Relationship between working conditions and health-related quality of life of nursing and medical staff in Intensive Care Units during the COVID 19 pandemic in Santa Marta, Colombia
Abstract
Objective: To determine the relationship between working conditions and dimensions of health-related quality of life during the COVID 19 pandemic among nursing and medical staff in intensive care units in Santa Marta, Colombia.
Method: Cross-sectional analytical study. The sample consisted of 110 health professionals (physician and nurses) selected by non-probability sampling. The MOS-36 questionnaire was used.
Results: The respondents were mostly female (69.09%), with children (64.54%), living with their nuclear family (90.00%), nursing assistant (59.09%), followed by nurses (23.63%) and physicians (17.27%), with postgraduate degrees (13.63%), with chronic illness (14.54%) and with multiple jobs (93.63%). The dimensions of quality of life with the best perception were physical functioning (M: 85.69, SD: 19.04) and role emotional (M: 81.79, SD: 33.92), while a lower mean was found in the vitality dimension (M: 59.95, SD: 17.51). The variables age, sex (male), having children, suffering from a chronic disease, profession (physician), hiring format, multi-employment, seniority at work and service seem to negatively influence workers' mental and physical health.
Conclusions: The mental component was the most affected. The health-related quality of life in the study group is generally evaluated as good; and this showed to be related to working conditions, meriting the design and implementation of strategies to minimize the impact of work on the health and integrity of health care professionals.
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References
Raurell-Torredà M. Management of ICU nursing teams during the Covid-19 pandemic. Enferm Intensiva. 2020;31:49–51. https://doi.org/10.1016/j.enfi.2020.04.001.
Rascado Sedes P, Ballesteros Sanz MA, Bodí Saera MA, Carrasco Rodríguez-Rey LF, Castellanos Ortega A, Catalán González M, et al. Plan de contingencia para los servicios de medicina intensiva frente a la pandemia COVID-19. Med Intensiva. 2020;44(6):363–370. https://doi.org/10.1016/j.medin.2020.03.006.
Bostan S, Akbolat M, Kaya A, Ozata M, Gunes D. Assessments of Anxiety Levels and Working Conditions of Health Employees Working in COVİD-19 Pandemic Hospitals. Electron J Gen Med. 2020;17(5):em246. https://doi.org/10.29333/ejgm/8228.
Casabella C, Pálizas F, Solano C, Guantay M, Garay C. Cambio a las visitas en cuidados intensivos durante la pandemia por COVID-19. Medicina (Buenos Aires). 2020;80(suppl.6):119-120. https://www.medicinabuenosaires.com/revistas/vol80-20/s6/119.pdf.
Pollock A, Campbell P, Cheyne J, Cowie J, Davis B, McCallum J, McGill K, Elders A, Hagen S, McClurg D, Torrens C, Maxwell M. Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Database Syst Rev. 2020;11(11):CD013779. https://doi.org/10.1002/14651858.CD013779.
Bueno Ferrán M, Barrientos-Trigo S. Cuidar al que cuida: el impacto emocional de la epidemia de coronavirus en las enfermeras y otros profesionales de la salud. Enferm Clin (English Edition). 2021;31:S35–S39. https://doi.org/10.1016/j.enfcli.2020.05.006.
Pelliciotti Jda S, Kimura M. Medications errors and health-related quality of life of nursing professionals in intensive care units. Rev Lat Am Enfermagem. 2010;18(6):1062-9. http://dx.doi.org/10.1590/s0104-11692010000600004.
Lastre-Amell G, Gaviria-García G, Herazo-Beltrán Y, Mendinueta-Martínez M. Estresores laborales en el personal de enfermería de unidades de cuidados intensivo. Rev Lat Hipert. 2018;13:323-9. http://www.revhipertension.com/rlh52018/estresoreslaboralesenelpersonal.pdf.18.
Letvak AS, Ruhm CJ, Gupta SN. Nurses’ presenteeism and its effects on self-reported quality of care and costs. Am J Nurs. 2012;112(2):30-8. http://doi.org/10.1097/01.NAJ.0000411176.15696.f9.
Mohamedkheir RA, Amara ZM, Balla SA, Mohamed HAA. Occupational stress among nurses working in intensive care units in public hospitals of Khartoum State, Sudan 2016. Am J Health Res. 2016;4:166-71. http://dx.doi.org/10.11648/j.ajhr.20160406.13.17.
Garrouste-Orgeas M, Perrin M, Soufir L, Vesin A, Blot F, Maxime V. The Iatroref study: Medical errors are associated with symptoms of depression in ICU staff but not burnout or safety culture. Intensive Care Med. 2015;41:273-84. http://doi.org/10.1007/s00134-014-3601-4.10.
Shanafelt TD, Balch CM, Bechamps G, Russell T, DyrbyeL, Satele D. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995-1000. http://dx.doi.org/10.1097/SLA.0b013e3181bfdab3.
Canova-Barrios C, Oviedo Santamaría P. Health-related quality of life among intensive care unit workers. Enferm Intensiva. 2021;32(4):181-188. https://doi.org/10.1016/j.enfi.2020.11.002.
