Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot73010.32687/0869-866X-2021-29-s2-1264-1270Научная статьяHOSPITAL EMPLOYEES IN THE COVID-19 PANDEMIC: WORKING CONDITIONS, LOYALTY AND EMOTIONAL STATEBogdanI. V.bogdaniv@zdrav.mos.ruMalenkovaN. L.-MalyshevaE. S.-PravednikovA. V.-SirinaE. A.-ChistyakovaD. P.-Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentCity Clinical Hospital N 52 of the Moscow Department of Public Health1512202129S21264127023112021Copyright © 2021,2021The spread of the new coronavirus infection (COVID-19) required dramatic changes in the healthcare system, the work of medical workers under extreme stress and an increased threat of infection. In order to formulate general recommendations for preventive work with employees in emergency conditions, a study was carried out of the current nature of work, the emotional state of medical workers and staff loyalty.In a multidisciplinary hospital in Moscow (City Clinical Hospital N 52) in the fall of 2020, a survey of hospital employees (595 people) was carried out according to the author's questionnaire with the additional use of the methodology for measuring the burnout syndrome index (MBI) and loyalty index (eNPS).A number of changes in the nature of work of medical workers were revealed, which had a significant impact on their emotional state, such as changes in the usual functionality, place and mode of work. Despite the negative aspects of working conditions, during the pandemic, the employee loyalty index remained quite high (eNPS = 24), doctors were the most loyal, and junior and middle staff were the least loyal. The assessment of the organizational aspects of the work as a whole was also quite high. The close connection between psychoemotional factors and the loyalty of the organization's employees was confirmed. The study made it possible to offer general recommendations for the development of preventive algorithms for working with employees in case of emergency.COVID-19eNPScoronavirus infectionCOVID-19medical workers“red” zonework specificemotional conditionloyaltyeNPSburnoutкоронавирусная инфекциямедицинские работники«красная зона»характер трудаэмоциональное состояниелояльностьвыгорание[Armocida B., Formenti B., Ussai S. et al. The Italian health system and the COVID-19 challenge // Lancet. Public Health. 2020. Vol. 5, N 5. P. e253. DOI: 10.1016/S2468-2667(20)30074-8.][Xie J., Zhaohui T., Guan X. et al. Critical care crisis and some recommendations during the COVID-19 epidemic in China // Intensive Care Med. 2020. Vol. 46, N 5. P. 837-840. DOI: 10.1007/s00134-020-05979-7.][Холмогорова А. Б., Петриков С. С., Суроегина А. Ю. и др. Профессиональное выгорание и его факторы у медицинских работников, участвующих в оказании помощи больным COVID-19 на разных этапах пандемии // Неотложная медицинская помощь. Журнал им. Н. В. Склифосовского. 2020. Т. 9, № 3. С. 321-337. DOI: 10.23934/2223-9022-2020-9-3-321-337.][Liu S., Yang L., Zhang C. et al. Online mental health services in China during the COVID-19 outbreak // Lancet Psychiatry. 2020. Vol. 7, N 4. P. e17-e18. DOI: 10.1016/S2215-0366(20)30077-8.][Овсяник О. А. Социально-психологические особенности адаптации врачей к возникновению пандемии // Вестник Московского государственного областного университета. Серия: Психологические науки. 2020. Т. 4. С. 75-81. DOI: 10.18384/2310-7235-2020-4-75-81.][ВОЗ: для обеспечения безопасности пациентов необходимо обеспечить безопасность медицинского персонала. Пресс-релиз. 2020. Available at: https://www.who.int/ru/news/item/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who (дата обращения 29.04.2021).][Райхельд Ф., Марки Р. Искренняя лояльность. Ключ к завоеванию клиентов на всю жизнь. М., 2013. 352c.][Водопьянова Н. Е., Старченкова Е. С., Наследов А. Д. Стандартизированный опросник «Профессиональное выгорание» для специалистов социономических профессий // Вестник СПбГУ. 2013. Т. 12, № 4. С. 17-27.][Бебчук М. А., Богдан И. В., Гурылина М. В. и др. Перспективы развития детской психиатрической службы глазами специалистов. Полный отчет об исследовании. Москва: ГБУ «НИИОЗММ ДЗМ», 2021. 51 с.][Kang L., Ma S., Chen M. et al. Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: a cross-sectional study // Brain Behav Immun. 2020. Vol. 87. P. 11-17. DOI: 10.1016/j.bbi.2020.03.028]