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Thanh NH, Manh Hung T, Ngoc TN, San BV, Hung DQ, Hung ND, Binh VD, Trung LH, Tinh LV, Nam NT, Tan PH, Khoa PTA, Thach PN, Khanh NT, Chinh CD, Trung NV, Thi TTM, Hien PB, Long TA, Thuong NV, Thanh NV, Thang TX, Truong LD, Hieu VQ, Otsu S. Demand for mental health support services among health professionals in Vietnam: Lesson from COVID-19 Pandemic. PLoS One 2024; 19:e0305869. [PMID: 38913676 PMCID: PMC11195960 DOI: 10.1371/journal.pone.0305869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2024] [Accepted: 06/04/2024] [Indexed: 06/26/2024] Open
Abstract
BACKGROUND This study aimed to measure the preferences for mental health support among health professionals, their willingness to support the mental health of colleagues and associated factors. METHOD A descriptive cross-sectional study was performed from August to October 2022 within five hospitals located in Hanoi, Vietnam. A total of 244 health professionals participated in the study. Data on socio-economic status, health and COVID-19-related characteristics, Depression Anxiety Stress Scale (DASS-21); and preferences for mental health support services were collected by using a structured self-reported questionnaire. Multivariate logistic regression models were utilized to identify associated factors with the demand for mental support services. RESULTS 13.9%, 17.1% and 8.6% reported having at least mild depression, anxiety and stress, respectively. There 13.9% did not seek any mental health support during the COVID-19 pandemic. The most common support included talking with friends (52.9%), family (50.8%), colleagues (47.6%) and using social networks/Internet (43.5%). There 31.1% had been aware of mental health services, but only 18.0% used this service at least once. Regarding preferences, 47.3% had a demand for mental support services, and the most preferred service was providing coping skills (25.9%), followed by skills to support others against mental problems (22.2%). Major sources of support included psychiatrists (34.4%), colleagues (29.1%) and family (27.9%). The main preferred channels for support included telephone/mobile phone (35.7%) and Internet (20.9%). Only 12.3% were willing to provide mental support for colleagues during the pandemic. Age, education, perceived mental health status, ever seeking any mental service, and DASS-21 depression score were associated with demand for mental support services. CONCLUSION This study found a lack of awareness of mental health services for health professionals, as well as moderate levels of demand for this service in this population. Raising awareness and developing tailored mental health support services are important to enhancing the mental well-being of health professionals in Vietnam to prepare for the next pandemic.
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Affiliation(s)
- Nguyen Hoang Thanh
- Hanoi Medical University, Hanoi, Vietnam
- School of Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam
| | - Than Manh Hung
- National Hospital of Tropical Diseases, Hanoi, Vietnam
- VNU University of Medicine and Pharmacy, Vietnam National University, Hanoi, Vietnam
| | - Tran Nguyen Ngoc
- Hanoi Medical University, Hanoi, Vietnam
- Department of Psychiatry, Hanoi Medical University, Hanoi, Vietnam
- National Institute of Mental Health, Bach Mai Hospital, Hanoi, Vietnam
| | - Bui Van San
- Department of Psychiatry, Hanoi Medical University, Hanoi, Vietnam
- National Institute of Mental Health, Bach Mai Hospital, Hanoi, Vietnam
| | - Doan Quoc Hung
- Department of Surgery, Hanoi Medical University, Hanoi, Vietnam
- Department of Cardiovascular and Thoracic Surgery, Viet Duc University Hospital, Hanoi, Vietnam
- Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Vietnam
| | | | - Vu Duc Binh
- Clinical Hematology Department, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam
- Education and Healthcare Direction Center, National Institute of Hematology and Blood Transfusion, Hanoi, Vietnam
| | - Le Hong Trung
- Department of Health, Vinh Phuc Province, Vĩnh Yên, Vietnam
| | - Le Van Tinh
- Vinh Phuc Provincial General Hospital, Vinh Phuc Province, Vĩnh Yên, Vietnam
| | - Nguyen Thanh Nam
- Vinh Phuc Provincial General Hospital, Vinh Phuc Province, Vĩnh Yên, Vietnam
| | - Pham Huy Tan
- Hanoi Medical University Hospital, Hanoi Medical University, Hanoi, Vietnam
| | | | | | | | | | | | | | | | | | | | | | | | - Lai Duc Truong
- Disease Control and Health Emergency Program, World Health Organization Vietnam Country Office, Hanoi, Vietnam
| | - Vu Quang Hieu
- Disease Control and Health Emergency Program, World Health Organization Vietnam Country Office, Hanoi, Vietnam
| | - Satoko Otsu
- Disease Control and Health Emergency Program, World Health Organization Vietnam Country Office, Hanoi, Vietnam
