Coronavirus disease 2019 crisis in Paris: A differential psychological impact between regular intensive care unit staff members and reinforcement workers.

Adult Anxiety / epidemiology Attitude of Health Personnel COVID-19 / epidemiology Depression / epidemiology Female Humans Intensive Care Units Male Medical Staff, Hospital / psychology Nursing Staff, Hospital / psychology Pandemics Paris / epidemiology Personnel Staffing and Scheduling Quality of Life SARS-CoV-2 Stress Disorders, Post-Traumatic / epidemiology Surveys and Questionnaires

COVID-19 Depression Nurse Post-traumatic stress disorder Public health

Journal

Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

ISSN: 1036-7314

Titre abrégé: Aust Crit Care

Pays: Australia

ID NLM: 9207852

Informations de publication

Date de publication:
Mar 2021

Historique:

received: 01 08 2020

revised: 15 11 2020

accepted: 18 11 2020

pubmed: 29 12 2020

medline: 27 3 2021

entrez: 28 12 2020

Statut: ppublish

Résumé

Intensive care unit (ICU) healthcare workers (HCWs) are at the forefront of the coronavirus disease 2019 pandemic. To overcome the lack of human resources during this crisis, some ICUs had to mobilise staff from a reinforcement pool, with no or outdated ICU experience. This study aimed to investigate and to compare the psychological impact of the pandemic on regular ICU staff members and reinforcement workers. Self-assessment questionnaires were completed by HCWs who worked from March 1 to April 30, 2020, in our 16-bed neurological ICU at La Pitié-Salpêtrière Hospital in Paris, France, which was converted to a COVID ICU. The Hospital Anxiety and Depression Scale, the Post-traumatic Stress Disorder Checklist for DSM-5, McGill Quality of Life Questionnaire-Revised, and 10-item Connor-Davidson Resilience Scale were used to assess anxiety, depression and post-traumatic stress disorder, quality of life, and resilience, respectively. Sixty-nine ICU HCWs completed the survey (37 from the team of regular staff members, i.e., from the public health service, and 32 from a reinforcement pool, either from non-ICU public health service or from private healthcare interim employment agencies). Prevalence of anxiety, depression, and post-traumatic stress disorder symptoms was high, at 19%, 9%, and 16%, respectively, with limited impairment in quality of life or resilience scores. Depression symptoms were observed more in regular staff members than in welcomed reinforcement workers, at 16% and 0%, respectively. These results revealed that during the pandemic, HCWs from the team of regular staff members were at greater risk of developing psychological disorder compared with reinforcement workers, with higher levels of depressive symptoms.

Sections du résumé

BACKGROUND BACKGROUND

MATERIAL AND METHODS METHODS

Self-assessment questionnaires were completed by HCWs who worked from March 1 to April 30, 2020, in our 16-bed neurological ICU at La Pitié-Salpêtrière Hospital in Paris, France, which was converted to a COVID ICU. The Hospital Anxiety and Depression Scale, the Post-traumatic Stress Disorder Checklist for DSM-5, McGill Quality of Life Questionnaire-Revised, and 10-item Connor-Davidson Resilience Scale were used to assess anxiety, depression and post-traumatic stress disorder, quality of life, and resilience, respectively.

RESULTS RESULTS

Sixty-nine ICU HCWs completed the survey (37 from the team of regular staff members, i.e., from the public health service, and 32 from a reinforcement pool, either from non-ICU public health service or from private healthcare interim employment agencies). Prevalence of anxiety, depression, and post-traumatic stress disorder symptoms was high, at 19%, 9%, and 16%, respectively, with limited impairment in quality of life or resilience scores. Depression symptoms were observed more in regular staff members than in welcomed reinforcement workers, at 16% and 0%, respectively.

CONCLUSIONS CONCLUSIONS

These results revealed that during the pandemic, HCWs from the team of regular staff members were at greater risk of developing psychological disorder compared with reinforcement workers, with higher levels of depressive symptoms.

Identifiants

DOI: 10.1016/j.aucc.2020.11.005 PMID: 33358273 PMC: PMC7691186

pubmed: 33358273

pii: S1036-7314(20)30346-5

doi: 10.1016/j.aucc.2020.11.005

pmc: PMC7691186

pii:

doi:

Types de publication

Journal Article

Langues

eng

Pagination

142-145

Investigateurs

Victor Altmayer (V)

Nicolas Weiss (N)

Albert Cao (A)

Gwendoline Goudard (G)

Mélanie Mignon (M)

Louise Gilis-Richard (L)

Sophie Aix (S)

Agnès Flament (A)

Julie Bourmaleau (J)

Eléonore Cadet (E)

Clémence Marois (C)

Sophie Demeret (S)

Benjamin Rohaut (B)

Loïc Le Guennec (L)

Informations de copyright

Déclaration de conflit d'intérêts

Conflict of Interest None.