The Psychological Impact of the COVID-19 Pandemic on Healthcare Staff in High Acuity Areas, and the Impact of Mitigation Strategies
- 1 Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore
- 2 Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore
- 3 Department of TRaCS, Changi General Hospital, Singapore
- 4 Department of Anaesthesia and Surgical Intensive Care, Changi General Hospital, Singapore
- 5 Department of TRaCS, Changi General Hospital, Singapore
Abstract
The COVID-19 pandemic has been more than a global health crisis. Social problems such as depression, anxiety and fear of the future are common feelings amongst people, including healthcare staff. We conducted a survey of our frontline staff in a Singapore Public Hospital to evaluate stress, moral distress in hypothetical scenarios when resource triaging is needed and the perception of mitigation strategies implemented during the first spike in cases seen in Singapore in May 2020. Our study shows that, during the earlier part of the COVID-19 pandemic, frontline staff stress was mostly at moderate levels. Many measures and policies were implemented in Singapore to deal with COVID-19, of which, frontline staff felt that clear communication of the policies and guidelines from the government and from the hospital administration were most helpful. A follow up study to assess how staff stress levels have progressed and how their opinions have changed after more than 2 years of working in the pandemic will be ideal in guiding our future healthcare strategies.
- Bastianon, C. D., Klein, E. M., Tibubos, A. N. et al. (2020). Perceived Stress Scale (PSS-10) Psychometric Properties in Migrants and Native Germans. BMC Psychiatry, 20, Article No. 450. https://doi.org/10.1186/s12888-020-02851-2
- Best, S., & Williams, S. J. (2021). What Have We Learnt About the Sourcing of Personal Protective Equipment During Pandemics? Leadership and Management in Healthcare Supply Chain Management: A Scoping Review. Frontiers in Public Health, 9, Article ID: 765501. https://doi.org/10.3389/fpubh.2021.765501
- Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24, 385-396. https://doi.org/10.2307/2136404
- Estryn-Behar, M., Doppia, M. A., Guetarni, K., Fry, C., Machet, G., Pelloux, P., & Prudhomme, C. (2011). Emergency Physicians Accumulate More Stress Factors than Other Physicians—Results from the French SESMAT Study. Emergency Medicine Journal, 28, 397-410. https://doi.org/10.1136/emj.2009.082594
- Koolhaas, J. M., Bartolomucci, A., Buwalda, B. et al. (2011). Stress Revisited: A Critical Evaluation of the Stress Concept. Neuroscience & Biobehavioral Reviews, 35, 1291-301. https://doi.org/10.1016/j.neubiorev.2011.02.003
- Lai, J., Ma, S., Wang, Y. et al. (2020). Factors Associated with Mental Health Outcomes among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3, e203976. https://doi.org/10.1001/jamanetworkopen.2020.3976
- Marvaldi, M., Mallet, J., Dubertret, C., Moro, M. R., & Guessoum, S. B. (2021). Anxiety, Depression, Trauma-Related, and Sleep Disorders among Healthcare Workers during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Neuroscience & Biobehavioral Reviews, 126, 252-264. https://doi.org/10.1016/j.neubiorev.2021.03.024
- Negative Social Consequences of the Information Glut. Technorealism. https://cs.stanford.edu/people/eroberts/cs201/projects/technorealism/glut_consequences.html
- Rieckert, A., Schuit, E., Bleijenberg, N., Ten Cate, D., de Lange, W., de Man-van Ginkel, J. M. et al. (2021). How Can We Build and Maintain the Resilience of our Health Care Professionals during COVID-19? Recommendations Based on a Scoping Review. BMJ Open, 11, e043718. https://doi.org/10.1136/bmjopen-2020-043718
- Salyers, M. P., Bonfils, K. A., Luther, L., Firmin, R. L., White, D. A., Adams, E. L. et al. (2017). The Relationship between Professional Burnout and Quality and Safety in Healthcare: A Meta-Analysis. Journal of General Internal Medicine, 32, 475-482. https://doi.org/10.1007/s11606-016-3886-9