scholarly journals Nurses Experiences and Challenges during COVID 19: Mixed Method Approach

2020 ◽  
pp. 81-87
Author(s):  
Mohammed S. Alshmemri ◽  
Pushpamala Ramaiah
Keyword(s):  
Mixed Method ◽  
Healthcare Workers ◽  
World Health ◽  
Post Traumatic Stress ◽  
Welfare Programs ◽  
Healthcare Resources ◽  
Work Related ◽  
Healthcare Needs ◽  
Depth Analysis ◽  
Frontline Healthcare Workers

Background: World health organization announced COVID-19 as a pandemic crisis in march 2020. As of WHO statistics 2020 September, the incidence appears to be accelerating globally, with the soaring of new cases since the last one week. Even though worldwide incidence and further deaths have decreased in recent weeks across a few nations, the panic situation has caused unprecedented stress among frontline healthcare workers. Nurses fall into the category of full-blown anxiety responses syndrome to undergo burnout post-traumatic stress disorder. Purpose: This research aimed to explore the perceptions of frontline healthcare workers (Nurses)’ and their opinion about healthcare resources while caring for COVID-19 patients. Methodology: The study adopted a mixed-method where the quantitative data collected using a google document questionnaire related to healthcare resources followed by a qualitative method of online individual interview method to explore the in-depth analysis of nurses’ perceptions of caring for coronaviruses infected patients. Results: The results revealed the nurses’ concerns about the everyday routine of delivering care to COVID-19 patients, including a moderate level of resilience in healthcare resources authorities. The barriers faced by nurses in the journey of a pandemic crisis were also discussed in this study that could also render substantial support in establishing policies and guidelines to meet the needed population’s healthcare needs. Conclusions: Health care workers, including nurses, tend to experience work-related stress that could be alleviated by the appropriate staffing, equipment and supplies, training programs, and staff welfare programs.

scholarly journals Frontline healthcare workers’ experiences in implementing the TB-DM collaborative framework in Northern Ghana

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rita Suhuyini Salifu ◽  
Khumbulani W. Hlongwana
Keyword(s):  
Health Policy ◽  
Healthcare Workers ◽  
Theoretical Framework ◽  
World Health ◽  
Health Concern ◽  
Northern Ghana ◽  
Lead Author ◽  
Street Level ◽  
Frontline Healthcare Workers ◽  
Street Level Bureaucracy

Abstract Background Over the past decade, global health policy has increased its focus on measures to halt further increase in tuberculosis (TB) incidence and management of diabetes mellitus (DM). However, the vertical management of these two diseases have not achieved much in addressing the adverse effects of the rising tuberculosis-diabetes co-epidemic. This necessitated the World Health Organisation and the International Union Against Tuberculosis and Lung Disease to develop a framework to manage this dual disease burden. TB-DM co-epidemic is a public health concern in Ghana, adversely threatening the country’s fragile health systems. Since frontline healthcare workers are critical in health policy implementation, this study used Lipsky’s theoretical framework of street-level bureaucracy to explore their experiences in implementing the collaborative framework at the health facility level in Ghana. Methods This qualitative study was conducted between July to September 2019 using an exploratory design. Data was generated using a semi-structured interview guide designed to elicit information on knowledge of TB-DM comorbidity as well as systems for co-management. Twenty-three in-depth interviews were conducted among purposively selected frontline healthcare workers (doctors, nurses, TB task- shifting officers, TB institutional coordinators and hospital managers) from three health facilities in the Northern Region of Ghana. The lead author also conducted observations and document reviews, in order to fully address the study objectives. Thematic analysis was guided by the Lipsky’s theoretical framework of street level bureaucracy. Results The findings revealed three main themes and six sub-themes. Main themes were Prioritisation of TB/HIV co-infection while negating TB-DM comorbidity, Poor working conditions, and Coping mechanisms, whereas sub-themes were Low knowledge and awareness of TB-DM comorbidity, Limited awareness of the collaborative framework, High workload in TB & DM Clinics, Multiple roles, Inadequate training, and Space shortage. Conclusions Frontline healthcare workers had limited knowledge of TB-DM comorbidity and the collaborative framework, which, in turn adversely affected the effectiveness in implementing the framework. The effective implementation of the framework begins with raising awareness about the framework through in service training amongst the frontline healthcare workers. Additionally, an integrated screening tool to detect both TB and DM would help achieve early detection of TB-DM comorbidity.

scholarly journals COVID-19, SARS-CoV-2: Impact on healthcare workers in the pandemic’s initial months: Rapid review

