scholarly journals Cognition, Emotions, and Language in Front-Line Healthcare Workers: Clinical and Ethical Implications for Assessment Measures

2021 ◽  
Vol 30 (1) ◽  
pp. 8-25
Author(s):  
Larysa Zasiekina ◽  
Tetiana Pastryk ◽  
Mariia Kozihora ◽  
Tetiana Fedotova ◽  
Serhii Zasiekin
Keyword(s):  
Protective Factors ◽  
Psychological Stress ◽  
Emotional Distress ◽  
Professional Ethics ◽  
Healthcare Workers ◽  
Healthcare Staff ◽  
Social Contacts ◽  
Ethical Implications ◽  
Effective Interventions ◽  
Medium Level

Objectives. The article aims to reveal language-based markers of stressful experiences in healthcare workers in terms of their cognitions and emotions.  The following research questions were formulated for the current study: (1) Are risk and protective factors for psychological stress in healthcare staff, working with patients with COVID-19 aligned with anxiety, depression and resilience? (2) Are there any language-based indicators for emotional distress in healthcare staff, working with patients with COVID-19? (3) What are the key cognitions, emotions, and behavioral patterns are expressed in healthcare workers’ staff language? (4) What are words-associations in the Ukrainian Associative Dictionary aligned with language-based indicators of professional ethics in healthcare staff? Materials and Methods. The study applies Beck’s Depression Inventory (BDI-II), Beck’s Anxiety Inventory (BAI), the Brief Resilient Coping Scale (BRCS), the Psychological Stress Scale (PSM-25), and the Linguistic Inquiry and Word Count (LIWC 2015). Results. Results show that healthcare staff demonstrates a low level of psychological stress, depression and anxiety, and a medium level of resilience. The results of multiple linear regression indicate that the only significant negative predictor of stress is resilience. The psycholinguistic analysis of healthcare staff's narrative on their professional experience treating COVID-19 patients shows the key meaningful categories, namely social contacts, cognitive processes, and time. Social contacts are primarily represented by the category family. The word-associations from the Ukrainian Associative Dictionary indicate that feeling of guilt related to professional ethics in healthcare staff is more expressed in men compared with women. Conclusion. The insights gained from this study may be of assistance to developing effective interventions for healthcare staff during a pandemic, primarily focusing on protective factors and weakening feelings of guilt to prevent moral injury. The study also raises some issues of the clinical psycholinguistic approach to examining emotional distress. This approach would be a fruitful area for further work.

Psychosocial Impact of Covid-19 Pandemic on Frontline Healthcare Workers in Pakistan: A Cross-Sectional Study

2020 ◽  
Author(s):  
Quratul-Ain Zafar
Keyword(s):  
Data Collection ◽  
Emotional Distress ◽  
Healthcare Workers ◽  
Cross Sectional Study ◽  
Psychosocial Impact ◽  
Control Group ◽  
Study Group ◽  
Sectional Study ◽  
Cross Sectional ◽  
Frontline Healthcare Workers

Objective: The purpose of this study was to evaluate the impact of the COVID-19 pandemic on frontline healthcare workers in Pakistan in terms of psychological factors emotional distress, insomnia, and burnout. Study Design: Observational cross-sectional study. Place and Duration of Study: This study was conducted at different hospitals across Pakistan and data collection was carried out from 15th June 2020 till 15th August 2020. Material and Methods: This was a questionnaire-based study aiming to compare the levels of burnout and emotional distress between frontline COVID-19 and non-COVID-19 healthcare workers. Any physician, nurse, and other healthcare workers were recruited from emergency care units and Covid-19 care units (target group), and non-COVID-19 care units (control group). Participation was voluntary and participants had to complete self-reported questionnaires and scales. A mixed-mode data collection was carried out, either in paper or web-based form to ensure maximum participation. Results: The independent t-test showed a statistically significant difference between the two groups regarding depression, stress, and insomnia. The study group showed higher scores for these factors than the control group. Chi-square test of association revealed significant scores of burnout and professional fulfillment in both groups. There was a higher prevalence of burnout in the study group than in the control group. Conclusion: This study concludes that there was a significant psychosocial impact of the Covid-19 pandemic in the frontline healthcare workers measured in terms of emotional distress, insomnia, and burnout.

