Mental Health of Frontline Nurses in India During COVID-19: A Multisite Study.

Journal: Cureus

Volume: 16

Issue: 2

Year of Publication: 

Affiliated Institutions:  Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Manipal, Mangalore, IND. Faculty of Medicine, McGill University, Montreal, CAN. Department of Psychiatry, University of Ottawa, Ottawa, CAN. Department of Otorhinolaryngology and Head & Neck Surgery, Kasturba Medical College, Manipal, Mangalore, IND. Medicine, Royal College of Surgeons in Ireland, Dublin, IRL.

Abstract summary 

Background  The COVID-19 pandemic has been difficult for all healthcare providers. Nurses in Indian hospitals are at risk for mental health consequences of COVID-19-related stress. The study aimed to evaluate the mental health responses of Indian nurses working during the COVID-19 pandemic.  Method The study was carried out during the COVID-19 pandemic from November 2020 to February 2021. Frontline nurses (n=387) working in both government and private sectors were recruited from four hospital centers across Mangalore, India. Nurses were selected based on specific inclusion criteria, including active duty within wards and intensive care units designated for COVID-19 care or suspected cases of SARS-CoV-2 infection. Recruitment and data collection were facilitated by medical residents using a mix of physical and electronic survey methods. Results Nurses within the private sector with low personal protective equipment (PPE) security experienced heightened anxiety. Somatic symptoms were incrementally related to mental health depending on the workplace setting; private sector staff reported greater depression symptoms compared to those in government-run hospitals. Self-efficacy buffered against depression outcomes only in nurses within the private sector working within non-COVID units. Conclusions This study's findings showed differential responses to the stress of COVID-19 based on the setting. Future studies should further explore the factors associated with such differences. Somatic symptoms can be indicators of mental health adversity. Early detection and supportive interventions need to be taken into account.

Authors & Co-authors:  Sreedharan Benzouak Rao Islam Parvathareddy Sachdev Shah

Study Outcome 

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Statistics
Citations :  First confirmed case of COVID-19 infection in India: a case report. Andrews MA, Areekal B, Rajesh KR, et al. Indian J Med Res. 2020;151:490–492.
Authors :  7
Identifiers
Doi : e55181
SSN : 2168-8184
Study Population
Male,Female
Mesh Terms
Other Terms
anxiety;covid-19;depression;frontline workers;nursing;personal protective equipment;somatic symptoms;stress
Study Design
Study Approach
Country of Study
Publication Country
United States