The impact of the COVID-19 pandemic on the activities of health care personnel

Highlights. In order to provide medical care to COVID-19 patients, medical workers had to work in conditions of extreme stress. The management systems adapted to such challenges contribute to the creation of more stable and organized structures that require substantial study concerning the medical personnel effectiveness and satisfaction of the job, taking into account the sphere of medical care.

Aim. To examine the impact of the pandemic on the staff activities in the sphere of cardiology.

Methods. The object of the study is medical organization personnel. The subject of the study is the GBUZ “KKKD” personnel opinion. The study periods are 2012 and 2021. Rating questions were coded with a five-point Likert scale. The mean value and standard deviation (M±SD), Pearson Chi-square, p (%) were calculated. The critical level of statistical significance was taken as p≤0.05.

Results. The study showed a significant increase in high estimates of the staff performance both at the unit and organization where the respondent worked. The high subjective ratings are confirmed by the objective data of GBUZ “KKKD” activity in 2021. However, the pandemic situation reflected on the personnel perception of their productivity: there is an increase of high productivity positive assessment both in a structural division and in the whole organization. 2021 survey revealed the conditions caused by the COVID-19 pandemic which affected the performance of the staff. Among the most significant ones are the following: the lack of necessary reagents, worsening of financial and living conditions, epidemiological restrictions, the lack of actions and orders coordination, heavy workload, fatigue and burnout, the reduction of salary, irresponsibility of patients and their removal to different departments, bureaucracy, the lack of information and staff interaction. The study also showed an increase in the proportion of respondents' answers regarding the inability to work more efficiently from 21.6% in 2012 to 29.4% in 2021, which may be caused by the work stress and the special working conditions during the COVID-19 pandemic. All the reasons why it was impossible to work efficiently during the pandemic were divided into three groups: managerial, personal and clinical-organizational.

Conclusion. The impact of the COVID-19 pandemic on staff performance is evident judging by the evaluation dynamics in two sociological studies. The prior factors of performance improvement and staff satisfaction include: expansion of social benefits, favorable moral-psychological climate and working conditions. The study shows that in order to achieve the main goals of medical organization in the conditions of insurmountable risk the personnel have a significant role in making organizational decisions.

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