bluuebunny/crossref_metadata_2025_split huggingface dataset:
P-224 IMPACT OF THE PRESENCE OF A MEDIATOR IN EMERGENCY DEPARTMENTS ON PATIENT VIOLENT BEHAVIOURS AGAINST HEALTHCARE WORKERS
Authors: Touzet Sandrine , Buchet-Poyau Karine , Denis Angelique , Occelli Pauline , Jacquin Laurent , Potinet Véronique , Signal Alain , Delaroche-Gaudin Marine , Fayard.gonon Florence , Tazarourte Karim , Douplat Marion 
Published: July 2024

Abstract

Introduction
Considering violent behaviors from patients towards healthcare workers (HCW) in emergency departments (EDs), we evaluated the impact of mediators in EDs on violent behaviors perpetrated by patients or their relatives against HCW and on HCW well-being at work.

Methods
A randomized trial was performed in 4 French EDs during 12 months. EDs’HCW, patients aged ≥18 and their relatives were included. Four mediators worked alternately in the EDs. The main outcome was the rate of ED visits with at least one act of violence carried out by a patient or relatives declared by HCW. HCW well-being was measured with the Work-Related Quality of Life (WRQoL) scale.

Results
50,429 ED visits were assigned to the mediator intervention group (IG) and 50,851 to the control group (CG). Mediators reported 1,365 actions (e.g. response to a request for information on the clinical management or waiting time). The rate of ED visits with at least one act of violence was 0.26% in the IG and 0.21% in the CG (OR=1.23; 95%CI [0.73; 2.09]). WRQoL was analyzed for 102 HCW in IG and 125 in CG. The mean (range) overall WRQoL score was 2.9 (1.2-4.8) for the pre-mediator intervention survey and 2.9 (1.2-4.2) for the post-mediator intervention survey. The adjusted mean difference of the overall WRQol was -0.03 (95%CI [-0.20; 0.13]).

Discussion
Interventions by mediators did not affect violent behavior or on HCW well-being, but highlighted a major need for communication between patients and HCW.

Conclusion
Research studies targeting communication with patients are needed to reduce violence in EDs.
P-230 WORKING DIFFICULTIES AMONG UNLICENSED NURSING ASSISTANTS IN JAPANESE HOSPITALS -DIFFERENCES BY AGE AND HOSPITAL TYPES-
Authors: Sasaki Minako , Ito Michiyo , Lee Jung Su 
Published: July 2024

Abstract

Introduction
To maintain the healthcare delivery system in Japan, which is super-aged society, it is necessary to utilize unlicensed personnel as nursing assistants. However, there are few applicants for nursing assistants, and many hospitals have vacancies. We need to understand the difficulties they face in their job.

Methods
We examined job-related difficulties for nursing assistants by age and hospital type. We conducted a web-based survey of nursing assistants working in Japanese all hospitals in 2019. We asked the hospital nursing directors to select a nursing assistant randomly and to give a letter of request to the nursing assistant. This study was approved by the Research Ethics Review Board.

Results and discussion
Valid responses were obtained from 1,337 (16.0%) nursing assistants. Harassment from patients (32% on average, 40% in their 20s) and harassment from multiple professions other than nursing (9% on average, 16% in their 20s) were more common among those in their 20s. Harassment by patients was more common in long-term inpatient hospitals and psychiatric hospitals (32% on average, 36% in long-term inpatient hospitals, 51% in psychiatric hospitals). When crossed with the selection of “anti-harassment measures” by their hospital to keep working, 31% of those who answered they were harassed by patients, expected the measures. In long-term inpatient hospitals, the percentage of dementia patients are high, and psychiatric hospitals, it was thought that young nursing assistants were not coping well and had given up on the situation as something that could not be helped and quit their job.

Conclusion
Training and support systems for nursing assistants are needed.
P-233 INCIDENCE RATE OF LATENT MYCOBACTERIUM TUBERCULOSIS INFECTION AMONG HEALTHCARE PROFESSIONALS
Authors: Alves Helena , Abreu Diogo , Camarinha Salomé , Silva Laura , Pereira Miguel , Melo Daniel , Sardo Ana , Mautempo Fernando 
Published: July 2024

Abstract

Introduction
Exposure to biological agents is the main occupational risk factor for healthcare workers. The most frequently implicated pathogenic agents in cases of occupationally acquired infection are the human immunodeficiency virus, hepatitis C and hepatitis B viruses, and Mycobacterium tuberculosis. This retrospective cohort study aimed to determine the incidence rate of latent Mycobacterium tuberculosis infection among healthcare professionals.

