HEALTHCARE WORKERS STRESS ASSESSMENT DURING COVID-19: A SYSTEMATIC REVIEW OF LITERATURE
DOI:
https://doi.org/10.63330/aurumpub.036-019Keywords:
Work environment, Mental health, Hospital, Pandemic, CopingAbstract
The pandemic of Covid-19 has intensified, around the world, the exposure of health professionals to stressful stimuli in the hospital environment. Problems like the lack of material resources and infrastructure, work schedule overload, constant episodes of pain and death, when added to the inability to struggle with this situation, generate occupational stress. Thus, this work aims to identify instruments used to monitor the stressing in health professionals working in hospitals during the Covid-19 pandemic, results obtained, and coping strategies; for it, this research work made a systematic review of articles published and indexed in the Scopus, Science Direct, and Web of Science databases; from January 2020 to June 2021. Was found 35 studies conducted in 21 countries that meet the inclusion criteria, using six different assessment scales, each with a way to measure and assess work stress, which makes it difficult to standardize and compare data. However, the stress level reported in the hospital work ranged from medium to high intensity, and the predictors highlighted were related to unfavorable working conditions and the intensification of characteristics inherent to the profession. Research conducted in the initial phase of the pandemic indicates lower percentages of the level of stress of those compared to those developed in later periods. Institutions, the work team, and the individual with social support can implement coping actions; and assume individual and collective strategies based on public or non-public policies; aimed to provide emotional and psychological support for the worker.
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Abdulah, D. M., Mohammed, A. A. 2020. The consequences of the COVID-19 pandemic on perceived stress in clinical practice: experience of doctors in Iraqi Kurdistan. Romanian journal of internal medicine = Revue roumaine de medecine interne, 58(4): 219-227.
Abuye, N. O., Sánchez-Pérez, I. 2021. Effectiveness of acupuncture and auriculotherapy to reduce the level of depression, anxiety and stress in emergency health personnel during the COVID-19 pandemic. Revista Internacional de Acupuntura, 15(2): 43-50.
Al Maqbali, M., Al Khadhuri, J. 2021. Psychological impact of the coronavirus 2019 (COVID-19) pandemic on nurses. Japan Journal of Nursing Science, 18(3).
Ali, S., Maguire, S., Marks, E., Doyle, M., Sheehy, C. 2020. Psychological impact of the COVID-19 pandemic on healthcare workers at acute hospital settings in the South-East of Ireland: An observational cohort multicentre study. BMJ Open, 10(12).
Altinbilek, E., Ozturk, D., Erdem, S. C. 2021. - COVID-19 adversely affects the psychological status of healthcare workers in the emergency room. - 12(- 1): - 14.
Aly, H. M., Nemr, N. A., Kishk, R. M., Elsaid, N. M. A. b. 2021. Stress, anxiety and depression among healthcare workers facing COVID-19 pandemic in Egypt: A cross-sectional online-based study. BMJ Open, 11(4).
Amer, S. A. A. M., Fouad, A. M., El-Samahy, M., Hashem, A. A., saati, A. A., Sarhan, A. A., Anani, M. 2021. Mental Stress, Anxiety and Depressive Symptoms and Interleuken-6 Level among Healthcare Workers during the COVID-19 Pandemic. Journal of Primary Care and Community Health, 12.
Arafa, A., Mohammed, Z., Mahmoud, O., Elshazley, M., Ewis, A. 2021. Depressed, anxious, and stressed: What have healthcare workers on the frontlines in Egypt and Saudi Arabia experienced during the COVID-19 pandemic? Journal of Affective Disorders, 278: 365-371.
Arshad, M. S., Hussain, I., Nafees, M., Majeed, A., Imran, I., Saeed, H., Hashmi, F. K., Akbar, M., Abrar, M. A., Ramzan, B., Chaudhry, M. O., Islam, M., Usman, A., Nisar, N., Rasool, M. F. 2020. - Assessing the Impact of COVID-19 on the Mental Health of Healthcare Workers in Three Metropolitan Cities of Pakistan. - 13: - 1055.
Beneria, A., Arnedo, M., Contreras, S., Pérez-Carrasco, M., Garcia-Ruiz, I., Rodríguez-Carballeira, M., Raduà, J., Rius, J. B. 2020. Impact of simulation-based teamwork training on COVID-19 distress in healthcare professionals. BMC Medical Education, 20(1).
Çelmeçe, N., Menekay, M. 2020. The Effect of Stress, Anxiety and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life. Frontiers in Psychology, 11.
