Although the COVID-19 pandemic increased stress and anxiety for most people, frontline workers have been particularly vulnerable. This article focuses on doctors and nurses and analyzes their perceived mental and life stress relative to allied healthcare workers. The study uses data from Statistics Canada's crowdsource initiative, analyzed within a multinomial logistic regression framework. Results point to increased stress among these workers. More specifically, results suggest that compared with pre-COVID-19, mental stress increased for doctors. In contrast, although mental stress did not increase for nurses, it remained poor, similar to that experienced pre-COVID-19.
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References
1.
BerkmanL. Commentary: The hidden and not so hidden benefits of work: identity, income and interaction. Int J Epidemiol. 2014;43:1517-1519.
2.
VanceDEBailJEnahCCPalmerJJHoenigAK. The impact of employment on cognition and cognitive reserve: implications across diseases and aging. Nurs: Research and Reviews. 2016;6:61-71.
3.
ModiniMJoyceSMykletunA, et al.The mental health benefits of employment: Results of a systematic meta-review. Australas Psychiatry. 2016;24(4):331-336.
4.
EskelinenLToikkanenJTuomiKMaunoINygardCHIlmarinenJ. Symptoms of mental and physical stress in different categories of municipal work. Scand J Work, Environ Health. 1991;17(suppl 1):82-86.
5.
NieuwenhuijsenKBruinvelsDFrings-DresenM. Psychosocial work environment and stress-related disorders, a systematic review. Occupational Med. 2010;60:277-286.
6.
BrunnerBIgicIKellerACWieserS. Who gains the most from improving working conditions? Health-related absenteeism and presenteeism due to stress at work. Eur J Health Econ. 2019;20:1165-1180.
7.
AlaviniaSMMolenaarDBurdorfA. Productivity loss in the workforce: associations with health, work demands, and individual characteristics. Am J Indust Med. 2009;52(1):49-56.
8.
LernerDAmickBCLeeJC, et al.Relationship of employee-reported work limitations to work productivity. Medi Care. 2003;41(5):649-659.
9.
McTernanWPDollardM FLaMontagneAD. Depression in the workplace: An economic cost analysis of depression-related productivity loss attributable to job strain and bullying. Work & Stress. 2013;27(4):321-338.
Boluarte CarbajalASánchez BoluarteARodríguez BoluarteAMerino SotoC. Working conditions and emotional impact in health care workers during COVID-19 pandemic. J Healthc Qual Res. 2020;35:401-402.
12.
TheorellT. COVID-19 and Working Conditions in Health Care. Psychother Psychosom. 2020;89:193-194.
13.
RubinBGoldfarbRSateleD, et al.Burnout and distress among nurses in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open. 2021;9:19-28.
14.
RubinBGoldfarbRSateleD, et al.Burnout and distress among allied health care professionals in a cardiovascular centre of a quaternary hospital network: A cross-sectional survey. CMAJ Open. 2021;9:29-37.
15.
RubinBGoldfarb SataleRD, et al.Burnout and distress among doctors in a cardiovascular centre of a quaternary hospital network: a cross-sectional survey. CMAJ Open. 2021;9:E10-E18.
16.
ShaukatNAliDMRazzakJ. Physical and mental health impacts of COVID-19 on health care workers: A scoping review. Int J Emerg Med. 2020;13:40.
17.
JacksonDAndersRPadulaWVDalyJDavidsonPM. Vulnerability of nurse and doctors with COVID-19: Monitoring and surveillance needed. J Clin Nurs. 2020;29(19-20):3584-3587.
18.
LiYSchererNFelixLKuperH. Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PLoS One. 2021;16(3):e0246454.
19.
LiZGeJYangM, et al.Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain, Behav Immun. 2020;88:916-919. doi:10.1016/j.bbi.2020.03.007.
20.
McCannLPearlmanLA. Vicarious traumatization: A framework for understanding the psychological effects of working with victims. J Traumatic Stress. 1990;3:131-147. doi:10.1007/BF00975140.
21.
LluchCGalianaLDoménechPSansóN. The Impact of the COVID-19 Pandemic on Burnout, Compassion Fatigue, and Compassion Satisfaction in Healthcare Personnel: A Systematic Review of the Literature Published during the First Year of the Pandemic. Healthcare. 2022;10(2). doi:10.3390/healthcare10020364.364.
ManoharKNParasharNKumarCRS, et al.Prevalence and severity of secondary traumatic stress and optimism in Indian health care professionals during COVID-19 lockdown. PLoS ONE. 2021;16:16e0257429. doi:10.1371/journal.pone.0257429.
24.
RobertsTDanielsJHirstR, et al.Research and Audit Federation of Trainees (RAFT), Irish Trainee Emergency Research Network (ITERN) and Trainee Research in Intensive Care (TRIC)), Psychological distress and trauma in doctors providing frontline care during the COVID-19 pandemic in the United Kingdom and Ireland: a prospective longitudinal survey cohort study. BMJ Open. 2021;11:e049680. doi:10.1136/bmjopen-2021-049680.
25.
HolmesMRentropeCKorschAKingJ. Impact of COVID-19 Pandemic on Posttraumatic Stress, Grief, Burnout, and Secondary Trauma of Social Workers in the United States. Clin Social Work J. 2021;49:1-10. doi:10.1007/s10615-021-00795-y.
26.
JonesAMClarkJSMohammadRA. Burnout and secondary traumatic stress in health-system pharmacists during the COVID-19 pandemic. Am J Health-Syst Pharm. 2021;78(9):818-824. doi:10.1093/ajhp/zxab051.
27.
BrideBERadeyMFigleyCR. Measuring compassion fatigue. Clin Social Work J. 2007;35(3):155-163. doi:10.1007/s10615-007-0091-7.
28.
BercierMLMaynardBR. Interventions for secondary traumatic stress with mental health workers: A systematic review. Research on Social Work Practice. 2015;25(1):81-89. doi:10.1177/1049731513517142.
29.
WhiteD. The hidden costs of caring what managers need to know. Health Care Manag. 2006;25(4):341-347. doi:10.1097/00126450-200610000-00010.
30.
StammBHVarraEPearlmanLGillerE. The Helper’s Power to Heal and to be Hurt-or Helped-by Trying. Washington, DC: National Register of Health Service Providers in Psychology; 2002.
31.
HavaeiFSmithPOudykJPotterGG. The impact of the COVID-19 pandemic on mental health of nurses in British Columbia, Canada using trends analysis across three time points. Ann Epidemiol. 2021;62:7-12.
32.
KhanNPalepuADodekP, et al.Cross-sectional survey on doctor burnout during the COVID-19 pandemic in Vancouver, Canada: the role of gender, ethnicity and sexual orientation. BMJ Open. 2021;11:e050380.
33.
WilbiksJMPBestLALawMARoachSP. Evaluating the mental health and well-being of Canadian health care workers during the COVID-19 outbreak. Healthc Manage Forum. 2021;34(4):205-210.
34.
Statistics Canada. Impacts of COVID-19 on Health Care Workers: Infection Prevention and Control. doi:10.25318/13250004-eng.
35.
MaunderRGHeeneyNDStrudwickG, et al.Burnout in hospital-based healthcare workers during COVID-19. Science Briefs of the Ontario COVID-19 Science Advisory Table. 2021;2(46).
