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  1. Article ; Online: Being a parent of a soldier is a challenging experience - stress, anxiety, and depression among parents of Israeli soldiers.

    Savitsky, Bella / Shvartsur, Rachel

    Stress and health : journal of the International Society for the Investigation of Stress

    2024  , Page(s) e3377

    Abstract: At any given moment, a notable proportion of parents worldwide have at least one child serving in the military. The aim of this study is to assess the prevalence of depression, anxiety, and stress in the sample of parents of Israeli soldiers and to ... ...

    Abstract At any given moment, a notable proportion of parents worldwide have at least one child serving in the military. The aim of this study is to assess the prevalence of depression, anxiety, and stress in the sample of parents of Israeli soldiers and to assess the difference in this prevalence by type of service (combat vs. non-combat) and other demographic characteristics of parents and soldiers. A cross-sectional study of a convenience sample of 202 Israeli parents who were interviewed during January-September 2023. Depression Anxiety Stress Scale (DASS-21) was used to measure the emotional states of depression, anxiety, and stress (with cut-off points of ≥5, ≥4, and ≥8, respectively). Having depression, anxiety, or stress was defined as psychological distress. Parents' demographics and child's service characteristics were included in the multivariable logistic regression model, with psychological distress as a dependent variable. Almost a quarter (22.8%) of parents experienced distress, defined as having high depression, anxiety, or stress score. In a multivariable model, combat service (vs. non-combat) was significantly associated with distress: parents of combat soldiers were four times more likely to report distress than parents of non-combat soldiers (OR = 3.9; 95% CI: 1.3-11.8). Highly classified service preventing the child from sharing information with the parents was significantly associated with distress (OR = 2.6; 95% CI: 1.2-5.3). Most distressed parents (78.3%) did not seek professional help, with the vast majority of those seeking assistance were female. Given the substantial proportion of parents suffering from mental distress found in this study, especially parents of combat soldiers and those serving in highly classified positions, healthcare professionals should be aware of parents' difficulties, be proactive in gathering information about their mental well-being, and be prepared to provide professional help.
    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2042041-9
    ISSN 1532-2998 ; 1532-3005
    ISSN (online) 1532-2998
    ISSN 1532-3005
    DOI 10.1002/smi.3377
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  2. Article ; Online: Injury as a Result of Children and Adolescent Labor-An Association with Ethnicity and Peripherality: A Retrospective Cohort Study Based on the Israeli Trauma Registry.

    Savitsky, Bella / Radomislensky, Irina / Katorza, Eldad / Kaim, Arielle

    European journal of investigation in health, psychology and education

    2023  Volume 14, Issue 1, Page(s) 133–147

    Abstract: Background: Working children and adolescents face a heightened risk of work-related injuries. This research aimed to assess the rate of hospitalizations resulting from work-related injuries among children and adolescents in Israel, with a specific focus ...

    Abstract Background: Working children and adolescents face a heightened risk of work-related injuries. This research aimed to assess the rate of hospitalizations resulting from work-related injuries among children and adolescents in Israel, with a specific focus on disadvantaged populations.
    Methods: This nationwide retrospective cohort study utilized The Israeli National Trauma Registry (INTR). It included 642 children and adolescents aged 13-17 hospitalized due to work-related injuries from 2015-2022.
    Results: Arab children had over five times the risk of hospitalization due to work-related injuries compared to Jewish (RR = 5.5, 95% CI: 4.7-7.4). Despite the 2018 law prohibiting young people from entering this type of work, the most common type of work leading to hospitalization was construction, accounting for 40.2% of Arab and 11.9% of Jewish injuries (
    Conclusions: Prioritizing the creation of safe job opportunities for Arab teenagers is imperative. Strict enforcement measures, particularly within the construction industry, especially among Arab youth and during night shifts, are essential. These initiatives should focus on establishing secure and sustainable employment opportunities for children and young individuals, effectively reducing the risks associated with hazardous labor practices. In addition, the implementation of educational programs in the school curriculum covering essential aspects of youth employment is vital.
    Language English
    Publishing date 2023-12-31
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 3041279-1
    ISSN 2254-9625 ; 2174-8144
    ISSN (online) 2254-9625
    ISSN 2174-8144
    DOI 10.3390/ejihpe14010009
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  3. Article ; Online: Comprehensive Training of Community Diagnosis and the Community-Oriented Primary Health Care Model in Nursing Education: An Evidence-Based Project.

