Psychological Impact of the COVID-19 Pandemic on Nurses Employed by the Palestinian Ministry of Health in Gaza
DOI:
https://doi.org/10.24203/ajpnms.v9i1.6499Keywords:
Nurses, Psychological impact, Gaza Strip, Palestinian Ministry of Health, COVID-19, GAD-7Abstract
Introduction: Coronaviruses hit the world at the end of 2019, but the first two cases inGaza Strip were diagnosed on 21 March in the quarantine centers. Nurses working with infected or suspected cases are at high risk to get the disease which may generate anxiety among them. Therefore, this study aimed to assess the psychological impact of COVID-19 pandemic on Palestinian nurses employed by the Palestinian Ministry of Health in Gaza Strip, Palestine.
Materials and methods: A toal of 424 nurses completed an online questionnaire packet that included demographic data and the 7-item Generalized Anxiety Disorder Scale (GAD-7).
Results: Results from this study revealed that while only 22.4% of the participants worked at quarantine centers designated to take care of infected/suspected cases of COVID-19, but a huge number of them (77.6%) got in direct contact with infected people. Variant levels of anxiety were reported by participants with 35.4% of them having mild, 23.6 % moderate and 13.4 % severe levels of anxiety while 27.6% did not manifest anxiety.
Factors contributed to the level of anxiety include having a family member diagnosed with COVID-19, a family member died with COVID-19 and getting in direct contact with people infected/ suspected to have COVID-19.
Conclusions and implications for practice: The high level of exposure to contamination of Corona virus represent risk factor of nurse's fear and anxiety through their contact with patients, friends, relatives and family members. Psycho-social support programs as setting channels of one-to-one online or phone counseling for nurses may be effective to alleviate negative psychological effects and to enhance the mental health of nurses.
References
McIntosh, K. Coronavirus disease 2019 (COVID-19): Epidemiology, virology, and prevention. 2020 22/12/2020 [cited 2020 25/12]; Available from: https://www.uptodate.com/contents/coronavirus-disease-2019-covid-19-epidemiology-virology-and-prevention.
Wu, Z. and J.M. McGoogan, Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. Jama, 2020.
Ministy of Health. Daily report about Coronal Virus (COVID 19): 6/3/2020. 2020 6/3/2020; Available from: http://site.moh.ps/index/ArticleView/ArticleId/4844/Language/ar.
One World Nations Online. State of Palestine: Palestinian territories. 2020 28/12/2020]; Available from: https://www.nationsonline.org/oneworld/palestinian_territory.htm.
Foqahaa, N., S. , M. Barghouti, and S. Said. COVID-19: Gendered Impacts of the Pandemic in Palestine and Implications for Policy and Programming: Findings of a Rapid Gender Analysis of COVID-19 in Palestine. 2020 [cited 2020 27/12]; Available from: https://www2.unwomen.org/-/media/field%20office%20palestine/attachments/publications/2020/4/covid%2019%20-%20un%20women%20rapid%20gender%20analysis.pdf?la=en&vs=4626.
BBC NEWS. Covid: Gaza health system 'days from being overwhelmed. 2020 [cited 2020 14/12/2020]; Available from: https://www.bbc.com/news/world-middle-east-55035955.
Made for Minds. Coronavirus infections skyrocket in Gaza Strip. 2020 [cited 2020 15/12]; Available from: https://www.dw.com/en/coronavirus-infections-skyrocket-in-gaza-strip/a-55761490.
Schwartz, J., C.-C. King, and M.-Y. Yen, Protecting healthcare workers during the coronavirus disease 2019 (COVID-19) outbreak: lessons from Taiwan’s severe acute respiratory syndrome response. Clinical Infectious Diseases, 2020.
Tan, B.Y., et al., Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Annals of Internal Medicine, 2020.
Labrague, L.J. and J.A.A. De los Santos, COVID‐19 anxiety among front‐line nurses: Predictive role of organisational support, personal resilience and social support. Journal of nursing management, 2020. 28(7): p. 1653-1661.
Hendy, A., et al., Predictive factors affecting stress among nurses providing care at COVID‐19 isolation hospitals at Egypt. Nursing open, 2020.
Duan, L. and G. Zhu, Psychological interventions for people affected by the COVID-19 epidemic. The Lancet Psychiatry, 2020. 7(4): p. 300-302.
Rossi, R., et al., COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Frontiers in Psychiatry, 2020. 11.
