Evaluation of psychological distress, burnout and structural empowerment status of healthcare workers during the outbreak of coronavirus disease (COVID-19): a cross-sectional questionnaire-based study

BMC Psychiatry, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 22, 2024

Abstract Background In light of several recent studies, there is evidence that the coronavirus disease 2019 (COVID-19) pandemic has caused various mental health concerns in general population, as well among healthcare workers (HCWs). The main aim this study was to assess psychological distress, burnout and structural empowerment status HCWs during COVID-19 outbreak, evaluate its predictors. Methods This multi-center, cross-sectional web-based questionnaire survey conducted on outbreak from August 2020 January 2021. working hospitals 48 different countries were invited participate an online anonymous investigated sociodemographic data, (SE) based Depression Anxiety Stress Scale 21 (DASS-21), Maslach Burnout Inventory (MBI) Conditions for work effectiveness (CWEQ_II), respectively. Predictors total scores DASS-21, MBI CWEQ-II assessed using unadjusted adjusted binary logistic regression analysis. Results Out 1030 enrolled survey, all completed section (response rate 100%) A 730 (70.9%) DASS-21 questionnaire, 852 (82.6%) 712 (69.1%) questionnaire. results indicate 360 out responders (49.3%) reported severe or extremely levels stress, anxiety, depression. Additionally, 422 851 (49.6%) a high level burnout, while 268 (37.6%) MBI, scales, addition, analysis showed areas experienced significantly higher symptoms depression compared those other areas. also revealed direct with patients, lower experience, workload increase risks negative consequences. Conclusion Health professionals had emergency. Monitoring timely treatment these conditions needed .

Language: Английский

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Association between working conditions during the COVID-19 pandemic and sleep and stress among Colombian healthcare workers

Archives of Environmental & Occupational Health, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 8

Published: April 15, 2025

Although COVID-19 is no longer a public health emergency, its mental effects on healthcare workers persist. This study investigated the relationship between working conditions, sleep, and stress among Colombian hospital personnel during pandemic. In this cross-sectional study, 79 completed questionnaires stress, sleep. Sleep duration was measured with Fitbit Armbands. Associations were analyzed using Generalized Linear Models Gamma ordinal distributions. Approximately 79% of participants reported high to very levels (61% "very high," 18% "high"). complications minimal, averaging 6.2 hours. Nurses showed significantly higher sleep than administrative workers. Overtime correlated less while who had lower stress. The highlights connections suggesting targeted promotion programs could enhance work-life balance.

Language: Английский

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Excess risk of COVID-19 infection and mental distress in healthcare workers during successive pandemic waves: Analysis of matched cohorts of healthcare workers and community referents in Alberta, Canada

Can J Public Health, Journal Year: 2024, Volume and Issue: 115(2), P. 220 - 229

Published: Jan. 16, 2024

To investigate changes in risk of infection and mental distress healthcare workers (HCWs) relative to the community as COVID-19 pandemic progressed. HCWs Alberta, Canada, recruited an interprovincial cohort, were asked consent link Alberta's administrative health database (AHDB) information on immunization polymerase chain reaction (PCR) testing. Those consenting matched records up five referents (CRs). Physician diagnoses identified AHDB from start 31 March 2022. consultations for (MH) conditions (anxiety, stress/adjustment reaction, depressive) 1 April 2017 Risks HCW CR estimated by fitting wave-specific hazard ratios. Eighty percent (3050/3812) consented be linked AHDB; 97% (2959/3050) 14,546 CRs. at greater overall, with first defined either PCR tests (OR=1.96, 95%CI 1.76-2.17) or physician (OR=1.33, 1.21-1.45). They also increased each three MH diagnoses. In analyses adjusted confounding, was higher than CRs early during fifth (Omicron) wave. The excess reactions (OR=1.52, 1.35-1.71) depressive (OR=1.39, 1.24-1.55) successive waves epidemic, peaking fourth both ill-health continuing late pandemic.