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Lee BEC, Ling M, Boyd L, Olsson CA, Sheen J. Key predictors of psychological distress and wellbeing in Australian frontline healthcare workers during COVID-19 (Omicron wave). Front Psychol 2023; 14:1200839. [PMID: 37484084 PMCID: PMC10361570 DOI: 10.3389/fpsyg.2023.1200839] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 06/12/2023] [Indexed: 07/25/2023] Open
Abstract
Introduction The COVID-19 pandemic has led to significant challenges for frontline healthcare workers' (FHW), raising many mental health and wellbeing concerns for this cohort. To facilitate identification of risk and protective factors to inform treatment and interventions, this study investigated key predictors of psychological distress and subjective wellbeing in FHWs. Methods During the Omicron wave of the COVID-19 pandemic (January 2022), Victorian (Australia) doctors, nurses, allied health and non-medical staff from Emergency Departments, Intensive Care units, Aged Care, Hospital In The Home, and COVID Wards completed a cross-sectional survey consisting of the Kessler 6 item (Psychological Distress), Personal Wellbeing Index (Subjective Wellbeing), Coronavirus Health Impact Survey tool (COVID-19 related factors) and occupational factors. Multivariable linear regressions were used to evaluate unadjusted and adjusted associations. Relative weight analysis was used to compare and identify key predictors. Results Out of 167 participants, 18.1% screened positive for a probable mental illness and a further 15.3% screened positive for low wellbeing. Key risk factors for greater psychological distress included COVID infection worries, relationship stress and younger age. For both psychological distress and lower wellbeing, health status and supervisor support were key protective factors, while infection risks were key risk factors. Only positive changes in relationship quality was protective of lower wellbeing. Conclusion This study highlights the significance of social determinants and individual level factors alongside work related factors, in influencing FHWs' mental health and wellbeing during public health crises, such as the COVID-19 pandemic. Findings suggest that future interventions and supports should take a more holistic approach that considers work, social and individual level factors when supporting FHWs' mental health and wellbeing.
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Affiliation(s)
- Brian En Chyi Lee
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, VIC, Australia
| | - Mathew Ling
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, VIC, Australia
- Neami National, Preston, VIC, Australia
| | | | - Craig A. Olsson
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, VIC, Australia
- Department of Paediatrics, University of Melbourne, Parkville, VIC, Australia
- Centre for Adolescent Health, Murdoch Children’s Research Institute, Parkville, VIC, Australia
| | - Jade Sheen
- Centre for Social and Early Emotional Development, School of Psychology, Deakin University, Geelong, VIC, Australia
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Duden GS, Reiter J, Paswerg A, Weibelzahl S. Mental health of healthcare professionals during the ongoing COVID-19 pandemic: a comparative investigation from the first and second pandemic years. BMJ Open 2023; 13:e067244. [PMID: 36948559 PMCID: PMC10039975 DOI: 10.1136/bmjopen-2022-067244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/24/2023] Open
Abstract
Healthcare staff have been facing particular mental health challenges during the COVID-19-pandemic. Building on a first study at the beginning of the pandemic in March 2020, we aimed to investigate among healthcare professionals in Germany and Austria (1) how mental health may have changed in professionals over the course of the ongoing pandemic, (2) whether there are differences between different professional groups regarding mental health, (3) which stress factors may explain these mental health outcomes and (4) whether help-seeking behaviour is related to caretaker self-image or team climate. Between March and June 2021, N=639 healthcare professionals completed an online survey including the ICD-10 Symptom Rating checklist, event-sampling questions on pandemic-related stressors and self-formulated questions on help-seeking behaviour and team climate. Findings were analysed using t-tests, regressions and comparisons to a sample of healthcare professionals assessed in 2020 as well as to norm samples. Results show that mental health symptoms, particularly for depression and anxiety, persist among healthcare staff in the second pandemic year, that symptom prevalence rates are higher among nursing staff compared with physicians and paramedics and that team climate is associated with mental health outcomes. Implications of these findings in relation to the persisting pandemic and its aftermath are discussed.