Methods
A retrospective cross-sectional analysis was conducted between 2018 and 2021, focusing on healthcare professionals who underwent Interferon Gamma Release Assay testing.

Results
A total of 1,236 Interferon Gamma Release Assay tests were performed for early latent Tuberculosis screening and treatment, with 62 positive results. The incidence rate of latent Tuberculosis showed a downward trend over the study period, with rates of 9.18% in 2018, 5.26% in 2019, 2.97% in 2020, and 3.05% in 2021. Nurses (38.7%) and hospital aides (30.65%) had the highest number of cases among all professional categories.

Discussion
Our findings indicate a downward trend in incidence, coinciding with the COVID-19 pandemic and stringent infection control measures. This highlights the potential of adequate infection control measures in preventing nosocomial transmission of tuberculosis.

Conclusion
Our study underscores the crucial role of latent Tuberculosis as a major concern for hospital occupational health. Early screening and treatment for latent Tuberculosis, can significantly lower the risk of active Tuberculosis development. Detecting latent Tuberculosis early on and implementing effective infection control measures, including organizational strategies, are essential to fight Tuberculosis among healthcare professionals.
P-236 PREVALENCE OF HARASSMENT AMONG THE MEDICAL STAFF OF THE UNIVERSITY HOSPITAL OF RABAT
Authors: Elaoudi Yasmina , Manar Nadia , Bouri Hicham El , Deschamps Frédéric , Laraqui Hossini Chakib 
Published: July 2024

Abstract

Introduction
The aim was to estimate the prevalence of moral harassment among medical staff and to describe its clinical aspects.

Methods
This cross-sectional study involved a representative sample of 337 physicians with at least 6 months of seniority. The survey was based on a self-administered questionnaire including: socio-demographic and professional data, job satisfaction, stress, mental health indicators, and Leymann Inventory of Psychological Terror. Moral harassment was defined by exposure to at least one workplace violence situation, at least once a week and for more than 6 months during the last 12 months.

Results
The average age was 32.9 ± 7.7 years and 52.2% were female. The average seniority was 6.6 + 6.7 years. Physicians in training and teaching staff represented 63.5% and 18.1% respectively. During the last 12 months, work stoppage for more than 8 days and consumption of psychotropic drugs for depression or anxiety disorders were reported respectively by 8.3% and 17.8% with a significant female predominance. 52.8% have been exposed to at least one bullying situation during the last 12 months (61.7% among physicians in training and 46,8% among associates). Its direction was downward (38.6%) or horizontal (29.1%). The prevalence of moral harassment was 16.2%, of which 77.8% were physicians in training. Job satisfaction and self-declared stress were reported by 49.6% (14.8% among the harassed against 56.2% among the non-harassed) and 26.4 (87% among the harassed and 14.9% among the non-harassed) respectively

Discussion and conclusion
Organizational and managerial deficiencies were the main causes of bullying. Preventive measures are needed to improve the mental health of physicians
P-238 DESCRIPTIVE STUDY OF STRESS AND BURN OUT AMONG HEALTHCARE PROFESSIONALS IN COVID 19
Authors: El Ghorfi Souad Filali 
Published: July 2024

Abstract

Introduction
Psychosocial risks (PSRs) represent major issues for occupational health and safety. They correspond to “work situations where stress, internal and external violence are present, combined or not” INRS, 2018. During the COVID 19 period, these risks particularly affected nursing staff.

Methods
descriptive study uses Karasek and MBI questionnaires self-administered to nursing staff in the northern region of Morocco over a four-month period.

Results
150 people from 24 establishments responded voluntarily/ 46.85% suffered from chronic stress, and were subject to job strain and ISO strain, 25.17% suffered from burnout. High scores of emotional exhaustion, depersonalization and low scores of personal fulfillment were observed in 46.2%, 51% and 63.6% of respondents respectively. 53% of women, 47% of men, 28% of doctors, 56% of nurses, 8% of midwives, 8% of technicians, 46.1% worked in the COVID unit.

Discussion: Discussion
Stress and burn-out are the result of work overload (Kapasa, 2021) (Zine El Abidine & slaoui, 2021), sleep problems (20%), lack of safety measures (55.5%), lack of support in difficult situations (51.3%) less experience (Kamal et al, 2020, El Hage et al, 2020). Analysis of healthcare staff profiles shows that 25.17% have burnout, 8.4% are ineffective, 1.4% are disengaged, 0.7% are overextended and only 2% are committed. these profiles are useful when designing prevention measures.

