Introduction The risk of experiencing psychiatric symptoms related to the COVID-19 pandemic is high among health care workers whose occupations are in public health, emergency medicine, and intensive or critical care. Materials and methods A cross‐sectional study aimed to assess the prevalence of fear of COVID-19 among 411 frontline Egyptian physicians during COVID-19 pandemic; identify determinants & predictors for fear of COVID-19; determine the impact of fear of COVID-19 on job satisfaction; and detect the impact of fear of COVID-19 on turnover intention. Three standardized scales (fear of COVID-19, job satisfaction and turnover intention scores) were used for data collection via online google form. Results Regarding fear relating to COVID-19 pandemic; 16.5% of the study subjects were classified as experiencing a severe fear level, while 78.1% experienced a moderate degree. A significant association between the level of fear relating to COVID-19 and work department. The highest degree of fear is in a general-educational-university facility. Regarding job satisfaction; 42% of those having severe level of fear are dissatisfied. Fear of COVID-19 is negatively associated with job satisfaction while positively significant correlated with turnover scores; positive significant predictor of turnover intention. Job satisfaction is negatively associated with turnover intention; a negative significant predictor of turnover intention. Conclusions Frontline Egyptian physicians reported higher levels of fear relating to COVID-19 pandemic (moderate to severe). Increased fear levels relating to COVID-19 have a relationship with lower levels of job satisfaction and higher levels of job turnover.
Introduction: Work is a social double edged weapon activity that may have positive and negative effects on individual's quality of life and health.Objectives: To estimate workaholism prevalence and to determine its effects on quality of life, mental health, and burnout among healthcare workers (HCWs).Methods: Using a cross-sectional study, 1,080 Egyptian participants distributed as HCWs and non-HCWs were recruited. The study included 4 questionnaires to assess workaholism, quality of life (QoL), Psychological capital questionnaire (PCQ), and General health questionnaire (GHQ). Maslach Burnout Inventory (MBI) was applied to critical specialty HCWs in addition to pro-inflammatory markers including Il6, TNFα, and CoQ10.Results: This study revealed that 24.4 and 24.8% of HCWs were workaholic and hardworking, respectively, in comparison to 5.9 and 28.1% among non-HCWs (P < 0.001). Somatic symptoms and anxiety/ insomnia domains of GHQ were higher among HCWs than non-HCWs (P < 0.001 and 0.002, respectively). QoL was significantly lower among HCWs than non-HCWs (P < 0.001). Workaholism was reported among 43.2% of HCWs with critical specialty (P < 0.001). Components of PCQ components were significantly higher among HCWs with critical specialty than non-critical HCWs while QoL showed the reverse (P < 0.05). Working excessively was a predictor to burnout [Emotional exhaustion (β = –0.23) and depersonalization (β = −0.25)] and TNFα (β = 0.41). Emotional exhaustion was a predictor to Il6 (β = 0.66), TNFα (β = 0.73), and CoQ10 (β = −0.78).Conclusion: There is a significant association between workaholism and psychologically poor-health and poor quality of life among HCWs. Critical specialty healthcare workers showed association between workaholism, burnout and pro-inflammatory markers. Addressing of personal characteristics, supporting factors in the work environment and periodic examination of the healthcare workers and responding accordingly is required.
