Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Flateau, C.; Noël, Camille; Bonnafoux, A.; Fuentes, Edwin Ruiz; Pontfarcy, A. de; Diamantis, S.

doi:10.1016/j.idnow.2021.01.007

Cited by 9 publications

(7 citation statements)

References 32 publications

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“…The rapid changes COVID-19 meant for the nursing care affected nurses and caused psychological distress. These results are confirmed by studies done in various countries ( Barello et al, 2020 ; Crowe et al, 2021 ; Flateau et al 2021 ; Fernandez et al, 2021 ; White et al, 2021 ).…”

Section: Discussionsupporting

confidence: 81%

“…Italian nurses who cared for patients with COVID-19 experienced psychological pressure and high levels of emotional exhaustion ( Barello et al, 2020 ). A study in France showed that staff reported symptoms of anxiety, depression, and post-traumatic stress disorder (PTSD) and needed sleeping pills or anti-anxiety medications ( Flateau et al, 2021 ). Canadian nurses relayed the following factors as contributors to their psychological distress: trying to keep themselves safe while taking care of critically ill patients, struggling to take care of personal commitments to themselves and their families, constantly changing policy and information as well as unclear and frequent messaging ( Crowe et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic

et al. 2022

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Introduction Nursing staff have faced various challenges during the global pandemic of COVID-19 such as nursing shortages. The great number of COVID-19 patients requiring hospitalization placed heavy demands on healthcare staff to maintain patient safety and to work according to constantly changing guidelines to prevent the spread of infection. Objective The objective was to describe nurses’ experiences of caring for patients with suspected or confirmed COVID-19 in the initial phase of the pandemic. Methods The study has a qualitative design. Semi-structured interviews were conducted with seven nurses in primary care and hospital care during the initial stage of the pandemic. Qualitative content analysis with an inductive approach was used. Results The nurses expressed that the working routines changed very quickly at the onset of the pandemic. A triage system was implemented to care for patients with symptoms of COVID-19 to prevent transmission between patients. A major change was the constant use of personal protective equipment in patient care. The nurses also experienced a sense of inadequacy regarding the care of the patients and became emotionally affected and exhausted. Conclusion The nurses experienced that many patients worsened clinically, leading to exhausting and difficult nursing care situations. They also experienced increasing responsibility since new protective equipment and procedures needed to be quickly implemented according to frequently changing recommendations, causing the nurses to feel uncertain about how to maintain patient safety. Support from colleagues was crucial to cope throughout the initial stage of the pandemic.

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Section: Discussionsupporting

confidence: 81%

Section: Introductionmentioning

confidence: 99%

Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic

et al. 2022

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“…Leivy Patricia et al reported that during the phase 2 of the COVID-19 outbreak in Mexico, psychological distress and post-traumatic stress symptoms were present in over a quarter of the population (35). A French study reported that a hospital staff displayed the psychological consequences of pandemic stress, resulting in the use of anxiolytics and sleeping pills (36). Another survey on nurses in the USA showed that nurses who lack access to adequate personal protective equipment were more likely to report symptoms of depression, anxiety, and post-traumatic stress disorder (37).…”

Section: The Association Of Ghq-12 With Scores Of Each Of the Four Factorsmentioning

confidence: 99%

“…Other studies which looked into PTSD reported that 40.2% of the health care professionals indicated positive screens for significant posttraumatic stress disorder symptoms (18). To investigate further in-depth of the mental state of HCWs, a French study reported that 32% had symptoms of anxiety, 16% of depression, and 16% of post-traumatic stress disorder (36). Compared to these studies on the psychological impact of COVID-19 among health care workers, our study showed a higher prevalence of psychological distress in HCWs.…”

Section: The Association Of Ghq-12 With Scores Of Each Of the Four Factorsmentioning

confidence: 99%

Psychological Impact During the First Outbreak of COVID-19 on Frontline Health Care Workers in Shanghai

