Nigel Mantou Lou1, Tina Montreuil, Liane S Feldman, Gerald M Fried, Mélanie Lavoie-Tremblay, Farhan Bhanji, Heather Kennedy, Pepa Kaneva, Jason M Harley. 1. Dr. Lou: Postdoctoral Fellow, Research Institute of the McGill University Health Centre, Montreal, CA. Dr. Montreuil: Assistant professor, Department of Educational and Counselling Psychology, McGill University, Montreal, CA; Associate Member, Department of Psychiatry, Faculty of Medicine, McGill University, Montreal, CA; and Associate Investigator, Research Institute of the McGill University Health Centre, Montreal, CA. Dr. Feldman: Professor and Chair, Department of Surgery, Faculty of Medicine and Health Sciences, and Chair, The Steinberg-Bernstein Centre for Minimally Invasive Surgery, McGill University, Montreal, CA. Dr. Fried: Professor, Department of Surgery, Faculty of Medicine and Health Sciences, Director, Steinberg Centre for Simulation and Interactive Learning, McGill University, Montreal, CA. Dr. Lavoie-Tremblay: Associate Professor, Ingram School of Nursing, McGill University, Montreal, CA. Dr. Bhanji: Director of Education, Steinberg Centre for Simulation and Interactive Learning, Professor, Department of Pediatrics, Faculty of Medicine and Health Sciences, and Associate member, Institute for Health Sciences Education, McGill University, Montreal, CA. Ms. Kaneva: Program coordinator, The Steinberg-Bernstein Centre for Minimally Invasive Surgery, McGill University, Montreal, CA. Ms. Kennedy: Doctoral student, Department of Educational and Counselling Psychology, Faculty of Education, McGill University, Montreal, CA. Dr. Harley: Assistant professor, Department of Surgery, Faculty of Medicine and Health Sciences, McGill University, Montreal, CA, Scientist, Research Institute of the McGill University Health Centre, Montreal, CA; Associate Member, Department of Educational and Counselling Psychology; Director of Research, Steinberg Centre for Simulation and Interactive Learning; and Associate Member, Institute for Health Sciences Education, McGill University, Montreal, CA.
Abstract
INTRODUCTION: Health care providers (HCPs) have experienced more stress and burnout during COVID-19 than before. We compared sources and levels of stress, distress, and approaches to coping between nurses and physicians, and examined whether coping strategies helped mitigate the negative impact of stress and intentions to quit. METHODS: Using a cross-sectional study design, burnout was measured with the Maslach Burnout Inventory. Psychological distress was measured using the Depression, Anxiety, and Stress Scale. A self-reported survey was used to evaluate stressors, impact on perceived performance, and intentions to quit. The data were analyzed using t-tests and linear regression models. RESULTS: Responses of 119 HCPs were analyzed. Findings suggest that (1) compared to physicians, nurses experienced a higher level of distress and burnout, and used more maladaptive coping strategies. (2) Both nurses and physicians experienced more distress and burnout during COVID-19 than before. (3) Adaptive coping strategies moderated the negative impact of stress on work performance (4) Adaptive coping strategies moderated the negative effect of stress on burnout, which in turn reduced intentions to quit. Stress negatively impacted work performance and burnout only for those with low, but not high, levels of adaptive coping strategies. DISCUSSION: The current findings of HCPs' challenges, risks, and protective factors provide valuable information (1) on COVID-19's impact on HCPs, (2) to guide the distribution of institutional supportive efforts and recommend adaptive coping strategies, and (3) to inform medical education, such as resilience training, focusing on adaptive coping approaches.
INTRODUCTION: Health care providers (HCPs) have experienced more stress and burnout during COVID-19 than before. We compared sources and levels of stress, distress, and approaches to coping between nurses and physicians, and examined whether coping strategies helped mitigate the negative impact of stress and intentions to quit. METHODS: Using a cross-sectional study design, burnout was measured with the Maslach Burnout Inventory. Psychological distress was measured using the Depression, Anxiety, and Stress Scale. A self-reported survey was used to evaluate stressors, impact on perceived performance, and intentions to quit. The data were analyzed using t-tests and linear regression models. RESULTS: Responses of 119 HCPs were analyzed. Findings suggest that (1) compared to physicians, nurses experienced a higher level of distress and burnout, and used more maladaptive coping strategies. (2) Both nurses and physicians experienced more distress and burnout during COVID-19 than before. (3) Adaptive coping strategies moderated the negative impact of stress on work performance (4) Adaptive coping strategies moderated the negative effect of stress on burnout, which in turn reduced intentions to quit. Stress negatively impacted work performance and burnout only for those with low, but not high, levels of adaptive coping strategies. DISCUSSION: The current findings of HCPs' challenges, risks, and protective factors provide valuable information (1) on COVID-19's impact on HCPs, (2) to guide the distribution of institutional supportive efforts and recommend adaptive coping strategies, and (3) to inform medical education, such as resilience training, focusing on adaptive coping approaches.
Authors: Cristian-Virgil Lungulescu; Adina Turcu-Stiolica; Cristina Lungulescu; Elena-Adriana Dumitrescu; Razvan-Aurelian Turcu-Stiolica; Vlad-Mihai Croitoru; Irina-Mihaela Cazacu; Adelina-Silvana Gheorghe; Dana-Lucia Stanculeanu; Daniel Sur Journal: Int J Environ Res Public Health Date: 2022-05-01 Impact factor: 4.614
Authors: Robert G Maunder; Natalie D Heeney; Jonathan J Hunter; Gillian Strudwick; Lianne P Jeffs; Leanne Ginty; Jennie Johnstone; Alex Kiss; Carla A Loftus; Lesley A Wiesenfeld Journal: J Occup Med Toxicol Date: 2022-05-25 Impact factor: 2.862
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