2021 ◽  
Vol 5 (1) ◽  
pp. 1-15
Author(s):  
Rachel Malone
Keyword(s):  
Healthcare Workers ◽  
Well Being ◽  
World Health Organisation ◽  
Skin Lesions ◽  
World Health ◽  
Rapid Review ◽  
Protective Equipment ◽  
Family Balance ◽  
Work Family ◽  
Frontline Healthcare Workers

On March 11, 2020 the World Health Organisation declared the SARS-CoV-2 viral outbreak a pandemic. This rapid review aimed to identify the pandemic's impact on frontline healthcare workers during the viral outbreak's initial months. Database searches December 1, 2019 to August 29, 2020 retrieved 18 relevant studies. Findings showed that healthcare workers internationally were negatively impacted by the pandemic. Compared to non-frontline healthcare workers a significantly greater proportion of frontline healthcare workers experienced: burnout, stress, and stressors regarding: childcare, job interference with work-family balance and difficulty getting off-duty time. Compared to male physicians, a significantly greater proportion of female physicians scored low for psychological well-being. Mean scores for stress were significantly higher among females and young healthcare workers (22 to 35 years).  Mean scores for anxiety were significantly higher for: nurses compared to technicians, healthcare workers reporting extreme lack of protective equipment and those aged > 30 years. The prevalence of depression among frontline healthcare workers across studies in this review ranged from 9% to 51%. The prevalence of sleep issues ranged from 24% to 60% with some reporting nightmares. However, these studies lack homogeneity. Healthcare workers experienced fear of: contracting the virus (89.8%), spreading it to family (91.3%) and fear of an uncontrollable epidemic (86.8%). Over 90% reported skin lesions due to prolonged use of personal protective equipment. Many lost their lives to the SARS-CoV-2 virus. One prominent impact of the SARS-CoV-2 pandemic is the reported loss of healthcare worker's lives and this paper wishes to pay them tribute.

scholarly journals THE PSYCHOLOGICAL IMPACT OF COVID-19 ON FRONTLINE HEALTHCARE WORKERS IN MOROCCO

2021 ◽  
Vol 9 (09) ◽  
pp. 678-689
Author(s):  
I. Hanine ◽  
◽  
I. Hmamouchi ◽  
S. Belbachir ◽  
M. Chtibi ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Healthcare Workers ◽  
Health Workers ◽  
Psychological Impact ◽  
Medical Personnel ◽  
Severity Index ◽  
University Hospital ◽  
World Health ◽  
Frontline Healthcare Workers ◽  
The Impact

Introduction: On March 11th 2020, the World Health Organization declared the infection of the virus severe acute respiratory syndrome coronavirus 2 or SARS-COV-2 a pandemic. The virus, which was first discovered in China in Wuhan province in December 2019, has affected more than 100 million people and more than two million deaths in more than 200 countries.Along with other epidemics and pandemics, the existence of this virus has led to psychiatric disorders in people in or without direct contact with the disease, especially frontline healthcare workers. Objective: To assess the impact of the virus on medical personnel working in Morocco, in particular stress, depression and sleep disorders. Methodology: To explore this topic, we used an anonymity questionnaire based on, in addition to individual status and conditions, scales assessing stress, depression and sleep.The questionnaire was sent via social networks to health personnel working in Morocco in the various hospitals and departments treating patients infected with this virus.The CES-D (Center of Epidemiological Studies - Depression) scales for depression, the PSS-10 (Cohens Perceived Stress Scale) for perceived stress and ISI (C. Morins Insomnia Severity Index) for disorders of sleep, were chosen given their frequent use in a number of studies on the same topic. Results: After sorting our responsesrigorously, we were able to collect 376 responses, of which 53.5% were women, with an average age of 28.45 years, 23.9% were nurses, 14.4% general practitioners, 19, 7% of internal doctors 37.2% of residents or specialists and 4.8% occupied other functions such as medical transport. 66% of our candidates were at the level of the different university hospital centers of Morocco.Our candidates respectively occupied 39.1% 28.2% 29% and 25.8% triage positions, observation of suspected cases, the COVID sector and resuscitation.Regarding our results, it was observed that 71% of our participants presented moderate stress, 44.9% had a risk of developing depression and 53.7 had insomnia of varying severity.The female sex, the lack of medical, surgical and psychiatric history influence the occurrence of the three abnormalities studied, it should also be noted that these last three maintain a relationship of influences between them. Conclusion: The exploration of stress, depression and insomnia revealed an impact of the state of health on the daily life of front-line health workers in Morocco.

scholarly journals The Prevalence of Post-traumatic Stress Disorder Symptoms, Sleep Problems, and Psychological Distress Among COVID-19 Frontline Healthcare Workers in Taiwan