    Savitsky, Bella / Shulman, Ira / Kagan, Ilya

    Nurse educator

    2023  Volume 48, Issue 6, Page(s) E178–E182

    Abstract: Background: Community-oriented primary health care is a health promotion model that includes community diagnosis of a targeted community.: Purpose: This educational project aimed to develop and implement an innovative approach of applying the ... ...

    Abstract Background: Community-oriented primary health care is a health promotion model that includes community diagnosis of a targeted community.
    Purpose: This educational project aimed to develop and implement an innovative approach of applying the principles of evidence-based practice in the teaching of community diagnosis, where the class of nursing students serves as an example of community.
    Methods: The method consisted of a lecture and an evidence-based simulation of community diagnosis based on data collection regarding the lifestyle and health behaviors of third-year nursing students from a 4-year academic nursing program (200 students; 90% response rate).
    Results: The data analysis revealed insufficient consumption of fruits, vegetables, and unsweetened fluids; excessive consumption of red and processed meat; insufficient engagement in physical activity; high anxiety level; and sleep deprivation.
    Conclusions: This educational approach allowed an interactive presentation of community health diagnostic methodology as well as community health problem prioritization applying the principles of an evidence-based approach. The method also improves students' awareness of their health and makes them better ambassadors of promoting a healthy lifestyle.
    MeSH term(s) Humans ; Nursing Education Research ; Education, Nursing ; Curriculum ; Students, Nursing ; Primary Health Care ; Education, Nursing, Baccalaureate/methods
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1034267-9
    ISSN 1538-9855 ; 0363-3624
    ISSN (online) 1538-9855
    ISSN 0363-3624
    DOI 10.1097/NNE.0000000000001437
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  4. Article ; Online: Components of professional satisfaction among novice nurses.

    Savitsky, Bella / Shvartsur, Rachel / Findling, Yifat / Ereli, Anat / Hendel, Tova

    Israel journal of health policy research

    2023  Volume 12, Issue 1, Page(s) 35

    Abstract: Background: In Israel there are only 6.53 nurses per 1000 citizens, compared to 8.8 nurses per 1000 citizens in the OECD countries. The nursing shortage is even more severe in peripheral areas, especially in southern Israel. Nurses` professional ... ...

    Abstract Background: In Israel there are only 6.53 nurses per 1000 citizens, compared to 8.8 nurses per 1000 citizens in the OECD countries. The nursing shortage is even more severe in peripheral areas, especially in southern Israel. Nurses` professional satisfaction is crucial for preserving the nursing workforce. This study aimed to assess job satisfaction among novice nurses and identify components of professional satisfaction.
    Methods: Cross-sectional study of 216 novice nurses who graduated in 2018-2022 and were approached ten months after graduation. Job satisfaction components were constructed using factor analysis.
    Results: Professional satisfaction was based mainly on the intrinsic characteristics of the occupation related to personal accomplishment and organizational culture. In a multivariable model, a one-point increase in mean satisfaction with the training period during studies in the nursing department was associated with a more than a three-fold elevation in the odds for high and very high professional satisfaction (OR 3.0, 95% CI 1.7-5.1). Odds for high and very high professional satisfaction were more than four-fold and two-fold higher among graduates who rated their level of control over work schedule as high and medium vs. low (OR 4.2, 95% CI 1.0-16.7 and OR 2.8, 95% CI 1.2-6.3, respectively). Work-life balance without disturbance to daily life by work was found significantly associated with higher odds for high and very high satisfaction. Nurses who plan to continue professional development, i.e., an advanced professional course or Master's degree, had significantly higher mean professional satisfaction scales than others (4.2 vs. 3.7, p = .009 and 4.2 vs. 3.9, p < .001, respectively).
    Conclusion: The most important components of professional satisfaction among novice nurses are self-accomplishment, which was built from work-related challenges, interest and variety of tasks, personal growth and development, and the possibility of contributing to patients` care and organizational culture, which was built from relationships with co-workers. Persons who manage nurses should cultivate an atmosphere of support and guidance, provide new nurses with interesting work tasks, and increase their ability to control their work schedule. Young nurses should be encouraged to continue their professional and academic education.
    MeSH term(s) Humans ; Cross-Sectional Studies ; Israel ; Personnel Staffing and Scheduling ; Personal Satisfaction ; Occupations
    Language English
    Publishing date 2023-11-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 2657655-7
    ISSN 2045-4015 ; 2045-4015
    ISSN (online) 2045-4015
    ISSN 2045-4015
    DOI 10.1186/s13584-023-00584-7
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  5. Article ; Online: Dental and maxillofacial injuries associated with domestic violence against women in Israel: A report for 2011-2021.

