to clinical practice: The results support the use of dressings, especially foam dressings, to prevent MRDPI in healthcare workers. The appropriate dressings are recommended to prevent MRDPI associated with wearing PPE. [ABSTRACT FROM AUTHOR]

Copyright of Revista Habanera de Ciencias Médicas is the property of Universidad de Ciencias Medicas de La Habana 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

OBJECTIVE: To explore the impact of the Covid-19 pandemic on the stress levels and experience of academic surgeons by training status (eg, housestaff or faculty). BACKGROUND: Covid-19 has uniquely challenged and changed the United States healthcare system. A better understanding of the surgeon experience is necessary to inform proactive workforce management and support. METHODS: A multi-institutional, cross-sectional telephone survey of surgeons was conducted across 5 academic medical centers from May 15 to June 5, 2020. The exposure of interest was training status. The primary outcome was maximum stress level, measured using the validated Stress Numerical Rating Scale-11 (range 0-10). RESULTS: A total of 335 surveys were completed (49.3% housestaff, 50.7% faculty; response rate 63.7%). The mean maximum stress level of faculty was 7.21 (SD 1.81) and of housestaff was 6.86 (SD 2.06) (P = 0.102). Mean stress levels at the time of the survey trended lower amongst housestaff (4.17, SD 1.89) than faculty (4.56, SD 2.15) (P = 0.076). More housestaff (63.6%) than faculty (40.0%) reported exposure to individuals with Covid-19 (P < 0.001). Subjects reported inadequate personal protective equipment in approximately a third of professional exposures, with no difference by training status (P = 0.557). CONCLUSIONS: During the early months of the Covid-19 pandemic, the personal and professional experiences of housestaff and faculty differed, in part due to a difference in exposure as well as non-work-related stressors. Workforce safety, including adequate personal protective equipment, expanded benefits (eg, emergency childcare), and deliberate staffing models may help to alleviate the stress associated with disease resurgence or future disasters.

Background: The medical staff working on the front-line battle against coronavirus disease 2019 (COVID-19) are more exposed to mental health risks than the general population. Resilience is the ability to withstand challenging situations and help people defend their mental health against stressors. The present study aimed to compare the effectiveness of Yalom and acceptance and commitment therapy (ACT) on medical staff resilience in COVID-19 centers. Methods: The research method was quasi-experimental with a pre-test-post-test design and a control group. The statistical population includes all 600 medical staff of Hamedan City, Iran, caring for patients with COVID-19 in 2021. Based on the average variance of resilience obtained in previous studies, 45 people were selected by convenience sampling and randomly assigned to two experimental groups (each 15) and one control group (n=15). The experimental groups were divided into Yalom and ACT group psychotherapy, and all three groups responded to the Connor-Davidson resilience scale (CD-RISC) before and after the intervention. The obtained data were analyzed by analysis of covariance in SPSS software, version 25. Results: Yalom group psychotherapy and ACT group therapy had different effects on the participants’ resilience and are statistically significant since the F statistics (106.722) was significant (P=0.001 and P=0.05, respectively). Based on the results, Yalom group psychotherapy has a better rate of improvement than ACT. Conclusion: Considering the significant efficacy of Yalom group psychotherapy and its relative ease of implementation compared to ACT, it is possible to employ this intervention to protect the mental health of medical staff during severe epidemics of diseases such as coronavirus.

Abstract Background Night shift work-related disturbed biological rhythm and insufficient sleep affect the functioning of brain activity and thus impair cognitive performance and mood state, which potentially leads to negative and even devastating results for both individuals and patients. A virtual reality (VR)-based restorative environment has shown to be an effective new technique to reduce stress and improve cognitive performance, but little is known about its mechanism of improving neuronal activity and connectivity. Methods This is a randomized, controlled, single-center clinical trial. A total of 140 medical staff will be enrolled and randomized in a 1:1 allocation to either the VR immersion group (intervention group) or the control group. In the morning after the night shift, the participants in the intervention group will watch 360° panoramic videos of immersive VR natural restorative environments for 10 min, while the participants in the control group will just rest for 10 min. Assessments of abbreviated Profile of Mood States Questionnaire (POMS) and verbal fluency task (VFT) performances, as well as oxygenated hemoglobin (oxy-Hb) and deoxygenated hemoglobin (deoxy-Hb) and total hemoglobin concentration acquired by functional near-infrared spectroscopy (fNIRS) will be performed at baseline (day work), the morning after night shift but before the intervention (previous) and after intervention (post). Data collected after a night shift will be compared to baseline performance as well as between the two groups. Discussion This trial will investigate the effects of the night shift and VR-based restorative environment intervention on mood, cognitive performance, and neuronal activity and connectivity. A positive result in this trial could encourage hospitals to apply VR technology to reduce physical and mental dysfunction during of night shifts among medical staff in every department. Furthermore, the findings from this study will contribute to understanding the underlying neuromodulation mechanisms of how restorative environments influence mood and cognition. Trial registration Chinese Clinical Trial Registry ChiCTR2200064769 . Registered on 17 October 2022.

BackgroundLong working hours are a common occupational health risk factor. The problem of long working hours and its impact on health of medical staff cannot be ignored. ObjectiveTo investigate long working hours in medical staff of tertiary grade A hospitals in Shanghai, and evaluate the relationships of long working hours with occupational stress and fatigue accumulation. MethodsA total of 1531 medical staff in departments of emergency, internal medicine, surgery, intensive care unit (ICU), anesthesiology, and obstetrics and gynecology from 6 hospitals in 6 districts of Shanghai were selected using stratified random sampling. A structured questionnaire was used to collect information on social demographics, occupational characteristics, andbehavior and lifestyle. The Core Occupational Stress Scale (COSS) and the Self-diagnostic Questionnaire on the Accumulation of Fatigue of Laborers were used to assess occupational stress and fatigue accumulation condition. Chi-square test and Kruskal-Wallis H test were used to analyze the distributions of long working hours, occupational stress, and fatigue accumulation, log-binomial models were used to analyze the relationships of long working hours with occupational stress and fatigue accumulation, and job title stratified models were also constructed. ResultsThe average weekly working hours of the study subjects was (47.84±11.40) h, 65.90% of the medical staff worked more than 40 h every week. The percentages of the weekly working hours categories of 41-48 h, 49-54 h, and ≥55 h were 31.42%, 13.46%, and 21.03%, respectively. The positive rates of occupational stress and fatigue accumulation were 25.87% and 65.64% respectively, and the differences among different age, gender, job title, education, length of service, and shift system groups were statistically significant (P

Abstract Aim This systematic review evaluated the quality of evidence for the prevention and management of facial pressure injuries in medical staff. Design This review was presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines. Methods We retrieved the relevant studies from 19 databases. Using the literature evaluation standards and evidence grading system of the Australian Joanna Briggs Institute Evidence‐Based Health Care Center, we evaluated the quality of the literature encompassing different types of research and assessed their levels of evidence. Results A total of 13 studies were included, including seven expert consensuses, two recommended practices, one clinical decision, one best practice information booklet, one systematic review and one randomized controlled trial. In the end, 31 best evidence were summarized, including skin cleaning and care, PPE placement and movement, reasonable use of dressings, treatment measures and education and training.

