Occupational stress and mental health of healthcare workers in the COVID-19 setting: an integrative review

Authors

  • Ítalo Arão Pereira Ribeiro Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: italoaarao@hotmail.com. https://orcid.org/0000-0003-0778-1447
  • Daniel de Macêdo Rocha Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: daniel_m.rocha@outlook.com.br.
  • Ana Lívia Castelo Branco de Oliveira Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: analiviacbranco@hotmail.com. https://orcid.org/0000-0002-2634-0594
  • Amanda Alves de Alencar Ribeiro Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: alves.ar@live.com. https://orcid.org/0000-0002-5729-6063
  • Mayla Rosa Guimarães Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: maylaguimaraes@gmail.com.
  • Márcia Astrês Fernandes Universidade Federal do Piauí (UFPI), Teresina, Piauí, Brasil. E-mail: m.astres@ufpi.edu.br. https://orcid.org/0000-0001-9781-0752
  • Sandra Cristina Pillon Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto, São Paulo, Brasil. E-mail: pillon@eerp.usp.br. https://orcid.org/0000-0001-8902-7549

DOI:

https://doi.org/10.5216/ree.v24.70783

Keywords:

Health Personnel, Occupational Stress, Mental Health, Coronavirus Infections, Nursing

Abstract

Purpose: identify the scientific evidence related to occupational stress and healthcare workers’ mental health in the COVID-19 setting. Method: an integrative literature review was conducted in the databases: MEDLINE via PubMed, Embase, Scopus, Web of ScienceTM, CINAHL, LILACS, IBECS, and BDENF in September 2021. Results: fifteen articles comprised the final sample of this review. In the synthesis of knowledge, three axes were identified: Worker’s Mental illness: stress and other psychic disorders; stressful context: structural and intrinsic factors; coping strategies, protective factors and mental health preservation. Conclusion: the evidence points to the need for further research to strategize, develop, and implement programs aimed at the prevention, promotion, and relief of occupational stress and mental distress among healthcare workers in pandemic times.

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References

Wang C, Horby PW, Hayden FG, Gao GF. A novel coronavirus outbreak of global health concern. Lancet [Internet]. 2020 [cited 2022 Dec 01];15;395(10223):470-3. Available from: https://doi.org/10.1016/S0140-6736(20)30185-9

World Health Organization. Getting workplace for COVID-19 [Internet]. Geneva (SW): World Health Organization; 2020 [cited 2022 Dec 01]. Available from: https://www.who.int/docs/default-source/coronaviruse/getting-workplace-ready-for-covid-19.pdf

Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ [Internet]. 2020 [cited 2022 Dec 01]; 368:m1211. Available from: https://doi.org/10.1136/bmj.m1211

Bergamo M. Número de profissionais de enfermagem mortos por Covid-19 volta a crescer em janeiro. Folha de São Paulo [Internet]. 2021 Feb 7 [cited 2022 Dec 01]; Available from: https://www1.folha.uol.com.br/colunas/monicabergamo/2021/02/numero-de-profissionais-de-enfermagem-mortos-por-covid-19-volta-a-crescer-em-janeiro.shtml

UOL. São Paulo: Número de profissionais de saúde afastados por covid quase dobra [Internet]. 2022 Jan 22 [cited 2022 Dec 01]. Available from: https://noticias.uol.com.br/saude/ultimas-noticias/redacao/2022/01/22/profissionais-de-saude-afastados-covid-sao-paulo.htm

Bao Y, Sun Y, Meng S, Shi J, Lu L. 2019-nCoV epidemic: address mental health care to empower society. Lancet [Internet]. 2020 [cited 2022 Dec 01];395(10224):e37-8. Available from: https://doi.org/10.1016/S0140-6736(20)30309-3

Campos FM, Araújo TM, Viola DN, Oliveira PCS, Sousa CC. Estresse ocupacional e saúde mental no trabalho em saúde: desigualdades de gênero e raça. Cadernos Saúde Coletiva [Internet]. 2020 [cited 2022 Dec 01];28(4):579-89. Available from: https://doi.org/10.1590/1414-462X202028040559

Whittemore R, Knafl K. The integrative review: updated methodology. J Adv Nurs [Internet]. 2005 [cited 2022 Dec 01];52(5):546-53. Available from: https://doi.org/10.1111/j.1365-2648.2005.03621.x

Lockwood C, Porrit K, Munn Z, Rittenmeyer L, Salmond S, Bjerrum M, Loveday H, Carrier J, Stannard D. Chapter 2: Systematic reviews of qualitative evidence. In: Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis [Internet]. Adelaide (AU): JBI, 2020 [cited 2022 Dec 01]. Available from https://doi.org/10.46658/JBIMES-20-03

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021 [cited 2022 Dec 01];372:n71. Available from: https://doi.org/10.1136/bmj.n71

Phillips B, Ball C, Sackett D, Badenoch D, Straus S, Haynes B, et al. Levels of Evidence and Grades of Recommendation. Oxford Centre for Evidence-Based Medicine-Centre for Evidence - Based Medicine [Internet]. 2009 [cited 2021 Dec 01]. Available from: https://www.cebm.ox.ac.uk/resources/levels-of-evidence/oxford-centre-for-evidence-based-medicine-levels-of-evidence-march-2009

Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. J Nurs Manag [Internet]. 2020 [cited 2022 Dec 01];28(5):1002-9. Available from: https://doi.org/10.1111/jonm.13014

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open [Internet]. 2020 [cited 2022 Dec 01];3(3):e203976. Available from: https://doi.org/10.1001/jamanetworkopen.2020.3976

Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-membersof medical teams aiding in COVID-19 control. Brain Behav Immun [Internet]. 2020 [cited 2022 Dec 01];88:916-19. Available from: https://doi.org/10.1016/j.bbi.2020.03.007

Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi [Internet]. 2020 [cited 2022 Dec 01];38(3):192-5. Available from: https://pubmed.ncbi.nlm.nih.gov/32131151/ Chinese.