    Levin, Liran / Goldman, Sharon / Lin, Shaul / Radomislensky, Irina / Savitsky, Bella

    Dental traumatology : official publication of International Association for Dental Traumatology

    2023  Volume 40 Suppl 2, Page(s) 69–73

    Abstract: Background/aim: The WHO, in its 2002 report, indicated the dramatic worldwide increase in the incidence of intentional injuries affecting people of all ages and both sexes, but especially children, women, and the elderly. The aim of this study was to ... ...

    Abstract Background/aim: The WHO, in its 2002 report, indicated the dramatic worldwide increase in the incidence of intentional injuries affecting people of all ages and both sexes, but especially children, women, and the elderly. The aim of this study was to analyze dental and maxillofacial injuries associated with domestic violence against women in Israel between the years 2011-2021.
    Methods: This was a retrospective cohort study based on data from the Israeli National Trauma Registry (INTR). The INTR provides comprehensive data on hospitalized patients from all six Level I trauma centers (TC) and 15 of the 20 Level II TCs in Israel. Women, ages 14 and older, injured and hospitalized due to domestic violence between 2011 and 2021 were identified.
    Results: Between 2011 and 2021, there were 1818 cases of women ages 14 + that were hospitalized due to violence, excluding terror, occupational trauma, and attempted suicide. Out of these injuries, 753 cases were attributed to domestic violence, 537 were defined as non-domestic violence and 528 were a result of a brawl/fight. Of the domestic violence cases, 5% (38) exhibited maxillofacial injuries compared to the non-domestic violence cases where 6.2% (33) exhibited maxillofacial injuries and the brawl group where 5.7% (30) exhibited maxillofacial injuries. The most injured areas in domestic violence cases were the maxilla followed by the zygomatic bone and the mandible. Almost half of the domestic violence cases (47.7%) required surgical intervention during their hospitalization. The spouse was the perpetrator responsible for the domestic violence in the majority of the cases.
    Conclusions: Dental professionals might be able, in some cases, to identify and report domestic violence signs and thus, better understanding of the specific characteristics of domestic violence related to traumatic injuries is important.
    MeSH term(s) Male ; Child ; Aged ; Humans ; Female ; Israel/epidemiology ; Retrospective Studies ; Domestic Violence ; Maxillofacial Injuries/epidemiology ; Hospitalization
    Language English
    Publishing date 2023-07-10
    Publishing country Denmark
    Document type Journal Article
    ZDB-ID 2030722-6
    ISSN 1600-9657 ; 1600-4469
    ISSN (online) 1600-9657
    ISSN 1600-4469
    DOI 10.1111/edt.12867
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  6. Article ; Online: Israeli parents` views on coronavirus (COVID-19) vaccinations for children: A cross-sectional study.

    Savitsky, Bella / Shvartsur, Rachel / Kagan, Ilya

    Journal of pediatric nursing

    2022  Volume 68, Page(s) 79–86

    Abstract: Background: Parents play the decisive role in children's vaccination. Our study aimed as assessing attitudes of parents toward the COVID-19 vaccine for children aged 5-18 and to define sources of influence on these attitudes, the barriers and reasons ... ...

