Anxiety and sleep quality among front-line nurses treating first wave COVID-19 in China: The mediating role of mindfulness

Liu, Xinyi; Xu, Yingying; Xu, Huiwen; Lin, Jiang; Wang, Ting; Chen, Chen; Lee, Amanda; Zhu, Pingting

doi:10.1016/j.apnu.2022.09.007

Cited by 3 publications

(4 citation statements)

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“…Remegio found that there was a significant difference between compensation satisfaction and burnout but not secondary traumatic stress (Remegio, Rivera, Griffin, & Fitzpatrick, 2021). The stress and anxiety conditions experienced by nurses also affect the quality of their sleep (Liu et al, 2022). This will, of course, impact the health and comfort level in the work environment.This research shows that work stress is one of the dominant factors in shaping nurses' professional quality of life after the pandemic.…”

Section: Discussionmentioning

confidence: 99%

Stress as a Determinant: Exploring Predictors of Post-Covid-19 Pandemic Professional Quality of Life Among Nurses

Khairina,

Maisa,

Rahman

2024

IJGHR

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The Covid-19 Pandemic, spanning from 2020 to 2022, ushered in unprecedented challenges for the healthcare system, impacting nurses who played a pivotal role in the global and Indonesian responses. Nurses faced emotional exhaustion, diminished job satisfaction, and suboptimal working conditions, compounded by increased responsibilities and monotony in delivering healthcare services. Objective: This study aimed to identify predictive factors influencing the post-pandemic quality of life among nurses in Padang City hospitals. Utilizing purposive sampling, 88 nurses participated, providing data through a demographic questionnaire, Perceived Stress Scale, and Professional Quality of Life Scale (ProQoL-21). Nurses' quality of life (p-value = 0.000). Conversely, age, gender, tenure, experience in caring for Covid-19 patients, and career level exhibited no significant correlations. The findings underscore the importance of addressing stress as a determinant of nurses' well-being. Care managers at Padang City Hospital can leverage these insights to enhance nurses' quality of life, ultimately optimizing healthcare delivery to the community. This study offers valuable guidance for healthcare management, emphasizing the need to prioritize stress management interventions to bolster the overall effectiveness of nursing care.

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Section: Discussionmentioning

confidence: 99%

Stress as a Determinant: Exploring Predictors of Post-Covid-19 Pandemic Professional Quality of Life Among Nurses

Khairina,

Maisa,

Rahman

2024

IJGHR

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“…The Insomnia Severity Index (ISI) is a 7-item self-report questionnaire assessing the nature, severity, and impact of insomnia via a 5-point Likert scale during the "last month", yielding a total score ranging from 0 to 28 [47]. The total score was interpreted as follows: absence of insomnia (0-7); sub-threshold insomnia (8)(9)(10)(11)(12)(13)(14); moderate insomnia (15)(16)(17)(18)(19)(20)(21); and severe insomnia (22)(23)(24)(25)(26)(27)(28). The dimensions evaluated were severity of sleep onset, sleep maintenance, early morning awakening problems, sleep dissatisfaction, interference of sleep difficulties with daytime functioning, noticeability of sleep problems by others, and distress caused by sleep difficulties.…”

Section: Outcome Measuresmentioning

confidence: 99%

“…Anxiety was reported in percentages varying from 20% to 72% among healthcare professionals working in first-line COVID-19 settings in many countries [ 22 ]. Moreover, anxiety has been shown to affect nurses’ ability to relax and obtain adequate quality of sleep, thus presenting a significant risk factor for insomnia [ 23 , 24 ]. During the first wave of COVID-19, high levels of anxiety were registered among all healthcare professionals, especially nurses, due not only to the novelty of the SARS-CoV2 infective threat but also to the lack of personal protective equipment (PPE) and training, fatigue due to the wearing of PPE for many consecutive hours, and the absence of a vaccine that could have protected first-line operators [ 25 , 26 , 27 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Its Relationship to Anxiety and Hardiness in a Cohort of Frontline Italian Nurses during the First Wave of the COVID-19 Pandemic