ObjectiveTo analyze the difference in mental health status among medical staff working at different posts in Beijing city during coronavirus disease 2019 (COVID-19) epidemic. MethodsAn online questionnaire survey was conducted among 5 230 medical staff recruited with random cluster sampling at 22 public hospitals in Beijing city during October – November 2020. Psychological status of the stuff working at different posts during the COVID-19 epidemic was assessed with Patient Health Questionnaire (PHQ-9)，7-Item Generalized Anxiety Disorder Scale (GAD-7) and Insomnia Severity Index (ISI)．Descriptive analysis and one-way analysis of variance were adopted in data analyses. ResultsOf the 4 931 staff with valid responses, 1 603 (32.51%) were assessed as having anxiety, 1 729 (35.06%) having depressive symptoms，933 (18.92%) having insomnia during the epidemic period. The detection rate of anxiety, depression and insomnia differed significantly among the staff working at second-/front-line posts in their hospitals formerly belonged to and the staff dispatched to other medical institutions for anti-epidemic work (P < 0.05). The results of logistic regression analysis showed that the type of working post and age were influencing factors of anxiety and depression; while the type of working post, age and education were the influencing factors of insomnia. ConclusionThe mental health status varied among medical staff working at different posts in Beijing city during COVID-19 epidemic and poor mental health could be detected most frequently among the staff working at front-line posts in their original hospitals.

ObjectiveTo explore the association between dietary behavior and weight change in medical staff during the COVID-19 pandemic， and provide the scientific basis for their nutrition and health improvement.MethodsFrom May to July 2022， 1 487 doctors and nurses from 12 COVID-19 designated hospitals in Northeast China were randomly recruited to participate in the survey. After excluding invalid questionnaires， 1 352 valid questionnaires were obtained. Data were collected by self-compiled general questionnaire， eating behavior indexes and emotional eating scale， and analyzed by statistical methods such as analysis of variance （ANOVA） and linear regression model.ResultsAmong the medical staff of COVID-19 designated hospitals， there were 485 （35.9%） individuals with stable weight （±3%）； individuals with substantial weight loss （5%） were 8.2%（111/1 352）， 22.7%（307/1 352）， 23.6%（319/1 352） and 9.6%（130/1 352）， respectively. The results of ANOVA showed that there were significant differences of irregular diet， unbalanced nutrition， high oil diet， high salt diet， high carbohydrate diet， beverage intake， and emotional eating behaviors between different weight change groups （P0.05）. The results of multivariate linear regression indicated that irregular diet， high carbohydrate diet， beverage intake， emotional eating and income were risk factors of weight change （P

Background & aim: The medical staff involved in the fight against the Covid-19 disease experience high physical and mental pressures. In this regard, it is necessary to investigate the psychological symptoms of healthcare workers at risk and compare them with other populations. Therefore, the present study was conducted with the aim of comparing psychological symptoms in the medical staff of specialized medical centers with the medical staff of non-specific Corona centers. Methods: This is a descriptive cross-sectional study of a comparative type that was conducted from August to December 2021. The statistical population was all the medical staff of specific and non-specific Corona medical centers of hospitals in Kohgiluyeh and Boyer Ahmed state in 2021. 169 of them were selected using the available sampling method. Questionnaires for demographic information, patient health (PHQ-9), generalized anxiety (GAD-7), and Pittsburgh sleep quality (PSQI) was used. SPSS-25 statistical software, descriptive indices, independent t-test, and chi-square (chi-square) test were used for data analysis. Results: 97 people (57.40%) of the participants were in special medical centers for Corona and 72 people (42.60%) were in non-specific medical centers for Corona. There was a significant difference between the research groups in terms of the participant infected with Corona (P

Background With the aging of the population, the prevalence of atrial fibrillation is increasing year by year. As the "gatekeepers" of community residents' health, grassroots medical staff with a high level of knowledge about atrial fibrillation is particularly important for standardized management of atrial fibrillation. Objective To analyze the mastery of atrial fibrillation-related knowledge among grassroots medical staff in Fengxian District, Shanghai and its influencing factors, thus, providing a theoretical basis for subsequent training work. Methods This study is a cross-sectional survey study. From June to July 2021, a systematic sampling method was used to select 1 393 grassroots medical staff as the research objects including general practitioners, nurses, pharmacists, public health physicians and other medical staff (imaging technology/physician, laboratory technician, traditional Chinese medicine doctor and so on) from 21 community health service centers in Fengxian District, Shanghai. This study used a self-developed electronic questionnaire to investigate them. The contents of the questionnaire included general information and knowledge related to atrial fibrillation (basic knowledge about atrial fibrillation, knowledge about anticoagulant therapy and knowledge about rhythm/heart rate control) . This study compared the mastery of atrial fibrillation-related knowledge among grassroots medical staff in different positions, and used univariate Logistic regression, ordinal multiple classification or binary Logistic regression to analyze the influencing factors of grassroots medical staff's mastery of atrial fibrillation-related knowledge. Results A total of 1 383 valid questionnaires were recovered, and the valid questionnaire recovery rate was 99.28%. Among 1 383 grassroots medical staff, 506 cases (36.59%) were general practitioners. 54.88% (759/1 383) , 97.69% (1 351/1 383) and 69.63% (963/1 383) failed in the basic knowledge about atrial fibrillation, knowledge about anticoagulation and knowledge about heart rhythm/heart rate control, respectively. There were statistically significant differences in the scores of atrial fibrillation knowledge, anticoagulation knowledge and heart rhythm/heart rate control knowledge among grassroots medical staff in different positions (P

Among the types of migration, the migration of expert human resources is one of the most challenging for the immigrant sender countries. With the outbreak of COVID-19 worldwide, the importance of medical staff and the need for providing sufficient human resources in the healthcare section appeared more prominent. COVID-19 along with the existing economic challenges has intensified the process of medical staff migration in Iran, one of the immigrant sender countries. Investment in the development of expert human resources requires the allocation of large material resources, and wasting the mentioned resources also means giving these experts to the destination countries for free. Identification of different dimensions and the root causes of the migration of expert human resources helps policymakers in making effective decisions. In this study, economic-occupational factors, socio-cultural factors, and obstacles to continuing education were identified as the main factors of medical staff migration.

