Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak.
Identifieur interne : 002117 ( PubMed/Checkpoint ); précédent : 002116; suivant : 002118Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak.
Auteurs : Robert G. Maunder [Canada] ; William J. Lancee ; Kenneth E. Balderson ; Jocelyn P. Bennett ; Bjug Borgundvaag ; Susan Evans ; Christopher M B. Fernandes ; David S. Goldbloom ; Mona Gupta ; Jonathan J. Hunter ; Linda Mcgillis Hall ; Lynn M. Nagle ; Clare Pain ; Sonia S. Peczeniuk ; Glenna Raymond ; Nancy Read ; Sean B. Rourke ; Rosalie J. Steinberg ; Thomas E. Stewart ; Susan Vandevelde-Coke ; Georgina G. Veldhorst ; Donald A. WasylenkiSource :
- Emerging infectious diseases [ 1080-6040 ] ; 2006.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Personnel hospitalier, Syndrome respiratoire aigu sévère.
- épidémiologie : Syndrome respiratoire aigu sévère.
- Adulte, Analyse de régression, Collecte de données, Femelle, Flambées de maladies, Humains, Mâle, Ontario, Virus du SRAS.
English descriptors
- KwdEn :
- MESH :
- geographic : Ontario.
- epidemiology : Severe Acute Respiratory Syndrome.
- psychology : Personnel, Hospital, Severe Acute Respiratory Syndrome.
- Adult, Data Collection, Disease Outbreaks, Female, Humans, Male, Regression Analysis, SARS Virus.
Abstract
Healthcare workers (HCWs) found the 2003 outbreak of severe acute respiratory syndrome (SARS) to be stressful, but the long-term impact is not known. From 13 to 26 months after the SARS outbreak, 769 HCWs at 9 Toronto hospitals that treated SARS patients and 4 Hamilton hospitals that did not treat SARS patients completed a survey of several adverse outcomes. Toronto HCWs reported significantly higher levels of burnout (p = 0.019), psychological distress (p<0.001), and posttraumatic stress (p<0.001). Toronto workers were more likely to have reduced patient contact and work hours and to report behavioral consequences of stress. Variance in adverse outcomes was explained by a protective effect of the perceived adequacy of training and support and by a provocative effect of maladaptive coping style and other individual factors. The results reinforce the value of effective staff support and training in preparation for future outbreaks.
DOI: 10.3201/eid1212.060584
PubMed: 17326946
Affiliations:
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pubmed:17326946Le document en format XML
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Maunder</name><affiliation wicri:level="1"><nlm:affiliation>Mount Sinai Hospital, Toronto, Ontario, Canada. rmaunder@mtsinai.on.ca</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Mount Sinai Hospital, Toronto, Ontario</wicri:regionArea><wicri:noRegion>Ontario</wicri:noRegion></affiliation></author><author><name sortKey="Lancee, William J" sort="Lancee, William J" uniqKey="Lancee W" first="William J" last="Lancee">William J. Lancee</name></author><author><name sortKey="Balderson, Kenneth E" sort="Balderson, Kenneth E" uniqKey="Balderson K" first="Kenneth E" last="Balderson">Kenneth E. Balderson</name></author><author><name sortKey="Bennett, Jocelyn P" sort="Bennett, Jocelyn P" uniqKey="Bennett J" first="Jocelyn P" last="Bennett">Jocelyn P. Bennett</name></author><author><name sortKey="Borgundvaag, Bjug" sort="Borgundvaag, Bjug" uniqKey="Borgundvaag B" first="Bjug" last="Borgundvaag">Bjug Borgundvaag</name></author><author><name sortKey="Evans, Susan" sort="Evans, Susan" uniqKey="Evans S" first="Susan" last="Evans">Susan Evans</name></author><author><name sortKey="Fernandes, Christopher M B" sort="Fernandes, Christopher M B" uniqKey="Fernandes C" first="Christopher M B" last="Fernandes">Christopher M B. Fernandes</name></author><author><name sortKey="Goldbloom, David S" sort="Goldbloom, David S" uniqKey="Goldbloom D" first="David S" last="Goldbloom">David S. Goldbloom</name></author><author><name sortKey="Gupta, Mona" sort="Gupta, Mona" uniqKey="Gupta M" first="Mona" last="Gupta">Mona Gupta</name></author><author><name sortKey="Hunter, Jonathan J" sort="Hunter, Jonathan J" uniqKey="Hunter J" first="Jonathan J" last="Hunter">Jonathan J. Hunter</name></author><author><name sortKey="Mcgillis