Malik Mehreen, Rehan Syeda Tayyaba, Malik Farheen, Ahmed Jawad, Fatir Chaudhary Abdul, Hussain Hassan Ul, Aman Asiyah, Tahir Muhammad Junaid
Aga Khan University Hospital, 74800, Karachi, Pakistan.
Dow University of Health Sciences, 74200, Karachi, Pakistan.
Ann Med Surg (Lond). 2022 Nov;83:104766. doi: 10.1016/j.amsu.2022.104766. Epub 2022 Sep 30.
The COVID-19 took over the world in 2020 and a lockdown has been imposed seeing its fast spread. Frontline health care workers (HCWs) were reported frequently with a lack of motivation, hesitancy and unwillingness to perform their duties during this pandemic. This cross-sectional survey aims to evaluate the factors associated with lack of motivation and increased hesitancy among the frontline HCWs to perform their duties during COVID-19 pandemic.
A total of 239 HCWs were included in this web-based cross-sectional study, who have worked during the COVID-19 pandemic. The anonymous online questionnaire was sent to all faculty, trainees and staff of Aga Khan University Hospital in Karachi, Pakistan. The survey was conducted from September 2020 to January 2021 during the COVID-19 pandemic. All data was exported into Statistical Package for Social Sciences Version 19 for multivariate analysis.
The risk of getting infected was strongly reported by 180 participants, and it was associated with higher hesitation to work (aOR = 6.09 [2.55-14.59]). Fifty-one participants felt that lack of knowledge about prevention and protection was associated with lower motivation to work (aOR = 0.66 [0.35-1.25]). Participants reported higher hesitation due to the burden of changed quality of work, physical exhaustion, mental exhaustion and altered sleep patterns. Sense of feeling protected by their hospitals was a motivating factor, and participants receiving adequate support reported higher motivation to work (aOR = 2.60 [1.32-5.14]).
Fear of infection, increased working hours, and inadequate support of the workplace played a key role in escalating the hesitancy among HCWs to perform their duties. Lack of disease knowledge and paucity of personal protective equipment further lowered the motivation levels of HCWs to work effectively during the COVID-19 pandemic.
2020年新冠疫情席卷全球，鉴于其迅速传播，实施了封锁措施。据报道，在这场疫情期间，一线医护人员经常缺乏工作积极性、出现犹豫和不愿履行职责的情况。这项横断面调查旨在评估与新冠疫情期间一线医护人员缺乏工作积极性和犹豫情绪增加相关的因素。
本基于网络的横断面研究共纳入239名在新冠疫情期间工作的医护人员。向巴基斯坦卡拉奇阿迦汗大学医院的所有教员、实习生和工作人员发送了匿名在线问卷。该调查于2020年9月至2021年1月新冠疫情期间进行。所有数据都被导出到社会科学统计软件包第19版进行多变量分析。
180名参与者强烈报告了感染风险，这与更高的工作犹豫情绪相关（调整后比值比 = 6.09 [2.55 - 14.59]）。51名参与者认为缺乏预防和保护知识与较低的工作积极性相关（调整后比值比 = 0.66 [0.35 - 1.25]）。参与者报告称，由于工作质量改变、身体疲惫、精神疲惫和睡眠模式改变带来的负担，他们的犹豫情绪更高。医院给予的安全感是一个激励因素，得到充分支持的参与者报告了更高的工作积极性（调整后比值比 = 2.60 [1.32 - 5.14]）。
对感染的恐惧、工作时间增加以及工作场所支持不足在加剧医护人员履行职责的犹豫情绪方面起到了关键作用。疾病知识的缺乏和个人防护设备的匮乏进一步降低了医护人员在新冠疫情期间有效工作的积极性。
