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The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope.

Identifieur interne : 002919 ( PubMed/Corpus ); précédent : 002918; suivant : 002920

The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope.

Auteurs : Tai W. Wong ; Josephine K Y. Yau ; Cecilia L W. Chan ; Rosalie S Y. Kwong ; Samuel M Y. Ho ; Chor C. Lau ; Fei L. Lau ; Chau H. Lit

Source :

RBID : pubmed:15674079

English descriptors

Abstract

The objectives of the present study were to examine the degree and the sources of mental distress and the coping strategies adopted by healthcare workers (HCW) of emergency departments (ED) in Hong Kong during the outbreak of severe acute respiratory syndrome (SARS).

DOI: 10.1097/00063110-200502000-00005
PubMed: 15674079

Links to Exploration step

pubmed:15674079

Le document en format XML

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<title xml:lang="en">The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope.</title>
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<name sortKey="Wong, Tai W" sort="Wong, Tai W" uniqKey="Wong T" first="Tai W" last="Wong">Tai W. Wong</name>
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<nlm:affiliation>Accident and Emergency Department, Pamela Youde Nethersole Eastern Hospital, Hong Kong. cclau@ha.org.hk</nlm:affiliation>
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<author>
<name sortKey="Yau, Josephine K Y" sort="Yau, Josephine K Y" uniqKey="Yau J" first="Josephine K Y" last="Yau">Josephine K Y. Yau</name>
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<name sortKey="Chan, Cecilia L W" sort="Chan, Cecilia L W" uniqKey="Chan C" first="Cecilia L W" last="Chan">Cecilia L W. Chan</name>
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<name sortKey="Kwong, Rosalie S Y" sort="Kwong, Rosalie S Y" uniqKey="Kwong R" first="Rosalie S Y" last="Kwong">Rosalie S Y. Kwong</name>
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<name sortKey="Ho, Samuel M Y" sort="Ho, Samuel M Y" uniqKey="Ho S" first="Samuel M Y" last="Ho">Samuel M Y. Ho</name>
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<name sortKey="Lau, Chor C" sort="Lau, Chor C" uniqKey="Lau C" first="Chor C" last="Lau">Chor C. Lau</name>
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<name sortKey="Lau, Fei L" sort="Lau, Fei L" uniqKey="Lau F" first="Fei L" last="Lau">Fei L. Lau</name>
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<name sortKey="Lit, Chau H" sort="Lit, Chau H" uniqKey="Lit C" first="Chau H" last="Lit">Chau H. Lit</name>
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<title level="j">European journal of emergency medicine : official journal of the European Society for Emergency Medicine</title>
<idno type="ISSN">0969-9546</idno>
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<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Disease Outbreaks (prevention & control)</term>
<term>Emergency Service, Hospital (statistics & numerical data)</term>
<term>Emotions</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Hong Kong (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Personnel, Hospital (psychology)</term>
<term>Personnel, Hospital (statistics & numerical data)</term>
<term>Regression Analysis</term>
<term>Severe Acute Respiratory Syndrome (epidemiology)</term>
<term>Severe Acute Respiratory Syndrome (prevention & control)</term>
<term>Social Support</term>
<term>Surveys and Questionnaires</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Hong Kong</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en">
<term>Disease Outbreaks</term>
<term>Severe Acute Respiratory Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Personnel, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Emergency Service, Hospital</term>
<term>Personnel, Hospital</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adaptation, Psychological</term>
<term>Adult</term>
<term>Emotions</term>
<term>Female</term>
<term>Health Care Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Regression Analysis</term>
<term>Social Support</term>
<term>Surveys and Questionnaires</term>
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<div type="abstract" xml:lang="en">The objectives of the present study were to examine the degree and the sources of mental distress and the coping strategies adopted by healthcare workers (HCW) of emergency departments (ED) in Hong Kong during the outbreak of severe acute respiratory syndrome (SARS).</div>
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<DateCompleted>
<Year>2005</Year>
<Month>07</Month>
<Day>05</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>11</Month>
<Day>09</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Print">0969-9546</ISSN>
<JournalIssue CitedMedium="Print">
<Volume>12</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2005</Year>
<Month>Feb</Month>
</PubDate>
</JournalIssue>
<Title>European journal of emergency medicine : official journal of the European Society for Emergency Medicine</Title>
<ISOAbbreviation>Eur J Emerg Med</ISOAbbreviation>
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<ArticleTitle>The psychological impact of severe acute respiratory syndrome outbreak on healthcare workers in emergency departments and how they cope.</ArticleTitle>
<Pagination>
<MedlinePgn>13-8</MedlinePgn>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">The objectives of the present study were to examine the degree and the sources of mental distress and the coping strategies adopted by healthcare workers (HCW) of emergency departments (ED) in Hong Kong during the outbreak of severe acute respiratory syndrome (SARS).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Questionnaires were sent to all doctors, nurses and healthcare assistants (HCA) working in the ED of all public hospitals. The overall degree of mental distress was measured by a single-item 11-point Likert scale. The source of distress was measured by an 18-item questionnaire, which was designed based on the experience of clinical psychologist colleagues providing counselling to staff taking care of SARS patients. The Brief Cope questionnaire was used to study coping strategies adopted by staff.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 1260 questionnaires were sent out and the response rate was approximately 37%. The mean overall distress level was 6.19 out of a 10-point scale. The mean overall distress levels for doctors, nurses and HCA were 5.91, 6.52 and 5.44, respectively (F(2,420)=6.47, P<0.005). The overall distress level for nurses was significantly higher than for HCA (P<0.005) but not doctors. The overall distress level was highly and significantly correlated with the six sources of distress: vulnerability/loss of control (r=0.68); health of self (r=0.62); spread of virus (r=0.60); health of family and others (r=0.59); changes in work (r=0.46); being isolated (r=0.45). The scores for nurses were significantly higher than for doctors in terms of the six sources of distress (all P values <0.01). HCA were significantly higher than doctors (but not nurses) in worrying about their family's and others' health (P<0.05). In terms of coping strategies, doctors were significantly more likely than nurses and HCA to use planning (P<0.05 and <0.01 respectively); nurses were significantly more likely than doctors to use behavioural disengagement (P<0.01); whereas HCA were significantly more likely than doctors to use self distractions (P<0.05).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">SARS had caused a significant level of distress among ED staff. The distress level was highest for nurses, followed by doctors and HCA. The three most important variables that could account for the distress level were loss of control/vulnerability, fear for self-health and spread of the virus. Overall, the more frequently adopted coping strategies were acceptance, active coping, and positive framing.</AbstractText>
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<ForeName>Tai W</ForeName>
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