El-Hage W, Hingray C, Lemogne C, Yrondi A, Brunault P, Bienvenu T, et al. Les professionnels de santé face à la pandémie de la maladie à coronavirus (COVID-19): quels risques pour leur santé mentale? Encephale. 2020;46(3S):S73-S80. https://doi.org/10.1016/j.encep.2020.04.008.
Departamento Administrativo Nacional de Estadística (DANE). Estadísticas vitales: IV trimestre 2021pr, definitivas 2020, acumulado 2021pr y año corrido 2022pr. [Internet], 2022. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/demografia-y-poblacion/nacimientos-y-defunciones.
Pedrozo-Pupo JC, Pedrozo-Cortés MJ, Campo-Arias A. Perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cadernos de Saúde Pública. 2020;36(5):e00090520. https://doi.org/10.1590/0102-311X00090520.
Echeverry-Raad J, Navarro-Vargas JR. Ethical and clinical challenges when providing medical care during the COVID-19 pandemic in Colombia: A global perspective to contribute to the local context. Revista de la Facultad de Medicina. 2021;69(1):e400. https://doi.org/10.15446/revfacmed.v69n1.89474.
Naughton M, Shumaker S, Anderson R, Czajkowski S. Psychological Aspects of Health-Related Quality of Life Measurement: Tests and Scales, 1996. En: Spilker, B. Quality of Life and Pharmaco economics in Clinical Trials. Cap. 15. New York: -Lippincott-Raven; p. 117-131.
Trujillo W, Román J, Lombard A, Remior E, Arredondo O, Martínez E, et al. Adaptación del cuestionario SF-36 para medir calidad de vida relacionada con la salud en trabajadores cubanos. Revista Cubana de Salud y Trabajo. 2014;15(1):62-70. http://www.medigraphic.com/pdfs/revcubsaltra/cst-2014/cst141j.pdf.
Plummer M, Molzahn A. Quality of Life in Contemporary Nursing Theory: A Concept Analysis. Nurs Sci Q. 2009;22(2):134-40. https://doi.org/10.1177/0894318409332807.
Lugo LH, García HI, Gómez C. Reliability of sf-36 quality of life in health questionnaire in Medellín, Colombia. Rev. Fac. Nac. Salud Pública. 2006;24(2):37-50. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0120-386X2006000200005&lng=en&nrm=iso.
Arostegui Madariaga I, Núñez Antón V. Aspectos estadísticos del Cuestionario de Calidad de Vida relacionada con salud Short Form–36 (SF-36). Estadística Española. 2008;50(167):147-192. https://documentop.com/sf-36-instituto-nacional-de-estadistica_59f307cf1723dd944f1253bd.html.
Rendón-Macías ME, Riojas-Garza A, Contreras-Estrada D, Martínez-Ezquerro JD. Análisis bayesiano. Conceptos básicos y prácticos para su interpretación y uso. Rev Alerg Méx. 2018;65(3):285-298. https://doi.org/10.29262/ram.v65i3.512.
Benavides F, Merino Salazar P, Cornelio C, Avila Assunção A, Agudelo Suarez A, Amable M, et al. Cuestionario básico y criterios metodológicos para las Encuestas sobre Condiciones de Trabajo, Empleo y Salud en América Latina y el Caribe. Cad Saúde Pública. 2016;32(9):e00210715. https://doi.org/10.1590/0102-311X00210715.
Huang F, Yang Z, Wang Y, Zhang W, Lin Y, Zeng LC, Jiang X, Shang L. Health-related quality of life and influencing factors of pediatric medical staff during the COVID-19 outbreak. Front Public Health. 2020;8:565849. https://doi.org/10.3389/fpubh.2020.565849.
Man A.M., Toma C., Motoc N.S., Necrelescu O.L., Bondor C.I., Chis A.F. Disease perception and coping with emotional distress during COVID-19 pandemic: a survey among medical staff. Int J Environ Res Public Health. 2020 https://doi.org/10.3390/ijerph17134899.
Shechter A., Diaz F., Moise N., Anstey D.E., Ye S., Agarwal S. Psychological distress, coping behaviors and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen Hosp Psychiatry. 2020 https://doi.org/10.1016/j.genhosppsych.2020.06.007.
Manh Than H, Minh Nong V, Trung Nguyen C, Phu Dong K, Ngo HT, Thu Doan T, et al. Mental Health and Health-Related Quality-of-Life Outcomes Among Frontline Health Workers During the Peak of COVID-19 Outbreak in Vietnam: A Cross-Sectional Study. Risk Manag Healthc Policy. 2020;13:2927-2936. https://doi.org/10.2147/RMHP.S280749.
Marvaldi M, Mallet J, Dubertret C, Moro MR, Guessoum SB. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci Biobehav Rev. 2021;126:252-264. https://doi.org/10.1016/j.neubiorev.2021.03.024.
Wauters M, Zamboni Berra T, de Almeida Crispim J, Arcêncio RA, Cartagena-Ramos D. Calidad de vida del personal de salud durante la pandemia de COVID-19: revisión exploratoria. Rev Panam Salud Publica. 2022;46:e30. https://doi.org/10.26633/RPSP.2022.30.
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