Conclusion
Covid 19 showed that primary and secondary prevention measures are insufficient in Moroccan hospitals. Tertiary prevention measures were deemed ineffective, with only 2% of healthcare staff having used the psychological support unit set up by the Ministry of Health.
P-240 SYMPTOM CHECKERS AND GENERAL PRACTITIONERS’ WORK-RELATED STRESS. A QUALITATIVE INTERVIEW STUDY WITH GENERAL PRACTITIONERS IN GERMANY
Authors: Preiser Christine , Radionova Natalia , Oeg Eylem , Rieger Monika A 
Published: July 2024

Abstract

Introduction
In Germany, like in many countries, general practitioners (GPs) show higher levels of work-related perceived stress than the general population. Staff shortages and the increasing demands of an aging population add to the challenges facing GPs. Symptom Checkers (SCs) are ascribed the potential to relieve an overburdened healthcare system and health workers as they provide lay people with preliminary diagnostic suggestions and suggest a course for action. From an occupational health perspective, we are interested in how SCs interplay with GPs’ work-related stress.

Methods
Between December 2020 and February 2022, we conducted qualitative interviews with n=8 GPs in Germany. By in-depth analysis, we identified relevant topics and GPs’ implicit concepts. After n=8 interviews, no new aspects were found despite a heterogeneous sample. Results were discussed with research participants and further GPs.

Results
All GPs’ had a high workload which had even increased during the COVID-19 pandemic. Their scarcest resource was their time due to patient demand and volume compounded by the reimbursement system. Most GPs were open-minded to new technologies, but only one GP had direct experiences with SCs. All GPs saw SCs as part of the “unorganized stage” in the diagnostic process and did not feel that the process was significantly changed by SCs. They rated SCs possibilities too low to actually decrease the number of unnecessary consultations.

Discussion
The impact of SCs in general practice in Germany seems very limited.

Conclusion
GPs remained pragmatic about the vision of SCs to reduce the work-related stress of health workers in an overburdened healthcare system.
P-241 PANDEMIC FATIGUE AMONG YOUNG DOCTORS DURING THE COVID-19 PANDEMIC: THE MEDIATING ROLE OF RESILIENCE
Authors: Kotti Nada , Sellami Imen , Masmoudi Rim , Dhouib Feriel , Hrairi Anouare , Hammami Kaouthar Jmal , Masmoudi Mohamed Larbi , Masmoudi Jaweher , Hajjaji Mounira 
Published: July 2024

Abstract

Introduction
The ongoing pandemic due to coronavirus disease (COVID-19) is not only causing casualties amongst patients but is also putting an enormous strain on healthcare workers worldwide, especially those in frontline of the COVID-19. This study examined the influence of pandemic fatigue on young doctors’ mental health, with resilience as a mediator.

Methods
This was a descriptive, cross-sectional study involving frontline young doctors from Tunisia. The Pandemic Fatigue Questionnaire, Brief resilience scale, Maslach Burnout Inventory and Satisfaction on call duty scale were used to collect data through an online survey.

Results
A total of 261 young doctors responded to the online survey. The mean pandemic fatigue score was 25.09 (out of 50). Terminal years of residency experience (β=0.171, p=0.005), being vaccinated (β=0.129, p=0.032) and staff inadequacy (β=0.205, p=0.001) were associated with elevated score of pandemic fatigue. Resilience partially mediated the relationships between (a) pandemic fatigue and different dimensions of burnout (emotional exhaustion (β=0.337, p&lt;0.0001), depersonalization (β=0.311, p&lt;0.0001) and personal accomplishment (β=0.185, p=0.004) and (b) pandemic fatigue and satisfaction on call duty (β=-0.137, p=0.03).

Discussion
Healthcare providers are vulnerable in the current pandemic, given their risk of exposure to the virus, poor staffing, shortages of personal protective equipment, longer work hours, and involvement in emotionally and ethically fraught resource-allocation decisions.

Conclusion
Resilience reduces the effects of pandemic fatigue on young doctors’ mental health. Implementing resilience-promoting measures are essential to support young doctors’ mental health and foster their well-being therefore improve the quality of care provided.
P-250 MEDICAL OXYGEN AND OTHER ACCESSORIES GAP ANALYSIS FOR ZIMBABWE- CRISIS MANAGEMENT PREPAREDENESS ASSESSMENT
Authors: Nherera Tawanda 
Published: July 2024

Abstract

Introduction
Medical oxygen needs and gap analysis - Zimbabwe Introduction The Global Fund (GF) continues to provide significant investments to support Zimbabwe to strengthen HIV/AIDS, TB, and Malaria program delivery to ensure the realization of broader developmental goals. The advent of COVID 19, has resulted in increased need for medical oxygen to facilitate adequate Respiratory Care Treatment at service delivery points in the country. A needs and gap analysis had not been conducted to establish the true country capacity and gap in medical oxygen generation and supply. It is against this background that this assessment was done by the Global Fund representatives to establish the status of planned/ongoing medical oxygen generation and supply activities in the country.

