Mental Health of Professionals Working in Pediatric Intensive Care Units During the COVID-19 Pandemic

NCT04846907 | Unknown

• 1 other identifier: COVID-EMOTION
• Study Type: observational
• Target: 1,148
• Locations: 1 country
• Sites: 1

Brief Summary

Health professionals are extremely exposed to psychosocial risks, as they experience, in general, high levels of stress, anxiety, fatigue and suffering, due to the nature and location of their work. As a result, the health and well being of these professionals can be significantly compromised. In outbreaks of serious infectious diseases and pandemics, these risks become amplified and the health team is at greater risk of falling ill, presenting changes in mental health and psychological trauma, while caring for infected patients and becoming potential contaminants in their family and community. The objective is to study the mental health of professionals who work in Pediatric Intensive Care Units (PICUs) in Brazil, during and after the COVID-19 pandemic. The primary outcome will be the prevalence of burnout in the team involved with the care of critically ill children. Secondary outcomes such as anxiety, depression, quality of professional life, compassionate fatigue and post-traumatic stress disorder will be measured. Possible associations between demographic, work and coping variables (social support and resilience) with mental and emotional health outcomes will be investigated, in an exploratory character. It is a multicenter, observational, longitudinal study, with a descriptive and exploratory analytical component. Data collection will be carried out through an electronic survey during and after the COVID-19 pandemic.

Conditions

Covid19; Burnout, Professional; Stress Disorders, Post-Traumatic; Anxiety; Depression; Compassion Fatigue

Keywords

Covid19; Burnout; Post-Traumatic Stress Disorder; Anxiety; Depression; Compassion Fatigue

Outcome Measures

Primary Outcomes (1)

• Prevalence of burnout as measured by Maslach Burnout Inventory (MBI)

  Proportion of participants positive for Burnout as measured by MBI (Maslach et al), a self-report standardized 22-item questionnaire covering 3 domains: emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA). Each subscale includes Likert-scaled questions ranging from 0 (never) to 6 (every day). Higher EE and DP scores and lower PA scores, more severe Burnout. Further analysis will be done to evaluate associations between Burnout presence and severity and demographic and laboral characteristics.

  Baseline

Secondary Outcomes (4)

• Prevalence of anxiety as measured by Hospital Anxiety and Depression Scale (HADS)

  Baseline

• Prevalence of depression as measured by Hospital Anxiety and Depression Scale (HADS)

  Baseline

• Prevalence of Post-traumatic Stress Disorder (PTSD) as measured by PTSD Checklist DSM-5 (PCL-5)

  Baseline

• Prevalence of Compassion Fatigue as measured by Professional Quality of Life 5 (ProQOL 5) scale

  Baseline

Study Arms (1)

Healthcare personnel working in pediatric intensive care units during COVID-19 pandemic

Physicians, registered nurses, nurse technicians, physical therapists and other professionals; on duty, routine staff or fellow/residents working in participants PICU

Other: Web-based survey

Interventions

Web-based survey OTHER

Eligible participants received emails or text messages with links to a REDCap-created and managed web-based questionnaire

Healthcare personnel working in pediatric intensive care units during COVID-19 pandemic

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Physicians, registered nurses, nurse technicians, physical therapists and other professionals; on duty, routine staff or fellow/residents working in participants PICU

You may qualify if:

• Eligible participants that signed informed consent form

You may not qualify if:

• Refused to sign informed consent form

Sponsors & Collaborators

• D'Or Institute for Research and Education: lead
• Conselho Nacional de Desenvolvimento Científico e Tecnológico: collaborator

Study Sites (1)

D'Or Institute for Research and Education

Rio de Janeiro, 22281-100, Brazil

Location

Related Publications (9)

• Oh N, Hong N, Ryu DH, Bae SG, Kam S, Kim KY. Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea. Asian Nurs Res (Korean Soc Nurs Sci). 2017 Sep;11(3):230-236. doi: 10.1016/j.anr.2017.08.005. Epub 2017 Aug 21.

  PMID: 28991605 BACKGROUND

• Almutairi AF, Adlan AA, Balkhy HH, Abbas OA, Clark AM. "It feels like I'm the dirtiest person in the world.": Exploring the experiences of healthcare providers who survived MERS-CoV in Saudi Arabia. J Infect Public Health. 2018 Mar-Apr;11(2):187-191. doi: 10.1016/j.jiph.2017.06.011. Epub 2017 Jul 1.

  PMID: 28676285 BACKGROUND

• Roy D, Tripathy S, Kar SK, Sharma N, Verma SK, Kaushal V. Study of knowledge, attitude, anxiety & perceived mental healthcare need in Indian population during COVID-19 pandemic. Asian J Psychiatr. 2020 Jun;51:102083. doi: 10.1016/j.ajp.2020.102083. Epub 2020 Apr 8.

  PMID: 32283510 BACKGROUND

• Chan AO, Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occup Med (Lond). 2004 May;54(3):190-6. doi: 10.1093/occmed/kqh027.

  PMID: 15133143 BACKGROUND

• Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during covid-19 pandemic. BMJ. 2020 Mar 26;368:m1211. doi: 10.1136/bmj.m1211. No abstract available.

  PMID: 32217624 BACKGROUND

• Chen Q, Liang M, Li Y, Guo J, Fei D, Wang L, He L, Sheng C, Cai Y, Li X, Wang J, Zhang Z. Mental health care for medical staff in China during the COVID-19 outbreak. Lancet Psychiatry. 2020 Apr;7(4):e15-e16. doi: 10.1016/S2215-0366(20)30078-X. Epub 2020 Feb 19. No abstract available.

  PMID: 32085839 BACKGROUND

• Buckley L, Berta W, Cleverley K, Medeiros C, Widger K. What is known about paediatric nurse burnout: a scoping review. Hum Resour Health. 2020 Feb 11;18(1):9. doi: 10.1186/s12960-020-0451-8.

  PMID: 32046721 BACKGROUND

• Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H, Chen T, Li R, Tan H, Kang L, Yao L, Huang M, Wang H, Wang G, Liu Z, Hu S. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open. 2020 Mar 2;3(3):e203976. doi: 10.1001/jamanetworkopen.2020.3976.

  PMID: 32202646 BACKGROUND

• Wu PE, Styra R, Gold WL. Mitigating the psychological effects of COVID-19 on health care workers. CMAJ. 2020 Apr 27;192(17):E459-E460. doi: 10.1503/cmaj.200519. Epub 2020 Apr 15. No abstract available.

  PMID: 32295761 BACKGROUND

MeSH Terms

Conditions

COVID-19; Burnout, Professional; Stress Disorders, Post-Traumatic; Anxiety Disorders; Depression; Compassion Fatigue; Burnout, Psychological

Condition Hierarchy (Ancestors)

Pneumonia, Viral; Pneumonia; Respiratory Tract Infections; Infections; Virus Diseases; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Lung Diseases; Respiratory Tract Diseases; Occupational Stress; Occupational Diseases; Stress, Psychological; Behavioral Symptoms; Behavior; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Mental Fatigue; Fatigue; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Fernanda L Setta

  D'Or Institute for Research and Education

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 13, 2021
• First Posted: April 15, 2021
• Study Start: July 1, 2020
• Primary Completion: July 1, 2022
• Study Completion: December 1, 2022
• Last Updated: January 13, 2022

Record last verified: 2022-01

Locations

BR (1)