Browsing by Author "Duarte, Ivone"
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- Advantages and Disadvantages, Concerns, and Solutions for Emergency Remote Teaching During COVID-19: Portuguese Lecturers’ PerspectivesPublication . Marques dos Santos, José Paulo; Serrão, Carla; Amorim-Lopes, Teresa Sofia; Rodrigues, Ana Rita; Marina, Silvia; Teixeira, Andreia; Castro, Luísa; Duarte, IvoneCOVID-19 pandemic impacted the world dramatically and how communities and societies behaved. The purpose of this study was to explore lecturers’ perspectives on emergency remote teaching, not only from technology-prone lecturers but encompassing contributions from disparate academic fields, which brought assorted experiences into the data. The qualitative study analyses the perspectives of 344 lecturers from 35 higher education institutions in Portugal instigated by the COVID-19 outbreak. The thematic analysis revealed three themes related to the advantages and disadvantages: the lecturing process, learning process, and life and society. Regarding the concerns, four themes emerged: learning process, self-regulation and compromising the future, resources, the assessment process, and well-being. Finally, solutions encompass three themes: pedagogy and innovation, normative framework, and digital literacy. With a special focus on the solutions, all these themes contribute to designing the structure of a training program for the 21st-century higher education lecturer, emphasizing the digital domain. The themes cluster in digital-based innovative pedagogies (mastering digital education software, active pedagogies for digital environments, lecturer posture in digital environments, ‘‘for-digital’’ studying material production, e-proctoring, and transferable competences besides the digital), and digital competences (transgenerational digital-base communication, webcam behavior, well-being in digital settings, and general digital competences).
- Burnout among Portuguese healthcare workers during the COVID-19 pandemicPublication . Duarte, Ivone; Teixeira, Andreia; Castro, Luísa; Marina, Sílvia; Ribeiro, Carla; Jácome, Cristina; Martins, Vera; Ribeiro-Vaz, Inês; Pinheiro, Hugo Celso; Silva, Andreia Rodrigues; Ricou, Miguel; Sousa, Bruno; Alves, Cristiana; Oliveira, Andreia; Silva, Paula; Nunes, Rui; Serrão, CarlaDuring COVID-19 pandemic, healthcare workers (HCWs) have had high workload and have been exposed to multiple psychosocial stressors. The aim of this study was to evaluate HCWs in terms of the relative contributions of socio-demographic and mental health variables on three burnout dimensions: personal, work- related, and client-related burnout.
- Burnout and depression in Portuguese healthcare workers during the COVID-19 pandemicPublication . Serrão, Carla; Duarte, Ivone; Castro, Luísa; Teixeira, AndreiaDuring the COVID-19 pandemic, healthcare workers (HCW) have been exposed to multiple psychosocial stressors. Resilience might protect employees from the negative consequences of chronic stress. The aim of this study was to explore the mediating role of resilience in the relationship between depression and burnout (personal, work-related, and client-related). A cross-sectional study was performed using an online questionnaire distributed via social networks. A survey was conducted comprising standardized measures of resilience (Resilience Scale-25 items), depression (subscale of Depression Anxiety Stress Scales-21 items), and burnout (Copenhagen Burnout Inventory Scale-19 items). A total of 2008 subjects completed the survey, and a hierarchical regression model was estimated for each burnout dimension. The results revealed that depression had not only a directed effect on personal, work- and client-related burnout, but also an indirect small effect on it through resilience. Psychological resilience played a partial mediating role between depression and all burnout dimensions. This partial mediation suggests that there may be other possible variables (e.g., social connection, self-compassion, gratitude, sense of purpose) that further explain the associations.
- Burnout and depression in portuguese healthcare workers during the COVID-19 pandemic—The mediating role of psychological resiliencePublication . Serrão, Carla; Duarte, Ivone; Castro, Luísa; Teixeira, AndreiaDuring the COVID-19 pandemic, healthcare workers (HCW) have been exposed to multiple psychosocial stressors. Resilience might protect employees from the negative consequences of chronic stress. The aim of this study was to explore the mediating role of resilience in the relationship between depression and burnout (personal, work-related, and client-related). A cross-sectional study was performed using an online questionnaire distributed via social networks. A survey was conducted comprising standardized measures of resilience (Resilience Scale-25 items), depression (subscale of Depression Anxiety Stress Scales-21 items), and burnout (Copenhagen Burnout Inventory Scale 19 items). A total of 2008 subjects completed the survey, and a hierarchical regression model was estimated for each burnout dimension. The results revealed that depression had not only a directed effect on personal, work- and client-related burnout, but also an indirect small effect on it through resilience. Psychological resilience played a partial mediating role between depression and all burnout dimensions. This partial mediation suggests that there may be other possible variables (e.g., social connection, self-compassion, gratitude, sense of purpose) that further explain the associations.