Methodology
The assessment activities were a combination of desk review (leveraging on secondary data collected from literature, historical records) and physical on-site verifications (using structured questionnaires) at sampled facilities. Physical key informant interviews were conducted with relevant stakeholders i.e., PRs, MOHCC, World Health Organization, and other partners including medical oxygen manufacturers and health facility personnel. A probability sampling technique (cluster sampling), was employed by grouping health facilities into clusters and then sample health facilities to consider within each cluster.

Results and discussion
Zimbabwe has four medical oxygen manufacturers. 100% of the facilities were considered on assessments for quality assurance as well as production and distribution capability versus country demand and needs.

Conclusion
Healthcare facilities do not have adequate accessories for oxygen deployment with the efficiency that is required and therefore cannot manage crises currently. Inadequacy of biomedical staff was also evident.
P-251 HOW DID CANADIAN HEALTHCARE WORKERS DESCRIBE STRESSORS DURING THE COVID-19 PANDEMIC?
Authors: Durand-Moreau Quentin , Labrèche France , Adisesh Anil , Ruzycki Shannon , Stroud Erica , Zadunayski Tanis , Cherry Nicola 
Published: July 2024

Abstract

Introduction
Few studies have reported stress factors in healthcare workers (HCW) using open-ended questions, which collect a higher diversity of respondent perceptions than anticipated by researchers. Our objective was to describe stress factors reported by HCW in open-ended questions during the four phases of a large cohort study in Canada.

Methods
A prospective cohort of 4964 HCW was assembled with physicians, nurses, healthcare aides and personal support workers recruited from Alberta, British Columbia, Ontario and Quebec. Participants completed 4 online questionnaires (phase 1 in spring/summer 2020, phase 2 in fall 2020, phase 3 in spring 2021, phase 4 in spring 2022). Each questionnaire included an open-ended question on stressful events since the start of the pandemic or since the previous questionnaire. Responses were classified into 29 categories.

Results
Eight stress categories were reported 1000 times or more among the 17,436 questionnaires from the 4 phases. Five categories showed a downward trend over time: fear of COVID-19, difficult access to personal protective equipment, changing guidelines, management of difficult cases, changes to work routine. An increasing trend was noted for volume of work, and poor behavior from the public or staff. Difficulties managing patients’ deaths remained quite steady.

Discussion
Reporting of most stressors has decreased over the pandemic. However, the volume of work and the poor behavior of the public, patients and coworkers were seen to increase, consistent with reports of overtime work late in the pandemic.

Conclusion
The expression of stressors in open-ended questions helps identify levers for reducing them.
P-252 CHEST CT LUNG SEQUELAE FOLLOWING A COVID-19 EPISODE IN HOSPITAL STAFF IN MONASTIR: WHAT ARE THE PARTICULARITIES?
Authors: Grissa Ons , Hayouni Mohamed Marouen , Jdey Ons , Machghoul Samia , Amri Charfeddine , Chaari Neila , Akrout Mohamed , Henchi Mohamed Adnene , Merchaoui Irtyah , Salem Randa , Rassas Ines 
Published: July 2024

Abstract

Introduction
The COVID-19 pandemic has had a significant impact on healthcare workers (HCWs) worldwide. The purpose of this study is to quantify the pulmonary sequelae after COVID-19 infection in HCWs using chest CT scan.

Methods
This is a retrospective analytic cohort study that enrolled University Hospital of Monastir HCWs, who were diagnosed with COVID-19 infection between August 31, 2020, and November 30, 2021, and that underwent a chest CT scan at least 10 days after symptom onset. Chest CT scans were assessed for the presence of residual abnormalities and COVID-19 related pulmonary sequelae.

Results
Out of 1075 HCWs diagnosed with COVID-19 infection, 56 were included. 91% had mild to moderate symptoms, but 94.6% experienced persistent symptoms upon returning to work. Residual symptoms were dyspnea (67.9%), cough (42.9%) and chest pain (32.1%). 46.4% of CT scans showed abnormalities and COVID-19 related pulmonary sequelae were found in 26.8% of cases. They included linear atelectasis (73.3%), bronchiectasis (26.7%), and one case of septal thickening. Higher seniority levels and dyspnea during CT scanning were found to significantly increase the risk of pulmonary sequelae.

