An investigation of the psychological stress of medical staff in Shanghai shelter hospital during COVID-19

Psychological status of healthcare workers in the post-COVID 19 period in China: a retrospective multicentric cross-sectional study

Objective

This study aimed to assess the depression, anxiety, sleep disorders, and post-traumatic stress disorder (PTSD) among healthcare workers (HCWs) in Huizhou in the post-pandemic period.

Methods

A retrospective multicentric cross-sectional study was conducted from April 25 to May 25, 2023, involving 4,618 HCWs from 46 hospitals in Guangdong Province, China. Psychological well-being was measured using the PHQ-9, GAD-7, Insomnia Severity Index (ISI), and PTSD scales. Chi-square test and multivariable logistic regression were used to identify factors associated with depression, anxiety, insomnia and PTSD.

Results

The rates of anxiety, depression, insomnia, and PTSD were 45.0%, 59.4%, 40.5%, and 10.5%, respectively. HCWs who did not experience negative events were more likely to show anxiety (OR=2.082, 95%CI:1.734-2.499), depression (OR=2.013, 95%CI:1.647-2.460) and insomnia (OR=2.013, 95%CI:1.683-2.409).

Conclusion

There was a high prevalence of anxiety, depression, insomnia, and PTSD in the HCWs after the COVID-19 pandemic.

Relationship between workplace violence, job satisfaction, and burnout among healthcare workers in mobile cabin hospitals in China: Effects of perceived stress and work environment

Background

Although workplace violence is prevalent in the healthcare system, the relationship between workplace violence, job satisfaction, and burnout among healthcare workers (HCWs) in mobile cabin hospitals in China during the COVID-19 pandemic has not yet been investigated. This study analyzes the mediating effects of perceived stress and work environment in the relationship between workplace violence, job satisfaction, and burnout.

Methods

A cross-sectional study was conducted in December 2022 on 1,199 frontline HCWs working in mobile cabin hospitals in Chongqing, China, during the COVID-19 pandemic. Multiple linear regression and mediation analysis were performed.

Results

A positive correlation was observed between workplace violence and burnout (r = 0.420, P < 0.01) and perceived stress (r = 0.524, P < 0.01), and a negative correlation was observed with job satisfaction (r = -0.254, P < 0.01). The perceived stress was positively correlated with burnout (r = 0.528, P < 0.01) and negatively with job satisfaction (r = -0.397, P < 0.01). Job satisfaction was negatively correlated with burnout (r = -0.300, P < 0.01). Perceived stress plays a significant mediating role between workplace violence and job burnout and between workplace violence and job satisfaction. The work environment has a significant moderating effect between workplace violence and job burnout and between workplace violence and job satisfaction.

Conclusion

To reduce burnout among HCWs, hospital administrators should focus on reducing the incidence of workplace violence and perceived stress from work and on improving the work environment and job satisfaction.