Language: Английский

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Impact of COVID-19 first wave on the mental health of healthcare workers in a Front-Line Spanish Tertiary Hospital: lessons learned

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: April 8, 2024

Abstract Healthcare workers (HCWs) were at high risk of experiencing psychological distress during COVID-19 pandemic. The objective this study was to evaluate the impact on HCWs’ mental health in a Spanish hospital. Cross-sectional HCW, active between May and June 2020. A web-based survey assessed probable current disorders (major depressive disorder [PHQ-8 ≥ 10], generalized anxiety [GAD-7 panic attacks, post-traumatic stress [PTSD; PLC-5 7], or substance use [CAGE-AID 2]). Sheehan Disability Scale (SDS) used assess severe impairment items taken from modified self‐report version Columbia Suicide Severity Rating (C‐SSRS) suicidal thoughts behaviors. total 870 HCWs completed survey. Most frequent major (33.6%), (25.5%), attacks (26.9%), PTSD (27.2%), (5.0%). Being female, having aged 18–29 years, being an auxiliary nurse, direct exposure COVID-19-infected patients, pre-pandemic lifetime positively associated with issues. Hospital presented prevalence symptoms disorders, especially depression, PTSD, anxiety. Younger individuals those have been more vulnerable them.

Language: Английский

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Cohort profile: recruitment and retention in a prospective cohort of Canadian healthcare workers during the COVID-19 pandemic

BMJ Open, Journal Year: 2023, Volume and Issue: 13(11), P. e074716 - e074716

Published: Nov. 1, 2023

Healthcare workers were recruited early in 2020 to chart effects on their health as the COVID-19 pandemic evolved. The aim was identify modifiable workplace risk factors for infection and mental ill health. Participants from four Canadian provinces, physicians (medical doctors, MDs) Alberta, British Columbia, Ontario Quebec, registered nurses (RNs), licensed practical (LPNs) healthcare aides (HCAs) Alberta personal support (PSWs) Ontario. Volunteers gave blood serology testing before after vaccination. Cases with matched up referents a nested case-referent study. Overall, 4964/5130 (97%) of those joined longitudinal cohort: 1442 MDs, 3136 RNs, 71 LPNs, 235 PSWs, 80 HCAs. 3812 (77%) Alberta. Prepandemic respiratory illness differed markedly by occupation. completed questionnaires at recruitment, fall 2020, spring 2021, 2022. By 2022, 4837 remained cohort (127 had retired, moved away or died), response rate 89% (4299/4837). 4567/4964 (92%) received least one vaccine shot: 2752/4567 (60%) postvaccine samples. Ease accessing collection sites strong determinant participation. Among 533 cases 1697 study, work decreased widespread Serology results (concentration IgG) together demographic data will be entered into publicly accessible database compiled Immunology Task Force. Linkage provincial administrative databases permit case validation, investigation longer-term sequelae comparison community controls. Analysis existing dataset concentrate IgG medical condition, medications stage pregnancy, role occupational exposures supports during pandemic.

Language: Английский

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Self-Esteem and Occupational Factors as Predictors of the Incidence of Anxiety and Depression among Healthcare Workers during the COVID-19 Pandemic in Latvia

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(1), P. 65 - 65

Published: Jan. 7, 2024

The prevalence of depression and anxiety among healthcare workers (HCWs) during the COVID-19 pandemic is high. aim study to identify importance self-esteem occupational factors in association with incidence HCWs through a longitudinal cohort Latvia. Participants received seven questionnaires on demographic parameters, work-related information, contact patients, three standardized that evaluated symptoms (GAD-7), (PHQ-9), (Rosenberg’s scale). Generalized Linear Mixed Model (GLMM) was used associated HCWs. A total 322 participants were included data analysis for 352 anxiety. low 83% more likely experience 76% Working at general practitioner practice twice risk developing 31% increase odds observed direct patients. organizational government levels must look opportunities facilitate mental health ensure better-quality healthcare.