Discussion
HCWs with mild to moderate COVID-19 infection may have persistent respiratory symptoms and chest CT pulmonary sequelae during early convalescence. dyspnea during CT scanning increases this risk. This finding suggests that persistent dyspnea is not just a symptom of COVID-19 but may serve as an important clinical indicator of ongoing lung damage.

Conclusion
The recommendation arising from this study indicates the need for continuous monitoring of persistent dyspnea using objective tools.
P-254 THE BURDEN OF HIGH WORKLOAD AND THE COVID-19 PANDEMIC ON THE HEALTH-RELATED QUALITY OF LIFE AMONG HOME CARE WORKERS IN SWEDEN
Authors: Norström Fredrik , Bölenius Karin , Zingmark Magnus , Sahlén Klas-Göran , Pettersson-Strömbäck Anita , Öhrlin Malin 
Published: July 2024

Abstract

Background
A poorer health-related quality of life has been shown due to high workload among home care workers. The pandemic created challenging working conditions for all healthcare workers. The aim of this study is to examine the burden of perceived workload on health-related quality of life among home care workers during the Covid-19 pandemic.

Methods
Two cross-sectional studies were conducted in three Swedish regions among home care workers, 1,154 (56%) participated in 2017 (before the pandemic) and 630 (31%) participated in 2021 (during the pandemic). Workload was measured by QPSnordic. Health-related quality of life was measured by EQ-5D, from which responses were translated into quality-adjusted life year scores (QALY). Propensity scores were used with absolute risk differences. Surveys were compared using Analysis of Variance.

Results
Thirty-one percent of the home care workers expressed high workload in 2021, a non-significant increase compared to 2017 (28%). Home care workers with high workload had a statistically significant 0.065 lower QALY, confidence interval -0.108 - -0.025, and 21%, confidence interval 0.121-0.299, more reported problems with anxiety/depression dimension than personnel with normal workload during the pandemic. There was statistically significantly lower QALY (0.79 vs. 0.82) and more reported problems on the anxiety/depression dimension (37% vs. 28%) in the pandemic compared to the post-pandemic cohort.

Discussion
Our study shows that the pandemic increased problems with health-related quality of life due to high workload among home care workers.

Conclusion
Swedish home care already had a strained organization before the pandemic. A strengthened organization is needed for better well-being among the personnel.
P-255 WHICH ALTERNATIVE WELL-FIT MASKS CAN BE USED IN MEDICAL PROCEDURES?
Authors: Chaiear Naesinee , Kraisorn Phanumas , Ngarmchokwatta Chatpong , Faksri Kiatichai , Chantarasuk Yingrit , Phewkliang Arunya , Thapthim-on Maturin , Mitsungnern Thapanawong 
Published: July 2024

Abstract

Introduction
During the COVID-19 pandemic, the WHO and CDC recommended that health workers (HWs) who perform non-aerosol-generating procedures (AGPs) don a properly fitted mask. Our objective was to evaluate the fit factors (FFs) of eight alternative well-fit masks (AWMs) used by Thai HWs.

Methods
This comparative descriptive study was conducted on 33 HWs between October and November 2022 and was categorized into three facial sizes, small, medium, and large. Each participant wore eight types of AWMs in random order: medical mask under adjustable ear-loop (AEL)-KF94 (MK), medical mask under AEL-KN95 with a hook (MN), medical mask under fabric mask (MF), AEL-KF94 (KF94), AEL-KF94 under fabric masks (KF), AEL-KF94 with a hook (KF94H), AEL-KN95 with a hook (KN95), and AEL-KN95 with a hook under fabric mask (NF). FFs were measured using a quantitative fit test (QNFT).

Results
The number of HWs in size small, medium, and large was 12, 12, and 9. The highest respective median of FF was KN95=200, NF=200, MN=185, and KF94H =171, and the respective passing fit-test rate was 97%, 84.8%, 63.6%, and 60.6%. There was no difference in FFs between the N95 and KN95 (p-value=0.72), the N95 and NF (p-value=0.20), and the three facial sizes.

Discussion
The AEL-KN95 with hook and sponge at the nosepiece was an effective respirator for use by HWs in non-AGPs, as the FF

Conclusion
The AEL-KN95 with hook and sponge at the nosepiece fit test pass rates were comparable to those of NIOSH N95 respirator, and there were no differences in FFs between facial sizes.