Serafini, G., et al., The psychological impact of COVID-19 on the mental health in the general population. 2020, Oxford University Press.
Meng, H., et al., Analyze the psychological impact of COVID-19 among the elderly population in China and make corresponding suggestions. Psychiatry research, 2020. 289: p. 112983.
Yang, Y., et al., Mental health services for older adults in China during the COVID-19 outbreak. The Lancet Psychiatry, 2020. 7(4): p. e19.
Li, S., et al., Analysis of influencing factors of anxiety and emotional disorders in children and adolescents during home isolation during the epidemic of novel coronavirus pneumonia. Chinese Journal of Child Health, 2020. 28(3): p. 1-9.
Wang, Z., et al., Prevalence of anxiety and depression symptom, and the demands for psychological knowledge and interventions in college students during COVID-19 epidemic: A large cross-sectional study. Journal of affective disorders, 2020. 275: p. 188-193.
Sun, N., et al., A qualitative study on the psychological experience of caregivers of COVID-19 patients. American journal of infection control, 2020. 48(6): p. 592-598.
Vizheh, M., et al., The mental health of healthcare workers in the COVID-19 pandemic: A systematic review. Journal of Diabetes & Metabolic Disorders, 2020: p. 1-12.
Toussaint, A., et al., Sensitivity to change and minimal clinically important difference of the 7-item Generalized Anxiety Disorder Questionnaire (GAD-7). Journal of affective disorders, 2020. 265: p. 395-401.
Cao, W., et al., The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry research, 2020: p. 112934.
Spitzer, R.L., et al., A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of internal medicine, 2006. 166(10): p. 1092-1097.
Maben, J. and J. Bridges, Covid‐19: Supporting nurses' psychological and mental health. Journal of clinical nursing, 2020.
Amin, S., The psychology of coronavirus fear: Are healthcare professionals suffering from corona-phobia? International Journal of Healthcare Management, 2020: p. 1-8.
Pappa, S., et al., Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity, 2020.
Chung, B.P.M., et al., SARS: caring for patients in Hong Kong. Journal of clinical nursing, 2005. 14(4): p. 510-517.
Kim, Y., Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. American journal of infection control, 2018. 46(7): p. 781-787.
Khalid, I., et al., Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clinical medicine & research, 2016. 14(1): p. 7-14.
Liu, C., et al., Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: A qualitative study. International journal of nursing sciences, 2019. 6(2): p. 187-191.
Honey, M. and W.Y. Wang, New Zealand nurses perceptions of caring for patients with influenza A (H1N1). Nursing in Critical Care, 2013. 18(2): p. 63-69.
UN Office for the Coordination of Humanitarian Affairs. Gaza Strip. 2020 [cited 2020 28/12]; Available from: https://www.ochaopt.org/location/gaza-strip.
Mertens, G., et al., Fear of the coronavirus (COVID-19): Predictors in an online study conducted in March 2020. Journal of Anxiety Disorders, 2020: p. 102258.
McCleskey, J. and D. Gruda, Risk-taking, resilience, and state anxiety during the COVID-19 pandemic: A coming of (old) age story. Personality and Individual Differences, 2020: p. 110485.
Shevlin, M., et al., COVID‐19‐related anxiety predicts somatic symptoms in the UK population. British Journal of Health Psychology, 2020.
Mo, Y., et al., Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic. Journal of nursing management, 2020.
Teles, M.A.B., et al., Psychosocial work conditions and quality of life among primary health care employees: a cross sectional study. Health and Quality of Life Outcomes, 2014. 12(1): p. 72.
Baduge, M.S.P., J. Morphet, and C. Moss, Emergency nurses' and department preparedness for an ebola outbreak: A (narrative) literature review. International emergency nursing, 2018. 38: p. 41-49.
McMullan, C., G.D. Brown, and D. O'Sullivan, Preparing to respond: Irish nurses' perceptions of preparedness for an influenza pandemic. International emergency nursing, 2016. 26: p. 3-7.
Labrague, L.J., et al. Perceptions of organizational support and its impact on nurses’ job outcomes. in Nursing forum. 2018. Wiley Online Library.
Hu, S.H., et al., Social support and factors associated with self‐efficacy among acute‐care nurse practitioners. Journal of clinical nursing, 2018. 27(3-4): p. 876-882.
Shanafelt, T., J. Ripp, and M. Trockel, Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, 2020. 323(21): p. 2133-2134.
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