Depression, Anxiety, and Stress Among Nurses During the COVID-19 Wave III: Results of a Cross-Sectional Assessment

Nadeem, Fahad; Sadiq, Abdul; Raziq, Abdul; Iqbal, Qaiser; Haider, Sajjad; Saleem, Fahad; Bashaar, Mohammad

doi:10.2147/jmdh.s338104

Cited by 28 publications

(24 citation statements)

References 41 publications

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“…However, only depression was significantly different between the groups. Our result is inconsistent with studies from Pakistan ( 17 ) and Vietnam ( 18 ), which showed that nurses with less experience exhibited higher depression and anxiety levels. A study conducted in Saudi Arabia found that healthcare workers with less experience reported negative mental well-being and low self-efficacy ( 15 ).…”

Section: Discussioncontrasting

confidence: 99%

“…This study aimed to examine the prevalence and influencing factors of hospital anxiety and depression among ED nurses during the COVID-19 pandemic in Saudi Arabia. According to existing literature, several factors could influence hospital anxiety and depression (14)(15)(16)(17)(18). Therefore, in this study, we hypothesized that factors including age, sex, marital status, years of experience, work location, shift duration, and physical exercise would influence hospital anxiety and depression levels among ED nurses.…”

Section: Introductionmentioning

confidence: 96%

“…This prevalence was higher among nurses than doctors (42.4 vs. 39.1%) ( 13 ). These high incidences of anxiety and depression are attributed to a variety of factors and characteristics, such as age ( 14 ), physical activity ( 15 ), work location ( 16 ), and years of experience in the medical profession ( 15 , 17 , 18 ). Studies have reported inconsistent figures for the prevalence of anxiety and depression symptoms among nurses.…”

Section: Introductionmentioning

confidence: 99%

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Factors influencing hospital anxiety and depression among emergency department nurses during the COVID-19 pandemic: A multi-center cross-sectional study

et al. 2022

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IntroductionThe emergency department (ED) is a highly stressful environment, which exposes nurses to infection. ED nurses handle life-threatening conditions, endure long working hours, and deal with anxious patients and their families.AimThis study aimed to examine factors, which may influence anxiety and depression levels among ED nurses during the coronavirus disease 2019 (COVID-19) pandemic.MethodsA cross-sectional design was used with 251 participants from six hospitals in Saudi Arabia (mean age = 32.7 ± 6.59, range = 21–54 years, 70.5% females). Data were collected using the Hospital Anxiety and Depression Scale (HADS), and the analysis was conducted using structural equation modeling (SEM).ResultsBased on the HADS scores, 29.1 and 25.5% of ED nurses were identified as doubtful cases for depression and anxiety, respectively. Additionally, 34.7 and 43.3% of ED nurses were identified as definite cases for depression and anxiety, respectively. Higher anxiety levels were observed among female nurses, nurses with lower physical activity levels, and nurses who worked in urban areas. Low physical activity levels and more than 6 years of work experience correlated with a higher level of depression. None of the hypothesized paths in the anxiety and depression models were significant, except for two observed variables—namely, work location and physical exercise in the anxiety model and physical exercise in the depression model.ConclusionEmergency department nurses expressed high levels of anxiety and depression during the COVID-19 pandemic, which may negatively affect their performance and reduce care quality. Therefore, health care leaders should implement specialized mental health education programs focused on nursing occupational safety and support to improve ED nurses’ psychological well-being. Specific attention should be paid to ED female nurses who work in urban areas, especially those with more than 6 years of experience.

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Factors influencing hospital anxiety and depression among emergency department nurses during the COVID-19 pandemic: A multi-center cross-sectional study

et al. 2022

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“…Indonesian researchers also emphasize the role of management in improving personnel’s working conditions through support, analyzing workload, ensuring adequate staffing, organizing meetings to solve ongoing problems, and ensuring psychological consultations as needed ( Basit & Peni, 2021 ; Chirico, Nucera & Magnavita, 2021 ; Oktovin, Basit & Peni, 2021 ). According to authors from Afghanistan, facilitating continuous and comprehensive support mechanisms aimed at protecting nurses’ mental health is of great importance during pandemics ( Nadeem et al, 2021 ). The need to educate medical staff in ways of coping with stress is even more obvious now, since the pandemic has shown a deficit in this regard ( Ali et al, 2020 ; Salopek-Žiha, et al, 2020 , El-Hage et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Stress coping strategies used by nurses during the COVID-19 pandemic

