From the Department of Anesthesiology and Critical Care Medicine, George Washington School of Medicine & Health Sciences, Washington, DC (EC, RS, IY, GH, IB, DY, ERH); George Washington School of Medicine and Health Sciences, Washington, DC (K-ML); Department of Emergency Medicine, George Washington School of Medicine and Health Sciences, Washington, DC (DY); School of Nursing, George Washington University, Washington, DC (BM).
J Am Board Fam Med. 2021 Feb;34(Suppl):S103-S112. doi: 10.3122/jabfm.2021.S1.200343.
Health care workers treating Coronavirus disease 2019 (COVID-19) patients face significant stressors such as caring for critically ill and dying patients, physically demanding care requiring new degrees of personal protective equipment use, risk of contracting the disease, and putting loved ones at risk. This study investigates the stress impact from COVID-19 exposure and how nurses and medical providers (eg, physicians, nurse practitioners, physician assistants) experience these challenges differently.
An electronic, self-administered questionnaire was sent to all hospital staff over 6 weeks surveying exposure to COVID-19 patients and degree of stress caused by this exposure. Responses from medical providers and nurses were analyzed for significant contributors to stress levels, as well as comparing responses from medical providers versus nurses.
Stress levels from increased risk of disease contraction while on the job, fear of transmitting it to family or friends, and the resulting social stigma were highest in medical staff during the COVID-19 pandemic. Compared with medical providers, nurses had nearly 4 times the odds of considering job resignation due to COVID-19. However, most health care workers (77.4% of medical providers and 52.9% of nurses) strongly agreed or agreed with the statements indicating high levels of altruism in their desire to treat COVID-19 patients.
The significant stress burden placed on nurses likely contributes to increased thoughts of job resignation. However, health care providers displayed high levels of altruism during this time of extreme crisis, despite their personal risks of caring for COVID-19 patients.
治疗 2019 年冠状病毒病(COVID-19)患者的医护人员面临着巨大的压力源,如照顾重症和病危患者、需要使用新程度的个人防护设备的体力劳动、感染疾病的风险以及使亲人处于危险之中。本研究调查了 COVID-19 暴露带来的压力影响,以及护士和医疗服务提供者(例如,医生、执业护士、医师助理)如何不同地体验这些挑战。
在 6 周的时间里,向所有医院工作人员发送了一份电子、自我管理的问卷,调查他们接触 COVID-19 患者的情况以及这种接触对他们造成的压力程度。对医疗服务提供者和护士的反应进行分析,以确定导致压力水平的主要因素,并比较医疗服务提供者与护士的反应。
在 COVID-19 大流行期间,医护人员在工作中感染疾病的风险增加、担心将其传染给家人或朋友以及由此产生的社会污名化,导致他们的压力水平最高。与医疗服务提供者相比,护士因 COVID-19 辞职的可能性几乎是医疗服务提供者的 4 倍。然而,大多数医护人员(77.4%的医疗服务提供者和 52.9%的护士)强烈同意或同意表明他们有强烈的利他主义,愿意治疗 COVID-19 患者的陈述。
护士面临的巨大压力可能导致他们更多地考虑辞职。然而,在这个极端危机时期,医护人员表现出了高度的利他主义,尽管他们在照顾 COVID-19 患者时面临着个人风险。