The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study

Crowe, Sarah; Howard, A. Fuchsia; Vanderspank‐Wright, Brandi; Gillis, Paula; McLeod, Fiona; Penner, Caroline; Haljan, Gregory

doi:10.1016/j.iccn.2020.102999

Cited by 185 publications

(281 citation statements)

References 25 publications

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“…Nurses showed a higher level of anxiety when compared to other healthcare workers [19]. Furthermore, a survey of 502 healthcare workers in Saudi Arabia during the COVID-19 outbreak similarly showed higher levels of anxiety among the nurses while a study looking at Canadian critical care nurses involved in the early phase of the pandemic also found significant symptoms of post-traumatic stress, depression and anxiety related to taking care of COVID-19 patients [20,21].…”

Section: Plos Onementioning

confidence: 97%

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Ali

Shah

Talib³

2021

PLoS ONE

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Background The 2019 coronavirus disease (COVID-19) epidemic is a global health emergency which has been shown to pose a great challenge to mental health, well-being and resilience of healthcare workers, especially nurses. Little is known on the impact of COVID-19 among nurses in sub-Saharan Africa. Methods A cross sectional study was carried out between August and November 2020 among nurses recruited from the Aga Khan University Hospital, Nairobi. The survey questionnaire consisted of six components- demographic and work title characteristics, information regarding care of COVID-19 patients, symptoms of depression, anxiety, insomnia, distress and burnout, measured using standardized questionnaires. Multivariable logistic regression analysis was performed to identify factors associated with mental health disorders. Results Of 255 nurses, 171 (67.1%) consented to complete the survey. The median age of the participants was 33.47 years, 70.2% were females and 60.8% were married. More than half, 64.9% were frontline workers directly engaged in COVID-19 care. Only 1.8% reported a prior history or diagnosis of any mental health disorder. Depression, anxiety, insomnia, distress, and burnout were reported in 45.9%, 48.2%, 37.0%, 28.8% and 47.9% of all nurses. Frontline nurses reported experiencing more moderate to severe symptoms of depression, distress and burnout. Furthermore, females reported more burnout as compared to males. Multivariate logistic regression analysis showed that after adjustment, working in the frontlines was an independent risk variable for depression and burnout. Conclusion This is one of the few studies looking at mental health outcomes among nurses during the COVID-19 pandemic in Kenya. Similar to other studies from around the world, nurses directly involved with COVID-19 patients reported higher rates of mental health symptoms. Burnout threatens to exacerbate the pre-existing severe nursing workforce shortage in low-resource settings. Cost-effective and feasible mitigating strategies, geared to low-middle income countries, are urgently needed to help cope with mental health symptoms during such a pandemic.

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Section: Plos Onementioning

confidence: 97%

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Ali

Shah

Talib³

2021

PLoS ONE

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“…As of December 2020, more than 18 million individuals had been infected with COVID-19 in Europe and around 412,000 had died [ 1 ], of which 17,000 were in Belgium [ 2 ]. The pandemic had had a serious impact on hospital burden and on the working conditions and mental health of healthcare professionals (HCPs) [ 3 , 4 , 5 ]. Yet vaccination was under way, with the first COVID-19 vaccines being evaluated and approved by the European Medicines Agency and the European Commission, and national and international vaccination strategies being developed.…”

Section: Introductionmentioning

confidence: 99%

Attitudes towards COVID-19 Vaccination among Hospital Staff—Understanding What Matters to Hesitant People

et al. 2021

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Hospital staff are a priority target group in the European COVID-19 vaccination strategy. Measuring the extent of COVID-19 vaccination hesitancy and understanding the reasons behind it are essential to be able to tailor effective communication campaigns. Using the Health Belief Model (HBM) as a theoretical framework, a survey was conducted among staff members of a Belgian three-site hospital center between 6 and 20 January 2021. Multivariable logistic ordinal regression was performed to assess determinants of the attitude towards COVID-19 vaccination. Reasons for and against COVID-19 vaccination and the need for information were explored among hesitant staff members. Among the respondents (N = 1132), 58% and 4.9% said that they would certainly and certainly not get vaccinated, respectively; 37.1% were hesitant, with different degrees of certainty. A positive attitude towards COVID-19 vaccination was associated with being older, being a physician, being vaccinated against seasonal flu, and with several HBM factors (including perceived benefits and cues to actions). Among hesitant staff, concerns about potential side effects and the impression that the vaccine was developed too quickly were the main reasons against COVID-19 vaccination. The key factors in the decision process were data on vaccine efficacy and safety, and knowing that vaccination went well in others. These data are helpful to further tailor the communication campaign and ensure sufficient vaccination coverage among hospital staff.

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“…In a survey of 765 registered practical nurses across Ontario (WeRPN 2021), 96% said that their daily experiences at work had become "exponentially more stressful," with 83% reporting that their mental health had been adversely affected by their work and 71% reporting that they had experienced a "breaking point." Other studies have reported that mental health issues, such as insomnia, anxiety and depression, have been common among nurses practising during the pandemic (Crowe et al 2021;Lapum et al 2021).…”

Section: How Are Nurses Managing During the Pandemic?mentioning

confidence: 99%

Acknowledging the Hidden Tsunami

Almost¹

2021

cjnl

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The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study

Cited by 185 publications

References 25 publications

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

COVID-19 and mental well-being of nurses in a tertiary facility in Kenya

Attitudes towards COVID-19 Vaccination among Hospital Staff—Understanding What Matters to Hesitant People

Acknowledging the Hidden Tsunami

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