File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope

TitleThe psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope
Authors
Issue Date2005
PublisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.euro-emergencymed.com/
Citation
European Journal of Emergency Medicine, 2005, v. 12 n. 1, p. 13-18 How to Cite?
AbstractOBJECTIVES: The objectives of the present study were to examine the degree and the sources of mental distress and the coping strategies adopted by healthcare workers (HCW) of emergency departments (ED) in Hong Kong during the outbreak of severe acute respiratory syndrome (SARS). METHODS: Questionnaires were sent to all doctors, nurses and healthcare assistants (HCA) working in the ED of all public hospitals. The overall degree of mental distress was measured by a single-item 11-point Likert scale. The source of distress was measured by an 18-item questionnaire, which was designed based on the experience of clinical psychologist colleagues providing counselling to staff taking care of SARS patients. The Brief Cope questionnaire was used to study coping strategies adopted by staff. RESULTS: A total of 1260 questionnaires were sent out and the response rate was approximately 37%. The mean overall distress level was 6.19 out of a 10-point scale. The mean overall distress levels for doctors, nurses and HCA were 5.91, 6.52 and 5.44, respectively (F(2,420)=6.47, P<0.005). The overall distress level for nurses was significantly higher than for HCA (P<0.005) but not doctors. The overall distress level was highly and significantly correlated with the six sources of distress: vulnerability/loss of control (r=0.68); health of self (r=0.62); spread of virus (r=0.60); health of family and others (r=0.59); changes in work (r=0.46); being isolated (r=0.45). The scores for nurses were significantly higher than for doctors in terms of the six sources of distress (all P values <0.01). HCA were significantly higher than doctors (but not nurses) in worrying about their family's and others' health (P<0.05). In terms of coping strategies, doctors were significantly more likely than nurses and HCA to use planning (P<0.05 and <0.01 respectively); nurses were significantly more likely than doctors to use behavioural disengagement (P<0.01); whereas HCA were significantly more likely than doctors to use self distractions (P<0.05). CONCLUSIONS: SARS had caused a significant level of distress among ED staff. The distress level was highest for nurses, followed by doctors and HCA. The three most important variables that could account for the distress level were loss of control/vulnerability, fear for self-health and spread of the virus. Overall, the more frequently adopted coping strategies were acceptance, active coping, and positive framing.
Persistent Identifierhttp://hdl.handle.net/10722/88123
ISSN
2015 Impact Factor: 2.026
2015 SCImago Journal Rankings: 0.608

 

DC FieldValueLanguage
dc.contributor.authorWong, TWen_HK
dc.contributor.authorYau, JKYen_HK
dc.contributor.authorChan, CLWen_HK
dc.contributor.authorKwong, RSYen_HK
dc.contributor.authorHo, SMYen_HK
dc.contributor.authorLau, CCen_HK
dc.contributor.authorLau, FLen_HK
dc.contributor.authorLit, CHen_HK
dc.date.accessioned2010-09-06T09:39:05Z-
dc.date.available2010-09-06T09:39:05Z-
dc.date.issued2005en_HK
dc.identifier.citationEuropean Journal of Emergency Medicine, 2005, v. 12 n. 1, p. 13-18en_HK
dc.identifier.issn0969-9546en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88123-
dc.description.abstractOBJECTIVES: The objectives of the present study were to examine the degree and the sources of mental distress and the coping strategies adopted by healthcare workers (HCW) of emergency departments (ED) in Hong Kong during the outbreak of severe acute respiratory syndrome (SARS). METHODS: Questionnaires were sent to all doctors, nurses and healthcare assistants (HCA) working in the ED of all public hospitals. The overall degree of mental distress was measured by a single-item 11-point Likert scale. The source of distress was measured by an 18-item questionnaire, which was designed based on the experience of clinical psychologist colleagues providing counselling to staff taking care of SARS patients. The Brief Cope questionnaire was used to study coping strategies adopted by staff. RESULTS: A total of 1260 questionnaires were sent out and the response rate was approximately 37%. The mean overall distress level was 6.19 out of a 10-point scale. The mean overall distress levels for doctors, nurses and HCA were 5.91, 6.52 and 5.44, respectively (F(2,420)=6.47, P<0.005). The overall distress level for nurses was significantly higher than for HCA (P<0.005) but not doctors. The overall distress level was highly and significantly correlated with the six sources of distress: vulnerability/loss of control (r=0.68); health of self (r=0.62); spread of virus (r=0.60); health of family and others (r=0.59); changes in work (r=0.46); being isolated (r=0.45). The scores for nurses were significantly higher than for doctors in terms of the six sources of distress (all P values <0.01). HCA were significantly higher than doctors (but not nurses) in worrying about their family's and others' health (P<0.05). In terms of coping strategies, doctors were significantly more likely than nurses and HCA to use planning (P<0.05 and <0.01 respectively); nurses were significantly more likely than doctors to use behavioural disengagement (P<0.01); whereas HCA were significantly more likely than doctors to use self distractions (P<0.05). CONCLUSIONS: SARS had caused a significant level of distress among ED staff. The distress level was highest for nurses, followed by doctors and HCA. The three most important variables that could account for the distress level were loss of control/vulnerability, fear for self-health and spread of the virus. Overall, the more frequently adopted coping strategies were acceptance, active coping, and positive framing.-
dc.languageengen_HK
dc.publisherLippincott Williams & Wilkins, Ltd. The Journal's web site is located at http://www.euro-emergencymed.com/en_HK
dc.relation.ispartofEuropean Journal of Emergency Medicineen_HK
dc.rightsEuropean Journal of Emergency Medicine. Copyright © Lippincott Williams & Wilkins, Ltd.en_HK
dc.subject.meshAdaptation, Psychological-
dc.subject.meshDisease Outbreaks - prevention and control-
dc.subject.meshEmergency Service, Hospital - statistics and numerical data-
dc.subject.meshPersonnel, Hospital - psychology - statistics and numerical data-
dc.subject.meshSevere Acute Respiratory Syndrome - epidemiology - prevention and control-
dc.titleThe psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they copeen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, CLW: cecichan@hku.hken_HK
dc.identifier.emailHo, SMY: munyin@hkucc.hku.hken_HK
dc.identifier.authorityChan, CLW=rp00579en_HK
dc.identifier.authorityHo, SMY=rp00554en_HK
dc.identifier.pmid15674079-
dc.identifier.hkuros110290en_HK
dc.identifier.volume12-
dc.identifier.issue1-
dc.identifier.spage13-
dc.identifier.epage18-
dc.publisher.placeUnited Kingdom-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats