scholarly journals Factors associated with peritraumatic stress symptoms among the frontline healthcare workers during the outbreak of COVID-19 in China

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e047753
Author(s):  
Xinye Qi ◽  
Jiahui Wang ◽  
Jingjing Liu ◽  
Daniel Adjei Amporfro ◽  
Kexin Wang ◽  
...  
Keyword(s):  
Social Support ◽  
Emotional Exhaustion ◽  
Healthcare Workers ◽  
Physical Symptoms ◽  
Perceived Threat ◽  
Factors Associated ◽  
Stress Symptoms ◽  
Reported Health ◽  
Clinically Significant ◽  
And Control

ObjectivesThis study aimed to examine the prevalence of peritraumatic stress symptoms (PTSSs), perceived threat, social support and factors contributing to clinically significant PTSS among frontline COVID-19 healthcare workers (HCWs) in China.Design and settingAn online survey through self-administered questionnaires was conducted from 18 February to 4 March 2020, during the outbreak of COVID-19.Outcomes measuresPTSS was assessed using the post-traumatic stress disorder (PTSD) self-rating scale. Demographic and socioeconomic characteristics, self-reported health, physical/psychological symptoms, perceived threat from frontline work and perceived social support were investigated. Multivariable line regression analysis distinguished factors associated with HCWs’ PTSS scores.ResultsA total of 676 (58.1%) HCWs have shown clinically significant high levels of PTSS. Only 441 (37.9%) self-reported good health. Most had physical symptom(s) (915 (78.7%)), psychological symptom(s) (906 (77.9%)), inability to vent emotions (284 (24.4%)), emotional exhaustion (666 (57.3%)) and 1037 (89.2%) needed professional respect. Moreover, social support received was less than expected, and the receipt of psychological services/help scored the lowest (3.11±1.73). Combined psychological and physical symptoms, difficulty in releasing tension and venting emotions timely, fear of infection, emotional exhaustion and depersonalisation are significantly associated with PTSS scores among frontline HCWs. Working ≥8 hours, having the senior professional title, self-reported health, enjoying perfect protection and control measures, economic subsidy and control policy on reducing discriminatory practices are negatively correlated with PTSS scores.ConclusionsDuring the outbreak of COVID-19, frontline HCWs experienced clinically significant high levels of PTSS and heavy workload, and the emergency resulted in their inadequate psychosocial support. If this is left unchecked, HCWs have a higher risk of developing PTSD. Early detection, identification and person-directed, targeted multidisciplinary interventions should be undertaken to address various influencing factors. Comprehensive measures, including setting up emotional release channels, as well as providing psychological and social support intervention for HCWs globally, are highly recommended.

scholarly journals Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic

BJPsych Open ◽  
2020 ◽  
Vol 6 (6) ◽  
Author(s):  
Nicholas W. S. Chew ◽  
Jinghao Nicholas Ngiam ◽  
Benjamin Yong-Qiang Tan ◽  
Sai-Meng Tham ◽  
Celine Yan-Shan Tan ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Physical Symptoms ◽  
Psychological Outcomes ◽  
Asia Pacific ◽  
Pacific Region ◽  
Medical Conditions ◽  
Asia Pacific Region ◽  
Factors Associated ◽  
Prevalence Of Depression ◽  
The Impact

Background The coronavirus disease 2019 (COVID-19) pandemic has led to significant strain on front-line healthcare workers. Aims In this multicentre study, we compared the psychological outcomes during the COVID-19 pandemic in various countries in the Asia-Pacific region and identified factors associated with adverse psychological outcomes. Method From 29 April to 4 June 2020, the study recruited healthcare workers from major healthcare institutions in five countries in the Asia-Pacific region. A self-administrated survey that collected information on prior medical conditions, presence of symptoms, and scores on the Depression Anxiety Stress Scales and the Impact of Events Scale-Revised were used. The prevalence of depression, anxiety, stress and post-traumatic stress disorder (PTSD) relating to COVID-19 was compared, and multivariable logistic regression identified independent factors associated with adverse psychological outcomes within each country. Results A total of 1146 participants from India, Indonesia, Singapore, Malaysia and Vietnam were studied. Despite having the lowest volume of cases, Vietnam displayed the highest prevalence of PTSD. In contrast, Singapore reported the highest case volume, but had a lower prevalence of depression and anxiety. In the multivariable analysis, we found that non-medically trained personnel, the presence of physical symptoms and presence of prior medical conditions were independent predictors across the participating countries. Conclusions This study highlights that the varied prevalence of psychological adversity among healthcare workers is independent of the burden of COVID-19 cases within each country. Early psychological interventions may be beneficial for the vulnerable groups of healthcare workers with presence of physical symptoms, prior medical conditions and those who are not medically trained.

