Prevalence of Perceived Stress, Anxiety, and Depression in HCW in Kosovo during the COVID-19 Pandemic: A Cross-Sectional Survey

Qosaj, Fatime Arënliu; Weine, Stevan; Sejdiu, Pleurat; Hasani, Fekrije; Statovci, Shukrije; Behluli, Vigan; Arënliu, Aliriza

doi:10.3390/ijerph192416667

Cited by 6 publications

(3 citation statements)

References 50 publications

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“…15 While our study was based on one sample, at one time point, and is relevant primarily to trends among US Family Physicians, we believe the phenomena we report related to burnout and lower well-being among health care workers, are likely global in nature. 7,32,33 More research is needed to see if this also translates to changes in priorities and intent to retreat from clinical practice among health care providers globally.…”

Section: Limitationsmentioning

confidence: 99%

Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Brazeau,

Chen,

Morley

et al. 2023

J Am Board Fam Med

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Purpose: This survey evaluated whether the COVID-19 pandemic was a traumatic stress event for family physicians associated with burnout, changes in life priorities, and intentions to retreat from clinical practice.Methods: We report on 683 clinically active family physicians surveyed through the Council of Academic Family Medicine's Educational Research Alliance (CERA) in the fall of 2021.Results: Overall, 35.2% of family physicians experienced the pandemic as a traumatic stress like event. This was associated with changing life priorities (OR 2.6, CI 1.8-3.9), burnout (OR 1.6, CI 1.1 to 2.4), and withdrawal from clinical practice in various ways. Those who changed their priorities in life were more likely to restrict scope of practice (OR 3.9, CI 2.6-5.9), reduce clinical work effort (OR 3.4, 2.3 to 5.1), relocate (OR 3.1, CI 2.0 to 4.8), retire (OR 2.7, CI 1.4-4.9), reroute their career away from patient care (OR 2.1, CI 1.4-3.1) and less likely to avoid redesigning the practice to improve well-being (OR 0.3, CI 0.2-0.7). Those who experienced burnout were more likely to retire (OR 5.5, CI 2.8 to 10.5), reduce clinical work effort (OR 4.2, CI 2.9-6.1), reroute their career away from patient care (OR 3.9, CI 2.6-5.8), relocate (OR 3.8, CI 2.4 to 5.9), and restrict scope of practice (OR 3.3, CI 2.3 to 4.9). Overall, 48.5% of family physicians expressed some intention to retreat from clinical practice. Conclusion:The COVID-19 pandemic impacted family physician's career plans. Remedying burnout is a high-yield opportunity for retaining clinically active family physicians. Physicians retreating from clinical medicine related to changing life's priorities needs further exploration.

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Section: Limitationsmentioning

confidence: 99%

Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Brazeau,

Chen,

Morley

et al. 2023

J Am Board Fam Med

View full text Add to dashboard Cite

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“…Since the first cases of COVID-19 [ 14 ], different incidence rates have been reported in Kosovo due to the different waves of the COVID-19 pandemic’s spread, and a peak in the disease’s mortality rate was recorded during July–August 2020 [ 15 ]. Furthermore, the COVID-19 pandemic had a psychological impact on healthcare practitioners, resulting in higher levels of depressive symptoms, COVID-19-related stress, tiredness, general anxiety, and decreased levels of proactive coping among healthcare workers [ 16 , 17 , 18 , 19 ]. On the other side, the infection of a significant number of PC workers with COVID-19, their quarantine, and a scarcity of personnel in their facilities have compounded the situation, necessitating the adaptation of health services for citizens [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Health Service Management and Patient Safety in Primary Care during the COVID-19 Pandemic in Kosovo

