Acute Stress among Nurses in Sweden during the COVID-19 Pandemic

Palmborg, Åsa; Lötvall, Rebecka; Cardeña, Etzel

doi:10.1016/j.ejtd.2022.100283

Cited by 5 publications

(7 citation statements)

References 47 publications

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“…The literature suggests that HCWs that provide first-line care and treatment of COVID-19 patients are at greater risk than those in second-line care [ 58 , 59 ]. Further, HCWs in the ICU have higher levels of stress than workers in other units [ 29 , 30 , 31 , 81 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological Health in Intensive Care Unit Health Care Workers after the COVID-19 Pandemic

et al. 2022

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Background: Although the COVID-19 pandemic had an impact on the general population, health care workers (HCWs) constituted one of the groups that were most adversely affected by the associated risks, owing to the significant consequences on their mental health. This study examined these psychological effects on HCWs who cared for COVID-19 patients who were admitted to the intensive care unit in an Italian hospital. Methods: Subjects were administered several self-reported questionnaires: Kessler 10 Psychological Distress Scale (K10), Perceived Stress Scale-10 (PSS), Impact of Event Scale Revised (IES-R), and Post-traumatic Growth Inventory (PTGI), as well as two open-ended questions oriented toward understanding their positive and negative emotional experience and differentiating between two phases of the emergency. Results: Overall, 45% of HCWs showed medium-to-high anxiety/depressive symptoms, whereas 60% presented with medium-to-high levels of perceived stress. In addition, 37% of subjects developed symptoms of PTSD and 50% showed post-traumatic growth in the “appreciation of life” and “new possibilities” dimensions. With regard to the open-ended questions, three themes were identified: quality of workplace relationships, sense of emotional-relational competence, and sense of clinical-technical competence. In addition, two macrocategories of responses were identified in the answers: growth and block. Conclusions: The mental health of HCWs who are involved in the front line of COVID-19 was significantly impacted by this experience, showing high levels of post-traumatic stress and anxiety and depressive symptoms more than 1 year after the emergency began. A qualitative analysis of staff experiences can be a useful guide for structuring interventions and prevention.

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Section: Discussionmentioning

confidence: 99%

Psychological Health in Intensive Care Unit Health Care Workers after the COVID-19 Pandemic

et al. 2022

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“…TS symptoms, will be measured with the 30-item Stanford Acute Stress Reaction Questionnaire (SASRQ-II)62 63 updated to be DSM-5-concordant31 for ASD symptoms. This scale is one of the most widely used scales for measuring TS symptoms and has demonstrated test–retest reliability,6263 and predictive, construct, discriminant and convergent validity across diverse samples 62–66. The English DSM-5-concordant version of the SASRQ (ie, SASRQ-II) has not yet been validated.…”

Section: Methods and Analysismentioning

confidence: 99%

“…This scale is one of the most widely used scales for measuring TS symptoms and has demonstrated test-retest reliability, 6263 and predictive, construct, discriminant and convergent validity across diverse samples. [62][63][64][65][66] The English DSM-5-concordant version of the SASRQ (ie, SASRQ-II) has not yet been validated. Therefore, the 20-item PTSD Checklist for DSM-5 (PCL-5) will also be administered.…”

Section: Outcome Measuresmentioning

confidence: 99%

Traumatic stress symptoms in family caregivers of patients with acute leukaemia: protocol for a multisite mixed methods, longitudinal, observational study