scholarly journals Protective Factors against Emergency Stress and Burnout in Healthcare and Emergency Workers during Second Wave of COVID-19

2021 ◽  
Vol 10 (5) ◽  
pp. 178
Author(s):  
Monia Vagni ◽  
Tiziana Maiorano ◽  
Valeria Giostra ◽  
Daniela Pajardi
Keyword(s):  
Protective Factors ◽  
Coping Strategies ◽  
Healthcare Workers ◽  
Predictive Power ◽  
Total Stress ◽  
Emergency Workers ◽  
Stress Levels ◽  
And Coping ◽  
Reducing Stress ◽  
Second Wave

Working as healthcare workers (HCWs) and emergency workers (EWs) during the first wave of COVID-19 has been associated with high levels of stress and burnout, while hardiness, coping strategies and resilience have emerged as protective factors. No studies have so far investigated these psychological factors during the second wave. We aimed to verify the trend of stress levels, burnout, coping strategies and resilience during the pandemic in Italian healthcare and emergency workers by comparing a first sample recruited from the first COVID-19 wave (N = 240) with a second sample relating to the second wave (N = 260). Through an online platform we administered questionnaires to measure stress, burnout, resilience, hardiness and coping strategies. The results showed that in the two waves the total stress levels of HCWs and EWs did not differ, while the physical stress and hardiness scores in the second wave were greater. No differences were found in the coping strategies used. An analysis of burnout levels in the second wave sample found that stress showed a high predictive power in the emotional exhaustion and depersonalization scales. Hardiness and resilience emerged as protective factors in reducing stress. The implications for the need to provide support and to improve hardiness for HCWs and EWs are discussed.

scholarly journals Comparison of Psychological Stress Levels and Associated Factors Among Healthcare Workers, Frontline Workers, and the General Public During the Novel Coronavirus Pandemic

2020 ◽  
Vol 11 ◽  
Author(s):  
Rongrong Luan ◽  
Weidan Pu ◽  
Lilei Dai ◽  
Rui Yang ◽  
Peng Wang
Keyword(s):  
Psychological Stress ◽  
General Public ◽  
Healthcare Workers ◽  
Online Survey ◽  
The Novel ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Frontline Workers ◽  
Occupation Group ◽  
Novel Coronavirus

Objective: We aimed to conduct a comparative analysis of the psychological stress experienced by healthcare workers, frontline workers, and the general public and to assess the factors associated with psychological stress in each of these groups.Methods: We conducted an online survey targeting healthcare workers, frontline workers, and the general public. Psychological stress was assessed with the revised impact of event scale (IES-R). Univariable and multivariable logistic regression analyses were conducted.Results: We surveyed 1,336 participants (64.6% female; mean age, 36.6). The occupation group distribution of respondents was 50.7% healthcare workers, 27.2% frontline workers, and 22.1% general public. The healthcare (23.6 ± 15.8) and frontline (23.6 ± 17.8) workers had higher IES-R scores than the general public (15.3 ± 10.6; p < 0.01). Poor health perception and perception of infection avoidance were associated with psychological stress in the healthcare and frontline workers, but not in the general public.Conclusion: Both healthcare and frontline workers are suffering elevated psychological stress, compared to the general public, and this elevated stress may be related especially to their perceptions of their own health and infection risk. Interventions addressing these factors should be developed to alleviate psychological stress in these populations, and thus reduce their risk of mental illness pathogenesis.

scholarly journals Promoting resilience in healthcare workers during the COVID-19 pandemic with a brief online intervention

2021 ◽  
Author(s):  
Nicole R DeTore ◽  
Louisa Sylvia ◽  
Elyse R Park ◽  
Anne Burke ◽  
Julie H Levison ◽  
...  
Keyword(s):  
Emotional Distress ◽  
Healthcare Workers ◽  
Online Intervention ◽  
Psychological Wellbeing ◽  
Online Course ◽  
Baseline Survey ◽  
Evidence Based ◽  
Emotional Resilience ◽  
Self Compassion ◽  
Resilience Training

