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      Psychological impact of COVID‐19 outbreak on frontline nurses: A cross‐sectional survey study

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          Abstract

          Aims and objectives

          This study aimed to portray the prevalence and associated factors of psychological distress among frontline nurses during COVID‐19 outbreak.

          Background

          The COVID‐19 outbreak has posed great threat to public health worldwide. Nurses fighting against the epidemic on the frontline might be under great physical and psychological distress. This psychological distress was predominantly described as sleep disturbance, symptoms of anxiety and depression, posttraumatic stress, inability to make decisions and even somatic symptoms.

          Design

          Cross‐sectional study.

          Methods

          Frontline nurses from designated hospitals for COVID‐19 patients were invited to complete an online survey by convenience sampling, the survey included six main sections: the General Health Questionnaire, the Perceived Social Support Scale, the Simplified Coping Style Scale, the Impact of Event Scale‐Revised, socio‐demographic, occupation and work history. Multiple logistic analysis was used to identify the potential risk factors of psychological distress. The study methods were compliant with the STROBE checklist.

          Results

          Of the 263 frontline nurses, 66 (25.1%) were identified as psychological distress. Multiple logistic analysis revealed that working in emergency department, concern for family, being treated differently, negative coping style and COVID‐19 related stress symptom were positive related to psychological distress. Perceived more social support and effective precautionary measures were negatively associated with psychological distress.

          Conclusions

          The study demonstrated that COVID‐19 had a significant psychological impact on frontline nurses. Early detection of psychological distress and supportive intervention should be taken according to the associated factors to prevent more serious psychological impact on frontline nurses.

          Relevance to clinical practice

          This study highlighted that the frontline nurses were suffering from varying degrees of psychological distress, which needed early screening and supportive intervention for preventing more serious psychological impact on frontline nurses. Beside, more specific measurement should be combined with the GHQ‐12 to assess the varying degrees of psychological distress in frontline nurses.

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          Author and article information

          Contributors
          suxiangfengfy@163.com
          Journal
          J Clin Nurs
          J Clin Nurs
          10.1111/(ISSN)1365-2702
          JOCN
          Journal of Clinical Nursing
          John Wiley and Sons Inc. (Hoboken )
          0962-1067
          1365-2702
          12 August 2020
          : 10.1111/jocn.15454
          Affiliations
          [ 1 ] The First Affiliated Hospital of Guangzhou Medical University Guangzhou Guangdong Province China
          Author notes
          [*] [* ] Corresponding Author

          Xiangfen Su

          E‐mail: suxiangfengfy@ 123456163.com

          Author information
          https://orcid.org/0000-0002-9086-8465
          Article
          JOCN15454
          10.1111/jocn.15454
          7436701
          32786150
          d086cc8d-fed2-428b-ade9-7d65975aa839
          This article is protected by copyright. All rights reserved.

          This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

          History
          Page count
          Figures: 0, Tables: 0, Pages: 24, Words: 490
          Categories
          Original Article
          Original Articles
          Custom metadata
          2.0
          accepted-manuscript
          Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.7 mode:remove_FC converted:19.08.2020

          Nursing
          coping style,coronavirus,covid‐19,nurse,psychological distress,social support
          Nursing
          coping style, coronavirus, covid‐19, nurse, psychological distress, social support

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