et al. 2022

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IntroductionThe diagnosis, progression or recurrence of cancer is often highly traumatic for family caregivers (FCs), but systematic assessments of distress and approaches for its prevention and treatment are lacking. Acute leukaemia (AL) is a life-threatening cancer of the blood, which most often presents acutely, requires intensive treatment and is associated with severe physical symptoms. Consequently, traumatic stress may be common in the FCs of patients with AL. We aim to determine the prevalence, severity, longitudinal course and predictors of traumatic stress symptoms in FCs of patients with AL in the first year after diagnosis, and to understand their lived experience of traumatic stress and perceived support needs.Methods and analysisThis two-site longitudinal, observational, mixed methods study will recruit 223 adult FCs of paediatric or adult patients newly diagnosed with AL from two tertiary care centres. Quantitative data will be collected from self-report questionnaires at enrolment, and 1, 3, 6, 9 and 12 months after admission to hospital for initial treatment. Quantitative data will be analysed using descriptive and machine learning approaches and a multilevel modelling (MLM) approach will be used to confirm machine learning findings. Semi-structured qualitative interviews will be conducted at 3, 6 and 12 months and analysed using a grounded theory approach.Ethics and disseminationThis study is funded by the Canadian Institutes of Health Research (CIHR number PJT 173255) and has received ethical approval from the Ontario Cancer Research Ethics Board (CTO Project ID: 2104). The data generated have the potential to inform the development of targeted psychosocial interventions for traumatic stress, which is a public health priority for high-risk populations such as FCs of patients with haematological malignancies. An integrated and end-of-study knowledge translation strategy that involves FCs and other stakeholders will be used to interpret and disseminate study results.

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“…[10] ICU Nurses in Sweden reported significantly more acute stress than nurses assigned in the emergency room and other units and nurses might have met the criteria of acute stress disorder using the Stanford acute stress reaction questionnaire-II. [11] Similarly, a critical review across waves on the impact of the prolonged COVID-19 pandemic on stress resilience and mental health explained that vulnerable groups such as adolescents and healthcare personnel that have been severely impacted by the COVID-19 pandemic do exist. [12] A high level of stress among nurses from different healthcare settings revealed during the Covid-19 pandemic situation.…”

Section: Introductionmentioning

confidence: 99%

Impact of COVID-19 Pandemic among Nurses in the New Normal: Perceived Stress Scale Measures

Sampayan

Alshahrani

Pavuthakursar

2023

Int J Sci Healthcare Res

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Two years after the COVID-19 pandemic emerged, the nursing workforce in the new normal still embraces the effect of the coronavirus pandemic. Nurses continuously address patients' health needs and provide quality nursing care. This study aimed to examine the impact of the COVID-19 pandemic on the new normal among Filipino nurses. This was a descriptive-correlational survey of 56 nurses recruited through a non-probability chain-referral sampling method. Each participant completed an online google form on sociodemographic characteristics and a validated instrument on perceived stress scale (PSS) measures. The results indicated that most of the respondents were 31-35 years old (41.1%), predominantly female (62.5%), and single (67.9%). BSN degree (94.6%) was the highest education level, had 1-5 years (46.4%) work experience, and the majority (87.5%) experienced handling patients with coronavirus disease. The majority (n=47, 83.9%) of the respondents showed a moderate level of stress while 3.6% (n=2) reported high-stress levels. The association of age (p-.383), gender (p=1.00), marital status (p=.277), and education level (p=.415, and work experience (p=.142) is not statistically significant to their level of stress (p=>0.05). Nurses have a moderate level of stress during the COVID-19 pandemic. The study concluded that nurses have moderate stress facing the new normal. Therefore, hospital and nursing administrators should continuously provide support for their nurses. Sustainable availability of resources, effective stress management strategies, continuous update, and regular stress screening program are some of the desirable key measures to decrease stress levels. Further research is recommended in larger scope and population to establish the generalizability of findings. Keywords: New Normal, Stress Scale, COVID-19 Pandemic, Nurses

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Acute Stress among Nurses in Sweden during the COVID-19 Pandemic

Cited by 5 publications

References 47 publications

Psychological Health in Intensive Care Unit Health Care Workers after the COVID-19 Pandemic

Psychological Health in Intensive Care Unit Health Care Workers after the COVID-19 Pandemic

Traumatic stress symptoms in family caregivers of patients with acute leukaemia: protocol for a multisite mixed methods, longitudinal, observational study

Impact of COVID-19 Pandemic among Nurses in the New Normal: Perceived Stress Scale Measures

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