Ceri, V., Cicek, I. 2021. - Psychological Well-Being, Depression and Stress During COVID-19 Pandemic in Turkey: A Comparative Study of Healthcare Professionals and Non-Healthcare Professionals. - 26(- 1): - 97.
Chen, C. H., Yang, P. H., Kuo, F. L., Yeh, I. J., Su, C. Y. 2021. Experience of 2003 sars has a negative psychological impact on healthcare workers in the Covid-19 pandemic: A cross-sectional study. Sao Paulo Medical Journal, 139(1): 65-71.
Chew, N. W. S., Lee, G. K. H., Tan, B. Y. Q., Jing, M., Goh, Y., Ngiam, N. J. H., Yeo, L. L. L., Ahmad, A., Ahmed Khan, F., Napolean Shanmugam, G., Sharma, A. K., Komalkumar, R. N., Meenakshi, P. V., Shah, K., Patel, B., Chan, B. P. L., Sunny, S., Chandra, B., Ong, J. J. Y., Paliwal, P. R., Wong, L. Y. H., Sagayanathan, R., Chen, J. T., Ying Ng, A. Y., Teoh, H. L., Tsivgoulis, G., Ho, C. S., Ho, R. C., Sharma, V. K. 2020. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity, 88: 559-565.
Chuang, P.Y., Lou, M.F. 2005 Avaliação psicométrica da escala de estresse de cuidar de pacientes com doenças altamente infecciosas entre profissionais de saúde - com base na SARS. Revista de Saúde Pública de Taiwan. 2005; 24 (5): 420-30. Disponível em: Disponível em: <https://scholars.lib.ntu.edu.tw/handle/123456789/312187> Acesso em: 03 out. 2021.
Crowe, S., Howard, A. F., Vanderspank-Wright, B., Gillis, P., McLeod, F., Penner, C., Haljan, G. 2021. 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. Intensive and Critical Care Nursing, 63.
Cohen, S., Kamarck, T., Mermelstein, R. 1983. A global measure of perceived stress. Journal of Health and Social Behavior, 24 (4), 385-396. Disponível em: <https://doi.org/10.2307/2136404> Acesso em: 02 out. 2021
Santana, J. S., Da Silva, J. L. L., Mello, G. M., Bortolazzo, P. A. A. B., Bento, L. C. S., De Souza, A. B. 2017. Instrumento de avaliação do estresse na equipe de enfermagem. Revista de Atenção à Saúde (ISSN 2359-4330), 15(52), 61-65.
Dejours, C., Abdoucheli, E., Jayet, C., Betiol, M. I. S. 1994. Psicodinâmica do trabalho: contribuições da escola dejouriana à análise da relação prazer, sofrimento e trabalho. Editora Atlas. São Paulo, SP, Brasil. p. 21-32.
Elbqry, M. G., Elmansy, F. M., Elsayed, A. E., Mansour, B., Tantawy, A., Eldin, M. B., Sayed, H. H. 2021. Effect of COVID-19 stressors on healthcare workers’ performance and attitude at Suez Canal university hospitals. Middle East Current Psychiatry, 28(1).
Etesam, F., Akhlaghi, M., Vahabi, Z., Akbarpour, S., Sadeghian, M. H. 2021. Comparative study of occupational burnout and job stress of frontline and non-frontline healthcare workers in hospital wards during COVID-19 pandemic. Iranian Journal of Public Health, 50(7): 1428-1435.
Fernandes, M. A., Silva, D. R. A., Ibiapina, A. R. D. S. 2018. Adoecimento mental e as relações com o trabalho: estudo com trabalhadores portadores de transtorno mental. Revista Brasileira de Medicina do Trabalho. 16(3): 277-286.
Gomes, M.S., Pereira, L.Z., Lima, P.F.A. 2018. Estresse ocupacional: estudo em um hospital filantrópico no estado de Minas Gerais. Revista Gestão & Tecnologia. 18(3): 204-225.
Guillemin, F., Bombardier, C., Beaton, D. 1993. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. Journal of clinical epidemiology, 46(12), 1417-1432.
Huda, A. U., Yasir, M., Saulat, S. R., AlShaqha, M. W. 2021. Assessment of perceived stress among resident trainees of a tertiary care hospital in saudi arabia during Covid 19 pandemic a cross-sectional study. Anaesthesia, Pain and Intensive Care, 25(2): 185-188.
Jemal, K., Deriba, B. S., Geleta, T. A., Tesema, M., Awol, M., Mengistu, E., Annous, Y. 2021. Self-reported symptoms of depression, anxiety, and stress among healthcare workers in ethiopia during the Covid-19 pandemic: A cross-sectional study. Neuropsychiatric Disease and Treatment, 17: 1363-1373.
