Medical Staff In Tertiary Hospital Research Articles

Burnout, depression, anxiety and insomnia among medical staff during the COVID-19 epidemic in Shanghai.

Coronavirus disease 2019 (COVID-19) has progressively impacted our daily lives, resulting in unexpected physical and mental stress on medical staff. This study is designed to investigate the levels of and risk factors for burnout, depression, anxiety, and insomnia among medical staff during the COVID-19 epidemic breakout in Shanghai, China. This cross-sectional survey was conducted from May 1 to May 31, 2022, among medical staff who were on the frontline during the epidemic breakout in Shanghai from different institutions. The MBI-HSS was used to assess burnout, PHQ-9, GAD-7 and ISI were used to evaluate mental status and insomnia. A total of 543 valid questionnaires were collected. The depersonalization, depression, anxiety, and insomnia scores of medical staff were significantly higher during the pandemic in Shanghai compared with norms, while lack of personal achievement scores were decreased. Working time, work unit, work environment and age are important influencers of burnout, depression and anxiety of medical staff. Long working hours are the most likely causes of burnout and emotional disorders. Medical staff in primary hospitals were most likely to suffer from burnout and emotional disorders, while medical staff in tertiary hospitals had a reduced sense of personal achievement. Young medical staff are prone to negative emotions such as depression and anxiety, while older medical staff have a lower sense of personal accomplishment. Medical staff who were not in the shelter hospitals or designated hospitals were more likely to have problems of emotional exhaustion, depersonalization and anxiety than those who were in the shelter hospitals or designated hospitals. Contracting COVID-19 had no effect on medical staff. Emotional exhaustion and depersonalization were positively correlated with anxiety, depression, and sleep disorders while personal achievement was negatively correlated with these factors. Medical staff in Shanghai had high burnout, depression, anxiety and insomnia levels during the epidemic outbreak in Shanghai. During the COVID-19, medical staff may suffer different psychological problems which should be concerned. Care and supports about burnout, mental health and insomnia need to be taken to promote the mental health of medical staff according to different characteristics of medical staff.

Meta-analysis of the impact of role stress on the turnover intention of medical staff in tertiary hospitals.

This study aimed to conduct a meta-analysis on the effect of role stress on the turnover intention of medical staff in tertiary hospitals. Based on the inclusion and exclusion criteria of literatures, we searched the English language databases Science Direct, PubMed, Springerlink, CBM, ISI, and Web of Science for studies published between January 2000 and October 2020 on the effect of role stress on the turnover intention of medical staff in tertiary hospitals. Publications were strictly screened according to the standards, and RevMan5.3 was adopted to conduct a meta-analysis of the relevant data. The influence of role stress and its various dimensions, such as role conflict, role ambiguity, and role overload on medical staff in tertiary hospitals turnover intention was analyzed. The Q test was adopted for heterogeneity analysis and the Egger's test adopted to detect publication bias. A total of 12 publications meeting the requirements were included in this study. The results showed that the combined correlation coefficient r between total role stress and turnover intention was 0.2503 (95% CI: 0.2235‒0.3489). There was also a positive correlation between role stress and the turnover intention of medical staff in tertiary hospitals (r=0.2503). The meta-analysis results of each dimension of role stress showed turnover intention was positively correlated with role conflict (r=0.2838), role ambiguity (r=0.2628), and role overload (r=0.2687). The greater the role stress of medical staff in tertiary hospitals, the stronger the turnover intention. Measures must be taken to avoid the loss of medical staff and improve the quality of medical services.

Knowledge, attitudes and practice towards epilepsy among medical staff in Southern China: Does the level of hospitals make a difference?

PurposeTo assess knowledge, attitudes, and practice (KAP) toward epilepsy among medical staff from different levels of hospitals in Southern China. MethodAn adapted and structured questionnaire was administered to medical personnel from tertiary (n = 451) and basic-level (n = 448) hospitals in Southern China. The questionnaire comprised of three domains which consisted of 6 items for awareness, 12 items for knowledge and a 14 item scale for attitudes. ResultsAlmost 40% of medical staff in basic-level hospitals held that epilepsy could be caused by evil spirits/eyes, or transmitted from other patients, which was almost 6 times higher than that of tertiary hospitals. The mean score from general knowledge about epilepsy was higher among medical staff in tertiary hospitals than in basic-level hospitals. The mean scores in the general and personal domain of the Chinese Public Attitudes Toward Epilepsy (CPATE) scale were both significantly lower among medical staff in tertiary hospitals, when compared to those of basic-level hospitals. ConclusionsThe overall KAP from medical staff in response to seizures, was found to be better in tertiary hospitals than those of basic-level hospitals in Southern China, which was associated with the education level and impact of traditional culture. To date, there is a need for effective public intervention programs in China to improve the awareness of epilepsy and reduce discrimination among medical workers, especially for those working in basic-level hospitals in rural regions, to finally promote a better living environment for patients with epilepsy in China.

Survey on nosocomial infection knowledge of medical staff in a tertiary hospital of Beijing

Objective To explore the nosocomial infection knowledge of medical staff in tertiary hospitals of Beijing, and identify the influencing factors of nosocomial infection knowledge among medical staff. Methods By random sampling method, 848 medical workers in a tertiary hospital were investigated by the self-designed questionnaire of medical workers′ knowledge about nosocomial infection control questionnaire. Results The average score of medical workers′ knowledge about nosocomial infection control was (68.78±11.70) . The univariate analysis on the influencing factors of nosocomial infection knowledge showed that, the scores of medical workers′ knowledge about nosocomial infection were significantly different among workers in different departments and with different professional titles (t=6.715, 53.166; P<0.05) . Conclusions The medical workers′ knowledge about nosocomial infection in tertiary hospitals is at a medium level. Aimed at the items with low knowledge score in different groups and different medical workers, we should enhance the training among medical workers to reduce the occurrence of nosocomial infection and the incidence rate of nosocomial infection. Key words: Medical staff; Knowledge; Infection control; Status survey; Tertiary hospital