Factors Affecting the Satisfaction of Women Employees in Health Sector: A Perception Study in Saudi Arabia

Rawan M Maawadh,1 Thekra N Al-Maqati,1 Maryam Hamad Alenezi,2 Eman Alenezi,3 Amal Alsubaie,4 Amal Mohsen Alghamdi,5 Afrah AlSubaie,6 Mashael Mufleh Alruwaili,7 Haya Ali AlAnazi,7 Entisar Albugami,8 Naifah Ahmed Alanazi,9 Khaled Ahmed Alhmdan,10 Fahad Farhan Alshammari,11 Abeer Madkhali12 1Clinical Laboratory Science Department, Prince Sultan Military College of Health Science, Dammam, 31448, Saudi Arabia; 2Medical Admin & Excellence Allowance Committee Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 3Preventive Medicine Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 4Family Medicine Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 5Internal Medicine Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 6Urology and Nephrology Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 7Patient Education Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 8Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia; 9Cardiac Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 10Health Informatics Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 11Laboratory Department, King Fahd Military Medical Complex, Dhahran, Saudi Arabia; 12Quality and Patient Safety Administration Department, Dammam Medical Complex, Dammam, Saudi ArabiaCorrespondence: Rawan M Maawadh, Clinical Laboratory Science Department, Prince Sultan Military College of Health Science, P.O. Box 33048, Dammam, 31448, Saudi Arabia, Email [email protected]: Broad evidence points out that women workers in Saudi Arabia face a range of inequitable work practices despite continued efforts for gender equality. The study aims to assess the satisfaction of Saudi women working in the health sector among certain factors in the work environment, factors that enable them to gain opportunities and benefits and make decisions.Patients and Methods: This is a cross-sectional study, which involved the use of closed-ended surveys on 261 Saudi women working in the healthcare sector.Results: Most of the females were aged between 25 and 34 years (59%) and more than half of them worked in the governmental sector (53%). Fifty-eight percent of the females hold clinical jobs, 25% of the administrative jobs were 37% of them have more than 19 years of working experience. The finding showed a significant association between female workers in health sector satisfaction with factors related to the workplace environment, training, and development, and their involvement in decision-making.Conclusion: Most women felt empowered when they received equitable tasks and were able to reach managerial-level positions in their organizations. Establishing a positive work environment characterized by opportunities has the potential to enhance women workers’ satisfaction.Keywords: satisfaction, woman, education, training, opportunitie

Outcomes from elective colorectal cancer surgery during the SARS‐CoV‐2 pandemic

Aim This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic. Method This was an international cohort study of patients undergoing elective resection of colon or rectal cancer without preoperative suspicion of SARS-CoV-2. Centres entered data from their first recorded case of COVID-19 until 19 April 2020. The primary outcome was 30-day mortality. Secondary outcomes included anastomotic leak, postoperative SARS-CoV-2 and a comparison with prepandemic European Society of Coloproctology cohort data. Results From 2073 patients in 40 countries, 1.3% (27/2073) had a defunctioning stoma and 3.0% (63/2073) had an end stoma instead of an anastomosis only. Thirty-day mortality was 1.8% (38/2073), the incidence of postoperative SARS-CoV-2 was 3.8% (78/2073) and the anastomotic leak rate was 4.9% (86/1738). Mortality was lowest in patients without a leak or SARS-CoV-2 (14/1601, 0.9%) and highest in patients with both a leak and SARS-CoV-2 (5/13, 38.5%). Mortality was independently associated with anastomotic leak (adjusted odds ratio 6.01, 95% confidence interval 2.58–14.06), postoperative SARS-CoV-2 (16.90, 7.86–36.38), male sex (2.46, 1.01–5.93), age >70 years (2.87, 1.32–6.20) and advanced cancer stage (3.43, 1.16–10.21). Compared with prepandemic data, there were fewer anastomotic leaks (4.9% versus 7.7%) and an overall shorter length of stay (6 versus 7 days) but higher mortality (1.7% versus 1.1%). Conclusion Surgeons need to further mitigate against both SARS-CoV-2 and anastomotic leak when offering surgery during current and future COVID-19 waves based on patient, operative and organizational risks

Delaying surgery for patients with a previous SARS-CoV-2 infection

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