Safety and Health at Work

Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency (산업안전보건연구원)
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Healthcare Workers' Mental Health in Pandemic Times: The Predict Role of Psychosocial Risks

  • Carla Barros (Faculty of Human and Social Sciences, University Fernando Pessoa) ;
  • Pilar Baylina (School of Health, Polytechnic Institute of Porto) ;
  • Ruben Fernandes (Faculty of Health Sciences, University Fernando Pessoa) ;
  • Susana Ramalho (Faculty of Biology, University of Vigo) ;
  • Pedro Arezes (School of Engineering, University of Minho)
  • Received : 2022.05.09
  • Accepted : 2022.08.16
  • Published : 2022.12.30
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Abstract

Background: Healthcare workers perform an emotionally exhausting daily work activity, making them prone to occupational hazards, namely psychosocial ones. This study aims to assess the impact of psychosocial risk factors on healthcare workers' mental health. Methods: A cross-sectional study was developed between May and June of 2021 with 479 healthcare workers from Portuguese hospitals. The Depression, Anxiety and Stress Scale was used to assess mental health, and psychosocial risks were assessed through the Health and Work Survey - INSAT. Statistical analysis was performed to identify the psychosocial risk factors related to anxiety, depression, and stress. Subsequently, a multiple linear regression was performed to identify the models that better explained psychosocial risk factors' relationship with anxiety, depression, and stress. Results: Data showed a strong exposure to psychosocial risks. Work pace and intensity, work relationships, and emotional demands stood out with higher global average percentages for yes answers to "exposure and discomfort." The analysis of the b values and p-values from the multiple linear regression shows that some cross-sectional psychosocial risks are predictors of anxiety and stress dimensions, and other psychosocial risks differ in the two mental health dimensions. However, it is important to highlight that healthcare workers still showed great joy and pleasure in performing their work activities. Conclusion: Support network development in the work environment is needed to prevent healthcare workers' emotional stress and promote their psychological well-being. Therefore, new research is essential to understand the psychosocial risks that affect healthcare workers and assess the less visible effects of work-health relationships.

