Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Impact of the COVID-19 Pandemic on Nurses Mental Health Status: A Descriptive Study
COVID-19 Pandemisinin Hemşirelerin Ruh Sağlığı Durumuna Etkisi: Tanımlayıcı Bir Çalışma
Burhan HADIa, Saja H. MOHAMMEDb
aNursing Department, Al-Mustaqbal University College, Babil, Iraq
bUniversity of Babylon College of Nursing, Hillah, Iraq
Turkiye Klinikleri J Med Sci. 2022;42(4):289-96
doi: 10.5336/medsci.2022-91272
Article Language: EN
Full Text
ABSTRACT
Objective: To assess the impact of the pandemic on mental health status for nurses in Iraq. The coronavirus disease-2019 (COVID-19) pandemic is a major health crisis that has changed the life of millions globally. Coronaviruses are viruses' group that can contract animals and humans and the cause of severe acute respiratory syndrome, Middle East respiratory syndrome, and COVID-19. Nurses are the primary service providers in the healthcare, nurses who are in close contact with infectious patients need to get their mental health checked and supervised on a regular basis, particularly with regard to stress, anxiety and suicidal ideation, so that they can provide optimal quality of life and healthy mental health to have good care for patients. Material and Methods: A total of sample study (1,000) nurses in Iraq completed an online questionnaire between March to May 2021. Psychological impact was assess using the Depression Anxiety Stress Scale-21. Results: The study revealed impact COVID-19 on mental health status (anxiety stress) and no impact COVID-19 on mental health status (depression) for nurses was (p=0.040, p=0.045 respectively). Conclusion: The impact COVID-19 on mental health status for nurses. Recommendation: Protecting the nursing staff from chronic stress, anxiety and depression, which constitutes a psychological burden on health during the outbreak of the COVID-19 pandemic, by clarifying the disease and how to prevent it, as well as providing the personal protective equipment to decrease stress, anxiety and depression during the pandemic.

Keywords: COVID-19 pandemic; nurses; mental health status; pandemic; psychological effects
ÖZET
Amaç: Bu çalışmanın amacı, pandeminin Irak'taki hemşirelerin ruh sağlığı durumu üzerindeki etkisini değerlendirmek. Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] pandemisi, dünya çapında milyonlarca insanın hayatını değiştiren büyük bir sağlık krizidir. Koronavirüsler, hayvanlara ve insanlara bulaşabilen ve şiddetli akut solunum sendromu, Orta Doğu solunum sendromu ve COVID19'a neden olabilen virüs grubudur. Hemşireler, sağlık hizmetlerinde birincil hizmet sağlayıcılardır. Enfeksiyöz hastalarla yakın temasta olan hemşirelerin ruh sağlıklarını, özellikle stres, kaygı ve intihar düşüncesi açısından düzenli olarak kontrol ettirmeleri ve gözetim altında tutmaları gerekir. Böylece hastalara iyi bakım sağlamak için optimum yaşam kalitesi ve ruh sağlığına sahip olabilirler. Gereç ve Yöntemler: Irak'taki toplam örnek çalışma (1.000) hemşire, Mart-Mayıs 2021 arasında çevrim içi bir anket doldurdu. Psikolojik etki, Depresyon Kaygısı Stres Ölçeği-21 kullanılarak değerlendirildi. Bulgular: Çalışma, COVID-19'un ruh sağlığı durumu üzerindeki etkisini (anksiyete stresi) ve COVID-19'un hemşireler için ruh sağlığı durumu (depresyon) üzerinde hiçbir etkisi olmadığını ortaya koydu (sırasıyla p=0,040, p=0,045). Sonuç: COVID-19'un hemşirelerin ruh sağlığı durumu üzerindeki etkisi. Öneri: COVID-19 pandemisinin patlak vermesi sırasında sağlık üzerinde psikolojik bir yük oluşturan kronik stres, anksiyete ve depresyondan, hastalığın ve nasıl önlenebileceğinin aydınlatılarak hemşirelerin korunması ve hastalara kişisel koruyucu donanımların sağlanması. Pandemi sırasında stres, kaygı ve depresyonu azaltır.

