Factors Influencing Post-Traumatic Stress Disorder in Hospital Clinical Nurses During COVID-19 in Korea: Resilience, Social Support, and Professional Pride in Nursing

Overview

Journal Healthcare (Basel)

Specialty Health Services

Date 2024 Jul 26

PMID 39057544

Authors

Bomi Kim

Hae Ran Kim

Jae Yong Yoo

Mi Ah Han

Affiliations

Soon will be listed here.

Abstract

During the COVID-19 pandemic, clinical nurses in hospitals in South Korea were exposed to extreme stress, and many continue to suffer from post-traumatic stress disorder (PTSD). This study explores the factors influencing PTSD among hospital clinical nurses during COVID-19. In total, 121 hospital clinical nurses participated in 2022, providing demographic information and completing surveys designed to measure PTSD, resilience, social support, professional pride in nursing (PPN), and variables related to COVID-19. We observed statistically significantly higher levels of resilience (91.48 vs. 70.00), social support (47.37 vs. 35.41), and PPN (88.36 vs. 68.06) in the low-risk PTSD group compared with the high-risk PTSD group. Resilience was associated with a reduced risk of PTSD (OR, 0.91; 95% CI = 0.84-0.98). The subfactors of control (OR = 0.60; 95% CI = 0.43-0.86) and sociability (OR = 0.68; 95% CI = 0.44-0.97) decreased PTSD risk. Among the social support subfactors, family support had an OR of 0.47 (95% CI = 0.26-0.86) for reducing PTSD risk. Programs involving family participation that enhance resilience and provide psychological support can help hospital nurses affected by the COVID-19 pandemic manage their PTSD. Our findings serve as foundational data to develop interventions on psychological well-being for nurses dealing with new infectious diseases.

References

Liu C, Zhang E, Wong G, Hyun S, Hahm H . Factors associated with depression, anxiety, and PTSD symptomatology during the COVID-19 pandemic: Clinical implications for U.S. young adult mental health. Psychiatry Res. 2020; 290:113172. PMC: 7263263. DOI: 10.1016/j.psychres.2020.113172. View

Jeon J, Lee E, Kim E . [Development of an Instrument to Assess the Nursing Professional Pride]. J Korean Acad Nurs. 2020; 50(2):228-241. DOI: 10.4040/jkan.2020.50.2.228. View

Tselebis A, Lekka D, Sikaras C, Tsomaka E, Tassopoulos A, Ilias I . Insomnia, Perceived Stress, and Family Support among Nursing Staff during the Pandemic Crisis. Healthcare (Basel). 2020; 8(4). PMC: 7712233. DOI: 10.3390/healthcare8040434. View

Mo Y, Tao P, Liu G, Chen L, Li G, Lu S . Post-Traumatic Growth of Nurses Who Faced the COVID-19 Epidemic and Its Correlation With Professional Self-Identity and Social Support. Front Psychiatry. 2022; 12:562938. PMC: 8794949. DOI: 10.3389/fpsyt.2021.562938. View

Liyanage S, Addison S, Ham E, Hilton N . Workplace interventions to prevent or reduce post-traumatic stress disorder and symptoms among hospital nurses: A scoping review. J Clin Nurs. 2021; 31(11-12):1477-1487. DOI: 10.1111/jocn.16076. View

Hwang S, Kwon K, Lee S, Kim S, Chang H, Kim Y . Correlates of burnout among healthcare workers during the COVID-19 pandemic in South Korea. Sci Rep. 2023; 13(1):3360. PMC: 9969371. DOI: 10.1038/s41598-023-30372-x. View

Shanafelt T, Ripp J, Trockel M . Understanding and Addressing Sources of Anxiety Among Health Care Professionals During the COVID-19 Pandemic. JAMA. 2020; 323(21):2133-2134. DOI: 10.1001/jama.2020.5893. View

Lee M, Shin S, Hong E . Factors Affecting Secondary Traumatic Stress of Nurses Caring for COVID-19 Patients in South Korea. Int J Environ Res Public Health. 2021; 18(13). PMC: 8297365. DOI: 10.3390/ijerph18136843. View

Umbetkulova S, Kanderzhanova A, Foster F, Stolyarova V, Cobb-Zygadlo D . Mental Health Changes in Healthcare Workers During COVID-19 Pandemic: A Systematic Review of Longitudinal Studies. Eval Health Prof. 2023; 47(1):11-20. PMC: 10160822. DOI: 10.1177/01632787231165076. View

10.