    Abstract Background: Parents play the decisive role in children's vaccination. Our study aimed as assessing attitudes of parents toward the COVID-19 vaccine for children aged 5-18 and to define sources of influence on these attitudes, the barriers and reasons for hesitation.
    Methods: In this cross-sectional study, 138 Israeli parents of 5-18 aged children completed a self-administered structured questionnaire.
    Findings: More than a quarter of parents reported that they did not intend to vaccinate their children. Independent of other demographic characteristics, parents who do not vaccinate their children accordingly to the routine vaccinations have five-fold significant odds not to vaccinate with COVID-19 vaccine (OR = 4.8, 95% CI: 1.8-12.7). Greater social influence was significantly and negatively associated with intentions not to vaccinate a child. Among parents who do not intend to vaccinate their children, the most frequent reasons were fear of possible side effects (92%), vaccine novelty (92%) and lack of belief in its effectiveness (69%).
    Discussion: This study found that vaccination in the past as part of routine government immunization programs predict a tendency to vaccinate children during the pandemic. Among the factors associated with the intention not to vaccinate, concerns and uncertainty about the necessity of the vaccine, its side effects and reliability have been emphasized.
    Application to practice: Cultural-religious adjustments should be applied when implementing interventions aiming to promote vaccination in routines and emergencies. Social influence is important in adopting a positive attitude toward vaccines. Public health professionals should incorporate those parents who have vaccinated their children and have a positive attitude toward vaccination.
    MeSH term(s) Child ; Humans ; Cross-Sectional Studies ; COVID-19 Vaccines ; Israel ; Reproducibility of Results ; COVID-19/prevention & control ; Vaccination ; Parents ; Vaccines ; Health Knowledge, Attitudes, Practice ; Intention
    Chemical Substances COVID-19 Vaccines ; Vaccines
    Language English
    Publishing date 2022-10-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632731-x
    ISSN 1532-8449 ; 0882-5963
    ISSN (online) 1532-8449
    ISSN 0882-5963
    DOI 10.1016/j.pedn.2022.09.023
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  7. Article ; Online: Family Income and Low Birth Weight in Term Infants: a Nationwide Study in Israel.

    Savitsky, Bella / Radomislensky, Irina / Frid, Zhanna / Gitelson, Natalia / Hendel, Tova

    Maternal and child health journal

    2022  Volume 26, Issue 9, Page(s) 1820–1832

    Abstract: Objectives: To explore the influence of income on Low Birth Weight (LBW), taking into account other socio-economic measurements.: Methods: This retrospective cohort study is based on the Israel National Insurance Institute (NII) database. The study ... ...

    Abstract Objectives: To explore the influence of income on Low Birth Weight (LBW), taking into account other socio-economic measurements.
    Methods: This retrospective cohort study is based on the Israel National Insurance Institute (NII) database. The study population included 58,454 women who gave birth between 2008 and 2013 to 85,605 infants. Only singleton births at term (gestational age in weeks = 37 and later) were included. Logistic regression models with a Generalized Estimating Equation approach were used in order to assess the independent effect of income and Socio-Economic Regional Index (SERI), maternal age, family status, population group and occupational status on LBW. In addition, sibling analysis was conducted to assess the influence of a change in income on birth weight (BW) among 21,998 women.
    Results: Lower income was associated with higher odds of LBW (odds ratio (OR) = 1.266; 95% CI:1.115-1.437. Immigrants from Ethiopia, Bedouins from the Negev, the youngest, the oldest, and single mothers had higher odds for LBW newborns. Compared to women whose income quartile had not changed between the most recent and the first births, for women who experienced a deterioration of three and two quartiles in family income, significantly lower birth weight was observed at the time point with lower income: 103 g (p = .049) and 71 g (p = .008), respectively. Improvement in income revealed an almost linear increase in birth weight.
    Conclusions for practice: In an effort to prevent LBW associated mortality and diseases, interventions should be focused first of all on women from population groups who are disadvantaged.
    MeSH term(s) Birth Weight ; Female ; Humans ; Income ; Infant ; Infant, Low Birth Weight ; Infant, Newborn ; Israel/epidemiology ; Retrospective Studies
    Language English
    Publishing date 2022-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1339905-6
    ISSN 1573-6628 ; 1092-7875
    ISSN (online) 1573-6628
    ISSN 1092-7875
    DOI 10.1007/s10995-022-03379-5
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  8. Article ; Online: Social shaming and bullying of mental health staff by patients: A survey in a mental health centre.

