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Trotzky D, Aizik U, Mosery J, Carady N, Tavori G, Cohen A, Pachys G, Avraham M, Levtzion-Korach O, Tal O. Resilience of hospital staff facing COVID-19 pandemic: Lessons from Israel. Front Public Health 2023; 11:1050261. [PMID: 37064690 PMCID: PMC10102590 DOI: 10.3389/fpubh.2023.1050261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 03/08/2023] [Indexed: 04/03/2023] Open
Abstract
IntroductionThe COVID-19 pandemic has placed additional burden on already strained healthcare systems worldwide, intensifying the responsibility and burden of healthcare workers. Although most hospital staff continued working during this stressful and challenging unprecedented pandemic, differences in the characteristics and attributes were noted between sectors and hospital departments. Israeli healthcare workers are trained and experienced in coping with national emergencies, but the pandemic has exposed variations in staff reactions. Understanding the intrinsic differences between sectors and departments is a key factor in staff and hospital preparedness for unexpected events, better resource utilization for timely interventions to mitigate risk and improve staff wellbeing.ObjectiveTo identify and compare the level of resilience, secondary traumatization and burnout among hospital workers, between different sectors and hospital departments, during the COVID-19 pandemic.MethodsCross-sectional research to assess the resiliency, secondary traumatization and burnout of healthcare workers at a large general public hospital in central Israel. The sample consisted of 655 participants across various hospital units exposed to COVID-19 patients.ResultsEmergency department physicians had higher rates of resilience and lower rates of burnout and secondary traumatization than staff in other hospital departments. In contrast, staff from internal medicine departments demonstrated the highest levels of burnout (4.29). Overall, physicians demonstrated higher levels of resilience (7.26) and lower levels of burnout compared to other workers.ConclusionIdentifying resilience characteristics across hospital staff, sectors and departments can guide hospital management in education, preparation and training of healthcare workers for future large-scale health emergencies such as pandemics, natural disasters, and war.
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Affiliation(s)
- Daniel Trotzky
- Department of Emergency Medicine, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Uri Aizik
- Department of Emergency Medicine, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Jonathan Mosery
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
| | - Natali Carady
- Department of Emergency Medicine, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Guy Tavori
- Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Aya Cohen
- Department of Emergency Medicine, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- *Correspondence: Aya Cohen
| | - Gal Pachys
- Department of Emergency Medicine, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Miri Avraham
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Nursing Administration, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
| | - Osnat Levtzion-Korach
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Medical Management, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
| | - Orna Tal
- Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
- Medical Management, Shamir Medical Center (Assaf Harofeh Medical Center), Zerifin, Israel
- Israeli Center for Emerging Technologies, Zerifin, Israel
- Department of Management, Bar Ilan University, Ramat Gan, Israel
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Shinan-Altman S, Levkovich I, Tavori G. Healthcare utilization among breast cancer patients during the COVID-19 outbreak. Palliat Support Care 2020; 18:385-391. [PMID: 32594966 PMCID: PMC7360944 DOI: 10.1017/s1478951520000516] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 06/22/2020] [Accepted: 06/23/2020] [Indexed: 12/26/2022]
Abstract
OBJECTIVE Continuing to utilize healthcare as needed during an epidemic outbreak is significant, in general, and especially for cancer patients. Therefore, this study aimed to explore factors associated with health services utilization among breast cancer patients during the coronavirus disease (COVID-19) outbreak. METHOD A cross-sectional online survey was conducted among 151 women with breast cancer. Participants completed measures of perceived health status, perceived susceptibility to COVID-19, anxiety, coping resources, health services utilization (contact with healthcare professionals and cancellation of an appointment to the oncology/hematology clinic), and socio-demographic questionnaires. A multiple hierarchical regression was calculated; contact with healthcare professionals was the dependent variable. In addition, a logistic regression was calculated; cancellation of an appointment to the oncology/hematology clinic because of the COVID-19 was the dependent variable. RESULTS Breast cancer patients' contact with healthcare professionals was lower than their contact prior to the pandemic. A higher extent of contact with healthcare professionals was related to patients' perception of health as bad/reasonable, lower perceived susceptibility, a lower sense of mastery, and higher social support. In addition, the odds of cancelling an appointment to the oncology/hematology clinic were higher in the presence of additional chronic illnesses and a higher sense of mastery. SIGNIFICANCE OF RESULTS The results could provide public health agencies with a more complete picture of the impact of the COVID-19 epidemic among breast cancer patients. This is significant because, in the event that COVID-19 re-emerges, the findings of the current study could help guide public health officials and possibly prevent the future avoidance of health services' use among this high-risk population.
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Affiliation(s)
| | - Inbar Levkovich
- Faculty of Graduate Studies, Oranim Academic College of Education, Kiryat Tivon, Israel
| | - Guy Tavori
- Ruth Vrobel Foundation, Herzelya, Israel
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