The Psychological Distress of First-Line Nurses Caring for COVID-19 Patients: A Systematic Review.

Background: The World Health Organization officially declared an end to the COVID-19 Public Health Emergency three years after the initial outbreak of COVID-19. Healthcare providers worldwide were overwhelmed during the pandemic, which greatly affected the mental health and turnover intention of nur...

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Published in:Journal of Nursing Vol. 70; no. 6; pp. 58 - 74
Main Authors: Tin-Yu YANG, Mao-Tang HSU, Ying-Mei LIU
Format: research systematic review tables/charts Journal Article
Published: Taiwan Nurses Association Dec2023
Online Access:View this record in EBSCOhost
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        31051049
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      dt: Dec2023
      vid: 70
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        10.6224/JN.202312_70(6).08
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        atl: The Psychological Distress of First-Line Nurses Caring for COVID-19 Patients: A Systematic Review.
      aug:
        au:
          Tin-Yu YANG
          Mao-Tang HSU
          Ying-Mei LIU
        affil: Student, Department of Nursing, Chang Gung University of Science and Technology
      sug:
        subj:
          Psychological Distress
          Nurses Psychosocial Factors
          COVID-19 Nursing
          Human
          Systematic Review
          PubMed
          CINAHL Database
          Embase
          Checklists
          Stress Disorders, Post-Traumatic
          Depression
          Anxiety
          Insomnia
          Stress, Occupational
          Burnout, Professional
          Fear
          Workload
      ab: Background: The World Health Organization officially declared an end to the COVID-19 Public Health Emergency three years after the initial outbreak of COVID-19. Healthcare providers worldwide were overwhelmed during the pandemic, which greatly affected the mental health and turnover intention of nurses. Conducting a systematic review of psychological distress in first-line nurses during the pandemic may facilitate future research on pandemic-related resilience. Purpose: A systematic review of the literature on psychological distress among first-line nurses caring for patients with COVID-19 was conducted. Methods: This systematic review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 Statement. We searched the CINAHL, PubMed, Embase, and Airiti Library databases using the English and Chinese keywords ("COVID-19 first-line nurse" OR "COVID-19 frontline nurse") AND ("psychological distress" OR "PTSD" OR "depression" OR "anxiety" OR "insomnia" OR "stress" OR "burnout" OR "fear") to identify Chinese and English articles published between December 2019 and March 2023. The quality of the included studies was assessed using tools from the Joanna Briggs Institute. Results: A total of 20 articles covering 16 quantitative studies and 4 qualitative studies were included in the analysis. The quantitative findings revealed that first-line nurses experienced high task load and moderate or above-average burnout. Between 19.1% and 72.3% of the first-line nurses reported stress, and more than 30% experienced insomnia. At the peak of the pandemic, anxiety and distress levels were high. At 8-week follow-ups, while anxiety had decreased, distress levels had not. Qualitative findings included the identification of fear as a common symptom of psychological distress in first-line nurses. Conclusions/ Implications for Practice: Further research is needed to better support frontline caregivers and facilitate their recovery from the moderate to severe psychological distress associated with pandemics.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: Chinese
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