Impact of COVID-19 second wave on healthcare worker staffing levels

Abuown, A; Taube, Catharine; Koizia, Louis

doi:10.1017/ice.2020.353

Cited by 11 publications

(11 citation statements)

References 1 publication

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“…The prolongation of the COVID-19 pandemic may be related to the fact that people's long and intense working hours have caused an increase in burnout and chronic fatigue levels ( Matsuo et al, 2020 ). The fact that some healthcare workers left their jobs and some died during this period may have increased the mental and physical workload of healthcare workers( Abuown et al, 2020 ). In addition, traumatic events such as the loss of relatives in this period and COVID-19 infection may have contributed to this result ( Zhang et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

The comparison of anxiety, depression and stress symptoms levels of healthcare workers between the first and second COVID-19 peaks

Gündoğmuş

Ünsal

Bolu

et al. 2021

Psychiatry Research

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Backgrounds : Although the psychological effects of the COVID-19 pandemic have been investigated, there is no study comparing the effects between the peaks. This study aims to compare the levels of anxiety, depression, and stress of healthcare workers struggling with pandemic between the first and second peaks. Methods : A total of 2460 healthcare workers, 1051 from the first peak period and 1409 from the second peak period, were included in the study. The first peak measurements of the participants were made between 07.04.2020 and 05.05.2020 and the second peak measurements were made between 22.11.2020 and 20.12.2020 according to the peak period in Turkey. Depression-Anxiety-Stress-21(DASS-21) scale was applied to the participants online by the purpose of the study. Results : The mean age of the participants was 32.63±7.70, and 66.5% of them were female. A statistically significant difference was found between the income status (p<0.001), lifestyle (p<0.001) and COVID-19 test result (p<0.001), DASS-21 Depression (p<0.001, t=-5.311), Anxiety (p<0.001, t=-8.244), Stress (p<0.001, -10.056) and total(p<0.001, t=-8.719) scores of the two groups. Conclusion : The present study results showed that healthcare workers meticulously struggling with the pandemic had increased anxiety, depression, and stress levels at the second peak of the pandemic compared to the first peak.

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Section: Discussionmentioning

confidence: 99%

The comparison of anxiety, depression and stress symptoms levels of healthcare workers between the first and second COVID-19 peaks

Gündoğmuş

Ünsal

Bolu

et al. 2021

Psychiatry Research

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“…This change could represent the need to travel farther for inpatient services if other inpatient units were at capacity due to COVID-19 cases or diversion of staffing. Distance to a VAMC might also serve as a marker for risks of social isolation, a clinical phenomenon associated with known negative impacts on a variety of well-being indicators [ 24 , 25 ]. The second key difference in patient populations during the pandemic is that patients were less likely to have been hospitalized previously.…”

Section: Discussionmentioning

confidence: 99%

Inpatient Mental Healthcare before and during the COVID-19 Pandemic

et al. 2021

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Prior studies have demonstrated disruption to outpatient mental health services after the onset of the COVID-19 pandemic. Inpatient mental health services have received less attention. The current study utilized an existing cohort of 33 Veterans Health Affairs (VHA) acute inpatient mental health units to examine disruptions to inpatient services. It further explored the association between patient demographic, clinical, and services variables on relapse rates. Inpatient admissions and therapeutic services (group and individual therapy and peer support) were lower amongst the COVID-19 sample than prior to the onset of COVID-19 while lengths of stay were longer. Relapse rates did not differ between cohorts. Patients with prior emergent services use as well as substance abuse or personality disorder diagnoses were at higher risk for relapse. Receiving group therapy while admitted was associated with lower risk of relapse. Inpatient mental health services saw substantial disruptions across the cohort. Inpatient mental health services, including group therapy, may be an important tool to prevent subsequent relapse.

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“…A survey conducted by the Royal College of Physicians in April 2020, at the peak of the first wave, determined that approximately 20% of healthcare staff were currently isolating due either to themselves or a household member developing COVID-19 symptoms (11). Another study of healthcare workers, determined that 44% of staff were required to self-isolate during April-July 2020 in response to developing COVID-19 symptoms, and 18% due to a household member developing symptoms (13). Additionally, a UK based survey of healthcare workers revealed that 28.9% of those surveyed had to self-isolate at least once due to developing COVID-19 symptoms or providing a positive test.…”

Section: Introductionmentioning

confidence: 99%

“…This reduction in staff has resulted in teams needing to revaluate risk-benefit scenarios to optimise pass-through rate, as opposed to providing care based on individual needs (11-13). In Oncology departments for example, regimens with less intensive treatments were being favoured in order to reduce the average bed-occupation time.…”

Section: Introductionmentioning

confidence: 99%

Mitigating isolation: The use of rapid antigen testing to reduce the impact of self-isolation periods

Bays¹,

Whiteley²,

Pindar³

et al. 2021

Preprint

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Isolating, either enforced or self-guided, is a well-recognised and used technique in the limitation and reduction of disease spread. This usually balances the societal harm of disease transmission against the individual harm of being isolated and is typically limited to a very small number of individuals. With the widespread transmission of SARS-CoV-2 and requirements to self-isolate when symptomatic or having tested positive, the number of people affected has grown very large causing noticeable individual cost, and disruption to the provision of essential services. With widespread access to reliable rapid antigen tests (also known as LFD or LFTs), in this paper we examine strategies to utilise this testing technology to limit the individual harm whist maintaining the protective effect of isolation. We extend this work to examine how isolation may be improved and mitigate the release of infective individuals into the population caused by fixed time-periods.

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Impact of COVID-19 second wave on healthcare worker staffing levels

Cited by 11 publications

References 1 publication

The comparison of anxiety, depression and stress symptoms levels of healthcare workers between the first and second COVID-19 peaks

The comparison of anxiety, depression and stress symptoms levels of healthcare workers between the first and second COVID-19 peaks

Inpatient Mental Healthcare before and during the COVID-19 Pandemic

Mitigating isolation: The use of rapid antigen testing to reduce the impact of self-isolation periods

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