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      Relación entre condiciones de trabajo con la calidad de vida relacionada con la salud de trabajadores de enfermería y medicina de unidades de cuidados intensivos durante la pandemia COVID 19 en Santa Marta, Colombia Translated title: Relationship between working conditions and health-related quality of life of nursing and medical staff in Intensive Care Units during the COVID 19 pandemic in Santa Marta, Colombia

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          Abstract

          RESUMEN: Objetivo Determinar la relación entre las condiciones de trabajo y las dimensiones que integran la Calidad de Vida Relacionada con la Salud durante la pandemia COVID 19 en los trabajadores de enfermería y medicina de las Unidades de Cuidados Intensivos de Santa Marta, Colombia. Métodos Estudio analítico de corte transversal. La muestra estuvo comprendida por 110 profesionales sanitarios (médicos y enfermeros) seleccionados mediante muestreo no probabilístico. Se empleó el cuestionario MOS-36. Resultados Los encuestados fueron en su mayoría de sexo femenino (69.09%), con hijos (64.54%), conviven con su familia nuclear (90.00%), de profesión auxiliar de Enfermería (59.09%), seguido por Enfermeros(as) (23.63%) y médicos (17.27%), con posgrados (13.63%), con enfermedad crónica (14.54%) y con poliempleo (93.63%). Las dimensiones de la calidad de vida con mejor percepción fueron Función Física (M: 85.69, DE: 19.04), y Rol Emocional (M: 81.79, DE: 33.92), mientras, se encontró una media más baja en la dimensión Vitalidad (M: 59.95, DE: 17.51). Las variables edad, sexo (masculino), tener hijos, padecer una enfermedad crónica, profesión (médico), formato de contratación, poliempleo, antigüedad laboral y en el servicio, parecen influir negativamente sobre la salud psíquica y física de los trabajadores. Conclusión: El componente mental fue el más afectado. La calidad de vida relacionada con la salud en el grupo de estudio es en general evaluada como buena; y esta mostró relacionarse con las condiciones de trabajo, ameritando del diseño e implementación de estrategias para minimizar el impacto del trabajo sobre la salud y la integridad del trabajador.

          Translated abstract

          ABSTRACT: Objective To determine the relationship between working conditions and dimensions of health-related quality of life during the COVID 19 pandemic among nursing and medical staff in intensive care units in Santa Marta, Colombia. Method Cross-sectional analytical study. The sample consisted of 110 health professionals (physician and nurses) selected by non-probability sampling. The MOS-36 questionnaire was used. Results The respondents were mostly female (69.09%), with children (64.54%), living with their nuclear family (90.00%), nursing assistant (59.09%), followed by nurses (23.63%) and physicians (17.27%), with postgraduate degrees (13.63%), with chronic illness (14.54%) and with multiple jobs (93.63%). The dimensions of quality of life with the best perception were physical functioning (M: 85.69, SD: 19.04) and role emotional (M: 81.79, SD: 33.92), while a lower mean was found in the vitality dimension (M: 59.95, SD: 17.51). The variables age, sex (male), having children, suffering from a chronic disease, profession (physician), hiring format, multi-employment, seniority at work and service seem to negatively influence workers' mental and physical health. Conclusions: The mental component was the most affected. The health-related quality of life in the study group is generally evaluated as good; and this showed to be related to working conditions, meriting the design and implementation of strategies to minimize the impact of work on the health and integrity of health care professionals.

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          Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic

          Objective The mental health toll of COVID-19 on healthcare workers (HCW) is not yet fully described. We characterized distress, coping, and preferences for support among NYC HCWs during the COVID-19 pandemic. Methods This was a cross-sectional web survey of physicians, advanced practice providers, residents/fellows, and nurses, conducted during a peak of inpatient admissions for COVID-19 in NYC (April 9th–April 24th 2020) at a large medical center in NYC (n = 657). Results Positive screens for psychological symptoms were common; 57% for acute stress, 48% for depressive, and 33% for anxiety symptoms. For each, a higher percent of nurses/advanced practice providers screened positive vs. attending physicians, though housestaff's rates for acute stress and depression did not differ from either. Sixty-one percent of participants reported increased sense of meaning/purpose since the COVID-19 outbreak. Physical activity/exercise was the most common coping behavior (59%), and access to an individual therapist with online self-guided counseling (33%) garnered the most interest. Conclusions NYC HCWs, especially nurses and advanced practice providers, are experiencing COVID-19-related psychological distress. Participants reported using empirically-supported coping behaviors, and endorsed indicators of resilience, but they also reported interest in additional wellness resources. Programs developed to mitigate stress among HCWs during the COVID-19 pandemic should integrate HCW preferences.
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            Burnout and medical errors among American surgeons.

            To evaluate the relationship between burnout and perceived major medical errors among American surgeons. Despite efforts to improve patient safety, medical errors by physicians remain a common cause of morbidity and mortality. Members of the American College of Surgeons were sent an anonymous, cross-sectional survey in June 2008. The survey included self-assessment of major medical errors, a validated depression screening tool, and standardized assessments of burnout and quality of life (QOL). Of 7905 participating surgeons, 700 (8.9%) reported concern they had made a major medical error in the last 3 months. Over 70% of surgeons attributed the error to individual rather than system level factors. Reporting an error during the last 3 months had a large, statistically significant adverse relationship with mental QOL, all 3 domains of burnout (emotional exhaustion, depersonalization, and personal accomplishment) and symptoms of depression. Each one point increase in depersonalization (scale range, 0-33) was associated with an 11% increase in the likelihood of reporting an error while each one point increase in emotional exhaustion (scale range, 0-54) was associated with a 5% increase. Burnout and depression remained independent predictors of reporting a recent major medical error on multivariate analysis that controlled for other personal and professional factors. The frequency of overnight call, practice setting, method of compensation, and number of hours worked were not associated with errors on multivariate analysis. Major medical errors reported by surgeons are strongly related to a surgeon's degree of burnout and their mental QOL. Studies are needed to determine how to reduce surgeon distress and how to support surgeons when medical errors occur.
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              Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review

              Evidence from disease epidemics shows that healthcare workers are at risk of developing short- and long-term mental health problems. The World Health Organization (WHO) has warned about the potential negative impact of the COVID-19 crisis on the mental well-being of health and social care professionals. Symptoms of mental health problems commonly include depression, anxiety, stress, and additional cognitive and social problems; these can impact on function in the workplace. The mental health and resilience (ability to cope with the negative effects of stress) of frontline health and social care professionals ('frontline workers' in this review) could be supported during disease epidemics by workplace interventions, interventions to support basic daily needs, psychological support interventions, pharmacological interventions, or a combination of any or all of these.
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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2023
                : 22
                : 70
                : 64-90
                Affiliations
                [2] Buenos Aires Buenos Aires orgnameUniversidad de Ciencias Empresariales y Sociales Argentina
                [1] Magdalena orgnameUniversidad del Magdalena orgdiv1Grupo de Investigación Ciencias del Cuidado en Enfermería (GICCE) Colombia carlos.canova1993@ 123456gmail.com
                Article
                S1695-61412023000200003 S1695-6141(23)02207000003
                10.6018/eglobal.540111
                a328b441-720f-4f0c-9561-3ae09fab7a2c

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 24 September 2022
                : 13 January 2023
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 27
                Product

                SciELO Spain

                Categories
                Originales

                Nurses,Occupational Health,Critical Care,Nursing Assistants,Physicians,Quality of Life,Salud Laboral,Cuidados Intensivos,Auxiliares de Enfermería,Enfermeras y Enfermeros,Médicos,Calidad de vida

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