Anahtar Kelimeler: COVID-19 pandemisi; hemşire; ruh sağlığı durumu; pandemi; psikolojik etkiler
REFERENCES:
  1. Jemal K, Deriba BS, Geleta TA, Tesema M, Awol M, Mengistu E, et al. Self-reported symptoms of depression, anxiety, and stress among healthcare workers in Ethiopia during the COVID-19 pandemic: a cross-sectional study. Neuropsychiatr Dis Treat. 2021;17:1363-73. [Crossref]  [PubMed]  [PMC] 
  2. Heymann DL, Shindo N; WHO scientific and technical advisory group for infectious hazards. COVID-19: what is next for public health? Lancet. 2020;395(10224):542-5. [Crossref]  [PubMed]  [PMC] 
  3. Habib OS, AlKanan AK, Abed AH, Mohammed NQ. Epidemiological features of COVID-19 epidemic in Basrah-Southern Iraq-first report. The Medical Journal of Basrah University. 2020;38(1):7-18. [Crossref] 
  4. Temsah MH, Al-Sohime F, Alamro N, Al-Eyadhy A, Al-Hasan K, Jamal A, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health. 2020;13(6):877-82. Erratum in: J Infect Public Health. 2020;13(10):1599. [Crossref]  [PubMed]  [PMC] 
  5. Eurosurveillance editorial team. Note from the editors: World Health Organization declares novel coronavirus (2019-nCoV) sixth public health emergency of international concern. Euro Surveill. 2020;25(5):200131e. [Crossref]  [PubMed]  [PMC] 
  6. Bargon C, Batenburg M, van Stam L, van der Molen D, van Dam I, van der Leij F, et al. The impact of the COVID-19 pandemic on quality of life, physical and psychosocial wellbeing in breast cancer patients-a prospective, multicenter cohort study. European Journal of Cancer. 2020;138(1):S17. [Crossref] 
  7. Ripp J, Peccoralo L, Charney D. Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 Pandemic. Acad Med. 2020;95(8):1136-9. [Crossref]  [PubMed]  [PMC] 
  8. Eldevik MF, Flo E, Moen BE, Pallesen S, Bjorvatn B. Insomnia, excessive sleepiness, excessive fatigue, anxiety, depression and shift work disorder in nurses having less than 11 hours in-between shifts. PLoS One. 2013;8(8):e70882. [Crossref]  [PubMed]  [PMC] 
  9. Kim YJ, Kang SW. The quality of life, psychological health, and occupational calling of Korean workers: differences by the new classes of occupation emerging amid the COVID-19 pandemic. Int J Environ Res Public Health. 2020;17(16):5689. [Crossref]  [PubMed]  [PMC] 
  10. Di Tella M, Romeo A, Benfante A, Castelli L. Mental health of healthcare workers during the COVID-19 pandemic in Italy. J Eval Clin Pract. 2020;26(6):1583-7. [Crossref]  [PubMed] 
  11. Khanal P, Devkota N, Dahal M, Paudel K, Joshi D. Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal. Global Health. 2020;16(1):89. [Crossref]  [PubMed]  [PMC] 
  12. Rehman U, Shahnawaz MG, Khan NH, Kharshiing KD, Khursheed M, Gupta K, et al. Depression, anxiety and stress among Indians in times of covid-19 lockdown. Community Ment Health J. 2021;57(1):42-8. [Crossref]  [PubMed]  [PMC] 
  13. Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559-65. [Crossref]  [PubMed]  [PMC] 
  14. Buselli R, Baldanzi S, Corsi M, Chiumiento M, Del Lupo E, Carmassi C, et al. Psychological care of health workers during the COVID-19 outbreak in Italy: preliminary report of an occupational health department (AOUP) responsible for monitoring hospital staff condition. Sustainability. 2020;12(12):5039. [Crossref] 
  15. Zhu Z, Xu S, Wang H, Liu Z, Wu J, Li G, et al. COVID-19 in Wuhan: Immediate Psychological Impact on 5062 Health Workers. medRxiv. 2020. [Crossref] 
  16. Moussa M, Lovibond P, Laube R, Megahead H. Psychometric properties of an Arabic version of the Depression Anxiety Stress Scales (DASS). Research on Social Work Practice. 2016;27(3):375-86. [Crossref] 
  17. Ali AM, Green J. Factor structure of the depression anxiety stress Scale-21 (DASS-21): Unidimensionality of the Arabic version among Egyptian drug users. Subst Abuse Treat Prev Policy. 2019;14(1):40. [Crossref]  [PubMed]  [PMC] 
  18. Elhadi M, Msherghi A, Elgzairi M, Alhashimi A, Bouhuwaish A, Biala M, et al. Psychological status of healthcare workers during the civil war and COVID-19 pandemic: A cross-sectional study. J Psychosom Res. 2020;137:110221. [Crossref]  [PubMed]  [PMC] 
  19. Chowdhury S, Sunna T, Das D, Kabir H, Hossain A, Mahmud S, et al. Mental health symptoms among the nurses of Bangladesh during the COVID-19 pandemic. Middle East Current Psychiatry. 2021;28(1):23. [Crossref]  [PMC] 
  20. Xing LQ, Xu ML, Sun J, Wang QX, Ge DD, Jiang MM, et al. Anxiety and depression in frontline health care workers during the outbreak of Covid-19. Int J Soc Psychiatry. 2021;67(6):656-63. [Crossref]  [PubMed] 
  21. Abu-Snieneh HM. Psychological factors associated with the spread of Coronavirus disease 2019 (COVID-19) among nurses working in health sectors in Saudi Arabia. Perspect Psychiatr Care. 2021;57(3):1399-408. [Crossref]  [PubMed]  [PMC] 
  22. Aksoy YE, Koçak V. Psychological effects of nurses and midwives due to COVID-19 outbreak: The case of Turkey. Arch Psychiatr Nurs. 2020;34(5):427-33. [Crossref]  [PubMed]  [PMC] 
  23. Si MY, Su XY, Jiang Y, Wang WJ, Gu XF, Ma L, et al. Psychological impact of COVID-19 on medical care workers in China. Infect Dis Poverty. 2020;9(1):113. [Crossref]  [PubMed]  [PMC] 
  24. Al Maqbali M, Al Khadhuri J. Psychological impact of the coronavirus 2019 (COVID-19) pandemic on nurses. Jpn J Nurs Sci. 2021;18(3):e12417. [PubMed]  [PMC] 

.: Up To Date

Login



Contact


Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com