Resilience among Pediatric healthcare workers during the COVID-19 pandemic in a tertiary hospital
Maria Yasmin S. Kalaw | Soraya A. Alvarado
Discipline: medicine by specialism
Abstract:
Objectives: Healthcare-workers are at the center of the pandemic, dealing with cases while being at risk of acquiring the infection themselves, causing work-related stress. Despite this, they continue reporting for duty. This paper aims to determine the factors that affect resilience of pediatric healthcare-workers in close contact with patients suspected with COVID infection and its association to sleeping disturbance during the first two years of COVID – 19 pandemic in a tertiary hospital in the Philippines.
Methodology: This is a cross-sectional study. Healthcare-workers who render bedside patient care for those suspected or with COVID-19 infection, not diagnosed with any mental health illness, and fit the inclusion criteria were chosen through purposive sampling and asked to answer questionnaires with demographic survey, BRS and PSQI tool.
Results: Among 89 participants, females were predominant (60.67%). Majority were in the 30-39 age group (44.94%) and are nurses (40.45%) or doctors (39.33%) who were single (76.40%). Many have normal resilience as measured from their BRS scores with an average PSQI per category equal to or exceeded 5.00. The correlation coefficient was at -0.338 (p-value 0.001) between the BRS and PSQI scores, indicating that a significant negative correlation exists between the two scores.
Conclusion: Normal resilience was reported in the majority of the healthcare-workers. All study participants had poor sleep quality as determined in the overall average PSQI score. A negative correlation between resilience and sleep quality was observed, denoting that poor sleep quality can be associated with lower resilience, and vice versa. However, temporality cannot be assumed with this study.
References:
- Xia L, Chen C, Liu Z, et al., (2021) Prevalence of Sleep Disturbances and Sleep Quality in Chinese Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Front. Psychiatry 12:646342. doi: 10.3389/fpsyt.2021.646342
- Patel, A., Patel, S., Fulzele, P., et al., (2020). Quarantine an effective mode for control of the spread of COVID19? A review. Journal of family medicine and primary care, 9(8), 3867–3871. https://doi.org/10.4103/jfmpc.jfmpc_785_20
- McCuistion, T. S., (2016). The Relationship Between Resilience and Sleep Quality. Digital Commons @ ACU, Electronic Theses and Dissertations. Paper 9.
- Nickell, L. A. (2004). Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. Canadian Medical Association Journal, 170(5), 793–798. doi:10.1503/cmaj.1031077
- TAM, C. W. C., PANG, E. P. F., LAM, L. C. W., et al., (2004). Severe acute respiratory syndrome (SARS) in Hong Kong in 2003: stress and psychological impact among frontline healthcare workers. Psychological Medicine, 34(7), 1197–1204. doi:10.1017/s0033291704002247
- Cormier, R. E. (1990). Sleep Disturbances. In H. K. Walker (Eds.) et. al., Clinical Methods: The History, Physical, and Laboratory Examinations. (3rd ed.). Butterworths.
- Stewart N, Koza A, Dhaon S, et al., Sleep Disturbances in Frontline Health Care Workers During the COVID-19 Pandemic: Social Media Survey Study J Med Internet Res 2021;23(5):e27331 URL: https://www.jmir.org/2021/5/e27331 DOI: 10.2196/27331
- Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian journal of psychiatry, 51, 102119. https://doi.org/10.1016/j.ajp.2020.102119
- Windle, G., Bennett, K.M. & Noyes, J. A methodological review of resilience measurement scales. Health Qual Life Outcomes 9, 8 (2011). https://doi.org/10.1186/1477-7525-9-8
- Fung S. F. (2020). Validity of the Brief Resilience Scale and Brief Resilient Coping Scale in a Chinese Sample. International journal of environmental research and public health, 17(4), 1265. https://doi.org/10.3390/ijerph17041265
- Buysse, D. J., Hall, M. L., Strollo, P. J., et al., (2008). Relationships between the Pittsburgh Sleep Quality Index (PSQI), Epworth Sleepiness Scale (ESS), and clinical/polysomnographic measures in a community sample. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 4(6), 563–571.
- Bureau of Labor Statistics, U.S. Department of Labor, The Economics Daily, Over 16 million women worked in health care and social assistance in 2021 (cited: December 01, 2022). Available from: https://www.bls.gov/opub/ted/2022/over-16-million-women-worked-in-health-care-and-social-assistance-in-2021.htm
- Abrigo, M, Ortiz, D. Who Are the Health Workers and Where Are They? Revealed Preferences in Location Decision among Health Care Professionals in the Philippines. Philippine Institute for Development Studies. DISCUSSION PAPER SERIES NO. 2019-32.
- Robredo, J.P. et al. (2022) “Outmigration and unequal distribution of Filipino physicians and nurses: An urgent call for investment in Health Human Resource and Systemic Reform,” The Lancet Regional Health - Western Pacific, 25, p. 100512. Available at: https://doi.org/10.1016/j.lanwpc.2022.100512.
- Baskin RG, Bartlett R. Healthcare worker resilience during the COVID-19 pandemic: An integrative review. J Nurs Manag 2021; 29: 2329–2342.
- Callueng C, Aruta JJBR, Antazo BG, et al. Measurement and antecedents of national resilience in Filipino adults during coronavirus crisis. J Community Psychol 2020; 48: 2608–2624.
- Aruta JJBR. Socio-ecological determinants of distress in Filipino adults during COVID-19 crisis. Curr Psychol 2021; 1–11.
- Rangachari P, Woods JL. Preserving organizational resilience, patient safety, and staff retention during covid-19 requires a holistic consideration of the psychological safety of healthcare workers. Int J Environ Res Public Health 2020; 17: 1–12.
- Santarone K, McKenney M, Elkbuli A. Preserving mental health and resilience in frontline healthcare workers during COVID-19. American Journal of Emergency Medicine 2020; 38: 1530–1531.
- Ganesan S, Magee M, Stone JE, et al. The Impact of Shift Work on Sleep, Alertness and Performance in Healthcare Workers. Sci Rep; 9. Epub ahead of print 1 December 2019. DOI: 10.1038/s41598-019-40914-x.
- Zarzour M, Hachem C, Kerbage H, et al. Anxiety and sleep quality in a sample of Lebanese healthcare workers during the COVID-19 outbreak. Encephale. Epub ahead of print 23 September 2021. DOI: 10.1016/j.encep.2021.06.016.
- Korkmaz S, Kazgan A, Çekiç S, et al. The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. Journal of Clinical Neuroscience 2020; 80: 131–136.
- Marvaldi M, Mallet J, Dubertret C, et al. Anxiety, depression, trauma-related, and sleep disorders among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Neurosci Biobehav Rev 2021; 126: 252–264.
- Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Res; 288. Epub ahead of print 1 June 2020. DOI: 10.1016/j.psychres.2020.112954.
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