期刊
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
卷 64, 期 6, 页码 515-524出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JOM.0000000000002495
关键词
Covid-19; mixed methods; nurses; occupational health; psychosocial health; sleep
资金
- NYU Covid Catalyst Award
This study examined the initial influence of the Covid-19 pandemic on the psychosocial health of U.S. nurses and identified factors associated with poor psychosocial health outcomes. The results showed high rates of depressive symptoms, anxiety, and insomnia among nurses. Sleep disturbances were both a contributing factor to, and an outcome of, poor psychosocial health. Therefore, evidence-based interventions addressing work stress and sleep, as well as proactive monitoring of nurses' psychosocial health by employers, are urgently needed.
Objective To describe the initial influence of the Covid-19 pandemic on U.S. nurses' psychosocial health, and to identify factors associated with poor psychosocial health outcomes. Methods We conducted a convergent (QUAN+qual) mixed methods study. From June to August 2020, we administered surveys (N = 629) and conducted semi-structured interviews (N = 34) among nurses working across healthcare settings in 18 states. We developed separate multivariable logistic regression models for three psychosocial outcomes (anxiety, depressive symptoms, insomnia). We used content analysis to process and analyze qualitative data, and integrated results in the final analysis step. Results Nurses reported high rates of depressive symptoms (22%), anxiety (52%), and insomnia (55%). Disturbances to sleep were both a contributing factor to, and an outcome of, poor psychosocial health. Conclusions Evidence-based interventions addressing work stress and sleep, and proactive monitoring of nurses' psychosocial health by employers are urgently needed.
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