2021 ◽  
Vol 12 ◽  
Author(s):  
Mei-Yun Lu ◽  
Daniel Kwasi Ahorsu ◽  
Shikha Kukreti ◽  
Carol Strong ◽  
Yi-Hsuan Lin ◽  
...  
Keyword(s):  
Traumatic Stress ◽  
Healthcare Workers ◽  
Sleep Problems ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Anxiety Symptoms ◽  
Ptsd Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Frontline Healthcare Workers

The adverse effect of COVID-19 pandemic among individuals has been very disturbing especially among healthcare workers. This study aims to examine the prevalence of post-traumatic stress disorder (PTSD) symptoms, sleep problems, and psychological distress among COVID-19 frontline healthcare workers in Taiwan. Hence, a total of 500 frontline healthcare workers were recruited to participate in this cross-sectional study. They responded to measures on fear of COVID-19, depression, anxiety, stress, insomnia, PTSD, perceived stigma, and self-stigma. The results indicated a prevalence rate of 15.4% for PTSD symptoms, 44.6% for insomnia, 25.6% for depressive symptoms, 30.6% for anxiety symptoms, and 23.4% for stress among the participants. There were significantly positive interrelationships between all these variables. Anxiety symptoms and fear of COVID-19 predicted PTSD whereas symptoms of anxiety, fear of COVID-19, and stress predicted insomnia. The prevalence rates of the psychological problems reveal a worrying view of mental health challenges among Taiwanese frontline healthcare workers. Anxiety symptoms and fear of COVID-19 are the common predictive factors of PTSD and sleep problems suggesting that mental healthcare services for them may help prevent future occurrence of psychological problems by allaying fears of healthcare workers. Therefore, there should be mental healthcare services for healthcare workers during the COVID-19 pandemic.

scholarly journals How COVID-19 Affected Burnout and Job Satisfaction Levels Among the Healthcare Workers in Jordanian Hospitals

2021 ◽  
Vol 6 (10) ◽  
pp. 664-667
Author(s):  
Bani Ahmad Amer, RN, MHA, Ph.D.
Keyword(s):  
Job Satisfaction ◽  
Healthcare Workers ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Well Being ◽  
World Health ◽  
Background Information ◽  
Work Related ◽  
Health Organization

Aim: To establish how COVID-19 affected the burnout and job satisfaction levels among the health care provider in Jordan hospitals. Methodology: The online survey questionnaire was distributed to 160 nurses, doctors, and specialists and 152 responses were captured in the Google form feedback from healthcare workers from Jordan hospitals. The survey questions wanted responses related to establishment of job satisfaction and burnout levels during the COVID-19 pandemic. The questionnaire contained questions investigating the nurses' and doctors' demographic factors, work-related variables, and personal experiences. Additionally, the provision of basic needs at the workplace were investigated, and the world Health Organization-5 well-being index was established through the questionnaires (Hamdam et al., 2020). Different statistics measurements were used. Descriptive statistics were used to summarize both the background information about the healthcare providers and burnout levels. Results: From the 152 healthcare professionals filed their responses, 32.6% were males, and the rest were females. Approximately 48%.13% and 16% were nurses, doctors, and pharmacists. Burnout was caused by exhaustion, depression, anxiety, and overtime working time. 7% of the nurses were satisfied with the work, while 72.5% were not satisfied. Approximately 24% of the male healthcare providers demonstrated resilience in employment, while 5% of the female healthcare professionals demonstrated burnout and total withdrawal due to the scourging effects of COVID-19 (Abujilban et al., 2021). The healthcare providers that received psychological support from their families seemed strong and suffered lower burnout levels. The fear of infection created anxiety that led to stress, and high burnout levels. Conclusions: COVID -19 led to increased levels of burnout and lack of job satisfaction. The hospitals in Jordan were not prepared, and the fear of nurses and doctors getting infected created more anxiety. The healthcare motivation and energy to work reduced to a bare minimum.

scholarly journals Prevalence of mental health problems in frontline healthcare workers after the first outbreak of COVID-19 in China: a cross-sectional study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wen-Ping Guo ◽  
Qing Min ◽  
Wei-Wei Gu ◽  
Liang Yu ◽  
Xiao Xiao ◽  
...  
Keyword(s):  
Mental Health ◽  
Healthcare Workers ◽  
Online Survey ◽  
Mental Health Problems ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Post Traumatic Stress ◽  
Cross Sectional ◽  
Mental Problems ◽  
Frontline Healthcare Workers

