Coping Responses of Emergency Physicians and Nurses to the 2003 Severe Acute Respiratory Syndrome Outbreak

Phua, Dong Haur; Tang, Hui Kheng; Tham, Kum Ying

doi:10.1111/j.1553-2712.2005.tb01951.x

Cited by 75 publications

(116 citation statements)

References 23 publications

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“…Many of the staff who volunteered to work in the isolation unit reported undergoing severe psychological stress related to their separation from normal support, concern over contracting Ebola, fear they would infect their family and having to witness the death of close colleagues, which was both an emotional loss and a reminder of the risk they themselves were taking [10] (Table 4). Similar stressors were reported among health care staff in Asia and Canada during the SARS epidemic [21,23,[27][28][29][30][31][32][33][34][35][36][37][38][39]. In the Congo, it was common for staff to develop psychosomatic symptoms similar to those seen in Ebola patients.…”

Section: Effects On Staffmentioning

confidence: 55%

The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics

Hall

Chapman³

2008

General Hospital Psychiatry

320

268

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Section: Effects On Staffmentioning

confidence: 55%

The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics

Hall

Chapman³

2008

General Hospital Psychiatry

320

268

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“…The IES-R, developed by Weiss and Marmar is a 22-item, 5-point scale (0, not at all; 1, a little bit; 2, moderately; 3, quite a bit; 4, extremely) with a Cronbach's alpha of 0.93. The IES-R Korean version yields a total score (ranging from 0 to 88) and subscale scores which can be calculated for the hyperarousal (consisting of the following items: 4, 10, 14,18,19,21), avoidance (consisting of the following items: 5,8,11,12,17,22), intrusion (consisting of the following items: 1,3,6,9,16), and sleep and numbness (consisting of the following items: 2, 7, 13, 15, 20) subscales of PTSD [10]. The internal consistency of the IES-R Korean version was 0.69-0.83 [11].…”

Section: Methodsmentioning

confidence: 99%

Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients

Lee

Kang

Cho

et al. 2018

Comprehensive Psychiatry

973

859

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a b s t r a c t a r t i c l e i n f oObjectives: This study aimed to assess the immediate stress and psychological impact experienced by quarantined patients undergoing hemodialysis and university hospital workers who treated patients Middle East respiratory syndrome (MERS) during its outbreak. Design: The group of subjects consisted of 1800 hospital practitioners and 73 quarantined patients undergoing hemodialysis. The Impact of Events Scale-Revised (IES-R) was administered to the practitioners twice, once during the hospital shutdown and again one month after the shutdown. The Mini International Neuropsychiatric Interview and Hospital Anxiety and Depression Scale were administered to patients undergoing hemodialysis. Results: During the initial stages of the MERS outbreak, healthcare workers who performed MERS-related tasks scored significantly higher on the total IES-R and its subscales. In the second assessment of the high-risk group, the sleep and numbness subscale scores from the IES-R differed depending on the implementation of home quarantine, and the intrusion subscale scores differed depending on the performance of MERS-related tasks. Conclusion: Medical staff that performed MERS-related tasks showed the highest risk for post-traumatic stress disorder symptoms even after time had elapsed. The risk increased even after home quarantine. Prompt and continuous psychiatric intervention is needed in high mortality infectious disease outbreaks.

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“…Their faith also helps them cope with the accompanying stress. 25 Historically, many physicians who cared for plague victims did so "not to conform to professional norms, but out of a sense of Christian charity and for personal salvation." 13 Emergency physicians and other health care workers may also be persuaded to remain at their posts during a pandemic or other disaster by the urgent medical needs of large numbers of gravely ill or injured patients.…”

Section: Will They Stay? Reasons and Choicesmentioning

confidence: 99%

Fight or Flight: The Ethics of Emergency Physician Disaster Response

Iserson

Heine

Larkin

et al. 2008

Annals of Emergency Medicine

109

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Most disaster plans depend on using emergency physicians, nurses, emergency department support staff, and out-of-hospital personnel to maintain the health care system's front line during crises that involve personal risk to themselves or their families. Planners automatically assume that emergency health care workers will respond. However, we need to ask: Should they, and will they, work rather than flee? The answer involves basic moral and personal issues. This article identifies and examines the factors that influence health care workers' decisions in these situations. After reviewing physicians' response to past disasters and epidemics, we evaluate how much danger they actually faced. Next, we examine guidelines from medical professional organizations about physicians' duty to provide care despite personal risks, although we acknowledge that individuals will interpret and apply professional expectations and norms according to their own situation and values. The article goes on to articulate moral arguments for a duty to treat during disasters and social crises, as well as moral reasons that may limit or override such a duty. How fear influences behavior is examined, as are the institutional and social measures that can be taken to control fear and to encourage health professionals to provide treatment in crisis situations. Finally, the article emphasizes the importance of effective risk communication in enabling health care professionals and the public to make informed and defensible decisions during disasters. We conclude that the decision to stay or leave will ultimately depend on individuals' risk assessment and their value systems. Preparations for the next pandemic or disaster should include policies that encourage emergency physicians, who are inevitably among those at highest risk, to "stay and fight."

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Coping Responses of Emergency Physicians and Nurses to the 2003 Severe Acute Respiratory Syndrome Outbreak

Cited by 75 publications

References 23 publications

The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics

The 1995 Kikwit Ebola outbreak: lessons hospitals and physicians can apply to future viral epidemics

Psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients

Fight or Flight: The Ethics of Emergency Physician Disaster Response

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