scholarly journals Mental distress among frontline healthcare workers outside the central epidemic area during the novel coronavirus disease (COVID-19) outbreak in China: A cross-sectional study

2020 ◽  
Author(s):  
YAYUN LIU ◽  
xinsheng liu ◽  
bai gao ◽  
chengzhong li ◽  
XueSong Liang
Keyword(s):  
Perceived Stress ◽  
Healthcare Workers ◽  
Online Survey ◽  
Shanxi Province ◽  
Infection Prevention And Control ◽  
Anxiety And Depression ◽  
General Anxiety ◽  
Initial Stage ◽  
Epidemic Area ◽  
Frontline Healthcare Workers

Abstract Background and aim:At the initial stage of the fight against COVID-19, a large number of medical staff and materials were dispatched to Wuhan City and Hubei Province to contain the outbreak quickly and effectively.The national infection prevention and control strategy posed a challenge to the physical and psychological resilience of frontline healthcare workers(HCWs) outside the central epidemic area.This study aims to survey frontline HCWs outside the central epidemic area in China to understand their levels of perceived stress, anxiety, and depression during the initial stage of the fight against the COVID-19 outbreak.Methods: From February 11 to February14, 2020, an online survey was conducted in Jinzhong, Shanxi Province using snowball sampling techniques. The survey consisted of two parts, namely, demographic data and psychological screening. Demographic information included gender, age, hospital classification, working department, profession type, and working experience. Perceived stress was assessed by Chinese simple Perceived Stress Scale 10, general anxiety was assessed by the General Anxiety Disorder Scale, and depression was evaluated by the Patient Health Questionnaire-9.Results: A total of 1,315 frontline HCWs were included,of which 646(49.1%) reported a moderate to severe stress(scores≥14), 141(10.7%) reported moderatetosevere anxiety (score≥10), and164(12.4%) reported a major depression (score≥10). Female gender was significantly associated with high levels of perceived stress, anxiety, and depression (P<0.05), and working time was negatively correlated with the level of perceived stress, anxiety, and depression (P<0.05). Statistical difference was observed in perceived stress score among different age groups, levels of hospital group,and working departments (P<0.05).Conclusion:During the initial stage of the fight against COVID-19in China, more than half of the frontline HCWs outside the central epidemic area rated perceived stress as moderatetosevere, and nearly 23% of them reported moderatetosevere anxiety or depression.Female gender, low hospital level, and emergency department were associated with a high level of perceived stress.

scholarly journals Mental distress among frontline healthcare workers outside the central epidemic area during the novel coronavirus disease (COVID-19) outbreak in China:A cross-sectional study

2020 ◽  
Author(s):  
YaYun Liu ◽  
XinSheng Liu ◽  
Bai Gao ◽  
chengzhong Li ◽  
xuesong Liang
Keyword(s):  
Perceived Stress ◽  
Healthcare Workers ◽  
Female Gender ◽  
Shanxi Province ◽  
Anxiety And Depression ◽  
General Anxiety ◽  
Initial Stage ◽  
Epidemic Area ◽  
Frontline Healthcare Workers ◽  
Severe Anxiety

Abstract Background and aim:At the initial stage of the fight against COVID-19, a large number of medical staff and materials were dispatched to Wuhan City and Hubei Province to contain the outbreak quickly and effectively. The national infection prevention and control strategy posed a challenge to the physical and psychological resilience of frontline healthcare workers(HCWs) outside the central epidemic area.This study aims to survey frontline HCWs outside the central epidemic area in China to understand their levels of perceived stress, anxiety, and depression during the initial stage of the fight against the COVID-19 outbreak. Methods: From February 11 to February14, 2020, an online survey was conducted in Jinzhong, Shanxi Province using snowball sampling techniques. The survey consisted of two parts, namely, demographic data and psychological screening. Demographic information included gender, age, hospital classification, working department, profession type, and working experience. Perceived stress was assessed by Chinese simple Perceived Stress Scale 10, general anxiety was assessed by the General Anxiety Disorder Scale, and depression was evaluated by the Patient Health Questionnaire-9. Results: A total of 1,315 HCWs were included, of which 646(49.1%) reported a moderate to severe stress (scores≥14), 141(10.7%) reported moderate to severe anxiety (score≥10), and 164(12.4%) reported a major depression (score≥10). Female gender was significantly associated with high levels of perceived stress, anxiety, and depression (P<0.05), and working time was negatively correlated with the level of perceived stress, anxiety, and depression (P<0.05). Statistical difference was observed in perceived stress score among different age groups, levels of hospital group, and working departments (P<0.05). Conclusion: During the initial stage of the fight against COVID-19 in China, more than half of the frontline HCWs outside the central epidemic area rated perceived stress as moderate to severe, and nearly 23% of them reported moderate to severe anxiety or depression. Female gender, low hospital level, and emergency department were associated with a high level of perceived stress.

