Predictive Factors Associated with Fear Faced by Healthcare Workers during Covid-19 Pandemic: A Questionnaire Based Study. (Preprint)

2020 ◽  
Author(s):  
Jagdesh Kumar ◽  
Muhammad Soughat Katto ◽  
Badaruddin Sahito ◽  
Bashir Ahmed ◽  
Adeel Ahmed Siddique ◽  
...  

BACKGROUND The COVID-19 and its related threat of death have led to significant fears among health care workers (HCWs) and their families around the world. The latest figures show thousands of HCWs have so for been infected with Covid-19 while interacting the patients, with a large percentage of them dying. OBJECTIVE In this survey study, we aimed to explore the predictive factors associated with fear faced by HCWs during covid-19 pandemic and to identify the areas which need to be addressed. METHODS On 14th May 2020, we conducted a descriptive cross-sectional survey using a self-administered questionnaire, which consisted of two parts: (1) focussed on factors associated with HCWs fear of getting infection and being a source of carrying infection to whom they care, and (2) focused on factors associated with HCWs fear of uncertainty and lack of support from concerned health authorities. Finally a total of 329 responses were collected and analyzed RESULTS The mean age of the participants was 40.04 years (SD ± 12.92), and around four-fifths of the participants were males 79.3%, and nearly more than half of the participants were consultants 51.1%. The first important factors associated with fear included, getting infected 84.8%, quarantined 69.6%, not get medical treatment 62%, losing life 56.8%, and infecting family members 94.2%. Another major factor associated with HCWs fear was lack of support from concerned health authorities, 80.2% thought of solatium and 71.7% of Job to deceased family members. More than 82.2% thought of health expenses and almost 97.6% thought of additional health risk allowance. CONCLUSIONS Our survey findings show the main predictive factors associated fear faced by majority of HCWs in Pakistan was getting infected to themselves and their families. Once diseased, majority of them feared that they may not get medical treatment and end up on ventilator. Another important factors associated with fear were uncertainty and lack of support from concerned health authorities. We hope Government of Pakistan should take note of this and make appropriate policies and measures to make sure, that HCWs and their families are cared for if they get infected.

BMC Nursing ◽  
2016 ◽  
Vol 15 (1) ◽  
Author(s):  
René Schwendimann ◽  
Suzanne Dhaini ◽  
Dietmar Ausserhofer ◽  
Sandra Engberg ◽  
Franziska Zúñiga

2020 ◽  
Vol 38 (6_suppl) ◽  
pp. 665-665
Author(s):  
Cristiane Decat Bergerot ◽  
Errol James Philip ◽  
Paulo Gustavo Bergerot ◽  
Nicholas Salgia ◽  
Meghan Salgia ◽  
...  

665 Background: Despite promotion of a shared decision-making model of care in oncology, studies suggest that many patients with advanced cancer still possess inaccurate perceptions of their prognosis. Such inaccuracies can influence treatment choices, patient satisfaction and care planning. Novel immunotherapies and targeted treatments, which can yield exceptional responses in a small proportion of patients, are making the difficult task of discussing prognosis with patients even more challenging. We sought to identify clinical factors associated with expectations of cure. Methods: A cross-sectional survey study was conducted among patients diagnosed with incurable genitourinary cancers. Patients’ expectations of cure were assessed based on 4 quartiles: (1) cure is very likely and is in the range of 76 to 100% certainty, (2) cure is likely and is in the range of 51 to 75% certainty, (3) cure is possible but not likely and is in the range of 26 to 50% certainty, and (4) cure is not at all likely and is in the range of 0 to 25% certainty. Linear regression was used to identify clinical factors associated with such expectations. Results: A total of 145 patients were enrolled in the study from July 2017 to September 2019. Most patients were male (76%), white (70%), married (81%) and well-educated (76%). Patients were diagnosed with advanced kidney (66%), bladder (20%) or prostate (14%) cancers. A high proportion of patients (73%) were receiving first or second line (1L/2L) therapy; predominantly immunotherapy (53%) and targeted therapy (24%). Overall, 47% had an inaccurate expectation of cure (in the range of 26 to 100%). Inaccurate expectations of cure were associated with older age (P=0.04) and were also more likely to be reported among patients receiving 1L/2L compared to those receiving later courses of therapy (P=0.009). Conclusions: Our findings highlight the high proportion of patients harboring inaccurate perceptions regarding prognosis, more pronounced with older age and within the first two lines of therapy for metastatic disease. These groups may be ideal target populations for more extensive counseling around prognosis.


2017 ◽  
Vol 34 (4) ◽  
pp. 427-432 ◽  
Author(s):  
Kelly A. Aschenbeck ◽  
Sarah L. McFarland ◽  
Maria K. Hordinsky ◽  
Bruce R. Lindgren ◽  
Ronda S. Farah

10.2196/32707 ◽  
2021 ◽  
Vol 23 (11) ◽  
pp. e32707
Author(s):  
Bianca Raffaelli ◽  
Pia Kull ◽  
Jasper Mecklenburg ◽  
Lucas Hendrik Overeem ◽  
Elisabeth Storch ◽  
...  

Background The representation of migraine in the media is stereotypical. Standard images of migraine attacks display stylish young women holding their head in a pain pose. This representation may contribute to the social stigmatization of patients with migraine. Objective We aimed to analyze how patients with migraine and health care workers perceive online images of migraine. Methods The study consisted of an anonymous web-based survey of patients with migraine at the Headache Center of Charité – Universitätsmedizin Berlin (migraine group) and employees and students at our university (health care group). A total of 10 frequently used Adobe Stock photos of migraine attacks were presented to the participants. Each photo was rated on a scale of 0% to 100% based on how closely it resembled a realistic migraine attack (realism score). Patients with migraine also indicated how much each photo corresponded to their own experience of migraine as a percentage (representation score). We calculated the mean realism and representation scores for all photos and conducted further analyses using the categories male or female models, younger or older models, and unilateral or bilateral pain pose. Results A total of 367 patients with migraine and 331 health care employees and students completed the survey. In both groups, the mean realism score was <50% (migraine group: 47.8%, SD 18.3%; health care group: 46.0%, SD 16.2%). Patients with migraine identified their own migraine experience in these photos to a lesser degree (mean representation score 44.4%, SD 19.8%; P<.001 when compared to the realism score). Patients and health care workers considered photos with male models to be more realistic than photos with females (P<.001) and photos with older models to be more realistic than those with younger people (P<.001). In the health care group only, a bilateral pain posture was deemed more realistic than a unilateral pose (P<.001). Conclusions Standard images of migraine attacks are considered only slightly or moderately realistic by patients and health care workers. Some characteristics perceived as more realistic such as male sex or older age are in contrast with migraine epidemiology. A more accurate representation of migraine in the media could help to raise awareness for migraine and reduce the associated stigma.


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