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Affiliation(s)
- Gesa S Duden
- Department of Community Psychology, FernUniversitat in Hagen, Hagen, Germany
| | - Julia Reiter
- Department of Developmental and Educational Psychology, University of Vienna, Wien, Austria
| | - Angela Paswerg
- Department of Psychology, PFH Private University of Applied Sciences, Göttingen, Germany
| | - Stephan Weibelzahl
- Department of Psychology, PFH Private University of Applied Sciences, Göttingen, Germany
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4
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Zhou Y, Liu A, Pu Z, Zhou M, Ding H, Zhou J. An investigation of the psychological stress of medical staff in Shanghai shelter hospital during COVID-19. Front Psychol 2023; 14:1083793. [PMID: 36968744 PMCID: PMC10033584 DOI: 10.3389/fpsyg.2023.1083793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Accepted: 02/20/2023] [Indexed: 03/11/2023] Open
Abstract
ObjectiveThe purpose of this study was to assess the psychological status of medical workers from other locations who helped support the fight against COVID-19 in Shanghai and to provide a basis for psychological crisis intervention plans under designated emergencies.MethodsWhile supporting the Shanghai Lingang Shelter Hospital, we investigated 1,097 medical staff from other cities working in the hospital. A questionnaire comprising the general information questionnaire, health questionnaire depression scale, generalized anxiety scale, insomnia severity index scale, and mental health self-assessment questionnaire was used.ResultsThere were no statistically significant differences in the incidence rates of anxiety, depression, and sleep disorders among subjects of different genders, ages, and educational levels. There were statistically significant differences in the incidences of anxiety, depression, stress response, and sleep disturbance among subjects with different levels of worry about COVID-19.ConclusionDuring the COVID-19 pandemic, the Lingang Shelter Hospital team experienced more psychological pressure, suggesting that medical institutions should pay attention to the mental health of frontline medical workers during COVID-19 and prepare psychological intervention measures for team members.
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Affiliation(s)
- Yaqing Zhou
- Department of Critical Care Medicine, Affiliated Hai'an Hospital of Nantong University, Nantong, Jiangsu, China
| | - Aiming Liu
- Department of Critical Care Medicine, Affiliated Hai'an Hospital of Nantong University, Nantong, Jiangsu, China
| | - Zunguo Pu
- Department of Critical Care Medicine, Affiliated Hai'an Hospital of Nantong University, Nantong, Jiangsu, China
- *Correspondence: Zunguo Pu,
| | - Minlu Zhou
- Department of General Surgery, Affiliated Hai'an Hospital of Nantong University, Nantong, Jiangsu, China
| | - Hongsheng Ding
- Department of Critical Care Medicine, Affiliated Hai'an Hospital of Nantong University, Nantong, Jiangsu, China
| | - Jia Zhou
- Department of Psychiatry, Affiliated Nantong Fourth People's Hospital, Nantong, Jiangsu, China
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Eskin M, Baydar N. Do neoliberal values provide a fertile soil for suicidal ideation? J Affect Disord 2022; 314:349-356. [PMID: 35872247 DOI: 10.1016/j.jad.2022.07.034] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2022] [Revised: 06/28/2022] [Accepted: 07/17/2022] [Indexed: 11/26/2022]
Abstract
BACKGROUND Values associated with neoliberal ideologies are blamed for damaging the social fabric. They may also have deleterious effects on suicidal ideation. OBJECTIVE We investigated whether neoliberal values were associated with the risk for suicidal ideation through a set of mediating factors (suicide stigma, help-seeking attitudes, perceived stress, and suicide acceptability). METHODS A total of 508 (249 female) adults from the U.S. responded to a self-administered questionnaire that contained measures of suicidal ideation, neoliberal values, suicide stigma, help-seeking attitudes, perceived stress, and suicide acceptability. We tested a path model that linked neoliberal values to suicidal ideation through multiple mediators. We tested total versus partial mediation models. RESULTS We found empirical evidence for a full mediation of the association of neoliberal values with perceived stress. Neoliberal values were associated with suicide stigma; suicide stigma was associated with negative attitudes towards help-seeking, which, in turn, were associated with high levels of perceived stress. The association of neoliberal values with suicide acceptability was partially mediated. Perceived stress was positively associated with suicide risk directly and indirectly through suicide acceptability. CONCLUSION Our findings suggest that values related to neoliberal ideologies prepare a context that fosters the risk for suicide. For a contextualized understanding of suicidal behavior, more research is needed that explores the role of social, cultural, political, and economic ideologies in the suicidal process.
