Fear of coronavirus in intensive care nurses: A cross-sectional study

Öz

Background/Aim: The COVID-19 pandemic has had negative effects on healthcare workers and caused burnout and psychosocial problems, endangering their mental health. This study aimed to reveal the COVID-19 fears of intensive care nurses during the pandemic. Methods: The data of this cross-sectional study were collected with the participation of 128 nurses working in the intensive care units of two public hospitals between October 2020 and November 2020. The Nurse Identification Form and the Fear of COVID-19 Scale were used in data collection. The online survey forms were delivered to the nurses through WhatsApp groups to protect the health of both researchers and participants during the COVID-19 pandemic. Results: The nurses’ mean COVID-19 fear scale score was found to be 22.7 (5.1). The mean scale scores differed at statistically significant levels, depending on the education status and the number of patients per nurse in one single shift (P<0.05). Conclusion: The COVID-19 pandemic is a cause of stress and fear for nurses and other healthcare workers. During the COVID-19 pandemic process, it is crucial to assess the fears and coping skills of intensive care nurses; the nurses should also be supported physiologically, psychologically, and sociologically. New studies are needed to reveal the effectiveness of support services related to emotion management and infection control in nurses.

Anahtar Kelimeler

• Coronavirus
• Fear
• Intensive care unit
• Nurse
• Pandemic

Kaynakça

1. 1. Burki TK. Coronavirus in China. Lancet Respir Med. 2020;8(3):238.
2. 2. Cui S, Jiang Y, Shi Q, Zhang L, Kong D, Qian M. Impact of COVID-19 on psychology of nurses working in the emergency and fever outpatient: A cross-sectional survey. BMC Psychiatry. 2020. (Preprint) doi: 10.21203/rs.3.rs-20777/v1
3. 3. World Health Organization (WHO), 2020. Coronavirus disease (COVID-19) pandemic. Available from: https://covid19.who.int/ Accessed May 17, 2021.
4. 4. World Health Organization (WHO), 2020. Keep health workers safe to keep patients safe: WHO. Accessed January 8, 2021. Available from: https://www.who.int/news/item/17-09-2020-keep-health-workers-safe-to-keep-patients-safe-who
5. 5. CDC COVID Data Tracker. 2021. Accessed January 3, 2021. Available from: https://covid.cdc.gov/covid-data-tracker/#health-care-personnel
6. 6. https://tr.euronews.com/2020/04/29/sagl-k-bakan-koca-covid-19-la-mucadelede-gelinen-son-noktay-degerlendiriyor. Accessed January 3, 2021.
7. 7. China Central Disease Control (CDC). 2020. Vital Surveillances: The Epidemiological Characteristics of an Outbreak of 2019 Novel Coronavirus Diseases (COVID-19) — China. Accessed December 25, 2020. Available from: http://weekly.chinacdc.cn/article/id/e53946e2-c6c4-41e9-9a9b-fea8db1a8f51
8. 8. Liu YE, Zhai ZC, Han YH, Liu YL, Liu FP, Hu DY. Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis. Public Health Nurs. 2020;37:757–63. doi: 10.1111/phn.12768