    Zaitsev Assuline, Sara / Savitsky, Bella / Wilf-Miron, Rachel / Kagan, Ilya

    Journal of psychiatric and mental health nursing

    2022  Volume 30, Issue 2, Page(s) 255–266

    Abstract: WHAT IS KNOWN ON THE SUBJECT?: Public shaming, especially by consumers of healthcare, is getting worse and has become a specific case of bullying Despite extensive research on physical and verbal violence directed towards mental health workers, the issue ...

    Abstract WHAT IS KNOWN ON THE SUBJECT?: Public shaming, especially by consumers of healthcare, is getting worse and has become a specific case of bullying Despite extensive research on physical and verbal violence directed towards mental health workers, the issue of social shaming and bullying by patients or relatives has not been sufficiently researched WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE: Mental healthcare workers are exposed to the threat of social shaming and bullying on a regular almost weekly basis Abusive behaviours by patients are associated with professional burnout, decreases in professional functioning and even a tendency to leave the workplace among mental health workers WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The stability and strength of the therapeutic alliance between healthcare giver and psychiatric patient are critical to the success of the treatment There is a need to develop a dedicated organizational policy for the prevention, early detection, intervention and support for teams exposed to social shaming and bullying An emphatic response, and effective intervention in a case of social shaming may improve professional functioning and reduce burnout and intention to leave.
    Abstract: INTRODUCTION: Social shaming can impair caregivers' performance. The prevalence of shaming experienced by mental health workers and the relationships to their function or burnout is unknown.
    Aim: To examine the associations between exposure to social shaming and bullying by patients, the risk appraisal of negative impact of this behaviour, burnout, professional functioning and intention to leave among mental health workers.
    Method: In this cross-sectional study, 122 workers from a psychiatric hospital completed a questionnaire.
    Results: Participants reported exposure to social shaming and bullying by patients on a regular basis. Shaming and bullying were significantly associated with lower professional functioning and higher intention to leave, while burnout may at least partially mediate the association between these variables.
    Conclusions: The phenomenon of shaming and bullying of mental health workers by patients is common and is associated with lower functioning and higher burnout, which have a negative impact on the patient-caregiver interaction.
    Implications for practice: There is a need to establish a policy for early detection of shaming of mental health workers in order to prevent burnout or intention to leave. Evidence based interventions, such as the Safewards model, accompanied by assessment of their effectiveness, may help in this effort.
    MeSH term(s) Humans ; Hospitals, Psychiatric ; Mental Health ; Cross-Sectional Studies ; Burnout, Professional/psychology ; Workplace/psychology ; Bullying/psychology ; Surveys and Questionnaires
    Language English
    Publishing date 2022-09-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1328479-4
    ISSN 1365-2850 ; 1351-0126
    ISSN (online) 1365-2850
    ISSN 1351-0126
    DOI 10.1111/jpm.12865
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  9. Article: Personal initiative and work environment as predictors of job satisfaction among nurses: cross-sectional study.

    Kagan, Ilya / Hendel, Tova / Savitsky, Bella

    BMC nursing

    2021  Volume 20, Issue 1, Page(s) 87

    Abstract: Background: Job satisfaction contributes to better work outcomes and productivity, and reduces nurses' absenteeism and turnover. The contribution of personal initiative to the interaction between these variables needs additional examination. This study ... ...