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Affiliation(s)
- Mehmet Eskin
- Koc University, College of Social Sciences and Humanities, Department of Psychology, Istanbul, Turkey(1).
| | - Nazli Baydar
- Koc University, College of Social Sciences and Humanities, Department of Psychology, Istanbul, Turkey(1)
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Konduru L, Das N, Kothari-Speakman G, Behura AK. Experiencing the COVID-19 pandemic as a healthcare provider in rural Dhanbad, India: An interpretative phenomenological analysis. PLoS One 2022; 17:e0273573. [PMID: 36006877 PMCID: PMC9409569 DOI: 10.1371/journal.pone.0273573] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2022] [Accepted: 08/10/2022] [Indexed: 11/19/2022] Open
Abstract
Background The COVID-19 pandemic is causing widespread morbidity and mortality. It has led to a myriad of mental health problems, particularly in health care providers (HCPs). To strengthen the fight against COVID-19, it is essential to investigate the mental health challenges being faced by the HCPs, their emotional responses, and coping strategies. Objectives We aimed to explore the lived experiences of frontline HCPs in rural India during the peak of the second wave of the COVID-19 pandemic. Methods Through purposive heterogenous snowball sampling, five HCPs in rural Dhanbad were recruited and one-on-one double-blind unstructured interviews were conducted. The interviews were transcribed and master themes and subthemes were extracted by interpretative phenomenological analysis. Results Six master themes and 23 subthemes were identified. Our findings demonstrate that the participants were under mental duress due to heavy workloads, fear of getting infected and transmitting the infection, urban–rural disparities in access to medical supplies and peer support, and negative social perception of HCPs during the pandemic. Most HCPs have not yet processed the psychological effects of being at the frontlines of the COVID-19 pandemic in a resource-poor setting; however, spirituality seems to be an important coping mechanism that helps them get through the day. Conclusions This study is unique in the sense that not many studies have been conducted to evaluate the psychological issues of Indian HCPs during this pandemic. Much less is known about the mental health of HCPs in rural settings. Moreover, novel findings such as negative social perception of HCPs during the pandemic and HCPs resorting to spirituality as a coping strategy against stress, open a plethora of research opportunities wherein the results of this qualitative study, along with the existing literature and findings of future quantitative studies, can establish better understanding of the impact of the pandemic on HCPs.
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Affiliation(s)
- Laalithya Konduru
- Department of Community Medicine, Sri Jagannath Healthcare and Research Center, Dhanbad, Jharkhand, India
- College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia
- * E-mail:
| | - Nishant Das
- Department of Humanities and Social Sciences, Indian Institute of Technology (ISM), Dhanbad, Jharkhand, India
| | - Gargi Kothari-Speakman
- Savitri Ghantasala Center for Health Equity, Samanjasa Foundation, Chennai, Tamil Nadu, India
| | - Ajit Kumar Behura
- Department of Humanities and Social Sciences, Indian Institute of Technology (ISM), Dhanbad, Jharkhand, India
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Ang WHD, Shorey S, Hoo MXY, Chew HSJ, Lau Y. The role of resilience in higher education: A meta-ethnographic analysis of students' experiences. J Prof Nurs 2021; 37:1092-1109. [PMID: 34887028 DOI: 10.1016/j.profnurs.2021.08.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2021] [Indexed: 11/17/2022]
Abstract
BACKGROUND There is increasing evidence that being resilient negates the deleterious impacts of stress and promote academic success. To develop an insight into how important resilience is, it is vital to explore how higher education students perceive and develop resilience. OBJECTIVES The purpose of this review was to gather students' experiences of their resilience journey in an educational setting. DESIGN Systematic review and meta-ethnography of qualitative evidence REVIEW METHODS: This review was reported in accordance with the eMERGe guidelines. The data were analysed with reference to the seven steps of meta-ethnography. The Grading of Recommendations, Assessment, Development and Evaluation's Confidence in Evidence from Reviews of Qualitative research (GRADE-CERQual) was used to appraise the quality of the evidence. RESULTS Three themes emerged: (1) resilience associates with internal resources, (2) resilience develops through meaningful relationships and (3) resilience can be instilled by educational institutions. An individual's trait, outlook and engagement within their social network can influence resilience. The presence and availability of institution-based support services can ease students transition into higher education. CONCLUSION This review provides a basis for influencing further research and curriculum development in ensuring students' well-being and success in school.
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Affiliation(s)
- Wei How Darryl Ang
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
| | - Shefaly Shorey
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
| | | | - Han Shi Jocelyn Chew
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
| | - Ying Lau
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
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Defeyter MA, Stretesky PB, Long MA, Furey S, Reynolds C, Porteous D, Dodd A, Mann E, Kemp A, Fox J, McAnallen A, Gonçalves L. Mental Well-Being in UK Higher Education During Covid-19: Do Students Trust Universities and the Government? Front Public Health 2021; 9:646916. [PMID: 33981666 PMCID: PMC8107392 DOI: 10.3389/fpubh.2021.646916] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Accepted: 03/29/2021] [Indexed: 12/24/2022] Open
Abstract
This paper draws upon the concept of recreancy to examine the mental well-being of university students during the Covid-19 pandemic. Briefly, recreancy is loss of societal trust that results when institutional actors can no longer be counted on to perform their responsibilities. Our study of mental well-being and recreancy focuses on the role of universities and government regulators within the education sector. We surveyed 600 UK students attending 161 different public higher education providers in October 2020 during a time when many UK students were isolated in their residences and engaged in online learning. We assessed student well-being using the Short Warwick-Edinburgh Mental Well-being Scale (scored 7–35) and found the mean score to be 19.9 [95% confidence interval (CI) 19.6, 20.2]. This level of well-being indicates that a significant proportion of UK students face low levels of mental well-being. Structural equation modeling (SEM) analysis indicates that high recreancy—measured as a low trust in universities and the government—is associated with low levels of mental well-being across the student sample. While these findings are suggestive, they are also important and we suggest that government and university leaders should not only work to increase food and housing security during the Covid-19 pandemic, but also consider how to combat various sector trends that might intensify recreancy.
