P.0641 Mental health status of the intensive care unit healthcare workers in an university hospital at the beginning of COVID-19 pandemic

ObjectiveThis study aims to assess and compare demographic and psychological factors and sleep status of frontline healthcare workers (HCWs) in relation to non-frontline HCWs.Design, settings, participants and outcomesThis cross-sectional study was conducted from 8 April 2020 to 17 April 2020 using an online survey across varied healthcare settings in Oman accruing 1139 HCWs.The primary and secondary outcomes were mental health status and sociodemographic data, respectively. Mental health status was assessed using the Depression, Anxiety, and Stress Scale (DASS-21), and insomnia was evaluated by the Insomnia Severity Index. Samples were categorised into the frontline and non-frontline groups. χ2 and t-tests were used to compare groups by demographic data. The Mantel-Haenszel OR was used to compare groups by mental health outcomes adjusted by all sociodemographic factors.ResultsThis study included 1139 HCWs working in Oman. While working during the pandemic period, a total of 368 (32.3%), 388 (34.1%), 271 (23.8%) and 211 (18.5%) respondents were reported to have depression, anxiety, stress and insomnia, respectively. HCWs in the frontline group were 1.5 times more likely to report anxiety (OR=1.557, p=0.004), stress (OR=1.506, p=0.016) and insomnia (OR=1.586, p=0.013) as compared with those in the non-frontline group. No significant differences in depression status were found between the frontline and non-frontline groups (p=0.201).ConclusionsTo our knowledge, this is the first study to explore the differential impacts of the COVID-19 pandemic on different grades of HCWs. This study suggests that frontline HCWs are disproportionally affected compared to non-frontline HCWs, with managing sleep–wake cycles and anxiety symptoms being highly endorsed among frontline HCWs. As psychosocial interventions are likely to be constrained owing to the pandemic, mental healthcare must first be directed to frontline HCWs.

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Hand hygiene knowledge, perception and practice of healthcare workers in a Turkish university hospital intensive care unit

The Journal of Infection in Developing Countries ◽

10.3855/jidc.10916 ◽

2019 ◽

Vol 13 (08) ◽

pp. 744-747 ◽

Cited By ~ 1

Author(s):

Uluhan Sili ◽

Pinar Ay ◽

Huseyin Bilgin ◽

Seyhan Hidiroglu ◽

Volkan Korten

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Hand Hygiene ◽

Healthcare Workers ◽

Compliance Rate ◽

Cross Sectional Study ◽

University Hospital ◽

World Health ◽

Training Methods ◽

Cross Sectional

Introduction: While improvement of hand hygiene (HH) compliance is considered as the best approach to reduce healthcare-associated infections, the instructional interventions in HH among healthcare workers of intensive care unit (ICU) of our hospital was not successful enough. The following study was conducted to evaluate HH knowledge, perception, practice and effectiveness of the trainings among healthcare workers of ICU in our hospital. Methodology: A cross-sectional study was conducted in the ICU containing 8 medical and 16 surgical beds with 284 filled questionnaires about HH knowledge and 1187 observed opportunities for HH compliance. Results: Overall observed HH compliance rate was 40.6%; lowest compliance was 21.7% for “before clean/aseptic procedure” indication and highest compliance was 68.6% for “after touching a patient” indication. Although > 90% healthcare workers correctly identified the World Health Organization’s five indications for HH, 82 – 85% failed to recognize non-indications, i.e. when it was not necessary to perform HH. Our study showed that 15.1% of healthcare workers neither received nor felt the need for HH training. Conclusions: Despite regular HH trainings, healthcare workers could not differentiate when HH was not required which suggested failure to understand HH rationale. This may explain poor HH compliance rates. A systematic study is needed in order to find out the reasons behind of this noncompliance and improve HH training methods for educating healthcare workers.

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Mental Health Status of Healthcare Workers in China for COVID-19 Epidemic

Annals of Global Health ◽

10.5334/aogh.3005 ◽

2020 ◽

Vol 86 (1) ◽

Cited By ~ 1

Author(s):

Zijun Liu ◽

Jie Wu ◽

Xiuying Shi ◽

Yuhan Ma ◽

Xiao Ma ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Healthcare Workers ◽

Mental Health Status

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Does working in COVID 19 units affect mental health status of healthcare workers during COVID 19 pandemic?

10.1183/13993003.congress-2021.pa975 ◽

2021 ◽

Author(s):

Islam Mejri Ep Ajili ◽

Imen Youssfi ◽

Asma Riahi ◽

Selsabil Daboussi ◽

Samira Mhamdi ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Healthcare Workers ◽

Mental Health Status

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Clinical Utility of a Structured Program to Reduce the Risk of Health-Related Quality of Life Impairment after Discharge from Intensive Care Unit: A Real-World Experience

Critical Care Research and Practice ◽

10.1155/2018/3838962 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 1

Author(s):

Angelica Venni ◽

Francesca Ioia ◽

Silvia Laviola ◽

Francesca Frigieri ◽

Alessandra Pieri ◽

...

