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Abstract
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ePoster
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
ePoster
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
Psychosocial Distress Amongst Canadian Intensive Care Healthcare Workers During the COVID-19 Outbreak
Claire Moura
Abstract
Discussion Forum (0)
ePoster
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
ePoster
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
Topic: Burnout and Stress
Moura, Claire1; Moura, Kyra2; Binnie, Alexandra3,4; D'Aragon, Frédérick5; Tsang, Jennifer6,7
1. School of Medicine, Queen's University, Kingston, Canada
2. Faculty of Medicine, University of Toronto, Toronto, Canada
3. Critical Care Department, William Osler Health System, Brampton, Canada
4. Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal
5. Department of Anesthesiology, Université de Sherbrooke, Sherbrooke, Canada
6. Division of Critical Care, Niagara Health, St. Catharines, Canada
7. Department of Medicine, McMaster University, Hamilton, Canada
Queen's University School of Medicine
Introduction:
Pandemics present challenging work environments for healthcare workers (HCW). A combination of increased work demands and decreased social supports have the potential to compromise the mental and physical health of frontline workers. At the time of the 2002-3 SARS epidemic, studies indicated significant psychosocial distress amongst HCW. One study in Toronto, Canada, reported that 29% of HCW experienced psychosocial distress1. Recent studies from Europe and Asia during the COVID-19 outbreak have reported a large percentage of HCWs reaching cutoff levels for both anxiety and depression2,3. In this study, we aimed to measure psychological distress amongst Canadian intensive care unit (ICU) HCW in the context of the COVID-19 outbreak and to identify risk factors for increased distress.
Objectives:
The COVID-HCW study was designed as a longitudinal survey study of Canadian ICU healthcare workers to identify risk factors contributing to COVID-19 transmission in the ICU during the first wave of the Canadian pandemic, from April to July of 2020. Entry data from this study provides a snapshot into the psychosocial wellbeing of Canadian ICU HCWs in April, 2020.
Methods:
The surveys were custom-designed using the Qualtrics online platform. Investigators and frontline HCWs tested them for flow, content and administration, followed by iterative adaptation. The Hamilton Integrated Research Ethics Board approved this study. A survey link was distributed to Canadian ICU HCWs via professional and social media networks in April, 2020. Upon entry into the study, consenting participants were asked to complete a demographic survey and the 12-item version of the General Health Questionnaire-12 (GHQ-12), a validated tool to measure psychosocial distress. Additional questions addressed sources of anxiety including access to PPE, risk of infection, and risk of transmitting the infection to others. Statistical significance was assessed using Wilcoxon rank sum test while correlations were determined using Pearson's correlation coefficient (r).
Results:
310 Canadian ICU HCW consented to participate in the study. In total, 64.5% of participants scored ≥3 points on the GHQ-12, indicating increased psychosocial distress. More than half of participants reported feeling constantly under stress (78.7%), losing sleep over worry (54.2%) and having difficulty enjoying daily activities (51.9%). GHQ-12 scores were higher amongst women than men (4.18 vs 2.89, p=0.0001), and amongst nurses than physicians (4.43 vs 3.04, p=0.0001).
Participants were asked to rate specific causes of stress on a scale of 0-100. Participants attributed higher stress levels to their work life, their mental health, and their families' health. Higher stress levels in these areas also correlated with higher overall GHQ-12 scores (r=0.58, 0.51, and 0.28, respectively). Conversely, participants were less likely to report stress due to finances, personal health, or home issues. Anxiety around the risk of transmitting COVID-19 to others also correlated with GHQ-12 levels (r=0.14, p=0.02).
Conclusion:
Nearly two thirds of Canadian ICU HCWs reported psychological distress at the beginning of the COVID-19 pandemic. Perceived stressors of work life, personal mental health and participants' families' health were correlated with greater psychological distress. Higher levels of psychosocial distress were reported by female HCW relative to their male colleagues, and by nurses relative to physicians.
Nickell, Leslie A et al. 'Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution.' CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne vol. 170,5 (2004): 793-8. doi:10.1503/cmaj.1031077
Pappa, Sofia 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, vol. 88 901–907. 8 May. 2020, doi:10.1016/j.bbi.2020.05.026
Zhang, Stephen X et al. 'At the height of the storm: Healthcare staff's health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19.' Brain, behavior, and immunity vol. 87 (2020): 144-146. doi:10.1016/j.bbi.2020.05.010
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