Coronavirus disease 2019 aftermath: psychological trauma in ICU healthcare workers

Current Opinion in Critical Care, Год журнала: 2022, Номер 28(6), С. 686 - 694

Опубликована: Окт. 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.

Язык: Английский

---

Psychometric evaluation of PHQ–9 and GAD–7 among community health volunteers and nurses/midwives in Kenya following a nation-wide telephonic survey

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Май 30, 2023

Nurses/midwives and Community Health Volunteers (CHVs) are exposed to chronic stressors putting them at risk of developing mental health problems. This has been exacerbated by the COVID-19 pandemic. There is limited empirical evidence burden problems among care workers partly due lack adequately standardized validated measures for use in Sub-Saharan Africa. study aimed perform psychometric evaluation PHQ-9 GAD-7 administered nurses/midwives CHVs across 47 counties Kenya.

Язык: Английский

---

The impact of COVID-19 workload on psychological distress amongst Canadian intensive care unit healthcare workers during the 1st wave of the COVID-19 pandemic: A longitudinal cohort study

PLoS ONE, Год журнала: 2024, Номер 19(3), С. e0290749 - e0290749

Опубликована: Март 7, 2024

Intensive care unit healthcare workers (ICU HCW) are at risk of mental health disorders during emerging disease outbreaks. Numerous cross-sectional studies have reported psychological distress, anxiety, and depression amongst ICU HCW the COVID-19 pandemic. However, few followed longitudinally, none these examined association between workload health. We conducted a longitudinal cohort study 309 Canadian from April 2020 to August 2020, 1 st wave Psychological distress was assessed using General Health Questionnaire 12-item scale (GHQ-12) 3 timepoints: acceleration phase (T1), deceleration (T2), after had passed (T3). Clinically relevant defined as GHQ-12 score ≥ 3, identified in 64.7% participants T1, 41.0% T2, 34.6% T3. not associated with T1. At number patients (odds ratio [OR]: 1.06, 95% confidence interval [CI]: 1.00, 1.13) while T3, when patient numbers were low, it weekly hospital shifts exposure (OR: 1.33, CI: 1.09, 1.64). When analyzed longitudinally mixed effects model, pandemic timepoint stronger predictor 0.24, 0.15, 0.40 for T2 OR: 0.16, 0.09, 0.27 T3) than workload. Participants who showed persistent T3 compared those recovery Persistent higher 1.97, CI:1.33, 3.09) but 0.86, 0.76, 0.95). In summary, clinically observed majority decreased rapidly progressed. working more ICU. future outbreaks, minimizing direct may help alleviate symptoms individuals distress.

Язык: Английский

---

Providing compassionate care in a virtual context: Qualitative exploration of Canadian primary care nurses’ experiences

Digital Health, Год журнала: 2024, Номер 10

Опубликована: Янв. 1, 2024

Objective Virtual care presents a promising opportunity to create new communication channels and increase access healthcare. However, concerns have been raised around the potential for unintended emotional distances created through virtual environments that could strain patient–provider relationships. While compassionate is an enabler of connectivity core tenant nursing, little known about whether or how nurses adapted their compassion skills into interactions. These are particularly relevant in primary care, where there focus on relational continuity (i.e. relationship-based, longitudinal care) broad uptake care. The aim this study was explore meaning uncover operationalized interactions Methods We used qualitative interpretive descriptive lens conduct semistructured interviews with (Ontario, Canada) who had provided video visits, remote patient monitoring, asynchronous messaging). thematic approach analyze data. Results interviewed 18 nurse practitioners two registered nurses. Participants described how: (1) central nursing practice, (2) evolving nurse–patient interaction, (3) balanced practice patients’ expectations while providing Conclusions There better align nurses’ understanding operationalization contexts. Exploring settings necessary first step building competencies across profession support continued evolution health service delivery.

Язык: Английский

---

Shared sources and mechanisms of healthcare worker distress in COVID-19: a comparative qualitative study in Canada and the UK

European journal of psychotraumatology, Год журнала: 2022, Номер 13(2)

Опубликована: Авг. 11, 2022

Background: COVID-19 has had a significant impact on the wellbeing of healthcare workers, with quantitative studies identifying increased stress, anxiety, depression, insomnia, and PTSD in wide range settings. Limited qualitative data so far offered in-depth details concerning what underlies these challenges, but none provide comprehensive comparison across different systems.Objective: To explore findings relating to worker distress from two countries understand nuanced similarities differences respect sources COVID-19.Method: A comparative interpretive thematic analysis was carried out between sets examining workers' experiences during pandemic. Data Canada UK were collected parallel analyzed an iterative, collaborative process.Results: number cut both study settings including concerns about safety patient care, challenges at home or one's personal life, communication issues, work environment, media public perception, government responses These sit spectrum individual institutional mutually reinforcing. Our also suggested that common mechanisms such as exacerbations uncertainty, hypervigilance, moral injury underpinned sources, which contributed how they experienced distressing.Conclusion: This is first international collaboration utilising examine this pressing issue. Despite political, social, health service, pandemic-related context, by workers remarkably similar.HIGHLIGHTS explores lead are shared geographies cultures, even local context shapes themselves.

