Personal Protective Equipment and Mental Health Symptoms Among Nurses During the COVID-19 Pandemic

Arnetz, Judith E.; Goetz, Courtney; Sudan, Sukhesh; Arble, Eamonn; Janisse, James; Arnetz, Bengt B.

doi:10.1097/jom.0000000000001999

Cited by 126 publications

(176 citation statements)

References 17 publications

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“…The final search resulted in a total of eight studies enrolled in the qualitative synthesis. The eight studies were of cross-sectional design and are summarized by characteristics in Table 1, quality in Table 2, and estimates (prevalence and odds ratio) in Table 3 [3,[20][21][22][23][24][25][26]. Six of the eight studies reported PTSD symptoms among healthcare professionals during the COVID-19 pandemic in Asia (China [20][21][22], Singapore [3], and India [3]) and North America (United States of America [23,24]), while two studies were undertaken during the SARS-2003 pandemic in Asia (China [25] and Singapore [26]).…”

Section: Resultsmentioning

confidence: 99%

“…All of the studies self-reported level of exposure to coronaviruses (CoV-1 or CoV-2) and severity of PTSD symptoms using paper or online surveys with a response rate above 80% [3,25], of 60-80% [20][21][22]26], and below 15% [23,24]. Three studies were conducted in a single hospital [21,25,26], three studies were conducted in multiple hospitals [3,20,22], one study was conducted in a single state [23], and two studies were conducted in multiple states or provinces [20,24]. Two studies were investigated merely nursing staff [22,23], one study had a majority of female nursing staff (93.6%) [23], one study recruited just otolaryngology physicians [24], and two studies focused on nurses and doctors [20,26].…”

Section: Resultsmentioning

confidence: 99%

“…Three studies were conducted in a single hospital [21,25,26], three studies were conducted in multiple hospitals [3,20,22], one study was conducted in a single state [23], and two studies were conducted in multiple states or provinces [20,24]. Two studies were investigated merely nursing staff [22,23], one study had a majority of female nursing staff (93.6%) [23], one study recruited just otolaryngology physicians [24], and two studies focused on nurses and doctors [20,26]. Three studies included allied HCPs and administrates [3,21,25].…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Falasi

Mazrouei

Ali

et al. 2021

IJERPH

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Background: The COVID-19 pandemic continues to rise. In order to control the COVID-19 pandemic, healthcare professionals have been subjected to increased exposure to work stress. In this systematic review, we aimed at investigating the prevalence and determinants of immediate and long-term post-traumatic stress disorder (PTSD) effects on healthcare professionals by the COVID-19 (SARS CoV-2) and SARS-2003 (SARS CoV-1) pandemics. Methods: This systematic review was conducted according to the recommendations of the Protocols for Systemic Review and Meta-Analysis (PRISMA) statement. Only studies reporting the prevalence of PTSD (frequency, percentage) and related risk factors (adjusted odds ratio (OR)) in healthcare professionals (HCPs) during the SARS CoV-2 and SARS CoV-1 pandemics were included. The following databases were screened: Medline, Embase, PsychINFO, and Health Psychosocial Instrument (HaPI). Results: Six of eight studies reported PTSD symptoms among healthcare professionals during the COVID-19 pandemic in China (three), Singapore (one), India (one), and the United States of America (USA) (two), while two studies reported symptoms during the SARS-2003 pandemic in China (one) and Singapore (one). Sample sizes ranged from 263 to 5062 with a combined total of 10,074 participants. All of the studies self-reported the level of exposure to coronaviruses (CoV-1 and CoV-2) and severity of PTSD. Seven studies reported the prevalence of immediate PTSD and determinants, while one study reported delayed-onset PTSD (3 years after CoV-1 pandemic). Determinants of immediate PTSD were reported for the CoV-2 pandemic, while those for long-term PTSD were reported for the CoV-1 pandemic. Conclusions: A comprehensive understanding of the prevalence and determinants of immediate or long-term pandemic PTSD for healthcare workers can improve prevention, diagnosis, and management. Rigorous research measuring the prevalence of PTSD and its associated risk factors (adjusted OR) for the CoV-2 pandemic are envisaged. Although strategies to resolve immediate PTSD are key, long-term PTSD must not be overlooked.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Falasi

Mazrouei

Ali

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…The majority of the studies on COVID-19 were published in China (n = 32) [67, 73-76, 84-86, 88, 91-93, 95-97, 99, 101, 102, 107, 110, 113, 114, 116-119, 121-126] and Italy (n = 6) [71,72,78,79,83,103]. Other studies were conducted in the United States [68,89,106], Iran [100,105,112], Turkey [80,104,111], Germany [90,120], Pakistan [66,87], Poland [115], India [108], Egypt [81], Brazil [77], France [70], Spain [94], Saudi Arabia [98], and Singapore [109]. Two studies recruited participants from different countries [69,82].…”

