Document Type : Original Article
Authors
- Ehsan Bakhshi 1
- Reza Kalantari 2
- Hamed Parnikh 3
- Samaneh Dehghan Abnavi 4
- Mehdi Hasanshahi 5
- Sanaz Farhadpour 6
- Somayeh Gheysari 5
1 Kermanshah healt center, Kermanshah university of medical sciences.
2 Department of Ergonomics, Faculty of Public Health, Shiraz University of Medical Sciences, Shiraz, Iran
3 Department of the Operating Room, School of Paramedicine, Arak University of Medical Sciences, Arak, Iran
4 Department of Operating Room, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
5 Department of Operating Room, School of Nursing, Shiraz University of Medical Sciences, Shiraz, Iran
6 Namazi Hospital, Shiraz University of Medical Sciences, Shiraz, Iran
Abstract
Background: Healthcare staff are at the heart of the covid-19 pandemic and play an important role in controlling this disease. Operating room practitioners could be contaminated by a coronavirus, which imposes a high pressure on them, affecting their need for recovery from work. This study aimed to compare the need for recovery in the operating room practitioners with and without covid-19 infection history.
Methods: This cross-sectional study was conducted in the operating room department of a public hospital on 217 operating room practitioners, including Operating room technicians, anaesthesiologists, and service staff. The data collection tools were a demographics questionnaire and the need for recovery scale. Descriptive statistics, independent sample t-test, and oneway ANOVA were used for data analysis.
Results: T he m ean a nd s tandard d eviation o f t he n eed f or recovery score in the studied population were 71.30±21.40. The practitioners with covid-19 infection history had a significantly higher need for recovery (P=0.001) than those without covid-19 history. In addition, the service staff had a higher percentage of covid-19 infection and had more need for recovery than operating room technicians (P=0.014).
Conclusion: The operating room practitioners with a history of covid-19 infection had a significantly higher need for recovery than those without a history of infection. Therefore, protecting the operating room practitioners against covid-19 infection is the first step in preventing the excessive need for recovery levels. In addition, increasing the number of operating room staff, reducing the number of working hours, and paying more attention to their work-life quality can help reduce their need for recovery.
Keywords
- Di Tella M, Romeo A, Benfante A, Castelli L. Mental health of healthcare workers during the COVID‐19 pandemic in Italy. Journal of evaluation in clinical practice. 2020;26(6):1583-7.
- World Health Organization coronavirus disease (COVID-19) dashboard. 2020.
- Nicola M, Alsafi Z, Sohrabi C, Kerwan A, Al-Jabir A, Iosifidis C, et al. The socio-economic implications of the coronavirus and COVID-19 pandemic: a review. International journal of surgery. 2020;78:185-93.
- Alharbi J, Jackson D, Usher K. The potential for COVID‐19 to contribute to compassion fatigue in critical care nurses. Journal of clinical nursing. 2020.
- MerajiKhah A, BeigiKhoozani A. How to protect operating room staff from COVID-19? Perioperative Care
- Operating Room Management. 2020;20:100114.
- Brindle ME, Gawande A. Managing COVID-19 in surgical systems. Annals of surgery. 2020.
- Belingheri M, Paladino M, Riva M. Beyond the assistance: additional exposure situations to COVID-19 for healthcare workers. Journal of Hospital Infection. 2020;105(2):353.
- Ji Y, Ma Z, Peppelenbosch MP, Pan Q. Potential association between COVID-19 mortality and health-care resource availability. The Lancet Global Health. 2020;8(4):e480.
- Wang D, Hu B, Hu C, Zhu F, Liu X, Zhang J, et al. Clinical characteristics of 138 hospitalized patients with 2019 novel coronavirus–infected pneumonia in Wuhan, China. Jama. 2020;323(11):1061-9.
- Zhang C, Yang L, Liu S. Survey of insomnia and related social psychological factors among medical staff involved with the 2019 novel coronavirus disease outbreak Front Psych. doi: 10.3389/fpsyt. 2020.00306; Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama. 2020.
- Santarone K, McKenney M, Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. The American journal of emergency medicine. 2020;38(7):1530-1.
- Perrone G, Giuffrida M, Bellini V, Lo Coco A, Pattonieri V, Bonati E, et al. Operating Room Setup: How to Improve Health Care Professionals Safety During Pandemic COVID-19—A Quality Improvement Study. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2021;31(1):85-9.
- Al-Jabir A, Kerwan A, Nicola M, Alsafi Z, Khan M, Sohrabi C, et al. Impact of the coronavirus (COVID-19) pandemic on surgical practice-Part 2 (surgical prioritisation). International journal of surgery. 2020;79:233-48.
- Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider burnout and fatigue during the COVID-19 pandemic: lessons learned from a high-volume intensive care unit. Anesthesia analgesia. 2020.
- Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occupational Medicine. 2020;70(5):364-9.
- Chirico F, Nucera G, Magnavita N. COVID-19: protecting healthcare workers is a priority. Infection Control & Hospital Epidemiology. 2020;41(9):1117-.
