Acute Stress Disorder, Coping Self-Efficacy, and Subsequent Psychological Distress among Nurses Amid COVID-19

Source avec lien : Journal of Nursing Management, (Prépublication), 8/7/2020. 10.1111/jonm.13124

Objectif Les professionnels de la santé, en particulier les infirmières, sont considérés comme un groupe vulnérable aux troubles de stress aigu (TSA) et à la détresse psychologique qui s’ensuit dans le cadre de la pandémie de COVID-19. Cette étude vise à établir la prévalence du trouble de stress aigu et les prédicteurs de la détresse psychologique chez les infirmières jordaniennes. Méthodes Une conception quantitative, transversale, descriptive et comparative a été utilisée. Les données ont été recueillies à l’aide d’une enquête en ligne. Au total, 448 infirmières jordaniennes (73 % de femmes) ont rempli et renvoyé le questionnaire de l’étude.

Purpose Healthcare professionals, particularly nurses, are considered a vulnerable group to experience acute stress disorder (ASD) and subsequent psychological distress amid COVID-19 pandemic. This study aims to establish the prevalence of acute stress disorder and predictors of psychological distress among Jordanian nurses. Methods A quantitative, cross-sectional, descriptive and comparative design was used. Data was collected using a web-based survey. A total of 448 Jordanian nurses (73% females) completed and returned the study questionnaire. Results The majority of nurses (64%) are experiencing ASD due to the COVID-19 pandemic and thus are at risk for PTSD predisposition. More than one third of nurses (41%) are also suffering significant psychological distress. Among our sample, age, ASD, and coping self-efficacy significantly predicted psychological distress. More specifically, younger nurses are more prone to experience psychological distress than older ones. While higher scores on ASD showed more resultant psychological distress, coping self-efficacy was a protective factor. Conclusion Given that individuals who suffer from ASD are predisposed to PTSD, follow-up with nurses to screen for PTSD and referral to appropriate psychological services is pivotal. Coping self-efficacy is found to ameliorate the effect of psychological distress on nurses’ traumatic experience. Such findings warrant intensive efforts from healthcare institutions to provide psychosocial support services for nurses and ongoing efforts to screen them for traumatic and psychological distress symptoms. Implications for Nursing Management Nursing leaders and managers are in the forefront of responding to the unique needs of their workforces during the COVID-19 crisis. They need to implement stress-reduction strategies for nurses through providing consecutive rest days, rotating allocations of complex patients, arranging support services, and being accessible to staff. They also need to ensure nurses’ personal safety through securing and providing personal safety measures and undertake briefings to ensure their staff’s physical and mental well-being, as well as providing referrals to appropriate psychological services.

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