Feng

et al. 2021

Front. Public Health

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Background: The COVID-19 pandemic is a significant health threat. Health care worker (HCWs) are at a significant risk of infection which may cause high levels of psychological distress. The aim of this study was to investigate the psychological impact of the COVID-19 on HCWs and factors which were associated with these stresses during the first outbreak in Shanghai.Methods: Between February 9 and 21, 2020, a total of 3,114 frontline HCWs from 26 hospitals in Shanghai completed an online survey. The questionnaire included questions on their sociodemographic characteristics, 15 stress-related questions, and General Health Questionnaire-12 (GHQ-12). Exploratory factor analysis was applied to the 15 stress-related questions which produced four distinct factors for evaluation. Multiple linear regression models were performed to explore the association of personal characteristics with each score of the four factors. Binary logistic analysis was used to explain the association of personal characteristics and these four factors with the GHQ-12.Results: There were 2,691 valid surveys received. The prevalence of emotional distress (defined as GHQ-12 ≥ 12) was noted in 47.7% (95%CI:45.7–49.6%) HCWs. Females (OR = 1.43, 95%CI:1.09–1.86) were more likely to have a psychological distress than males. However, HCWs who work in secondary hospitals (OR = 0.71, 95% CI:0.58–0.87) or had a no contact history (OR = 0.45, 95%CI: 0.35–0.58) were less likely to suffer psychological distress. HCWs who were nurses, married, and had a known contact history were highly likely to have anxiety. HCWs working at tertiary hospitals felt an elevated anxiety regarding the infection, a lack of knowledge, and less protected compared to those who worked at secondary hospitals.Conclusions: Our study shows that the frontline HCWs had a significant psychosocial distress during the COVID-19 outbreak in Shanghai. HCWs felt a lack of knowledge and had feelings of being not protected. It is necessary for hospitals and governments to provide additional trainings and psychological counseling to support the first-line HCWs.

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“…As an illustration, a significant proportion (about 20%) of frontline staff reported the need for advice from specialized professionals (psychologists in particular) and for greater support from their managers [8]. Not surprisingly due to this combination of difficulties, the first wave has fostered a state of stress [7,9]. The arrival of the second wave and the start of the vaccination campaign have subsequently forced hospitals to build a new plan grounded on a degraded situation.…”

Section: Introductionmentioning

confidence: 99%

Degraded Psychophysiological Status in Caregivers and Human Resources Staff during a COVID-19 Peak Unveiled by Psychological and HRV Testing at Workplace

Deschodt-Arsac

Berger

Khlouf

et al. 2022

IJERPH

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During COVID-19 pandemic peaks, healthcare professionals are a frontline workforce that deals with death on an almost daily basis and experiences a marked increase in workload. Returning home is also associated with fear of contaminating or be contaminated. An obvious consequence is stress accumulation and associated risks, especially in caregivers in mobility and possibly in human resource teams managing mobility. Here, during the second pandemic peak, we designed a 15-min testing procedure at the workplace, combining HADS and Brief COPE questionnaires with heart rate variability (HRV) recordings to evaluate psychophysiological status in four groups: caregivers in mobility (MOB); human resources teams managing mobility (ADM); caregivers without mobility (N-MOB); and university researchers teaching online (RES). Anxiety, depression, coping strategies, vagally-mediated heart rate regulation, and nonlinear dynamics (entropy) in cardiac autonomic control were quantified. Anxiety reached remarkably high levels in both MOB and ADM, which was reflected in vagal and nonlinear HRV markers. ADM maintained a better problem-solving capacity. MOB and N-MOB exhibited degraded problem-solving capacity. Multivariate approaches show how combining psychological and physiological markers helps draw highly group-specific psychophysiological profiles. Entropy in HRV and problem-solving capacity were highly relevant for that. Combining HADS and Brief COPE questionnaires with HRV testing at the workplace may provide highly relevant cues to manage mobility during crises as well as prevent health risks, absenteeism, and more generally malfunction incidents at hospitals.

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Psychological impact of the SARS-CoV-2 outbreak on the staff of a French hospital

Cited by 9 publications

References 32 publications

Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic

Nurses’ Experiences of Caring for Patients With Suspected or Confirmed COVID-19 in the Initial Stage of the Pandemic

Psychological Impact During the First Outbreak of COVID-19 on Frontline Health Care Workers in Shanghai

Degraded Psychophysiological Status in Caregivers and Human Resources Staff during a COVID-19 Peak Unveiled by Psychological and HRV Testing at Workplace

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