BackgroundOccupational stress has been shown to be an important factor affecting the mental health of workers. The role of affective commitment to the organization and overcommitment to work cannot be ignored. However, there is a lack of research on this topic in China.ObjectiveTo explore a potential mediating effect of affective commitment on how occupational stress affects the mental health of medical staff and a potential moderating effect of overcommitment on the mediating effect of affective commitment.MethodsA total of 1372 health care workers in a tertiary Grade A hospital in Lanzhou City were selected as study subjects for a cross-sectional survey. The occupational stress, emotional commitment, and psychological distress of the subjects were evaluated by the Effort-Reward Imbalance Scale, Affective Commitment Scale, and Kessler 10 Scale. SPSS 26.0 was used for correlation analysis, mediation analysis, and moderated mediation analysis. Common method bias wasevaluated by Harman one-factor test.ResultsA total of 1372 questionnaires were distributed, of which 1277 valid questionnaires were returned, with a valid recovery rate of 93.08%. The mean occupational stress score was 1.14±0.23, the mean overcommitment score was 20.26±3.21, the mean affective commitment score was 20.25±3.34, and the mean psychological distress score was 26.26±7.90. The Spearman correlation analysis results showed that occupational stress among medical staff was positively correlated with overcommitment and psychological distress (r=0.153, 0.410, P＜0.01) and negatively correlated with affective commitment (r=−0.341, P＜0.01); overcommitment was negatively related to affective commitment and positively related to psychological distress (r=−0.107, 0.312, P＜0.01); affective commitment was negatively related to psychological distress (r=−0.464, P＜0.01). The positive effect of occupational stress on psychological distress of medical staff was significant (b=0.41, t=15.42, P

Abstract Introduction Medical personnel should be in close proximity and high frequency of contact with patients, and be exposed to physical, biological and chemical risk factors for a long time. The incidence of various occupational exposures is high. however, there is still a lack of the medical staff Occupational Protection Core Competence Evaluation Index system with high reliability and validity. Aim Based on the theory of knowledge, attitude, and practice, the evaluation system of occupational protection ability of medical personnel was established, and the current situation of occupational protection ability of medical personnel at different levels was investigated, so as to take targeted training and intervention measures to improve the occupational protection ability of medical personnel and reduce the incidence of occupational exposure. Methods Based on the knowledge, attitude, and practice theory, the index system of occupational protection core competence of medical personnel was initially constructed by literature retrieval, expert consultation, group discussion, semi-structured interview and other qualitative and quantitative methods, and the reliability and validity of the index system was tested by Delphi expert consultation method. By convenient cluster sampling method, from March to September 2021, the current status of occupational protection core competence of medical personnel was investigated among medical staff from one Class III Grade A hospital and two medical schools in Jinan City, Shandong Province, China. Results The evaluation system for medical staff’s occupational protection ability included 3 first-level indexes, 11 second-level indexes, and 109 third-level indexes. A total of 684 valid questionnaires were collected from Grade III, Class A hospital medical staff and two medical school students in clinical practice in Shandong, China. Kruskal Walls test showed that there were significant differences in the overall distribution of occupational protection knowledge, attitude, and practice among registered nurses, nursing students, registered physicians, and physician students (H = 70.252, P

The article presents the results of a theoretical and empirical study of the meaningfulness of life and responsibility of medical workers. The diagnostic procedures used «the test of life-meaning orientations» and «Multidimensional functional diagnostics of responsibility (OTV–110) » [2, 10]. As a result of the study it was revealed that respondents are distinguished by a high level of meaningfulness of life, perceive their own life as productive, focused on achieving goals and effectiveness. It is shown that medical workers have a holistic understanding of the essence and various aspects of responsibility, are serious about performing of difficult and important tasks, react internally to possible failures in their professional activities, are sensitive to the difficulties and problems of other people. Connections of life-meaning orientations and parameters of respondents’ responsibility are established. In conclusion, it is stated that the results of the study may be useful in predicting the improvement of the professional efficiency of medical workers and planning opportunities for their further professional growth.

Fellows and junior faculty conducting aging research have encountered substantial new challenges during the COVID-19 pandemic. They report that they have been uncertain how and whether to modify existing research studies, have faced difficulties with job searches, and have struggled to balance competing pressures including greater clinical obligations and increased responsibilities at home. Many have also wondered if they should shift gears and make COVID-19 the focus of their research. We asked a group of accomplished scientists and mentors to grapple with these concerns and to share their thoughts with readers of this journal.

Introduction: Antibiotic resistance poses a significant threat to public health, that can lead to reduced effectiveness of many therapies, increased morbidity, longer hospitalization times, increased deaths, and additional costs for health care systems. Unreasonable use of antibiotics may result from a lack of adequate knowledge about antibiotic therapy and a lack of knowledge of the risks associated with antibiotic resistance, both among medical personnel and patients. Aim. The primary objective of the study was to verify the opinion of medical personnel on the risks associated with antibiotic resistance. Material and Methods: The study was conducted in 2023 among 605 Polish sanitary workers. An anonymous survey designed specifically for the purpose of the study was used. The survey was made available on the Internet through the Trade Unions of Pharmacy Workers and directly to hospitals with the support of local authorities. Results: The majority of respondents were women (77.36%). The largest group consisted of individuals over 40 years of age (55.04%). More than half of the respondents were nurses (56.20%), and every fourth of the respondents was a physician (23.64%). Most respondents consider antibiotic resistance to be a very serious (24.13%) or extremely serious (30.75%) problem. The problem of antibiotic resistance on a global scale was mentioned, especially in the opinions of physicians and nurses (p < 0.01), people working in the profession for over a year (p < 0.01), and people with a specialization or undergoing specialist training (p = 0.00). Similarly, these groups most often indicated that antibiotic resistance poses a problem in their workplace. The main problems of antibiotic resistance were the use of antibiotics in farm animals (36.69%), the pressure on patients to take antibiotics (38.84%), and the prophylactic use of antibiotics (43.15%). Conclusions: Medical personnel consider antibiotic resistance a somewhat serious problem, although not all agree in this regard. The risk of antibiotic resistance is much more seriously assessed by physicians and nurses, as well as by people with specializations or undergoing specialization training. Knowledge about antibiotic resistance should be further spread among all groups of medical personnel.

