Healthcare Workers’ Emotions, Perceived Stressors, and Coping Strategies at Workplace during the COVID-19 Pandemic in Palestine
Abstract
:1. Introduction
2. Materials and Methods
2.1. Procedure
2.2. Subjects
2.3. Tool and Measures
2.4. Ethical Approval and Consent to Participate
2.5. Data Analysis
3. Results
3.1. Demographic Characteristics of the Participants
3.2. Section One: Staff’s Emotion
3.3. Section Two: Factors That Caused Stress among Staff during the COVID-19 Outbreak
3.4. Section Three: Factors That Reduce Stress among Staff during the COVID-19 Outbreak
3.5. Section Four: Personal Coping Strategies Staff Could Have Used during the COVID-19 Outbreak
3.6. Section Five: Motivational Factors to Encourage the Continuation of Work in Future Outbreaks
3.7. Associations between Respondent Characteristics, Experience with COVID-19, Coping Strategies with Stress Score Index
3.8. Association between Coping Strategies, Motivation with Stress Scoring Index
3.9. Correlation between Stress Scoring, Coping, and Motivation Factors Scoring
4. Discussion
5. Study Limitations
6. Implications of the Study
7. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
COVID-19 | Coronavirus disease 2019 |
HCWs | Healthcare workers |
WHO | World Health Organization |
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F | % | ||
---|---|---|---|
Gender | Female | 77 | 15.2% |
Male | 429 | 84.8% | |
Age | 20–30 years | 276 | 54.5% |
31–40 years | 158 | 31.2% | |
41–50 years | 60 | 11.9% | |
>50 years | 12 | 2.4% | |
Marital Status | Single | 190 | 37.5% |
Married | 309 | 61.1% | |
Divorced | 7 | 1.4% | |
Place of Residence | Village | 212 | 41.9 |
City | 232 | 45.8 | |
Camp | 62 | 12.3 | |
Occupation | Physician | 158 | 31.3% |
Nurse | 348 | 68.7% | |
Area | West Bank | 303 | 59.9% |
Jerusalem | 59 | 11.7% | |
Gaza Strip | 144 | 28.5% | |
Monthly Income | <1000$ | 164 | 32.4% |
1000–1500$ | 262 | 51.8% | |
1500–2100$ | 67 | 13.2% | |
>2100 $ | 13 | 2.6% | |
Place of COVID-19 work | Special treatment centers | 139 | 27.5% |
Hospitals | 309 | 61.1% | |
Quarantine hotels | 8 | 1.6% | |
Work in more than one treatment place | 50 | 9.9% | |
Was this your first time working with COVID-19 patients? | No | 117 | 23.1% |
Yes | 389 | 76.9% | |
Did you receive training to deal with COVID-19 patients? | No | 310 | 61.3 |
Yes | 196 | 38.7 | |
Did you receive training to treat COVID-19 patients? | No | 286 | 56.5% |
Yes | 196 | 38.7% | |
Can not remember | 24 | 4.7% | |
Your work with COVID-19 patients in treatment centers is | Compulsory | 370 | 73.1% |
Voluntary | 96 | 19.0% | |
Other | 40 | 7.9% |
Stress Index | Adjusted Analysis * | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
≤27 Low n= 130 | 28–43 Moderate n = 254 | >43 High n = 122 | p Value | 95% Wald Confidence Interval for Exp (B) | ||||||||
n | % | n | % | n | % | Sig. | Sig. | Exp (B) | Lower | Upper | ||
Age | 20–30 years | 50 | 38.5 | 149 | 58.7 | 77 | 63.1 | 0.02 | 0.034 | 0.25 | 0.07 | 0.90 |
31–40 years | 54 | 41.5 | 72 | 28.3 | 32 | 26.2 | 0.073 | 0.54 | 0.27 | 1.05 | ||
