Medizinisches Fachpersonal in der  COVID-19-Pandemie: Psyche am Limit

Kramer, Victoria; Thoma, Andreas; Kunz, Miriam

doi:10.1007/s15005-021-1975-8

Cited by 7 publications

(19 citation statements)

References 20 publications

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“…Belonging to the nursing profession has been shown to be a risk factor for the development of mental disorders in the context of occupational stress during the pandemic (Kramer et al 2021 ). In line with that, nurses in our study displayed higher mental burden than physicians with regard to all assessed mental health outcomes, especially moderate and moderately severe depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…In order not to obtain too many independent variables, answers to ordinally scaled questions were dichotomized by putting “strongly disagree”, “rather disagree” and “partly agree partly disagree” under one category and “rather agree” and “strongly agree” under a second category. Since according to the literature, age < 40 is a risk factor for mental burden on health care workers, the variable was dichotomized using a cutoff ≥ 40 years (Kramer et al 2021 ). Since only one person identified as diverse, the attributes “female” and “diverse” were combined under one category.…”

Section: Methodsmentioning

confidence: 99%

“…A number of risk factors such as being female, younger age (≤ 40 years) and changes in working hours have been identified to be associated with higher mental burden in oncology (Banerjee et al 2021 ). Furthermore, belonging to the nursing profession has been shown to be a risk factor for mental burden in healthcare workers in the context of the pandemic (Kramer et al 2021 ). Next to studies on mental health, burnout and job-abandonment, there has been an increasing interest in moral distress of healthcare workers (Riedel et al 2022 ; Sheather and Fidler 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey

Sommerlatte

Lugnier

Schoffer

et al. 2023

J Cancer Res Clin Oncol

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Purpose There is evidence for mental burden and moral distress among healthcare workers during the pandemic. However, there is scarcity of analyses regarding possible correlations of mental burden and moral distress in this context. This study provides data to quantify mental burden and possible associations with moral distress among physicians and nurses working in oncology in Germany. Methods We conducted a cross-sectional online survey with physicians and nurses working in oncology in Germany between March and July 2021. Next to sociodemographic characteristics and working conditions, mental burden and moral distress were assessed using standardized instruments. Binary multivariate logistic regression using the enter method was performed in order to explore the relationship between mental burden and moral distress. Results 121 physicians and 125 nurses were included in the study. Prevalence of clinically relevant depressive symptoms, anxiety, somatic symptoms, burnout symptoms and moral distress was 19.2, 14.5, 12.7, 46.0 and 34.7% in physicians and 41.4, 24.0, 46.8, 46.6 and 60.0% in nurses respectively. Mental burden was significantly associated with moral distress, being female/diverse, younger age < 40 and increase in workload. Nurses who felt sufficiently protected from COVID-19 reported significantly less moral distress. Conclusion To improve pandemic resilience, there is a need to ensure safe working environment including psychosocial support. Further evidence on risk and protective factors for moral distress is needed to be able to develop and implement strategies to protect healthcare workers within and beyond the pandemic.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mental burden and moral distress among oncologists and oncology nurses in Germany during the third wave of the COVID-19 pandemic: a cross-sectional survey

Sommerlatte

Lugnier

Schoffer

et al. 2023

J Cancer Res Clin Oncol

View full text Add to dashboard Cite

show abstract

“…While employees in many occupations were put on reduced hours or were able to work from home, the work of medical and nursing staff was labelled as 'indispensable for the functioning of society' (Koebe et al 2020: 1) and hospital employees, classified as 'essential workers', had to continue working on site while facing various pandemic-related challenges at their workplace. For health-care workers, the fear of getting themselves or their family members infected caused mental stress (Gorini et al 2020;Kramer, Thoma and Kunz 2021), especially during the initial phase of the crisis, when testing capacities and vaccinations were not yet available and protective equipment was scarce (Begerow, Michaelis, and Gaidys 2020: 232). Female employees, especially, are at higher risk of developing stress symptoms (Conti et al 2020).…”

Section: Health-care Work During the Covid-19 Crisismentioning

confidence: 99%

Double Fragility: The Care Crisis in the Time of the Pandemic

Scheele,

Schiffbänker,

Walker

et al. 2023

GV/GR

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The COVID-19 pandemic exposed and reinforced the structural crisis in paid and unpaid care work. On the one hand, pandemic-related closures of schools and childcare facilities increased the fragility of unpaid care arrangements, which are mainly organised by women. On the other hand, high infection and hospitalisation rates exacerbated the difficult working conditions in health-care professions, ranging from low wages and long working hours to high levels of mental and physical stress. Drawing on interviews conducted in an ongoing project in the German and Austrian health-care sector, this article investigates, from a gender perspective, how employees in health-care professions, who are at the very centre of both the unpaid and paid care crises, experienced this precarious situation during the pandemic. We suggest that the female-dominated sectors of paid and unpaid care work experienced further devaluation during the COVID-19 pandemic, while attempts to valorise their work were rather short-lived. We further argue that the structural crisis in paid care work is threatening the functionality of the health-care sector.

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“…Während der zweiten Welle der SARS-CoV-2 Pandemie von KW 40/2020 bis KW 08/2021 wurden in deutschen Krankenhäusern 156.766 Fälle mit COVID-19 behandelt [1] . In Studien werden Ängste, Schlafstörungen, Erschöpfungszustände, Belastungen durch die Schutzausrüstung und Druck durch moralische Verpflichtungen als Folgen für Beschäftigte im Gesundheitswesen beschrieben [2] , [3] , [4] , [5] , [6] , [7] . Es stand den Beschäftigten im Verlauf der Pandemie zwar zunehmend persönliche Schutzausrüstung zur Verfügung.…”

Section: Introductionunclassified