Hall, Linda" sort="Mcgillis Hall, Linda" uniqKey="Mcgillis Hall L" first="Linda" last="Mcgillis Hall">Linda Mcgillis Hall</name></author><author><name sortKey="Nagle, Lynn M" sort="Nagle, Lynn M" uniqKey="Nagle L" first="Lynn M" last="Nagle">Lynn M. Nagle</name></author><author><name sortKey="Pain, Clare" sort="Pain, Clare" uniqKey="Pain C" first="Clare" last="Pain">Clare Pain</name></author><author><name sortKey="Peczeniuk, Sonia S" sort="Peczeniuk, Sonia S" uniqKey="Peczeniuk S" first="Sonia S" last="Peczeniuk">Sonia S. Peczeniuk</name></author><author><name sortKey="Raymond, Glenna" sort="Raymond, Glenna" uniqKey="Raymond G" first="Glenna" last="Raymond">Glenna Raymond</name></author><author><name sortKey="Read, Nancy" sort="Read, Nancy" uniqKey="Read N" first="Nancy" last="Read">Nancy Read</name></author><author><name sortKey="Rourke, Sean B" sort="Rourke, Sean B" uniqKey="Rourke S" first="Sean B" last="Rourke">Sean B. Rourke</name></author><author><name sortKey="Steinberg, Rosalie J" sort="Steinberg, Rosalie J" uniqKey="Steinberg R" first="Rosalie J" last="Steinberg">Rosalie J. Steinberg</name></author><author><name sortKey="Stewart, Thomas E" sort="Stewart, Thomas E" uniqKey="Stewart T" first="Thomas E" last="Stewart">Thomas E. Stewart</name></author><author><name sortKey="Vandevelde Coke, Susan" sort="Vandevelde Coke, Susan" uniqKey="Vandevelde Coke S" first="Susan" last="Vandevelde-Coke">Susan Vandevelde-Coke</name></author><author><name sortKey="Veldhorst, Georgina G" sort="Veldhorst, Georgina G" uniqKey="Veldhorst G" first="Georgina G" last="Veldhorst">Georgina G. Veldhorst</name></author><author><name sortKey="Wasylenki, Donald A" sort="Wasylenki, Donald A" uniqKey="Wasylenki D" first="Donald A" last="Wasylenki">Donald A. Wasylenki</name></author></analytic><series><title level="j">Emerging infectious diseases</title><idno type="ISSN">1080-6040</idno><imprint><date when="2006" type="published">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Data Collection</term><term>Disease Outbreaks</term><term>Female</term><term>Humans</term><term>Male</term><term>Ontario</term><term>Personnel, Hospital (psychology)</term><term>Regression Analysis</term><term>SARS Virus</term><term>Severe Acute Respiratory Syndrome (epidemiology)</term><term>Severe Acute Respiratory Syndrome (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Analyse de régression</term><term>Collecte de données</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Mâle</term><term>Ontario</term><term>Personnel hospitalier (psychologie)</term><term>Syndrome respiratoire aigu sévère (psychologie)</term><term>Syndrome respiratoire aigu sévère (épidémiologie)</term><term>Virus du SRAS</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ontario</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel hospitalier</term><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Personnel, Hospital</term><term>Severe Acute Respiratory Syndrome</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Syndrome respiratoire aigu sévère</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Data Collection</term><term>Disease Outbreaks</term><term>Female</term><term>Humans</term><term>Male</term><term>Regression Analysis</term><term>SARS Virus</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Analyse de régression</term><term>Collecte de données</term><term>Femelle</term><term>Flambées de maladies</term><term>Humains</term><term>Mâle</term><term>Ontario</term><term>Virus du SRAS</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Healthcare workers (HCWs) found the 2003 outbreak of severe acute respiratory syndrome (SARS) to be stressful, but the long-term impact is not known. From 13 to 26 months after the SARS outbreak, 769 HCWs at 9 Toronto hospitals that treated SARS patients and 4 Hamilton hospitals that did not treat SARS patients completed a survey of several adverse outcomes. Toronto HCWs reported significantly higher levels of burnout (p = 0.019), psychological distress (p<0.001), and posttraumatic stress (p<0.001). Toronto workers were more likely to have reduced patient contact and work hours and to report behavioral consequences of stress. Variance in adverse outcomes was explained by a protective effect of the perceived adequacy of training and support and by a provocative effect of maladaptive coping style and other individual factors. The results reinforce the value of effective staff support and training in preparation for future outbreaks.