Authors: Da-Jeong Moon; Mi Ah Han; Jong Park; So Yeon Ryu · Research

How Does Working With COVID-19 Patients Affect Nurses' Mental Health?

Research reveals high rates of PTSD among nurses caring for COVID-19 patients and identifies key risk factors affecting their mental health.

Source: Moon, D. J., Han, M. A., Park, J., & Ryu, S. Y. (2021). Post-traumatic Stress and Related Factors Among Hospital Nurses during the COVID-19 Outbreak in Korea. Psychiatric Quarterly, 92(3), 1381-1391. https://doi.org/10.1007/s11126-021-09915-w

What you need to know

  • Over one-third of nurses caring for COVID-19 patients showed signs of post-traumatic stress disorder (PTSD)
  • Nurses working in isolation units had significantly higher risk of developing PTSD
  • Poor staffing levels and experiencing COVID-19 symptoms were major risk factors

The Hidden Toll of Frontline Work

Picture yourself going to work each day knowing you’ll be face-to-face with a deadly virus. You’ll spend hours in uncomfortable protective gear, carefully following strict protocols to keep yourself and others safe. This was the reality for countless nurses during the COVID-19 pandemic. While we often focus on the physical risks these healthcare heroes faced, there’s another critical aspect that deserves attention: their mental health.

A Concerning Discovery

Research conducted across three Korean hospitals revealed some troubling statistics: 36.7% of nurses showed signs of PTSD. To put this in perspective, this rate is significantly higher than what nurses experienced during previous health crises like SARS and MERS. The average PTSD score was 20.68 out of 88 points, with scores above 25 indicating high risk.

Key Risk Factors

The study identified several factors that increased nurses’ risk of developing PTSD. Those working in National Designated Isolation Unit (NDIU) wards were 16 times more likely to develop PTSD compared to nurses in general wards. This makes sense when you consider the added stress of directly caring for COVID-19 patients while wearing full protective gear for extended periods.

Poor staffing levels also played a crucial role. Nurses who reported inadequate staffing were three times more likely to develop PTSD compared to those with good staffing levels. When there aren’t enough nurses on duty, each person must care for more patients, increasing their workload and stress levels.

The Physical-Mental Health Connection

An interesting finding was that nurses who experienced COVID-19 symptoms themselves were nearly four times more likely to develop PTSD, regardless of whether they actually tested positive. This highlights how the fear of infection can significantly impact mental health.

What This Means for You

If you’re a healthcare worker, particularly a nurse:

  • Recognize that feeling stressed or traumatized is a normal response to abnormal circumstances
  • Don’t hesitate to seek mental health support if you’re struggling
  • Pay attention to signs of burnout or trauma in yourself and colleagues
  • Advocate for adequate staffing levels in your workplace

For healthcare administrators and policymakers:

  • Prioritize adequate staffing levels, especially in high-stress units
  • Implement regular mental health screenings for healthcare workers
  • Provide accessible mental health support services
  • Develop clear protocols for staff rotation and rest periods

Conclusions

  • The mental health impact of caring for COVID-19 patients is significant and shouldn’t be overlooked
  • Healthcare organizations need to prioritize both physical and mental health protection for their staff
  • Regular mental health screening and support should become standard practice in healthcare settings
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