Investigating Psychological Differences between Nurses and Other Healthcare Workers from Asia-Pacific Region during the Early Phase of the Coronavirus Disease 2019 (COVID-19): A Machine Learning Approach (Preprint)

2021 ◽  
Author(s):  
YanHong Dong ◽  
Mei Chun Yeo ◽  
Mei Chun Yeo ◽  
Rivan Danuaji ◽  
Thang H Nguyen ◽  
...  
Keyword(s):  
Machine Learning ◽  
Psychological Distress ◽  
Healthcare Workers ◽  
Psychological Impact ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Psychological Outcome ◽  
Psychological Differences ◽  
Medical Healthcare

BACKGROUND As the pandemic evolves, frontline work challenges continue to impose significant psychological impact on nurses. However, there is a lack of data how nurses fared compared to other healthcare workers in Asia-Pacific region. OBJECTIVE This study aims to investigate 1) psychological differences between nurses, doctor and non-medical healthcare workers, and 2) psychological outcome characteristics of nurses from different Asia-Pacific countries. METHODS Decision-tree type machine learning models (LIghtGBM, Gradientboost, and RandomForest) were adopted to predict psychological impact on nurses. The SHAP (SHapley Additive exPlanations) values of these models were extracted to identify the distinctive psychological distress characteristic. RESULTS Nurses had relatively higher percentages of normal or no-change in psychological distress symptoms relative to other healthcare workers (86.3% - 96.8% vs 80.7% - 92.3%). Among those without psychological symptoms, nurses constituted a higher proportion than doctors and non-medical healthcare workers (40.8%, 25.8%, and 33.4%, respectively). CONCLUSIONS Different contexts, cultures, and points in pandemic curve may have contributed to differing patterns of psychological outcomes amongst nurses in various Asia-Pacific countries. It is important that all healthcare workers practise self-care and render peer support to bolster psychological resilience for effective coping. CLINICALTRIAL Not applicable

scholarly journals Psychosocial impact of the COVID-19 pandemic on paediatric healthcare workers

2021 ◽  
Vol 50 (3) ◽  
pp. 203-211 ◽  
Author(s):  
Angela HP Kirk ◽  
Shu-Ling Chong ◽  
Kai-Qian Kam ◽  
Weili Huang ◽  
Linda SL Ang ◽  
...  
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Regression Analysis ◽  
Psychological Distress ◽  
Mental Health Professionals ◽  
Healthcare Workers ◽  
Psychological Intervention ◽  
National Level ◽  
Psychological Impact ◽  
Psychological Outcome

Introduction: Frontline healthcare workers (HCWs) exposed to coronavirus disease 2019 (COVID-19) are at risk of psychological distress. This study evaluates the psychological impact of COVID-19 pandemic on HCWs in a national paediatric referral centre. Methods: This was a survey-based study that collected demographic, work environment and mental health data from paediatric HCWs in the emergency, intensive care and infectious disease units. Psychological impact was measured using the Depression, Anxiety, Stress Scale-21. Multivariate regression analysis was performed to identify risk factors associated with psychological distress. Results: The survey achieved a response rate of 93.9% (430 of 458). Of the 430 respondents, symptoms of depression, anxiety and stress were reported in 168 (39.1%), 205 (47.7%) and 106 (24.7%), respectively. Depression was reported in the mild (47, 10.9%), moderate (76, 17.7%), severe (23, 5.3%) and extremely severe (22, 5.1%) categories. Anxiety (205, 47.7%) and stress (106, 24.7%) were reported in the mild category only. Collectively, regression analysis identified female sex, a perceived lack of choice in work scope/environment, lack of protection from COVID-19, lack of access to physical activities and rest, the need to perform additional tasks, and the experience of stigma from the community as risk factors for poor psychological outcome. Conclusion: A high prevalence of depression, anxiety and stress was reported among frontline paediatric HCWs during the COVID-19 pandemic. Personal psychoneuroimmunity and organisational prevention measures can be implemented to lessen psychiatric symptoms. At the national level, involving mental health professionals to plan and coordinate psychological intervention for the country should be considered.

scholarly journals Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Nicholas W. S. Chew ◽  
Jinghao Nicholas Ngiam ◽  
Benjamin Yong-Qiang Tan ◽  
Sai-Meng Tham ◽  
Celine Yan-Shan Tan ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Physical Symptoms ◽  
Psychological Outcomes ◽  
Asia Pacific ◽  
Pacific Region ◽  
Medical Conditions ◽  
Asia Pacific Region ◽  
Factors Associated ◽  
Prevalence Of Depression ◽  
The Impact

Background The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. Aims In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. Method From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. Results A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. Conclusions This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.

Mass-Casualty Triage Training for International Healthcare Workers in the Asia-Pacific Region Using Manikin-Based Simulations

2009 ◽  
Vol 24 (3) ◽  
pp. 206-213 ◽  
Author(s):  
Dale S. Vincent ◽  
Benjamin W. Berg ◽  
Keiichi Ikegami
Keyword(s):  
Formative Assessment ◽  
Healthcare Workers ◽  
Healthcare Providers ◽  
Tension Pneumothorax ◽  
Educational Activity ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Simulation Based ◽  
Primary Triage

AbstractIntroduction:More than half of the world's disasters occur in the Asia-Pacific region. A simulation-based exercise to teach healthcare workers prehospital triage, tagging, and treatment methods was used to link disaster management theory to practice with a student-centered, hands-on educational activity. Various strategies for teaching disaster health education have been advocated, and best-practice disaster education models continue to be sought.Methods:A manikin-based, primary triage and treatment course was adapted for international healthcare providers in the Asia-Pacific region using symbolic representations of triage categories and physical findings. The pedagogical construct that was used was an interactive, formative assessment in which faculty members mediated learner information gathering and interpretation during four simulation scenarios. After establishing a multi-casualty disaster context, a wireless, audience response system anonymously collected learner responses to four clinical situations: (1) leg wound (hemorrhagic shock/immediate); (2) chest wound (tension pneumothorax/immediate); (3) head wound (traumatic brain injury/expectant); and (4) limb trauma (leg fracture/delayed).Results:There were 182 healthcare providers from eight Asia-Pacific countries (including the US) that participated in four simulation seminars. The simulation sessions were successfully tailored to groups of learners that varied in size and professional composition.Expectant and delayed triage categories posed the greatest challenge to learners. In one of two groups that were queried, learner self-confidence in applying principles of triage and treatment improved significantly. At the conclusion of the simulation sessions, learners strongly agreed that manikin-based simulation improved their understanding of triage, and should be used to teach principles of primary triage and treatment.Conclusions:Simulation training represents an opportunity to engage learners regardless of language and cultural barriers. Simulation-based training can be effective in introducing healthcare professionals to principles of primary triage and treatment in an effective and culturally sensitive manner.The characteristics of the course with respect to planned formative assessment and culturally competent scholarship were reviewed.

Review of Counseling in the Asia-Pacific Region.

1995 ◽  
Vol 40 (4) ◽  
pp. 383-384
Author(s):  
Terri Gullickson
Keyword(s):  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region
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