Introduction: The psychological wellbeing of healthcare workers has been impacted by the high levels of stress many have experienced during the COVID-19 pandemic. This study aimed to examine the feasibility and acceptability of a brief online course focused on introducing skills that could increase resilience and decreases emotional distress in healthcare workers during the pandemic. Materials and Methods: Employees of a large healthcare system completed a survey at baseline, one month, and two months later. The online course, called Resilience Training for Healthcare Workers, consists of three 12-20 minute videos focused on evidence-based skills that support aspects of emotional resilience: mindfulness, mentalization, and self-compassion. Results: A total of 554 participants completed the baseline survey, endorsing moderate to high levels of emotional distress. Of those who completed all three assessments and participated in the course (n = 38), significant improvements in resilience and reductions in emotional distress were found across two months, in comparison to those who did not participate in the course. Discussion: These findings suggest that a brief, online intervention can improve the mental health of healthcare workers during a crisis such as the COVID-19 pandemic.

scholarly journals ’We weren't checked in on, nobody spoke to us’: an exploratory qualitative analysis of two focus groups on the concerns of ethnic minority NHS staff during COVID-19

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053396
Author(s):  
Jehanita Jesuthasan ◽  
Richard A Powell ◽  
Victoria Burmester ◽  
Dasha Nicholls
Keyword(s):  
Focus Groups ◽  
Ethnic Minority ◽  
Lived Experience ◽  
Healthcare Workers ◽  
Well Being ◽  
Small Sample ◽  
Individual Risk ◽  
Future Research ◽  
Healthcare Staff ◽  
Cross Sectional

ObjectiveTo gain exploratory insights into the multifaceted, lived experience impact of COVID-19 on a small sample of ethnic minority healthcare staff to cocreate a module of questions for follow-up online surveys on the well-being of healthcare staff during the pandemic.DesignA cross-sectional design using two online focus groups among ethnic minority healthcare workers who worked in care or supportive roles in a hospital, community health or primary care setting for at least 12 months.ParticipantsThirteen healthcare workers (11 female) aged 26–62 years from diverse ethnic minority backgrounds, 11 working in clinical roles.ResultsFive primary thematic domains emerged: (1) viral vulnerability, centring around perceived individual risk and vulnerability perceptions; (2) risk assessment, comprising pressures to comply, perception of a tick-box exercise and issues with risk and resource stratification; (3) interpersonal relations in the workplace, highlighting deficient consultation of ethnic minority staff, cultural insensitivity, need for support and collegiate judgement; (4) lived experience of racial inequality, consisting of job insecurity and the exacerbation of systemic racism and its emotional burden; (5) community attitudes, including public prejudice and judgement, and patient appreciation.ConclusionsOur novel study has shown ethnic minority National Health Service (NHS) staff have experienced COVID-19 in a complex, multidimensional manner. Future research with a larger sample should further examine the complexity of these experiences and should enumerate the extent to which these varied thematic experiences are shared among ethnic minority NHS workers so that more empathetic and supportive management and related occupational practices can be instituted.

Emotional stress in the aetiology of cancer

1972 ◽  
Vol 61 (02) ◽  
pp. 87-98
Author(s):  
James Hamilton
Keyword(s):  
General Practice ◽  
Psychological Stress ◽  
Emotional Distress ◽  
Emotional Stress ◽  
Malignant Disease ◽  
Psychological Symptoms ◽  
Scientific Study ◽  
Psychosomatic Disease

Summary1 This paper is based on a study of sixteen patients suffering from various forms of cancer. These patients were found in general practice.2 In these patients the malignant disease was found in breasts, stomach, colon, rectum, uterus, larynx and lungs.3 It was found that these sixteen patients had histories of both somatic and psychological illnesses for varying periods before the presence of cancer was detected. None had a clean bill of health before the onset of cancer.4 A study and assessment of the personalities of the patients were made. These referred to the periods before and during the development of cancer.5 The presence of psychological symptoms resulting from emotional stress previous to the development of cancer was noted in all cases.6 It was noted that in many patients, the symptoms of cancer developed gradually and were aggravated during periods of severe emotional distress.7 The psychological stress produced symptoms predominantly related to fear, anxiety, apprehension, grief and depression, anger and resentment.8 The hypothesis that, from a study of these sixteen patients, cancer may have the characteristics of a psychosomatic disease, was explored.9 It would appear from the evidence of these cases that a more detailed scientific study of cancer cases would be profitable, to asses with greater precision the hypothesis that unpleasant emotional stress plays a part in the aetiology of at least some forms of cancer.