Johnson, J.V., Hall, E. M. 1988. Tensão no trabalho, suporte social no local de trabalho e doenças cardiovasculares: um estudo transversal de uma amostra aleatória da população trabalhadora sueca. American Journal of Public Health, 78 (10), 1336–1342. Disponível em: <https://doi.org/10.2105/ajph.78.10.1336> Acesso em: 03 out. 2021.
Kafle, B., Bagale, Y., Kafle, S., Parajuli, A., Pandey, S. 2021. Depression, anxiety and stress among healthcare workers during Covid-19 pandemic in a tertiary care centre of nepal: A descriptive cross-sectional study. Journal of the Nepal Medical Association, 59(235): 239-242.
Karabulut, N., Gürçayır, D., Yaman Aktaş, Y., Kara, A., Kızıloğlu, B., Arslan, B., Bölükbaş, N. 2021. The effect of perceived stress on anxiety and sleep quality among healthcare professionals in intensive care units during the coronavirus pandemic. Psychology, Health and Medicine, 26(1): 119-130.
Karasek, R. A. 1979. Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign. Administrative Science Quarterly, 24(2), 285–308. Disponível em: <https://doi.org/10.2307/2392498> Acesso em: 03 out. 2021.
Kiat, S. S., Liang, L. B., Sijil Matrikulasi, S. R. Z. R., Sijil Asasi Sains Hayat Unimas, N. H. A. M., Sijil Matrikulasi, N. M., Sijil Matrikulasi, J. P. B., Sijil Asasi Sains Hayat, A. S. H. 2021. Psychological symptoms among healthcare workers handling Covid-19 patients. Medical Journal of Malaysia, 76(2): 138-144.
Kirk, A. H. P., Chong, S. L., Kam, K. Q., Huang, W., Ang, L. S. L., Lee, J. H., Sultana, R., Hon, K. L., Wong, J. J. M. 2021. Psychosocial impact of the COVID-19 pandemic on paediatric healthcare workers. Annals of the Academy of Medicine, Singapore, 50(3): 203-211.
Lancman, S., Jardim, T. A., Barros, J. O. Trabalho e subjetividade. In: Simonelli, A. P.; Rodrigues, D. S. (Org.). 2013. Saúde e trabalho em debate: velhas questões, novas perspectivas. 15 ed. Editora Paralelo, Brasília, DF, Brasil. p. 17-31.
Lü, S. H., Tian, B. C., Yang, T. Z., Chen, D. W., & Chi, Y. H. 2010. Perceived stress in general public during prevalence of severe acute respiratory syndrome and its impact on health behavior. Zhonghua yu fang yi xue za zhi. Chinese journal of preventive medicine. 44(2): 128-133.
Manzanares, I., Sevilla Guerra, S., Lombraña Mencía, M., Acar-Denizli, N., Miranda Salmerón, J., Martinez Estalella, G. 2021. Impact of the COVID-19 pandemic on stress, resilience and depression in health professionals: a cross-sectional study. International Nursing Review.
Matarazzo, T., Bravi, F., Valpiani, G., Morotti, C., Martino, F., Bombardi, S., Bozzolan, M., Longhitano, E., Bardasi, P., Roberto, D. V., Carradori, T. 2021. Coronacrisis—an observational study on the experience of healthcare professionals in a university hospital during a pandemic emergency. International Journal of Environmental Research and Public Health, 18(8).
Murat, M., Köse, S., Savaşer, S. 2021. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. International Journal of Mental Health Nursing, 30(2): 533-543.
National Institute of Allergy and Infectious Diseases [NIAID], 2021. Coronaviruses: COVID-19, MERS & SARS. Disponível em: <https://www.niaid.nih.gov/diseases-conditions/Covid-19>. Acesso em: 04 jul. 2021.
Paschoal, T., Tamayo, Á. 2004. Validação da escala de estresse no trabalho. Estudos de Psicologia. (Natal). 9(1): 45-52.
Pons, R.M., Agüir, V.E. 1998. A versão em espanhol da "Nursing Stress Scale". Um processo de adaptação transcultural. Revista espanola de salud publica , 72 (6), 529-538.
Qasem Surrati, A. M., Asad Mansuri, F. M., Ayadh Alihabi, A. A. 2020. Psychological impact of the COVID-19 pandemic on health care workers. Journal of Taibah University Medical Sciences, 15(6): 536-543.
Salopek-Žiha, D., Hlavati, M., Gvozdanovi, Z., Gaši, M., Placento, H., Jaki, H., Klapan, D., Šimi, H. 2020. Differences in distress and coping with the Covid-19 stressor in nurses and physicians. Psychiatria Danubina, 32(2): 287-293.
