Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review DOI Creative Commons
Kirsten M. Fiest, Jeanna Parsons Leigh, Karla D. Krewulak

et al.

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 10, 2021

Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty ongoing pandemic along with increased workload and difficult medical triage decisions may lead a further decline in physician psychological health.We searched Medline, EMBASE, PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], [1806]) November 17, 2020. Titles abstracts were screened by one three reviewers full-text article screening data abstraction conducted independently, duplicate, reviewers.From 6223 unique citations, 480 articles reviewed full-text, 193 studies (of 90,499 physicians) included final review. Studies reported on symptoms management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], strains Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East [MERS], COVID-19) 57 countries. Psychological anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic disorder (13.2-75.2%) burnout (14.7-76%) commonly among physicians, regardless outbreak or country. Younger, female (vs. male), single married), early career those providing direct care infected patients associated worse symptoms.Physicians should be aware that anxiety, depression, fear distress are common, manifest differently self-management strategies improve well-being exist. Health systems implement short long-term supports caring COVID-19.

Language: Английский

Mental health outcomes of ICU and non-ICU healthcare workers during the COVID-19 outbreak: a cross-sectional study DOI Creative Commons
Hannah Wozniak, Lamyae Benzakour, Grégory Moullec

et al.

Annals of Intensive Care, Journal Year: 2021, Volume and Issue: 11(1)

Published: July 10, 2021

Abstract Background Intensive care workers are known for their stressful work environment and a high prevalence of mental health outcomes. The aim this study was to evaluate the health, well-being changes in lifestyle among intensive unit (ICU) healthcare (HCW) during first wave COVID-19 pandemic compare these results with those HCW other hospital units. Another objective understand which associated factors aggravate outbreak. Methods This cross-sectional survey collected socio-demographic data, evaluations as assessed by Generalized Anxiety Disorder 7 items (GAD-7), Patient Health Questionnaire 9 (PHQ-9), Peritraumatic Distress Inventory (PDI) World Organization Well-Being Index (WHO-5) from 28th May 7th July 2020. carried out at Geneva University Hospitals, group eight public hospitals Switzerland. ICU were analyzed outcomes lifestyles then compared non-ICU HCW. A series linear regression analyses performed assess scores. Results total 3461 included study, 352 Among HCW, 145 (41%) showed low well-being, 162 (46%) symptoms anxiety, 163 depression 76 (22%) had peritraumatic distress . mean scores GAD-7, PHQ-9 WHO-5 worse than ( p < 0.01). Working rather departments resulted change eating habits, sleeping patterns alcohol consumption Being woman, fear catching transmitting COVID-19, anxiety working patients, overload, disorders well increased Conclusion confirms suspicion depression, especially allows identification risk factors. Long-term psychological follow-up should be considered

Language: Английский

Citations

81

Critical care work during COVID-19: a qualitative study of staff experiences in the UK DOI Creative Commons
Catherine M. Montgomery, Sally Humphreys, Corrienne McCulloch

et al.

BMJ Open, Journal Year: 2021, Volume and Issue: 11(5), P. e048124 - e048124

Published: May 1, 2021

To understand National Health Service (NHS) staff experiences of working in critical care during the first wave COVID-19 pandemic UK.Qualitative study using semistructured telephone interviews and rapid analysis, interpreted Baehr's sociological lens 'communities fate'.Forty NHS care, including 21 nurses, 10 doctors advanced practitioners, 4 allied health professionals, 3 operating department practitioners 2 ward clerks. Participants were interviewed between August October 2020; we purposefully sought trained experienced those who redeployed.Four hospitals UK.COVID-19 presented with a situation extreme stress, duress social emergency, leading to shared set which have characterised as community fate. This involved not only fear dread but also collective sense duty vocation. Caring for patients families changes usual ways working, revolving around: reorganisation space personnel, personal protective equipment, lack evidence treating COVID-19, inability be physically present, trauma witnessing patient acuity death on large scale. The stress isolation was mitigated by strong teamwork, camaraderie, pride fulfilment.COVID-19 has changed practices profoundly affected physically, mentally emotionally. Attention needs paid organisational conditions individuals work, addressing both practical resourcing interpersonal dynamics provision.

