A post-COVID-19 assessment of resilience of nurses and paramedical workers in municipal hospitals of urban Pune, India

Journal of Family Medicine and Primary Care Pub Date : 2024-04-01 DOI:10.4103/jfmpc.jfmpc_947_23

Ketankumar Hitendra Patil, Nitin Sanjay Tawar, A. Kudale

{"title":"A post-COVID-19 assessment of resilience of nurses and paramedical workers in municipal hospitals of urban Pune, India","authors":"Ketankumar Hitendra Patil, Nitin Sanjay Tawar, A. Kudale","doi":"10.4103/jfmpc.jfmpc_947_23","DOIUrl":null,"url":null,"abstract":"ABSTRACT\n \n \n \n To assess the resilience of primary healthcare workers (HCWs) by determining the factors associated with developing resilience post-coronavirus disease 2019 (COVID-19).\n \n \n \n A cross-sectional study in selected municipal hospitals.\n \n \n \n Connor–Davidson Resilience Scale was used to assess the resilience of the 245 HCWs, including the nurses and paramedics working in Pune Municipal Corporation (PMC) hospitals in Pune City. Data were analysed using the Chi-square test, one-way analysis of variance (ANOVA), independent-samples t-test and correlational analysis using the Statistical Package for the Social Sciences (SPSS) version 28.\n \n \n \n The mean resilience score of the HCWs in PMC hospitals post-COVID-19 was 75.09 (±9.25). The score for hardiness, optimism, resourcefulness and purpose was 20.15 (±3.87), 21.22 (±3.39), 17.24 (±2.76) and 16.40 (±2.17), respectively. Seven factors were significantly associated with the resilience of nurses and paramedics, namely age (P < 0.001), work experience (P < 0.001), monthly income (P < 0.001), having faced financial problems during COVID-19 (P < 0.001), hospital setting (P < 0.05), marital status (P < 0.01) and professional category (P < 0.001). In addition, 60% of the participants reported mental health issues due to routine workloads such as irritation/anger, frustration and tension/worry, fatigue and work-related stress, and sadness and anxiety. Suggestions for improvement were mainly increasing human resources, proper management, skilled staff, improved facilities and funding, and cooperation among staff.\n \n \n \n The resilience of primary HCWs in Pune post-COVID-19 was higher than HCWs in other countries assessed during COVID-19. Further, resilience was found more among nurses than paramedics. Modifiable factors affecting resilience must be addressed to improve the resilience of HCWs to build everyday resilience and strengthen health systems for public health emergencies.\n","PeriodicalId":509702,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Family Medicine and Primary Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/jfmpc.jfmpc_947_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

ABSTRACT To assess the resilience of primary healthcare workers (HCWs) by determining the factors associated with developing resilience post-coronavirus disease 2019 (COVID-19). A cross-sectional study in selected municipal hospitals. Connor–Davidson Resilience Scale was used to assess the resilience of the 245 HCWs, including the nurses and paramedics working in Pune Municipal Corporation (PMC) hospitals in Pune City. Data were analysed using the Chi-square test, one-way analysis of variance (ANOVA), independent-samples t-test and correlational analysis using the Statistical Package for the Social Sciences (SPSS) version 28. The mean resilience score of the HCWs in PMC hospitals post-COVID-19 was 75.09 (±9.25). The score for hardiness, optimism, resourcefulness and purpose was 20.15 (±3.87), 21.22 (±3.39), 17.24 (±2.76) and 16.40 (±2.17), respectively. Seven factors were significantly associated with the resilience of nurses and paramedics, namely age (P < 0.001), work experience (P < 0.001), monthly income (P < 0.001), having faced financial problems during COVID-19 (P < 0.001), hospital setting (P < 0.05), marital status (P < 0.01) and professional category (P < 0.001). In addition, 60% of the participants reported mental health issues due to routine workloads such as irritation/anger, frustration and tension/worry, fatigue and work-related stress, and sadness and anxiety. Suggestions for improvement were mainly increasing human resources, proper management, skilled staff, improved facilities and funding, and cooperation among staff. The resilience of primary HCWs in Pune post-COVID-19 was higher than HCWs in other countries assessed during COVID-19. Further, resilience was found more among nurses than paramedics. Modifiable factors affecting resilience must be addressed to improve the resilience of HCWs to build everyday resilience and strengthen health systems for public health emergencies.

查看原文本刊更多论文

COVID-19 后对印度浦那市立医院护士和医务辅助人员复原力的评估

ABSTRACT To assess the resilience of primary healthcare workers (HCWs) by determining the factors associated with developing resilience post-coronavirus disease 2019 (COVID-19). 在选定的市级医院进行横断面研究。康纳-戴维森复原力量表（Connor-Davidson Resilience Scale）用于评估 245 名医护人员的复原力，其中包括在浦那市市政公司（PMC）医院工作的护士和护理人员。使用社会科学统计软件包（SPSS）28 版对数据进行了卡方检验（Chi-square test）、单因素方差分析（ANOVA）、独立样本 t 检验和相关分析。 PMC 医院的医护人员在 COVID-19 后的平均复原力得分为 75.09（±9.25）分。坚韧、乐观、机智和目的的得分分别为 20.15（±3.87）分、21.22（±3.39）分、17.24（±2.76）分和 16.40（±2.17）分。年龄（P < 0.001）、工作经验（P < 0.001）、月收入（P < 0.001）、在 COVID-19 期间遇到过经济问题（P < 0.001）、医院环境（P < 0.05）、婚姻状况（P < 0.01）和专业类别（P < 0.001）这 7 个因素与护士和护理人员的抗压能力明显相关。此外，60% 的参与者报告了因日常工作量而产生的心理健康问题，如烦躁/愤怒、沮丧和紧张/忧虑、疲劳和工作压力，以及悲伤和焦虑。改进建议主要包括增加人力资源、适当管理、熟练工作人员、改善设施和资金以及工作人员之间的合作。与 COVID-19 期间评估的其他国家相比，COVID-19 后普纳初级医护人员的抗压能力更高。此外，护士的复原力高于护理人员。必须解决影响复原力的可调节因素，以提高医护人员的复原力，从而建立日常复原力并加强应对公共卫生突发事件的卫生系统。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Family Medicine and Primary Care

自引率

0.00%

发文量