Impact of the COVID‐19 pandemic on stress, resilience and depression in health professionals: a cross‐sectional study

Manzanares, Isabel; Guerra, Sonia Sevilla; Mencía, María Lombraña; Acar-Denizli, Nihan; Salmerón, Josep Miranda; Estalella, Gemma Martínez

doi:10.1111/inr.12693

Cited by 26 publications

(23 citation statements)

References 31 publications

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“…Since recall and false positives are ideally supposed to be as low as possible, our results suggest that the diagnostic accuracy of the radiologists reading the mammograms was not materially affected by the pandemic. Similar pieces of evidence of the resilience of our public healthcare system have been recently reported in other hospitals in Barcelona ( Manzanares et al, 2021 ), suggesting the strong resilience of health professionals working in critical situations. The COVID-19 pandemic has proved to be a stress test for healthcare systems around the world and the main elements related to highly effective responses have been associated with adaptation of health systems’ capacity, reduction of vulnerability, preservation of healthcare functions and resources, and activation of comprehensive responses ( Haldane et al, 2021 ).…”

Section: Discussionsupporting

confidence: 84%

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Bosch

Posso

Louro

et al. 2022

eLife

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Background: To assess the effect of the COVID-19 pandemic on performance indicators in the population-based breast cancer screening program of Parc de Salut Mar (PSMAR), Barcelona, Spain. Methods: We conducted a before-and-after, study to evaluate participation, recall, false-positives, the cancer detection rate, and cancer characteristics in our screening population from March 2020 to March 2021 compared with the four previous rounds (2012-2019). Using multi-level logistic regression models, we estimated the adjusted odds ratios (aOR) of each of the performance indicators for the COVID-19 period, controlling by type of screening (prevalent or incident), socioeconomic index, family history of breast cancer, and menopausal status. We analyzed 144,779 invitations from 47,571 women. Results: During the COVID-19 period, the odds of participation were lower in first-time invitees (aOR=0.90[95%CI=0.84-0.96]) and in those who had previously participated regularly and irregularly (aOR=0.63 [95%CI=0.59-0.67] and aOR=0.95 [95%CI=0.86-1.05], respectively). Participation showed a modest increase in women not attending any of the previous rounds (aOR=1.10 [95%CI=1.01-1.20]). The recall rate decreased in both prevalent and incident screening (aOR=0.74 [95%CI 0.56-0.99] and aOR=0.80 [95%CI 0.68-0.95], respectively). False positives also decreased in both groups (prevalent aOR=0.92 [95%CI 0.66-1.28] and incident aOR=0.72 [95%CI 0.59-0.88]. No significant differences were observed in compliance with recall (OR= 1.26, 95%CI 0.76-2.23), cancer detection rate (aOR=0.91 [95%CI=0.69-1.18]) or cancer stages. Conclusions: The COVID-19 pandemic negatively affected screening attendance, especially in previous participants and newcomers. We found a reduction in recall and false-positives and no marked differences in cancer detection, indicating the robustness of the program. There is a need for further evaluations of interval cancers and potential diagnostic delays. Funding: This study has received funding by grantsPI19/00007 and PI21/00058, funded by Instituto de Salud Carlos III (ISCIII) and co-funded by the European Union and Grant RD21/0016/0020 funded by Instituto de Salud Carlos III and by the European Union NextGenerationEU, Mecanismo para la Recuperación y la Resiliencia (MRR).

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Section: Discussionsupporting

confidence: 84%

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Bosch

Posso

Louro

et al. 2022

eLife

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“…Regarding the frequency of false positives, we found no significant variation due to the pandemic, suggesting that the diagnostic accuracy of the radiologists reading the mammograms was not materially affected. Similar pieces of evidence of the resilience of our public health-care system have been recently reported in other hospitals in Barcelona (28), suggesting the strong resilience of health professionals working in critical situations. The COVID-19 pandemic has proved to be a stress test for health care systems around the world and the main elements related to highly effective responses have been associated with adaptation of health systems’ capacity, reduction of vulnerability, preservation of health care functions and resources, and activation of comprehensive responses (29).…”