scholarly journals 459. Outcomes and Factors Associated with a SARS-CoV-2 Positive Test in Asymptomatic and Symptomatic Healthcare Workers of a Mexican Hospital Converted to Treat COVID-19 Patients

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S297-S297
Author(s):  
Sandra Rajme-López ◽  
Patricia E Leal-Morán ◽  
Fernanda Gonzalez-Lara ◽  
Abril T Vargas-Fernández ◽  
Eric Ochoa-Hein ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Face Mask ◽  
Lower Percentage ◽  
Infection Prevention And Control ◽  
Surveillance Program ◽  
Median Hospital Stay ◽  
Factors Associated ◽  
Epidemic Curve ◽  
And Control

Abstract Background Starting on 03/16/2020, the hospital was converted to attend only patients with COVID-19. A surveillance program for healthcare workers (HCWs) that included free in-site medical consultation and RT-PCR for detection of SARS-CoV-2 was initiated. On 04/28/2020, screening of HCWs was started to detect asymptomatic carriers. We report the results of such programs updated to 05/21/2020. Methods Sex, worker category, working area, use of personal protective equipment, date of screening, date of onset of symptoms and home address were retrieved from electronic databases. Logistic regression was done to identify factors associated with being a COVID-19 case or carrier, with p< 0.05 being significant. Odds ratios and incidence densities were calculated. Results Of 2566 HCWs in the hospital, 976 (38.0%) underwent screening and 41 (4.2%) were positive for SARS-CoV-2 (7.4 carriers x 10,000 person-days; median follow-up of 55.5 days); none of the latter were diagnosed with COVID-19 after completing a 14-day follow-up. Of HCWs with negative screen results, 6 (0.6%) ultimately developed COVID-19 after a median of 10 days (1.1 cases x 10,000 person-days). Of 232 symptomatic HCWs that did not undergo basal screening, 131 (56.5%) were diagnosed with COVID-19 (8.8 cases x 10,000 person-days). Ten COVID-19 cases (7.6%) were hospitalized and all were discharged without complications after a median hospital stay of 9 days. Factors associated with COVID-19 were working in a non-clinical area (OR=9.3, 95% CI=1.1–78.6) and being a nurse (OR=1.9, 95% CI=1.1–3.4). Factors associated with being a carrier were living in the State of Mexico (OR=3.7, 95% CI=1.8–8.0) and being a hospital cook (OR=3.7, 95% CI=1.7–8.5). Being a physician was associated with not being a carrier (OR=0.07, 95% CI=0.01–0.5). Wearing a face mask at all times tended to be associated with not being a carrier. Hospital epidemic curves closely ressembled those of the community (Mexico City). Hospital Epidemic Curve, 03/16/2020 - 05/21/2020 Conclusion This study suggests that factors present inside and outside of the hospital are associated with COVID-19 and asymptomatic carriage in HCWs. This information is of utmost importance for infection prevention and control policies. Additionally, a lower percentage of severe cases and no deaths were observed in this cohort as compared to others. Disclosures All Authors: No reported disclosures

scholarly journals Perceived Threat of COVID-19 Contagion and Frontline Paramedics’ Agonistic Behaviour: Employing a Stressor–Strain–Outcome Perspective

2020 ◽  
Vol 17 (14) ◽  
pp. 5102 ◽  
Author(s):  
Fakhar Shahzad ◽  
Jianguo Du ◽  
Imran Khan ◽  
Adnan Fateh ◽  
Muhammad Shahbaz ◽  
...  
Keyword(s):  
Social Support ◽  
Emotional Exhaustion ◽  
Perceived Social Support ◽  
Perceived Threat ◽  
Agonistic Behaviour ◽  
Research Model ◽  
Perception Of Self ◽  
Outcome Perspective ◽  
Anxiety Depression ◽  
Structured Questionnaire

