scholarly journals Psychological burden of healthcare professionals in Germany during the acute phase of the COVID-19 pandemic: differences and similarities in the international context

2020 ◽  
Vol 42 (4) ◽  
pp. 688-695 ◽  
Author(s):  
Eva-Maria Skoda ◽  
Martin Teufel ◽  
Andreas Stang ◽  
Karl-Heinz Jöckel ◽  
Florian Junne ◽  
...  
Keyword(s):  
Health Status ◽  
Nursing Staff ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Vulnerable Groups ◽  
Generalized Anxiety ◽  
Cross Sectional ◽  
Psychological Burden ◽  
Anxiety Levels ◽  
Subjective Level

Abstract Background Healthcare professionals (HPs) are the key figures to keep up the healthcare system during the COVID-19 pandemic and thus are one of the most vulnerable groups in this. To this point, the extent of this psychological burden, especially in Europe and Germany, remains unclear. This is the first study investigating German HPs after the COVID-19 outbreak. Methods We performed an online-based cross-sectional study after the COVID-19 outbreak in Germany (10–31 March 2020). In total, 2224 HPs (physicians n = 492, nursing staff n = 1511, paramedics n = 221) and 10 639 non-healthcare professionals (nHPs) were assessed including generalized anxiety (Generalized Anxiety Disorder-7), depression (Patient Health Questionnaire-2), current health status (EQ-5D-3L), COVID-19-related fear, subjective level of information regarding COVID-19. Results HPs showed less generalized anxiety, depression and COVID-19-related fear and higher health status and subjective level of information regarding COVID-19 than the nHPs. Within the HP groups, nursing staff were the most psychologically burdened. Subjective levels of information regarding COVID-19 correlated negatively with generalized anxiety levels across all groups. Among HPs, nursing staff showed the highest and paramedics the lowest generalized anxiety levels. Conclusions In the context of COVID-19, German HPs seem to be less psychological burdened than nHPs, and also less burdened compared with existing international data.

scholarly journals Mental Health Burden of the COVID-19 Outbreak in Germany: Predictors of Mental Health Impairment

2020 ◽  
Vol 11 ◽  
pp. 215013272095368 ◽  
Author(s):  
Alexander Bäuerle ◽  
Jasmin Steinbach ◽  
Adam Schweda ◽  
Jil Beckord ◽  
Madeleine Hetkamp ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Depression Symptoms ◽  
Depression And Anxiety ◽  
Cross Sectional ◽  
Psychological Burden ◽  
Individual Level ◽  
Subjective Level

Introduction: COVID-19 is causing an enormous psychological burden for most people. This study aims to assess individual changes in mental health and health status before and after the COVID-19 outbreak, and to explore potential predictors of change. Methods: A cross-sectional study in Germany (n = 15 037) were conducted. Demographics, depression and anxiety symptoms (PHQ-2, GAD-2), distress (DT), and health status (EQ-5D-3L) were assessed. Additionally, all instruments used were adapted to measure the participants’ mental health and health status before the COVID-19 outbreak. COVID-19-related fear, trust in governmental actions to face COVID-19, and the subjective level of information about COVID-19 were examined. Results: Overall, the participants showed a significant increase in depression and anxiety symptoms, and distress, while health status deteriorated since the COVID-19 outbreak. Impairment in mental health was predicted by COVID-19-related fear. Pre-existing mental illness predicted an increase in depression symptoms and a deterioration in health status. Trust in governmental actions and the subjective level of information predicted less increase in psychological burden. Conclusions: Our data revealed that there have been changes in mental health and health status at an individual level since the outbreak of COVID-19. In order to maintain mental health, the observed predictors should be addressed.

scholarly journals Intensive care unit professionals during the COVID-19 pandemic in Spain: social and work-related variables, COVID-19 symptoms, worries, and generalized anxiety levels

2021 ◽  
Vol 36 (3) ◽  
pp. 232-241
Author(s):  
Fernando J. García-Hedrera ◽  
Fernanda Gil-Almagro ◽  
F. Javier Carmona-Monge ◽  
Cecilia Peñacoba-Puente ◽  
Patricia Catalá-Mesón ◽  
...  
Keyword(s):  
Intensive Care ◽  
Online Survey ◽  
Work Conditions ◽  
Cross Sectional Study ◽  
Physical Symptoms ◽  
Generalized Anxiety ◽  
Cross Sectional ◽  
Work Related ◽  
Final Sample ◽  
Anxiety Levels

Background: The severe acute respiratory syndrome coronavirus 2 outbreak has been identified as a pandemic and global health emergency. It presents as a severe acute respiratory disease. The rapid dissemination of the disease created challenges for healthcare systems and forced healthcare workers (HCWs) to deal with many clinical and nonclinical stresses. The aim of our research is to describe work conditions, symptoms experienced by HCWs, worries about contagion, and generalized anxiety symptoms and compare those findings across regions in Spain. Methods: This cross-sectional study was conducted using an online survey. Critical care units throughout Spain were included. The sample comprised HCWs working in intensive care units from March to May 2020. We assessed work variables, physical symptoms, worries about contagion, and anxiety (generalized anxiety disorder-7 questionnaire). Results: The final sample comprised 448 surveys. Among the respondents, 86.9% (n=389) were nursing professionals, and 84.8% (n=380) were women. All participants cared for coronavirus disease 2019 (COVID-19) patients during the study period. Workload during the pandemic in Madrid was judged to be higher than in other regions (P<0.01). The availability of personal protective equipment was found to be higher in Cataluña. The most frequently experienced symptom was headaches (78.1%). Worries about self-infection and the possibility of infecting others received mean scores of 3.11 and 3.75, respectively. Mean scores for generalized anxiety levels were 11.02, with 58.7% of the professionals presenting with generalized anxiety syndrome during the assessment. Conclusions: In this study, we found high levels of anxiety among HCWs caring directly for COVID-19 patients, which could produce long-term psychological alterations that still need to be assessed.