scholarly journals Burden of predominant psychological reactions among the healthcare workers and general during COVID-19 pandemic phase: a systematic review and meta-analysis

2021 ◽  
Author(s):  
Bhaskar Thakur ◽  
Mona Pathak
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Healthcare Workers ◽  
Global Mental Health ◽  
Meta Analysis ◽  
Random Effect ◽  
Anxiety And Depression ◽  
Psychological Reactions ◽  
Frontline Healthcare Workers ◽  
Anxiety Depression

ABSTRACTAimPresent systematic review and meta-analysis examined the burden of psychological reactions predominantly anxiety, depression, stress and insomnia during novel COVID-19 pandemic phase among the frontline healthcare, non-frontline healthcare and general.MethodologyPubMed, EMBASE and SCOPUS were searched for studies between Jan 1, 2020 to May 25, 2020. Brief protocol of the systematic review was registered with the PROSPERO database, (CRD42020186229).Any study that reported the burden of at least one of psychological reactions including anxiety or depression or stress or insomnia was eligible. Heterogeneity was assessed using I2 statistic and results were synthesized using random effect meta-analysis.ResultsOut of 52eligible studies, 43 reported anxiety, 43 reported depression, 20 reported stress and 11 reported insomnia. Overall prevalence for anxiety, depression, stress and insomnia were 26.6%, 26.2%,26.2% and 34.4% respectively. Anxiety and depression were found highest among the COVID-19 patients (43.3% and 51.75 respectively). Apart from COVID-19 patients, prevalence of anxiety, depression, stress and insomnia were found highest among the frontline healthcare (27.2%, 32.1%,55.6% and 34.4% respectively) as compared to general healthcare workers (26.9%, 15.7%, 7.0% and 34.0% respectively) and general population (25.9%, 25.9%,25.4% and 29.4% respectively).ConclusionAnxiety and depression were found highest among the COVID-19 patients. Apart from COVID-19 patients, the anxiety, depression, stress and insomnia were more prevalent among frontline healthcare workers compared to general. Such increased prevalence is prompting towards the global mental health emergency. Therefore a call of urgent attention and pan-region effective mental-health intervention are required to mitigate these psychological reactions.

scholarly journals The psychological impacts of COVID-19: a study of frontline physicians and nurses in the Arab world

2020 ◽  
pp. 1-6
Author(s):  
N. Al Mahyijari ◽  
A. Badahdah ◽  
F. Khamis
Keyword(s):  
Perceived Stress ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Arab World ◽  
Close Contact ◽  
Well Being ◽  
Sultanate Of Oman ◽  
Stress Scale ◽  
Harmful Effects

Objectives: The COVID-19 (SARS-CoV2) pandemic is wreaking havoc on healthcare systems and causing serious economic, social, and psychological anguish around the globe. Healthcare workers (HCWs) who diagnose and care for COVID-19 patients have been shown to suffer burnout, stress, and anxiety. Methods: In this study, we collected data from 150 frontline HCWs who had close contact with COVID-19 patients at several health facilities in the Sultanate of Oman. The participants completed an online survey that included the Perceived Stress Scale, the Generalized Anxiety Disorder Scale, and the WHO-5 Well-Being Index. Results: The study found that a substantial number of healthcare professionals experienced relatively high levels of stress and anxiety, as well as suboptimal levels of well-being. Perceived stress and anxiety were significant predictors of HCWs’ well-being. Conclusions: This study adds to the increasing literature indicating harmful effects of COVID-19 on the mental health of HCWs.

