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Psychological impact of COVID‐19 outbreak on frontline nurses: A cross‐sectional survey study

Author

Listed:
  • Anliu Nie
  • Xiangfen Su
  • Shuzeng Zhang
  • Wenjie Guan
  • Jianfeng Li

Abstract

Aims and objectives This study aimed to portray the prevalence and associated factors of psychological distress among frontline nurses during COVID‐19 outbreak. Background The COVID‐19 outbreak has posed great threat to public health worldwide. Nurses fighting against the epidemic on the frontline might be under great physical and psychological distress. This psychological distress was predominantly described as sleep disturbance, symptoms of anxiety and depression, post‐traumatic stress, inability to make decisions and even somatic symptoms. Design Cross‐sectional study. Methods Frontline nurses from designated hospitals for COVID‐19 patients were invited to complete an online survey by convenience sampling, and the survey included six main sections: the General Health Questionnaire, the Perceived Social Support Scale, the Simplified Coping Style Scale, the Impact of Event Scale‐Revised, socio‐demographic, occupation and work history. Multiple logistic analysis was used to identify the potential risk factors of psychological distress. The study methods were compliant with the STROBE checklist. Results Of the 263 frontline nurses, 66 (25.1%) were identified as psychological distress. Multiple logistic analysis revealed that working in emergency department, concern for family, being treated differently, negative coping style and COVID‐19‐related stress symptom were positive related to psychological distress. Perceived more social support and effective precautionary measures were negatively associated with psychological distress. Conclusions The study demonstrated that COVID‐19 had a significant psychological impact on frontline nurses. Early detection of psychological distress and supportive intervention should be taken according to the associated factors to prevent more serious psychological impact on frontline nurses. Relevance to clinical practice This study highlighted that the frontline nurses were suffering from varying degrees of psychological distress, which needed early screening and supportive intervention for preventing more serious psychological impact on frontline nurses. Beside, more specific measurement should be combined with the GHQ‐12 to assess the varying degrees of psychological distress in frontline nurses.

Suggested Citation

  • Anliu Nie & Xiangfen Su & Shuzeng Zhang & Wenjie Guan & Jianfeng Li, 2020. "Psychological impact of COVID‐19 outbreak on frontline nurses: A cross‐sectional survey study," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(21-22), pages 4217-4226, November.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:21-22:p:4217-4226
    DOI: 10.1111/jocn.15454
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    References listed on IDEAS

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    1. Carlos A Laranjeira, 2012. "The effects of perceived stress and ways of coping in a sample of Portuguese health workers," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1755-1762, June.
    2. Sajed Faisal Ghawadra & Khatijah Lim Abdullah & Wan Yuen Choo & Cheng Kar Phang, 2019. "Mindfulness‐based stress reduction for psychological distress among nurses: A systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(21-22), pages 3747-3758, November.
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    Cited by:

    1. Ángel García-Tudela & Agustín Javier Simonelli-Muñoz & José Miguel Rivera-Caravaca & María Isabel Fortea & Lucas Simón-Sánchez & María Teresa Rodríguez González-Moro & José Miguel Rodríguez González-M, 2022. "Stress in Emergency Healthcare Professionals: The Stress Factors and Manifestations Scale," IJERPH, MDPI, vol. 19(7), pages 1-10, April.
    2. Shalini Dananja Wanninayake & Michael O’Donnell & Sue Williamson, 2022. "COVID-19 and job demands and resources experienced by nurses in Sri Lanka," The Economic and Labour Relations Review, , vol. 33(1), pages 100-116, March.
    3. María del Mar Molero-Jurado & María del Carmen Pérez-Fuentes & José Jesús Gázquez-Linares & Azucena Santillán García, 2021. "Coping Strategies as a Mental Health Protection Factor of Spanish Nurses during COVID-19," IJERPH, MDPI, vol. 18(23), pages 1-10, December.
    4. Eduardo Sánchez-Sánchez & J. Ángel García-Álvarez & Esperanza García-Marín & María Gutierrez-Serrano & Maria José M. Alférez & Guillermo Ramirez-Vargas, 2021. "Impact of the COVID-19 Pandemic on the Mental Health of Nurses and Auxiliary Nursing Care Technicians—A Voluntary Online Survey," IJERPH, MDPI, vol. 18(16), pages 1-13, August.
    5. Buthaina al Falasi & Mouza al Mazrouei & Mai al Ali & Maithah al Dhamani & Aisha al Ali & Mariam al Kindi & Murat Dalkilinc & Mai al Qubaisi & Luciana Aparecida Campos & Hashel al Tunaiji & Ovidiu Con, 2021. "Prevalence and Determinants of Immediate and Long-Term PTSD Consequences of Coronavirus-Related (CoV-1 and CoV-2) Pandemics among Healthcare Professionals: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(4), pages 1-17, February.
    6. Siu-Ling Chan & Naomi Takemura & Pui-Hing Chau & Chia-Chin Lin & Man-Ping Wang, 2021. "Psychological Impact of the COVID-19 Pandemic on Licensed Full-Time Practicing Nurses Undertaking Part-Time Studies in Higher Education: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(16), pages 1-13, August.

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