Interdisciplinary Journal of Acute Care

Interdisciplinary Journal of Acute Care

Comparison of Anxiety among Nurses Working in COVID-19 and non-COVID-19 Wards

Document Type : Research

Authors
1 Msc of gerontology, Student Research Committee, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran
2 Master's Degree in Nursing, Nazaja Health and Treatment Department, Army of the Islamic Republic of Iran, Tehran
3 Master of Nursing, Islamic Azad University, Aliabad branch, Aliabad, Iran
4 Master's degree in health care management, Sari Branch, Islamic Azad University, Sari, Iran
5 Master of Nursing, Department of Nursing and Midwifery, Islamic Azad University of Medical Sciences, Tehran Branch, Tehran, Iran
6 Instructor, Department of Nursing, Islamic Azad University, Sari Branch, Sari, Iran
7 Master of Health Services Management, Faculty of Medical Management and Informatics, Iran University of Medical Sciences, Tehran, Iran
Abstract
This study aimed to compare anxiety levels among nurses working in COVID-19 wards and other wards at Gorgan Army Hospital. This descriptive comparative study was conducted in 2021 with 59 nurses employed at Gorgan Army Hospital using the census method. Of these, 28 emergency and internal medicine department nurses worked in COVID-19 inpatient wards, and 31 worked in non-COVID-19 wards. Data were collected using Spielberger’s State-Trait Anxiety Inventory. The data were analyzed using SPSS software version 22, employing descriptive statistical tests (frequency, percentage, mean, and standard deviation) and inferential tests (chi-square, independent t-test, Fisher’s exact test, and Mann-Whitney test). The study found that 98.3% of nurses experienced state anxiety, with 67.8% reporting moderate to high levels of state anxiety and 77.9% experiencing relatively severe trait anxiety. The level of state anxiety was significantly higher in the internal medicine department with COVID-19 patients (P = 0.020). While trait anxiety was higher in the emergency department, the difference was insignificant (P = 0.606). The results suggest that the uncertainty surrounding COVID-19 and the lack of definitive treatment have contributed to high levels of anxiety among nurses. Therefore, it is essential to implement appropriate policies and plans to alleviate nurses' anxiety.
Keywords