Keywords

References

  1. Arora T, Grey I. Health behaviour changes during COVID-19 and the potential consequences: a mini-review. J Health Psychol 2020;25(9):1155-63. https://doi.org/10.1177/1359105320937053
  2. Caroppo E, Mazza M, Sannella A, Marano G, Avallone C, Claro AE, et al. Will nothing be the same again?: changes in lifestyle during COVID-19 pandemic and consequences on mental health. Int J Environ Res Public Health 2021;18(16).
  3. Prati G, Mancini AD. The psychological impact of COVID-19 pandemic lockdowns: a review and meta-analysis of longitudinal studies and natural experiments. Psychol Med 2021;51(2):201-11. https://doi.org/10.1017/S0033291721000015
  4. Salas-Nicas S, Moncada S, Llorens C, Navarro A. Working conditions and health in Spain during the COVID-19 pandemic: minding the gap. Saf Sci 2021;134:105064.
  5. Chigwedere OC, Sadath A, Kabir Z, Arensman E. The impact of epidemics and pandemics on the mental health of healthcare workers: a systematic review. Int J Environ Res Public Health 2021;18(13).
  6. Hill JE, Harris C, Danielle LC, Boland P, Doherty Alison J, Benedetto V, et al. The prevalence of mental health conditions in healthcare workers during and after a pandemic: systematic review and meta-analysis. J Adv Nurs 2022 n/a(n/a).
  7. Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med 2020;13(1):40.
  8. Vizheh M, Qorbani M, Arzaghi SM, Muhidin S, Javanmard Z, Esmaeili M. The mental health of healthcare workers in the COVID-19 pandemic: a systematic review. J Diabetes Metab Disord 2020;19(2):1967-78. https://doi.org/10.1007/s40200-020-00643-9
  9. Luo M, Guo L, Yu M, Jiang W, Wang H. The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. Psychiatry Res 2020;291:113190.
  10. Ornell F, Halpern SC, Kessler FHP, Narvaez JCdM. The impact of the COVID-19 pandemic on the mental health of healthcare professionals. Cad Saude Publica 2020;36(4).
  11. Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian J Psychiatry 2020;51:102119.
  12. Kohn L, Corrigan J, Donaldson M. In: Institute of Medicine, editor. To Err is human: building a safer health system: committee on quality of health care in America. National Academy of Sciences; 2000.
  13. Baylina P, Moreira P. Challenging healthcare-associated infections: a review of healthcare quality management issues. J Manag Mark Healthc 2011;4(4):254-64.
  14. Johnson K. Keeping patients safe: an analysis of organizational culture and caregiver training. J Healthc Manag 2004;49(3):171-8. ; discussion 8-9.
  15. Johnson SJ, O'Connor EM, Jacobs S, Hassell K, Ashcroft DM. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Res Soc Adm Pharm 2014;10(6):885-95. https://doi.org/10.1016/j.sapharm.2013.12.003
  16. Landrigan CP, Rothschild JM, Cronin JW, Kaushal R, Burdick E, Katz JT, et al. Effect of reducing interns' work hours on serious medical errors in intensive care units. N Engl J Med 2004;351(18):1838-48. https://doi.org/10.1056/NEJMoa041406
  17. Loeppke R, Boldrighini J, Bowe J, Braun B, Eggins E, Eisenberg BS, et al. Interaction of health care worker health and safety and patient health and safety in the US health care system: recommendations from the 2016 summit. J Occup Environ Med 2017;59(8):803-13. https://doi.org/10.1097/JOM.0000000000001100
  18. Poghosyan L, Clarke SP, Finlayson M, Aiken LH. Nurse burnout and quality of care: cross-national investigation in six countries. Res Nurs Health 2010;33(4):288-98.
  19. Yassi A, Hancock T. Patient safety e worker safety: building a culture of safety to improve healthcare worker and patient well-being. Healthc Q 2005;8(Sp):32-8. https://doi.org/10.12927/hcq..17659
  20. Aghaei H, Sadat Asadi Z, Mirzaei Aliabadi M, Ahmadinia H. The relationships among occupational safety climate, patient safety climate, and safety performance based on structural equation modeling. J Prev Med Public Health 2020;53(6):447-54.
  21. Moreno Martinez M, Fernandez-Cano MI, Feijoo-Cid M, Llorens Serrano C, Navarro A. Health outcomes and psychosocial risk exposures among healthcare workers during the first wave of the COVID-19 outbreak. Saf Sci 2022;145:105499.
  22. Pearman A, Hughes ML, Smith EL, Neupert SD. Mental health challenges of United States healthcare professionals during COVID-19. Front Psychol 2020;11:2065.
  23. Willis K, Ezer P, Lewis S, Bismark M, Smallwood N. "Covid just amplified the cracks of the system": working as a frontline health worker during the COVID-19 pandemic. Int J Environ Res Public Health 2021;18(19).
  24. ILO, WHO. COVID-19: occupational health and safety for health workers. International Labour Organization, International Health Organization; 2021. Contract No.: WHO/2019-nCoV/HCW_ advice/2021.1.
  25. Barros C, Baylina P, Cunha L. Impact of psychosocial risk factors on workers' health: contributions of a subjective health indicator. In: Arezes PM, Baptista JS, Barroso MP, Carneiro P, Cordeiro P, Costa N, et al., editors. Occupational and environmental safety and health II. Cham: Springer International Publishing; 2020. p. 557-66.
  26. Franklin P, Gkiouleka A. A scoping review of psychosocial risks to health workers during the covid-19 pandemic. Int J Environ Res Public Health 2021;18(5).
  27. Lovibond PF, Lovibond SH. The structure of negative emotional states: comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 1995;33(3):335-43. https://doi.org/10.1016/0005-7967(94)00075-U
  28. Antony MM, Bieling PJ, Cox BJ, Enns MW, Swinson RP. Psychometric properties of the 42-item and 21-item versions of the depression anxiety stress scales (DASS) in clinical groups and a community sample. Psychol Assess 1998;10:176-81.
  29. Pais-Ribeiro J, Honrado A, Leal I. Contribuicao para o Estudo da Adaptacao Portuguesa das Escalas de Ansiedade, Depressao e Stress (EADS) de 21 itens de Lovibond e Lovibond. Psicol Saude Doencas 2004;5(2):229-39.
  30. Yang Y, Lu L, Chen T, Ye S, Kelifa MO, Cao N, et al. Healthcare worker's mental health and their associated predictors during the epidemic peak of COVID-19. Psychol Res Behav Manag 2021;14:221-31. https://doi.org/10.2147/PRBM.S290931
  31. Barros C, Cunha L, Oliveira A, Baylina P, Rocha A. Development and validation of a health and work survey based on the Rasch model among Portuguese workers. J Med Syst 2017;41(79):1-9. https://doi.org/10.1007/s10916-016-0650-y
  32. Simonen O, Blom M, Viitanen E. Knowledge of effectiveness and its application in secondary healthcare management. Int J Product Perform Manag 2011;60(8):797-812. https://doi.org/10.1108/17410401111182198
  33. Baylina P, Barros C, Fonte C, Alves S, Rocha A. Healthcare workers: occupational health promotion and patient safety. J Med Syst 2018;42(9):159.
  34. Barros C, Fonte C, Alves S, Baylina P. Can psychosocial work factors influence psychologists' positive mental health? Occup Med 2019;69(3):204-10. https://doi.org/10.1093/occmed/kqz034
  35. Correia J, Barros C, Baylina P. A influencia dos fatores psicosociais de risco no desenvolvimento de lesoes musculo-esqueleticas. Psicol Saude Doencas 2021;22(2):530-6.
  36. Pedrozo-Pupo JC, Pedrozo-Cortes MJ, Campo-Arias A. Perceived stress associated with COVID-19 epidemic in Colombia: an online survey. Cad Saude Publica 2020;36(5).
  37. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 2020;17(5).
  38. Salvador AP, Jaloto A, Zuanazzi AC, Goncalves AP, Machado GM, De Francisco Carvalho L. Impact of anxiety, stress, and burnout symptoms in Brazilian health professionals during the COVID-19 pandemic. Arch Psychiatry Psychother 2021;23(1):7-13.
  39. Osorio FL, Silveira ILM, Pereira-Lima K, Crippa JAdS, Hallak JEC, Zuardi AW, et al. Risk and protective factors for the mental health of Brazilian healthcare workers in the frontline of COVID-19 pandemic. Front Psychiatry 2021;12.
  40. Duarte I, Teixeira A, Castro L, Marina S, Ribeiro C, Jacome C, et al. Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health 2020;20(1):1885.
  41. Hammond NE, Crowe L, Abbenbroek B, Elliott R, Tian DH, Donaldson LH, et al. Impact of the coronavirus disease 2019 pandemic on critical care healthcare workers' depression, anxiety, and stress levels. Aust Crit Care 2021;34(2):146-54. https://doi.org/10.1016/j.aucc.2020.12.004
  42. Lenzo V, Quattropani MC, Sardella A, Martino G, Bonanno GA. Depression, anxiety, and stress among healthcare workers during the COVID-19 outbreak and relationships with expressive flexibility and context sensitivity. Front Psychol 2021:12.