Introduction: Physician burnout is considered a great public health problem, and the occurrence of the COVID-19 pandemic made it worse. The pandemic put several physical and emotional stressors on the frontline healthcare providers leading to increased burnout. Aim of work: was to assess the prevalence of burnout and its predictors among frontline physicians in Egypt during COVID 19 pandemic and evaluating the relation between burnout, its subscales, and psychosomatic symptoms. Materials and Methods: This descriptive cross-sectional study assessed 503 Egyptian physicians for burnout between the 26 th of March 2020 to the 1 st of June 2020, during the COVID-19 pandemic weeks, using the online form of Maslach Burnout Inventory [MBI]. Results: 72.8% of study subjects were classified as having a high burnout level and 26.0% as having an average level. 62.2% and 62.4% of studied physicians had high emotional exhaustion and depersonalization levels, respectively, and 43.5 % had low personal achievement levels. Dealing with critical cases, dealing with suspected cases of COVID 19, the number of shifts per month, and the presence of psychosomatic disorders were the significant positive predictors for total burnout score while dealing with critical cases, the number of shifts per month, and the presence of psychosomatic disorders were the significant positive predictors for emotional exhaustion. Significantly higher scores of psychosomatic disorders were observed among physicians with a high level of burnout, emotional exhaustion, and depersonalization subscales. Conclusion: It could be concluded that dealing with critical cases, suspected and confirmed cases of COVID 19 were significant positive predictors for total burnout score. The high levels of overall burnout and its subscales indicate the need for specific intervention programs to cope with the work-related stressors.
BACKGROUND: Needle stick injuries are a dangerous occupational hazard that threatens health care workers with serious consequences in many cases. Because of inadequate reporting of these incidents, the true magnitude of the problem is unknown. The study’s aim was to investigate the epidemiology of needle stick injuries (NSIs) among health care workers in Al Madinah Al Munawara, Saudi Arabia. METHODS: A representative sample of health care workers (n=268) were randomly selected from emergency departments of three general hospitals in Al Madinah Al Munawara for a cross-sectional study, and 219 responded to a predesigned questionnaire reflecting exposure to NSI, reporting, post-exposure reactions, and knowledge about NSIs. RESULTS: Almost one third of the participating medical professionals 70 (32%) had been exposed to stick injury during work. One half of the needles (52.9%) were blood stained. Nurses are significantly more likely to have stick injury (38.6%) followed by physicians (30.4%) if compared to laboratory technicians (13.9%) at the p-value of less than 0.05. The main purposes during injuries were drawing blood sample 33 (47.1%), injection 31 (44.3%) and suturing 23 (32.9%). Almost all injured personnel (97.1%) cleaned the injury site immediately and thoroughly. Out of the injured personnel, 50 (71.4%) reported the incident to authorities. A significantly higher proportion of physicians (91.3%) achieved above average score if compared to both lab technicians (72.2%) and nurses (76.3%) at the p-value of less than 0.05. CONCLUSION: Occupational needle stick injuries are fairly common among health care workers at Al Madinah Al Munawara’s governmental hospitals. In hospitals, deliberate efforts should be made to ensure adherence to safety guidelines governing needle stick injuries.
BackgroundDeveloped within a short period of time, the COVID-19 vaccine is not yet widely accepted among the public despite its availability, including by physicians, who are considered a vulnerable group.MethodologyA descriptive cross-sectional study selected 436 governmental physicians from different specializations, representing four random administrative regions in Egypt. The data were collected through a self-administrated online questionnaire and analyzed using suitable tests.ResultsOut of the studied 436 physicians, 229 (52.2%) [aged 20–30, 284 (65.1%)] were women, 270 (61.9%) were residents, 219 (50.2%) were married, 398 (91.3%) were non-smokers, and 263 (60.3%) were non-frontline caregivers. The majority of the physicians, 227 (52.1%) of them, hesitated to take the vaccine, 236 (54.1%) had not decided on the preferred type of vaccine, and 101 (23.2%) were neutrally confident in the Egyptian healthcare system; 302 (96.3%) had no history of drug or food hypersensitivity. There was no statistically significant (p < 0.05) relationship between the physicians' attitude toward COVID-19 vaccine uptake and the studied demographic variables. There was a statistically significant connection between all of the doctors' intentions to get the COVID-19 vaccine and all of the four attitude domains that were looked at.ConclusionThe study concluded that a low level of willingness among Egyptian physicians to take the COVID-19 vaccine is a prevalent problem. COVID-19 vaccination hesitancy and non-acceptance were linked to negative attitudes about natural immunity, mistrust of vaccine benefits, and concerns about commercial profiteering.
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