Centre for Palliative and Cancer Care in Conflict (CPCCC), King Hussein Cancer Centre (KHCC), Amman, Jordan.
Centre of Research Shared Resources, King Hussein Cancer Centre (KHCC), Amman, Jordan.
Front Public Health. 2023 Dec 19;11:1288483. doi: 10.3389/fpubh.2023.1288483. eCollection 2023.
The coronavirus pandemic has potential implications for stress levels and resilience among oncology healthcare professionals (HCPs). This study aims to assess perceived stress, resilience, and moral distress levels among oncology HCPs in Jordan during the pandemic and identify associated risk factors.
An online cross-sectional survey was conducted among oncology HCPs in Jordan using three validated tools: Perceived Stress Scale (PSS), Connor-Davidson Resilience Scale (CD-RSIC), and Moral Distress Thermometer (MDT). Seven items were used to assess sources of stress.
A total of 965 participants enrolled with a 74% response rate. The participants' ages ranged from 20 to 74 (mean = 32.74, SD = 5.197), with 79.1% males, 45.1% were physicians, 32.6% were public hospital workers, 57.1% were married, and 56.6% had children below 18 years. Findings indicated moderate perceived stress (Mean = 15.87, SD = 5.861), low resilience (Mean = 29.18, SD = 5.197), and high moral distress (Mean = 4.72, SD = 2.564). Females, unmarried individuals, and younger age groups exhibited higher PSS ( = 0.009, < 0.001, and P<0.001) and lower resilience ( = 0.024, = 0.034, and = 0.001). Not having children below 18 years correlated with higher perceived stress ( < 0.001). In linear regression analysis, age and gender emerged as significant predictors of both perceived stress and resilience. Female participants reported stress related to the risk of contracting COVID-19 ( = 0.001), transmitting it to others ( = 0.017), social isolation ( < 0.001), and having children at home due to school closures ( = 0.000). A cohort of 239 participants repeated the survey within a two-month interval, revealed a statistically significant decrease in the CD-RISC scores ( < 0.001).
Oncology HCPs in Jordan experienced moderate stress, high moral distress, and poor resilience during the COVID-19 pandemic. These factors may negatively affect the quality of oncology care. Urgent measures are necessary to support HCPs in coping with unforeseen circumstances in the future.
冠状病毒大流行可能对肿瘤医疗保健专业人员（HCP）的压力水平和适应力产生影响。本研究旨在评估约旦肿瘤 HCP 在大流行期间的感知压力、适应力和道德困境水平，并确定相关的风险因素。
使用三种经过验证的工具，对约旦的肿瘤 HCP 进行了在线横断面调查：感知压力量表（PSS）、Connor-Davidson 适应力量表（CD-RSIC）和道德困境温度计（MDT）。使用七个项目评估压力源。
共有 965 名参与者注册，回应率为 74%。参与者年龄为 20 至 74 岁（平均 32.74，标准差 5.197），男性占 79.1%，45.1%为医生，32.6%为公立医院工作人员，57.1%已婚，56.6%有 18 岁以下的孩子。研究结果表明，感知压力中度（平均 15.87，标准差 5.861）、适应力低（平均 29.18，标准差 5.197）和道德困境高（平均 4.72，标准差 2.564）。女性、未婚和年轻群体的 PSS 更高（=0.009，<0.001 和 P<0.001），适应力更低（=0.024，=0.034 和 =0.001）。没有 18 岁以下的孩子与感知压力较高有关（<0.001）。在线性回归分析中，年龄和性别是感知压力和适应力的重要预测因素。女性参与者报告了与感染 COVID-19 的风险（=0.001）、将其传播给他人（=0.017）、社会隔离（<0.001）和因学校关闭而让孩子在家（=0.000）相关的压力。一个由 239 名参与者组成的队列在两个月的时间间隔内重复了这项调查，结果表明 CD-RISC 评分有统计学意义上的显著下降（<0.001）。
约旦的肿瘤 HCP 在 COVID-19 大流行期间经历了中度压力、高度道德困境和适应力差。这些因素可能会对肿瘤护理的质量产生负面影响。有必要采取紧急措施，在未来支持 HCP 应对意外情况。
