Dataset Information

Short-term emotional impact of COVID-19 pandemic on Spaniard health workers.

ABSTRACT:

Background

The aims of this study were to evaluate the short-term impact of 2019-nCoV outbreak on the mental/psychological state of Spaniard health care workers (HCWs) and to explore the influencing factors, including organizational factors.

Methods

A web-based survey (Google forms questionnaire) spread via professional and scientific associations, professional WhatsApp and email lists, following a snowball technique was used. Data were collected from May 11th and May 31st, 2020 RESULTS: : A total of 1407 subjects were included in final analyses. 24.7% (348 out of 1407) of HCWs reported symptoms of acute stress (SARS-Q measurement) and 53.6% (754 out of 1407) reported symptoms related to poorer general health (GHQ-28 measurement). A higher risk of having an acute stress disorder was associated to being female, not having access to protective material, and several subjects´ perceived risks. Additionally, poorer overall general health (GHQ>24) was related to being female, working in a geographical area with a high incidence of infection, not being listened to by your co-workers, having a greater perception of stress at work and being able to transmit the infection to others.

Limitations

We must consider a likely memory bias.

Conclusion

The high prevalence of affective and general health symptoms among the HCWs and the critical influence of organizational issues and subjects´ perceived risk should lead health authorities to design future strategies to protect health professional force for facing a potential upcoming epidemiological crisis.

SUBMITTER: Gonzalo RM

PROVIDER: S-EPMC7834676 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Short-term emotional impact of COVID-19 pandemic on Spaniard health workers.

Gonzalo Rodriguez-Menéndez RM Ana Rubio-García RG Patricia Conde-Alvarez CA Laura Armesto-Luque AL Nathalia Garrido-Torres GT Luis Capitan C Asuncion Luque L Miguel Ruiz-Veguilla RV Benedicto Crespo-Facorro CF

Journal of affective disorders 20200924

<h4>Background</h4>The aims of this study were to evaluate the short-term impact of 2019-nCoV outbreak on the mental/psychological state of Spaniard health care workers (HCWs) and to explore the influencing factors, including organizational factors.<h4>Methods</h4>A web-based survey (Google forms questionnaire) spread via professional and scientific associations, professional WhatsApp and email lists, following a snowball technique was used. Data were collected from May 11th and May 31st, 2020 R ...[more]

PMID: 33007629

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Project description:ImportanceExtraordinary strain from COVID-19 has negatively impacted health care worker (HCW) well-being.ObjectiveTo determine whether HCW emotional exhaustion has increased during the pandemic, for which roles, and at what point.Design, setting, and participantsThis survey study was conducted in 3 waves, with an electronic survey administered in September 2019, September 2020, and September 2021 through January 2022. Participants included hospital-based HCWs in clinical and nonclinical (eg, administrative support) roles at 76 community hospitals within 2 large health care systems in the US.ExposuresSafety, Communication, Organizational Reliability, Physician, and Employee Burnout and Engagement (SCORE) survey domains of emotional exhaustion and emotional exhaustion climate.Main outcomes and measuresThe percentage of respondents reporting emotional exhaustion (%EE) in themselves and a climate of emotional exhaustion (%EEclim) in their colleagues. Survey items were answered on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree); neutral or higher scores were counted as "percent concerning" for exhaustion.ResultsElectronic surveys were returned by 37 187 (of 49 936) HCWs in 2019, 38 460 (of 45 268) in 2020, and 31 475 (of 41 224) in 2021 to 2022 for overall response rates of 74.5%, 85.0%, and 76.4%, respectively. The overall sample comprised 107 122 completed surveys. Nursing was the most frequently reported role (n = 43 918 [40.9%]). A total of 17 786 respondents (16.9%) reported less than 1 year at their facility, 59 226 (56.2%) reported 1 to 10 years, and 28 337 (26.9%) reported 11 years or more. From September 2019 to September 2021 through January 2022, overall %EE increased from 31.8% (95% CI, 30.0%-33.7%) to 40.4% (95% CI, 38.1%-42.8%), with a proportional increase in %EE of 26.9% (95% CI, 22.2%-31.8%). Physicians had a decrease in %EE from 31.8% (95% CI, 29.3%-34.5%) in 2019 to 28.3% (95% CI, 25.9%-31.0%) in 2020 but an increase during the second year of the pandemic to 37.8% (95% CI, 34.7%-41.3%). Nurses had an increase in %EE during the pandemic's first year, from 40.6% (95% CI, 38.4%-42.9%) in 2019 to 46.5% (95% CI, 44.0%-49.1%) in 2020 and increasing again during the second year of the pandemic to 49.2% (95% CI, 46.5%-51.9%). All other roles showed a similar pattern to nurses but at lower levels. Intraclass correlation coefficients revealed clustering of exhaustion within work settings across the 3 years, with coefficients of 0.15 to 0.17 for emotional exhaustion and 0.22 to 0.24 for emotional exhaustion climate, higher than the .10 coefficient typical of organizational climate (a medium effect for shared variance), suggestive of a social contagion effect of HCW exhaustion.Conclusions and relevanceThis large-scale survey study of HCWs spanning 3 years offers substantial evidence that emotional exhaustion trajectories varied by role but have increased overall and among most HCW roles since the onset of the pandemic. These results suggest that current HCW well-being resources and programs may be inadequate and even more difficult to use owing to lower workforce capacity and motivation to initiate and complete well-being interventions.

Project description:BackgroundPreliminary country-specific reports suggest that the COVID-19 pandemic has a negative impact on the mental health of the healthcare workforce. In this paper, we summarize the protocol of the COVID-19 HEalth caRe wOrkErS (HEROES) study, an ongoing, global initiative, aimed to describe and track longitudinal trajectories of mental health symptoms and disorders among health care workers at different phases of the pandemic across a wide range of countries in Latin America, Europe, Africa, Middle-East, and Asia.MethodsParticipants from various settings, including primary care clinics, hospitals, nursing homes, and mental health facilities, are being enrolled. In 26 countries, we are using a similar study design with harmonized measures to capture data on COVID-19 related exposures and variables of interest during two years of follow-up. Exposures include potential stressors related to working in healthcare during the COVID-19 pandemic, as well as sociodemographic and clinical factors. Primary outcomes of interest include mental health variables such as psychological distress, depressive symptoms, and posttraumatic stress disorders. Other domains of interest include potentially mediating or moderating influences such as workplace conditions, trust in the government, and the country's income level.ResultsAs of August 2021, ~ 34,000 health workers have been recruited. A general characterization of the recruited samples by sociodemographic and workplace variables is presented. Most participating countries have identified several health facilities where they can identify denominators and attain acceptable response rates. Of the 26 countries, 22 are collecting data and 2 plan to start shortly.ConclusionsThis is one of the most extensive global studies on the mental health of healthcare workers during the COVID-19 pandemic, including a variety of countries with diverse economic realities and different levels of severity of pandemic and management. Moreover, unlike most previous studies, we included workers (clinical and non-clinical staff) in a wide range of settings.

Dataset Information

Short-term emotional impact of COVID-19 pandemic on Spaniard health workers.

Background

Methods

Limitations

Conclusion

Publications

Short-term emotional impact of COVID-19 pandemic on Spaniard health workers.

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