How healthcare workers are coping with mental health challenges during COVID-19 pandemic? - A cross-sectional multi-countries study

Htay, Mila Nu Nu; Marzo, Roy Rillera; Bahari, Rafidah; AlRifai, Ayesha; Kamberi, Fatjona; El-Abasiri, Radwa Abdullah; Nyamache, Jeldah Mokeira; Hlaing, Htet Aung; Hassanein, Mayada; Moe, Soe; Abas, Adinegara Lutfi; Su, Tin Tin

doi:10.1016/j.cegh.2021.100759

Cited by 70 publications

(70 citation statements)

References 42 publications

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“…Consistent with current research [ 16 , 44 ] and guidance [ 8 , 9 , 10 , 11 , 12 ], ‘peer support’ in the workplace was valued, yet time pressure and organisational processes prohibited this being accessed fully. This suggests problems in organisational and local provision (e.g., insufficient staff/capacity) to facilitate the need to ‘rest and digest’, use appropriate clinical reflective spaces [ 45 ], or similar ad-hoc/organised sessions.…”

Section: Discussionsupporting

confidence: 60%

“…This study focuses solely on doctors rather than healthcare workers (HCW) more broadly: it is erroneous to assume that doctors, nurses, and other HCW are a homogenous group. Different professional groups are likely to have unique experiences working on the frontline and have been found to differ in their preferred coping mechanisms [ 44 ]. Finally, this study sampled only those experiencing clinical levels of psychological distress; while the rationale supports this, we are not able to offer insight into the needs of those who have not been psychologically impacted, and indeed, why that might be.…”

Section: Discussionmentioning

confidence: 99%

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The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Daniels

Ingram

Pease

et al. 2021

IJERPH

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This study aimed to develop empirically grounded recommendations and a coherent model of psychological care derived from the experiences and psychological care needs of COVID-19 frontline doctors, using semi-structured interviews and thematic analysis. Participants were UK frontline doctors specialising in Emergency Medicine, Anaesthetics, or Intensive Care (n = 31) purposively sampled for maximum variation on gender, specialty, ethnicity, and trauma-related distress; most worked in ICU during the pandemic (71%). Four themes were derived: (1) ‘coping strategies’, participants used many, including exercise, mindfulness, and “wait until it gets really bad”; (2) ‘sources of support’, participants valued embedded psychological support, digital services, and informal conversations with colleagues or family, though there was little opportunity; (3) ‘organisational influences on wellbeing’, participants reported a love–hate relationship for concepts like ‘wellbeing’, seen as important but insulting when basic workplace needs were unmet; (4) ‘improving engagement with support’, analysis suggests we must reduce physical and psychological barriers to access and encourage leaders to model psychologically supportive behaviours. Doctors’ frontline COVID-19 working experiences shine a ‘spotlight’ on pre-existing problems such as lack of physical resources and access to psychological care. Empirically grounded recommendations and a model of incremental psychological care are presented for use in clinical services.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

Daniels

Ingram

Pease

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“… 30 Physicians in our study also reported engaging in physical exercise, and a small minority did not identify any specific coping strategies or changes in coping. Although our results echo previous evidence that family support is a common coping strategy for healthcare workers during the COVID‐19 pandemic, 36 our findings also shed light on the important role that social support within the emergency medicine community plays for emergency physicians coping with pandemic‐related stress.…”

Section: Discussionsupporting

confidence: 83%

A qualitative investigation of the impact of coronavirus disease 2019 (COVID‐19) on emergency physicians’ emotional experiences and coping strategies