Section: Characteristics Of Primary Studiesmentioning

confidence: 99%

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

Busch

Moretti

Mazzi

et al. 2021

Psychother Psychosom

145

143

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In light of the current coronavirus disease 2019 (COVID-19) pandemic and potential future infectious disease outbreaks, a comprehensive understanding of the negative effects of epidemics and pandemics on healthcare workers’ mental health could inform appropriate support interventions. Thus, we aimed to synthesize and quantify the psychological and psychosomatic symptoms among frontline medical staff. We searched four databases up to March 19, 2020 and additional literature, with daily search alerts set up until October 26, 2020. Studies reporting psychological and/or psychosomatic symptoms of healthcare workers caring for patients with severe acute respiratory syndrome, H1N1, Ebola, Middle East respiratory syndrome, or COVID-19 were eligible for inclusion. Two reviewers independently conducted the search, study selection, quality appraisal, data extraction, and synthesis and involved a third reviewer in case of disagreement. We used random effects modeling to estimate the overall prevalence rates of psychological/psychosomatic symptoms and the <i>I</i><sup>2</sup> statistic. We included 86 studies, reporting data from 75,991 participants. Frontline staff showed a wide range of symptoms, including concern about transmitting the virus to the family (60.39%, 95% CI 42.53–76.96), perceived stress (56.77%, 95% CI 34.21–77.95), concerns about own health (45.97%, 95% CI 31.08–61.23), sleeping difficulties (39.88%, 95% CI 27.70–52.72), burnout (31.81%, 95% CI 13.32–53.89), symptoms of depression (25.72%, 95% CI 18.34–33.86), symptoms of anxiety (25.36%, 95% CI 17.90–33.64), symptoms of posttraumatic stress disorder (24.51%, 95% CI 18.16–31.46), mental health issues (23.11%, 95% CI 15.98–31.10), and symptoms of somatization (14.68%, 95% CI 10.67–19.18). We found consistent evidence for the pervasive and profound impact of large-scale outbreaks on the mental health of frontline healthcare workers. As the COVID-19 crisis continues to unfold, guaranteeing easy access to support structures for the entire healthcare workforce is vitally important.

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“…However, more information is needed about how these relationships might unfold in working populations, both to contribute to theory building and to inform potential interventions. Useful starting points to this research would include extending previous research on mental health concerns such as depression, anxiety, and post‐traumatic stress disorder (Arnetz, Goetz, Sudan, Arble, Janisse, & Arnetz, 2020; Sampaio, da Cruz Sequeira, & da Costa Teixeira, 2020; Wilson, Lee, Fitzgerald, Oosterhoff, Sevi, & Shook, 2020), occupation‐specific outcomes such as burnout, and positive psychology outcomes such as subjective well‐being or the experience of work as meaningful. Longitudinal research would be especially valuable (see Zacher & Rudolph, 2020 for an example).…”

Section: Introductionmentioning

confidence: 99%

Caught between Scylla and Charybdis: How Economic Stressors and Occupational Risk Factors Influence Workers’ Occupational Health Reactions to COVID‐19

et al. 2021

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Workers and their families bear much of the economic burden of COVID‐19. Even though they have declined somewhat, unemployment rates are considerably higher than before the start of the pandemic. Many workers also face uncertainty about their future employment prospects and increasing financial strain. At the same time, the workplace is a common source of transmission of COVID‐19 and many jobs previously seen as relatively safe are now viewed as potentially hazardous. Thus, many workers face dual threats of economic stress and COVID‐19 exposure. This paper develops a model of workers’ responses to these dual threats, including risk perception and resource depletion as mediating factors that influence the relationship of economic stress and occupational risk factors with COVID‐19 compliance‐related attitudes, safe behavior at work, and physical and mental health outcomes. The paper also describes contextual moderators of these relationships at the individual, unit, and regional level. Directions for future research are discussed.

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Personal Protective Equipment and Mental Health Symptoms Among Nurses During the COVID-19 Pandemic

Cited by 126 publications

References 17 publications

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis

What We Have Learned from Two Decades of Epidemics and Pandemics: A Systematic Review and Meta-Analysis of the Psychological Burden of Frontline Healthcare Workers

Caught between Scylla and Charybdis: How Economic Stressors and Occupational Risk Factors Influence Workers’ Occupational Health Reactions to COVID‐19

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