Occupational stress in healthcare workers during a COVID-19 pandemic

I.Y. Pinchuk; V.Y.  Pishel; M.Y.  Polyvianaia; Y.V.  Yachnik; V.V.  Virchenko

doi:10.26641/2307-0404.2021.4.248232

Authors

I.Y. Pinchuk Institute of Psychiatry of Taras Shevchenko National University of Kyiv, M. Lomonosov str., 36, Kyiv, 03022, Ukraine https://orcid.org/0000-0002-0091-2136
V.Y. Pishel Institute of Psychiatry of Taras Shevchenko National University of Kyiv, M. Lomonosov str., 36, Kyiv, 03022, Ukraine https://orcid.org/0000-0003-1636-7686
M.Y. Polyvianaia Institute of Psychiatry of Taras Shevchenko National University of Kyiv, M. Lomonosov str., 36, Kyiv, 03022, Ukraine https://orcid.org/0000-0001-9417-3743
Y.V. Yachnik Institute of Psychiatry of Taras Shevchenko National University of Kyiv, M. Lomonosov str., 36, Kyiv, 03022, Ukraine https://orcid.org/0000-0002-4284-3626
V.V. Virchenko Interdisciplinary analytical center on social and economic well-being and mental health of T. Shevchenko National University of Kyiv, L. Tolstoi str., 14А, Kyiv, 01004, Ukraine https://orcid.org/0000-0002-9085-6659

DOI:

https://doi.org/10.26641/2307-0404.2021.4.248232

Keywords:

occupational stress, healthcare workers, risk factors, COVID-19

Abstract

Healthcare workers experience overwhelming occupational and psycho-emotional stress during COVID-19 pandemic. Occupational stress leads to emotional burnout, can cause anxiety, depression and other psychopathological symptoms, influencing the quality of medical care. Existing situation necessitates to define risk factors, influencing occupational stress in healthcare workers in order to develop ways and methods to overcome it. Aim of the study was to identify socio-psychological factors associated with occupational stress in healthcare workers during the COVID-19 epidemic in Ukraine. Using a specially designed questionnaire, an online survey of 1,100 medical workers was conducted in all regions of Ukraine. Questioning was carried out over three weeks from 30.03.2020 to 21.04.2020, during the period of quarantine. The majority of respondents were female medical workers (79.9%). Age of respondents: up to 30 years – 179 (16.2%), from 31 to 60 – 824 (75.0%), over 60 – 97 (8.8%), among them doctors – 695 (63.1%) 236 nurses (21.5%), more than a third are general practitioners. Direct care for patients with COVID-19 was provided by 170 (15.5%) medical personnel. The analysis of the results of the questionnaire enabled to determine the peculiarities of medical worker`s response to the situation in connection with COVID-19 and highlight the emotional and behavioral factors associated with stress that are significant for most respondents. The study answered the questions regarding the perceived risk associated with the spread, contamination and death related to coronavirus. The most significant factors affecting the occurrence of stress in medical workers are identified. Along with this, factors contributing to stress coping have been identified as well. For subsequent statistical processing, all respondents were divided into two groups depending on the severity of the anxiety/fear. Comparison of these groups by socio-demographic indicators was done using the test χ2. There were no statistically significant differences between groups in all socio-demographic indicators, except for age. That is, only the age factor affected the severity of anxiety/fear among healthcare workers due to COVID-19 (p<0.05). Comparative analysis to assess the severity of stress in groups was performed using the Mann-Whitney U test. Healthcare workers with severe anxiety/fear have a high risk for development of occupational stress during a COVID-19 pandemic (p<0.01). In conclusion, the need for the development and implementation of methods for the prevention of occupational stress in medical workers in the current epidemic situation is substantiated.

References

Yuryeva LM. [Mental health care of medical workers during COVID-19 pandemic]. Medicni perspektivi. 2020;25(4):12-21. Ukrainian. doi: https://doi.org/10.26641/2307-0404.2020.4.221224

Chung J, Yeung W. Staff Mental Health Self-Assessment During the COVID-19 Outbreak. East Asian Archives of Psychiatry 2020;30:34. doi: https://doi.org/10.12809/eaap2014

Duan L, Zhu G. Psychological interventions for people affected by the COVID-19 epidemic. Lancet Psychiatry 2020;7(4):300-02. doi: https://doi.org/10.1016/S22150366(20)30073-0

Lavrakas P, Traugott M, Kennedy C, Holbrook A, Leeuw E, West B. Experimental Methods in Survey Research. Hoboken: John Wiley & Sons Publishing; 2019. p. 544. doi: https://doi.org/10.1002/9781119083771.index

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020;3(3):e203976. doi: https://doi.org/10.1001/jamanetworkopen.2020.3976

Gardner P, Moallef P. Psychological impact on SARS survivors: Critical review of the English language literature. Canadian Psychology/Psychologie canadienne. 2015;56(1):123-35. doi: http://dx.doi.org/10.1037/a0037973

Khalid I, Khalid J, Qabajah M, Barnard A, Qushmaq I. Healthcare Workers Emotions, Perceived Stressors and Coping Strategies During a MERS-CoV Outbreak. Clinical medicine & research. 2016;14(1):7-14. doi: https://doi.org/10.3121/cmr.2016.1303

James P, Wardle J, Steel A, Adams A. Post-Ebola psychosocial Experiences and coping mechanisms among Ebola survivors: a systematic review. Trop Med Int Health 2019;24(6):671-91. doi: https://doi.org/10.1111/tmi.13226

Koh D. Occupational risks for COVID-19 infection. Occup Med (Lond) 2020;12;70(1):3-5 doi: https://doi.org/10.1093/occmed/kqaa036

Meloun M, Militky J. Statistical data analysis: A practical guide. Woodhead Publishing, Limited; 2011. p. 773. doi: https://doi.org/10.1533/9780857097200

Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, et al.: Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry 2020;7(4):15-16. doi: https://doi.org/10.1016/s2215-0366(20)30078-x

Sanghera J, Pattani N, Hashmi Y, Varley K, Cheruvu M, Bradley A, Burke J. The impact of SARS‐CoV‐2 on the mental health of healthcare workers in a hospital setting – A Systematic Review. J Occup Health. 2020;62(1):e12175. doi: https://doi.org/10.1002/1348-9585.12175

Vizheh M, Qorbani M, Arzaghi S, Muhidin S, Javanmard Z, Esmaeil M. The mental health of healthcare workers in the COVID-19 pandemic: A systematic review. J Diabetes Metab Disord. 2020;26:1-12. doi: https://doi.org/10.1007/s40200-020-00643-9

Brooks S, Webster R, Smith L, Woodland L, Wessely S, Greenberg N, et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The Lancet 2020;395:912-20. doi: https://doi.org/10.1016/S0140-6736(20)30460-8

Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, behavior, and Immunity. 2020;88:916-19. doi: https://doi.org/10.1016/j.bbi.2020.03.007