A qualitative study of psychological stress among China’s frontline nurses fighting COVID-19

Pan, Aijun; Wu, Yuyan; Chen, Xiaoju; Yu, Wei; Wu, Xufeng; Chen, Lili; He, Lei; Zheng, Guohua; Ma, Likun

doi:10.5114/aoms/151141

Cited by 3 publications

(4 citation statements)

References 18 publications

(23 reference statements)

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“…They also mentioned difficulties receiving support from supervisors due to their busy schedule (Cheung et al, 2023). The findings echoed with two other qualitative studies conducted in China with frontline doctors and nurses fighting COVID-19 who reported similar stressors (Liang et al, 2021; Pan et al, 2022). However, MPs’ perception toward professional help-seeking for stress and mental health needs, including their perceived barriers and facilitators to seeking mental health services in the local context, are still largely unknown.…”

Section: Introductionsupporting

confidence: 78%

Common stressors, coping processes, and professional help-seeking of medical professionals in Hong Kong: A qualitative study

Chan,

Yeung,

et al. 2023

J Health Psychol

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Despite the high prevalence of perceived stress and mental health problems among medical professionals (MPs), their professional help-seeking is extremely low. This qualitative study explored MPs’ stressors, stress-coping, barriers and facilitators of professional help-seeking. 10 MPs (30% male, Mage = 34.8 years) were recruited by purposive-sampling for views from different roles/settings. Thematic analyses revealed five central stressors: emerging novel diseases, challenges from technology-advancement, patient-communication difficulties, lack of workplace mental health care culture, excessive workload/manpower shortage. Participants predominantly used peer support/supervision and de-stress activities for stress-coping. Five factors affecting professional help-seeking were time constraint versus flexibility, mental health stigma versus de-stigmatization, concern over confidentiality/anonymity versus sense of privacy, worry about damage on professional role versus least work disruption, doubts of service providers versus perceived efficacy. All participants indicated a preference for online mental health service delivery. Results reflected unmet needs and service gaps from MPs’ perspectives for the development of future interventions.

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Section: Introductionsupporting

confidence: 78%

Common stressors, coping processes, and professional help-seeking of medical professionals in Hong Kong: A qualitative study

Chan,

Yeung,

et al. 2023

J Health Psychol

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“…The average score of coping behavior items was the highest. An analysis showed that ICU nurses were well-equipped with good stress coping capacities due to the constant critical condition and rapid change of patients in the ICU and long-term work needs [14] . Therefore, the management department should provide emotional care and practical support for ICU nurses, such as carrying out psychological resilience training, cognitive behavioral therapy, and other professional counseling, in order to encourage nurses to actively express their concerns and needs.…”

Section: Testing the Mediation Role Of Perceived Organizational Supportmentioning

confidence: 99%

Mediating Effect of Perceived Organizational Support on the Resilience and Mental Health of ICU Nurses

Song

Yang

et al. 2023

JCNR

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Objective: To investigate the mediating effect of organizational support on the relationship between resilience and anxiety-depression-stress by researching ICU nurses. Methods: A total of 675 ICU nurses in Shaanxi Province were surveyed using the organizational support scale, the resilience evaluation scale for medical staff, and the Depression-Anxiety-Stress Scale (DASS-21). Results: The resilience of ICU nurses had significant correlation with the level of organizational support (r = 0.448, P < 0.01), but was negatively correlated with depression (r = -0.238, P < 0.001), anxiety (r = -0.287, P < 0.01), and stress (r = -0.213, P < 0.01); the level of organizational support of ICU nurses was also negatively correlated with depression (r = -0.452, P < 0.01), anxiety (r = -0.410, P < 0.01), and stress (r = -0.490, P < 0.01). The sense of organizational support played a mediating role between the resilience of ICU nurses and their depression-anxiety-stress, the mediating effect accounted for 78% of the total effect. Conclusion: The perceived organizational support and resilience is an important external protective factor for the mental health and ability of ICU nurses. The management departments should continue to pay attention to the mental health of ICU nurses, take effective measures to improve the sense of organizational support and resilience of nurses, and ensure the good mental health of ICU nurses.

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“…Coronavirus disease 2019 (COVID-19) can complicate other organs besides the lungs, including the brain, resulting in a series of neurological symptoms from headache to psychological disorder, cognitive impairment and even consciousness loss, especially in severely infected patients in the intensive care unit (ICU) [1]. A series of studies reported various neurological symptoms in COVID patients in the ICU, with an increasing rate since then [2][3][4][5]. However, the mechanisms of neuronal dysfunction in severe COVID-19 are not entirely known [2][3][4].…”

mentioning

confidence: 99%

“…A series of studies reported various neurological symptoms in COVID patients in the ICU, with an increasing rate since then [2][3][4][5]. However, the mechanisms of neuronal dysfunction in severe COVID-19 are not entirely known [2][3][4].…”

mentioning

confidence: 99%

Shared immune metabolic reprogramming between COVID-19 patients in the intensive care unit and ischemic stroke: a pilot study

Li,

et al. 2023

Arch Med Sci

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IntroductionTo investigate shared gene signatures between COVID-19 and ischemic stroke.Material and methodsCombining the existing bulk RNA sequencing and single-cell RNA sequencing (scRNA-seq) data for COVID-19 to obtain a more comprehensive understanding of the role of dysregulated metabolism.ResultsA total of 19 up-regulated differentially expressed genes (DEGs) and 24 down-regulated genes were selected for subsequent analyses. Nine genes were finally identified with the machine learning method as a potential diagnostic model in both ischemic stroke and COVID-19. In addition, the hub genes were related to both immune infiltration and metabolic pathways.ConclusionsOur study revealed the common molecular profile of COVID-19 and ischemic stroke.

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A qualitative study of psychological stress among China’s frontline nurses fighting COVID-19

Cited by 3 publications

References 18 publications

Common stressors, coping processes, and professional help-seeking of medical professionals in Hong Kong: A qualitative study

Common stressors, coping processes, and professional help-seeking of medical professionals in Hong Kong: A qualitative study

Mediating Effect of Perceived Organizational Support on the Resilience and Mental Health of ICU Nurses

Shared immune metabolic reprogramming between COVID-19 patients in the intensive care unit and ischemic stroke: a pilot study

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