Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak

Hesselink, Gijs; Straten, Lise; Gallée, Lars; Brants, Anne; Holkenborg, Joris; Barten, Dennis G.; Schoon, Yvonne

doi:10.1186/s12913-021-06555-5

Cited by 30 publications

(47 citation statements)

References 35 publications

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“…Similar to other studies, our analyses found that self-reported perceived stress correlated significantly with psychopathology [ 36 , 37 ], suggesting that nurses who perceived a high level of stress also perceived more symptoms of anxiety and depression. Remarkably, the levels of wellbeing among nurses during COVID-19, were even lower than among patients in the Spanish community mental health setting [ 21 ], and were lower than previous studies among nurses before and during COVID-19 [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 64%

The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

Lara-Cabrera

Montesinos

Muñoz-Rubilar

et al. 2021

IJERPH

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The COVID-19 pandemic has created great uncertainty around the world, and due to the pandemic, nurses have been exposed to an increase in highly stressful clinical situations. This study examines the relationships between perceived stress and emotional disorders among nurses who have provided direct patient care during the COVID-19 pandemic and explores the mediating role of resilience in these relationships. In an online cross-sectional design, we asked Spanish nurses (N = 214) to complete self-reported scales, and we performed correlation and mediation analyses between perceived stress (Perceived Stress Scale, PSS-4), resilience (Wagnild Resilience Scale, RS-14), wellbeing (World Health Organization Wellbeing Index, five items, WHO-5), anxiety (PHQ-2) and depression (GAD-2). The nurses self-reported moderate levels of perceived stress, considerable psychological distress and high resilience. We found resilience to be significantly negatively correlated with the reported levels of perceived stress, anxiety and depression (p < 0.001). The mediating analysis revealed that resilience played a protective role in the direct relationships of stress with depression, anxiety, and psychological distress. To conclude, our findings supported the hypothesis that resilience mediated the relationship between stress and mental health.

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Section: Discussionmentioning

confidence: 64%

The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

Lara-Cabrera

Montesinos

Muñoz-Rubilar

et al. 2021

IJERPH

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“…Moral distress has been a prominent theme for healthcare workers during the pandemic. [134][135][136][137] In a study in the Netherlands, two sources of moral distress that increased in COVID-19 (scarcity of resources and the perception of colleagues acting unsafely) were significant predictors of burnout. 103 In a Toronto hospital, moral distress was strongly related to emotional exhaustion and accounted for most of the difference in burnout between roles (nurses vs. other health professionals vs. other staff with regular patient contact; Hunter J, personal communication).…”

Section: Moral Distressmentioning

confidence: 99%

Burnout in Hospital-Based Healthcare Workers during COVID-19

Maunder¹,

Heeney²,

Strudwick³

et al. 2021

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About Us: The Ontario COVID-19 Science Advisory Table is a group of scientific experts and health system leaders who evaluate and report on emerging evidence relevant to the COVID-19 pandemic, to inform Ontario's response. Our mandate is to provide weekly summaries of relevant scientific evidence for the COVID-19 Health Coordination Table of the Province of Ontario, integrating information from existing scientific tables, Ontario's universities and agencies, and the best global evidence. The Science Table summarizes its findings for the Health Coordination Table and the public in Science Briefs. The Mental Health Working Group comprises scientific experts and public health leaders with specific expertise in mental health. Their expertise spans mental health of children and youth, adults and geriatric populations, mental health of health care providers, women's health, mental health among LGBTQ persons, mental health among Black, Indigenous, and other racialized populations, and COVID-19. The Working Group evaluates emerging scientific evidence related to maintaining mental health during COVID-19, the mental health burden of disease and public health interventions on individuals across the lifespan, including children and adolescents, and the older adult population, as well as the need for assessment and recommendations

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“…With regards to gender, inconsistencies also exist with no gender differences observed among Canadian resident physicians [ 19 ], U.S. medical students, interview candidates for residency, and internal medicine residents plus faculty [ 20 ], as well as Dutch emergency department staff during the first COVID-19 wave [ 21 ]. In contrast, well-being was noted to be lower among female paramedics and emergency physicians in Germany [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Validation of the World Health Organization Well-Being Index (WHO-5) among medical educators in Hong Kong: a confirmatory factor analysis

Chan

Liu

Lam

et al. 2022

Medical Education Online

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Background The COVID-19 pandemic has exacerbated the pre-existing global crisis of physician burnout. Physician and particularly medical educator well-being, has come into focus as educators can influence their own and learners’ well-being. Measuring this construct is one important step towards promoting well-being in the work and learning environments. The 5-item World Health Organization Well-Being Index (WHO-5) has been validated in different populations worldwide for assessing well-being. Yet, its psychometric acceptability remains unexplored among medical educators in Asia including Hong Kong (HK). This study evaluates the validity of the WHO-5 when used among HK medical educators. Method Using data from 435 medical educators, we employed combined within-network (confirmatory factor analysis; CFA) and between-network approaches (correlation and regression) to scale validation. Results CFA results indicated that our data fit the a priori WHO-5 model, suggesting structural validity. Results of comparison of means indicated no gender differences, but there were significant differences when participants were compared by age and professional backgrounds. Resilience predicted well-being as measured by the WHO-5, suggesting construct criterion validity. Conclusions Our findings extend the validity evidence for the WHO-5 to HK medical educators examined in this study. This enables their well-being to be assessed when evaluating the impact of future well-being programmes.

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Holding the frontline: a cross-sectional survey of emergency department staff well-being and psychological distress in the course of the COVID-19 outbreak

Cited by 30 publications

References 35 publications

The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health

Burnout in Hospital-Based Healthcare Workers during COVID-19

Validation of the World Health Organization Well-Being Index (WHO-5) among medical educators in Hong Kong: a confirmatory factor analysis

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