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Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic

Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic
Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic
Background: The delivery of healthcare during the COVID pandemic has had a significant impact on front line staff. Nurses who work with respiratory patients have been at the forefront of the pandemic response. Lessons can be learnt from these nurses’ experiences in order to support these nurses during the existing pandemic and retain and mobilise this skilled workforce for future pandemics. Methods: This study explores UK nurses’ experiences of working in a respiratory environment during the COVID-19 pandemic. An e-survey was distributed via professional respiratory societies; the survey included a resilience scale, the GAD7 (anxiety) and the PHQ9 (depression) tools. Demographic data was collected on age, gender, ethnicity, nursing experience and background, clinical role in the pandemic, and home-life and work balance.
Results: Two hundred and fifty-five responses were received for the survey, predominately women (89%, 226/255), aged over 35 (79%, 202/255). Nearly 21% (40/191) experiencing moderate to severe or severe symptoms of anxiety. Similar levels are seen for depression (17.2%, 31/181). 18.9% (34/180) had a low or very low resilience score. Regression analysis showed that for both depression and anxiety variables, age and years of qualification provided the best model fit. Younger nurses with less experience have higher levels of anxiety and depression and had lower resilience.
Conclusion: This cohort experienced significant levels of anxiety and depression, with moderate to high levels of resilience. Support mechanisms and interventions need to be put in place to support all nurses during pandemic outbreaks, particularly younger or less experienced staff.
Aerosol generating procedures, Anxiety, COVID-19, Depression, Nurse, Resilience
0954-6111
Roberts, N.J.
dab50844-4015-4a42-9876-932c8a94c875
Mcaloney-Kocaman, K.
86d1437f-7f7f-4f60-ba56-30ec2cb237f6
Lippiett, K.
35184a9f-cf3c-49cc-ae6b-7b92f6ead7ee
Ray, E.
dacd74fb-79be-4260-81f5-6204835aca81
Welch, L.
2884956f-21b6-47e7-8321-1409f5346cac
Kelly, C.
c4345b06-5900-4597-9dbc-623dc13e6f8e
Roberts, N.J.
dab50844-4015-4a42-9876-932c8a94c875
Mcaloney-Kocaman, K.
86d1437f-7f7f-4f60-ba56-30ec2cb237f6
Lippiett, K.
35184a9f-cf3c-49cc-ae6b-7b92f6ead7ee
Ray, E.
dacd74fb-79be-4260-81f5-6204835aca81
Welch, L.
2884956f-21b6-47e7-8321-1409f5346cac
Kelly, C.
c4345b06-5900-4597-9dbc-623dc13e6f8e

Roberts, N.J., Mcaloney-Kocaman, K., Lippiett, K., Ray, E., Welch, L. and Kelly, C. (2021) Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. Respiratory Medicine, 176, [106219]. (doi:10.1016/j.rmed.2020.106219).

Record type: Article

Abstract

Background: The delivery of healthcare during the COVID pandemic has had a significant impact on front line staff. Nurses who work with respiratory patients have been at the forefront of the pandemic response. Lessons can be learnt from these nurses’ experiences in order to support these nurses during the existing pandemic and retain and mobilise this skilled workforce for future pandemics. Methods: This study explores UK nurses’ experiences of working in a respiratory environment during the COVID-19 pandemic. An e-survey was distributed via professional respiratory societies; the survey included a resilience scale, the GAD7 (anxiety) and the PHQ9 (depression) tools. Demographic data was collected on age, gender, ethnicity, nursing experience and background, clinical role in the pandemic, and home-life and work balance.
Results: Two hundred and fifty-five responses were received for the survey, predominately women (89%, 226/255), aged over 35 (79%, 202/255). Nearly 21% (40/191) experiencing moderate to severe or severe symptoms of anxiety. Similar levels are seen for depression (17.2%, 31/181). 18.9% (34/180) had a low or very low resilience score. Regression analysis showed that for both depression and anxiety variables, age and years of qualification provided the best model fit. Younger nurses with less experience have higher levels of anxiety and depression and had lower resilience.
Conclusion: This cohort experienced significant levels of anxiety and depression, with moderate to high levels of resilience. Support mechanisms and interventions need to be put in place to support all nurses during pandemic outbreaks, particularly younger or less experienced staff.

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Levels of resilience, anxiety and depression in nurses working in respiratory clinical areas during the COVID pandemic. - Accepted Manuscript
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More information

Accepted/In Press date: 4 November 2020
e-pub ahead of print date: 7 November 2020
Published date: 3 January 2021
Additional Information: Copyright © 2020 Elsevier Ltd. All rights reserved.
Keywords: Aerosol generating procedures, Anxiety, COVID-19, Depression, Nurse, Resilience

Identifiers

Local EPrints ID: 445664
URI: http://eprints.soton.ac.uk/id/eprint/445664
ISSN: 0954-6111
PURE UUID: db3eefea-e7c7-419a-9c9d-fe4f4215ba2c
ORCID for K. Lippiett: ORCID iD orcid.org/0000-0003-2626-498X
ORCID for L. Welch: ORCID iD orcid.org/0000-0001-5564-2252

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Date deposited: 05 Jan 2021 17:33
Last modified: 17 Mar 2024 06:10

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Contributors

Author: N.J. Roberts
Author: K. Mcaloney-Kocaman
Author: K. Lippiett ORCID iD
Author: E. Ray
Author: L. Welch ORCID iD
Author: C. Kelly

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