Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study

Hu, Deying; Kong, Yaozhong; Li, Wengang; Han, Qiuying; Zhang, Xin; Zhu, Ling; Wan, Su Wei; Liu, Zuofeng; Shen, Qu; Yang, Jingqiu; He, Hong; Zhu, Jie

doi:10.1016/j.eclinm.2020.100424

Cited by 763 publications

(976 citation statements)

References 23 publications

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“…A quantitative study on fatigue and its recovery specifically among doctors or other healthcare workers is limited. However, the findings on fatigue in the present study are comparable with burnout findings in other studies among healthcare workers worldwide [ 49 , 50 ]. Qualitatively, fatigue can be attributed to the high workload, prolonged wearing of protective gear, and limited recovery opportunity [ 51 ].…”

Section: Discussionsupporting

confidence: 91%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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The COVID-19 pandemic potentially increases doctors’ work demands and limits their recovery opportunity; this consequently puts them at a high risk of adverse mental health impacts. This study aims to estimate the level of doctors’ fatigue, recovery, depression, anxiety, and stress, and exploring their association with work demands and recovery experiences. This was a cross-sectional study among all medical doctors working at all government health facilities in Selangor, Malaysia. Data were collected in May 2020 immediately following the COVID-19 contagion peak in Malaysia by using self-reported questionnaires through an online medium. The total participants were 1050 doctors. The majority of participants were non-resident non-specialist medical officers (55.7%) and work in the hospital setting (76.3%). The highest magnitude of work demands was mental demand (M = 7.54, SD = 1.998) while the lowest magnitude of recovery experiences was detachment (M = 9.22, SD = 5.043). Participants reported a higher acute fatigue level (M = 63.33, SD = 19.025) than chronic fatigue (M = 49.37, SD = 24.473) and intershift recovery (M = 49.97, SD = 19.480). The majority of them had no depression (69.0%), no anxiety (70.3%), and no stress (76.5%). Higher work demands and lower recovery experiences were generally associated with adverse mental health. For instance, emotional demands were positively associated with acute fatigue (adj. b = 2.73), chronic fatigue (adj. b = 3.64), depression (adj. b = 0.57), anxiety (adj. b = 0.47), and stress (adj. b = 0.64), while relaxation experiences were negatively associated with acute fatigue (adj. b = −0.53), chronic fatigue (adj. b = −0.53), depression (adj. b = −0.14), anxiety (adj. b = −0.11), and stress (adj. b = −0.15). However, higher detachment experience was associated with multiple mental health parameters in the opposite of the expected direction such as higher level of chronic fatigue (adj. b = 0.74), depression (adj. b = 0.15), anxiety (adj. b = 0.11), and stress (adj. b = 0.11), and lower level of intershift recovery (adj. b = −0.21). In conclusion, work demands generally worsen, while recovery experiences protect mental health during the COVID-19 pandemic with the caveat of the role of detachment experiences.

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Section: Discussionsupporting

confidence: 91%

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Fauzi

Yusoff

Robat

et al. 2020

IJERPH

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“…Working on the "frontline" is one of the few covariables that was signi cantly associated with all three dimensions of burnout. In a study conducted in China, the prevalence of burnout was high among frontline nurses [17]. The COVID-19 outbreak has led to a sharp increase in admissions and presentations to hospitals, which has impacted the workload of HCWs.…”

Section: Discussionmentioning

confidence: 99%

“…Hu et al [17] examined a sample of 2014 frontline nurses working in two Wuhan hospitals, and more than half of the subjects reported moderate to high burnout. Weilenmann et al [18] investigated the level of burnout in HCWs (857 physicians and 553 nurses) in Switzerland.…”

Section: Introductionmentioning

confidence: 99%

Burnout among Portuguese healthcare workers during the COVID-19 pandemic

Duarte

Teixeira

Castro³

et al. 2020

Preprint

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Background: During COVID-19 pandemic, healthcare workers (HCWs) have had high workload and have been exposed to multiple psychosocial stressors. The aim of this study was to evaluate HCWs in terms of the relative contributions of socio-demographic and mental health variables on three burnout dimensions: personal, work-related, and client-related burnout.Methods: A cross-sectional study was performed using an online questionnaire spread via social networks. A snowball technique supported by health care institutions and professional organizations was applied. Results: A total of 2008 subjects completed the survey. Gender, parental status, marriage status, and salary reduction were found to be significant factors for personal burnout. Health problems and direct contact with infected people were significantly associated with more susceptibility to high personal and work-related burnout. Frontline working positions were associated with all three dimensions. Higher levels of stress and depression in HCWs were significantly associated with increased levels of all burnout dimensions. Higher levels of satisfaction with life and resilience were significantly associated with lower levels of all burnout dimensions. Conclusions: All three burnout dimensions were associated with a specific set of covariates. Consideration of these three dimensions is important when designing future burnout prevention programs for HCWs.

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“…36 Similarly, people on the frontlines such as nurses and medical staff suffered from fear of infection and death. 33,37 Physical Activity and Psychological Distress…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

Sfendla

Hadrya

2020

Health Security

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In Morocco, as in many countries, COVID-19 spread nationwide causing a public health emergency. Strict quarantine measures implemented as a result of the pandemic have disrupted many aspects of people's lives, triggering psychological distress. A total of 256 participants were recruited through a convenience sample. Data were collected through snowball sampling, an assessment of distress symptoms using the Brief Symptoms Inventory, and an assessment of leisure-time physical activity using the Godin-Shephard Leisure-Time Physical Activity Questionnaire. Bivariate and multivariate analyses were performed. Significant changes in paranoid ideation (z =-2.45, P = .01) and interpersonal sensitivity (z =-2.01, P = .04) dimensions were noted between those who were and those who were not authorized to leave their homes during quarantine. Similarly, for physical activity, significant changes in depression (z =-2.15, P = .03), anxiety (z =-2.13, P = .03), interpersonal sensitivity (z =-1.95, P = .05), and somatization (z =-2.11, P = .03) were reported among the insufficiently active group compared with the more physically active group. From multiple regression analysis, variables correlated with general distress were type of quarantine, gender, age, education level, chronic disease, and smoking (R 2 = .80). With some variables, leisure-time physical activity domains appeared to be associated only with interpersonal sensitivity and somatization. Having to leave one's home during the outbreak was linked to distress, especially symptoms like suspiciousness, hostility, fearful thoughts of losing autonomy, and feelings of inadequacy, uneasiness, and discomfort during interpersonal interactions. Individuals who were moderately or sufficiently active physically reported less psychological distress.

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Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study

Cited by 763 publications

References 23 publications

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Doctors’ Mental Health in the Midst of COVID-19 Pandemic: The Roles of Work Demands and Recovery Experiences

Burnout among Portuguese healthcare workers during the COVID-19 pandemic

Factors Associated with Psychological Distress and Physical Activity During the COVID-19 Pandemic

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