Sierakowska

Doroszkiewicz

2022

PeerJ

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Introduction The risk of getting SARS-CoV-2 infection, worries about exposing loved ones, anxiety and frustration, emotional and physical exhaustion, burn out, a feeling of being overwhelmed, and struggles and challenges with parenting are a few among many factors that affect nurses’ personal lives and professional functioning. The aim of the research is to assess nurses’ level of stress during the COVID-19 pandemic and their sense of self-efficacy, and to learn what coping strategies they use. Methodology/Methods The study was carried out online and based on the diagnostic poll method, using an original survey questionnaire, the General Self-Efficacy Scale (GSES 10–40), the Mini-COPE questionnaire (0–3), and the Perceived Stress Scale PSS-10 (0–40). The respondent group was made up of nurses (n = 220) who provide health services in inpatient and outpatient health care institutions in the northeastern region of Poland. The statistical analysis was performed using the STATISTICA 13.0 package (StatSoft). The distribution of variables was checked with Shapiro-Wilk tests. The Mann–Whitney U test was used to compare two independent samples, while the Kruskal–Wallis test was used to compare more samples. The adopted statistical significance level was p < 0.05. Multivariate regression analysis was applied to determine which factors were related to the level of stress. Results The mean age of the participants was 43.3 years. The vast majority were women (96.4). The mean work experience of the nurses was over 20 years (58.2%). A total of 62.3% worked directly with patients in hospitals, including 11.8% respondents working at COVID-19 units and 37.7% working at primary care institutions. The analyses show that the respondents represented a high level of stress (PSS-10 – 20.9), related to their work experience as a nurse (β −0.250, p = 0.014), the number of hours worked a month (β 0.156, p = 0.015), and self-assessed health status (β −0.145, p = 0.037). They declared an average sense of self-efficacy (GSES – 29.1), which significantly depended on the nurses’ places of employment (p = 0.044). Out of stress coping strategies (Mini-COPE), the younger nurses mentioned venting (p = 0.010), instrumental support (p = 0.011), sense of humour (p = 0.013) and self-blame (0.031). Practice nurses also chose the strategy of behavioral disengagement (p = 0.032), and nurse managers chose the strategy of planning (p = 0.018). Conclusions The experience of the COVID-19 pandemic highlights the need to implement some strategies to protect nurses’ mental health and to take extensive prevention measures in critical situations. Special attention should be given to nurses who are younger and have shorter work experience. It is also important to monitor nurses’ working time and health status, and those who work at outpatient health care institutions should be given more support and information.

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“…The nursing professionals of a COVID-19 team have significant levels of anxiety, depression and stress, and the factors associated with depression and stress were identified [24]. According to the study by Appel et al, the nursing professionals of the COVID-19 team studied had significant levels of anxiety, depression and stress, and the factors associated with depression and stress were identified [25].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Psychosocial Functioning of Polish Nurses during COVID-19 Pandemic

Rachubińska

Cybulska

Sołek-Pastuszka

et al. 2022

IJERPH

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(1) The COVID-19 pandemic has significantly affected the psychological well-being of people around the world. The aim of this study was to assess the levels of psychological distress of nurses (anxiety, depression, stress, insomnia) in relation to sociodemographic variables and psychosocial variables: self-assessment of health, quarantine, psychological support, presence of chronic diseases and the Impact of Events Scale (IES-R). (2) A total of 207 nurses working with COVID-19 patients at the Independent Public Clinical Hospital No. 1 of the Pomeranian Medical University in Szczecin participated in the study. The study was conducted with the diagnostic survey method, using the Athens Insomnia Scale, the Generalized Anxiety Disorder questionnaire, the Impact of Event Scale—Revised, the Patient Health Questionnaire-9, The Perceived Stress Scale and a questionnaire of our authorship. (3) Among the respondents, 40.58% suffered sleep disturbance, 36.71% had mild anxiety, 71.95% had high stress according to the PSS-10 and 31.88% had depression according to the PHQ-9. The study observed that the chances of insomnia decreased with the age of the respondents. Moreover, the form of employment of nurses significantly affected the levels of depression, anxiety and stress. (4) Education, gender and age were variables that significantly affected the severity of anxiety, depression and insomnia in the surveyed nurses working with patients with COVID-19.

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Depression, Anxiety, and Stress Among Nurses During the COVID-19 Wave III: Results of a Cross-Sectional Assessment

Cited by 28 publications

References 41 publications

Factors influencing hospital anxiety and depression among emergency department nurses during the COVID-19 pandemic: A multi-center cross-sectional study

Factors influencing hospital anxiety and depression among emergency department nurses during the COVID-19 pandemic: A multi-center cross-sectional study

Stress coping strategies used by nurses during the COVID-19 pandemic

Assessment of Psychosocial Functioning of Polish Nurses during COVID-19 Pandemic

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