BackgroundHealthcare workers (HCWs) play a crucial role in managing infectious diseases like COVID-19. However, the demanding working conditions during the pandemic have led to an increased risk of depression and sleep disorders among these dedicated professionals. Therefore, this study aimed to examine the relationship between depressive symptoms and sleep quality in medical staff who had contracted COVID-19.MethodsThis descriptive study involved a sample of 203 HCWs who had contracted COVID-19. These HCWs were employed at a hospital affiliated with Kerman University of Medical Sciences in 2020. The data for this study were collected using a demographic information form, the Pittsburgh Sleep Quality Index (PSQI), and the Beck Depression Inventory (BDI). Statistical analysis was conducted using SPSS22, with a significance level set at less than 0.05.ResultsThe study found that the mean score for depressive symptoms among the participants was 11.67 ± 2.68, while the mean score for sleep quality was 5.47 ± 3.02. It was observed that 18.2% of the participants experienced moderate depression, 10.3% had severe depression, and 59.6% had poor sleep quality. Furthermore, a significant and positive correlation was identified between sleep quality and depression (r = 0.54; p = 0.001). Multiple regression models indicated that the harmful pattern and sleep quality together could predict 34% of the variance in depression. Additionally, the use of sedatives and depression were found to predict 33% of the variance in sleep quality.ConclusionThe findings of our study indicated a high prevalence of depressive symptoms and insomnia among medical staff who had contracted COVID-19. These results provide valuable insights for health managers, highlighting the need for implementing interventions in epidemic environments to reduce the vulnerability of HCWs.

ObjectiveAfter the end of COVID-19, medical staff were immediately faced with a high workload, leading to widespread occupational burnout. This study aims to explore the level and influencing factors of burnout among medical staff during this period, as well as its relationship with anxiety and depression.MethodsThe participants’ levels of burnout were assessed using Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the reliability and validity of the questionnaire were evaluated through Cronbach’s α and Confirmatory Factor Analysis (CFA). Independent sample t-test, chi-square test, and Pearson analysis were employed to determine the correlation between two sets of variables. Univariate and multivariate logistic regression analyses were conducted to identify significant factors influencing burnout. Finally, nomograms were used to predict the probability of burnout occurrence.ResultsThis study collected a total of 1,550 questionnaires, and after excluding 45 questionnaires that were duplicates or incomplete, a sample of 1,505 (97.1%) participants were included in the final statistical analysis. Both Cronbach’s α and the fit indices of CFA demonstrated excellent adaptability of the Chinese version of MBI-HSS in this study. The overall prevalence rates for emotional exhaustion (EE), depersonalization (DP), and diminished personal accomplishment (PA) were 52.4, 55.3, and 30.6%, respectively. Obtaining psychological support, health condition, relationship with family members, and insufficient sleep were identified as common contributing factors to burnout among medical staff. Additionally, age and promotion pressure were also associated with burnout among doctors, and exceeding legal working hours was an important factor for nurse burnout. The C-index for the nomograms predicting burnout among doctors and nurses was 0.832 and 0.843, respectively. Furthermore, burnout exhibited a significant linear correlation with anxiety and depression.ConclusionAfter the end of COVID-19, medical staff in high workload environments were facing severe burnout, which might lead to anxiety and depression. The occupational burnout of medical staff needed to be taken seriously and actively intervened.

BackgroundFacing the unknown virus, COVID-19 medical staff kept wearing thick personal protective equipment during their work in the early stage of the outbreak. The survey was designed to investigate the physical discomforts, the feeling of the work intensity and the related risk factors of the frontline medical staff during COVID-19 epidemic in the early outbreak.MethodsAn national survey was carried out in China from March 17th 2020 to March 20th 2020 by applying a standardized WeChat questionnaire survey. The doctors or nurses working in the wards for the confirmed COVID-19 patients on front-line were eligible to participate in the survey. Descriptive analysis and multivariate logistic regression analysis were used.ResultsA total number of 515 COVID-19 medical staff, including 190 physicians and 325 nurses participated in this survey. 375 medical staff (72.8%) experienced physical discomforts at work, mostly consist of dyspnea (45.8%), pain (41.0%), chest distress (24.1%), dizziness (18.8%), and weakness (17.5%), while wearing thick isolation clothes at work. The mean onset time and peak time of these symptoms were 2.4 h and 3.5 h after working, respectively. 337 medical staff (65.4%) suffered from sleep disorders. 51 medical staff (10%) were highly worried about being infected by COVID-19 even during their work breaks. 246 medical staffs (47.8%) felt high work intensity and the independent influential factors were the effective daily sleep time and anxiety levels at break time (p = 0.04).ConclusionThe frontline medical staff during COVID-19 epidemic felt different physical discomforts when they wear thick isolation clothes at work in the early outbreak and they felt high work intensity. These precious data will help optimize the work management strategy to ensure the physical and mental health of medical staff in the face of similar outbreaks in future.

ObjectivesThere is currently no measure of the hospital organizational environment targeting both clinicians and nurses in China. This study was conducted with the aim of developing and testing an instrument to assess the properties of the hospital organizational environment that is applicable to Chinese medical staff.MethodsItems were developed based on a literature review, semi-structured interviews and an expert review and finalized based on corrected item-total correlation, content validity, construct validity, convergent validity, discriminant validity and reliability. The two samples for testing the first and final version of the Hospital Organizational Environment Scale (HOES) included 447 and 424 participants, respectively.ResultsThe primary test, which comprised 18 items, contained four factors: hospital culture, work situation, organizational support and scientific research situation. The Cronbach’s alphas were 0.935, 0.824, 0.943, and 0.920, respectively. The results of the validation test showed that the questionnaire had good validity and reliability.ConclusionThe HOES is a comprehensive instrument with demonstrated validity and reliability that can be adopted among medical staff to assess the organizational environment in hospitals.