scholarly journals Factors associated with mental health outcomes across healthcare settings in Oman during COVID-19: frontline versus non-frontline healthcare workers

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e042030 ◽  
Author(s):  
Muna Alshekaili ◽  
Walid Hassan ◽  
Nazik Al Said ◽  
Fatima Al Sulaimani ◽  
Sathish Kumar Jayapal ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Status ◽  
Health Outcomes ◽  
Healthcare Workers ◽  
Online Survey ◽  
Demographic Data ◽  
Mental Health Status ◽  
Mental Health Outcomes ◽  
Healthcare Settings ◽  
Frontline Healthcare Workers

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.

scholarly journals The Cross-Sectional Relations of COVID-19 Fear and Stress to Psychological Distress among Frontline Healthcare Workers in Selangor, Malaysia

2021 ◽  
Vol 18 (19) ◽  
pp. 10182
Author(s):  
Natasha Subhas ◽  
Nicholas Tze-Ping Pang ◽  
Wei-Cheng Chua ◽  
Assis Kamu ◽  
Chong-Mun Ho ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Healthcare Workers ◽  
Movement Control ◽  
Primary Objective ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
Present Sample ◽  
Patient Health ◽  
The Cross ◽  
Frontline Healthcare Workers

Previous pandemics have demonstrated short and long-term impacts on healthcare workers’ mental health, causing knock-on effects on patient care and professional functioning. Indeed, the present COVID-19 pandemic has created unprecedented disruption in social interactions and working conditions. Malaysia has been under the Recovery Movement Control Order since June 2020; however, with the upsurge of cases, healthcare workers face pressure not only from working in resource-deprived settings but also from the increasing patient load. The primary objective of the present study was to examine the cross-sectional relationship of COVID-19 fear and stress to psychological distress (operationalized as anxiety and depression) in healthcare workers. The present sample included 286 frontline healthcare workers from three hospitals in Selangor, Malaysia. Self-administered questionnaires containing sociodemographic and occupational items, the Malay versions of the Coronavirus Stress Measure scale, the Fear of Coronavirus-19 scale, the Generalized Anxiety Disorder-7, and the Patient Health Questionnaire-9 were distributed via online platforms. Hierarchical multiple regression findings suggest that age, shift work, and COVID-19 stress consistently predicted anxiety and depression among frontline healthcare workers after adjusting for sociodemographic and occupational variables. The present findings suggest that frontline healthcare workers are not only inoculated against COVID-19 itself but also against the psychological sequelae of the pandemic.

scholarly journals WILLINGNESS TO WORK AMONGST AUSTRALIAN FRONTLINE HEALTHCARE WORKERS DURING AUSTRALIA’S FIRST WAVE OF COVID-19 COMMUNITY TRANSMISSION: RESULTS OF AN ONLINE SURVEY

2021 ◽  
pp. 1-24
Author(s):  
Michella Hill ◽  
Erin Smith ◽  
Brennen Mills
Keyword(s):  
Public Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Protective Equipment ◽  
Online Questionnaire ◽  
Public Health Emergencies ◽  
Community Transmission ◽  
Frontline Healthcare Workers ◽  
Insight Into

Abstract Objectives The majority of research investigating healthcare workers’ (HCWs) willingness to work during public health emergencies asks participants to forecast their perceptions based on hypothetical emergencies, rather than in response to actual public health emergencies they have experienced. This research explored frontline HCWs willingness to work during Australia’s first wave of the COVID-19 pandemic among frontline HCWs. Methods Participants (n=580) completed an online questionnaire regarding their willingness to work during the pandemic. Results Forty-two percent of participants reported being less willing to work during the pandemic compared to before. Availability of personal protective equipment (PPE), concern expressed by family members, and viral exposure were significant barriers. One-third of participants disagreed that some level of occupational risk for exposure to infectious disease was acceptable. One-quarter of participants had received communications from their workplace concerning obligations to work during COVID-19. Conclusions The COVID-19 pandemic has impacted Australian frontline HCWs’ willingness to work. Scarcity of PPE and exposure to the virus were the most cited reasons impacting on willingness to work. Appropriate policies and practices should be implemented and communicated efficiently to frontline HCW’s. This research provides insight into the lived experiences of Australian healthcare professionals’ willingness to work during a pandemic.