- Petzold MB, Plag J, Ströhle A. Umgang mit psychischer Belastung bei Gesundheitsfachkräften im Rahmen der COVID-19-Pandemie. Der Nervenarzt. 2020;91(5):417-21.
- De Vries-Griever A. Balance Between Work Load and Recovery Time with Irregular Working Hours; Premisses for Nurse Scheduling; in Dutch. Groningen/Utrecht: Nationaal Ziekenhuisinstituut; 1992.
- Meijman TF, Mulder G. Psychological aspects of workload. A handbook of work and organizational psychology. 2: Psychology Press; 2013. p. 15-44.
- Craig A, Cooper R. Symptoms of acute and chronic fatigue. Handbook of human performance. 1992;3:289-339.
- Sluiter J, De Croon E, Meijman T, Frings-Dresen M. Need for recovery from work related fatigue and its role in the development and prediction of subjective health complaints. Occupational
- environmental medicine. 2003;60(suppl 1):i62-i70.
- Van Veldhoven M. Need for recovery after work: An overview of construct, measurement and research. Houdmont J LS, editor. Nottingham Nottingham University Press; 2008.
- Moriguchi CS, Alem ME, Coury HJ. Evaluation of workload among industrial workers with the Need for Recovery Scale. Brazilian journal of physical therapy. 2011;15(2):154-9.
- Penwell-Waines L, Ward W, Kirkpatrick H, Smith P, Abouljoud M. Perspectives on healthcare provider well-being: looking back, moving forward. Journal of clinical psychology in medical settings. 2018;25(3):295-304.
- van Veldhoven M. Psychosociale arbeidsbelasting en werkstress: Swets & Zeitlinger Lisse; 1996.
- Van Veldhoven M, Meijman T. Het meten van psychosociale arbeidsbelasting met een vragenlijst: de vragenlijst beleving en beoordeling van de arbeid (VBBA). 1994.
- Van Veldhoven M, Broersen S. Measurement quality and validity of the “need for recovery scale”. Occupational
- environmental medicine. 2003;60(suppl 1):i3-i9.
- De Croon EM, Sluiter JK, Frings-Dresen MH. Psychometric properties of the Need for Recovery after work scale: test-retest reliability and sensitivity to detect change. Occupational environmental medicine. 2006;63(3):202-6.
- Kiss P, De Meester M, Braeckman L. Differences between younger and older workers in the need for recovery after work. International archives of occupational environmental health. 2008;81(3):311-20.
- Samadi H, Kalantari R, Mostafavi F, Zanjirani fFarahani A, Bakhshi E. Using the need for recovery scale to assess workload in mine workers and its relationship with demographics. Iranian Journal of Ergonomics. 2017;4(4):1-7.
- Cottey L, Roberts T, Graham B, Horner D, Stevens KN, Enki D, et al. Need for recovery amongst emergency physicians in the UK and Ireland: a cross-sectional survey. BMJ open. 2020;10(11):e041485.
- Graham B, Cottey L, Smith JE, Mills M, Latour JM. Measuring ‘Need for Recovery’as an indicator of staff well-being in the emergency department: a survey study. Emergency Medicine Journal. 2020;37(9):555-61.
- Moriguchi CS, Trevizani T, de Fátima Carreira Moreira R, Januário LB, De Oliveira AB, Coury HJCG. Need for recovery assessment among nursing professionals and call center operators. Work. 2012;41(Supplement 1):4838-42.
- Bridger R, Brasher K, Dew A. Work demands and need for recovery from work in ageing seafarers. Ergonomics. 2010;53(8):1006-15.
- Jansen NW, Kant I, van den Brandt PA. Need for recovery in the working population: description and associations with fatigue and psychological distress. International journal of behavioral medicine. 2002;9(4):322-40.
- Carfì A, Bernabei R, Landi F. Persistent symptoms in patients after acute COVID-19. Jama. 2020;324(6):603-5.
- Jansen N, Kant I, van Amelsvoort L, Nijhuis F, van den Brandt P. Need for recovery from work: evaluating short-term effects of working hours, patterns and schedules. Ergonomics. 2003;46(7):664-80.
- Townsend L, Dyer AH, Jones K, Dunne J, Mooney A, Gaffney F, et al. Persistent fatigue following SARS-CoV-2 infection is common and independent of severity of initial infection. Plos one. 2020;15(11):e0240784.
- Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. Journal of Hospital infection. 2020;105(1).
- Zhang M, Zhou M, Tang F, Wang Y, Nie H, Zhang L, et al. Knowledge, attitude, and practice regarding COVID-19 among healthcare workers in Henan, China. Journal of Hospital Infection. 2020;105(2):183-7.
- Kalantari r, zakerian sa, mahmodi majdabadi m, zanjirani farahani a, meshkati m, garosi e. Assessing the teamwork among surgical teams of hospitals affiliated to social security organizations in Tehran City. Journal of Hospital. 2016;15(3):21-9.