Abstract Background More than 210,000 medical workers have fought against the outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei in China since December 2019. However, the prevalence of mental health problems in frontline medical staff after fighting COVID-19 is still unknown. Methods Medical workers in Wuhan and other cities in Hubei Province were invited to participate a cross-sectional and convenience sampling online survey, which assessed the prevalence of anxiety, insomnia, depression, and post-traumatic stress disorder (PTSD). Results A total of 1,091 responses (33% male and 67% female) were valid for statistical analysis. The prevalence was anxiety 53%, insomnia 79%, depression 56%, and PTSD 11%. Healthcare workers in Wuhan were more likely to face risks of anxiety (56% vs. 52%, P = 0.03) and PTSD (15% vs. 9%, P = 0.03) than those in other cities of Hubei. In terms of educational attainment, those with doctoral and masters’ (D/M) degrees may experience more anxiety (median of 7.0, [interquartile range (IQR) 2.0–8.5] vs. median 5.0 [IQR 5.0–8.0], P = 0.02) and PTSD (median 26.0 [IQR 19.5–33.0] vs. median 23.0 [IQR 19.0–31.0], P = 0.04) than those with lower educational degrees. Conclusions The mental problems were an important issue for the healthcare workers after COVID-19. Thus, an early intervention on such mental problems is necessary for healthcare workers.

scholarly journals Psychosocial Impact and Role of Resilience on Healthcare Workers during COVID-19 Pandemic

2021 ◽  
Vol 13 (13) ◽  
pp. 7096
Author(s):  
Marinella Coco ◽  
Claudia Savia Guerrera ◽  
Giuseppe Santisi ◽  
Febronia Riggio ◽  
Roberta Grasso ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Protective Factor ◽  
Stressful Events ◽  
Post Traumatic Stress ◽  
Online Questionnaire ◽  
Resilience Scale ◽  
Response To Stress ◽  
Post Traumatic ◽  
Stress Burden ◽  
Frontline Healthcare Workers

Italy was the first European country to be affected by the 2019 coronavirus epidemic (COVID-19). Several studies have shown the risk of developing depression, anxiety, and post-traumatic stress disorder in medical and paramedical staff. Causes included the high contagiousness of the virus, the fear of contracting it, the lack of adequate personal protective equipment, and physical and psychological fatigue. In this context, resilience represents a protective factor against adversity and stress burden. The aim of this research was to investigate if and how the resilience and personality profile is able to influence the response to stress and anxiety on a sample of Italian healthcare workers, during the COVID-19 outbreak. The sample consisted of 152 frontline healthcare workers, physicians, and paramedical professionals. Participants completed the online questionnaire measuring the Resilience Scale for Adults, the Big Five Inventory-10 Item, the State Anxiety Inventory, and the Perceived Stress Scale. Analyses of data aimed to show differences in the stress of healthcare workers due to gender and professional role, and at finding, by means of multidimensional scaling, the relations among anxiety, stress, resilience, and traits of personality. The findings gave some suggestions for implementing strategies useful to increase the resilience in healthcare workers and support them to cope with stressful events, typical of the pandemic emergency.

scholarly journals Risk of Developing Post-traumatic Stress Disorder in Severe COVID-19 Survivors, Their Families and Frontline Healthcare Workers: What Should Mental Health Specialists Prepare For?

2021 ◽  
Vol 12 ◽  
Author(s):  
Marcin Sekowski ◽  
Małgorzata Gambin ◽  
Karolina Hansen ◽  
Paweł Holas ◽  
Sylwia Hyniewska ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Professionals ◽  
Healthcare Workers ◽  
Public Mental Health ◽  
Therapeutic Interventions ◽  
Vulnerable Groups ◽  
Pediatric Care ◽  
Post Traumatic Stress ◽  
Life Threatening ◽  
Frontline Healthcare Workers

Given the high mortality of the coronavirus disease 2019 (COVID-19), having severe COVID-19 may be a life-threatening event, especially for individuals at high risk of complications. Therefore, in the article we try to answer two questions that are relevant to public mental health: Can we define groups who are at higher risk of developing pandemic-related PTSD? How can health specialists prepare for it? Given the results of previous research on PTSD in epidemic (e.g., SARS) survivors, we suggest that mental health professionals in countries touched by the pandemic should prepare for an increase in the PTSD prevalence, specifically in: individuals who have had severe COVID-19; family members of these patients and of patients who have died; and frontline healthcare workers witnessing COVID-19 patients' sudden deaths, or numerous life-threatening situations. We postulate that these groups at risk should be routinely screened for PTSD in primary medical and pediatric care. Mental health services should prepare for providing therapeutic interventions for individuals with PTSD in the vulnerable groups, and support to their families, especially children.

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