scholarly journals Knowledge, Attitude and Practice of healthcare workers Towards Coronavirus Disease 2019 (COVID-19) Pandemic

2020 ◽  
Vol 18 (2) ◽  
pp. 293-300 ◽  
Author(s):  
Prabina Ghimire ◽  
Samriddh Dhungel ◽  
Anil Pokhrel
Keyword(s):  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Online Survey ◽  
Health Concern ◽  
Infection Prevention And Control ◽  
Attitudes And Practices ◽  
Attitude And Practice ◽  
And Control ◽  
Knowledge Attitude And Practice

Background: The emergence of SARS-CoV 2 pandemic is the greatest public health concern of the century. Healthcare workers are the front liners of pandemic management. Their knowledge, attitudes and practices can influence the outcome of pandemic. The study aims to determine the knowledge, attitude and practices among healthcare workers.Methods: Knowledge, attitude and practice related questionnaire based online survey through Google forms was conducted from Healthcare workers, following ethical approval from NHRC (ERB protocol registration number: 297/2020 P). Online forms were disseminated via Facebook, Instagram, Whatsapp, Viber and personal messaging. Responses containing anonymized data was collected analyzed in using SPSS-version 26, (Year: 2019). The results were interpreted in terms of percentage response, knowledge score, and practice and discussed on the possible solutions in improving the infection prevention and control practice.Results: 473 HCWs responded to the questionnaire, out of which 426 responses met inclusion criteria which is 90% of the total responses. The mean score for knowledge was 3.20 + 1.15 out of maximum seven; with 45.7% correct answers. 70.4 % (300) participants felt that Nepal will be unable to contain the pandemic, 64 % of the total employed participants felt that there was inadequate institutional preparedness to protect HCWs from exposure. 91% participants reported practicing hand hygiene after every patient encounter; whereas 31.7% (77) and 22.1% (59) participants did not know how to check sealing of the N95 masks and use personal protective equipment’s respectively.Conclusions: The survey findings showed deficiencies in knowledge and appropriate practice among the HCWs, in prevention of SARS-CoV-2 transmission. Attitudes towards COVID19 were a mix of both positive and negative viewpoints. Even in health care workers with access to internet, there is significant gap in universal infection prevention and control practices required for self-protection and limiting untoward transmission. Keywords: Attitude and practice; COVID-19; healthcare workers; infection prevention and control; knowledge, Nepal; SARS CoV 2

scholarly journals Prevalence and correlates of anxiety and depression in frontline healthcare workers treating people with COVID-19 in Bangladesh

2020 ◽  
Author(s):  
Rafia Tasnim ◽  
Safaet Hossain Sujan ◽  
Md. Saiful Islam ◽  
Asmaul Husna Ritu ◽  
Abid Bin Siddique ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Depression Scale ◽  
Anxiety And Depression ◽  
Cross Sectional Survey ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Prevalence Estimates ◽  
Mental Problems ◽  
Frontline Healthcare Workers ◽  
Age Range