Baldassini Rodriguez,

Bardacci,

El Aoufy

et al. 2023

Nursing Reports

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Introduction: The COVID-19 pandemic has had a considerable impact on the psychological and psychopathological status of the population and health care workers in terms of insomnia, anxiety, depression, and post-traumatic stress disorder. The primary aim of this study was to describe and evaluate the impact of the pandemic on insomnia levels of a cohort of Italian nurses, particularly those involved in the care of COVID-19 patients. The secondary aim was to identify the interaction between insomnia and hardiness, anxiety, and sleep disturbances. Materials and Methods: A descriptive–exploratory study was conducted using an online survey during the first wave of the COVID-19 pandemic (March to July 2020). The questionnaire consisted of multiple-choice, open-ended, closed, and semi-closed questions. The psychometric tools administered were the Dispositional Resilience Scale (DRS-15), the State–Trait Anxiety Inventory (STAI-Y), and the Insomnia Severity Index (ISI). Results: a cohort of 1167 nurses fully completed the questionnaire (86.2% of total respondents). The insomnia scale survey showed an increase in post-pandemic scores compared to those before the pandemic, implying that insomnia levels increased after the first pandemic wave. Insomnia scores were directly correlated with anxiety levels (r = 0.571; p ≤ 0.05) and inversely correlated with hardiness levels (r = −0.324; p < 0.001). Multivariate analysis revealed the following protective factors: not having worked in COVID-19 wards, high levels of hardiness (commitment), and the presence of high pre-pandemic insomnia disorder. The main risk factor for insomnia reported in the analysis was a high anxiety score. Discussion and Conclusion: Anxiety represented the main risk factor for insomnia severity in our sample, while hardiness was confirmed as a protective factor. Thus, it is necessary to design further studies to identify additional risk factors for poor sleep quality and to develop educational courses and strategies aimed at enhancing rest and sleep quality, especially for frontline nurses.

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“…Mindfulness is an effective method recognized and applied globally as an evidence-based psychopractice. Therefore, MBIs can be effective for people affected by the COVID-19 pandemic (Liu et al, 2022).…”

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confidence: 99%

Online Mindfulness-Based Intervention Program Improves Mental Health, Well-Being, and Productivity

Ogino,

Maruyama,

Umene-Nakano

et al. 2024

Mindfulness

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Objectives This study aimed to evaluate the effectiveness of the Intervention program of Mindfulness and Compassion against COVID-19 (IMACOCO), an online mindfulness-based intervention (MBI), in enhancing mindfulness, mental health, well-being, and productivity among working individuals during the COVID-19 pandemic. Additionally, the study examined the program’s efficacy in individuals directly impacted by the pandemic through a randomized controlled trial and pre-post program comparisons. Method Three hundred working adults, including office workers, educators, and medical welfare workers, were randomly allocated to the intervention or waiting control group. An 8-week online MBI program, with pre-, interim (4 weeks), and post-program (8 weeks) evaluations, was conducted via the Internet; standardized questionnaires were used to assess mindfulness, psychological distress, life satisfaction, and productivity. After the initial 8-week program, the waiting control group participated in the same program and evaluation surveys for pre-post comparisons. Results There were 99 participants in the intervention group and 111 in the control group. Significant increases in mindfulness (FFMQ) and life satisfaction (SWLS) as well as decrease in psychological distress (GHQ-12) were observed primarily in the intervention group (Cohen’s d = 0.18–0.52). Furthermore, the pre-post comparisons with 168 participants demonstrated significant improvements in productivity (Cohen’s d = 0.26), and stratified analysis revealed that participants affected by COVID-19 showed more pronounced benefits in mindfulness and life satisfaction than those who were unaffected. Conclusions Implementing an online MBI program (IMACOCO) can be a potent strategy to reduce mental stress and enhance overall well-being and resilience, in a disaster-prone world. Preregistration This study is not preregistered.

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Anxiety and sleep quality among front-line nurses treating first wave COVID-19 in China: The mediating role of mindfulness

Cited by 3 publications

References 74 publications

Stress as a Determinant: Exploring Predictors of Post-Covid-19 Pandemic Professional Quality of Life Among Nurses

Stress as a Determinant: Exploring Predictors of Post-Covid-19 Pandemic Professional Quality of Life Among Nurses

Sleep Quality and Its Relationship to Anxiety and Hardiness in a Cohort of Frontline Italian Nurses during the First Wave of the COVID-19 Pandemic

Online Mindfulness-Based Intervention Program Improves Mental Health, Well-Being, and Productivity

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