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">17326946</PMID><DateCompleted><Year>2007</Year><Month>04</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1080-6040</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>12</Issue><PubDate><Year>2006</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Emerging infectious diseases</Title><ISOAbbreviation>Emerging Infect. Dis.</ISOAbbreviation></Journal><ArticleTitle>Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak.</ArticleTitle><Pagination><MedlinePgn>1924-32</MedlinePgn></Pagination><Abstract><AbstractText>Healthcare workers (HCWs) found the 2003 outbreak of severe acute respiratory syndrome (SARS) to be stressful, but the long-term impact is not known. From 13 to 26 months after the SARS outbreak, 769 HCWs at 9 Toronto hospitals that treated SARS patients and 4 Hamilton hospitals that did not treat SARS patients completed a survey of several adverse outcomes. Toronto HCWs reported significantly higher levels of burnout (p = 0.019), psychological distress (p<0.001), and posttraumatic stress (p<0.001). Toronto workers were more likely to have reduced patient contact and work hours and to report behavioral consequences of stress. Variance in adverse outcomes was explained by a protective effect of the perceived adequacy of training and support and by a provocative effect of maladaptive coping style and other individual factors. The results reinforce the value of effective staff support and training in preparation for future outbreaks.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Maunder</LastName><ForeName>Robert G</ForeName><Initials>RG</Initials><AffiliationInfo><Affiliation>Mount Sinai Hospital, Toronto, Ontario, Canada. rmaunder@mtsinai.on.ca</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lancee</LastName><ForeName>William J</ForeName><Initials>WJ</Initials></Author><Author ValidYN="Y"><LastName>Balderson</LastName><ForeName>Kenneth E</ForeName><Initials>KE</Initials></Author><Author ValidYN="Y"><LastName>Bennett</LastName><ForeName>Jocelyn P</ForeName><Initials>JP</Initials></Author><Author ValidYN="Y"><LastName>Borgundvaag</LastName><ForeName>Bjug</ForeName><Initials>B</Initials></Author><Author ValidYN="Y"><LastName>Evans</LastName><ForeName>Susan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Fernandes</LastName><ForeName>Christopher M B</ForeName><Initials>CM</Initials></Author><Author ValidYN="Y"><LastName>Goldbloom</LastName><ForeName>David S</ForeName><Initials>DS</Initials></Author><Author ValidYN="Y"><LastName>Gupta</LastName><ForeName>Mona</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Hunter</LastName><ForeName>Jonathan J</ForeName><Initials>JJ</Initials></Author><Author ValidYN="Y"><LastName>McGillis Hall</LastName><ForeName>Linda</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Nagle</LastName><ForeName>Lynn M</ForeName><Initials>LM</Initials></Author><Author ValidYN="Y"><LastName>Pain</LastName><ForeName>Clare</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Peczeniuk</LastName><ForeName>Sonia S</ForeName><Initials>SS</Initials></Author><Author ValidYN="Y"><LastName>Raymond</LastName><ForeName>Glenna</ForeName><Initials>G</Initials></Author><Author ValidYN="Y"><LastName>Read</LastName><ForeName>Nancy</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Rourke</LastName><ForeName>Sean B</ForeName><Initials>SB</Initials></Author><Author ValidYN="Y"><LastName>Steinberg</LastName><ForeName>Rosalie J</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Stewart</LastName><ForeName>Thomas E</ForeName><Initials>TE</Initials></Author><Author ValidYN="Y"><LastName>VanDeVelde-Coke</LastName><ForeName>Susan</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Veldhorst</LastName><ForeName>Georgina G</ForeName><Initials>GG</Initials></Author><Author ValidYN="Y"><LastName>Wasylenki</LastName><ForeName>Donald