Язык: Английский

---

Effectiveness of auriculotherapy on stress reduction in health workers: a controlled randomized clinical trial

Revista Latino-Americana de Enfermagem, Год журнала: 2022, Номер 30

Опубликована: Янв. 1, 2022

Abstract Objective: to assess the effectiveness of auriculotherapy in reducing occupational stress among Family Health Strategy workers during COVID-19 pandemic. Method: a controlled randomized clinical trial divided into two groups, namely: for group and placebo group. The Shapiro-Wilk test was used data normality. ANOVA repeated measures Tukey post-hoc were applied with normal samples. In turn, Friedman Durbin-Conover tests employed non-normal distribution. Cohen’s d index calculated therapy effect size. A 95% significance level p<0.05 considered. Results: presented 16.3% 23.7% reductions after third sixth sessions, indices 1.12 (large effect) 1.82 (very large effect), respectively. Conclusion: proved be effective It is suggested that new studies are developed both pandemic order improve health workers’ Quality Life. ReBEC registration: RBR - 38hjyt3.

Язык: Английский

---

Living and working in rural healthcare during the COVID-19 pandemic: a qualitative study of rural family physicians' lived experiences

BMC Primary Care, Год журнала: 2022, Номер 23(1)

Опубликована: Дек. 22, 2022

Abstract Background The COVID-19 pandemic has been pervasive in its impact on all aspects of Canadian society. Along with pervasiveness, the disease provided unprecedented complexity to healthcare infrastructure, eliciting varying responses from afflicted systems Canada. However, insights into various parameters and complexities endured by rural physicians institutions during have scarce. Objective This paper explores conditions living working Rural Family Physicians (RFPs) Canada pandemic. Methods Community-based participatory research was utilized as a collaborative partnership approach, equitably engaged community members research, ranging designing question analyzing data. Participants this study include RFPs at least one year experience Data were collected through telephone interviews analyzed according six-phase guide for data's inductive thematic analysis. collection halted upon saturation. Results Five significant compiled categories reflect lived experiences Physicians. 1- virtual care challenge or forward progress; 2- canceling in-person visits interrupting routine; 3- shortage health providers supporting staff; 4-ongoing coping process guidelines; 5-COVID-19 combat fatigue. Discussion inception significantly impacted across several interconnected issues. illuminates lesser-known effects pandemic, which heavily impacts healthcare.

Язык: Английский

---

Canadian healthcare workers’ mental health and health behaviours during the COVID-19 pandemic: results from nine representative samples between April 2020 and February 2022

Can J Public Health, Год журнала: 2023, Номер 114(5), С. 823 - 839

Опубликована: Авг. 7, 2023

In the context of COVID-19, Canadian healthcare workers (HCWs) worked long hours, both to respond pandemic and compensate for colleagues who were not able work due infection burnout. This may have had detrimental effects on HCWs' mental health, as well engagement in health-promoting behaviours. study aimed identify changes health outcomes behaviours experienced by HCWs throughout COVID-19 pandemic.

Язык: Английский

---

Analysis of Psychological Trends and Policy Recommendations of Medical Staff in Northern China in the Latter Stages of the COVID-19 Pandemic

Frontiers in Psychology, Год журнала: 2021, Номер 12

Опубликована: Окт. 20, 2021

Aim: Since the 2019 coronavirus disease (COVID-19) outbreak, medical staff have faced greater psychological stress and are prone to problems such as anxiety depression, confirmed by several studies. This study further clarifies status of Chinese during stable phase pandemic through a cross-sectional investigation in large population sample northern China. Methods: Subjects: Clinical frontline from seven hospitals Liaoning Province were recruited November 2020 February 2021. Research Tools: The research tools used Self-Rating Anxiety Scale (SAS), Depression (SDS), Simplified Coping Style Questionnaire (SCSQ), General Status Questionnaire. Statistical Analysis: SPSS 22.0, ANOVA variance analysis, multiple logistics regression for statistical analysis. P-values <0.05 indicated significant differences. Results: A total 3,144 completed survey (599 men [19.1%] 2,545 women [80.9%]; 1,020 doctors [32.4%] 2,124 nurses [67.6%]). Among all subjects, rates depression 21.1% (663/3, 144) 43.9% (1,381/3,144), respectively. Multiple logistic comparative analysis revealed that age (OR = 1.272, 95% CI 1.036-1.561, P 0.022), need counseling 1.566, 1.339-1.830, < 0.001), coexistence 0.050, 0.038-0.066, 0.001) significantly associated with anxiety. Coexisting was also occurrence 0.038-0.065, 0.001). Conclusions: In later stages China, among remain high. addition age, there is little correlation between or general factors gender profession. As special group, show different changes at various times stressful event. Concerning needs psychologically oriented policy implementation needed.

Язык: Английский

---

Factors influencing the physio psychosocial state and health concerns of Canadian and Iranian undergraduate nursing students during the pandemic

Research Square (Research Square), Год журнала: 2024, Номер unknown

Опубликована: Фев. 15, 2024

Abstract The aim of our study is to investigate and analyze the factors that influence physical, psychological, social well-being nursing students in Canada Iran amidst COVID-19 pandemic.The current both descriptive comparative. Nursing from Canadian Iranian institutions. Data was collected using a questionnaire based on Short Health Anxiety Inventory (SHAI) scale Physio-Psychosocial Response Scale (PPSRS). There were statistically significant positive extremely strong correlations (respectively; r=.911, r=.964, r=.952). between total score physio-psycho-social response social, emotional, somatic subscales students' subgroups. According findings, pandemic has had negative impact students. scores physio psychosocial health anxiety found have relationship.The research findings support during pandemic, psychological initiatives for should be prioritized. Moreover, present could valuable assessing immediate needs general population who are encountering physical symptoms epidemic.

Язык: Английский

---