TY - JOUR
T1 - The mental health of staff working on intensive care units over the COVID-19 winter surge of 2020 in England
T2 - a cross sectional survey
AU - Hall, Charlotte E.
AU - Milward, Joanna
AU - Spoiala, Cristina
AU - Bhogal, Jaskiran K.
AU - Weston, Dale
AU - Potts, Henry W.W.
AU - Caulfield, Tristan
AU - Toolan, Michael
AU - Kanga, Kate
AU - El-Sheikha, Sarah
AU - Fong, Kevin
AU - Greenberg, Neil
N1 - Funding Information:
NG runs a consultancy which provides the NHS with active listening and peer support training. KF works at University College London Hospitals as a consultant anaesthetist, holds an academic chair at University College London, and is seconded to NHS England as an advisor. HWWP has received funding from Public Health England and from NHS England. HWWP has a PhD student who works at and has fees paid by AstraZeneca. KK works for the Care Quality Commission.
Funding Information:
NG runs a consultancy which provides the NHS with active listening and peer support training. KF works at University College London Hospitals as a consultant anaesthetist, holds an academic chair at University College London, and is seconded to NHS England as an advisor. HWWP has received funding from Public Health England and from NHS England. HWWP has a PhD student who works at and has fees paid by AstraZeneca . KK works for the Care Quality Commission.
Publisher Copyright:
© 2022
PY - 2022/6
Y1 - 2022/6
N2 - Background: The COVID-19 pandemic generated a surge of critically ill patients greater than the capacity of the UK National Health Service (NHS). There have been multiple well-documented impacts associated with the national COVID-19 pandemic surge on ICU staff, including an increased prevalence of mental health disorders on a scale potentially sufficient to impair high-quality care delivery. We investigated the prevalence of five mental health outcomes; explored demographic and professional predictors of poor mental health outcomes; and describe the prevalence of functional impairment; and explore demographic and professional predictors of functional impairment in ICU staff over the 2020/2021 winter COVID-19 surge in England. Methods: English ICU staff were surveyed before, during, and after the winter 2020/2021 surge using a survey which comprised validated measures of mental health. Results: A total of 6080 surveys were completed, by ICU nurses (57.5%), doctors (27.9%), and other healthcare staff (14.5%). Reporting probable mental health disorders increased from 51% (before) to 64% (during), and then decreased to 46% (after). Younger, less experienced nursing staff were most likely to report probable mental health disorders. During and after the winter, >50% of participants met threshold criteria for functional impairment. Staff who reported probable post-traumatic stress disorder, anxiety, or depression were more likely to meet threshold criteria for functional impairment. Conclusions: The winter of 2020/2021 was associated with an increase in poor mental health outcomes and functional impairment amongst ICU staff during a period of peak caseload. These effects are likely to impact on patient care outcomes and the longer-term resilience of the healthcare workforce.
AB - Background: The COVID-19 pandemic generated a surge of critically ill patients greater than the capacity of the UK National Health Service (NHS). There have been multiple well-documented impacts associated with the national COVID-19 pandemic surge on ICU staff, including an increased prevalence of mental health disorders on a scale potentially sufficient to impair high-quality care delivery. We investigated the prevalence of five mental health outcomes; explored demographic and professional predictors of poor mental health outcomes; and describe the prevalence of functional impairment; and explore demographic and professional predictors of functional impairment in ICU staff over the 2020/2021 winter COVID-19 surge in England. Methods: English ICU staff were surveyed before, during, and after the winter 2020/2021 surge using a survey which comprised validated measures of mental health. Results: A total of 6080 surveys were completed, by ICU nurses (57.5%), doctors (27.9%), and other healthcare staff (14.5%). Reporting probable mental health disorders increased from 51% (before) to 64% (during), and then decreased to 46% (after). Younger, less experienced nursing staff were most likely to report probable mental health disorders. During and after the winter, >50% of participants met threshold criteria for functional impairment. Staff who reported probable post-traumatic stress disorder, anxiety, or depression were more likely to meet threshold criteria for functional impairment. Conclusions: The winter of 2020/2021 was associated with an increase in poor mental health outcomes and functional impairment amongst ICU staff during a period of peak caseload. These effects are likely to impact on patient care outcomes and the longer-term resilience of the healthcare workforce.
KW - COVID-19
KW - functional impairment
KW - healthcare worker
KW - intensive care
KW - mental health
KW - presenteeism
KW - PTSD
UR - http://www.scopus.com/inward/record.url?scp=85128147677&partnerID=8YFLogxK
U2 - 10.1016/j.bja.2022.03.016
DO - 10.1016/j.bja.2022.03.016
M3 - Article
C2 - 35465953
AN - SCOPUS:85128147677
SN - 0007-0912
VL - 128
SP - 971
EP - 979
JO - British Journal of Anaesthesia
JF - British Journal of Anaesthesia
IS - 6
ER -
