scholarly journals A Qualitative Study on of Psychological Stress Among Frontline Nurses Fighting COVID-19

Author(s):  
Aihong Pan ◽  
Yuyan Wu ◽  
Juanjuan Chen

Abstract Objectives To understand the mental health status of frontline nurses who were in direct contact with patients with confirmed or suspected coronavirus disease 2019 (COVID-19) and their tolerance for work duration and work intensity during the COVID epidemic, to identify the greatest source of stress, and to provide a scientific basis for targeted psychological interventions performed by clinical nursing managers to improve nurses' mental health. Methods Using a purposive sampling method, a semistructured interview was conducted with 50 nurses working in the COVID ward, observation ward, and fever clinic of a COVID-19 designated treatment hospital in Hefei City. The interview data were sorted and analyzed using the Colaizzi phenomenological research method. Results The frontline nurses felt stress, anxiety and loneliness, interpersonal distress, and psychological needs and had certain expectations regarding work duration and work intensity. Conclusion Nursing managers should pay attention to the psychological needs of frontline nurses caring for COVID-19 patients, provide targeted intervention measures and make timely adjustments, and create a psychological stress response model for these nurses.

2021 ◽  
Vol 15 (2) ◽  
pp. 155798832110126
Author(s):  
Anika R. Petrella ◽  
Catherine M. Sabiston ◽  
Madison F. Vani ◽  
Andrew Matthew ◽  
Daniel Santa Mina

Exploring tenets of basic psychological needs theory, the objective of this study was to examine the association between psychological needs satisfaction, exercise behavior, and physical and mental health among testicular cancer survivors. The present study investigated whether psychological needs satisfaction was directly associated with increased self-rated health, and if this relationship was mediated by engagement in exercise. Testicular cancer survivors ( N = 135; Mage = 32.45; SD = 7.63) self-reported current psychological needs satisfaction, exercise behavior, and perceived global physical and mental health during routine oncology visits. Associations were examined using path analysis. Psychological needs satisfaction was a positive correlate of both self-rated physical and mental health in this sample, and exercise mediated the association between needs satisfaction and self-rated physical health. This study supports the assumptions underpinning basic psychological needs theory in this unique clinical population. Based on the findings, exercise engagement represents one mechanism associated with perceived health after cancer. Supportive care interventions should aim to enhance satisfaction of psychological needs and investigate exercise as a mechanism underpinning the relationship between needs satisfaction and perceived health in testicular cancer survivors.


Author(s):  
Qiang Ren ◽  
Shan Jiang

Acculturation stress is prevalent among migrant populations. The current study examines whether acculturation stress influences migrant children’s mental health through the mediators of the satisfaction and frustration of basic psychological needs for autonomy, relatedness, and competence. A sample of 484 migrant children is obtained in Kunming, China using a multi-stage cluster random sampling. Data are analyzed through structural equation modeling in Mplus 8.0. Results indicate that acculturation stress has a direct impact on children’s depression but no significant direct effect on children’s happiness. Acculturation stress also has indirect effects on depression and happiness via the mediators of need satisfaction and frustration. Acculturation stress is negatively associated with need satisfaction and positively associated with need frustration, which is further significantly predictive of children’s happiness and depression. Overall, this study validates the basic psychological needs theory in the context of China’s internal migration. Findings contribute to the understanding of the mechanisms that underlie the relationship between acculturation stress and psychological outcomes and provide practical implications for future interventions.


2021 ◽  
pp. 1-10
Author(s):  
Joel Vos

Abstract Objectives Previous studies have shown that psychological stress and mental health problems increase the risk for cardiovascular disease (CVD) events, such as heart attack or stroke. Furthermore, after CVD events, the majority of patients report large stress. However, psychological treatments have only modest effects in CVD patients. Therefore, it has been argued that new conceptual models are needed to understand the aetiology of stress and mental health problems in CVD patients. Therefore, this study included a systematic literature review and a conceptual model on the role of meaning in life for psychological stress, mental health, and CVD risks. Methods A systematic literature review was conducted on relationships between CVD and meaning in life. PRISMA/MOOSE review guidelines were followed. These findings were used to build a conceptual model. Results The literature review included 113 studies on meaning and CVD. The included studies described meaning as a predictor of cardiovascular risks and health, meaning-centered needs of patients in conversations with medical staff, meaning-centered changes after CVD events, meaning-centered coping with CVD, meaning as motivator of CVD-related lifestyle changes, and meaning as an element in psychological treatments of CVD patients. In sum, the literature showed that a central clinical concern for patients is their question how to live a meaningful life despite CVD. Meaning-centered concerns seem to lead to lower motivation to make lifestyle changes, more psychological stress, lower quality-of-life, worse physical well-being, and increased CVD risk. The ability to live a meaningful life after CVD events is related with lower stress, better mental health, and several biomarkers. Significance of results An evidence-based conceptual framework was developed for the relationship between meaning and CVD. It may be hypothesized CVD patients may benefit from psychological therapies focused on meaning.


