Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal

Wang, Huan; Zhou, Xinyao; Jia, Xiuli; Song, Caiping; Luo, Xu; Zhang, Hua; Wu, Hao; Ye, Junying

doi:10.1186/s12889-021-10891-w

Cited by 30 publications

(32 citation statements)

References 23 publications

(30 reference statements)

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“…Recent reports [55,61,64,71] suggest that the mother's cognitive appraisal of the disaster has a stronger moderating effect than main effect, which would be consistent with the stress model of Lazarus and Folkman [18]. The moderating effect of cognitive appraisal has been reported in studies of maternal mental health during COVID [72,73]. For diet change, we were only able to test the effect with one type of outcome (birth outcomes) and that effect was significant.…”

Section: Discussionsupporting

confidence: 76%

Effect of Natural Disaster-Related Prenatal Maternal Stress on Child Development and Health: A Meta-Analytic Review

Lafortune

Laplante

Elgbeili

et al. 2021

IJERPH

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The evidence supporting the idea that natural disaster-related prenatal maternal stress (PNMS) influences the child’s development has been accumulating for several years. We conducted a meta-analytical review to quantify this effect on different spheres of child development: birth outcomes, cognitive, motor, physical, socio-emotional, and behavioral development. We systematically searched the literature for articles on this topic (2756 articles retrieved and 37 articles included in the systematic review), extracted the relevant data to calculate the effect sizes, and then performed a meta-analysis for each category of outcomes (30 articles included across the meta-analyses) and meta-regressions to determine the effect of some factors of interest on the association between PNMS and child development: type of PNMS (objective, psychological, cognitive, diet), type of natural disaster (ice storm, flood/cyclone), type of report (maternal, third-party observer, medical), timing of exposure (preconception exposure included or not) and child age at assessment (under 10 or 10 years and older). We found that PNMS significantly influences all spheres of child development. Higher PNMS levels were associated with longer gestational age, larger newborns, and higher BMI and adiposity levels, as well as worse cognitive, motor, socio-emotional, and behavioral outcomes.

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Section: Discussionsupporting

confidence: 76%

Effect of Natural Disaster-Related Prenatal Maternal Stress on Child Development and Health: A Meta-Analytic Review

Lafortune

Laplante

Elgbeili

et al. 2021

IJERPH

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“…This is congruent with previous results who identified that being first-line worker as a risk factor for emotional difficulties ( 11 , 33 ). We can assume though that front-line workers have greater time pressure and workload, resulting in more important level of emotional difficulties ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…Some studies tried to understand and to conceptualize the psychological consequences of COVID-19 among healthcare workers. The first factors proposed to explain these emotional difficulties were increased time pressure and workload ( 20 ), as it increases work-life imbalance, known as a risk factor for burnout ( 21 ). Other authors have proposed that repeated stress could be the cause of burnout ( 22 , 23 ).…”

Section: Introductionmentioning

confidence: 99%

“…This is congruent with a previous developed model ( 24 ) suggesting that stress would reduce one's coping reserve, resulting in burnout. Indeed, a meta-analysis set out an association between coping strategies and emotional difficulties within healthcare workers during outbreaks ( 20 ). However, to our knowledge, no study evaluated the mediating role of coping strategies as proposed by Dunn et al ( 24 ).…”

Section: Introductionmentioning

confidence: 99%

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Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies

et al. 2021

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Background: COVID-19 sanitary crisis is associated with emotional difficulties such as depression, anxiety and reactional post-traumatic symptoms among healthcare workers. Indeed, healthcare workers were particularly exposed to COVID-19 sanitary crisis. This study aimed to investigate the effects of exposure to COVID-19 sanitary crisis on affective symptoms (anxiety, post-traumatic stress, burnout) among French healthcare workers and the mediating role of cognitive emotion regulation strategies (positive re-evaluation and set in perspective) and coping strategies (active coping, planning, instrumental support, emotional support, emotional expression, positive reappraisal, acceptance, denial, blame, humor, religion, distraction, substance use, behavioral disengagement).Method: This cross-sectional survey-based study collected demographic data and mental health measurements from 1,010 volunteers (838 women) who consented online to participate, from March 24 to June 28, 2020, in France. Participants filled out online questionnaires and visual analogic scales that evaluate affective symptoms related to the COVID-19 sanitary crisis, namely symptoms of post-traumatic stress, burnout, emotion regulation abilities, and coping abilities.Results: The majority (57.8%) of the participants presented post-traumatic symptoms. Depending on the sub-dimensions evaluated, a proportion of participants reported moderate (25.9–31.2%) to severe (17.2–40.7%) burnout symptoms. We found a significant effect of the level of exposure to COVID-19 on affective symptoms. Being a woman, having a lower job position and having less experience were associated with higher level of affective symptoms. Moreover, coping strategies had a mediating effect on the relation between stress and burnout, supporting the coping reserve model.Conclusion: Post-traumatic and burnout symptoms were highly prevalent among French healthcare workers at the beginning of the COVID-19 crisis. Exposure to COVID-19 is a determining factor. We can thus promote both coping training and a good environment to limit the emotional consequences of exposure to COVID-19.

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“…Negative physical issues were also discussed. Frontline nurses worked with heavy equipment and long shift‐time work during the COVID‐19 outbreak; they tended to presented burnout and emotional exhaustion (Wang et al, 2021 ; Zhang et al, 2020 ). A large sample and multicentre study reported that more than 50% frontier nurses suffered from insomnia during their frontline works (Zhan, Liu, et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Negative and positive psychological experience of frontline nurses in combatting COVID‐19: A qualitative study

Peng

Yang

Gao

et al. 2021

J Nursing Management

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Aims To qualitatively explore potential experience among frontline nurses who had been fighting against the COVID‐19 infection since the outbreak. Background Disasters are often sudden and uncertain. Since the COVID‐19 outbreak in Wuhan city, local frontline nurses had been responsible for treatment of COVID‐19 for several months. Qualitative study was required to assess complex multi‐component psychological experiences among frontline nurses. Methods Twenty local frontline nurses were recruited from a designated hospital of COVID‐19 treatment. We conducted semi‐structured interview using phenomenological method. Descriptive phenomenological method was applied for thematic analysis. Results Twenty female frontline nurses (aged 24 to 43 years old) were interviewed. Two broader themes, negative and positive, were identified. Negative experience included refusal and helpless (refusal to work at frontline, shortage of confidence in working and helpless), fear and anxiety, excessive miss, and other health issues. Positive experience included improved interpersonal relationship, sublimation of personal faith and strength, changes in understanding meaning of life and new possibility. Conclusion Both positive and negative psychological response were observed, which can provide evidence based clues for making essential strategies and policy. Implications for Nursing Management Understand subjective experience of frontline nurses can establish evidence for development of effective psychological intervention. Nursing administrator should consider the nurses' psychological experience comprehensively to promote psychological growth and lower post‐traumatic psychological burden.

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Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal

Cited by 30 publications

References 23 publications

Effect of Natural Disaster-Related Prenatal Maternal Stress on Child Development and Health: A Meta-Analytic Review

Effect of Natural Disaster-Related Prenatal Maternal Stress on Child Development and Health: A Meta-Analytic Review

Psychological Impact of Exposure to the COVID-19 Sanitary Crisis on French Healthcare Workers: Risk Factors and Coping Strategies

Negative and positive psychological experience of frontline nurses in combatting COVID‐19: A qualitative study

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