Du J, Dong L, Wang T, Wang T, Yuan C, Fu R, Zhang L, et al. Psychological symptoms among frontline healthcare workers during COVID-19 outbreak in Wuhan. Gen Hosp Psychiatry [Internet]. 2020 [cited 2022 Dec 01];67:144-5. Available from: https://doi.org/10.1016/j.genhosppsych.2020.03.011

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control [Internet]. 2020 [cited 2022 Dec 01];48(6):592-8. Available from: https://doi.org/10.1016/j.ajic.2020.03.018

Wang S, Xie L, Xu Y, Yu S, Yao B, Xiang D. Sleep disturbances among medical workers during the outbreak of COVID-2019. Occup Med (Lond) [Internet]. 2020 [cited 2022 Dec 01];70(5):364-9. Available from: https://doi.org/10.1093/occmed/kqaa074

Zhang SX, Liu J, Jahanshahi AA, Nawaser K, Yousefi A, Li J, et al. At the height of the storm: Healthcare staff’s health conditions and job satisfaction and their associated predictors during the epidemic peak of COVID-19. Brain Behav Immun [Internet]. 2020 [cited 2022 Dec 01];87:144-6. Available from: https://doi.org/10.1016/j.bbi.2020.05.010

Cai W, Lian B, Song X, Hou T, Deng G, Li H. A cross-sectional study on mental health among health care workers during the outbreak of Corona Virus Disease 2019. Asian J Psychiatr [Internet]. 2020 [cited 2022 Dec 01];51:102111. Available from: https://doi.org/10.1016/j.ajp.2020.102111

Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res [Internet]. 2020 [cited 2022 Dec 01];288:112936. Available from: https://doi.org/10.1016/j.psychres.2020.112936

Zhang C, Yang L, Liu S, Ma S, Wang Y, Cai Z, et al. Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Front Psychiatry [Internet]. 2020 [cited 2022 Dec 01];11:306. Available from: https://doi.org/10.3389/fpsyt.2020.00306

Mohindrab R, R R, Suri V, Bhalla A, Singh SM. Issues relevant to mental health promotion in frontline health care providers managing quarantined/isolated COVID19 patients. Asian J Psychiatr [Internet]. 2020 [cited 2022 Dec 01];51:102084. Available from: https://doi.org/10.1016/j.ajp.2020.102084

Shah M, Roggenkamp M, Ferrer L, Burger V, Brassil K. Mental Health and COVID-19: The Psychological Implications of a Pandemic for Nurses. Clin J Oncol Nurs [Internet]. 2021 [cited 2022 Dec 01];25(1):69-75. Available from: https://doi.org/10.1188/21.CJON.69-75

Sampaio F, Sequeira C, Teixeira L. Impact of COVID-19 outbreak on nurses' mental health: A prospective cohort study. Environ Res [Internet]. 2021 [cited 2022 Dec 01];194:110620. Available from: https://doi.org/10.1016/j.envres.2020.110620

Riedel B, Horen SR, Reynolds A, Hamidian Jahromi A. Mental Health Disorders in Nurses During the COVID-19 Pandemic: Implications and Coping Strategies. Front Public Health [Internet]. 2021 [cited 2022 Dec 01];9:707358. Available from: https://doi.org/10.3389/fpubh.2021.707358

International Labour Organization. COVID-19 crisis and the informal economy: Immediate responses and policy challenges. [Internet]. Geneva (SW): International Labour Organization (ILO); 2020 [cited 2022 Dec 01]. Available from: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---travail/documents/briefingnote/wcms_743623.pdf

Costa NNG, Servo MLS, Figueredo WN. COVID-19 and the occupational stress experienced by health professionals in the hospital context: integrative review. Rev Bras Enferm [Internet]. 2022 [cited 2022 Dec 01];75 (Suppl 1):e20200859. Available from: https://doi.org/10.1590/0034-7167-2020-0859

Khanal P, Paudel K, Devkota N, Dahal M, Mishra SR, Joshi D. Corona virus fear among health workers during the early phase of pandemic response in Nepal: A web-based cross-sectional study. PLOS Glob Public Health [Internet]. 2021 [cited 2022 Dec 01];1(12):e0000083. Available from: https://doi.org/10.1371/journal.pgph.0000083

International Labour Organization (ILO). Social protection responses to the COVID-19 pandemic in developing countries: Strengthening resilience by building universal social protection [Internet]. Geneva (SW): International Labour Organization (ILO); 2020 [cited 2022 Dec 01]. Available from: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---soc_sec/documents/publication/wcms_744612.pdf

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Published

2022-12-31

How to Cite

1.
Ribeiro Ítalo AP, Rocha D de M, Oliveira ALCB de, Ribeiro AA de A, Guimarães MR, Fernandes MA, Pillon SC. Occupational stress and mental health of healthcare workers in the COVID-19 setting: an integrative review. Rev. Eletr. Enferm. [Internet]. 2022 Dec. 31 [cited 2024 Jul. 17];24:70783. Available from: https://revistas.ufg.br/fen/article/view/70783

Issue

Vol. 24 (2022)

Section

Review Article

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