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Affiliation(s)
| | - Paul B Stretesky
- Healthy Living Lab, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Michael A Long
- Department of Sociology, Oklahoma State University, Stillwater, OK, United States
| | - Sinéad Furey
- Ulster University Business School, Coleraine, United Kingdom
| | - Christian Reynolds
- Centre for Food Policy, City University, London, United Kingdom.,Department of Geography, Institute of Sustainable Food, University of Sheffield, Sheffield, United Kingdom
| | - Debbie Porteous
- Healthy Living Lab, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Alyson Dodd
- Healthy Living Lab, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Emily Mann
- Healthy Living Lab, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - Anna Kemp
- Student Union, Northumbria University, Newcastle upon Tyne, United Kingdom
| | - James Fox
- Marketing Department, Northumbria University, Newcastle upon Tyne, United Kingdom
| | | | - Lara Gonçalves
- Department of Sociology, Oklahoma State University, Stillwater, OK, United States
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Abstract
Healthcare staff have been at the centre of the fight against the COVID-19 pandemic, facing diverse work-related stressors. Building upon studies from various countries, we aimed to investigate (1) the prevalence of various work-related stressors among healthcare professionals in Germany specific to the COVID-19 pandemic, (2) the psychological effects of these stressors in terms of clinical symptoms, and (3) the healthcare professionals' help-seeking behaviour. To this end, N = 300 healthcare professionals completed an online survey including the ICD-10 Symptom Rating checklist (ISR), event-sampling questions on pandemic-related stressors and self-formulated questions on help-seeking behaviour. Participants were recruited between 22 May and 22 July 2020. Findings were analysed using t tests, regressions and comparisons to large clinical and non-clinical samples assessed before and during the pandemic. Results show that healthcare professionals were most affected by protective measures at their workplace and changes in work procedures. Psychological symptoms, particularly anxiety and depression, were significantly more severe than in a non-clinical pre-pandemic sample and in the general population during the pandemic. At the same time, most professionals indicated that they would not seek help for psychological concerns. These findings indicate that healthcare employers need to pay greater attention to the mental health of their staff.
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Cardwell JM, Lewis EG. Stigma, coping, stress and distress in the veterinary profession - the importance of evidence-based discourse. Vet Rec 2020; 184:706-708. [PMID: 31175247 DOI: 10.1136/vr.l3139] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Jacqueline M Cardwell
- Veterinary Epidemiology, Economics and Public Health, Royal Veterinary College, Hatfield, UK
| | - Elisa G Lewis
- School of Applied Sciences, London South Bank University, London, UK
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11
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Lewis CL, Swanzy DM, Lynch CM, Dearmon VA. GROWTH: A Strategy for Nursing Student Retention. J Nurs Educ 2019; 58:173-177. [DOI: 10.3928/01484834-20190221-09] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2018] [Accepted: 12/10/2018] [Indexed: 11/20/2022]
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Ramluggun P, Lacy M, Cadle M, Anjoyeb M. Managing the demands of the preregistration mental health nursing programme: The views of students with mental health conditions. Int J Ment Health Nurs 2018; 27:1793-1804. [PMID: 29847011 DOI: 10.1111/inm.12486] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/29/2018] [Indexed: 01/18/2023]
Abstract
An increasing number of students with a pre-existing mental health condition are enrolling on preregistration mental health nursing programmes. The challenges faced by these students in managing the demands of the programme have not been fully explored. Mental health and well-being is an integral part of providing a healthy university in which students can flourish. The purpose of the study was to explore how students with an underlying mental health issue manage the demands of the mental health nursing programme. The outcomes of the study are aimed at informing inclusive teaching and learning and current student support provision. Ethics approval was given. Students from two universities in South East England who met the criterion of having a pre-existing mental health condition when enrolling on the mental health preregistration nursing programme were invited to take part. Nine students took part in the study. Using an interpretative descriptive design, 1:1 face-to-face, audio-taped, semistructured interviews were undertaken. The data were analysed using a framework approach, and this revealed four main themes: timing of disclosure; managing lived experience in learning environments; students' coping mechanisms, and experience of support. Recommendations for practice was that approved education institutes (AEIs) should ensure they have a robust, inclusive practice by implementing strategies to develop these students' resilience, and enhance their learning and the current support provisions. This will ensure the barriers to disclosing their mental health conditions are recognized and minimized to enable these students to fully contribute to their own learning and teaching experience.
