Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic

Background: Nurses are the major healthcare workforce in an epidemic and have the most contact with patients. Frontline nurses face many health challenges during the COVID-19 epidemic, are directly at risk when treating and caring for COVID-19 patients, and thus experience severe stress and problems...

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Autores principales: Mohammad Ali Zakeri, Elham Rahiminezhad, Farzaneh Salehi, Hamid Ganjeh, Mahlagha Dehghan
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/3f7bc0435a4047f68b27c3796d3584c1
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spelling oai:doaj.org-article:3f7bc0435a4047f68b27c3796d3584c12021-11-30T20:56:04ZBurnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic1664-107810.3389/fpsyg.2021.789737https://doaj.org/article/3f7bc0435a4047f68b27c3796d3584c12021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyg.2021.789737/fullhttps://doaj.org/toc/1664-1078Background: Nurses are the major healthcare workforce in an epidemic and have the most contact with patients. Frontline nurses face many health challenges during the COVID-19 epidemic, are directly at risk when treating and caring for COVID-19 patients, and thus experience severe stress and problems in the workplace leading to physical, mental, and social disorders, as well as burnout, anxiety, stress, and depression. The purpose of this study was to compare burnout, anxiety, stress, and depression in nurses before and during the first wave of the COVID-19 pandemic.Methods: This was a cross sectional study. We assessed 266 frontline nurses before and 242 frontline nurses during the first wave of the COVID-19 pandemic with one year apart in 2019 and 2020 (two-stage sampling). The data were collected using demographic questionnaire, Maslach Burnout Questionnaire and Depression, Anxiety and Stress Scale (DASS-21) in public hospitals in Southern Iran.Results: There were no significant differences between groups in subscales of burnout (p > 0.05). Anxiety, stress and depression scores significantly increased during the first wave of the COVID-19 pandemic compared with before the COVID-19 outbreak (p < 0.05). There were significant differences between groups in level of anxiety (p < 0.001) and stress (p = 0.04). Before the COVID-19 outbreak, burnout predicted 11, 15, and 13% of the variance of anxiety, stress and depression, respectively. In addition, stress, monthly working hours and shift were variables that predicted 16% of the variance of burnout before COVID-19.Conclusion: The results of the present study showed that burnout during the first wave of the COVID-19 pandemic did not change significantly compared with before COVID-19. Anxiety, stress and depression increased significantly first wave of the COVID-19 pandemic.Mohammad Ali ZakeriMohammad Ali ZakeriElham RahiminezhadFarzaneh SalehiHamid GanjehMahlagha DehghanFrontiers Media S.A.articleburnoutanxietystressdepressionnurseCOVID-19PsychologyBF1-990ENFrontiers in Psychology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic burnout
anxiety
stress
depression
nurse
COVID-19
Psychology
BF1-990
spellingShingle burnout
anxiety
stress
depression
nurse
COVID-19
Psychology
BF1-990
Mohammad Ali Zakeri
Mohammad Ali Zakeri
Elham Rahiminezhad
Farzaneh Salehi
Hamid Ganjeh
Mahlagha Dehghan
Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
description Background: Nurses are the major healthcare workforce in an epidemic and have the most contact with patients. Frontline nurses face many health challenges during the COVID-19 epidemic, are directly at risk when treating and caring for COVID-19 patients, and thus experience severe stress and problems in the workplace leading to physical, mental, and social disorders, as well as burnout, anxiety, stress, and depression. The purpose of this study was to compare burnout, anxiety, stress, and depression in nurses before and during the first wave of the COVID-19 pandemic.Methods: This was a cross sectional study. We assessed 266 frontline nurses before and 242 frontline nurses during the first wave of the COVID-19 pandemic with one year apart in 2019 and 2020 (two-stage sampling). The data were collected using demographic questionnaire, Maslach Burnout Questionnaire and Depression, Anxiety and Stress Scale (DASS-21) in public hospitals in Southern Iran.Results: There were no significant differences between groups in subscales of burnout (p > 0.05). Anxiety, stress and depression scores significantly increased during the first wave of the COVID-19 pandemic compared with before the COVID-19 outbreak (p < 0.05). There were significant differences between groups in level of anxiety (p < 0.001) and stress (p = 0.04). Before the COVID-19 outbreak, burnout predicted 11, 15, and 13% of the variance of anxiety, stress and depression, respectively. In addition, stress, monthly working hours and shift were variables that predicted 16% of the variance of burnout before COVID-19.Conclusion: The results of the present study showed that burnout during the first wave of the COVID-19 pandemic did not change significantly compared with before COVID-19. Anxiety, stress and depression increased significantly first wave of the COVID-19 pandemic.
format article
author Mohammad Ali Zakeri
Mohammad Ali Zakeri
Elham Rahiminezhad
Farzaneh Salehi
Hamid Ganjeh
Mahlagha Dehghan
author_facet Mohammad Ali Zakeri
Mohammad Ali Zakeri
Elham Rahiminezhad
Farzaneh Salehi
Hamid Ganjeh
Mahlagha Dehghan
author_sort Mohammad Ali Zakeri
title Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
title_short Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
title_full Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
title_fullStr Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
title_full_unstemmed Burnout, Anxiety, Stress, and Depression Among Iranian Nurses: Before and During the First Wave of the COVID-19 Pandemic
title_sort burnout, anxiety, stress, and depression among iranian nurses: before and during the first wave of the covid-19 pandemic
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/3f7bc0435a4047f68b27c3796d3584c1
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