Worries and concerns among healthcare workers during the coronavirus 2019 pandemic: a web-based cross-sectional survey

Sahashi, Yuki; Endo, Hirohisa; Sugimoto, Tadafumi; Nabeta, Takeru; Nishizaki, Kimitaka; Kikuchi, Atsushi; Matsumoto, Shingo; Sato, Hiroyuki; Goto, Tadahiro; Hasegawa, Kohei; Matsue, Yuya

doi:10.1101/2020.06.09.20126045

Cited by 19 publications

(27 citation statements)

References 22 publications

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“…While worry may not be classified as a mental illness, it is of importance as it could be a precursor of more severe mental illness if not addressed ( 31 ). These findings are comparable to those of a Japanese study that showed that majority (78%) of the healthcare workers were seriously worried about COVID-19 and being infected was one of the leading concerns ( 32 ). The high frequency of worry in our setting is in keeping with a recent review that indicated that other than the main diagnostic categories of mental illness, many healthcare workers have various concerns regarding COVID-19 that increase their risk of experiencing psychological distress ( 33 ).…”

Section: Discussionsupporting

confidence: 83%

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

et al. 2021

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Background: Healthcare workers responding to the Corona Virus Pandemic (COVID-19) are at risk of mental illness. Data is scanty on the burden of mental disorders among Kenyan healthcare workers responding to the pandemic that can inform mental health and psychosocial support. The purpose of this study was to establish the frequency and associated factors of worry, generalized anxiety disorder, depression, posttraumatic stress disorder and poor quality of sleep among Kenyan health care workers at the beginning of COVID-19 pandemic.Methods: We conducted an online survey among 1,259 health care workers in Kenya. A researcher developed social demographic questionnaire and several standardized tools were used for data collection. Standardized tools were programmed into Redcap, (Research Electronic Data Capture) and data analysis was performed using R Core Team. In all analysis a p-value < 0.05 was considered significant.Results: 66% of the participants reported experiencing worry related to COVID-19. 32.1% had depression, 36% had generalized anxiety, 24.2% had insomnia and 64.7% scored positively for probable Post Traumatic Stress Disorder (PTSD). Depression was higher among females compared to men (36.5 vs. 26.9%, p = 0.003), workers <35 years old compared to older ones (38.1 vs. 26.4%, p < 0.001), and those who were not married compared to those who were married (40.6 vs. 27.6%, p < 0.001). Generalized anxiety was commoner among workers aged <35 years (43.5 vs. 29.3%, p < 0.001), females (41.7 vs. 29.2%, p < 0.001), those who mere not married compared to the married (45.2 vs. 31.2%, p < 0.001) and those with <10 years working experience (41.6 to 20.5%, p < 0.001). Younger health care professional had a higher proportion of insomnia compared to the older ones (30.3 vs. 18.6%, p < 0.001). Insomnia was higher among those with <10 years' experience compared to those with more than 20 years' experience(27.3 vs. 17.6%, p = 0.043)Conclusion: Many Kenyan healthcare workers in the early phase of COVID-19 pandemic suffered from various common mental disorders with young, female professionals who are not married bearing the bigger burden. This data is useful in informing interventions to promote mental and psychosocial wellbeing among Kenyan healthcare workers responding to the pandemic.

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Section: Discussionsupporting

confidence: 83%

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

et al. 2021

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“…They also stated that issues such as ambiguity regarding “how to deal with patients when they were unwilling to be quarantined at the hospital or did not cooperate with medical measures because of panic or a lack of knowledge about the disease” and “shortage of protective equipment” were also contributing to poor mental health of medical staff ( 2020 ). A study by Sahashi et al on 4,386 HCPs in Japan also found that consequence of becoming infected, restricted social contact, and a shortage in personal protective equipment were the most frequent concerns ( 2019 ). While our study was not meant to discover the reasons for this phenomenon, several issues can be speculated to have resulted in this state of high burnout.…”

Section: Discussionmentioning

confidence: 99%

Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study

Jalili

Niroomand

Hadavand

et al. 2021

Int Arch Occup Environ Health

231

170

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Purpose To describe the prevalence of burnout among healthcare professionals dealing with COVID-19 patients and the associated factors. Methods In this cross-sectional survey, healthcare workers at six university-affiliated hospitals, who had been taking care of COVID-19 patients were studied. Age, gender, marital status, having children, hospital, job category, experience, and work load, as well as the level of burnout in each subscale were measured. Results 326 persons (53.0%) experienced high levels of burnout. The average score in emotional exhaustion, depersonalization and lack of personal accomplishment was 26.6, 10.2, and 27.3, respectively. The level of burnout in the three subscales varied based on the personal as well as work-related factors and gender was the only variable that was associated with high levels of all three domains. Conclusions Burnout is prevalent among healthcare workers caring for COVID-19 patients. Age, gender, job category, and site of practice contribute to the level of burnout that the staff experience.

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“…Interestingly, I found no evidence of risk compensation on the extensive margin (at least on one dimension, absenteeism). It is possible that this kind of response was limited by moral or ethical considerations (Sahashi et al, 2021) or perhaps by more prosaic considerations such as losing one's job.…”

Section: Discussionmentioning

confidence: 99%

Pan[dem]ic! Rational Risk Avoidance During a Health Pandemic

Okeke¹

2021

Preprint

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During a health pandemic health workers have to balance two competing objectives: their own welfare vs. that of their patients. Intuitively, attending to sick patients during a pandemic poses risks to health workers because some of these patients could be infected. One way to reduce risk is by reducing contact with patients. These changes could be on the extensive margin, e.g., seeing fewer patients; or, more insidiously, on the intensive margin, by reducing the duration/intensity of contact. This paper studies risk avoidance behavior during the Covid-19 pandemic and examines implications for patient welfare. Using primary data on thousands of patient-provider interactions between January 2019 and October 2020 in Nigeria, I present evidence of risk compensation by health workers along the intensive margin. For example, the probability that a patient receives a physical examination has dropped by about a third. I find suggestive evidence of negative effects on health outcomes.

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Worries and concerns among healthcare workers during the coronavirus 2019 pandemic: a web-based cross-sectional survey

Cited by 19 publications

References 22 publications

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

Mental Disorders Among Health Care Workers at the Early Phase of COVID-19 Pandemic in Kenya; Findings of an Online Descriptive Survey

Burnout among healthcare professionals during COVID-19 pandemic: a cross-sectional study

Pan[dem]ic! Rational Risk Avoidance During a Health Pandemic

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