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Affiliation(s)
- Pras Ramluggun
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - Mary Lacy
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - Martha Cadle
- Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK
| | - Mahmood Anjoyeb
- Faculty of Society and Health, Bucks New University, High Wycombe, UK
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Huang CLC, Wu MP, Ho CH, Wang JJ. Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study. PLoS One 2018; 13:e0204224. [PMID: 30252873 PMCID: PMC6155527 DOI: 10.1371/journal.pone.0204224] [Citation(s) in RCA: 47] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2017] [Accepted: 09/05/2018] [Indexed: 01/15/2023] Open
Abstract
The high level of occupational stress and burnout among nurses can lead to insomnia, anxiety, and depression. However, the actual risks for healthcare-seeking for these stress-related mental health problems among nurses are still unclear. The aim of this study was to explore the risks and influencing factors of treated anxiety, depression, and insomnia among nurses. We used claims data obtained from the 2010 National Health Insurance Research Database (NHIRD) in Taiwan. Hospital nurses who had at least 3 coded ambulatory care claims or 1 inpatient claim with a principal diagnosis of anxiety, depression, or insomnia were identified. A cohort of 46,120 nurses and 92,240 matched controls were included. All the study subjects were followed up until the onset of any of the aforementioned outcomes, death, or the end of 2012. Results showed that the adjusted hazard ratios (HRs) for treated anxiety, depression, and insomnia among all the nurses were 0.91 (95% CI, 0.88–0.95), 0.59 (95% CI, 0.55–0.63), and 1.43 (95% CI, 1.38–1.48), respectively. Furthermore, the risks of these psychiatric problems in healthcare-seeking nurses were affected by age, gender, hospital level, and job tenure. Our findings suggest that hospital nurses have lower hazards of treated anxiety and depression than the general population, although they have a higher hazard of treated insomnia. There may be undertreatment in some subgroups of nurses with different demographic and working characteristics.
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Affiliation(s)
- Charles Lung-Cheng Huang
- Department of Psychiatry, Chi Mei Medical Center, Tainan, Taiwan
- Department of Social Work, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
- * E-mail:
| | - Ming-Ping Wu
- Division of Urogynecology and Pelvic Floor Reconstruction, Department of Obstetrics and Gynecology, Chi Mei Medical Center, Tainan, Taiwan
- Center of General Education, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
| | - Chung-Han Ho
- Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan
- Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan
| | - Jhi-Joung Wang
- Department of Medical Research, Chi Mei Medical Center, Tainan, Taiwan
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Abstract
PURPOSE The purpose of this study was to explore student nurses' openness to using or recommending holistic therapies, the strategies they use to manage stress from school or work, and their perceptions of the impact of holistic therapies on personal health. STUDY DESIGN Qualitative component of a quasi-experimental, mixed-methods study. METHODS A convenience sample of undergraduate nursing students in a southeastern U.S. university completed baseline surveys, including demographics and three open-ended questions regarding attitudes toward holistic therapies and strategies used for stress management. Qualitative thematic analysis was undertaken to identify recurring themes in textual data. FINDINGS Students are open to using or recommending holistic therapies but identify lack of knowledge and lack of time as barriers to their practice. Among strategies used by student nurses to manage stress from school or work were physical activity, prayer and meditation, time management, distraction, socialization, artistic pursuits, animal interactions, and other activities. Themes describing holistic therapies' impact on personal health were wholeness, self-empowerment, relaxation/restoration, and alternative/complement to traditional medicine. CONCLUSIONS Findings indicate receptiveness by student nurses to the use of holistic therapies but point to the need for the inclusion of informational as well as experiential education on holistic therapies within nursing curricula.