Resilience in Child Sexual Abuse:Role of Protective Factors

2012 ◽  
Vol 11 (1) ◽  
pp. 19
Author(s):  
Divya Ravindran ◽  
Janardhana N ◽  
Indiramma V
Keyword(s):  
Sexual Abuse ◽  
Child Sexual Abuse ◽  
Protective Factors ◽  
Public Health Problem ◽  
Later Life ◽  
Traumatic Experience ◽  
Major Public Health Problem ◽  
Effective Interventions ◽  
Psychosocial Consequences ◽  
Sexual Abuse Victims

Child sexual abuse is a major public health problem with significant psychosocial consequences (Afifi & Macmillan, 2011). All child sexual abuse victims do not depict adverse consequences in later life. The variability of impact in a potentially traumatic experience like child sexual abuse is explained by the construct of resilience and it being the outcome of the influence of certain protective factors (Henley, 2010). The present article conceptualizes resilience in the area of child sexual abuse where individual, familial and community level factors are identified as predictors to fostering resilience. Formulation and development of effective interventions to reduce the impairment following child sexual abuse and to foster resilience in children, adolescents and survivors are recommended.

scholarly journals The Impact of the Protective Measures on Healthcare Workers During Covid-19 Pandemic in Tertiary University Hospital

2021 ◽  
Vol 6 (2) ◽  
Keyword(s):  
Infection Rate ◽  
Healthcare Workers ◽  
Transmission Rate ◽  
Critical Role ◽  
Working Hours ◽  
Infection Risk ◽  
University Hospital ◽  
Personal Protection ◽  
Healthcare Staff ◽  
Protective Measures

Background: A novel coronavirus “SARS-CoV-2” causes the disease COVID-19. A high transmission rate within healthcare workers was reported. We aimed to determine effect of our protective measures on infection rate, related risk factors and measures that can be taken among healthcare professionals in our university hospital. Methods: We conducted a retrospective cohort study to analyse the data of infected healthcare providers. Demographic data of the patients, computed tomography (CT) scan findings, laboratory parameters and any symptoms related with Covid-19 disease were recorded. The real‐time reverse transcription Polymerase Chain Reaction (PCR) results were evaluated. Results: The infection rate was 3.8% (143 of 3700 healthcare workers). Of 143 infected healthcare workers, 91 were female and 52 were male. Mean age of these patients was 32.5±8.6 years (Table 1). First PCR tests of 99 symptomatic healthcare staff were positive. Second tests of 84 of them were negative. The most common symptom was dry cough (47 patients, 32.8%). Treatment of 117 healthcare staff has been completed and they returned to work. Mortality or intensive care unit stay have not been observed. Conclusion: The transmission rate was relatively low in our university hospital. Our protective measures of increased awareness of personal protection, adherence to algorithms, supportive attitudes of hospital management, proper preparation and intervention play a critical role in reducing infection risk for healthcare workers. Public Interest Summary. Corona Virus (COVID 19) pandemic may continue for more time. To prevent its spread within health workers personnel, should follow a strict preventive measure. Increased awareness of personal protection equipment, adherence to algorithms, supportive attitudes of hospital management, proper preparation and intervention play a critical role in reducing infection risk for healthcare workers. Supportive behaviours of hospital administration and managers are essential to increase the enthusiasm of the staff. The Ministry of Health (MOH) should design a flexible working hours system and prevent long working hours under extreme pressure. All meetings are better to be held with a teleconference to prevent face-to-face transmission.

scholarly journals Lessons From the First Wave of COVID-19: Work-Related Consequences, Clinical Knowledge, Emotional Distress, and Safety-Conscious Behavior in Healthcare Workers in Switzerland