Language: Английский

Citations

79

Burnout in Intensive Care Unit Workers during the Second Wave of the COVID-19 Pandemic: A Single Center Cross-Sectional Italian Study DOI Open Access
Nino Stocchetti, Giulia Segre, Elisa R. Zanier

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(11), P. 6102 - 6102

Published: June 5, 2021

The COVID-19 pandemic had a massive impact on the Italian healthcare systems, which became overwhelmed, leading to an increased risk of psychological pressure ICU workers. present study aimed investigate prevalence distress (anxiety, depression and insomnia symptoms), burnout syndrome resilience in workers during detect potential factors associated with their response. This cross-sectional, survey-based enrolled 136 assisting patients new ward (Intensive Care Unit), at Milano Fiera, Lombardy. Participants completed online survey that comprised different validated standardized questionnaires: Maslach Burnout Inventory (MBI), Resilience Scale for adults (RSA), Hospital Anxiety Depression scale (HADS) Insomnia Severity Index (ISI). Socio-demographic work characteristics were also collected. Out specialists, there 84 nurses (62%) 52 physicians (38%). Over half (60%) met criteria burnout, nearly same percentages among physicians. Nurses reported significantly higher scores anxiety levels. Forty-five percent participants symptoms (of whom 13.9% clinical range) most staff showed moderate high levels (82.4%) resilience. can have significant staff. Effective interventions are needed maintain professionals' mental health relieve burnout. Follow-up tailored procedures should be provided alleviate burden frontline highest risk.

Language: Английский

Citations

79

Predictors of Burnout in Healthcare Workers during the COVID-19 Pandemic DOI Open Access
Adriana Cotel,

Florinda Golu,

Anca Pantea Stoian

et al.

Healthcare, Journal Year: 2021, Volume and Issue: 9(3), P. 304 - 304

Published: March 9, 2021

The purpose of this study was to identify the predictors burnout in healthcare workers during COVID-19 pandemic. Data were collected from March June 2020, pandemic, employees two Romanian hospitals. Five hundred and twenty-three completed a series questionnaires that measured burnout, job demands, resources, personal resources. Among respondents, 14.5% had clinical level exhaustion (the central component burnout). Three demands (work–family conflict, lack preparedness/scope practice, emotional demands), three resources (training, professional development, continuing education; supervision, recognition, feedback; autonomy control), one resource (self-efficacy) significant explaining together 37% variance workers’ burnout. Based on our results, psychological interventions pandemic for should focus primarily these

Language: Английский

Citations

76

Experiences and management of physician psychological symptoms during infectious disease outbreaks: a rapid review DOI Creative Commons
Kirsten M. Fiest, Jeanna Parsons Leigh, Karla D. Krewulak

et al.

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Feb. 10, 2021

Prior to the COVID-19 pandemic, physicians experienced unprecedented levels of burnout. The uncertainty ongoing pandemic along with increased workload and difficult medical triage decisions may lead a further decline in physician psychological health.We searched Medline, EMBASE, PsycINFO for primary research from database inception (Medline [1946], EMBASE [1974], [1806]) November 17, 2020. Titles abstracts were screened by one three reviewers full-text article screening data abstraction conducted independently, duplicate, reviewers.From 6223 unique citations, 480 articles reviewed full-text, 193 studies (of 90,499 physicians) included final review. Studies reported on symptoms management during seven infectious disease outbreaks (severe acute respiratory syndrome [SARS], strains Influenza A virus [H1N1, H5N1, H7N9], Ebola, Middle East [MERS], COVID-19) 57 countries. Psychological anxiety (14.3-92.3%), stress (11.9-93.7%), depression (17-80.5%), post-traumatic disorder (13.2-75.2%) burnout (14.7-76%) commonly among physicians, regardless outbreak or country. Younger, female (vs. male), single married), early career those providing direct care infected patients associated worse symptoms.Physicians should be aware that anxiety, depression, fear distress are common, manifest differently self-management strategies improve well-being exist. Health systems implement short long-term supports caring COVID-19.

Language: Английский

Citations

71