Background Healthcare professionals (HCPs) on the front lines against COVID-19 may face increased workload and stress. Understanding HCPs' risk for burnout is critical to supporting HCPs and maintaining the quality of healthcare during the pandemic. Methods To assess exposure, perceptions, workload, and possible burnout of HCPs during the COVID-19 pandemic we conducted a cross-sectional survey. The main outcomes and measures were HCPs' self-assessment of burnout, indicated by a single item measure of emotional exhaustion, and other experiences and attitudes associated with working during the COVID-19 pandemic. Findings A total of 2,707 HCPs from 60 countries participated in this study. Fifty-one percent of HCPs reported burnout. Burnout was associated with work impacting household activities (RR = 1�57, 95% CI = 1�39-1�78, P<0�001), feeling pushed beyond training (RR = 1�32, 95% CI = 1�20-1�47, P<0�001), exposure to COVID-19 patients (RR = 1�18, 95% CI = 1�05-1�32, P = 0�005), and making life prioritizing decisions (RR = 1�16, 95% CI = 1�02-1�31, P = 0�03). Adequate personal protective equipment (PPE) was protective against burnout (RR = 0�88, 95% CI = 0�79-0�97, P = 0�01). Burnout was higher in high-income countries (HICs) compared to low-and middle-income countries (LMICs) (RR = 1�18; 95% CI = 1�02-1�36, P = 0�018).
Desempenho de uma população brasileira no teste de alfabetização funcional para adultos na área de saúde ABSTRACT OBJECTIVE:To analyze the scoring obtained by an instrument, which evaluates the ability to read and understand items in the health care setting, according to education and age.
METHODS:The short version of the Test of Functional Health Literacy in Adults was administered to 312 healthy participants of different ages and years of schooling. The study was conducted between 2006 and 2007, in the city of São Paulo, Southeastern Brazil. The test includes actual materials such as pill bottles and appointment slips and measures reading comprehension, assessing the ability to read and correctly pronounce a list of words and understand both prose passages and numerical information. Pearson partial correlations and a multiple regression model were used to verify the association between its scores and education and age.
RESULTS:The mean age of the sample was 47.3 years (SD=16.8) and the mean education was 9.7 years (SD=5; range: 1 -17). A total of 32.4% of the sample showed literacy/numeracy defi cits, scoring in the inadequate and marginal functional health literacy ranges. Among the elderly (65 years or older) this rate increased to 51.6%. There was a positive correlation between schooling and scores (r=0.74; p<0.01) and a negative correlation between age and the scores (r=-0.259; p<0.01). The correlation between the scores and age was not signifi cant when the effects of education were held constant (rp=-0.031, p=0.584). A signifi cant association (B=3.877, Beta=0.733; p<0.001) was found between schooling and scores. Age was not a signifi cant predictor in this model p=0.584).
CONCLUSIONS:The short version of the Test of Functional Health Literacy in Adults was a suitable tool to assess health literacy in the study population. The high number of individuals classifi ed as functional illiterates in this test highlights the importance of special assistance to help them properly understand directions for healthcare.
Background Healthcare professionals (HCPs) on the front lines against COVID-19 may face increased workload and stress. Understanding HCPs' risk for burnout is critical to supporting HCPs and maintaining the quality of healthcare during the pandemic. Methods To assess exposure, perceptions, workload, and possible burnout of HCPs during the COVID-19 pandemic we conducted a cross-sectional survey. The main outcomes and measures were HCPs' self-assessment of burnout, indicated by a single item measure of emotional exhaustion, and other experiences and attitudes associated with working during the COVID-19 pandemic. Findings A total of 2,707 HCPs from 60 countries participated in this study. Fifty-one percent of HCPs reported burnout. Burnout was associated with work impacting household activities (RR = 1�57, 95% CI = 1�39-1�78, P<0�001), feeling pushed beyond training (RR = 1�32, 95% CI = 1�20-1�47, P<0�001), exposure to COVID-19 patients (RR = 1�18, 95% CI = 1�05-1�32, P = 0�005), and making life prioritizing decisions (RR = 1�16, 95% CI = 1�02-1�31, P = 0�03). Adequate personal protective equipment (PPE) was protective against burnout (RR = 0�88, 95% CI = 0�79-0�97, P = 0�01). Burnout was higher in high-income countries (HICs) compared to low-and middle-income countries (LMICs) (RR = 1�18; 95% CI = 1�02-1�36, P = 0�018).
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