41–50 years | 20 | 15.4 | 29 | 11.4 | 11 | 9.0 | 0.002 | 0.46 | 0.29 | 0.75 | ||
>50 years | 6 | 4.6 | 4 | 1.6 | 2 | 1.6 | Ref. | |||||
Occupation †† | Physician | 55 | 42.3 | 76 | 30.0 | 27 | 22.1 | 0.007 | 0.00 | 2.38 | 1.14 | 4.97 |
Nurse | 65 | 50.0 | 160 | 63.2 | 81 | 66.4 | 0.01 | 2.14 | 1.34 | 3.41 | ||
Other | 10 | 7.7 | 17 | 6.7 | 14 | 11.5 | Ref. | |||||
Place of COVID-19 work | COVID-19 treatment centers | 45 | 34.6 | 72 | 28.3 | 22 | 18.0 | 0.19 | 1.66 | 0.86 | 3.20 | |
COVID-19 hospitals | 67 | 51.5 | 154 | 60.6 | 88 | 72.1 | 0.057 | 0.81 | 0.84 | 0.21 | 3.26 | |
COVID-19 quarantine hotels | 3 | 2.3 | 4 | 1.6 | 1 | 0.8 | 0.03 | 1.58 | 1.03 | 2.43 | ||
More than one treatment place | 15 | 11.5 | 24 | 9.4 | 11 | 9.0 | Ref. | |||||
Did you receive training to treat COVID-19 patients? | No | 53 | 40.8 | 148 | 58.3 | 85 | 69.7 | 000 | 0.74 | 0.84 | 0.30 | 2.35 |
Yes | 69 | 53.1 | 99 | 39.0 | 28 | 23.0 | 0.001 | 0.41 | 0.25 | 0.68 | ||
Can’t remember | 8 | 6.2 | 7 | 2.8 | 9 | 7.4 | Ref. |
Stress Index | Adjusted Analysis * | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
≤27 Low n = 130 | 28–43 Moderate n = 254 | >43 High n = 122 | p Value | 95% Wald Confidence Interval for AOR | ||||||||
n | % | n | % | n | % | Sig. | Sig. | AOR | Lower | Upper | ||
Model 1: Coping strategies * | ||||||||||||
52. Considered every patient admitted to the hospital as having COVID-19 infection and using full protective gear even if patient was COVID-19 negative | Never | 8 | 6.2 | 10 | 3.9 | 8 | 6.6 | 0.09 | 0.91 | 0.99 | 0.72 | 1.35 |
Sometimes | 21 | 16.2 | 32 | 12.6 | 10 | 8.2 | 0.04 | 0.79 | 0.63 | 0.99 | ||
Often | 51 | 39.2 | 85 | 33.5 | 30 | 24.6 | 0.01 | 0.84 | 0.72 | 0.97 | ||
Always | 50 | 38.5 | 127 | 50.0 | 74 | 60.7 | Ref. | |||||
54. Avoided going out in public places to minimize exposure from COVID-19 | Never | 13 | 10.0 | 7 | 2.8 | 3 | 2.5 | 0.002 | 0.04 | 0.67 | 0.48 | 0.94 |
Sometimes | 34 | 26.2 | 49 | 19.3 | 18 | 14.8 | 0.29 | 0.87 | 0.71 | 1.07 | ||
Often | 47 | 36.2 | 99 | 39.0 | 47 | 38.5 | 0.92 | 0.99 | 0.85 | 1.17 | ||
Always | 36 | 27.7 | 99 | 39.0 | 54 | 44.3 | Ref. | |||||
61. Avoided media news about COVID-19 and related fatalities | Never | 33 | 25.4 | 56 | 22.0 | 23 | 18.9 | 0.000 | 0.50 | 0.93 | 0.74 | 1.18 |
Sometimes | 65 | 50.0 | 94 | 37.0 | 36 | 29.5 | 0.01 | 0.80 | 0.65 | 0.99 | ||
Often | 19 | 14.6 | 72 | 28.3 | 35 | 28.7 | 0.57 | 0.94 | 0.75 | 1.16 | ||
Always | 13 | 10.0 | 32 | 12.6 | 28 | 23.0 | Ref. | |||||
62. Vented emotions by crying, screaming etc. | Never | 87 | 66.9 | 157 | 61.8 | 63 | 51.6 | 0.002 | 0.03 | 0.76 | 0.59 | 0.99 |
Sometimes | 29 | 22.3 | 56 | 22.0 | 25 | 20.5 | 0.33 | 0.87 | 0.66 | 1.15 | ||
Often | 8 | 6.2 | 30 | 11.8 | 17 | 13.9 | 0.93 | 0.99 | 0.73 | 1.33 | ||
Always | 6 | 4.6 | 11 | 4.3 | 17 | 13.9 | Ref. | |||||
Model 2: Motivation ** | ||||||||||||
64. Available cure or vaccine for the disease | Never | 24 | 18.5 | 74 | 29.1 | 47 | 38.5 | 000 | 0.07 | 1.22 | 0.981 | 1.51 |
Sometimes | 41 | 31.5 | 62 | 24.4 | 19 | 15.6 | 0.80 | 0.97 | 0.77 | 1.21 | ||