    Abstract Background: Job satisfaction contributes to better work outcomes and productivity, and reduces nurses' absenteeism and turnover. The contribution of personal initiative to the interaction between these variables needs additional examination. This study aimed to examine the relationships between personal initiative, work environment, and job satisfaction among nurses.
    Methods: This was a cross-sectional study. The convenience sample consisted of 1040 nurses working in hospitals across the country. Data were collected by a structured self-administered questionnaire measuring: (a) personal initiative, (b) nursing work environment, (c) job satisfaction.
    Results: Personal initiative and work environment scores, together with demographic and occupational characteristics that univariate analysis showed to be significantly associated with job satisfaction, were included in a logistic regression model to predict job satisfaction. The results of multivariable analysis indicated that female gender, working in emergency room (ER) and pediatric wards, a higher personal initiative, and positive perception of work environment, were significantly associated with higher job satisfaction. Work in the ER and pediatric area of practice was significantly associated with five-fold (OR = 4.97; 95% CI 1.52-16.25) and three-fold higher odds (OR = 2.85; 95% CI 1.17-6.91) for high and very high job satisfaction in comparison with work in oncology. The model explained 32% of the variance in job satisfaction.
    Conclusions: The findings demonstrate that high personal initiative together with positive perceptions of the nursing work environment, contributed significantly to the explanation of job satisfaction. There is a need to invest more efforts in strengthening the organizational climate stimulating initiative behavior and encouraging nurses to be active, share knowledge, and promote innovation.
    Language English
    Publishing date 2021-06-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091496-9
    ISSN 1472-6955
    ISSN 1472-6955
    DOI 10.1186/s12912-021-00615-1
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  10. Article ; Online: Nurses' occupational satisfaction during Covid-19 pandemic.

    Savitsky, Bella / Radomislensky, Irina / Hendel, Tova

    Applied nursing research : ANR

    2021  Volume 59, Page(s) 151416

    Abstract: Background: Covid-19 has brought healthcare workers in general and nurses in particular into the limelight as never before. It is important to study the intensity of the impact of this pandemic on the profession.: Objective: This study aims to assess ...

    Abstract Background: Covid-19 has brought healthcare workers in general and nurses in particular into the limelight as never before. It is important to study the intensity of the impact of this pandemic on the profession.
    Objective: This study aims to assess the occupational satisfaction during the pandemic of Covid-19 among the nurses in Israel, to shed light on conditions of work and to identify factors associated with low occupational satisfaction.
    Methods: Cross-sectional study of 130 Israeli nurses. Minnesota Satisfaction and Measure of Job Satisfaction questionnaire with 28 items was used to assess occupational satisfaction.
    Results: In the multivariable model, nurses working in the community had higher occupational satisfaction than those working in hospitals (β = 0.24, p = .032); nurses who took care of patients who tested positive for Covid-19 had significantly lower occupational satisfaction than others (β = -0.48, p = .009). Most of the sample reported lack of personal protective equipment (PPE). Nurses who experienced lack of PPE reported lower occupational satisfaction than those who did not (3.4 vs. 3.8, p = .039). Occupational satisfaction was mainly based on the component, built by the intrinsic characteristics of the occupation related to the personal accomplishment. Most of nurses had to increase their workload as a result of staff shortages, but the elevation of the workload was not associated with lower occupational satisfaction.
    Conclusion: Even under the circumstances of the pandemic, the most important nurses` occupational values are worthwhile accomplishments, importance of professional challenge, diversity and interest in the job, personal growth and development and independence in their practice.
    MeSH term(s) Adult ; Burnout, Professional/psychology ; COVID-19/nursing ; Cross-Sectional Studies ; Female ; Humans ; Israel ; Job Satisfaction ; Male ; Middle Aged ; Nursing Staff, Hospital/psychology ; Pandemics ; Personal Satisfaction ; Personnel Turnover/statistics & numerical data ; SARS-CoV-2 ; Surveys and Questionnaires ; Workload/psychology
    Language English
    Publishing date 2021-03-11
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1027369-4
    ISSN 1532-8201 ; 0897-1897
    ISSN (online) 1532-8201
    ISSN 0897-1897
    DOI 10.1016/j.apnr.2021.151416
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