A thematic analysis of shared experiences of essential health and support personnel in the COVID-19 pandemic.


Journal

PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081

Informations de publication

Date de publication:
2023
Historique:
received: 16 05 2022
accepted: 27 02 2023
entrez: 20 3 2023
pubmed: 21 3 2023
medline: 23 3 2023
Statut: epublish

Résumé

Studies have shown that the COVID-19 pandemic has taken a toll on individuals who interact with patients with SARS-CoV-2 but focused largely on clinicians in acute care settings. This qualitative descriptive study aimed to understand the experiences and well-being of essential workers across settings during the pandemic. Multiple studies of the well-being of individuals who have cared for patients during the pandemic have included interviews of clinicians from acute care settings and revealed high levels of stress. However, other essential workers have not been included in most of those studies, yet they may also experience stress. Individuals who participated in an online study of anxiety, depression, traumatic distress, and insomnia, were invited to provide a free-text comment if they had anything to add. A total of 2,762 essential workers (e.g., nurses, physicians, chaplains, respiratory therapists, emergency medical technicians, housekeeping, and food service staff, etc.) participated in the study with 1,079 (39%) providing text responses. Thematic analysis was used to analyze those responses. Four themes with eight sub-themes were: Facing hopelessness, yet looking for hope; Witnessing frequent death; Experiencing disillusionment and disruption within the healthcare system, and Escalating emotional and physical health problems. The study revealed major psychological and physical stress among essential workers. Understanding highly stressful experiences during the pandemic is essential to identify strategies that ameliorate stress and prevent its negative consequences. This study adds to the research on the psychological and physical impact of the pandemic on workers, including non-clinical support personnel often overlooked as experiencing major negative effects. The magnitude of stress among all levels of essential workers suggests the need to develop strategies to prevent or alleviate stress across disciplines and all categories of workers.

Sections du résumé

AIMS AND OBJECTIVES
Studies have shown that the COVID-19 pandemic has taken a toll on individuals who interact with patients with SARS-CoV-2 but focused largely on clinicians in acute care settings. This qualitative descriptive study aimed to understand the experiences and well-being of essential workers across settings during the pandemic.
BACKGROUND
Multiple studies of the well-being of individuals who have cared for patients during the pandemic have included interviews of clinicians from acute care settings and revealed high levels of stress. However, other essential workers have not been included in most of those studies, yet they may also experience stress.
METHODS
Individuals who participated in an online study of anxiety, depression, traumatic distress, and insomnia, were invited to provide a free-text comment if they had anything to add. A total of 2,762 essential workers (e.g., nurses, physicians, chaplains, respiratory therapists, emergency medical technicians, housekeeping, and food service staff, etc.) participated in the study with 1,079 (39%) providing text responses. Thematic analysis was used to analyze those responses.
RESULTS
Four themes with eight sub-themes were: Facing hopelessness, yet looking for hope; Witnessing frequent death; Experiencing disillusionment and disruption within the healthcare system, and Escalating emotional and physical health problems.
CONCLUSIONS
The study revealed major psychological and physical stress among essential workers. Understanding highly stressful experiences during the pandemic is essential to identify strategies that ameliorate stress and prevent its negative consequences. This study adds to the research on the psychological and physical impact of the pandemic on workers, including non-clinical support personnel often overlooked as experiencing major negative effects.
RELEVANCE TO CLINICAL PRACTICE
The magnitude of stress among all levels of essential workers suggests the need to develop strategies to prevent or alleviate stress across disciplines and all categories of workers.

