Qualitative Health Research,
Journal Year:
2023,
Volume and Issue:
33(14), P. 1291 - 1304
Published: Oct. 17, 2023
During
the
COVID-19
pandemic,
need
to
triage
patients
in
ICUs
emerged
globally.
Triage
guidelines
were
established
many
countries;
however,
actual
decision-making
processes
and
decisions
themselves
made
by
frontline
medical
providers
may
not
have
exactly
reflected
those
guidelines.
Despite
understand
practice
regarding
patient
ICU
admission
mechanical
ventilator
usage
identify
areas
of
improvement
for
care
provision,
such
research
is
limited.
This
qualitative
study
was
conducted
admissions
allocation
issues
associated
with
an
during
pandemic.
Semi-structured,
in-depth
interviews
physicians
nurses
working
at
urban
tertiary
referral
hospital
Japan
between
February
April
2022.
Patient
characteristics
that
influenced
interaction
physicians,
nurses,
senior
management
staff
upon
making
are
discussed
this
article.
An
implicated
issue
lack
legal
support
Japanese
withdrawal
life-sustaining
treatments
even
emergencies.
Another
impact
non-clinical
forces-likely
specific
health
emergencies-on
physicians'
allocation,
where
forces
imposed
a
significant
mental
burden
on
providers.
We
consider
public
policy
implications
future
pandemics.
International Journal of Environmental Research and Public Health,
Journal Year:
2021,
Volume and Issue:
18(15), P. 8172 - 8172
Published: Aug. 2, 2021
The
primary
aim
was
to
evaluate
the
burnout
prevalence
among
healthcare
workers
(HCWs)
in
intensive
care
units
(ICUs)
and
emergency
departments
(EDs)
during
COVID-19
pandemic.
secondary
identify
factors
associated
with
this
population.
A
systematic
review
conducted
following
PRISMA
guidelines
by
searching
PubMed,
Embase,
PsychINFO,
Scopus
from
1
January
24
November
2020.
Studies
information
about
prevalence/level
pandemic
regarding
ICU/ED
HCWs
were
eligible.
total
of
927
records
identified.
selection
resulted
11
studies.
Most
studies
April/May
Samples
ranged
15
12,596
participants.
overall
49.3%
58%.
Nurses
seemed
be
at
higher
risk.
Both
socio-demographic
work-related
features
burnout.
Many
pandemic-related
variables
burnout,
e.g.,
shortage
resources,
worry
COVID-19,
stigma.
This
highlighted
a
substantial
HCWs.
However,
population
has
presented
high
for
long
time,
there
is
not
sufficient
evidence
understand
if
such
currently
increased.
It
also
outlined
modifiable
need
improve
preparedness
both
an
individual
structural
level.
PLoS ONE,
Journal Year:
2022,
Volume and Issue:
17(2), P. e0263666 - e0263666
Published: Feb. 16, 2022
The
COVID-19
pandemic
has
led
to
significant
re-organisation
of
healthcare
delivery
in
hospitals,
with
repercussions
on
all
professionals
working
healthcare.
We
aimed
assess
the
impact
mental
health
care
institutions
and
identify
individual
environmental
factors
influencing
risk
disorders.
From
4
June
22
September
2020,
a
total
4370
responded
an
online
questionnaire
evaluating
psychological
distress,
severity
post-traumatic
stress
symptoms,
factors,
coping
strategies.
About
57%
suffered
from
21%
showed
symptoms
potential
stress.
Professionals
radiology,
those
quality/hygiene/security
nurses'
aides
were
most
affected
groups.
media
focus
crisis,
high
workload
prevalent
followed
by
uncertainty
regarding
possibility
containing
epidemic,
constantly
changing
hygiene
recommendations/protocols,
lack
personal
protective
equipment.
use
strategies,
notably
positive
thinking,
helped
mitigate
relation
between
perceived
had
far-reaching
negative
for
professionals,
some
sectors
more
markedly
affected.
To
prevent
disorders
during
public
support
services
management
strategies
within
hospitals
should
take
account
importance
thinking
social
support.
Psychology Health & Medicine,
Journal Year:
2025,
Volume and Issue:
unknown, P. 1 - 18
Published: Feb. 10, 2025
The
COVID-19
pandemic
exposed
intensive
care
unit
(ICU)
healthcare
workers
(HCWs)
to
acute
stress
(e.g.
unpredictability,
fear,
helplessness)
and
chronic
prolonged
crisis
with
recurring
waves).
While
the
psychological
impact
has
been
documented,
few
studies
explore
overlap
of
these
stressors.
One
year
after
pandemic's
first
peak,
we
aimed
assess
psychotraumatic
burnout
among
ICU
HCW
examine
relationship
between
disorders,
perceived
workplace
This
study
was
conducted
in
77
ICUs
France
June
July
2021.
online
questionnaire
included
measures
stress,
burnout,
symptoms
post-traumatic
disorder
(PTSD).
Descriptive
analyses
investigating
co-occurrence
PTSD/burnout
were
multinomial
logistic
regression
used
predict
membership
groupings
from
current
a
range
relevant
demographic
variables.
