Health uncertainty among healthcare workers during the COVID-19 pandemic

Daniel L. Hall, C. Luberto, A. Markowitz, Helen R. Mizrach, Nevita George, Giselle K. Perez, N. DeTore, G. Fricchione, D. Holt, L. Sylvia, E. Park
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引用次数: 2

Abstract

Objective: The degree to which healthcare workers experience uncertainty about their health has yet to be examined as a contributor to the psychological toll of the COVID-19 pandemic In this report, we aimed to (1) characterize health uncertainty levels among healthcare workers in a large, U S hospital system during the COVID-19 pandemic, and (2) examine factors associated with higher levels of health uncertainty Methods: From March to June 2020, healthcare workers in a large, urban U S healthcare system were invited via hospital emails and departmental announcements to complete an online questionnaire (REDCap) Self-report measures assessed sociodemographic characteristics and job roles, health uncertainty, and emotional wellbeing variables (anxiety, depression, loneliness, self-compassion, and coping confidence) Health uncertainty levels were compared using t-tests and ANOVAs Results: Healthcare workers (N=440) were on average 44 5 years of age, 88 9% female, and 84 5% non-Hispanic white Over half (52%) of healthcare workers reported at least some health uncertainty;pharmacists had the highest uncertainty, and technicians had significantly higher uncertainty than physicians (p< 05) and mental health and spiritual counselors (p< 05) Additionally, higher health uncertainty was associated with higher anxiety (p<0 001), depression (p<0 001), and loneliness (p<0 001), higher self compassion (p=0 02), and lower coping confidence (p<0 001) Conclusion: Collectively, these findings have implications for targeted coping skills interventions for healthcare workers, including particular pharmacists and technicians, who are essential in delivering healthcare services to the public during the COVID-19 pandemic
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COVID-19大流行期间卫生保健工作者的健康不确定性
在本报告中,我们的目的是(1)表征COVID-19大流行期间美国大型医院系统中医护人员的健康不确定性水平,以及(2)检查与较高水平的健康不确定性相关的因素。2020年3月至6月,通过医院电子邮件和部门公告邀请美国大型城市医疗保健系统的医护人员完成在线问卷(REDCap)。自我报告测量评估了社会人口统计学特征和工作角色、健康不确定性和情绪健康变量(焦虑、抑郁、孤独、自我同情和应对信心)。卫生保健工作者(N=440)的平均年龄为44.5岁,88.9%为女性,84.5%为非西班牙裔白人。超过一半(52%)的卫生保健工作者报告至少有一些健康不确定性;药剂师的不确定性最高,技术人员的不确定性显著高于医生(p<05)以及心理健康和精神咨询师(p<05)此外,较高的健康不确定性与较高的焦虑(p< 001)、抑郁(p< 001)和孤独(p< 001)、较高的自我同情(p= 0.02)和较低的应对信心(p< 001)有关。结论:总的来说,这些发现对医疗工作者(包括药剂师和技术人员)有针对性的应对技能干预有影响,他们在COVID-19大流行期间向公众提供医疗服务至关重要
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