Cheung T, Cheng C, Fong T, Sharew N, Anders R, Xiang Y . Psychological impact on healthcare workers, general population and affected individuals of SARS and COVID-19: A systematic review and meta-analysis. Front Public Health. 2022; 10:1004558. PMC: 9673757. DOI: 10.3389/fpubh.2022.1004558. View

11.

Melander S, Dahl O, Falk A, Lindstrom V, Andersson E, Gustavsson P . Critical incidents and post-traumatic stress symptoms among experienced registered nurses during the COVID-19 pandemic: A cross-sectional study. Int J Nurs Stud Adv. 2024; 6:100194. PMC: 11080354. DOI: 10.1016/j.ijnsa.2024.100194. View

12.

Schierberl Scherr A, Ayotte B, Kellogg M . Moderating Roles of Resilience and Social Support on Psychiatric and Practice Outcomes in Nurses Working During the COVID-19 Pandemic. SAGE Open Nurs. 2021; 7:23779608211024213. PMC: 8209788. DOI: 10.1177/23779608211024213. View

13.

Oh J, Lee J, Schwarz D, Ratcliffe H, Markuns J, Hirschhorn L . National Response to COVID-19 in the Republic of Korea and Lessons Learned for Other Countries. Health Syst Reform. 2020; 6(1):e1753464. DOI: 10.1080/23288604.2020.1753464. View

14.

Kshtriya S, Kobezak H, Popok P, Lawrence J, R Lowe S . Social support as a mediator of occupational stressors and mental health outcomes in first responders. J Community Psychol. 2020; 48(7):2252-2263. DOI: 10.1002/jcop.22403. View

15.

Kim S, Quiban C, Sloan C, Montejano A . Predictors of poor mental health among nurses during COVID-19 pandemic. Nurs Open. 2021; 8(2):900-907. PMC: 7753542. DOI: 10.1002/nop2.697. View

16.

DEttorre G, Ceccarelli G, Santinelli L, Vassalini P, Innocenti G, Alessandri F . Post-Traumatic Stress Symptoms in Healthcare Workers Dealing with the COVID-19 Pandemic: A Systematic Review. Int J Environ Res Public Health. 2021; 18(2). PMC: 7828167. DOI: 10.3390/ijerph18020601. View

17.

Nagarajan R, Krishnamoorthy Y, Basavarachar V, Dakshinamoorthy R . Prevalence of post-traumatic stress disorder among survivors of severe COVID-19 infections: A systematic review and meta-analysis. J Affect Disord. 2021; 299:52-59. PMC: 8596764. DOI: 10.1016/j.jad.2021.11.040. View

18.

Rim S, Hahm B, Seong S, Park J, Chang S, Kim B . Prevalence of Mental Disorders and Associated Factors in Korean Adults: National Mental Health Survey of Korea 2021. Psychiatry Investig. 2023; 20(3):262-272. PMC: 10064208. DOI: 10.30773/pi.2022.0307. View

19.

Ayotte B, Schierberl Scherr A, Kellogg M . PTSD Symptoms and Functional Impairment among Nurses Treating COVID-19 Patients. SAGE Open Nurs. 2022; 8:23779608221074651. PMC: 8859481. DOI: 10.1177/23779608221074651. View

20.

Bozdag F, Ergun N . Psychological Resilience of Healthcare Professionals During COVID-19 Pandemic. Psychol Rep. 2020; 124(6):2567-2586. PMC: 7557235. DOI: 10.1177/0033294120965477. View