Posttraumatic growth in Chinese nurses and general public during the COVID-19 outbreak

Li, Lin; Mao, Ming Hui; Wang, Shuya; Yin, Rulan; Yan, Hai'Ou; Jin, Yue; Cheng, Yun

doi:10.1080/13548506.2021.1897148

Cited by 47 publications

(51 citation statements)

References 19 publications

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“…Nurses reported higher levels of psychological distress in comparison to physicians, in line with the current literature (Lasalvia et al, 2021; Li et al, 2021; Sirois & Owens, 2020). The highest level of psychological distress was reported amongst administrative and logistical staff, which is consistent with another study conducted during COVID‐19 in HCWs in nonpatient facing roles (Tan et al, 2020).…”

Section: Discussionsupporting

confidence: 90%

“…Sources of distress among HCWs may arise from fear of contagion for themselves or loved ones, caring for unwell colleagues, and inadequate access to personal protective equipment (PPE) (Greenberg, Docherty, et al, 2020; Maunder et al, 2004; Shanafelt et al, 2020; Widiasih et al, 2021). Nurses compared to physicians tend to report a higher prevalence of adverse psychological outcomes (Lai et al, 2020; Li et al, 2021; Maunder et al, 2004; Tam et al, 2004).…”

Section: Introductionmentioning

confidence: 99%

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Differences in levels of psychological distress, perceived safety, trust, and efficacy amongst hospital personnel during the COVID‐19 pandemic

Nissan

Weiss

Siman‐Tov

et al. 2021

Research in Nursing & Health

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The COVID‐19 pandemic poses significant challenges to healthcare systems worldwide. A key consideration is the adverse psychological impact on healthcare workers (HCWs). This study aimed to investigate the variable levels of psychological distress, perceived safety, trust, and self‐ and collective‐efficacy during the COVID‐19 crisis amongst varied HCWs. A survey was disseminated to nurses, physicians, interns, and administrative and logistical staff at an acute‐care hospital in Israel during the first wave of COVID‐19. The survey consisted of items on a 5‐point Likert scale, measuring HCW's perceptions concerning the aforementioned variables as well as demographic information. A total of 716 hospital personnel completed the survey. Nurses reported higher levels of psychological distress and lower levels of trust in the hospital's COVID‐19 guidelines compared to physicians (2.3 vs. 2.0 and 3.7 vs. 4.0, respectively). Nurses and interns felt the least safe when working in the hospital. Nurses reported the highest levels of concern regarding fear of uncontrollable spread, infection, and family transmission of the virus. Interns reported the lowest levels of self‐ and collective‐efficacy. In a regression model, the variables that predicted 32% of distress among nurses were age, gender, level of religiosity, indices of perceived safety, and self‐efficacy. This study demonstrated differences in distress and perceived safety, trust, and efficacy between varied HCWs during COVID‐19. This variability should be considered when designing policies to protect HCWs’ wellbeing during future pandemics.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Differences in levels of psychological distress, perceived safety, trust, and efficacy amongst hospital personnel during the COVID‐19 pandemic

Nissan

Weiss

Siman‐Tov

et al. 2021

Research in Nursing & Health

View full text Add to dashboard Cite

show abstract

“…At the same time, they also reported positive changes in the existing situation, which may be an expression of adaptation in the form of PTG [ 31 ]. In particular, healthcare workers working on the frontline seem to have higher levels of PTG compared to non-frontline healthcare workers [ 32 , 36 , 58 ]. Some factors have been recognized as being associated with PTG: In one study [ 30 ], PTG was influenced by the length of service, self-confidence in frontline work and psychological intervention or training during the epidemic.…”

Section: Resultsmentioning

confidence: 99%

“…Li et al [58] Comparative study/455 nurses and 424 general population/China Evaluation of PTG of Chinese nurses and the general population during the COVID-19 pandemic.…”

Section: Coping Strategiesmentioning

confidence: 99%

Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma

Finstad

Giorgi

Lulli

et al. 2021

IJERPH

195

116

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The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers’ health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers’ adaptive coping skills, resilience and PTG in order to promote wellbeing.

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“…While acknowledging the possible traumatogenic aspects of the COVID‐19 pandemic, some argue for a salutogenic approach (Kalaitzaki et al, 2020; Olson et al, 2020). Emerging literature indicates that nurses and healthcare professionals working during the pandemic may experience posttraumatic growth (Chen et al, 2020; Li et al, 2021). Li et al (2021) found that frontline nurses had higher posttraumatic growth self‐report scores than those not working on the frontlines of the pandemic; however, more research is needed.…”

Section: Discussionmentioning

confidence: 99%

Voices from the COVID‐19 frontline: Nurses’ trauma and coping

Foli

Förster

Cheng

et al. 2021

Journal of Advanced Nursing

111

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Aim To describe the experiences of frontline nurses who are working in critical care areas during the COVID‐19 pandemic with a focus on trauma and the use of substances as a coping mechanism. Design A qualitative study based on content analysis. Methods Data were collected from mid‐June 2020 to early September 2020 via an online survey. Nurses were recruited through the research webpage of the American Association of Critical Care Nurses as well as an alumni list from a large, public Midwest university. Responses to two open‐ended items were analysed: (1) personal or professional trauma the nurse had experienced; and (2) substance or alcohol use, or other mental health issues the nurse had experienced or witnessed in other nurses. Results For the item related to psychological trauma five themes were identified from 70 nurses’ comments: (1) Psychological distress in multiple forms; (2) Tsunami of death; (3) Torn between two masters; (4) Betrayal; and (5) Resiliency/posttraumatic growth through self and others. Sixty‐five nurses responded to the second item related to substance use and other mental health issues. Data supported three themes: (1) Mental health crisis NOW!!: ‘more stressed than ever and stretched thinner than ever’; (2) Nurses are turning to a variety of substances to cope; and (3) Weakened supports for coping and increased maladaptive coping due to ongoing pandemic. Conclusions This study brings novel findings to understand the experiences of nurses who care for patients with COVID‐19, including trauma experienced during disasters, the use of substances to cope and the weakening of existing support systems. Findings also reveal nurses in crisis who are in need of mental health services. Impact Support for nurses’ well‐being and mental health should include current and ongoing services offered by the organization and include screening for substance use issues.

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Posttraumatic growth in Chinese nurses and general public during the COVID-19 outbreak

Cited by 47 publications

References 19 publications

Differences in levels of psychological distress, perceived safety, trust, and efficacy amongst hospital personnel during the COVID‐19 pandemic

Differences in levels of psychological distress, perceived safety, trust, and efficacy amongst hospital personnel during the COVID‐19 pandemic

Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma

Voices from the COVID‐19 frontline: Nurses’ trauma and coping

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