- Burnout in Portuguese physiotherapists during COVID-19 pandemicPublication . Jácome, Cristina; Seixas, Adérito; Serrão, Carla; Teixeira, Andreia; Castro, Luísa; Duarte, IvoneThis study described the burnout experienced by physiotherapists during the COVID-19 pandemic and analysed the role of possible factors of this occupational phenomenon. Cross-sectional study based on a web-based survey applied to physiotherapists living in Portugal. The survey included sociodemographic, health status and clinical practice questions. The Copenhagen Burnout Inventory (personal, work- and patient-related burnout), the Resilience Scale, the Depression Anxiety and Stress Scales and the Satisfaction with Life Scale were used. A total of 511 physiotherapists (median 33 years old, 82% females) completed the survey. The participants worked mainly in private practice (50%) and wards (35%). During COVID-19, 52% were working directly with patients, but only 18% were working with COVID-19 patients. Personal (42%), work- (42%) and patient-related burnout (25%) was observed. Three significant models explained personal- (R2 = 51%), work- (R2 = 31%) and patient-related burnout (R2 = 16%). Lower levels of resilience and higher levels of depression and stress were significantly associated with personal, work- and patient-related burnout. Being female and working directly with patients were additionally associated with both personal and work-related burnout. Having health problems and working with COVID-19 patients were only associated with personal burnout. More than 40% of physiotherapists experienced personal and work-related burnout and 25% patient-related burnout, with resilience, depression and stress having a relevant role in the three burnout dimensions. Early detection and management strategies need to be implemented to address physiotherapists' physical and psychological fatigue and exhaustion.
- Burnout, resilience, and subjective well-being among Portuguese lecturers’ during the COVID-19 pandemicPublication . Castro, Luísa; Serrão, Carla; Rodrigues, Ana Rita; Marina, Sílvia; dos Santos, José Paulo Marques; Amorim-Lopes, Teresa Sofia; Miguel, Carla; Teixeira, Andreia; Duarte, IvoneBackground: Lecturers face a large wide of occupational stressors. If the prolonged stress and the symptomatology associated with the working conditions to which lecturers were exposed were already a concern before the pandemic, the pandemic may have exacerbated this psychosocial vulnerability. Burnout is a psychological syndrome that develops in response to chronic work stress. This study aims to describe burnout amongst lecturers working in Portugal and to analyse potential determinants of burnout during the COVID-19 pandemic. Methods: A cross-sectional study was performed using an online questionnaire distributed via social networks. The survey collected sociodemographic and sleep patterns data in addition to applying the Copenhagen Burnout Inventory (personal, work- and student-related burnout), the Resilience Scale, the Depression Anxiety and Stress Scales, and the Satisfaction with Life Scale. Results: The sample included 331 lecturers from 35 different colleges and faculties. Three significant models explained personal (R2 = 54%), work- (R2 = 47%) and student- (R2 = 19%) related burnout. Lower levels of resilience and higher levels of depression and stress were significantly associated with personal and work-related burnout. Changes in sleep patterns were additionally associated with both personal and work-related burnout. Conclusion: Higher education institutions must recognize the impact of the work environment and organizational culture on faculty mental health and take proactive measures to improve this environment. These institutions can implement support strategies such as educational technology training, professional development programmes, emotional support resources, and workload flexibility. Implementing measures to enhance lecturers’ resilience and overall life satisfaction could potentially help mitigate burnout and improve the well-being of educators, ultimately contributing to the overall quality of education.
- Equity in the access of chinese immigrants to healthcare services in PortugalPublication . Nunes, Rui; Aparício, Sandra Lopes; Castro, Luísa; Duarte, IvoneThe aim of this study was to identify the barriers that Chinese immigrants face when accessing the Portuguese National Health Service. An observational, cross-sectional and quantitative study was carried out via a bilingual Portuguese/Mandarin self-completed paper questionnaire was applied. The study population consisted of individuals with Chinese nationality who were residing in mainland Portugal for at least one year and aged 18 years or over. A total of 304 individuals answered the questionnaire. The results show that 284 (93.4%) of the participants had already sought healthcare in Portugal. The participants identified language difficulties and health professionals’ lack of knowledge of Chinese cultural habits as the most significant barriers to accessing healthcare in Portugal. Of a total of 165 participants who sought healthcare in China, confidence in treatment outcomes and health professionals’ knowledge of Chinese cultural habits were the reasons given by 151 (91.5%) individuals. This study reveals the existence of linguistic and cultural barriers that can condition the access of the Chinese immigrant population to healthcare systems.
