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. 2021 Feb;30(1):102-116.
doi: 10.1111/inm.12796. Epub 2020 Oct 27.

A Large-Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID-19 Pandemic

Ruey Chen  1   2 , Chao Sun  3 , Jian-Jun Chen  4   5   6 , Hsiu-Ju Jen  1   2 , Xiao Linda Kang  2   7 , Ching-Chiu Kao  2   8 , Kuei-Ru Chou  1   2   9   10
Affiliations

A Large-Scale Survey on Trauma, Burnout, and Posttraumatic Growth among Nurses during the COVID-19 Pandemic

Ruey Chen et al. Int J Ment Health Nurs. 2021 Feb.

Abstract

A large-scale survey study was conducted to assess trauma, burnout, posttraumatic growth, and associated factors for nurses in the COVID-19 pandemic. The Trauma Screening Questionnaire, Maslach Burnout Inventory, and Posttraumatic Growth Inventory-Short Form were utilized. Factors associated with trauma, burnout, and posttraumatic growth were analysed using logistic and multiple regressions. In total, 12 596 completed the survey, and 52.3% worked in COVID-19 designated hospitals. At the survey's conclusion in April, 13.3% reported trauma (Trauma ≥ 6), there were moderate degrees of emotional exhaustion, and 4,949 (39.3%) experienced posttraumatic growth. Traumatic response and emotional exhaustion were greater among (i) women (odds ratio [OR]: 1.48, 95% CI 1.12-1.97 P = 0.006; emotional exhaustion OR: 1.30, 95% CI 1.09-1.54, P = 0.003), (ii) critical care units (OR: 1.20, 95% CI 1.06-1.35, P = 0.004; emotional exhaustion OR: 1.23, 95% CI 1.12-1.33, P < 0.001) (iii) COVID-19 designated hospital (OR: 1.24, 95% CI 1.11-1.38; P < 0.001; emotional exhaustion OR: 1.26, 95% CI 1.17-1.36; P < 0.001) and (iv) COVID-19-related departments (OR: 1.16, 95% CI 1.04-1.29, P = 0.006, emotional exhaustion only). To date, this is the first large-scale study to report the rates of trauma and burnout for nurses during the COVID-19 pandemic. The study indicates that nurses who identified as women, working in ICUs, COVID-19 designated hospitals, and departments involved with treating COVID-19 patients had higher scores in mental health outcomes. Future research can focus on the factors the study has identified that could lead to more effective prevention and treatment strategies for adverse health outcomes and better use of resources to promote positive outcomes.

Keywords: COVID-19 pandemic; mental health; nurses; psychological outcomes.

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Figures

Fig. 1
Fig. 1
Logistic regression of TSQ by displacement status.
Fig. 2
Fig. 2
Logistic regression of PTGI‐SF by displacement status.
See this image and copyright information in PMC

References

    1. Aguayo, R. , Vargas, C. , Fuente, E. & Lozano, L. (2011). A meta‐analytic reliability generalization study of the Maslach Burnout Inventory. International Journal of Clinical and Health Psychology, 11, 343–361.
    1. American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM‐5®). Arlington, VA: American Psychiatric Association.
    1. Boo, Y. L. , Liam, C. C. K. , Lim, S. Y. et al (2018). Stress and burnout syndrome in health‐care providers treating dengue infection: A cross‐sectional study. Medical Journal of Malaysia, 73, 371–375. - PubMed
    1. Cai, W. , Lian, B. , Song, X. , Hou, T. , Deng, G. & Li, H. (2020). A cross‐sectional study on mental health among health care workers during the outbreak of Corona Virus Disease 2019. Asian Journal of Psychiatry, 51, 102111. - PMC - PubMed
    1. Calhoun, L. G. , Cann, A. & Tedeschi, R. G. (2010). The posttraumatic growth model: Sociocultural considerations In: Weiss T. & Berger R. (Eds.), Posttraumatic Growth and Culturally Competent Practice: Lessons Learned from Around the Globe (pp. 1–14). Hoboken, NJ: John Wiley & Sons Inc.

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