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15
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Cox-Davenport RA. "The five-minute check-in" intervention to ease the transition into professional education: A descriptive analysis. NURSE EDUCATION TODAY 2017; 50:25-28. [PMID: 28011334 DOI: 10.1016/j.nedt.2016.12.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Revised: 11/24/2016] [Accepted: 12/12/2016] [Indexed: 06/06/2023]
Abstract
BACKGROUND Students can have problems transitioning into nursing education, and nursing instructors can have an impact on this transition by using an active coaching role. OBJECTIVES The objective of this study was to evaluate how early an academic coaching intervention helped students progress during the beginning of their first nursing semester. Student perceptions of the intervention were also explored. DESIGN This study followed a descriptive non-experimental design. A nonprobability convenience sample was used. SETTINGS A four-year Bachelor's nursing program at a private college in central Pennsylvania. PARTICIPANTS The sample included 22 first semester students enrolled in their first nursing course. METHOD For the first five weeks of the semester students were asked to meet with their nursing course instructors for "five minute check-ins". Students were coached on time management, study skills, access to resources, stress management, upcoming assignments, and grades. An online survey was also sent to students regarding their check-in experience. RESULTS The student coaching needs changed throughout the five week intervention. At first students heavily needed time management coaching. Study skill coaching was a steady need through the second through fifth week, and stress management coaching increased during the last week of data collection, which was along the same time as their first exams. Students who attended four to five of the weekly visits had higher first test scores and higher overall course grades. The majority of students reported benefits for attending check-in visits including organization, study skills, and feeling more connected to the instructor. CONCLUSIONS Students reported an overall benefit to attending check-in visits. Course instructors were able to intervene early with students' academic problems, and help students gain access to resources. Although the check-ins were to be brief visits, there was an impact on instructors time during the check-in weeks.
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Affiliation(s)
- Rebecca A Cox-Davenport
- Pennsylvania College of Health Sciences, Division of Nursing, 850 Greenfield Road, Lancaster, PA 17601, United States.
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Kelly M. Does Mindfulness practice improve the mental health and wellbeing of healthcare students? J Psychiatr Ment Health Nurs 2017; 24:84-89. [PMID: 27785866 DOI: 10.1111/jpm.12348] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/06/2016] [Indexed: 11/27/2022]
Affiliation(s)
- M Kelly
- Middlesex University, London, UK
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17
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Chamberlain D, Williams A, Stanley D, Mellor P, Cross W, Siegloff L. Dispositional mindfulness and employment status as predictors of resilience in third year nursing students: a quantitative study. Nurs Open 2016; 3:212-221. [PMID: 27708832 PMCID: PMC5050545 DOI: 10.1002/nop2.56] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Accepted: 04/17/2016] [Indexed: 11/25/2022] Open
Abstract
Background Nursing students will graduate into stressful workplace environments and resilience is an essential acquired ability for surviving the workplace. Few studies have explored the relationship between resilience and the degree of innate dispositional mindfulness, compassion, compassion fatigue and burnout in nursing students, including those who find themselves in the position of needing to work in addition to their academic responsibilities. Aim This paper investigates the predictors of resilience, including dispositional mindfulness and employment status of third year nursing students from three Australian universities. Design Participants were 240 undergraduate, third year, nursing students. Participants completed a resilience measure (Connor–Davidson Resilience Scale, CD‐RISC), measures of dispositional mindfulness (Cognitive and Affective Mindfulness Scale Revised, CAMS‐R) and professional quality of life (The Professional Quality of Life Scale version 5, PROQOL5), such as compassion satisfaction, compassion fatigue and burnout. Method An observational quantitative successive independent samples survey design was employed. A stepwise linear regression was used to evaluate the extent to which predictive variables were related each to resilience. Results The predictive model explained 57% of the variance in resilience. Dispositional mindfulness subset acceptance made the strongest contribution, followed by the expectation of a graduate nurse transition programme acceptance, with dispositional mindfulness total score and employment greater than 20 hours per week making the smallest contribution. This was a resilient group of nursing students who rated high with dispositional mindfulness and exhibited hopeful and positive aspirations for obtaining a position in a competitive graduate nurse transition programme after graduation.