1. Zafari M, Rad MT, Mohseni F. Coronavirus disease 2019 (COVID-19) and pregnancy: A narrative review. Current Pediatric Reviews. 2022 May 1;18(2):97-102.
2 Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open. 2020 Mar 2;3(3):e203976-.
3Omatule Onubi H, Yusof NA, Sanusi Hassan A. Perceived COVID-19 safety risk and safety behavior on construction sites: Role of safety climate and firm size. Journal of construction engineering and management. 2021 Nov 1;147(11):04021153.
4. Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity. 2020 Aug 1;88:901-7.
5. 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 research. 2020 Jun 1;288:112954.
6. Dennis D, Radnitz C, Wheaton MG. A perfect storm? Health anxiety, contamination fears, and COVID-19: lessons learned from past pandemics and current challenges. International Journal of Cognitive Therapy. 2021 Sep;14(3):497-513.
7. Coelho CM, Suttiwan P, Arato N, Zsido AN. On the nature of fear and anxiety triggered by COVID-19. Frontiers in psychology. 2020 Nov 9;11:581314.
8. Chew NW, Lee GK, Tan BY, Jing M, Goh Y, Ngiam NJ, Yeo LL, Ahmad A, Khan FA, Shanmugam GN, Sharma AK. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, behavior, and immunity. 2020 Aug 1;88:559-65.
9. Driver JA, Strymish J, Clement S, Hayes B, Craig K, Cervera A, Morreale‐Karl M, Linsenmeyer K, Grudberg S, Davidson H, Spencer J. Front‐Line innovation: Rapid implementation of a nurse‐driven protocol for care of outpatients with COVID‐19. Journal of Clinical Nursing. 2021 Jun;30(11-12):1564-72.
10.Kabunga A, Kigongo E, Udho S, Musinguzi M, Tumwesigye R, Acup W. Chronic stress and its correlates among nurses: A case of Central Uganda. Avicenna Journal of Neuro Psycho Physiology. 2023 Jun 10;10(1):28-33.
11. Mahmud R, Joy KN, Rassel MA, Monayem FB, Datta PK, Hossain MS, Hoque MM, Habib SH, Munna NH, Ahmed M, Sayeed SJ. Health hazards related to using masks and/or personal protective equipment among physicians working in public hospitals in Dhaka: A cross-sectional study. Plos one. 2022 Sep 15;17(9):e0274169.
12. Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, Page S, Mitchell I, Doig CJ. Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nursing ethics. 2020 May;27(3):639-65.
13. Wang J, Schmitz N, Smailes E, Sareen J, Patten S. Workplace characteristics, depression, and health-related presenteeism in a general population sample. Journal of occupational and environmental medicine. 2010 Aug 1;52(8):836-42.
14. Spurrier GF, Shulman K, Dibich S, Benoit L, Duckworth K, Martin A. Physical symptoms as psychiatric manifestations in medical spaces: A qualitative study. Frontiers in Psychiatry. 2023 Jan 4;13:1074424.
15. Koh D, Lim MK, Chia SE, Ko SM, Qian F, Ng V, Tan BH, Wong KS, Chew WM, Tang HK, Ng W. Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on work and personal lives of healthcare workers in Singapore: what can we learn?. Medical care. 2005 Jul 1;43(7):676-82..
16. Chan SS, Leung GM, Tiwari AF, Salili F, Leung SS, Wong DC, Wong AS, Lai AS, Lam TH. The impact of work-related risk on nurses during the SARS outbreak in Hong Kong. Family & community health. 2005 Jul 1;28(3):274-87.
17. Vahedian-Azimi A, Hajiesmaeili M, Kangasniemi M, Fornés-Vives J, Hunsucker RL, Rahimibashar F, Pourhoseingholi MA, Farrokhvar L, Miller AC. Effects of stress on critical care nurses: a national cross-sectional study. Journal of intensive care medicine. 2019 Apr;34(4):311-22.
18. Zheng R, Zhou Y, Fu Y, Xiang Q, Cheng F, Chen H, Xu H, Wu X, Feng M, Ye L, Tian Y. Prevalence and associated factors of depression and anxiety among nurses during the outbreak of COVID-19 in China: A cross-sectional study. International journal of nursing studies. 2021 Feb 1;114:103809.
19. Hu N, Deng H, Yang H, Wang C, Cui Y, Chen J, Wang Y, He S, Chai J, Liu F, Zhang P. The pooled prevalence of the mental problems of Chinese medical staff during the COVID-19 outbreak: A meta-analysis. Journal of Affective Disorders. 2022 Apr 15;303:323-30.
20. Karimi L, Sirati Nir M, Khalili R. The comparison stress, Anxiety and depression of nurse and non-nurse staff in the exposed of COVID 19. Iranian Journal of Nursing Research. 2022 Jul 10;17(2):48-57.
21. Parvin A, Sadeghiyan E, Tapak L, Shamsaei F. Comparison of death anxiety and happiness of nurses working in corona wards with those of nurses working in other wards in educational-medical centers of Shiraz, Iran, In 2020. Avicenna Journal of Nursing and Midwifery Care. 2022 Dec 10;30(4):270-9.
22. Sharifi A, Fallahi-Khoshknab M, Mohammadi S, Zeraati M, Jamshidi Z, Aghabeygi-Arani M, Mirzaei N, Fallahi-Khoshknab N, Rasooli P. Depression, anxiety, and stress among Iranian nurses in COVID-19 care wards. BMC psychology. 2022 Aug 20;10(1):205.
23. Li Y, Fan R, Lu Y, Li H, Liu X, Kong G, Wang J, Yang F, Zhou J, Wang J. Prevalence of psychological symptoms and associated risk factors among nurses in 30 provinces during the COVID-19 pandemic in China. The Lancet Regional Health–Western Pacific. 2023 Jan 1;30.
24. Biber J, Ranes B, Lawrence S, Malpani V, Trinh TT, Cyders A, English S, Staub CL, McCausland KL, Kosinski M, Baranwal N. Mental health impact on healthcare workers due to the COVID-19 pandemic: A US cross-sectional survey study. Journal of patient-reported outcomes. 2022 Jun 13;6(1):63.
Volume 4, Issue 1
June 2023
Pages 30-35

  • Receive Date 01 July 2022
  • Revise Date 27 September 2022
  • Accept Date 07 January 2023