Sandesh, R., Shahid, W., Dev, K., Mandhan, N., Shankar, P., Shaikh, A., Rizwan, A. 2020. - Impact of COVID-19 on the Mental Health of Healthcare Professionals in Pakistan. - 12(- 7).
Santana, J. S., Silva, J. L. L., Mello, G. M., Bortolazzo, P. A. A. B., Bento, L. C. S., Souza, A. B. 2017. Instrumento de avaliação do estresse na equipe de enfermagem. Revista de Atenção à Saúde (ISSN 2359-4330), 15(52): 61-65.
Scholze, A. R., Martins, J. T., Robazzi, M. L. D. C. C., Haddad, M. D. C. F. L., Galdino, M. J. Q., Ribeiro, R. P. 2017. Estresse ocupacional e fatores associados entre enfermeiros de hospitais públicos. Cogitare Enfermagem, 22(3).
Souza, R.C., Silva, S.M., Costa, M.L.A.S. 2018. Estresse ocupacional no ambiente hospitalar: revisão das estratégias de enfrentamento dos trabalhadores de enfermagem. Revista Brasileira de Medicina do Trabalho. 16(4): 493-502.
Sunil, R., Bhatt, M. T., Bhumika, T. V., Thomas, N., Puranik, A., Chaudhuri, S., Shwethapriya, R. 2021. - Weathering the Storm: Psychological Impact of COVID-19 Pandemic on Clinical and Non-clinical Healthcare Workers in India. - 25(- 1): - 20.
Taylor, S., Landry, C.A., Paluszek, M.M., Fergus, T.A., McKay, D., Asmundson, G.J.G. 2020 Development and initial validation of the COVID Stress Scales. J Anxiety Disord. May;72:102232. doi: 10.1016/j.janxdis.2020.102232. Epub 2020 May 4. PMID: 32408047; PMCID: PMC7198206.
Teixeira, C. F. D. S., Soares, C. M., Souza, E. A., Lisboa, E. S., Pinto, I. C. D. M., Andrade, L. R. D., Espiridião, M. A. 2020. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid-19. Ciência & Saúde Coletiva. 25: 3465-3474.
Than, H. M., Nong, V. M., Nguyen, C. T., Dong, K. P., Ngo, H. T., Doan, T. T., Do, N. T., Nguyen, T. H. T., Van Do, T., Dao, C. X., Nguyen, T. Q., Pham, T. N., Do, C. D. 2020. Mental health and health-related quality-of-life outcomes among frontline health workers during the peak of Covid-19 outbreak in Vietnam: A cross-sectional study. Risk Management and Healthcare Policy, 13: 2927-2936.
Tselebis, A., Lekka, D., Sikaras, C., Tsomaka, E., Tassopoulos, A., Ilias, I., Bratis, D., Pachi, A. 2020. Insomnia, perceived stress, and family support among nursing staff during the pandemic crisis. Healthcare (Switzerland), 8(4).
Vasconcelos, E. M. D., Martino, M. M. F. D. 2017. Preditores da síndrome de burnout em enfermeiros de unidade de terapia intensiva. Revista Gaúcha de Enfermagem. 38(4): e65354.
Vignola, R. C. B. 2013. Escala de depressão, ansiedade e estresse (DASS): adaptação e validação para o português do Brasil. 80 f. Dissertação (Mestrado) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo (UNIFESP), Santos, 2013. Disponível em: <http://repositorio.unifesp.br/handle/11600/48328> Acesso em: 29 set. 2021.
Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., Ho, R. C. 2020. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health, 17(5): 1729.
Woon, L. S. C., Sidi, H., Jaafar, N. R. N., Bin Abdullah, M. F. I. L. 2020. Mental health status of university healthcare workers during the Covid-19 pandemic: A post–movement lockdown assessment. International Journal of Environmental Research and Public Health, 17(24): 1-20.
Xiao, X., Zhu, X., Fu, S., Hu, Y., Li, X., Xiao, J. 2020. Psychological impact of healthcare workers in China during COVID-19 pneumonia epidemic: A multi-center cross-sectional survey investigation. Journal of Affective Disorders, 274: 405-410.
Yang, Y., Lu, L., Chen, T., Ye, S., Kelifa, M. O., Cao, N., Zhang, Q., Liang, T., Wang, W. 2021. Healthcare worker’s mental health and their associated predictors during the epidemic peak of Covid-19. Psychology Research and Behavior Management, 14: 221-231.
Zhou, F., Yu, T., Du, R., Fan, G., Liu, Y., Liu, Z. et al. 2020. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. The lancet. 395(10229): 1054-1062.
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