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    Item type:Publication,
    Impact of night work on health and work ability among healthcare workers
    (Институт за јавно здравје на Република Македонија = Institute of public health of Republic of Macedonia, Co-publisher Scientific foundation Spiroski, 2025-08-15)
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    Asani Kuki, Gjulsever
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    Veljikj Stefanovska, Vesna
    Aim of the study. The study objective was to determine the impact of night work on health and work ability of health workers. Material and methods. This was a cross-sectional study conducted with an anonymous survey questionnaire distributed among 120 health workers employed in PHICGH „8th September“ - Skopje, in the period January-May 2024. The study comprised male and female subjects aged 21 to 62 years, 86.7% of them worked full-time, 60% worked in shifts, 40% worked only in the first shift, while 50% of them also had night shifts. Results. Тhe mean age of examined subjects was 40.9±10.6 years, and the average length of service in the current workplace was 11.8±8.9 years (range 1-42 years). 44.2% of them were active smokers with an average smoking experience of 6.2±9.1 years, while only 2.5% of them drank alcohol daily in an amount greater than one large glass (200 ml) of beer/wine or one small glass (50 ml) of brandy or other strong drink. A significant difference between subjects who worked and those who did not work night shifts was determined for the consumption of alcohol in a larger amount (P=0.030), followed by dissatisfaction with the workplace (P=0.031), as well as in dissatisfaction with life (P=0.042). The majority of subjects believed that psychophysical abilities during and after night work were worse than during day work,66.6% of them answered that they had difficulties in sleeping after night shifts. The frequency of cardiovascular diseases was significantly higher among subjects who worked night shifts compared to those who did not work (P=0.043), together with the frequency of health conditions that require regular medication at a strictly defined time (P=0.037). The average values of current work ability in subjects who worked night shifts and those who did not work night shifts were similar. Conclusion. The results of the study evidently showed a significant impact of night work on health and well-being as well as on work ability of health workers.
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    Associations of burnout with job demands/resources during the pandemic in health workers from Southeast European countries
    (Frontiers Media SA, 2023-10-24)
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    Atanasovska, Aneta
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    Bislimovska, Dragana
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    Brborović, Hana
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    Brborović, Ognjen
    Introduction: Despite several studies assessing job demands and burnout in countries from the Southeast European (SEE) region, there is still a lack of data about the psychological impact of the pandemic on health workers (HWs). Aims: The present study aimed to demonstrate and compare levels of burnout dimensions in HWs from SEE countries and to reveal the burnout–job demands/resources relationships in these workers during the pandemic. Materials and methods: During the autumn of 2020, this online multicentric cross-sectional survey studied a large group (N = 4.621) of HWs working in SEE countries. The Maslach Burnout Inventory was used for the measurement of burnout dimensions. We analyzed the job demands by using the Hospital Experience Scale. Remuneration and relationships with superiors were measured using the Questionnaire sur les Ressources et Contraintes Professionnelles (English version). Results: A series of ANOVA comparisons of means revealed the countries in which respondents showed higher mean values of emotional exhaustion (Bosnia and Herzegovina, Bulgaria, Croatia, Moldova, Montenegro, and North Macedonia) and the countries in which respondents showed lower mean values of this burnout dimension (Israel and Romania) (Welch F = 17.98, p < 0.001). We also found differences among HWs from different countries in job demands and job resources. The testing of hierarchical regression models, which have been controlled for certain confounding factors, clearly revealed that emotional exhaustion was predicted by job demands (R2 = 0.37) and job resources (R2 = 0.16). Conclusion: Preventive measures for the improvement of mental health in HWs during the pandemic and beyond have to take into account the differences between countries regarding the country context and current scientific knowledge. A modified stress test should be implemented in hospitals regarding future shocks that might include new pandemics, terrorism, catastrophes, or border conflicts.
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    Health behaviors and their relationships with job demands and Burnout in anesthesia health workers
    (Department of Anesthesia and Reanimation, Faculty of Medicine, UKIM, Skopje, R.N.Macedonia, 2021-03)
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    Bislimovska, D
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    Kochov, P
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    Meshkova, I
    The aim of this study was to examine the associations between burnout and health behaviours in a sample of anaesthesia health workers (HWs). Material and Methods. 79 anaesthesia HWs (29 physicians, 50 nurses) participated in this cross-sectional study (aged 40.2±10.8 years, 81% females). For the evaluation of health behaviours, the questionnaire constructed for the study of Moustou et al. was used. Job demands and burnout were measured by Hospital Experience Scale and Maslach Burnout Inventory, respectively. A series of multiple regression models were tested to examine the associations of burnout to health behaviours, whereby controlling of age, hospital’s and unit’s tenure, as well as job demands. Results. Only 57% of the participants had breakfast every day or almost every day. Anaesthesia HWs consumed fast food on average of 2.47 (SD=2) times a week. Even 63.3% of the respondents didn’t exercise at all. Out of 79 respondents, 29 (36.7%) were smokers. Average scores of emotional exhaustion and depersonalization were 25.34±12.95 and 4.7±5.57, respectively. Results showed that emotional exhaustion positively predicted number of cigarettes smoked per day, frequency of using pills in order to relax and painkillers. Additionally, depersonalization positively predicted number of cigarettes smoked per day, frequency of using pills in order to relax and non-pharmaceutical remedies in order to relax/sleep, and number of drink units per time after leaving work and when going out. Conclusion. Job demands and burnout predicted health behaviours in anaesthesia HWs. Preventive strategy has to be developed in order to improve health and safety of anaesthesia HWs.