et al. 2021

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Study objective: Throughout the coronavirus disease 2019 (COVID-19) pandemic, emergency physicians in the United States have faced unprecedented challenges, risks, and uncertainty while caring for patients in an already vulnerable healthcare system.As such, the pandemic has exacerbated high levels of negative emotions and burnout among emergency physicians, but little systematic qualitative work has documented these phenomena. The purpose of this qualitative investigation was to study emergency physicians' emotional experiences in response to COVID-19 and the coping strategies that they employed to navigate the pandemic.Methods: From September 2020 to February 2021, we conducted semistructured interviews with 26 emergency physicians recruited from 2 early COVID-19 epicenters: New York City and the Metro Boston region. Interviews, coding, and analyses were conducted using a grounded theory approach.Results: Emergency physicians reported heightened anxiety, empathy, sadness, frustration, and anger during the pandemic. Physicians frequently attributed feelings of anxiety to medical uncertainty around the COVID-19 virus, personal risk of contracting the virus and transmitting it to family members, the emergency environment, and resource availability. Emergency physicians also discussed the emotional effects of policies prohibiting patients' family members from entering the emergency department (ED), both on themselves and patients. Sources of physician anger and frustration included changing policies and rules, hospital leadership and administration, and pay cuts. Some physicians described an evolving, ongoing coping process in response to the pandemic, and most identified collective discussion and processing within the emergency medicine community as an effective coping strategy. Conclusions:Our findings underscore the need to investigate the effects of physicians' pandemic-related emotional stress and burnout on patient care. Evidence-based

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“…A global survey involving 32 countries already reported that healthcare workers are employing various coping strategies to cope such as positive thinking and getting family support ( 50 ). Government as well as institutional efforts to help healthcare workers implement these coping strategies in order to enable them continue working with COVID-19 patients are highly recommended.…”

Section: Discussionmentioning

confidence: 99%

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

et al. 2021

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Background: Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on the burden of mental disorders among Kenyan healthcare workers responding to the pandemic that can inform mental health and psychosocial support. The purpose of this study was to establish the frequency and associated factors of worry, generalized anxiety disorder, depression, posttraumatic stress disorder and poor quality of sleep among Kenyan health care workers at the beginning of COVID-19 pandemic.Methods: We conducted an online survey among 1,259 health care workers in Kenya. A researcher developed social demographic questionnaire and several standardized tools were used for data collection. Standardized tools were programmed into Redcap, (Research Electronic Data Capture) and data analysis was performed using R Core Team. In all analysis a p-value < 0.05 was considered significant.Results: 66% of the participants reported experiencing worry related to COVID-19. 32.1% had depression, 36% had generalized anxiety, 24.2% had insomnia and 64.7% scored positively for probable Post Traumatic Stress Disorder (PTSD). Depression was higher among females compared to men (36.5 vs. 26.9%, p = 0.003), workers <35 years old compared to older ones (38.1 vs. 26.4%, p < 0.001), and those who were not married compared to those who were married (40.6 vs. 27.6%, p < 0.001). Generalized anxiety was commoner among workers aged <35 years (43.5 vs. 29.3%, p < 0.001), females (41.7 vs. 29.2%, p < 0.001), those who mere not married compared to the married (45.2 vs. 31.2%, p < 0.001) and those with <10 years working experience (41.6 to 20.5%, p < 0.001). Younger health care professional had a higher proportion of insomnia compared to the older ones (30.3 vs. 18.6%, p < 0.001). Insomnia was higher among those with <10 years' experience compared to those with more than 20 years' experience(27.3 vs. 17.6%, p = 0.043)Conclusion: Many Kenyan healthcare workers in the early phase of COVID-19 pandemic suffered from various common mental disorders with young, female professionals who are not married bearing the bigger burden. This data is useful in informing interventions to promote mental and psychosocial wellbeing among Kenyan healthcare workers responding to the pandemic.

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How healthcare workers are coping with mental health challenges during COVID-19 pandemic? - A cross-sectional multi-countries study

Cited by 70 publications

References 42 publications

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

The COVID-19 Clinician Cohort (CoCCo) Study: Empirically Grounded Recommendations for Forward-Facing Psychological Care of Frontline Doctors

A qualitative investigation of the impact of coronavirus disease 2019 (COVID‐19) on emergency physicians’ emotional experiences and coping strategies

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

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