The Effect of Working in A Hospital Offering Pandemic-Related Services on the Perceived Stress and Anxiety Levels of Nurses During Covid-19: A Case of Two Hospitals

Year 2022, Volume: 5 Issue: 3, 512 - 518, 01.09.2022

Züleyha Kılıç , Tülay Aytekin Aydın , Yurdagül Günaydın , Yunus Hacımusalar , Ayşe Aydınlı

https://doi.org/10.19127/bshealthscience.1087032

Cited By: 1

Abstract

This descriptive and comparative study analyzed the effect of working conditions on the stress and anxiety levels of nurses in hospitals treating patients affected by the coronavirus disease 2019 (COVID-19) pandemic. The study was performed with a total of 304 nurses working in one hospital that provided pandemic-related services and another one that did not. An introductory information form, perceived stress scale (PSS), and Beck anxiety inventory (BAI) were used to collect data online. Before starting the study, ethics committee approval, institutional permission, and informed consent from the nurses included were obtained. The mean BAI scores of the nurses who worked in the hospital not offering pandemic-related services were similar to those of the nurses working in the hospital that did, whereas their mean PSS scores were significantly higher. There was a significant positive correlation between PSS and BAI (P < 0.001).

Keywords

Anxiety, COVID-19, Nurse, Pandemic, Perceived stress

References

• Beck AT, Epstein N, Brown G, Steer RA. 1988. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol, 56(6): 893-897. doi: 10.1037//0022-006x.56.6.893.
• Chen SC, Lai YH, Tsay SL. 2020. Nursing Perspectives on the Impacts of COVID-19. J Nurs Res, 28(3): e85. doi: 10.1097/NRJ.0000000000000389.
• Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, Yeo LLL, Ahmad A, Ahmed Khan F, Napolean Shanmugam G, Sharma AK, Komalkumar RN, Meenakshi PV, Shah K, Patel B, Chan BPL, Sunny S, Chandra B, Ong JJY, Paliwal PR, Wong LYH, Sagayanathan R, Chen JT, Ying Ng AY, Teoh HL, Tsivgoulis G, Ho CS, Ho RC, Sharma VK. 2020. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun, 88: 559-565. doi: 10.1016/j.bbi.2020.04.049.
• Chew NWS, Ngiam JN, Tan BY, Tham SM, Tan CY, Jing M, Sagayanathan R, Chen JT, Wong LYH, Ahmad A, Khan FA, Marmin M, Hassan FB, Sharon TM, Lim CH, Mohaini MIB, Danuaji R, Nguyen TH, Tsivgoulis G, Tsiodras S, Fragkou PC, Dimopoulou D, Sharma AK, Shah K, Patel B, Sharma S, Komalkumar RN, Meenakshi RV, Talati S, Teoh HL, Ho CS, Ho RC, Sharma VK. 2020. Asian-Pacific perspective on the psychological well-being of healthcare workers during the evolution of the COVID-19 pandemic. BJPsych Open, 6(6): e116. doi: 10.1192/bjo.2020.98.
• Cohen S, Kamarck T, Mermelstein R. 1983. A global measure of perceived stress. J Health Soc Behav, 24(4): 385-96. PMID: 6668417.
• Engin E. 2014. Anksiyete bozuklukları. In: Çam O, Engin E. editors. Ruh sağliği ve hastaliklari hemşireliği, İstanbul Medikal Yayıncılık, İstanbul, 1. baskı, pp: 277–296.
• Eskin M, Harlak H, Demirkıran F, Dereboy Ç. 2013. The adaptation of the perceived stress scale into Turkish: A reliability and validity analysis. Yeni Symposium J, 51: 132–40.
• Galehdar N, Kamran A, Toulabi T, Heydari H. 2020. Exploring nurses' experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiat, 20(1): 489. doi: 10.1186/s12888-020-02898-1.
• Hacimusalar Y, Kahve AC, Yasar AB, Aydin MS. 2020. Anxiety and hopelessness levels in COVID-19 pandemic: A comparative study of healthcare professionals and other community sample in Turkey. J Psychiatr Res, 129: 181-188. doi: 10.1016/j.jpsychires.2020.07.024.
• Hendy A, Abozeid A, Sallam G, Abboud Abdel Fattah H, Ahmed Abdelkader Reshia F. 2020. Predictive factors affecting stress among nurses providing care at COVID-19 isolation hospitals at Egypt. Nurs Open, 8(1): 498–505. doi: 10.1002/nop2.652.
• Jiang L, Broome ME, Ning C. 2020. The performance and professionalism of nurses in the fight against the new outbreak of COVID-19 epidemic is laudable. Int J Nurs Stud, 107: 103578. doi: 10.1016/j.ijnurstu.2020.103578.
• Kaba İ. 2019. Stress, mental health and stress management: a contemporary review. Akademik Bakış Derg, 72: 63–81.