Among
1108
hCW
included,
318
(28.7%)
exhibited
only
34
(3.07%)
PTSD,
182
(16.42%)
both
conditions
simultaneously.
These
categories
professionals,
particularly
those
concurrent
PTSD
higher
work-related
than
without
PTSD.
results
can
be
provide
personalized
support
for
specific
disorders
present
(burnout
or
PTSD),
view
providing
work
environment
that
is
more
conducive
their
recovery.
International Journal of Environmental Research and Public Health,
Journal Year:
2022,
Volume and Issue:
19(12), P. 7010 - 7010
Published: June 8, 2022
Background:
The
COVID-19
pandemic
has
induced
demanding
work
situations
in
intensive
care
units
(ICU).
objective
of
our
study
was
to
survey
psychological
reactions,
the
disturbance
social
life,
effort,
and
support
ICU
nurses,
physicians,
leaders.
Methods:
From
May
July
2020,
this
cross-sectional
included
484
professionals
from
27
hospitals
throughout
Norway.
Symptoms
anxiety
depression
were
measured
on
Hopkins
Symptom
Checklist-10
(HSCL-10).
post-traumatic
stress
disorder
(PTSD)
PCL-5.
Results:
population
highly
educated
experienced
professionals,
well
prepared
for
working
with
COVID-ICU
patients.
However,
53%
felt
socially
isolated
67%
reported
a
fear
infecting
others.
Probable
cases
found
12.5%
registered
11.6%
4.1%
Younger
age
<5
years
previous
experiences
predictors
high
HSCL-10
scores.
Reported
symptom-defined
PTSD
nurses
7.1%;
leaders,
4.1%;
2.3%
physicians.
Conclusions:
health
talking
colleagues
as
most
helpful
source
support.
leaders
significantly
higher
mean
score
than
physicians
terms
pushing
themselves
toward
producing
effort.
European journal of psychotraumatology,
Journal Year:
2022,
Volume and Issue:
13(1)
Published: Jan. 26, 2022
Background
Intensive
care
units
(ICU)
are
among
the
healthcare
services
most
affected
by
COVID-19
crisis.
Stressors
related
to
insecurity,
unpredictability,
patient
death
and
family
distress
significant,
put
workers
(HCWs)
at
high
risk
of
post-traumatic
stress
disorder
(PTSD).
The
aims
this
study
were
measure
prevalence
in
HCWs
identify
factors
protective
during
epidemic
France.Methods
During
first
peak
(from
22
April
13
May
2020),
we
assessed
sources
(PS-ICU
scale),
mental
health
(GHQ-12)
coping
strategies
(Brief-COPE).
Three
months
later
(03
June
6
July
PTSD
was
using
IES-R
scale,
with
additional
questions
about
support.
Data
collected
self-report
questionnaires
administered
online.Results
Among
2153
professionals
who
participated
study,
20.6%
suffered
from
potential
PTSD,
mostly
intrusion
symptoms.
Risk
for
development
having
experienced
difficult
events
crisis,
a
level
psychological
distress,
perceived
workload
human
resources
issues,
emotional
burden
family,
stressors
specific
use
positive
thinking
decreased
relationship
between
presence
while
social
support
seeking
increased
relationship.
Finally,
preferred
colleagues,
relatives
and/or
psychologist,
very
few
used
telephone
hotlines.Conclusion
has
had
strong
traumatic
impact
on
intensive
HCWs.
Given
need
consider
implementing
easily-accessible
that
focus
strategies,
after
Frontiers in Medicine,
Journal Year:
2022,
Volume and Issue:
9
Published: June 9, 2022
The
coronavirus
disease
2019
(COVID-19)
pandemic
is
probably
the
most
critical
epidemiological
situation
that
human
civilization
has
faced
in
last
few
decades.
In
this
context,
of
all
professional
categories
involved
management
patients
with
COVID-19
are
likely
to
develop
burnout
syndrome.
main
objective
study
analyze
specific
predictive
factors
occurrence
and
development
syndrome
healthcare
workers
diagnosis
treatment
COVID-19.
focused
on
determining
occurrence,
maintaining
related
severe
acute
respiratory
2
(SARS-CoV-2)
infection.
was
conducted
a
sample
959
participants,
medical
personnel
from
public
entities
Romania(including
5
hospitals):
122
male
755
female
(82
participants
did
not
declare
their
gender),
mean
age
42.29
years
(SD
=
9.97).
included
219
doctors,
477
nurses,
214
auxiliary
49
other
types
hospital
workers.
A
cross-sectional
design
used.
Three
predictors
were
identified:
Work
conditions,
Fear
consequences
(including
death)
determined
by
Need
for
emotional
support.
Meaning
work
had
moderating
role.