Often | 48 | 36.9 | 65 | 25.6 | 23 | 18.9 | 0.19 | 0.86 | 0.70 | 1.07 | ||
Always | 17 | 13.1 | 53 | 20.9 | 33 | 27.0 | Ref. | |||||
65. Family support | Never | 8 | 6.2 | 9 | 3.5 | 9 | 7.4 | 0.001 | 0.73 | 0.95 | 0.71 | 1.26 |
Sometimes | 28 | 21.5 | 49 | 19.3 | 11 | 9.0 | 0.003 | 0.76 | 0.63 | 0.91 | ||
Often | 55 | 42.3 | 85 | 33.5 | 34 | 27.9 | 0.05 | 0.86 | 0.74 | 1.00 | ||
Always | 39 | 30.0 | 111 | 43.7 | 68 | 55.7 | Ref. | |||||
66. Compensation to family if disease-related death at work | Never | 52 | 40.0 | 101 | 39.8 | 51 | 41.8 | 0.000 | 0.22 | 0.85 | 0.66 | 1.08 |
Sometimes | 29 | 22.3 | 49 | 19.3 | 12 | 9.8 | 0.34 | 0.88 | 0.68 | 1.19 | ||
Often | 29 | 22.3 | 58 | 22.8 | 17 | 13.9 | 0.42 | 0.90 | 0.71 | 1.15 | ||
Always | 20 | 15.4 | 46 | 18.1 | 42 | 34.4 | Ref. | |||||
67. Financial recognition of efforts | Never | 49 | 37.7 | 117 | 46.1 | 50 | 41.0 | 000 | 0.020 | 0.75 | 0.58 | 0.97 |
Sometimes | 42 | 32.3 | 52 | 20.5 | 11 | 9.0 | 0.004 | 0.70 | 0.55 | 0.89 | ||
Often | 24 | 18.5 | 38 | 15.0 | 17 | 13.9 | 0.080 | 0.81 | 0.64 | 1.03 | ||
Always | 15 | 11.5 | 47 | 18.5 | 44 | 36.1 | Ref. | |||||
69. Recognition from management and supervisors for the extra efforts | Never | 22 | 16.9 | 57 | 22.4 | 37 | 30.3 | 0.023 | 0.01 | 1.40 | 1.07 | 1.81 |
Sometimes | 39 | 30.0 | 65 | 25.6 | 31 | 25.4 | 0.03 | 1.26 | 1.01 | 1.58 | ||
Often | 38 | 29.2 | 63 | 24.8 | 16 | 13.1 | 0.25 | 1.12 | 0.91 | 1.38 | ||
Always | 31 | 23.8 | 69 | 27.2 | 38 | 31.1 | Ref. | |||||
72. Reduced working hours during outbreaks | Never | 38 | 29.2 | 88 | 34.6 | 45 | 36.9 | 0000 | 0.21 | 0.85 | 0.66 | 1.09 |
Sometimes | 48 | 36.9 | 73 | 28.7 | 14 | 11.5 | 0.01 | 0.72 | 0.57 | 0.93 | ||
Often | 30 | 23.1 | 48 | 18.9 | 24 | 19.7 | 0.28 | 0.87 | 0.68 | 1.11 | ||
Always | 14 | 10.8 | 45 | 17.7 | 39 | 32.0 | Ref. |
Mean | Std. Deviation | Correlation Coefficient with Stress Scoring | Adjusted Analysis * with Stress Index | |||||
---|---|---|---|---|---|---|---|---|
Spearman’s rho | Significance | Sig. | ||||||
Coping scoring | 23.3 | 6.86 | 0.25 | 0.000 | 0.000 | 1.06 | 1.03 | 1.09 † |
Motivation scoring | 14.8 | 8.19 | 0.067 | 0.14 | 0.078 | 1.02 | 0.99 | 1.04 ‡ |
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Ahmead, M.; El Sharif, N.; Asad, S. Healthcare Workers’ Emotions, Perceived Stressors, and Coping Strategies at Workplace during the COVID-19 Pandemic in Palestine. Int. J. Environ. Res. Public Health 2022, 19, 11966. https://doi.org/10.3390/ijerph191911966
Ahmead M, El Sharif N, Asad S. Healthcare Workers’ Emotions, Perceived Stressors, and Coping Strategies at Workplace during the COVID-19 Pandemic in Palestine. International Journal of Environmental Research and Public Health. 2022; 19(19):11966. https://doi.org/10.3390/ijerph191911966
Chicago/Turabian StyleAhmead, Muna, Nuha El Sharif, and Samer Asad. 2022. "Healthcare Workers’ Emotions, Perceived Stressors, and Coping Strategies at Workplace during the COVID-19 Pandemic in Palestine" International Journal of Environmental Research and Public Health 19, no. 19: 11966. https://doi.org/10.3390/ijerph191911966