Stress among healthcare workers during the COVID-19 pandemic and the determinant factors: a cross-sectional study

  • Muhammad Reza Aditya Occupational Medicine Specialty Programme, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia https://orcid.org/0000-0002-7057-4646
  • Muchtaruddin Mansyur Occupational Medicine Specialty Programme, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia https://orcid.org/0000-0002-3100-3269
  • Muhammad Ikhsan Mokoagow Department of Internal Medicine, Fatmawati General Hospital, Jakarta, Indonesia https://orcid.org/0000-0001-8141-0324
  • Nuri Purwito Adi Occupational Medicine Specialty Programme, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • Dewi Yunia Fitriani Occupational Medicine Specialty Programme, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia; Department of Community Medicine, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia https://orcid.org/0000-0001-9002-0715
  • Heriani Tobing Departement of Psychiatry, Cipto Mangunkusumo Hospital, Jakarta, Indonesia
  • Jean Marc Pujo Emergency Department, Cayenne General Hospital, Cayenne, French Guiana, France https://orcid.org/0000-0001-8146-3362
  • Hatem Kallel Intensive Care Unit, Cayenne General Hospital, Cayenne, French Guiana, France
DOI: https://doi.org/10.13181/mji.oa.226030
Keywords: COVID-19 pandemic, healthcare workers, hospital, stress
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Abstract

BACKGROUND During the COVID-19 pandemic, there has been an increase in workload, as well as greater vigilance and compliance at work. Healthcare workers must perform their duties while facing the fear of COVID-19, which can trigger and/or aggravate stress. This study aimed to obtain the determinant factors of stress among healthcare workers during the pandemic by emphasizing the change in the psychosocial situation at the hospital.

METHODS This cross-sectional study was conducted from January to March 2021 using an online questionnaire consisting of personal and occupational questionnaires, as well as the validated stressor and stress questionnaires using validity and reliability tests (Cronbach’s alpha 0.8 and 0.9). For the multivariate analysis, multiple logistic regression was used to identify the determinant factors (p<0.05). Data were analyzed using SPSS software version 20 (IBM Corp., USA).

RESULTS Determinant factors of the occurrence of moderate–severe stress were the alteration of stressors including age (aOR = 1.9), working hours (aOR = 1.9), work zone (aOR = 2.7), limited facilities and resources (aOR = 6.2), risk of disease transmission (aOR = 0.3), and personal work demands (aOR = 2.1).

CONCLUSIONS In addition to the younger age, the determinant factors of the incidence of moderate–severe stress in healthcare workers during the COVID-19 pandemic at the hospitals were work-related conditions. However, they remained controllable to prevent stress among healthcare workers in the peak load work situations such as a pandemic.

References

  1. Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database Syst Rev. 2015;2015(4):CD002892. https://doi.org/10.1002/14651858.CD002892.pub5

  2. National Center for PTSD. Managing healthcare workers' stress associated with the COVID-19 virus outbreak [Internet]. U.S. Department of Veterans Affairs; 2020 [cited 2020 Jun 20]. Available from: https://www.ptsd.va.gov/covid/COVID19ManagingStressHCW032020.pdf.

  3. Shacham M, Hamama-Raz Y, Kolerman R, Mijiritsky O, Ben-Ezra M, Mijiritsky E. COVID-19 factors and psychological factors associated with elevated psychological distress among dentists and dental hygienists in Israel. Int J Environ Res Public Health. 2020;17(8):2900. https://doi.org/10.3390/ijerph17082900

  4. Walton M, Murray E, Christian MD. Mental health care for medical staff and affiliated healthcare workers during the COVID-19 pandemic. Eur Heart J Acute Cardiovasc Care. 2020;9(3):241-7. https://doi.org/10.1177/2048872620922795

  5. Sasangohar F, Jones SL, Masud FN, Vahidy FS, Kash BA. Provider burnout and fatigue during the COVID-19 pandemic: lessons learned from a high-volume intensive care unit. Anesth Analg. 2020;131(1):106-11. https://doi.org/10.1213/ANE.0000000000004866

  6. Nasrullah D, Natsir M, Twistiandayani R, Rohayani L, Siswanto, Sumartyawati NM, et al. Psychological impact among health workers in effort to facing the COVID-19 in Indonesia. Int J Publ Health Sci. 2021;10(1):181-8. https://doi.org/10.11591/ijphs.v10i1.20524

  7. Alnazly E, Khraisat OM, Al-Bashaireh AM, Bryant CL. Anxiety, depression, stress, fear and social support during COVID-19 pandemic among Jordanian healthcare workers. PLoS One. 2021;16(3):e0247679. https://doi.org/10.1371/journal.pone.0247679

  8. International Labour Organization (ILO). Workplace stress: a collective challenge [Internet]. Turin: International Labour Organization (ILO); 2016. 57 p. [cited 2020 Sep 7]. Available from: https://www.ilo.org/wcmsp5/groups/public/---ed_protect/---protrav/---safework/documents/publication/wcms_466547.pdf.

