Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2024-11-19 DOI:10.1016/j.healthpol.2024.105214

Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin

{"title":"Mental health of Australian frontline nurses during the COVID-19 pandemic: Results of a large national survey","authors":"Akbar Zamanzadeh , Marion Eckert , Nadia Corsini , Pam Adelson , Greg Sharplin","doi":"10.1016/j.healthpol.2024.105214","DOIUrl":null,"url":null,"abstract":"<div><div>This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.</div></div>","PeriodicalId":55067,"journal":{"name":"Health Policy","volume":"151 ","pages":"Article 105214"},"PeriodicalIF":3.6000,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Policy","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0168851024002240","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}

引用次数: 0

Abstract

This paper investigates the effects of work demands on burnout indices of emotional exhaustion, depersonalization and personal accomplishment, and mental health indices of anxiety, depression and stress, among Australian nurses and midwives. We used de-identified self-reported survey data from approximately 11,000 Australian nurses and midwives during the pandemic. Linear and quantile regression analyses explored how working conditions affect different aspects of nurses and midwives' burnout and mental health. Results show how working conditions affect burnout and mental health heterogeneously depending on the severity of the mental health symptoms. Increased quantitative and emotional work demands significantly impact occupational burnout indices of emotional exhaustion and depersonalization, and mental health indices of anxiety, depression, and stress among Australian nurses and midwives. Quantitative and emotional demands have more significant effects on people with higher levels of anxiety, depression, stress, and depersonalization than on those with milder or lesser symptoms. Given recent national and international policy focus on psychosocial hazards at work, this paper suggests that governments and health care providers need to monitor such hazards among nurses and midwives and introduce policies that reduce excessive quantitative or emotional burden to minimise risk of burnout and poor mental health and support good mental health among nurses and midwives.

查看原文本刊更多论文

COVID-19 大流行期间澳大利亚一线护士的心理健康：全国性大型调查的结果

本文研究了澳大利亚护士和助产士的工作需求对情感衰竭、人格解体和个人成就感等职业倦怠指数以及焦虑、抑郁和压力等心理健康指数的影响。我们使用了大流行期间约 11,000 名澳大利亚护士和助产士的去身份化自我报告调查数据。线性回归分析和量化回归分析探讨了工作条件如何影响护士和助产士倦怠和心理健康的不同方面。结果表明，根据心理健康症状的严重程度，工作条件对职业倦怠和心理健康的影响是不同的。澳大利亚护士和助产士的职业倦怠指数（情绪衰竭和人格解体）以及心理健康指数（焦虑、抑郁和压力）均受到数量和情感工作要求增加的显著影响。与焦虑、抑郁、压力和人格解体症状较轻或较轻的人相比，数量和情感要求对焦虑、抑郁、压力和人格解体程度较高的人的影响更为明显。鉴于最近国家和国际政策对工作中的社会心理危害的关注，本文建议政府和医疗保健提供者需要监测护士和助产士中的此类危害，并出台政策减少过重的数量或情绪负担，以最大限度地降低职业倦怠和心理健康不良的风险，并支持护士和助产士保持良好的心理健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.