scholarly journals COVID-19-Related Fear, Risk Perception, and Safety Behavior in Individuals with Diabetes

Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 480
Author(s):  
Venja Musche ◽  
Hannah Kohler ◽  
Alexander Bäuerle ◽  
Adam Schweda ◽  
Benjamin Weismüller ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Risk Perception ◽  
Significant Risk ◽  
Cross Sectional Study ◽  
Generalized Anxiety ◽  
Safety Behavior ◽  
Cross Sectional ◽  
Psychological Burden ◽  
Increased Risk ◽  
Patients With Diabetes

(1) The aim of the study is to assess the psychological burden of individuals with diabetes during the COVID-19 pandemic in comparison to matched controls. (2) Over the course of eight weeks, 9 April to 3 June 2020, 253 individuals with diabetes and 253 matched controls, using Propensity Score Matching (PSM), participated in this cross-sectional study. Participants completed an anonymous survey including demographics, depressive symptoms (PHQ-2), generalized anxiety (GAD-7), COVID-19-related fear, risk perception, and safety behavior. (3) While patients with diabetes expected their risk of infection similar to controls, they reported a higher probability of the occurrence of symptoms, severe course, and dying of COVID-19. Patients with diabetes showed no elevated generalized anxiety or depressive symptoms. However, they reported higher COVID-19-related fear and more adherent and dysfunctional safety behavior compared to controls. (4) From a public health view, it seems encouraging that despite the somatic risk condition, generalized anxiety and depression are not higher in patients with diabetes than in controls. Patients with diabetes report higher COVID-19-related fear, increased risk perception, and behavioral changes. This suggests that individuals with diabetes, as a significant risk group of severe COVID-19, show an adequate perception and functional reaction to the current pandemic.

scholarly journals Impact of COVID-19 on the Anxiety Perceived by Healthcare Professionals: Differences between Primary Care and Hospital Care

2021 ◽  
Vol 18 (6) ◽  
pp. 3277
Author(s):  
Ana C. Londoño-Ramírez ◽  
Sandro García-Pla ◽  
Purificación Bernabeu-Juan ◽  
Enrique Pérez-Martínez ◽  
Jesús Rodríguez-Marín ◽  
...  
Keyword(s):  
Primary Care ◽  
At Risk ◽  
Healthcare Professionals ◽  
Cross Sectional Study ◽  
Emotional Impact ◽  
Cross Sectional ◽  
Factors Associated ◽  
Levels Of Care ◽  
Anxiety Levels ◽  
Using Data

The COVID-19 pandemic has had an emotional impact on healthcare professionals at different levels of care, and it is important to understand the levels of anxiety of hospital personnel (HP) compared to those of primary care personnel (PCP). The objectives herein were to assess the differences in anxiety levels between these populations and to detect factors that may influence them. The anxiety levels (measured using the Hospital Anxiety and Depression (HAD) scale) of the HP and PCP groups were compared using data collected from a cross-sectional study. The secondary variables included demographic and health data, confinement factors, contact with COVID-19 patients, having suffered from COVID-19, perceptions of protection, caregiver overload, threat, and satisfaction with management. We found anxiety “case” (35.6%) and “at-risk” (21%), with statistically significant differences in the group “at risk”, and higher scores in the PCP group. The factors associated with the perception of threat and protection were significant determinants of an increase in anxiety, with all of them showing statistically significant differences. There were greater symptoms of anxiety in the PCP group than the HP group (32% vs. 18%). The factors associated with the prevalence of anxiety symptoms were the perceptions of threat, protection, management, caregiver overload, and perceived degree of threat associated with COVID-19.

scholarly journals KNOWLEDGE, ATTITUDE, AND PRACTICE TOWARD PHARMACOVIGILANCE AND ADVERSE DRUG REACTION REPORTING AMONG NURSING STAFF AND STUDENTS

2018 ◽  
Vol 11 (3) ◽  
pp. 62
Author(s):  
Dharini B ◽  
Nagarjuna Reddy V ◽  
Deepalakshmi M ◽  
Pramod Kumar A
Keyword(s):  
Nursing Students ◽  
Educational Intervention ◽  
Nursing Staff ◽  
Healthcare Professionals ◽  
Adverse Drug Reaction Reporting ◽  
Cross Sectional Study ◽  
Post Intervention ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
The Impact

 Objective: The objective of this study is to assess awareness of Pharmacovigilance among the healthcare professionals and to evaluate the impact of an educational intervention for improving awareness of Pharmacovigilance among the nursing staff and nursing students from Bengaluru, Karnataka, India.Methods: A cross-sectional study was carried out using a validated questionnaire that included demographic details and 20 survey items to evaluate the participants’ knowledge, attitude, and perception (KAP) on adverse drug reactions (ADRs) and Pharmacovigilance. All participants received an interactive educational intervention in the form of a lecture. A pre- and post-KAP questionnaire survey was used to evaluate the impact of educational intervention among the participants. The Statistical Package for Social Sciences statistical software, version 16, was used to analyze the data.Results: A total of 103 healthcare professionals in the study responded to the pre- and post-KAP survey questionnaires. 66 nursing students and 37 nursing staff were involved in the study. The increased awareness among the study subjects about pharmacovigilance between pre- and post-intervention was statistically significant (p<0.001) which showed the effectiveness of educational intervention carried out.Conclusion: The results show that participants in the study were only moderately aware of ADR monitoring. However, they had expressed a positive attitude toward Pharmacovigilance and ADRs reporting. There is a need to create awareness among the nursing fraternity about ADR reporting for improving the spontaneous reporting.

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