Several
moderated
mediation
models
tested.
indirect
relationship
conditions
via
infection
statistically
significant;
addition,
effect
through
both
fear
need
support
significant.
moderation
analysis
showed
buffer
between
variance
explained
model
including
moderator
(30%)
higher
than
Model
1
(27%),
showing
adding
relevant.
results
could
be
used
interventions
reduce
workers,
implementation
strategy
motivate
employees
highlighting
recognizing
high
significance
those
frontline
fight
against
PLoS ONE,
Journal Year:
2022,
Volume and Issue:
17(3), P. e0264287 - e0264287
Published: March 4, 2022
Purpose
During
the
COVID
pandemic,
many
hospitals
had
to
mobilize
reinforcement
healthcare
workers,
especially
in
intensive
care
(ICUs).
We
investigated
perceptions
and
experiences
of
workers
deployed
ICUs,
impact
deployment
on
their
personal
professional
lives.
Methods
For
this
qualitative
study,
a
random
sample
30
was
drawn
from
4
centres
participating
larger
PsyCOVID-ICU
study.
Individual
semi-structured
interviews
were
held,
recorded,
transcribed
analyzed
by
thematic
analysis.
Results
Thirty
performed
April
May
2021
(22
nurses,
2
anesthesiology
6
nurses’
aides).
Average
age
36.8±9.5
years;
7
participants
no
ICU
experience.
Four
major
themes
emerged,
namely:
(1)
Difficulties
with
integration,
for
those
experience;
(2)
lack
training;
(3)
difficulties
management,
notably
feeling
insufficient
communication;
(4)
Mental
distress
relating
unusual
work
fear
contaminating
entourage.
Conclusion
Healthcare
as
reinforcements
ICUs
at
height
pandemic
unique
experience
crisis,
identified
important
gaps
organisation
preparation.
They
also
suffered
marked
training,
given
stakes
management
critically
ill
patients
ICU.
Current Opinion in Critical Care,
Journal Year:
2022,
Volume and Issue:
28(6), P. 686 - 694
Published: Oct. 18, 2022
Purpose
of
review
We
aim
to
describe
the
extent
psychological
trauma
and
moral
distress
in
healthcare
workers
(HCW)
working
intensive
care
unit
(ICU)
during
coronavirus
disease
2019
(COVID-19)
pandemic.
Specifically,
we
reports
on
prevalence
mental
health
symptoms,
highlight
vulnerable
populations
summarize
modifiable
risk
factors
associated
with
symptoms
ICU
HCW.
Recent
findings
The
pandemic
has
resulted
a
multitude
closely
intertwined
professional
personal
challenges
for
High
rates
posttraumatic
stress
disorder
(14–47%),
burnout
(45–85%),
anxiety
(31–60%),
depression
(16–65%)
have
been
reported,
these
are
often
interrelated.
Most
studies
suggest
that
nurses
female
HCW
at
highest
developing
symptoms.
main
concerns
reporting
among
were
worries
about
transmitting
COVID-19
their
families,
own
health,
witnessing
colleagues
contract
disease,
experiencing
stigma
from
communities.
Major
work-related
poor
communication
supervisors,
perceived
lack
support
administrative
leadership,
insufficient
access
protective
equipment,
inability
rest,
hasty
end-of-life
decisions,
restriction
family
visitation
policies.
Summary
severely
impacted
worldwide.
trauma,
manifesting
as
disorder,
burnout,
anxiety,
depression,
is
substantial
concerning.
Urgent
action
by
lawmakers
administrators
required
protect
sustain
healthy
workforce.
Journal of Clinical Nursing,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 14, 2025
ABSTRACT
Aim
The
objectives
of
this
study
were
to
determine
the
prevalence
burnout
risk
and
intention‐to‐leave
among
intensive
care
unit
(ICU)
nurses
analyse
association
these
with
workload
work
environment.
Design
A
cross‐sectional
survey
working
in
ICUs
was
conducted
France
between
15
January
2024
April
alongside
a
longitudinal
assessment
during
same
period.
Methods
ICU
nurse
assessed
using
Nursing
Activities
Score
(NAS).
Maslach
Burnout
Inventory
scale
hospital
binary
question.
total
1271
61
units
completed
questionnaire
14,134
NAS
per
patient
1885
included
study.
Results
median
overall
by
site
64.7%
[P25:
53.3–P75:
72.7]
for
broad
definition
20.7%
[13.3–27.3]
reported
an
intent‐to‐leave
their
job.
score
135.9%
[121.4–156.9]
scores
exceeding
100%
73.9%
[62.8–80.3].
significant
found
better
environment
all
dimensions
as
well
below
associated
lower
(OR
=
0.69,
95%
CI:
0.50–0.88
definition)
job
0.68,
0.50–0.92).
Conclusion
This
associations
intention
leave
ICUs,
mainly
due
and,
lesser
extent,
nurses.
Implications
Profession
and/or
Patient
Care
In
era
shortages
absenteeism,
it
is
crucial
institutions
retain
nursing
staff.
Our
results
should
encourage
managers
take
action
improve
keep
workloads
manageable
decrease
Reporting
Method
article
follows
STROBE
guidelines
reporting
studies.
or
Public
Contribution
No
public
contribution.