Section: Discussionsupporting

confidence: 84%

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Bosch

Posso

Louro

et al. 2022

Preprint

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Background: To assess the effect of the COVID-19 pandemic on performance indicators in the population-based breast cancer screening program of Parc de Salut Mar (PSMAR), Barcelona, Spain. Methods: We conducted a before-and-after, quasi-experimental study to evaluate participation, recall, false-positives, cancer detection rate, and cancer characteristics in our screening population from March 2020 to March 2021 compared with the four previous rounds (2012-2019). Using independent logistic regression models, we estimated the adjusted odds ratios (aOR) of each of the performance indicators for the COVID-19 period, controlling by type of screening (prevalent or incident), socioeconomic index, family history of breast cancer, and menopausal status. We analyzed 144,779 observations from 47,571 women. Results During the COVID-19 period, the odds of participation were 11% lower in first-time invitees (aOR=0.89[95%CI=0.84-0.96]) and in those who had previously participated regularly and irregularly (aOR=0.65 [95%CI=0.61-0.69] and aOR=0.93 [95%CI=0.85-1.03], respectively). Participation showed a modest increase in women not attending any of the previous rounds (aOR=1.07 [95%CI=0.99-1.17]). The recall rate slightly decreased in both prevalent and incident screening (aOR=0.89 [95%CI=0.78-1.01] and aOR=0.89 [95%CI=0.79-1.00], respectively). No significant differences were observed in false-positives (prevalent - aOR=1.07 [95%CI=0.92-1.24] and incident screening -aOR=0.94 [95%CI=0.82-1.08]), cancer detection rate (aOR=0.91 [95%CI=0.69-1.18]), or cancer stages. Conclusions: The COVID-19 pandemic negatively affected screening attendance, especially in previous participants and newcomers. We found no marked differences in recall, false-positives, or cancer detection, indicating the program’s resilience. There is a need for further evaluations of interval cancers and potential diagnostic delays. Funding: This study has received funding by grants from Instituto de Salud Carlos III FEDER (grant numbers: PI19/00007 and PI21/00058), and by the Health Outcomes-Oriented Cooperative Research Networks (RICORS) ), with reference RD21/0016/0020 co-funded with European Union – NextGenerationEU funds.

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“…Although, there is evidence regarding the impact of COVID‐19 on the mental health of nurses in Spain, the samples in these studies included a variety of professionals such as doctors, nurses, nursing assistants, and nursing students. Consequently, the number of nurses among the participants was low and mainly comprised hospital nurses (Hummel et al., 2021 ; Manzanares et al., 2021 ). The study conducted by the Spanish General Council of Nursing, in which 11 560 Registered Nurses (RNs) from different services participated three weeks after the first declaration of the state of emergency in Spain in March 2020, provides a broad view of the working conditions and experiences of nurses during the onset of COVID‐19 (Pérez‐Raya et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Mental health of Spanish nurses working during the COVID‐19 pandemic: A cross‐sectional study

Martín-Rodríguez

Escalada-Hernández

Soto‐Ruiz

et al. 2022

International Nursing Review

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Aim: To explore the impact of the COVID-19 pandemic on the mental health of nurses working in primary, secondary, and tertiary healthcare centers in Navarre (Spain). Background: Healthcare workers, especially nurses, are at high risk for developing mental health problems during the COVID-19 pandemic. Introduction: Spain ranks among the European countries with the highest incidence of and mortality from COVID-19 and has a 31% deficit in the number of nurses compared with the average for the European Union. Methods: This was a cross-sectional study involving 800 Registered Nurses in Navarre, Spain. Four standardized instruments, along with a self-administered online questionnaire, were used to measure the impact in terms of depression, anxiety, insomnia, and posttraumatic stress disorder. The STROBE checklist for cross-sectional studies was used to report this study. Results: Of the 800 nurses, 68% had some level of depression, anxiety, insomnia, and distress, and of these, 38% had moderate or severe symptoms. Those who worked in hospital COVID units and in nursing homes showed a higher impact on their mental health. Discussion: The sustained pressure that nurses have experienced in their work during the COVID-19 pandemic has negatively affected their mental health. Conclusion:This study found that nurses who worked in hospital COVID units and in nursing homes during the pandemic had worse mental health outcomes. Implications for nursing/policy: Recommendations for nursing policy include the need to implement coaching and emotional programs to support nurses on the frontlines of the pandemic. There is also an urgent need for the implementation of national training programs to strengthen health emergency preparedness, improve response capacity, and increase the resilience of nurses to disasters.

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Impact of the COVID‐19 pandemic on stress, resilience and depression in health professionals: a cross‐sectional study

Cited by 26 publications

References 31 publications

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Impact of the COVID-19 pandemic on breast cancer screening indicators in a Spanish population-based program: a cohort study

Mental health of Spanish nurses working during the COVID‐19 pandemic: A cross‐sectional study

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