Identifiants

pubmed: 36940223
doi: 10.1371/journal.pone.0282946
pii: PONE-D-22-14294
pmc: PMC10027207
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0282946

Informations de copyright

Copyright: © 2023 Copel et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

J Am Med Dir Assoc. 2021 Jan;22(1):199-203
pubmed: 33321076
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2066254
pubmed: 35442177
Eur J Psychotraumatol. 2021 Mar 10;12(1):1882781
pubmed: 33968317
Am J Infect Control. 2021 May;49(5):547-554
pubmed: 33031864
Crit Care Nurs Q. 2022 Jan-Mar 01;45(1):22-24
pubmed: 34818294
Dimens Crit Care Nurs. 2021 May-Jun 01;40(3):156-163
pubmed: 33792274
Psychiatr Serv. 2021 Feb 1;72(2):122-128
pubmed: 33267652
Headache. 2020 May;60(5):864-877
pubmed: 32232837
Brain Behav Immun. 2020 Aug;88:559-565
pubmed: 32330593
Intensive Crit Care Nurs. 2021 Apr;63:102999
pubmed: 33342649
JMIR Res Protoc. 2021 Oct 7;10(10):e30757
pubmed: 34582354
Front Psychol. 2020 Aug 13;11:2065
pubmed: 32903586
J Diabetes Metab Disord. 2020 Oct 26;19(2):1967-1978
pubmed: 33134211
Am J Respir Crit Care Med. 2020 Nov 15;202(10):1388-1398
pubmed: 32866409
EClinicalMedicine. 2021 May 16;35:100879
pubmed: 34041456
BMJ Open. 2020 Dec 16;10(12):e043949
pubmed: 33328264
Int J Environ Res Public Health. 2021 Feb 23;18(4):
pubmed: 33672257
Cureus. 2021 Nov 6;13(11):e19313
pubmed: 34900487
J Occup Environ Med. 2020 Nov;62(11):892-897
pubmed: 32804747
PLoS One. 2021 Aug 5;16(8):e0255510
pubmed: 34351970
AACN Adv Crit Care. 2021 Mar 15;32(1):14-26
pubmed: 33450763
N Engl J Med. 2020 Apr 30;382(18):e41
pubmed: 32212516
J Multidiscip Healthc. 2021 Oct 27;14:3015-3025
pubmed: 34737573
Front Public Health. 2021 Oct 29;9:750529
pubmed: 34778184
Geriatr Nurs. 2021 Nov-Dec;42(6):1408-1414
pubmed: 34624698
J Infect Public Health. 2021 Sep;14(9):1263-1267
pubmed: 34479077
Front Psychol. 2021 Feb 25;12:624176
pubmed: 33716890
J Clin Nurs. 2020 Nov 20;:
pubmed: 33219569
Prog Neuropsychopharmacol Biol Psychiatry. 2021 Apr 20;107:110247
pubmed: 33476692
Gen Hosp Psychiatry. 2020 Sep - Oct;66:1-8
pubmed: 32590254
Appl Nurs Res. 2022 Feb;63:151517
pubmed: 35034708
Psychiatry Res. 2020 Sep;291:113272
pubmed: 32886958
J Clin Nurs. 2022 Aug;31(15-16):2167-2180
pubmed: 34606133
New Solut. 2021 May;31(1):20-29
pubmed: 33451266
Appl Nurs Res. 2021 Aug;60:151437
pubmed: 34247785
Appl Nurs Res. 2021 Jun;59:151418
pubmed: 33947512
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
Ann Intern Med. 2021 Apr;174(4):493-500
pubmed: 33284683
Front Public Health. 2022 Feb 16;9:780139
pubmed: 35252110
BMC Nurs. 2022 Jan 14;21(1):16
pubmed: 35031026

Auteurs

Linda Carman Copel (LC)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Suzanne C Smeltzer (SC)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Christine D Byrne (CD)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Mu-Hsun Chen (MH)

Department of Mathematics and Statistics, Villanova University, Villanova, Pennsylvania, United States of America.

Donna S Havens (DS)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Peter Kaufmann (P)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Heather Brom (H)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Jennifer Dean Durning (JD)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.
School of Nursing, Massachusetts General Hospital Institute of Health Professions, Charlestown, Massachusetts, United States of America.

Linda Maldonado (L)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Patricia K Bradley (PK)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Janell Mensinger (J)

Department of Clinical and School Psychology, Nova Southeastern University, Fort Lauderdale, Florida, United States of America.

Jennifer Yost (J)

M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, United States of America.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH