Acute stress of the healthcare workforce during the COVID-19 pandemic evolution: a cross-sectional study in Spain
Mira, José Joaquín ; Carrillo, Irene ; Guilabert, Mercedes ; Mula, Aurora ; Martin-Delgado, Jimmy ; Pérez-Jover, Maria Virtudes ; Vicente, Maria Asunción ; Fernández, César ; Behalf of the SARS-CoV-2 Second Victim Study Group ; Astier, Pilar (Universidad de Zaragoza)
Resumen: ObjectivesTo determine the volume of health professionals who suffered distress due to their care of patients with COVID-19 and to analyse the direction in which the response capacity of the professionals to face future waves of COVID-19 is evolving.DesignA cross-sectional study.SettingPrimary care and hospitals in Spain.ParticipantsA non-randomised sample of 685 professionals (physicians, nurses and other health staff).Primary and secondary outcome measuresFrequency and intensity of stress responses measured by the Acute Stress of Health Professionals Caring COVID-19 Scale (EASE). Variation of stress responses according to the number of deaths per day per territory and the evolutionary stage of the COVID-19 outbreak measured by the Kruskal-Wallis and the Mann-Whitney U tests.ResultsThe average score on the EASE Scale was 11.1 (SD 6.7) out of 30. Among the participants, 44.2% presented a good emotional adjustment, 27.4% a tolerable level of distress, 23.9% medium–high emotional load and 4.5% extreme acute stress. The stress responses were more intense in the most affected territories (12.1 vs 9.3, p=0.003) and during the disillusionment phase (12.7 vs 8.5 impact, 10.2 heroic and 9.8 honeymoon, p=0.000).ConclusionsThe pandemic has affected the mental health of a significant proportion of health professionals which may reduce their resilience in the face of future waves of COVID-19. The institutional approaches to support the psychological needs of health professionals are essential to ensure optimal care considering these results.
Idioma: Inglés
DOI: 10.1136/bmjopen-2020-042555
Año: 2020
Publicado en: BMJ Open 10, 11 (2020), e042555 [9 pp.]
ISSN: 2044-6055
Factor impacto JCR: 2.692 (2020)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 64 / 167 = 0.383 (2020) - Q2 - T2
Factor impacto SCIMAGO: 1.131 - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
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Idioma: Inglés
DOI: 10.1136/bmjopen-2020-042555
Año: 2020
Publicado en: BMJ Open 10, 11 (2020), e042555 [9 pp.]
ISSN: 2044-6055
Factor impacto JCR: 2.692 (2020)
Categ. JCR: MEDICINE, GENERAL & INTERNAL rank: 64 / 167 = 0.383 (2020) - Q2 - T2
Factor impacto SCIMAGO: 1.131 - Medicine (miscellaneous) (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Area Medicina (Dpto. Medicina, Psiqu. y Derm.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2026-02-27-12:36:07)
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Record created 2026-02-27, last modified 2026-02-27