Bojaj

Tahirbegolli

Beqiri³

et al. 2023

IJERPH

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Background: Several changes must be made to the services to ensure patient safety and enable delivering services in environments where the danger of infection of healthcare personnel and patients in primary care (PC) institutions is elevated, i.e., during the COVID-19 pandemic. Objective: This study aimed to examine patient safety and healthcare service management in PHC practices in Kosovo during the COVID-19 pandemic. Methods: In this cross-sectional study, data were collected using a self-reported questionnaire among 77 PHC practices. Results: Our main finding reveals a safer organization of PC practices and services since the COVID-19 pandemic compared to the previous period before the pandemic. The study also shows a collaboration between PC practices in the close neighborhood and more proper human resource management due to COVID-19 suspicion or infection. Over 80% of the participating PC practices felt the need to introduce changes to the structure of their practice. Regarding infection protection measures (IPC), our study found that health professionals’ practices of wearing a ring or bracelet and wearing nail polish improved during the COVID-19 pandemic compared to the pre-pandemic period. During the COVID-19 pandemic, PC practice health professionals had less time to routinely review guidelines or medical literature. Despite this, implementing triage protocols over the phone has yet to be applied at the intended level by PC practices in Kosovo. Conclusions: Primary care practices in Kosovo responded to the COVID-19 pandemic crisis by modifying how they organize their work, implementing procedures for infection control, and enhancing patient safety.

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“…Due to this fact, HCWs were themselves a high-risk group for occupational COVID infections [2]. This challenging situation, together with the uncertainties about the novel infectious disease and its possible long-term effects, put a great physical and psychological strain on the HCWs [3][4][5]. It is estimated that at the beginning of the pandemic, 5-20% of SARS-CoV-2 cases involved HCWs [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Causes and Risk Factors for Absenteeism among Medical Staff in German Specialized Lung Clinics during the COVID Pandemic

Piel,

Presotto,

Jörres

et al. 2023

Respiration

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Background: Staff shortages pose a major challenge to the health system. Objectives: The objective of this study was to clarify the role of different causative factors we investigated on staff absenteeism during the COVID pandemic. Methods: The prospective multicentre cohort study assessed the private and professional impact of the pandemic on health care workers (HCWs) using a specially developed questionnaire. HCWs from 7 specialist lung clinics throughout Germany were surveyed from December 1 to December 23, 2021. The current analysis addresses pandemic-related absenteeism. Results: 1,134 HCW (55% female; 18.4% male, 26.3% not willing to provide information on age or gender) participated. 72.8% had received at least one vaccination dose at the time of the survey, and 9.4% reported a COVID infection. Of those with positive tests, 98% reported home quarantine for median (IQR) 14 (12–17) days; 10.3% of those who ultimately tested negative also reported quarantine periods of 14 (7–14) days. 32.2% of vaccinated respondents reported absenteeism due to vaccine reactions of 2 (1–3) days. Overall, 37% (n = 420) of HCW reported pandemic-related absenteeism, with 3,524 total days of absenteeism, of which 2,828 were due to illness/quarantine and 696 to vaccination effects. Independent risk factors for COVID-related absenteeism ≥5 days included already having COVID, but also concern about long-term effects of COVID (OR 1,782, p = 0.014); risk factors for vaccine-related absenteeism ≥2 days included concerns of late effects of vaccination (OR 2.2, 95% CI: 1.4–3.1, p < 0.000). Conclusion: Staff shortages due to quarantine or infections and vaccine reactogenicity have put a strain on German respiratory specialists. The fact that staff concerns also contributed to absenteeism may be helpful in managing future pandemic events to minimize staff absenteeism.

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Prevalence of Perceived Stress, Anxiety, and Depression in HCW in Kosovo during the COVID-19 Pandemic: A Cross-Sectional Survey

Cited by 6 publications

References 50 publications

Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Impact of COVID-19 on American Family Physicians’ Intent to Retreat from Clinical Care

Health Service Management and Patient Safety in Primary Care during the COVID-19 Pandemic in Kosovo

Causes and Risk Factors for Absenteeism among Medical Staff in German Specialized Lung Clinics during the COVID Pandemic

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