- Impact of COVID-19 on medicine lecturers’ mental health and emergency remote teaching challengesPublication . Miguel, Carla; Castro, Luísa; Marques dos Santos, José Paulo; Serrão, Carla; Duarte, IvoneCOVID-19 has presented a novel pedagogical challenge in dealing with the sudden shift from classic instruction to emergency remote teaching (ERT). It had an impact on the well-being and mental health of lecturers, increasing burnout risk. A cross-sectional, quantitative, qualitative and analytical online study was conducted to collect participants’ sociodemographic data, responses to ERT open-ended questions and mental health assessments using relevant instruments (CBI for burnout, Resilience Scale, DASS for depression, anxiety and stress, SWLS for satisfaction with life). High personal burnout levels were found in 41.2% of participants, high work-related burnout in 37.3% and high student-related burnout in 15.7%. Satisfaction with life, sleep routine changes and stress were determinants for personal burnout; stress and resilience for work-related burnout; satisfaction of life and sleep routine changes for students-related burnout. Opportunities for pedagogical innovation were pointed out as the main advantages to ERT, while the main negative impacts were on practical lessons and social interaction. Students and lecturers’ safety and adequate institutional support might be insured, considering their expectations and needs, promoting mental health. Combining the advantages of online and traditional methods in a so-called “blended learning” approach, with close collaboration and communication between all those involved, appears to achieve better results.
- Impact of COVID-19 on medicine lecturers’ mental health and emergency remote teaching challengesPublication . Miguel, Carla; Castro, Luísa; Paulo Marques dos Santos, José; Serrão, Carla; Duarte, IvoneCOVID-19 has presented a novel pedagogical challenge in dealing with the sudden shift from classic instruction to emergency remote teaching (ERT). It had an impact on the well-being and mental health of lecturers, increasing burnout risk. A cross-sectional, quantitative, qualitative and analytical online study was conducted to collect participants’ sociodemographic data, responses to ERT open-ended questions and mental health assessments using relevant instruments (CBI for burnout, Resilience Scale, DASS for depression, anxiety and stress, SWLS for satisfaction with life). High personal burnout levels were found in 41.2% of participants, high work-related burnout in 37.3% and high student-related burnout in 15.7%. Satisfaction with life, sleep routine changes and stress were determinants for personal burnout; stress and resilience for work-related burnout; satisfaction of life and sleep routine changes for students-related burnout. Opportunities for pedagogical innovation were pointed out as the main advantages to ERT, while the main negative impacts were on practical lessons and social interaction. Students and lecturers’ safety and adequate institutional support might be insured, considering their expectations and needs, promoting mental health. Combining the advantages of online and traditional methods in a so-called “blended learning” approach, with close collaboration and communication between all those involved, appears to achieve better results.
- Impact of COVID-19 pandemic on the mental health of healthcare workers during the first wave in Portugal: a cross-sectional and correlational studyPublication . Duarte, Ivone; Pinho, Rita; Teixeira, Andreia; Martins, Vera; Nunes, Rui; Morgado, Helder; Castro, Luísa; Serrão, CarlaObjectives The COVID-19 pandemic has had a negative impact on the mental health of healthcare workers (HCWs) worldwide. This study aims to identify the degree to which sociodemographic variables and indicators of subjective well-being and psychological resilience are associated, positively and negatively, with the outcomes of burnout, stress, depression and anxiety among Portuguese HCWs observed during the first wave. It also aims to evaluate the strength of association of these variables and indicators with each outcome. Design Cross-sectional quantitative study. The statistical methods used are simple logistic model, multiple logistic regression model and −2*log-likelihood statistic. Setting Portuguese HCWs living in Portugal and working in the Portuguese healthcare system. Participants The study included 1535 professionals, with a mean age of 38 years. Primary and secondary outcomes measures Psychological variables were measured by Copenhagen Burnout Inventory, the Resilience Scale, the Depression, Anxiety and Stress Scales and the Satisfaction with Life Scale. Results High levels of personal (55%; n=844), work-related (55.1%; n=846) and client-related burnout (35.4%; n=543) were found. Additionally, participants expressed substantial levels of depression (28.7%; n=441), stress (36.4%; n=558) and anxiety (33.1%; n=508). About 1202 participants (78.3%) demonstrated moderate-to-high levels of resilience. Profession, work regime during the pandemic, having a health problem, resilience and satisfaction with life are independent variables significantly associated with the outcomes of burnout, stress, depression and anxiety. Satisfaction with life was the independent variable that had a major association with all outcomes. Conclusions Governments and hospital administrations should take action to promote resilience and satisfaction with life as these variables are protective relating to mental health problems. Interventions as educational sessions, psychological support at work, programmes promoting resilience and coping mechanisms and better work conditions may improve mental health. The implementation of measures to protect healthcare students from developing prejudicial outcomes seams very adequate and important.