Psychological impact of COVID-19 on emergency department healthcare workers in a tertiary care center during a national economic crisis

Hariri, Moustafa Al; Hamade, Bachar; Bizri, Maya; Salman, Oday; Tamim, Hani; Jalbout, Nour Al

doi:10.1016/j.ajem.2021.10.055

Cited by 8 publications

(6 citation statements)

References 22 publications

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“…(4) Reflection Introduction COVID-19 is characterised by high transmission rates, triggering public health responses globally [1,2]. Hundreds of millions of individuals were infected worldwide, resulting in deaths, a substantial indirect influence on other diseases, and posing major public health and governance challenges in terms of economic, medical, and health infrastructure [3][4][5][6][7]. People with chronic underlying diseases are vulnerable to the virus and have experienced worse outcomes.…”

Section: Resultsmentioning

confidence: 99%

Experiences of redeployed healthcare workers in the fight against COVID-19 in China: A qualitative study

Cui

Efstathiou

et al. 2022

PLoS ONE

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Introduction Public health responses were triggered while COVID-19 was spreading. China redeployed healthcare workers to serve the most vulnerable populations and communities in the initial epicentre—Wuhan. However, it is not known how redeployment processes impacted on healthcare workers in a pandemic crisis. Aims To explore the experiences and needs of frontline healthcare workers who were redeployed to care for COVID-19 patients in Wuhan, China, and understand the long-term impacts of the redeployment experience on their work and life. Methods A qualitative study was conducted with redeployed healthcare workers using semi-structured interviews and thematic analysis. This study is reported in accordance with the consolidated criteria for reporting qualitative research (COREQ) guidelines. Findings A total of 20 redeployed healthcare workers (13 nurses and seven physicians) participated, and four themes were generated: (1) Initial feelings and emotions of redeployment—Participants experienced worries and concerns, a sense of isolation and loneliness on their arrival to the epicentre. (2) ‘It is like a war zone’—Healthcare workers faced a range of risks and challenges of caring for COVID-19 patients in Wuhan in the context of resource strain. (3) Uncertainty and coping strategies in patient care—Despite the hardships experienced, participants continued to deliver high-quality patient care including psychological care and palliative care, good communication and building mutual trusting relationships. (4) Reflection and far-reaching impacts of caring for COVID-19 patients—Participants felt motivated and encouraged as efforts were recognised by the government and wider society. Conclusions Redeployed healthcare workers shared their unique needs and experiences of coping with redeployment and challenges they faced in the context of resource strain, which has significant implications for policy and future practice. The reality of a pandemic may reduce healthcare workers’ willingness to work due to various reasons including inadequate preparedness of facilities and workplace safety. It is important to support frontline healthcare workers in order to maintain an adequate healthcare workforce in pandemic crises. Continuously evolving pandemic circumstances and uncertainty highlight the importance of an organized national pandemic response plan for subsequent waves of COVID-19 and future pandemics.

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Section: Resultsmentioning

confidence: 99%

Experiences of redeployed healthcare workers in the fight against COVID-19 in China: A qualitative study

Cui

Efstathiou

et al. 2022

PLoS ONE

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“…COVID-19 was deemed a global pandemic by the World Health Organization on March 11, 2020, due to its exponential global spread. 87,88 Disease severity and mortality varied between populations, with patients having chronic cardiovascular diseases being some of the most heavily affected. 89 The Severe Acute Respiratory Syndrome Coronavirus 2 virus is known to downregulate the expression of angiotensin-converting enzyme 2 receptor, 90,91 and this consequently enhances the levels of circulating angiotensin II from cardiomyocytes.…”

Section: Nt-probnp and Covid-19mentioning

confidence: 99%

NT-proBNP cardiac value in COVID-19: a focus on the paediatric population

Sleem,

El Rassi,

Zareef

et al. 2024

Cardiol Young

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NT-proBNP is a peptide related to brain natriuretic peptide, a cardiac biomarker and a member of the natriuretic family of peptides. NT-proBNP has demonstrated its clinical utility in the assessment of a wide spectrum of cardiac manifestations. It is also considered a more precise diagnostic and prognostic cardiac biomarker than brain natriuretic peptide. With the appearance of the Severe Acute Respiratory Syndrome Coronavirus 2 virus and the subsequent COVID-19 pandemic, diagnosis of heart implications began to pose an increasing struggle for the physician. Echocardiography is considered a central means of evaluating cardiac disorders like heart failure, and it is considered a reliable method. However, other diagnostic methods are currently being explored, one of which involves the assessment of NT-proBNP levels. In the literature that involves the adult population, significant positive correlations were drawn between the levels of NT-proBNP and COVID-19 outcomes such as high severity and fatality. In the paediatric population, however, the literature is scarce, and most of the investigations assess NT-proBNP in the context of Multiple Inflammatory Syndrome in Children, where studies have shown that cohorts with this syndrome had elevated levels of NT-proBNP when compared to non-syndromic cohorts. Thus, more large-scale studies on existing COVID-19 data should be carried out in the paediatric population to further understand the prognostic and diagnostic roles of NT-proBNP.

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“…However, less attention has been given to the mental health of mental health workers (MHWs) who are providing services during the ongoing conflict. Given that MHWs are at risk for increased mental health problems amid crises due to their professional responsibilities in addition to conflict-related distress (Al Hariri et al, 2022;Awan et al, 2021;Rosales Vaca et al, 2022), identifying factors linked to well-being in Ukrainian MHWs is crucial to identifying intervention targets and resources to preserve and improve functioning in this population.…”

Section: Introductionmentioning

confidence: 99%

Well-being of mental health workers during the Russian-Ukrainian War

Kang,

Fischer,

Vus

et al. 2024

MHGCJ

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Introduction: While the detrimental impact of the Russian-Ukrainian War on mental health of Ukrainian population has been well-documented, less attention has been given to mental health workers (MHWs) providing mental health support services amid the war. Purpose: To examine levels of domain-specific well-being in Ukrainian MHWs; identify and quantify the relative importance of factors associated with well-being; and examine interactions of risk and protective factors in relation to each well-being domain. Methodology: A convenience sample of 178 MHWs completed a survey that assessed their well-being, and sociodemographic, war-related, mental health, and psychosocial characteristics. Results: Lower levels of mental health difficulties such as anxiety and posttraumatic stress symptoms, and higher levels of psychosocial factors such as higher optimism, gratitude, and presence and search for meaning were associated with higher well-being. MHWs with high levels of protective psychosocial factors were more likely to report higher well-being even in the presence of mental health difficulties. Conclusions: Results of this study provide insight into the levels and correlates of multiple well-being domains among Ukrainian MHWs amid the ongoing war. They further suggest that interventions to mitigate mental health difficulties and bolster protective psychosocial factors may help promote well-being in this population

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Psychological impact of COVID-19 on emergency department healthcare workers in a tertiary care center during a national economic crisis

Cited by 8 publications

References 22 publications

Experiences of redeployed healthcare workers in the fight against COVID-19 in China: A qualitative study

Experiences of redeployed healthcare workers in the fight against COVID-19 in China: A qualitative study

NT-proBNP cardiac value in COVID-19: a focus on the paediatric population

Well-being of mental health workers during the Russian-Ukrainian War

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