Shortly after the first outbreak of COVID-19 in Wuhan, the disease spread rapidly around the world. Previous findings reported an increase in mental health problems among Chinese medical staff, but there was a lack of research following changes in COVID-19 prevention and control policies. Medical staff were recruited separately in China from 15 to 16 December 2022 (N = 765, wave 1) and from 5 to 8 January 2023 (N = 690, wave 2). All participants completed the assessments of Generalized Anxiety Disorder-7, the Patient Health Questionnaire-9 and the Euthymia Scale. Network analysis was used to explore the relationships between symptoms both within and across depression, anxiety and euthymia. Medical staff showed worse anxiety, depression and euthymia at wave 2 than at wave 1. Depression, motor, restlessness and uncontrollable worrying showed high centrality (i.e., strength, expected influence, closeness) at wave 1, but higher at peak. Meanwhile, motor symptoms and restlessness showed the strongest connection between different mental disorders at both wave 1 and wave 2. The network structure was stable over time after the relaxation of the infection policy. Limitations. Our participants were not a random sample and the assessments were based on self-reports. This study indicated the changes in central and bridging symptoms in medical staff at different stages after lifting of restrictions and the withdrawal of testing requirements, which provided management suggestions for the Chinese government and hospitals, as well as clinical guidance for psychological interventions. • The network structure was stable over time after the relaxation of the infection policy. • Medical staff showed worse anxiety, depression and euthymia at peak stage. • Motor and restlessness presented the strongest connection between depression and anxiety. • Medical staff faced more challenges after the relaxation of control policy. [ABSTRACT FROM AUTHOR]

Objective To analyze the mediating effect of psychological resilience on anxiety and insomnia among medical staff in the fever clinic and to provide a theoretical basis for improving their symptoms of insomnia. Methods From January to July 2022, a general data questionnaire, a 7-item Generalized Anxiety Disorder Scale (GAD-7), a simplified version of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and an Insomnia Severity Index (ISI) were used to survey medical staff in the fever clinic of a tertiary hospital in Tianjin. Descriptive statistics and correlation analysis were performed using SPSS 22.0 software; structural equation modeling was constructed using AMOS 25.0; and the mediating effect of psychological resilience on anxiety and insomnia was tested using the Bootstrap method. Results A total of 251 questionnaires were returned, of which 245 were valid, with a valid response rate of 97.6%;40.0% (98/245) of medical staff had symptoms of anxiety, and 39.1% (96/245) had symptoms of insomnia. The longer the working time and the higher the professional title, the higher the level of anxiety among medical staff (P < 0.05). Anxiety was positively correlated with insomnia (r = 0.276, P < 0.01), anxiety was negatively correlated with psychological resilience (r = - 0.388, P < 0.01), and psychological resilience was negatively correlated with insomnia (r = - 0.290, P < 0.01). Psychological resilience had a mediating effect between anxiety and insomnia, with a mediating effect of 0.074, accounting for 33.3% of the total effect. Conclusions The phenomenon of anxiety and insomnia among medical staff in fever clinics should not be ignored. Department managers should pay attention to the mental health status of these medical staff, take targeted measures to improve their psychological resilience level, improve their sleep quality, and ensure that fever clinic medical staff maintain a good mental state. [ABSTRACT FROM AUTHOR]

Objectives: Health workers exposed to ionizing radiation account for + 50% of workers exposed to man-made radiation in France. Over the last decade, the use of radiation in medicine has increased due to the introduction of new practices. The EXposition des Professionnels de santE aux RayonnemenTs ioniSants study aims to evaluate and characterize the trends in radiation exposure of health workers in France between 2009 and 2019. Methods: This retrospective study includes all health workers with at least one dosimetric record in the system for occupational dosimetry registration (Système d'information de la surveillance de l'exposition aux rayonnements ionisants) database for each of the years 2009, 2014, and 2019, in the hospitals included in the study. Individual external doses and socio-professional data were collected. Statistical analyses include descriptions, graphs, and logistic regressions. Results: A total of 1457 workers were included (mean age: 39.8 years, 59% women). The average exposure significantly decreased between 2009 and 2019 (−0.008 mSv/year, p < 0.05). There were large discrepancies in trends according to professions, departments, hospitals, and gender. Over the 10-year study period, radiologic technologists and physicians were the most exposed (0.15 mSv (95%CI 0.14–0.16) and 0.13 mSv (0.06–0.21), respectively), but their exposure tended to decrease. Workers in nuclear medicine departments had the highest radiation exposure (0.36 mSv (0.33–0.39)), which remained stable over time. Thirty-eight percent of recorded doses were nonzero in 2009, decreasing to 20% in 2019. Conclusions: This study allowed to identify physicians and radiologic technologists in nuclear medicine departments as the most exposed medical workers in France, and to show an overall decrease trend in radiation exposure. This should be instructive for radiation monitoring and safety of exposed medical workers. Key Points: • Radiation exposure of healthcare workers in most medical departments has steadily decreased between 2009 and 2019 in several French hospitals. • The number of zero doses consistently increased during the study period. • Workers in nuclear medicine departments are the most exposed, especially radiologic technologists and physicians. [ABSTRACT FROM AUTHOR]

Copyright of Chinese Journal of Clinical Healthcare is the property of Chinese Journal of Clinical Healthcare 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

This study focuses on the psychological capital of medical staff, including medical students, and aims to explore the current status of psychological capital among medical staff and its impact on career development through a literature review. A literature search was conducted using keywords such as "medical staff" and "psychological capital," as well as "medical students" and "psychological capital" in databases including WOS, PubMed, Scopus, and CNKI. A total of 106 articles were retrieved, and after applying exclusion criteria, 22 English articles and 37 Chinese articles were included in the review. The findings of this study indicate that the majority of the research reviewed was empirical in nature. Psychological capital was measured using psychological capital scales, and its relationship with other variables, such as job satisfaction and perceived organizational support, was examined. The results consistently suggest that psychological capital plays a critical role in the career development of medical staff, particularly in areas such as academic performance, employment, and social support. Moreover, it was observed that the Positive Psychological Capital Questionnaire (PPQ-26) was widely used in Chinese literature, while the Psychological Capital Questionnaire (PCQ-24) was more commonly used in English literature. These scales provided researchers with a valuable tool for measuring psychological capital among medical staff and assessing its impact on various aspects of their career development [ABSTRACT FROM AUTHOR]