• Kackin O, Ciydem E, Aci OS, Kutlu FY. 2021. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. Int J Soc Psychiatry, 67(2): 158-167. doi: 10.1177/0020764020942788.
• Kiyat İ, Karaman S, İşcan Ataşen G, Elkan Kiyat Z. 2020. Nurses in the fight against the novel coronavirus (COVID-19). THDD, 1(1): 81–90.
• Liu CY, Yang YZ, Zhang XM, Xu X, Dou QL, Zhang WW, Cheng ASK. 2020. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect, 148: e98. doi: 10.1017/S0950268820001107.
• Lu H, Stratton CW, Tang YW. 2020. Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. J Med Virol, 92(4): 401-402. doi: 10.1002/jmv.25678.
• Luo Y, Chua CR, Xiong Z, Ho RC, Ho CSH. 2020. A Systematic Review of the Impact of Viral Respiratory Epidemics on Mental Health: An Implication on the Coronavirus Disease 2019 Pandemic. Front Psychiatry, 11: 565098. doi: 10.3389/fpsyt.2020.565098.
• Maraqa B, Nazzal Z, Zink T. 2020. Palestinian health care workers' stress and stressors during COVID-19 pandemic: A cross-sectional study. J Prim Care Commun Health, 11: 2150132720955026. doi: 10.1177/2150132720955026.
• Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, Qin M, Huang H. 2020. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag, 28(5): 1002-1009. doi: 10.1111/jonm.13014.
• Mokhtari R, Moayedi S, Golitaleb M. 2020. COVID-19 pandemic and health anxiety among nurses of intensive care units. Int J Ment Health Nurs, 29(6): 1275-1277. doi: 10.1111/inm.12800.
• Murat M, Köse S, Savaşer S. 2021. Determination of stress, depression and burnout levels of front-line nurses during the COVID-19 pandemic. Int J Ment Health Nurs, 30(2): 533-543. doi: 10.1111/inm.12818.
• Neupane M, Angadi S, Joshi A, Neupane HC. 2020. Stress and anxiety among nurses working in tertiary care hospitals in Nepal During COVID-19 Pandemic. J Chitwan Med College, 10(33): 8–11.
• Que J, Shi L, Deng J, Liu J, Zhang L, Wu S, Gong Y, Huang W, Yuan K, Yan W, Sun Y, Ran M, Bao Y, Lu L. 2020. Psychological impact of the COVID-19 pandemic on healthcare workers: a cross-sectional study in China. Gen Psychiatr, 33(3): e100259. doi: 10.1136/gpsych-2020-100259.
• RTMT. 2021. Republic of Türkiye Ministry of Health, Covid-19 information page. URL: https://covid19.saglik.gov.tr/EN-69532/general-coronavirus-table.html (accessed date February 5, 2021).
• Roberts NJ, McAloney-Kocaman K, Lippiett K, Ray E, Welch L, Kelly C. 2021. Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respir Med, 176:106219. doi: 10.1016/j.rmed.2020.106219.
• Tan BYQ, Chew NWS, Lee GKH, Jing M, Goh Y, Yeo LLL, Zhang K, Chin HK, Ahmad A, Khan FA, Shanmugam GN, Chan BPL, Sunny S, Chandra B, Ong JJY, Paliwal PR, Wong LYH, Sagayanathan R, Chen JT, Ng AYY, Teoh HL, Ho CS, Ho RC, Sharma VK. 2020. Psychological impact of the COVID-19 pandemic on health care workers in Singapore. Ann Intern Med, 173(4): 317-320. doi: 10.7326/M20-1083.
• Ulusoy M, Sahin NH, Erkmen H. 1998. Turkish version of the beck anxiety inventory: psychometric properties. J Cogn Psychother, 12: 163-172. 21
• Wang H, Liu Y, Hu K, Zhang M, Du M, Huang H, Yue X. 2020. Healthcare workers' stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics, 27(7): 1490-1500. doi: 10.1177/0969733020934146.
• Wilson W, Raj JP, Rao S, Ghiya M, Nedungalaparambil NM, Mundra H, Mathew R. 2020. Prevalence and Predictors of Stress, anxiety, and Depression among Healthcare Workers Managing COVID-19 Pandemic in India: A Nationwide Observational Study. Indian J Psychol Med, 42(4): 353-358. doi: 10.1177/0253717620933992.
• WHO. 2020. World Health Organization. Mental health and psychosocial considerations during the COVID-19 outbreak. URL: https://www.who.int/docs/default-source/coronaviruse/mental-health-considerations.pdf. (accessed date August 19, 2021).
• Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. 2020. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 7(3): 22-229. doi: 10.1016/S2215-0366(20)30046-8.
• Xiong J, Lipsitz O, Nasri F, Lui LMW, Gill H, Phan L, Chen-Li D, Iacobucci M, Ho R, Majeed A, McIntyre RS. 2020. Impact of COVID-19 pandemic on mental health in the general population: A systematic review. J Affect Disord, 277: 55-64. doi: 10.1016/j.jad.2020.08.001.