A</ForeName><Initials>DA</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>67807</GrantID><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Emerg Infect Dis</MedlineTA><NlmUniqueID>9508155</NlmUniqueID><ISSNLinking>1080-6040</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003625" MajorTopicYN="N">Data Collection</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004196" MajorTopicYN="Y">Disease Outbreaks</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009864" MajorTopicYN="N" Type="Geographic">Ontario</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010564" MajorTopicYN="N">Personnel, Hospital</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012044" MajorTopicYN="N">Regression Analysis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045473" MajorTopicYN="N">SARS Virus</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D045169" MajorTopicYN="N">Severe Acute Respiratory Syndrome</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate 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sortKey="Balderson, Kenneth E" sort="Balderson, Kenneth E" uniqKey="Balderson K" first="Kenneth E" last="Balderson">Kenneth E. Balderson</name><name sortKey="Bennett, Jocelyn P" sort="Bennett, Jocelyn P" uniqKey="Bennett J" first="Jocelyn P" last="Bennett">Jocelyn P. Bennett</name><name sortKey="Borgundvaag, Bjug" sort="Borgundvaag, Bjug" uniqKey="Borgundvaag B" first="Bjug" last="Borgundvaag">Bjug Borgundvaag</name><name sortKey="Evans, Susan" sort="Evans, Susan" uniqKey="Evans S" first="Susan" last="Evans">Susan Evans</name><name sortKey="Fernandes, Christopher M B" sort="Fernandes, Christopher M B" uniqKey="Fernandes C" first="Christopher M B" last="Fernandes">Christopher M B. Fernandes</name><name sortKey="Goldbloom, David S" sort="Goldbloom, David S" uniqKey="Goldbloom D" first="David S" last="Goldbloom">David S. Goldbloom</name><name sortKey="Gupta, Mona" sort="Gupta, Mona" uniqKey="Gupta M" first="Mona" last="Gupta">Mona Gupta</name><name sortKey="Hunter, Jonathan J" sort="Hunter, Jonathan J" uniqKey="Hunter J" first="Jonathan J" last="Hunter">Jonathan J. Hunter</name><name sortKey="Lancee, William J" sort="Lancee, William J" uniqKey="Lancee W" first="William J" last="Lancee">William J. Lancee</name><name sortKey="Mcgillis Hall, Linda" sort="Mcgillis Hall, Linda" uniqKey="Mcgillis Hall L" first="Linda" last="Mcgillis Hall">Linda Mcgillis Hall</name><name sortKey="Nagle, Lynn M" sort="Nagle, Lynn M" uniqKey="Nagle L" first="Lynn M" last="Nagle">Lynn M. Nagle</name><name sortKey="Pain, Clare" sort="Pain, Clare" uniqKey="Pain C" first="Clare" last="Pain">Clare Pain</name><name sortKey="Peczeniuk, Sonia S" sort="Peczeniuk, Sonia S" uniqKey="Peczeniuk S" first="Sonia S" last="Peczeniuk">Sonia S. Peczeniuk</name><name sortKey="Raymond, Glenna" sort="Raymond, Glenna" uniqKey="Raymond G" first="Glenna" last="Raymond">Glenna Raymond</name><name sortKey="Read, Nancy" sort="Read, Nancy" uniqKey="Read N" first="Nancy" last="Read">Nancy Read</name><name sortKey="Rourke, Sean B" sort="Rourke, Sean B" uniqKey="Rourke S" first="Sean B" last="Rourke">Sean B. Rourke</name><name sortKey="Steinberg, Rosalie J" sort="Steinberg, Rosalie J" uniqKey="Steinberg R" first="Rosalie J" last="Steinberg">Rosalie J. Steinberg</name><name sortKey="Stewart, Thomas E" sort="Stewart, Thomas E" uniqKey="Stewart T" first="Thomas E" last="Stewart">Thomas E. Stewart</name><name sortKey="Vandevelde Coke, Susan" sort="Vandevelde Coke, Susan" uniqKey="Vandevelde Coke S" first="Susan" last="Vandevelde-Coke">Susan Vandevelde-Coke</name><name sortKey="Veldhorst, Georgina G" sort="Veldhorst, Georgina G" uniqKey="Veldhorst G" first="Georgina G" last="Veldhorst">Georgina G. Veldhorst</name><name sortKey="Wasylenki, Donald A" sort="Wasylenki, Donald A" uniqKey="Wasylenki D" first="Donald A" last="Wasylenki">Donald A. Wasylenki</name></noCountry><country name="Canada"><noRegion><name sortKey="Maunder, Robert G" sort="Maunder, Robert G" uniqKey="Maunder R" first="Robert G" last="Maunder">Robert G. Maunder</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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