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Affiliation(s)
| | | | - David Stanley
- Charles Sturt University (CSU) Bathurst New South Wales Australia
| | - Peter Mellor
- Flinders University Adelaide South Australia Australia
| | - Wendy Cross
- Monash University Clayton Victoria Australia
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18
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Pérez F, Ortiz J, Caro P, Valenzuela B, Narváez J. Utilization of therapies for stress management in Chilean clinical dental students. JOURNAL OF ORAL RESEARCH 2015. [DOI: 10.17126/joralres.2015.076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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19
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Galvin J, Suominen E, Morgan C, O'Connell EJ, Smith AP. Mental health nursing students' experiences of stress during training: a thematic analysis of qualitative interviews. J Psychiatr Ment Health Nurs 2015; 22:773-83. [PMID: 26459938 DOI: 10.1111/jpm.12273] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/27/2015] [Indexed: 11/28/2022]
Abstract
ACCESSIBLE SUMMARY What is known on the subject? Stress can impact students on mental health nurse training. This can have implications at the individual level (e.g. their own mental health) and at the level of the organization (e.g. sickness absence and attrition). What this paper adds to existing knowledge? We interviewed 12 mental health nursing students regarding the stress they experienced during training. Participants described how the academic demands can at times be unbearable during clinical placements. There were also issues with 'being a student' on some placements, with participants describing negative attitudes towards them from staff. The younger participants reported feeling overwhelmed on their initial placements and described some of the main challenges of mental health work for them. Raising concerns about the quality of care on wards was also described as particularly challenging for the students. What are the implications for practice? This paper can be useful to help training providers support mental health nursing students. Recommendations include reducing academic demands during clinical placements and extending and promoting existing support services beyond normal 9 am-5 pm working hours, even if these services are limited. Younger students could be better supported by being allocated to the more well-resourced placements in the early stages of their training. Raising awareness among staff of the tasks students can and cannot perform can help improve staff/student relations. Finally, students should be educated about the issues around raising concerns on placements to help the government's drive for a more open and transparent National Health Service (NHS). INTRODUCTION Previous studies investigating stress in nursing students focus on general nursing students or adopt quantitative measures. PURPOSE OF STUDY A qualitative study focusing specifically on mental health nursing students is required. METHOD One-to-one interviews were carried out with mental health nursing students (n = 12). Data were thematically analysed. RESULTS Participants reported unreasonable demands during clinical blocks, and described how control/support is lowest on placements with staff shortages. Negative attitudes towards students from staff and related issues were also discussed. Younger participants described struggling with mental health work during the early stages of training. DISCUSSION Training providers should strive to provide adequate support to students to help them manage stress during training. Implications for practice Academic demands should be reasonable during clinical blocks and support services outside normal working hours should be available for students, even if these are limited in scope. Greater consideration to the allocation of placements for younger students in the mental health branch could be helpful. Furthermore, staff on placements should be aware of the tasks students can and cannot perform, to help improve staff/student relations. Educating students on the issues of raising concerns can help the government's drive for a more open and transparent National Health Service (NHS).
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Affiliation(s)
- J Galvin
- School of Psychology, Cardiff University, Cardiff, UK
| | - E Suominen
- School of Psychology, Cardiff University, Cardiff, UK
| | - C Morgan
- School of Psychology, Cardiff University, Cardiff, UK
| | - E-J O'Connell
- School of Psychology, Cardiff University, Cardiff, UK
| | - A P Smith
- School of Psychology, Cardiff University, Cardiff, UK
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21
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Wynaden D, McAllister M, Tohotoa J, Al Omari O, Heslop K, Duggan R, Murray S, Happell B, Byrne L. The silence of mental health issues within university environments: a quantitative study. Arch Psychiatr Nurs 2014; 28:339-44. [PMID: 25439976 DOI: 10.1016/j.apnu.2014.08.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2014] [Accepted: 08/20/2014] [Indexed: 11/15/2022]
Abstract
A descriptive study was used to examine the attitudes and experiences of staff and students towards mental health problems. Staff completed the "Attitude towards mental illness survey", and students who self-identified having a mental health problem completed the "Stigma scale". Using an online collection process, data from 270 staff and 201 students showed that the "silence" surrounding mental health problems permeates the university environment and impacts on help seeking behaviors, the provision of support and on the recovery and wellbeing of affected individuals. Universities must decrease stigma and foster social inclusion to build self-esteem in people who have mental health problems.
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Affiliation(s)
- Dianne Wynaden
- School of Nursing and Midwifery, Curtin University, GPO Box U 1987, Perth, Western Australia, Australia.
| | | | - Jenny Tohotoa
- School of Nursing and Midwifery, Curtin University, GPO Box U 1987, Perth, Western Australia, Australia.
| | - Omar Al Omari
- School of Nursing and Midwifery, Jerash University, Jordan, Jerash, Amman, Jerash, Jordan.
| | - Karen Heslop
- School of Nursing and Midwifery, Curtin University, GPO Box U 1987, Perth, Western Australia, Australia.
| | - Ravani Duggan
- School of Nursing and Midwifery, Curtin University, GPO Box U 1987, Perth, Western Australia, Australia.
| | - Sean Murray
- Curtin University, GPO Box U 1987, Perth, Western Australia, Australia.
| | - Brenda Happell
- Central Queensland University Rockhampton, North Rockhampton, Queensland, Australia.
| | - Louise Byrne
- School of Nursing and Midwifery, Central Queensland University Rockhampton, North Rockhampton, Queensland, Australia.
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