The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic

Karabulut, Neziha; Gürçayır, Dilek; Aktaş, Yeşim Yaman; Kara, Alkay; Kiziloğlu, Beyzanur; Arslan, Büşra; Bölükbaş, Nurgül

doi:10.1080/13548506.2020.1856897

Cited by 13 publications

(18 citation statements)

References 28 publications

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“…The pandemic also had an impact on professionals' personal and family lives, negatively affecting their physical and emotional health [28]. Insomnia, fear of becoming vectors of transmission, and infecting their loved ones were the main consequences identified [13,16,[36][37][38]41].…”

Section: Discussionmentioning

confidence: 99%

“…During the pandemic, the incidence of anxiety disorders, depression, and posttraumatic stress disorder increased considerably among ICU professionals during the pandemic [16,[32][33][34][35][36][37][38][39][40][41][42][43][44]. Professional quality of life has been undermined by an increase in burnout syndrome and compassion fatigue, especially among women and nurses [40,[45][46][47][48][49][50].…”

Section: Introductionmentioning

confidence: 99%

“…Contributing factors include: (1) the lack of material resources (personal protective equipment-PPE, hospital beds, and ventilators), (2) shortage of nurses, (3) worsening working conditions for healthcare professionals involving intense working hours and extreme workloads, and (4) clinical/health consequences of changing environments, increased adverse events, and clinical complications [6,36,37,49,[56][57][58]. Other studies point to concerns among experienced ICU professionals about unskilled junior professionals joining their units [58][59][60].…”

Section: Introductionmentioning

confidence: 99%

“…ICU professionals have also faced ethical dilemmas and conflicts arising from the need to establish more restrictive admission profiles and the inability to provide emotional support and information to families in person [7,32,58,[61][62][63]. To address this situation, a number of studies suggest the implementation of organizational coping strategies such as improving human resources policies, designing targeted psychological interventions for professionals, and having ethical guidelines for difficult decisions in place in ICUs [6,7,13,34,37,[64][65][66][67].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

Mulet

Sansó

Carrero-Planells

et al. 2021

IJERPH

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The large numbers of patients admitted to intensive care units due to COVID-19 has had a major impact on healthcare professionals. The incidence of mental health disorders among these professionals has increased considerably and their professional quality of life has suffered during the pandemic. This study aims to explore the impact of the provision of COVID-19 patient care on ICU healthcare professionals. A mixed methods study with an exploratory concurrent design was conducted between June and November 2020 in the Balearic Islands, Spain. Data were collected using a self-report online survey (n = 122) based on three validated questionnaires, and individual semi-structured in-depth online interviews (n = 11). Respondents scored 2.5 out of 5 on the moral distress scale, moderate/high on the compassion satisfaction scale, and moderate on the burnout and compassion fatigue subscales. Age was significantly and negatively related to professional quality of life but was positively related to workload and unavailability of protective equipment. Three main groups of themes relating to the impact of the pandemic emerged from the in-depth interviews: (a) clinical, (b) professional, and (c) personal and family impacts in the two waves. ICU healthcare professionals should be viewed as second victims of the COVID-19 pandemic as they have suffered significant psychological, professional, and moral harm.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

Mulet

Sansó

Carrero-Planells

et al. 2021

IJERPH

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“…In the process of supporting Wuhan against COVID-19, the medical staff faced tremendous pressure in the form of shortage of medical supplies and stress as a result of the lack of effective treatment of the disease at the time ( 50 , 51 ). During the COVID-19 epidemic, workplace stress for medical staff is an important factor that should be considered as well as other problems, such as lack of sleep, because perceived stress is a risk factor for the development of sleep issues among frontline medical staff ( 52 , 53 ). This suggestion applies to the concept of allostasis stress proposed by Sterling and Eye ( 54 ).…”

Section: Discussionmentioning

confidence: 99%

Association Between Perceived Stress and Post-Traumatic Stress Disorder Among Medical Staff During the COVID-19 Epidemic in Wuhan City

Mei

Liang

Hui

et al. 2021

Front. Public Health

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Objective: The study aimed to examine the relationship between perceived stress and post-traumatic stress disorder (PTSD) among frontline medical staff during the lockdown in Wuhan city, China, due to the COVID-19 outbreak.Methods: The study was conducted in August 2020, which included 516 medical staff between 21 to 65 years. The PTSD Checklist-Civilian, Perceived Stress Scale, Insomnia Severity Index, and Compassion Fatigue Short Scale were used.Results: The results indicated that 10.5% of the medical staff experienced PTSD symptoms, and insomnia severity mediated the effect of perceived stress on PTSD. In addition, compassion fatigue moderated the association between perceived stress and PTSD.Conclusion: The study elucidated the mechanisms underlying the association between perceived stress and PTSD. Moreover, it emphasized the importance of long-term monitoring of the mental health status of frontline medical staff who supported Wuhan. The results can serve as reference for relevant medical and health departments to formulate active interventions and preventive measures against PTSD for unsung heroes who put their lives on the line during difficult times.

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Coping strategies moderate the effect of perceived stress on sleep and health in older adults during the COVID‐19 pandemic

et al. 2022

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Stress in the context of the COVID-19 pandemic may have a significant impact on health, including sleep health. Older adults may be particularly vulnerable. This study examined associations between perceived stress and sleep health, mental health, physical health, and overall perceived health outcomes among older adults.We also examined whether specific coping strategies moderate these associations.Older adults (n = 115; M age = 68.62) reported perceived stress, coping strategies, global sleep quality, depressive symptoms, and perceived mental, physical, and overall health before and during the COVID-19 pandemic. Stress-health relationships were modelled with hierarchical linear regression. Higher perceived stress was associated with greater depressive symptoms and poorer mental health concurrently and longitudinally. Coping strategies moderated the association of perceived stress with physical health and overall perceived health. For example, higher perceived stress was associated with poorer overall perceived health among those with lower problem-focussed coping, but not among those with higher problemfocussed coping. Older adults may benefit from prevention and intervention strategies targeting stress management. Furthermore, identifying people with low problem-focussed coping might be a useful strategy to prevent worsening health in future public health crises.

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The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic

Cited by 13 publications

References 28 publications

The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

The Impact of the COVID-19 Pandemic on ICU Healthcare Professionals: A Mixed Methods Study

Association Between Perceived Stress and Post-Traumatic Stress Disorder Among Medical Staff During the COVID-19 Epidemic in Wuhan City

Coping strategies moderate the effect of perceived stress on sleep and health in older adults during the COVID‐19 pandemic

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