Language: Английский

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Moral distress as a persistent risk factor for impaired mental health among healthcare workforce

Journal of Affective Disorders Reports, Journal Year: 2024, Volume and Issue: 17, P. 100817 - 100817

Published: July 1, 2024

Moral distress among healthcare workers (HCWs) has dramatically increased during Covid-19 emergency however most evidence relies on cross-sectional data collected early stages. This longitudinal cohort study aims to provide a better insight into the occurrence and associations of moral distress, focusing both its short long-term impact HCWs' mental health. A total 990 completed health evaluation between July 2020-July 2021 (Time 1) reporting frequencies psychological (GHQ-12), post-traumatic (IES-R) anxiety (GAD-7) symptoms; after one year (July 2021-July 2022; Time 2), 310 participants repeated evaluation. We investigated differences considering socio-demographic occupational characteristics. Two logistic regression models examined potential role as risk factor for scorings above scales' cut-offs at 1 2. Frequent episodes were mostly reported by nurses (24 %), physicians (22 younger (<40y; 23 %) engaged in area; HCWs from Emergency/Intensive Care Departments highest (29 %). Results showed increases all symptoms became more frequent. experienced resulted persistent impairment following year, with stable ORs (Time1 OR=7.8, 95 %CI=(5.3,11.6) Time2 OR=6.6, %CI=(2.9,15.7). Our findings support consequences distress; preventive strategies may be addressed priority nurses/physicians Emergency Intensive Departments.

Language: Английский

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Level of patient contact and Impact of Event scores among Canadian healthcare providers during the COVID-19 pandemic

BMC Health Services Research, Journal Year: 2024, Volume and Issue: 24(1)

Published: Aug. 20, 2024

Healthcare providers (HCP) continue to provide patient care during the COVID-19 pandemic despite known risks for transmission. Studies conducted early in showed that factors associated with higher levels of distress among HCP included being younger age, female, close contact people COVID-19, and lower education. The goal this study was determine if level concern post-traumatic stress disorder (PTSD) as measured by Impact Event Scale-Revised (IES-R).

Language: Английский

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A longitudinal study of hospital workers’ mental health from fall 2020 to the end of the COVID-19 pandemic in 2023

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Oct. 30, 2024

Most longitudinal studies of healthcare workers' mental health during COVID-19 end in 2021. We examined trends hospital workers eight times, ending 2023. A cohort at one organization was surveyed 3-month intervals until Spring 2022 and re-surveyed 2023 using validated measures common problems. Of 538 the original cohort, 289 (54%) completed eighth survey. Repeated-measures ANOVA revealed significant changes psychological distress (F = 7.4, P < .001), posttraumatic symptoms 14.1, three dimensions burnout: emotional exhaustion 5.7, depersonalization 2.7, .01), personal accomplishment 2.8, .008). Over time, increased, decreased, fluctuated significantly without net change. did not improve year prior to declaration pandemic's end. The lack improvement distress, exhaustion, depersonalization, period which case rates declined public were relaxed is a concerning indication chronicity impact pandemic on workers.

Language: Английский

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A longitudinal study of healthcare workers’ mental health during Western Australia's unique policy response to COVID-19

BJPsych Open, Journal Year: 2024, Volume and Issue: 10(6)

Published: Nov. 1, 2024

Background Western Australia's response to the COVID-19 pandemic was swift and effective in implementing public health protections preventing spread of virus for first 2 years. However, healthcare staff continued be at increased risk mental concerns. Aims To investigate longitudinal patterns post-traumatic stress symptoms (PTSS), depression anxiety among workers Australia, protective factors associated with changes status during wave. Method Participants comprised 183 working tertiary hospitals major clinics across Perth, whom data were available. Questionnaire collected before community wave early 2022 following late 2022. Online surveys validated measures assessing psychological symptoms, factors, original workplace factors. Results Overall rates PTSS, remained stable two assessment points. latent growth models revealed that those lower or baseline reported a larger increase over time, higher had smaller decline indicating ‘catch-up’ effect. Workplace stressors, sleep difficulties trauma exposure key from baseline, social supports played roles. Conclusions Improvements systemic are needed support workers’ periods acute stress, even settings high levels emergency preparedness.

Language: Английский

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