  9. Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: a focus group study. Intensive Crit Care Nurs. 2008;24(2):90-7. https://doi.org/10.1016/j.iccn.2007.11.001

  10. Sastroasmoro S, Ismael S. [Fundamentals of research methodology]. 4th ed. Jakarta: Sagung Seto; 2011. 359 p. Indonesian.

  11. The Abdul Latif Jameel Poverty Action Lab (J-PAL). Six rules of thumb for determining sample size and statistical power [Internet]. Cambridge: The Abdul Latif Jameel Poverty Action Lab (J-PAL); 2017 [cited 2020 Dec 15]. Available from: https://www.povertyactionlab.org/blog/5-21-18/six-rules-thumb-understanding-statistical-power.

  12. Ministry of Health of the Republic of Indonesia. Decree of the Minister of Health of the Republic of Indonesia number HK.01.07/MENKES/230/2021 concerning guidelines for operation of field hospitals/emergency hospitals during the Corona Virus Disease 2019 (COVID-19) Pandemic. Jakarta: Ministry of Health of the Republic of Indonesia; 2021. p. 13.

  13. Afulani PA, Gyamerah AO, Nutor JJ, Laar A, Aborigo RA, Malechi H, et al. Inadequate preparedness for response to COVID-19 is associated with stress and burnout among healthcare workers in Ghana. PLoS One. 2021;16(4):e0250294. https://doi.org/10.1371/journal.pone.0250294

  14. Roslan NS, Yusoff MSB, Razak AA, Morgan K. Burnout prevalence and its associated factors among Malaysian healthcare workers during COVID-19 pandemic: an embedded mixed-method study. Healthcare (Basel). 2021;9(1):90. https://doi.org/10.3390/healthcare9010090

  15. Wang H, Liu Y, Hu K, Zhang M, Du M, Huang H, et al. Healthcare workers' stress when caring for COVID-19 patients: an altruistic perspective. Nurs Ethics. 2020;27(7):1490-500. https://doi.org/10.1177/0969733020934146

  16. Hoedl M, Eglseer D, Bauer S. Associations between personal protective equipment and nursing staff stress during the COVID-19 pandemic. J Nurs Manag. 2021;29(8):2374-82. https://doi.org/10.1111/jonm.13400

  17. Kittiteerasack P, Steffen A, Matthews A. The influence of minority stress on level of depression among Thai LGBT adults. J Keperawatan Indones. 2020;23(1):74-84. https://doi.org/10.7454/jki.v23i1.1073

  18. Carstensen LL, Turan B, Scheibe S, Ram N, Ersner-Hershfield H, Samanez-Larkin G, et al. Emotional experience improves with age: evidence based on over 10 years of experience sampling. Psychol Aging. 2011;26(1):21-33. https://doi.org/10.1037/a0021285

  19. Nieto M, Romero D, Ros L, Zabala C, Martínez M, Ricarte JJ, et al. Differences in coping strategies between young and older adults: the role of executive functions. Int J Aging Hum Dev. 2020;90(1):28-49. https://doi.org/10.1177/0091415018822040

  20. Teo I, Chay J, Cheung YB, Sung SC, Tewani KG, Yeo LF, et al. Healthcare worker stress, anxiety and burnout during the COVID-19 pandemic in Singapore: a 6-month multi-centre prospective study. PLoS One. 2021 Oct 22;16(10):e0258866. https://doi.org/10.1371/journal.pone.0258866

  21. World Health Organization (WHO). COVID-19 Indonesia situation update [Internet]. World Health Organization (WHO); 2020 [cited 2022 Feb 4]. Available from: https://covid19.who.int/region/searo/country/id.

Published
2022-11-10
How to Cite
1.
Aditya MR, Mansyur M, Mokoagow MI, Adi NP, Fitriani DY, Tobing H, Pujo JM, Kallel H. Stress among healthcare workers during the COVID-19 pandemic and the determinant factors: a cross-sectional study. Med J Indones [Internet]. 2022Nov.10 [cited 2024Apr.27];31(3):148-54. Available from: http://mji.ui.ac.id/journal/index.php/mji/article/view/6030
Issue
Vol. 31 No. 3 (2022): September
Section
Clinical Research

Copyright (c) 2022 Muhammad Reza Aditya, Muchtaruddin Mansyur, Muhammad Ikhsan Mokoagow, Nuri Purwito Adi, Dewi Yunia Fitriani, Heriani Tobing, Jean Marc Pujo, Hatem Kallel

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