Keyword(s):

Mental Health ◽

Intensive Care ◽

Health Status ◽

Mental Health Status ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Structured Program

Background. Postdischarge deterioration in health-related quality of life (HRQoL) is a major clinical issue for patients after an intensive care unit (ICU) hospitalization. A significant proportion of these patients is known to develop a progressive worsening of mental and physical performance—the so-called post-intensive care syndrome (PICS). Aim. We aimed at exploring the effects of a structured program for the management of ICU patients, aimed at improving postdischarge HRQoL and reducing the risk of PICS. Methods. A total of 159 patients hospitalized in our ICU with a length of stay >72 hours were enrolled in an institutional management protocol including specific recommendations: adequate sedation and analgesia protocols, to ensure a valid delirium prevention strategy, and to provide a planned midterm after discharge. The main endpoint was the occurrence of PICS at the 6-month follow-up visitation, defined as an abnormal physical or mental score in the SF-12 questionnaire in the presence of clinical evidence of new or worsening impairment in physical, cognitive, or mental health status. An additional questionnaire was administered, to assess the effects of ICU-related memories. Results. Most patients positively rated their health at the 6-month follow-up and had no significant impairment in physical or mental health status. The mean normalized values of the physical and mental component of the SF-12 score were 46 ± 11 and 48 ± 14, suggesting a normal physical and mental health status in most patients. Twenty-nine patients (18.2%) showed evidence of PICS. Similar good results were found by the questionnaire of memories. In multivariable analysis, no variable was found to predict the risk of PICS in our population. Conclusion. In this real-world analysis that lacks a control group, patients who used a program aimed at minimizing the risk of HRQoL deterioration and PICS reported a good perception of their state of health with a relatively low prevalence of PICS.

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Effect of a Rotation Training System on the Mental Health Status of Postgraduate Dental Trainees at Kyushu University Hospital, Fukuoka, Japan

Journal of Dental Education ◽

10.1002/j.0022-0337.2014.78.2.tb05674.x ◽

2014 ◽

Vol 78 (2) ◽

pp. 243-249 ◽

Cited By ~ 1

Author(s):

Tohru Takarada ◽

Tetsunosuke Asada ◽

Yoshihisa Sumi ◽

Yoshinori Higuchi

Keyword(s):

Mental Health ◽

Health Status ◽

Training System ◽

Mental Health Status ◽

University Hospital

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Psychosocial distress amongst Canadian intensive care unit healthcare workers during the acceleration phase of the COVID-19 pandemic

PLoS ONE ◽

10.1371/journal.pone.0254708 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0254708

Author(s):

Alexandra Binnie ◽

Kyra Moura ◽

Claire Moura ◽

Frédérick D’Aragon ◽

Jennifer L. Y. Tsang

Keyword(s):

Mental Health ◽

Intensive Care Unit ◽

Intensive Care ◽

Healthcare Workers ◽

General Health Questionnaire ◽

Disease Outbreaks ◽

Psychosocial Distress ◽

Acceleration Phase ◽

Cross Sectional ◽

Large Numbers

Intensive care unit healthcare workers (ICU HCW) are at risk of mental health issues during emerging disease outbreaks. A study of ICU HCW from France revealed symptoms of anxiety and depression in 50.4% and 30.4% of workers at the peak of the first wave of the pandemic. The level of COVID-19 exposure of these ICU HCW was very high. In Canada, ICU HCW experienced variable exposure to COVID-19 during the first wave of the pandemic, with some hospitals seeing large numbers of patients while others saw few or none. In this study we examined the relationship between COVID-19 exposure and mental health in Canadian ICU HCW. We conducted a cross-sectional cohort study of Canadian ICU HCW in April 2020, during the acceleration phase of the first wave of the pandemic. Psychosocial distress was assessed using the 12-item General Health Questionnaire (GHQ-12). Participants were asked about sources of stress as well as about exposure to COVID-19 patients and availability of personal protective equipment (PPE). Factors associated with clinically-relevant psychosocial distress were identified. Responses were received from 310 Canadian ICU HCW affiliated with more than 30 institutions. Of these, 64.5% scored ≥ 3 points on the GHQ-12 questionnaire, indicating clinically-relevant psychosocial distress. The frequency of psychosocial distress was highest amongst registered nurses (75.7%) and lowest amongst physicians (49.4%). It was also higher amongst females (64.9%) than males (47.6%). Although PPE availability was good (> 80% of participants reported adequate availability), there was significant anxiety with respect to PPE availability, with respect to the risk of being infected with COVID-19, and with respect to the risk of transmitting COVID-19 to others. In multivariable regression analysis, Anxiety with respect to being infected with COVID-19 (OR 1.53, CI 1.31–1.81) was the strongest positive predictor of clinically-relevant psychosocial distress while the Number of shifts with COVID-19 exposure (OR 0.86, CI 0.75–0.95) was the strongest negative predictor. In summary, clinically-relevant psychosocial distress was identified amongst a majority of ICU HCW during the acceleration phase of the first wave of the COVID-19 pandemic, including those with minimal or no exposure to COVID-19. Strategies to support mental health amongst ICU HCW are required across the entire healthcare system.

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