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      The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review

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          Abstract

          At the heart of the unparalleled crisis of COVID-19, healthcare workers (HCWs) face several challenges treating patients with COVID-19: reducing the spread of infection; developing suitable short-term strategies; and formulating long-term plans. The psychological burden and overall wellness of HCWs has received heightened awareness in news and research publications. The purpose of this study was to provide a review on current publications measuring the effects of COVID-19 on wellness of healthcare providers to inform interventional strategies. Between April 6–May 17, 2020, we conducted systematic searches using combinations of these keywords and synonyms in conjunction with the controlled vocabulary of the database: “physician,” “wellness, “wellbeing,” “stress,” “burnout,” “COVID-19,” and “SARS-CoV-2.” We excluded articles without original data, research studies regarding the wellness of non-healthcare occupations or the general public exclusively, other outbreaks, or wellness as an epidemic. A total of 37 studies were included in this review. The review of literature revealed consistent reports of stress, anxiety, and depressive symptoms in HCWs as a result of COVID-19. We describe published data on HCW distress and burnout but urge future research on strategies to enhance HCW well-being.

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Jianbo Lai, Simeng Ma, Ying Wang … (2020)
          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey

            Yeen Huang, Ning Zhao (2020)
            Highlights • The COVID-19 outbreak significantly affects the mental health of Chinese public • During the outbreak, young people had a higher risk of anxiety than older people • Spending too much time thinking about the outbreak is harmful to mental health • Healthcare workers were at high risk for poor sleep
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              A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak

              Nicholas W.S. Chew, Grace K.H. Lee, Benjamin Tan … (2020)
              Highlights • Commonly reported symptoms are headache, throat pain and lethargy. • A large number of healthcare workers report more than four symptoms. • Those with physical symptoms had higher rates of depression, anxiety, stress, PTSD. • Those with physical symptoms had higher mean scores in the IES-R, DASS subscales. • Association between physical symptoms and psychological outcomes may be bidirectional.
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                Author and article information

                Journal
                Journal ID (nlm-ta): West J Emerg Med
                Journal ID (iso-abbrev): West J Emerg Med
                Journal ID (publisher-id): WestJEM
                Title: Western Journal of Emergency Medicine
                Publisher: Department of Emergency Medicine, University of California, Irvine School of Medicine
                ISSN (Print): 1936-900X
                ISSN (Electronic): 1936-9018
                Publication date (Print): September 2020
                Publication date (Electronic): 17 August 2020
                Volume: 21
                Issue: 5
                Pages: 1059-1066
                Affiliations
                [* ]University of Louisville, Department of Emergency Medicine, Louisville, Kentucky
                [† ]University of Louisville, Kornhauser Library, Louisville, Kentucky
                Author notes
                Address for Correspondence: Jacob Shreffler, PhD, University of Louisville, Department of Emergency Medicine, 530 S Jackson St C1H17, Louisville, KY 40202. Email: Jacob.shreffler@ 123456louisville.edu .
                Article
                Publisher ID: wjem-21-1059
                DOI: 10.5811/westjem.2020.7.48684
                PMC ID: 7514392
                PubMed ID: 32970555
                SO-VID: 75e8065a-5d95-4913-9d05-fc0a6dc4c9c0
                Copyright © Copyright: © 2020 Shreffler et al.
                License:

                This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/

                History
                Date received : 12 June 2020
                Date revision received : 28 June 2020
                Date accepted : 24 July 2020
                Categories
                Subject: Endemic Infections
                Subject: Review Article

                ScienceOpen disciplines: Emergency medicine & Trauma
                Data availability:
                ScienceOpen disciplines: Emergency medicine & Trauma

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