9. 9. Shanafelt T, Ripp J, Trockel M. Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA. 2020;323(21):33-4. doi: 10.1001/jama.2020.5893.
10. 10. Zerbini G, Ebigbo A, Reicherts P, Kunz M, Messman H. Psychosocial burden of healthcare professionals in times of COVID-19 – a survey conducted at the University Hospital Augsburg. GMS German Medical Science. 2020;18:1-9.
11. 11. Labrague LJ, De los Santo JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag. 2020;00:1–9. doi: 10.1111/jonm.13168
12. 12. Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID-19 scale: development and ınitial validation. Int J Ment Health Ad. 2020;1-9. doi: 10.1007/s11469-020-00270-8
13. 13. Bakioğlu F, Korkmaz O, Ercan H. Fear of COVID-19 and positivity: mediating role of ıntolerance of uncertainty, depression, anxiety, and stress. Int J Ment Health Ad. 2020;1-14. doi: 10.1007/s11469-020-00331-y
14. 14. Quigley AL, Stone H, Nguyen PY, Chughtai AA, MacIntyre CR. Estimating the burden of COVID-19 on the Australian healthcare workers and health system during the first six months of the pandemic. Int J Nurs Stud. 2020;114:103811. doi: 10.1016/j.ijnurstu.2020.103811.
15. 15. Bandyopadhyay S, Baticulon RE, Kadhum M, Alser M, Ojuka DK, Badereddin Y. Infection and mortality of healthcare workers worldwide from COVID-19: a scoping review. BMJ Global Health. 2020;5:e003097. doi: 10.1136/ bmjgh-2020-003097
16. 16. Kambhampati AK, O’Halloran AC, Whitaker M, Magill SS, Chea N, Chai SJ, et al. COVID-19–associated hospitalizations among health care personnel — COVID-NET. MMWR. 2020;69:43. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7659917/
17. 17. Semerci R, Kudubeş AA, Eşref FÇ. Assessment of Turkish oncology nurses’ knowledge regarding COVID-19 during the current outbreak in Turkey. Support Care Cancer. 2021;29:1999-2006. doi: 10.1007/s00520-020-05700-w.
18. 18. Lombardi A, Consonni D, Carugno M, Bozzi G, Mangioni D, Muscatello A, et al. Characteristics of 1573 healthcare workers who underwent nasopharyngeal swab testing for SARS-CoV-2 in Milan, Lombardy, Italy. Clin Microbiol Infect. 2020; 26(10):1413e9-13. doi: 10.1016/j.cmi.2020.06.013
19. 19. Eyre DW, Lumley SF, O'Donnell D, Campbell M, Sims E, Lawson E, et al. Differential occupational risks to healthcare workers from SARS-CoV-2 observed during a prospective observational study. ELife. 2020;9:e60675. doi: 10.7554/eLife.60675
20. 20. Hendy A, Abozeid A, Sallam G, Fattah HAA, Reshia FAA. Predictive factors affecting stress among nurses providing care at COVID-19 isolation hospitals at Egypt. Nurs Open. 2021;8:498–505. doi: 10.1002/nop2.652
21. 21. Luceño-Moreno L, Talavera-Velasco B, García-Albuerne Y, Martín-García, J. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish Health Personnel during the COVID-19 Pandemic. Int J Environ Res Public Health. 2020;17:5514. doi: 10.3390/ijerph17155514
22. 22. Pouralizadeh M, Bostani Z, Maroufizadeh S, Ghanbari A, Khoshbakht M, Alavi SA, et al. Anxiety and depression and the related factors in nurses of Guilan University of Medical Sciences hospitals during COVID-19: A web-based cross-sectional study. Int J Africa Nurs Sci. 2020;13:100233. doi: 10.1016/j.ijans.2020.100233
23. 23. Halcomb E, McInnes S, Williams A, Ashley C, James S, Fernandez R, et al. The experiences of primary healthcare nurses during the COVID-19 pandemic in Australia. J Nurs Scholarsh. 2020;52(5):553–63. doi: 10.1111/jnu.12589
24. 24. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinical Medicine. 2020;24:100424. doi: 10.1016/j.eclinm.2020.100424
25. 25. Yakut E, Kuru Ö, Güngör Y. Determination of the influence of work overload and perceived social support in the effect of the COVID-19 fears of healthcare personnel on their burnout by structural equation modelling. Ekev Akademi Dergisi. 2020;24:83.
26. 26. Bruyneel A, Gallani MC, Tack J, d’Hondt A, Canipel S, Franck S, et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit Care Nurs. 2021;62:102967. doi: 10.1016/j.iccn.2020.102967
27. 27. Tayyib N, Alsolami F. Measuring the extent of stress and fear among Registered Nurses in KSA during the COVID-19 Outbreak. Journal of Taibah University Medical Sciences. 2020;15(5):410-16.
28. 28. Gonzales-Gil MT, González-Blázquez C, Parro-Moreno AI, Pedraz-Marcos A, Palmar-Santos A, Otero-García L, et al. Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services. Intensive Crit Care Nurs. 2021;62:102966. doi: 10.1016/j.iccn.2020.102966
29. 29. Karasu F, Çapur EÖ. An intensive care nurse in the forefront of the epidemic while increasing cases of Covid-19: “HEROES IN FRONT-LINE”. Yoğun Bakım Hemşireliği Dergisi. 2020;24(1):11-4.
30. 30. Yifan T, Ying L, Chunhong G, Jing S, Rong W, Zhenyu L. Symptom cluster of ICU nurses treating COVID-19 pneumonia patients in Wuhan, China. J Pain Symptom Manag. 2020;60(1):e48-e53. doi: 10.1016/j.jpainsymman.2020.03.039
31. 31. Jahrami H, BaHammam AS, AlGahtani H, Ebrahim A, Faris M, AlEid K, et al. The examination of sleep quality for frontline healthcare workers during the outbreak of COVID-19. Sleep and Breathing. 2020. doi: 10.1007/s11325-020-02135-9
32. 32. Qi J, Xu J, Li BZ, Huang JS, Yang Y, Zhang ZT, et al. The evaluation of sleep disturbances for Chinese frontline medical workers under the outbreak of COVID-19. Sleep Medicine. 2020;72:1e4. doi: 10.1016/j.sleep.2020.05.023
33. 33. Sunjaya DK, Herawati DMD, Siregar AYM. Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID-19 outbreak in Indonesia: A documentary research using rasch model analysis. BMC Public Health. 2020. doi: 10.21203/rs.3.rs-45413/v1
34. 34. Beidel DC, Bulik CM, Stanley MA. Abnormal psychology. Boston: Pearson; 2014.
35. 35. Islam S, Sarkar T, Khan SH, Kamal AHM, Hasan SMM, Kabir A, et al. COVID-19–related infodemic and ıts ımpact on public health: a global social media analysis. Am J Trop Med Hyg. 2020;103(4), 1621–9. doi: 10.4269/ajtmh.20-0812
36. 36. Yalçın A. COVID-19 sürecinde yoğun bakım yönetimi. Medical Research Reports. 2020;3(Supp 1):66-85.