The digitization of German hospitals is proceeding continuously, leading to the implementation of new digital technologies, such as electronic health records (EHRs) or other technologies, used for the purpose of medical documentation tasks. Even though the replacement of paper documentation through digitized documentation in general promises to come along with plenty of benefits, the daily utilization of technologies might also lead to stresses and strains among the medical staff, eventually possibly leading to the development of different negative work and health-related outcomes. This study, therefore, aims at identifying persisting digitization-associated stressors and resources among medical hospital staff, examining their influences on different work and health-related outcomes, and finally, identifying potential needs for preventive measures. A quantitative study in the form of an online questionnaire survey was conducted among physicians working in the medical field of neuro- and vascular surgery in German hospitals. The study was carried out between June and October 2022 utilizing an online questionnaire based on several standardized scales, such as the technology acceptance model (TAM) and the technostress model, as well as on several scales from the Copenhagen Psychosocial Questionnaire (COPSOQ). The study found medium levels of technostress among the participating physicians (n = 114), as well as low to medium levels of persisting resources. The queried physicians, on average, reported low levels of burnout symptoms, generally described their health status as good, and were mostly satisfied with their job. Despite the prevalence of technostress and the low levels of resources among the surveyed physicians, there is little awareness of the problem of digital stress, and preventive measures have not been widely implemented yet in the clinics, indicating a needs gap and the necessity for the strategic and quality-guided implementation of measures to effectively prevent digital stress from developing. [ABSTRACT FROM AUTHOR]

Palliative care involves an approach aimed at improving the quality of life of patients and their families, who are forced to cope with the problems associated with life-threatening diseases. This definition includes a growing group of patients around the world. It requires an extension of the definition of patients in need of palliative care in countries such as Russia and a significant improvement in the work of nursing personnel with these patients. This study aims to determine the level of preparedness of nursing personnel for specialized care (transcultural care) and the quality of care provided to palliative patients. The presented findings of the study demonstrate the relevance of developing transcultural competence, which enables significant improvement in the quality of life of palliative patients. The analysis of medical workers' assessment of the level of specific training and their intercultural preparedness was conducted based on hospices (Moscow). A survey was conducted among 113 medical workers of the middle level of education aged between 28 and 56 (average of 44.2 years) and experience in palliative care ranged from 3 to 18 years (average of 9.5 years). The Intercultural Readiness Check (IRC) test, widely used to assess nursing staff worldwide, was used for the survey to determine the level of readiness for transcultural care. A strong correlation was found between a number of the test scales and measures of participants' age and experience. The presented material demonstrates the realization of an interdisciplinary approach to the issues of specific training of nursing personnel in the field of "transcultural care" in providing palliative care to incurable patients. [ABSTRACT FROM AUTHOR]

Objective. Measure the prevalence of burnout syndrome (BOS) among the healthcare workers (HCW) in Lithuania and the factors influencing it. Methods. The respondents were asked to fill out an anonymous online questionnaire which included information on their gender, age, years of work experience, specialty, work hours per week, the average number of patients per day, salary, healthcare chain, and the healthcare sector they are working at. BOS was assessed by using the Copenhagen Burnout Inventory (CBI). Results. A total of 2 806 questionnaires were used in the final analysis. A high prevalence of BOS among the MS in Lithuania was noticed (74% of all respondents), which is more severe in comparison to foreign research. The most significant link with severe BOS was noticed among a high number of patients per day (22.69±14.96 versus 17.77±13.32, t=4.92), a large number of work hours per week (48.89±12.96 versus 46.34±10.77, t=2.54), and a younger age (59.27±14.06 versus 55.73±13.91, t=3.53). Doctors had the highest BOS score compared to nurses, residents, and other specialists (59.72±13.99 versus 57.33±14.13, t=2.4; 57.53±14.20, t=2.2; 54.06±15.22, t=5.67, respectively). No links between gender, years of work experience, salary, healthcare chain, healthcare sector, and BOS were observed. Conclusions. BOS is highly prevalent among Lithuania’s medical staff, and it is more prevalent than in most other EU and non-EU countries. A high number of patients per day, a large number of work hours per week, and a younger age were significantly linked with more severe BOS. [ABSTRACT FROM AUTHOR]

People receiving hematopoietic stem cell transplantation (HSCT) endure long phases of therapy and immobility, which diminish their physical activity (PA) level leading to physical deconditioning. One of the reasons is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. Therefore, our study investigates reported physical activity counseling behavior of health care professionals (HCPs) and the patient perspective on this topic. Physicians (N = 52), nurses (N = 52) physical therapists (N = 26), and patients receiving HSCT (N = 62) participated in a nationwide cross-sectional online-survey. Patients' preferred source of information concerning PA was determined. We examined HCPs self-assessed PA counseling behavior and patients' PA recall by assessing the use of the 5As (Ask, Advice, Agree, Assist, Arrange). Analysis of survey responses was descriptive. Univariate multinomial logistic regression examined whether sociodemographic factors and patient characteristics influence the response behavior. Physicians and PA specialists were patients' preferred source of information regarding PA. A large discrepancy between HCPs' perception and the degree to which HSCT patients recall advice became apparent; profound counseling steps like making referrals were less often recalled in our patient sample. Inactive patients reported to receive less basic PA counseling by physicians. Future research should identify the requirements to increase patients' recall concerning PA counseling in the setting of HSCT. Important messages about PA need to be made more salient to those who are less active and less engaged. [ABSTRACT FROM AUTHOR]

Introduction: cardiovascular diseases (CVDs) remain the leading cause of worldwide mortality, leading cause of death and disability globally with over 17.9 million deaths in 2019, representing 32% of all deaths, and 38% of premature deaths from non-communicable diseases. Thousands of studies support the concept that controlling lifestyle risk factors for CVDs such as regular physical activity, maintenance of a proper weight, sound nutritional practices, avoiding tobacco and alcohol abuse, all significantly reduce the risk of CVD. Aim: to compare the prevalence of lifestyle risk factors for CVDs in healthcare and non-healthcare workers. Materials and methods: the study included one hundred and twenty participants, divided into two groups, medical sta ff group (doctors and nurses) with 60 participants and non-medical group (teachers and professors) with 60 participants as well. Based on the collected data from the questionnaire created for this purpose, the following results were obtained. Results: both observed groups were similar in sociodemographic data as well as in the presence of comorbidities. Our study confirmed that medical sta ff as well as non-medical, had BMI in normal range, though the value varied in medical sta ff group from 20.5 to 34.0 kg/m2 and in non-medical group from 18.5 to 34.9 kg/m2, with a mean value of 24.82 kg/m2. There was a difference in heredity, in medical sta ff group it was presented in 48.3% compared with non-medical group with 35%, but there was no statistically significant difference. Statistical difference between groups was observed in tobacco use, there were more smokers in the medical staff group 46.7%, compared to non-medical group, where the percentage of smokers was 26.7% which gives a statistically significant difference (P = 0.037). Also, In the medical sta ff group only 15% of participants were physically active, while that percentage in non-medical group was 35% (P=0.020). Conclusion: in order to obtain a better and more comprehensive profile of the presence of lifestyle risk factors for CVD in the population of medical workers, it would be necessary to conduct a study with a larger number of participants and add the way of nutrition and the existence of stress, which would process the risk factors more comprehensively. [ABSTRACT FROM AUTHOR]

