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      The relationship between psychological distress and professional identity in graduate nursing students during COVID-19: a longitudinal cross-lagged analysis Translated title: La relación entre el malestar psicológico y la identidad profesional en estudiantes de posgrado de enfermería durante el COVID-19: un análisis longitudinal cruzado

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          Abstract

          Abstract There is growing evidence that the COVID-19 pandemic has had an impact on the mental health and professional identity of nursing students. This study aimed to explore the trajectories of psychological distress and professional identity and examine their causal relationship among graduate nursing students. A prospective longitudinal study was conducted with 556 graduate nursing students in China who were asked to complete the Questionnaires for Emergent Events of Public Health and the Professional Identity Questionnaire for Nursing Students at three timepoints during the pandemic (T1 = onset of the outbreak, T2 = state-wide isolation, T3 = school reopening). The results showed that psychological distress and psychological identity changed over time, with the lowest psychological distress and highest professional identity at T3. The cross-lagged analysis showed that professional identity at T1 and T2 negatively predicted psychological distress at T2 and T3. We concluded that nurse educators should develop programs and strategies to cultivate professional identity in graduate nursing education to improve mental health during public health crises.

          Translated abstract

          Resumen: Cada vez hay más evidencia de que la reciente epidemia de que la COVID-19 puede afectar a la salud mental y la identidad profesional de los estudiantes de posgrado en enfermería. Es por ello que el propósito de este estudio fue explorar las trayectorias del estrés psicológico y la identidad ocupacional y examinar su relación causal de dichos estudiantes de posgrado durante la nueva epidemia. Se llevó a cabo un estudio prospectivo longitudinal con 556 estudiantes de posgrado en enfermería en China, a los que se les pidió que completaran los cuestionarios de emergencia de salud pública y el de identidad ocupacional para estudiantes de enfermería en tres etapas del brote (T1 = brote, T2 = aislamiento estatal, T3 = reapertura escolar). Los resultados mostraron que estrés psicológico y la identidad psicológica de los estudiantes universitarios habían cambiado con el tiempo. En T3, la perturbación emocional fue la más baja y la identidad ocupacional la más alta. El análisis de retraso cruzado mostró que la identidad ocupacional de T1 y T2 tenía un efecto predictivo negativo sobre la perturbación psicológica de T2 y T3. Conclusión: los educadores de enfermería deberían formular programas y estrategias que cultiven la identidad profesional de sus estudiantes a fin de mejorar la salud mental en emergencias públicas.

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          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Chaolin Huang, Yeming Wang, Xingwang Li … (2020)
          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
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            A Longitudinal Study on the Mental Health of General Population during the COVID-19 Epidemic in China

            Cuiyan Wang, Riyu Pan, Xiaoyang Wan … (2020)
            Highlights • A significant reduction in psychological impact 4 weeks after COVID outbreak. • The mean scores of respondents in both surveys were above PTSD cut-offs. • Female gender, physical symptoms associated with a higher psychological impact. • Hand hygiene, mask-wearing & confidence in doctors reduced psychological impact. • Online trauma-focused psychotherapy may be helpful to public during COVID-19.
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              Investigating Mental Health of US College Students During the COVID-19 Pandemic: Cross-Sectional Survey Study

              Xiaomei Wang, Sudeep Hegde, Changwon Son … (2020)
              Background Evidence suggests that the COVID-19 pandemic has generally increased levels of stress and depression among the public. However, the impact on college students in the United States has not been well-documented. Objective This paper surveys the mental health status and severity of depression and anxiety of college students in a large university system in the United States during the COVID-19 pandemic. Methods An online survey was conducted among undergraduate and graduate students recruited from Texas A&M University via email. The survey consisted of two standardized scales—the Patient Health Questionnaire-9 and the General Anxiety Disorder-7—for depression and anxiety, and additional multiple-choice and open-ended questions regarding stressors and coping mechanisms specific to COVID-19. Results Among the 2031 participants, 48.14% (n=960) showed a moderate-to-severe level of depression, 38.48% (n=775) showed a moderate-to-severe level of anxiety, and 18.04% (n=366) had suicidal thoughts. A majority of participants (n=1443, 71.26%) indicated that their stress/anxiety levels had increased during the pandemic. Less than half of the participants (n=882, 43.25%) indicated that they were able to cope adequately with the stress related to the current situation. Conclusions The proportion of respondents showing depression, anxiety, and/or suicidal thoughts is alarming. Respondents reported academic-, health-, and lifestyle-related concerns caused by the pandemic. Given the unexpected length and severity of the outbreak, these concerns need to be further understood and addressed.
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                Author and article information

                Journal
                Journal ID (publisher-id): ap
                Title: Anales de Psicología
                Abbreviated Title: Anal. Psicol.
                Publisher: Universidad de Murcia (Murcia, Murcia, Spain )
                ISSN (Print): 0212-9728
                ISSN (Electronic): 1695-2294
                Publication date (Print and electronic): April 2023
                Volume: 39
                Issue: 1
                Pages: 137-144
                Affiliations
                [2] Beijing orgnamePeking University orgdiv1School of Nursing China
                [1] orgnameWenzhou Medical University orgdiv1School of Nursing China
                Article
                Publisher ID: S0212-97282023000100015 Publisher ID: S0212-9728(23)03900100015
                DOI: 10.6018/analesps.502211
                SO-VID: 92604a2a-3afe-4efd-b6ca-e5ec11c6e98b
                License:

                This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

                History
                Date accepted : 22 February 2022
                Date received : 23 November 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 45, Pages: 8
                Product

                SciELO Spain

                Categories
                Subject: Social Psychology

                Keywords: Cross-lagged analysis,Estudiante de posgrado de enfermería,Identidad ocupacional,Malestar psicológico,COVID-19,Graduate nursing student,Professional identity,Psychological distress,Análisis longitudinal cruzado
                Data availability:
                Keywords: Cross-lagged analysis, Estudiante de posgrado de enfermería, Identidad ocupacional, Malestar psicológico, COVID-19, Graduate nursing student, Professional identity, Psychological distress, Análisis longitudinal cruzado

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