2021 ◽  
Vol 12 ◽  
Author(s):  
Marco Riguzzi ◽  
Shkumbin Gashi
Keyword(s):  
Risk Perception ◽  
Emotional Distress ◽  
Healthcare Workers ◽  
Physical Contact ◽  
Clinical Knowledge ◽  
Physical And Mental Health ◽  
Work Situation ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Government

The coronavirus disease (COVID-19) imposes an unusual risk to the physical and mental health of healthcare workers and thereby to the functioning of healthcare systems during the crisis. This study investigates the clinical knowledge of healthcare workers about COVID-19, their ways of acquiring information, their emotional distress and risk perception, their adherence to preventive guidelines, their changed work situation due to the pandemic, and their perception of how the healthcare system has coped with the pandemic. It is based on a quantitative cross-sectional survey of 185 Swiss healthcare workers directly attending to patients during the pandemic, with 22% (n = 40) of them being assigned to COVID-19-infected patients. The participants answered between 16th June and 15th July 2020, shortly after the first wave of COVID-19 had been overcome and the national government had relaxed its preventive regulations to a great extent. The questionnaire incorporated parts of the “Standard questionnaire on risk perception of an infectious disease outbreak” (version 2015), which were adapted to the case of COVID-19. Clinical knowledge was lowest regarding the effectiveness of standard hygiene (p < 0.05). Knowledge of infectiousness, incubation time, and life-threatening disease progression was higher, however still significantly lower than regarding asymptomatic cases and transmission without physical contact (p < 0.001). 70% (95%-confidence interval: 64-77%) of the healthcare workers reported considerable emotional distress on at least one of the measured dimensions. They worried significantly more strongly about patients, elderly people, and family members, than about their own health (p < 0.001). Adherence to (not legally binding) preventive guidelines by the government displayed patterns such that not all guidelines were followed equally. Most of the participants were faced with a lack of protective materials, personnel, structures, processes, and contingency plans. An increase in stress level was the most prevalent among the diverse effects the pandemic had on their work situation. Better medical equipment (including drugs), better protection for their own mental and physical health, more (assigned) personnel, more comprehensive information about the symptoms of the disease, and a system of earlier warning were the primary lessons to be learned in view of upcoming waves of the pandemic.

scholarly journals Belief in Conspiracy Theory about COVID-19 Predicts Mental Health and Well-being: A Study of Healthcare Staff in Ecuador

2020 ◽  
Author(s):  
Xi Chen ◽  
Stephen X. Zhang ◽  
Asghar Afshar Jahanshahi ◽  
Aldo Alvarez-Risco ◽  
Huiyang Dai ◽  
...  
Keyword(s):  
Mental Health ◽  
Job Satisfaction ◽  
Life Satisfaction ◽  
Anxiety Disorder ◽  
Healthcare Workers ◽  
Well Being ◽  
Conspiracy Theory ◽  
Healthcare Staff ◽  
Conspiracy Theories ◽  
Health And Well Being

AbstractBackgroundSocial media are becoming hotbeds of conspiracy theories, which aim to give resolute explanations on the cause of COVID-19 pandemic. Yet, no research has investigated whether individuals’ belief in conspiracy theory about COVID-19 is associated with mental health and well-being issues. This association enables an assessable channel to identify and reach people with mental health and well-being issues during the pandemic.ObjectiveWe aim to provide the first evidence of belief in conspiracy theory regarding the COVID-19 virus as a predictor of the mental health and well-being of healthcare workers.MethodsWe conducted a survey of 252 healthcare workers in Ecuador from April 10 to May 2, 2020. We analyzed the data of distress and anxiety caseness with logistic regression and life and job satisfaction with linear regression.ResultsAmong the sampled healthcare workers in Ecuador, 24.2% believed that the virus was developed intentionally in a lab; 32.54% experienced distress disorder, and 28.17% had anxiety disorder. Compared to healthcare workers who were not sure where the virus originated, those who believed the virus was developed intentionally in a lab were more likely to have distress disorder and anxiety disorder and had lower levels of job satisfaction and life satisfaction.ConclusionsThis paper identifies belief in a COVID-19 conspiracy theory as an important predictor of distress, anxiety, and job and life satisfaction of healthcare workers. It enables mental health services to better target and help mentally vulnerable healthcare workers during the ongoing COVID-19 pandemic.

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