Background: Healthcare workers (HCWs) who are in the frontline during the COVID-19 pandemic are often under significant pressures which may predispose them to mental ill-health. This study aimed to investigate the prevalence of anxiety and depression among HCWs and factors correlated with mental problems during the COVID-19 pandemic in Bangladesh.Methods: A cross-sectional survey was conducted between July and August 2020. A self-reported online questionnaire was utilized to collect data. The survey included questions concerning socio-demographic, lifestyle, and work setting and the Hospital Anxiety and Depression Scale (HADS).Results: Data from 803 HCWs (50.7% male; mean age: 27.3 [SD=6.9]; age range: 18-58 years) were included in analyses. Prevalence estimates of anxiety and depression were, respectively, 69.5% and 39.5% for at least borderline abnormal, 41.2% and 15.7% for at least abnormal symptoms. Regression analyses with HADS-score as dependent variable revealed significant (p&lt;0.05) associations with female sex, moderate and poor health status, irregular physical exercising, smoking, having had regrets about their profession because of the pandemic and many unexpected experiences, not updating on the latest COVID-19-related research, experiencing discrimination in the workplace, and facing social problems due to working in a lab or hospital.Conclusions: Symptoms of mental ill-health are prevalent among HCWs during the COVID-19 pandemic in Bangladesh. The findings suggest a need for monitoring and early interventions to help these individuals.

scholarly journals Stress, anxiety and depression among healthcare workers facing COVID-19 pandemic in Egypt: a cross-sectional online-based study

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e045281
Author(s):  
Hebatalla Mohamed Aly ◽  
Nader Attia Nemr ◽  
Rania Mohammed Kishk ◽  
Noha Mohamed Abu bakr Elsaid
Keyword(s):  
Social Media ◽  
Perceived Stress ◽  
Healthcare Workers ◽  
Severe Depression ◽  
Anxiety And Depression ◽  
Sociodemographic Characteristics ◽  
Cross Sectional ◽  
Online Study ◽  
High Prevalence ◽  
Study Participants

ObjectiveThis study assessed perceived stress, anxiety and depression among healthcare workers facing the COVID-19 pandemic in Egypt.SettingThis was an online study where a Google form was prepared including sociodemographic and occupational data as well as three validated questionnaires to assess perceived stress, anxiety and depression, respectively. The form was distributed online to all social media groups including healthcare workers all across the country, and responses were collected until the sample size of 262.ParticipantsHealthcare workers (physicians, dentists, pharmacists, physiotherapists, nurses, technicians and administrators) working in governmental or educational hospitals from all Egyptian governorates who are members of social media groups. The mean age of participants was 33.4±5.9 years, 70% were women, about 70% were married and 66% were physicians.OutcomesThe frequency of perceived stress, anxiety and depression observed among the study participants according to the results of their questionnaires. Then the frequencies were compared between different sociodemographic characteristics.ResultsOnly 1.3% showed low perceived stress while 98.5% showed moderate to severe stress. About 9.5% did not experience generalised anxiety, while the remaining 90.5% had different degrees of anxiety as mild anxiety showed the highest per cent affecting about 40% of participants followed by moderate anxiety about 32% then severe anxiety, 18.5%. With regard to depression, 94% of participants showed mild to severe depression.ConclusionThis study showed a high prevalence of perceived stress, anxiety and depression among healthcare workers during the COVID-19 pandemic that affected all workers regardless of different sociodemographic characteristics.

scholarly journals The COVID-19 Vaccine Is Here—Now Who Is Willing to Get It?

Vaccines ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 339
Author(s):  
William D. S. Killgore ◽  
Sara A. Cloonan ◽  
Emily C. Taylor ◽  
Natalie S. Dailey
Keyword(s):  
Sex Education ◽  
Political Ideology ◽  
Healthcare Workers ◽  
Online Survey ◽  
Vaccination Campaign ◽  
Education Level ◽  
Race Ethnicity ◽  
Frontline Healthcare Workers ◽  
The U.S

The U.S. vaccine campaign against COVID-19 began in December 2020, but many individuals seem reluctant to get vaccinated. During the first week of the vaccination campaign, we collected data from 1017 individuals with an online survey to identify factors that were associated with willingness to get the vaccine once it is available. Most participants (55.3%) were willing to get the vaccine, although 46.2% also expressed some fear of the vaccine. Political ideology was by far the most consistent predictor of both willingness to be vaccinated and fear of the vaccine, followed by participant sex, education level, income, and race/ethnicity. Our findings suggest that, for the vaccine campaign to be broadly supported and successful, it will be important for frontline healthcare workers to discuss the role of inoculation for COVID-19 in a manner consistent with each individual patient’s political and sociological worldview.

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