Background: It is widely accepted that musculoskeletal injuries, especially in the lumbar region, are among the most common complaints of people working in emergency medical services (EMS). This study aimed to determine the prevalence of low back pain (LBP) and its associated factors in the field staff of prehospital EMS in northern Iran. Materials and Methods: This cross-sectional descriptive correlational study was conducted in 2019 on 156 men selected by convenience sampling from the population of field staff of prehospital emergency medical centers in Gilan, Iran. The participants completed a questionnaire of demographic information and the numerical rating scale. Data analysis was performed in SPSS software, version 24 using unvaried logistic regression at 5%, and multiple logistic regression at 10% significance level. Results: Of all the participants, 69.9% (n=109) had LBP. The multiple logistic regression analysis showed that workers with a higher number of calls per shift (90% CI, 1.01%-1.32%, OR=1.15, P=0.088), low income (P=0.016), history of underlying diseases (90% CI, 1.40%-54.12%, OR=8.71, P=0.051), level of education with bachelor's degree or higher (P=0.077) were more likely to have LBP. Conclusion: The prevalence of LBP in the field staff of prehospital EMS was remarkably high. The most important factors that predispose these workers to LBP were the number of calls per shift, income level, history of underlying diseases, and bachelor's degree or higher level of education. The findings can be used to develop guidelines for reducing the prevalence of LBP among the field staff of prehospital EMS. [ABSTRACT FROM AUTHOR]

Patient blood management (PBM) is a comprehensive approach to optimizing the care of patients who might need a transfusion. It involves the use of evidence-based strategies to reduce or avoid the need for allogeneic blood transfusions while ensuring that patients receive safe and appropriate care. PBM includes strategies such as preoperative autologous donation, intraoperative cell salvage, and minimally invasive techniques to reduce bleeding. The purpose of this study is to assess the medical staff's awareness of preoperative PBM in Saudi Arabia. Between April 2022 and July 2022, data was collected using a 10-minute online (Google Forms) self-administered, anonymous, researcherstructured questionnaire adapted from previous studies and translated into both English and Arabic. The questionnaire was divided into three sections. The first section contained sociodemographic data, while the second section was used to estimate physicians' and nurses' knowledge of preoperative PBM. Two questions in Part 3 of the questionnaire were used to assess doctors' and nurses' preoperative PBM attitudes and practices. The average relationship between patients' blood management attitudes and levels of awareness. It was revealed that there was a positive attitude (P=0.005) as well as a high level of awareness (P=0.002). The effect of job, gender, or geographical distribution on PBM awareness, attitude, and practice was not significant. Despite the fact that the majority of participants have a positive attitude and good awareness of PBM, more efforts should be implemented to improve PBM awareness, which was linked to increased transfusion practices and lower product costs. [ABSTRACT FROM AUTHOR]

Objective:To understand the impact of preventive hotel isolation on the mental health of medical staff who assisted in the sampling of novel coronavirus nucleic acid test samples in high-risk areas of COVID-19, and to explore the relationship with social support and psychological defense mechanisms.Methods:Totally 157 medical staff who assisted residents in sampling novel coronavirus nucleic acid in community residents were selected.Before and after 2 weeks of preventive isolation they were assessed with the Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) for evaluating emotional reaction symptoms, and assessed with the Social Support Rating Scale (SSRS) and the Defense Style Questionnaire (DSQ) for evaluating social support defense style.Results:The total detection rate of emotional reaction symptoms in the second evaluation was 14.3%, higher than 7.0% in the first evaluation (P ＜0.05) .Among 133 people who completed two evaluations, the total detection rate of emotional reaction symptoms assessed for the first evaluation was 6.0%, lower than 14.3% in the second evaluation.The detection rate of depressive symptoms was also higher in the second evaluation than in the first evaluation (5.3% vs.14.3%, P ＜0.05) .In the second evaluation, the total scores of SSRS and the scores of each dimension were lower andthe DSQ scores of immature type and intermediate type were higher in those with emotional reaction symptoms than those without emotional reaction symptoms (Ps ＜0.05) .The scores of SAS and SDS in the second evaluation were negatively correlated with the total scores of SSRS and the scores of each dimension (Ps ＜0.01), positively correlated with DSQ scores of immature type and intermediate type, and negatively correlated with DSQ scores ofmature type (Ps ＜0.05) .Conclusions:It suggests that after two weeks of isolation in the hotel, the medical staff may show lower mental health status, which is related to social support and psychological defense. [ABSTRACT FROM AUTHOR]

Copyright of UCV Hacer is the property of UCV Hacer 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 abstract 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 abstract. (Copyright applies to all Abstracts.)

Background and objectives: The goal of this study was to evaluate the levels of organizational justice, social support, wellbeing, and lifelong learning associated with the level of burnout experienced by medical and non-medical staff from public and private medical units. Materials and Methods: A cross-sectional study was conducted on a sample of 497 healthcare professionals: 367 medical personnel (Mage = 43.75 ± 0.50), including 216 nurses, 97 physicians, and 54 respondents with other medical specialities such as biologists, psychologists, physical therapists, pharmacists, etc., and 130 non-medical staff respondents (Mage = 45.63 ± 0.80), including administrative personnel. The Maslach Burnout Inventory, the ECO System, the Multidimensional Scale of Perceived Social Support, the WHO Wellbeing Index, and the revised Jefferson Scale of Physician's Lifelong Learning were used. Results: Burnout was measured in terms of emotional exhaustion, depersonalization, and personal accomplishment. Medical personnel registered higher values of personal accomplishment (38.66 ± 0.39 vs. 35.87 ± 0.69), while non-medical personnel registered higher values of depersonalization (6.59 ± 0.52 vs. 4.43 ± 0.26) and emotional exhaustion (27.33 ± 1.24 vs. 19.67 ± 0.71). In terms of organizational justice, higher scores were observed for medical staff, while non-medical staff recorded lower values (24.28 ± 0.24 vs. 22.14 ± 0.38). For wellbeing, higher scores were also registered for medical staff (11.95 ± 0.21 vs. 10.33 ± 0.37). Conclusions: For lifelong learning and social support, no statistically significant differences were found. In the case of the proposed parallel moderated mediation model, the moderated mediation effects of organizational justice, lifelong learning, and burnout on the relationship between social support and wellbeing were valid for every dimension of burnout (emotional exhaustion, depersonalization, and personal accomplishment), but lifelong learning was not found to be a viable mediating variable, even if high levels of social support correspond to high levels of lifelong learning and wellbeing. [ABSTRACT FROM AUTHOR]

