Acute stress of the healthcare workforce during the COVID-19 pandemic evolution : a cross-sectional study in Spain
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ..
OBJECTIVES: To determine the volume of health professionals who suffered distress due to their care of patients with COVID-19 and to analyse the direction in which the response capacity of the professionals to face future waves of COVID-19 is evolving.
DESIGN: A cross-sectional study.
SETTING: Primary care and hospitals in Spain.
PARTICIPANTS: A non-randomised sample of 685 professionals (physicians, nurses and other health staff).
PRIMARY AND SECONDARY OUTCOME MEASURES: Frequency and intensity of stress responses measured by the Acute Stress of Health Professionals Caring COVID-19 Scale (EASE). Variation of stress responses according to the number of deaths per day per territory and the evolutionary stage of the COVID-19 outbreak measured by the Kruskal-Wallis and the Mann-Whitney U tests.
RESULTS: The average score on the EASE Scale was 11.1 (SD 6.7) out of 30. Among the participants, 44.2% presented a good emotional adjustment, 27.4% a tolerable level of distress, 23.9% medium-high emotional load and 4.5% extreme acute stress. The stress responses were more intense in the most affected territories (12.1 vs 9.3, p=0.003) and during the disillusionment phase (12.7 vs 8.5 impact, 10.2 heroic and 9.8 honeymoon, p=0.000).
CONCLUSIONS: The pandemic has affected the mental health of a significant proportion of health professionals which may reduce their resilience in the face of future waves of COVID-19. The institutional approaches to support the psychological needs of health professionals are essential to ensure optimal care considering these results.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:10 |
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| Enthalten in: |
BMJ open - 10(2020), 11 vom: 06. Nov., Seite e042555 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Mira, José Joaquín [VerfasserIn] |
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| Links: |
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| Themen: |
Anxiety disorders |
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| Anmerkungen: |
Date Completed 04.12.2020 Date Revised 14.12.2020 published: Electronic Citation Status MEDLINE |
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| doi: |
10.1136/bmjopen-2020-042555 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Mira, José Joaquín |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Acute stress of the healthcare workforce during the COVID-19 pandemic evolution |b a cross-sectional study in Spain |
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| 520 | |a © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. | ||
| 520 | |a OBJECTIVES: To determine the volume of health professionals who suffered distress due to their care of patients with COVID-19 and to analyse the direction in which the response capacity of the professionals to face future waves of COVID-19 is evolving | ||
| 520 | |a DESIGN: A cross-sectional study | ||
| 520 | |a SETTING: Primary care and hospitals in Spain | ||
| 520 | |a PARTICIPANTS: A non-randomised sample of 685 professionals (physicians, nurses and other health staff) | ||
| 520 | |a PRIMARY AND SECONDARY OUTCOME MEASURES: Frequency and intensity of stress responses measured by the Acute Stress of Health Professionals Caring COVID-19 Scale (EASE). Variation of stress responses according to the number of deaths per day per territory and the evolutionary stage of the COVID-19 outbreak measured by the Kruskal-Wallis and the Mann-Whitney U tests | ||
| 520 | |a RESULTS: The average score on the EASE Scale was 11.1 (SD 6.7) out of 30. Among the participants, 44.2% presented a good emotional adjustment, 27.4% a tolerable level of distress, 23.9% medium-high emotional load and 4.5% extreme acute stress. The stress responses were more intense in the most affected territories (12.1 vs 9.3, p=0.003) and during the disillusionment phase (12.7 vs 8.5 impact, 10.2 heroic and 9.8 honeymoon, p=0.000) | ||
| 520 | |a CONCLUSIONS: The pandemic has affected the mental health of a significant proportion of health professionals which may reduce their resilience in the face of future waves of COVID-19. The institutional approaches to support the psychological needs of health professionals are essential to ensure optimal care considering these results | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Observational Study | |
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| 650 | 4 | |a health policy | |
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| 650 | 4 | |a public health | |
| 650 | 4 | |a quality in health care | |
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| 700 | 1 | |a Guilabert, Mercedes |e verfasserin |4 aut | |
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| 700 | 1 | |a Pérez-Jover, Maria Virtudes |e verfasserin |4 aut | |
| 700 | 1 | |a Vicente, Maria Asunción |e verfasserin |4 aut | |
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| 700 | 0 | |a SARS-CoV-2 Second Victim Study Group |e verfasserin |4 aut | |
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