1996 ◽  
Vol 67 (3) ◽  
pp. 1243 ◽  
Author(s):  
Jeylan T. Mortimer ◽  
Michael D. Finch ◽  
Seongryeol Ryu ◽  
Michael J. Shanahan ◽  
Kathleen T. Call

2016 ◽  
Vol 33 (3) ◽  
pp. 159-164 ◽  
Author(s):  
J. Cowman ◽  
P. Whitty

ObjectiveThere is a dearth of information relating to the prevalence of housing needs among psychiatric in-patients in Ireland. Most of the information we have to date emerged as a result of attempts to plan for the closure of old psychiatric hospitals and inappropriate community residences. This study sought to identify the prevalence of housing needs among in-patients in the acute psychiatric unit in Tallaght Hospital.MethodsEach week, over a 12-month period, nursing managers and/or key nurses who knew the patients well were asked for numerical data. Information was collected on the numbers of in-patients with accommodation needs, number of delayed discharges due to accommodation needs and number of discharges to homeless accommodation in the previous week.ResultsOn average, 38% of in-patients had accommodation related needs at any one time. Most (98%) of delayed discharges had accommodation related needs. Delayed discharge in-patients with accommodation needs accounted for 28% of all inpatients and for 72% of all inpatients with accommodation related needs.ConclusionsAccommodation need among psychiatric in-patients is underreported. Housing need data should be routinely collected and effective interagency strategies developed to address housing needs.


2021 ◽  
pp. 124-126
Author(s):  
Aloisio Antonio Gomes de Matos ◽  
Séphora Natércia Albuquerque Oliveira ◽  
Modesto Leite Rolim Neto

Background: The FDA has been requiring that information about using remdesivir to treat COVID-19 be made available to healthcare providers and patients, including dosing instructions, potential side effects, and drug interactions. It is important to observe the initial indicators of anxiety, fear, and euphoria for families during emergencies, including information on the possible side effects. This situational context is very important in all the world, because it opens doors for providing the use of updated information about treatment follow-up and for offering improved mental health services. Method: The studies were identified in well-known international journals found in two electronic databases: Scopus and Embase. The data were cross-checked with information from the main international newspapers. Results: The high expectations supported by an immediate discourse culminate in frustration and displeasure, while more consistent empirical results are not generated. These two are predictors of psychic suffering, especially due to the scarcity of information and uncertainties. In parallel, recent studies indicate that spreading information without scientific basis intensifies damage to the routine and health of people, which are already impacted by the pandemic situation. This misrepresented spread may be a factor for unleashing fear and, as a consequence, social despair. Conclusions: Based on the impulsive scenarios stimulated in the context of hydroxychloroquine and on the high spread of fake or distorted news, the psychiatric impacts of COVID-19 pandemic associated with the use of remdesivir may be worsened and reflected directly on the population’s self-esteem.


2017 ◽  
Vol 20 ◽  
Author(s):  
Manuel Alcaraz-Ibáñez ◽  
Álvaro Sicilia ◽  
Rafael Burgueño

AbstractThis study aimed to determine the usefulness of integrating basic psychological needs theory (BPNT) and relational frames theory (RFT) in order to explain the effects of social physique anxiety (SPA) – in the context of exercise – on exercisers’ mental health. A total of 296 recreational cyclists and triathletes (100% males) aged 18 to 60 years old (Mage= 35.65,SD= 9.49) completed a multi-section questionnaire assessing the target variables. Two models of structural equations with multiple mediators were tested using 5000 bootstrap samples. While the BPNT-based model explained 20% of variance in satisfaction with life (SWL) and 25% of variance in mental health (MH), the model that also incorporated RFT explained 43% of variance in both of those variables. Results showed that SPA negatively impacted exercisers’ mental health via two different mechanisms: a) through a decrease in perceived satisfaction of basic psychological needs (β = –.05,p= .045 for SWL; β = –.07,p= .002 for MH); b) through an increase in psychological inflexibility, generated directly by SPA (β = –.24,p< .001 for SWL; β = –.20,p< .001 for MH) and also mediated by basic psychological need thwarting (β = –.09,p< .001 for SWL; β = –.08,p= .002 for MH). Results supported integrating the two theories, elucidating the processes by which a controlling social factor like SPA can affect the potential benefits of exercise.


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