Objective To provide reference basis for the formulation of medical union association policy by analyzing the influencing factors of the medical staff′s job satisfaction. Methods From July to August 2021,a total of 703 medical staff in 20 medical union units were investigated by using the questionnaire of medical union construction in the Affiliated Hospital of Qinghai University. Logistic regression analysis was used to explore the influencing factors of medical staff′s job satisfaction. Results The overall job satisfaction of the medical union was 57.68%.The job satisfaction of the tertiary hospital was 61.54%,the secondary hospital was 58.64%,and the primary hospital was 53.33%.There were statistically significant differences in the satisfaction of medical staff at different levels of hospitals in continuing medical education and training, teaching rounds and surgical teaching, telemedicine services, and family doctor signing (P＜0.05) .The univariate analysis showed that the main factors affecting the job satisfaction of medical staff in the medical union were age, working years, marital status, staffing and average monthly income (P＜0.05) .The multivariate analysis showed that working years and staffing were the main factors (P＜0.05) .Conclusion In order to promote the development of the medical union, it is suggested to strengthen the publicity work of the medical union, promote the construction of key clinical specialties at the grassroots level by the famous doctor studio, refine the assessment mechanism, and learn from the advanced experience of the regional collaborative service model of active health care services. [ABSTRACT FROM AUTHOR]

Although largely focused on the patient, the provision of healthcare services is a 2-way process and its success hinges on the interactions between patients and physicians. Given the growing role of subjective, patient-dependent assessment of the quality of care received, which is increasingly influenced by the individual aspects of the interaction between patients and care providers, in addition to the explicitly measurable, objective assessment of the quality of care received based on clinical indicators, quality assessment of services should especially consider and explore the attitudes, needs and dynamics of all the parties involved in the healthcare process. This study was designed to assess the attitudes of maternity patients and healthcare providers towards the quality of obstetric care. A quantitative questionnaire survey was conducted in a tertiary level healthcare facility providing obstetric services in Lithuania. Research findings suggested that maternity patients rate both the technical and functional quality of obstetric services higher than the staff providing it. Midwives and obstetricians-gynaecologists view quality assurance as a complex process, rather than focus solely on quantitative indicators. Since midwives were rated slightly higher than physicians in terms of services they provide, it may be appropriate to ensure and encourage a wider use of midwife-only deliveries in low-risk births. A comprehensive assessment of the quality assurance aspects as viewed by the patients and the staff should be included in the regular quality assessments of healthcare facilities as one of the most informative assessment tools on the service quality. [ABSTRACT FROM AUTHOR]

Aim: The COVID-19 pandemic represented a great disturbance for medical systems around the world, putting medical personnel on the front lines of the fight against the SARS-Cov2 virus. This fight was particularly impactful in countries with medical systems already facing various challenges, including Romania; where the pandemic unfolded in five waves that severely affected the psychological and physical well-being of medical professionals in terms of overload and continuous exposure to health threats. Against this background, our research aims to identify the mediating role of potential affecting factors of healthcare work sustainability during the change-related uncertainty conditions generated by the COVID 19 crisis. Dynamics and relations of nine carefully selected constructs were tracked along all five pandemic waves in Romania, which span from March 2020 to April 2022. The tested variables and constructs are perception of healthcare workers of their own state of health, their workplace safety, the work--family conflict, the satisfaction of basic needs, the work meaningfulness and work engagement, patient care, pandemic stress and burnout. Methods: This cross-sectional study is based on an online snowball sampling of 738 health workers from 27 hospitals. Panel research is limited to a maximum of 61 respondents for two successive waves. The analytical part is built on means comparison of analysed variables between all five pandemic waves and an indepth model to explain the relationships between the variables. Results: The results indicate statistically significant correlations between the perception of health risks and all selected factors excluding patient care, which seems to be above the own health perception. The factors' dynamics was followed along all five pandemic waves. The developed model identified that one's health status satisfaction is a mediator of the family--work conflict and, together, of work engagement. In turn, work engagement plays a significant role in satisfying basic psychological needs and supporting work meaningfulness. Also, work meaningfulness influences the satisfaction of basic psychological needs. Discussion: Health workers with higher levels of positive perceived health are better at managing pandemic stress, burnout effects and work-family imbalances. Adaptive behaviors and attitudes towards COVID-19 pandemic threats could be identified in later pandemic waves due to the progress in terms of medical protocols and procedures. [ABSTRACT FROM AUTHOR]

To investigate the effects of low -dose ionizing radiation on the health of radiological medical staff. Methods A total of 386 radiological medical staff who underwent occupational health examinations at the Liaoning Provincial Center for Disease Control and Prevention from 2020 to 2021 were studied, and 174 staff who recently participated in the preand post -transfer health examinations for radiological posts were selected as the reference group. The blood cell counts, peripheral blood lymphocyte chromosome aberrations, and micronucleus rates of the two groups were analyzed. Results The lymphocyte count of the radiation workers was lower than that of the reference group, and the chromosome aberration rate and abnormality rate, micronucleus rate, and abnormality rate were higher than those of the reference group (P < 0.01). The results of multiple linear regression analysis showed that compared with the radiological medical staff who operated in separate rooms or male radiological medical staff, the lymphocyte count of the interventional therapists who operated in the same room near the table and female radiological medical staff was reduced (茁= - 0.182, - 0.159, P < 0.05); with the increase in working time, the lymphocyte count of radiological medical staff also decreased (茁= - 0.008, P < 0.05). The results of Poisson regression analysis showed that compared with the radiological medical staff who operated in separate rooms, the chromosome aberration rate and micronucleus rate of the interventional therapists increased (RR = 4.078, 1.359, P < 0.05); with the increase of working years, the chromosome aberration rate and micronucleus rate of the radiological medical staff also increased (RR = 1.050, 1.024, P < 0.05). Conclusions Long -term low -dose ionizing radiation had varying degrees of impact on lymphocyte count, peripheral blood lymphocyte chromosome aberration, and the micronucleus of radiological medical staff. Further occupational health monitoring should be strengthened for radiological medical staff engaged in interventional therapy to reduce radiation damage. [ABSTRACT FROM AUTHOR]