The effect of COVID-19 pandemic on the mental health of Canadian critical care nurses providing patient care during the early phase pandemic: A mixed method study.
COVID-19
Coronavirus
Critical care
Interviews
Pandemic
Psychological distress
Qualitative
Quantitative
Questionnaires
Surveys
Journal
Intensive & critical care nursing
ISSN: 1532-4036
Titre abrégé: Intensive Crit Care Nurs
Pays: Netherlands
ID NLM: 9211274
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
03
08
2020
revised:
02
11
2020
accepted:
05
12
2020
pubmed:
22
12
2020
medline:
2
4
2021
entrez:
21
12
2020
Statut:
ppublish
Résumé
Healthcare workers have historically experienced symptoms of post-traumatic stress disorder, depression and anxiety with previous infectious outbreaks. It is unknown if critical care nurses have similar experiences. The study aimed to examine the mental health of Critical Care Registered Nurses providing direct patient care during the initial phase of the COVID-19 pandemic in Canada. This was a convergent parallel mixed method study utilizing validated questionnaires and semi-structured qualitative interviews. Critical care units in a single large 650 bed academic teaching hospital in western Canada. The critical care units serve a general mixed medical - surgical adult patient population. Critical Care Registered Nurses providing direct patient care in the intensive care and high acuity units at the designated site. 109 participants completed two self-reported validated surveys, the Impact of Events Scale - Revised and the Depression, Anxiety and Stress Scale. 15 participants completed one-on-one semi-structured interviews that were analyzed using inductive thematic analysis. In the surveys, the participants reported clinical concern for (23%), probable (13%) and significant (38%) symptoms of post-traumatic stress disorder, as well as mild to severe depression (57%), anxiety (67%) and stress (54%). In the interviews, psychological distress was described as anxiety, worry, distress and fear related to: 1) rapidly changing policy and information, 2) overwhelming and unclear communication, 3) meeting patient care needs in new ways while staying safe, and 4) managing home and personal commitments to self and family. Critical care nurses experienced psychological distress associated with providing care to COVID-19 patients during the early phases of the pandemic.
Sections du résumé
BACKGROUND
BACKGROUND
Healthcare workers have historically experienced symptoms of post-traumatic stress disorder, depression and anxiety with previous infectious outbreaks. It is unknown if critical care nurses have similar experiences.
OBJECTIVES
OBJECTIVE
The study aimed to examine the mental health of Critical Care Registered Nurses providing direct patient care during the initial phase of the COVID-19 pandemic in Canada.
DESIGN
METHODS
This was a convergent parallel mixed method study utilizing validated questionnaires and semi-structured qualitative interviews.
SETTING
METHODS
Critical care units in a single large 650 bed academic teaching hospital in western Canada. The critical care units serve a general mixed medical - surgical adult patient population.
PARTICIPANTS
METHODS
Critical Care Registered Nurses providing direct patient care in the intensive care and high acuity units at the designated site.
METHODS
METHODS
109 participants completed two self-reported validated surveys, the Impact of Events Scale - Revised and the Depression, Anxiety and Stress Scale. 15 participants completed one-on-one semi-structured interviews that were analyzed using inductive thematic analysis.
RESULTS
RESULTS
In the surveys, the participants reported clinical concern for (23%), probable (13%) and significant (38%) symptoms of post-traumatic stress disorder, as well as mild to severe depression (57%), anxiety (67%) and stress (54%). In the interviews, psychological distress was described as anxiety, worry, distress and fear related to: 1) rapidly changing policy and information, 2) overwhelming and unclear communication, 3) meeting patient care needs in new ways while staying safe, and 4) managing home and personal commitments to self and family.
CONCLUSIONS
CONCLUSIONS
Critical care nurses experienced psychological distress associated with providing care to COVID-19 patients during the early phases of the pandemic.
Identifiants
pubmed: 33342649
pii: S0964-3397(20)30202-0
doi: 10.1016/j.iccn.2020.102999
pmc: PMC7832945
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
102999Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Elsevier Ltd. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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