Historically, infectious diseases have been the leading cause of human psychosomatic strain and death tolls. This research investigated the recent threat of COVID-19 contagion, especially its impact among frontline paramedics treating patients with COVID-19, and their perception of self-infection, which ultimately increases their agonistic behaviour. Based on the stressor–strain–outcome paradigm, a research model was proposed and investigated using survey-based data through a structured questionnaire. The results found that the perceived threat of COVID-19 contagion (emotional and cognitive threat) was positively correlated with physiological anxiety, depression, and emotional exhaustion, which led toward agonistic behaviour. Further, perceived social support was a key moderator that negatively affected the relationships between agonistic behaviour and physiological anxiety, depression, and emotional exhaustion. These findings significantly contributed to the current literature concerning COVID-19 and pandemic-related effects on human behaviour. This study also theorized the concept of human agonistic behaviour, which has key implications for future researchers.

scholarly journals Factors Associated With Burnout Among Nurses at International Hospital Kampala (IHK)

2020 ◽  
Vol 5 (4) ◽  
pp. 32
Author(s):  
Ashaba Aheebwa Anita ◽  
Omona Kizito
Keyword(s):  
Social Support ◽  
Emotional Exhaustion ◽  
Health Care Professionals ◽  
Maslach Burnout Inventory ◽  
Well Being ◽  
Personal Accomplishment ◽  
Cross Sectional ◽  
Factors Associated ◽  
Cross Sectional Design ◽  
Methods Analytical

Introduction: Burnout is a psychological syndrome involving physical depletion, feelings of helplessness, negative self-concept, and negative attitudes towards work, life, and others. Burnout is a problem among health care professionals and nurses are found to be vulnerable. It is associated with a decrease in occupational well-being and increase in absenteeism, turnover and illness.Objectives: To evaluate the prevalence and factors associated with burnout among nurses at International Hospital Kampala (IHK).Methods: Analytical cross-sectional design was used. Data was collected from a sample of 120 nurses using questionnaire and Maslach Burnout Inventory (MBI) tools. Analysis was done using Statistical Package for Social Sciences and Microsoft excel.Results: The prevalence of burnout within the MBI subscales was highest in the subscale of personal accomplishment (PA) - 72.5%), followed by Depersonalization (DP) – 66.8% and Emotional Exhaustion (EE) - 61.7%. Overall prevalence of burnout among was 66.95%. Nurses with high burnout had the lowest level of personal accomplishment-18.33% while nurses with low burnout had the highest level of personal accomplishment-72.5%. Age (X2(2) =6.670, p=0.036) was associated with burnout. Respondent years in service was more highly associated with burnout (X2(2) = 10.961, p=0.004). Job satisfaction (X2(1) = 4.361, p=0.037) was associated with burnout. Emotional Exhaustion (EE) of the respondents (X2(2) =29.197, p=0.000) was associated with burnout. Many nurses, 61(50.8%) had EE and burnout. Depersonalization (DP) (X2(2) =72.803, p=0.000) was also associated with burnout. Hours worked in a day (X2(1) =72.803, p=0.016) was associated with burnout. Getting social support at work (X2(1) =72.803, p=0.016) was associated with burnout, thus 48(40.0%) of the nurses who got social support had burnout.Conclusion: The prevalence of burnout is quite high among nurses. 

Culture Accounts for Physical Symptoms Beyond Social Support Among Latino Students

2014 ◽  
Author(s):  
Yajaira Johnson-Esparza ◽  
Patricia Rodriguez Espinosa ◽  
Steven P. Verney
Keyword(s):  
Social Support ◽  
Latino Students ◽  
Physical Symptoms

Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala
Keyword(s):  
Healthcare Worker ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Teaching Hospitals ◽  
Infection Prevention And Control ◽  
Amhara Region ◽  
Implementation Barriers ◽  
Control Practice ◽  
And Control

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.

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