Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area

<i>Background and Objectives:</i> Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. <i&g...

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Autores principales: In-Hwan Yeo, Yun-Jeong Kim, Jong-Kun Kim, Dong-Eun Lee, Jae-Young Choe, Chang-Ho Kim, Jung-Bae Park, Kang-Suk Seo, Sin-Yul Park, Suk-Hee Lee, Jae-Kyung Cho, Sang-Hun Lee
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/180d6dbfd1854069a1df499ba2fd175b
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spelling oai:doaj.org-article:180d6dbfd1854069a1df499ba2fd175b2021-11-25T18:19:09ZImpact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area10.3390/medicina571112741648-91441010-660Xhttps://doaj.org/article/180d6dbfd1854069a1df499ba2fd175b2021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1274https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144<i>Background and Objectives:</i> Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. <i>Materials and Methods</i>: This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. <i>Results</i>: A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. <i>Conclusions</i>: Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.In-Hwan YeoYun-Jeong KimJong-Kun KimDong-Eun LeeJae-Young ChoeChang-Ho KimJung-Bae ParkKang-Suk SeoSin-Yul ParkSuk-Hee LeeJae-Kyung ChoSang-Hun LeeMDPI AGarticleCOVID-19emergency departmenthealthcare workersdepressionanxietypost-traumatic stress disorderMedicine (General)R5-920ENMedicina, Vol 57, Iss 1274, p 1274 (2021)
institution DOAJ
collection DOAJ
language EN
topic COVID-19
emergency department
healthcare workers
depression
anxiety
post-traumatic stress disorder
Medicine (General)
R5-920
spellingShingle COVID-19
emergency department
healthcare workers
depression
anxiety
post-traumatic stress disorder
Medicine (General)
R5-920
In-Hwan Yeo
Yun-Jeong Kim
Jong-Kun Kim
Dong-Eun Lee
Jae-Young Choe
Chang-Ho Kim
Jung-Bae Park
Kang-Suk Seo
Sin-Yul Park
Suk-Hee Lee
Jae-Kyung Cho
Sang-Hun Lee
Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
description <i>Background and Objectives:</i> Due to the unexpected spread of coronavirus disease 2019 (COVID-19), there was a serious crisis of emergency medical system collapse. Healthcare workers working in the emergency department were faced with psychosocial stress and workload changes. <i>Materials and Methods</i>: This was a cross-sectional survey of healthcare workers in the emergency department in Daegu and Gyeongbuk, Korea, from November 16 to 25, 2020. In the survey, we assessed the general characteristics of the respondents; changes in the working conditions before and after the COVID-19 pandemic; and resulting post-traumatic stress disorder, depression and anxiety statuses using 49 questions. <i>Results</i>: A total of 529 responses were collected, and 520 responses were included for the final analyses. Changes in working conditions and other factors due to COVID-19 varied by emergency department level, region and disease group. Working hours, intensity, role changes, depression and anxiety scores were higher in the higher level emergency department. Isolation ward insufficiency and the risk of infection felt by healthcare workers tended to increase in the lower level emergency department. Treatment and transfer delay were higher in the fever and respiratory disease groups (M = 3.58, SD = 1.18; M = 4.08, SD = 0.95), respectively. In all the disease groups, both treatment and transfer were delayed more in Gyeongbuk than in Daegu. <i>Conclusions</i>: Different goals should be pursued by the levels and region of the emergency department to overcome the effects of the COVID-19 pandemic and promote optimal care.
format article
author In-Hwan Yeo
Yun-Jeong Kim
Jong-Kun Kim
Dong-Eun Lee
Jae-Young Choe
Chang-Ho Kim
Jung-Bae Park
Kang-Suk Seo
Sin-Yul Park
Suk-Hee Lee
Jae-Kyung Cho
Sang-Hun Lee
author_facet In-Hwan Yeo
Yun-Jeong Kim
Jong-Kun Kim
Dong-Eun Lee
Jae-Young Choe
Chang-Ho Kim
Jung-Bae Park
Kang-Suk Seo
Sin-Yul Park
Suk-Hee Lee
Jae-Kyung Cho
Sang-Hun Lee
author_sort In-Hwan Yeo
title Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
title_short Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
title_full Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
title_fullStr Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
title_full_unstemmed Impact of the COVID-19 Pandemic on Emergency Department Workload and Emergency Care Workers’ Psychosocial Stress in the Outbreak Area
title_sort impact of the covid-19 pandemic on emergency department workload and emergency care workers’ psychosocial stress in the outbreak area
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/180d6dbfd1854069a1df499ba2fd175b
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