Hospital trainees’ worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic

Hospital trainees’ worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic

Introduction: The COVID-19 pandemic has been unsurpassed in clinical severity or infectivity since the 1918 Spanish influenza pandemic and continues to impact the world. During the A/H1N1 pandemic, healthcare workers presented concerns regarding their own and their families’ health, as well as high levels of psychological distress. We aim to assess hospital trainees’ concerns, perceived sufficiency of information, behaviour and reported psychological health during the COVID-19 pandemic.

Design: Single 39-point questionnaire.

Setting: A large NHS foundation trust in London.

Participants: 204 hospital trainee doctors.

Results: 204 trainees participated, of whom 91.7% (n=187) looked after COVID-19 patients. 91.6% (n=164) were worried about COVID-19; the most frequent concern was that of family and friends dying from COVID-19 (74.6%, n=126). 22.2% (n=36) reported being infected with COVID-19. 6.8% (n=11) of trainees considered avoiding going to work. Perceived sufficiency of information about COVID-19 was moderately high. 25.9% (n=42) reported social distancing at work compared with 94.4% (n=152) outside work. 98.2% (n=159) reported using PPE and 24.7% (n=40) were confident the provided PPE protected them. 41.9% (n=67) reported their psychological health had been adversely affected. 95.6% (n=153) supported provision of psychological support services and 62.5% (n=100) stated they would consider using them.

Conclusions: A significant proportion of hospital trainees expressed worries about COVID-19, above all with regards to the wellbeing of their loved ones over their own. Confidence in sufficiency of provided information was high and in utilised infection control measures low. A larger proportion of trainees reported psychological as compared with physical health concerns, with a smaller proportion confirming having been infected with COVID-19 although most perceived their risk of infection as high. Seeking solutions to support hospital trainees in their duties and their wellbeing with their input would help to empower them and improve their health and morale while working during pandemics.

References

  1. World Health Organization. Pneumonia Of Unknown Cause [Internet]. 2020 [cited 2020 Jun 28]. Available from: https://www.who.int/csr/don/05-january-2020-pneumonia-of-unkown-causechina/en/
  2. World Health Organization. Novel Coronavirus – China [Internet]. 2020 [cited 2020 Jun 28]. Available from: https://www.who.int/csr/don/12-january-2020-novel-coronavirus-china/en/
  3. World Health Organization. WHO Timeline - COVID-19[Internet]. 2020. Available from: https://www.who.int/newsroom/detail/27-04-2020-who-timeline---covid-19
  4. World Health Organization. WHO Coronavirus Disease (COVID-19) Dashboard [Internet]. 2020 [cited 2020 Jul 22]. Available from: https://covid19.who.int/
  5. GP Online. Over 300 NHS and care workers dead from COVID-19 as Johnson backs “absurd” overseas levy [Internet].2020 [cited 2020 Jul 22]. Available from: https://www.gponline.com/300-nhs-care-workers-dead-covid-19-johnson-backsabsurd-overseas-levy/article/1683856
  6. Cook T, Kursumovic E, Lennane S. Exclusive: Deaths Of NHS Staff From Covid-19 Analysed [Internet]. Health Service Journal. 2020[cited 2020 Jun 28]. Available from: https://www.hsj.co.uk/exclusivedeaths-of-nhs-staff-from-covid-19-analysed/7027471.article
  7. Freitas ARR, Napimoga MH, et al. Assessing the severity of COVID-19. Epidemiol Serv Saude 2020; 29(2): e2020119. doi:10.5123/S1679-49742020000200008.
  8. DH Pandemic Influenza Preparedness Team. UK influenza pandemic preparedness strategy 2011. London; 2011.
  9. Watkins J. Preventing a covid-19 pandemic. BMJ 2020; 368: m810.
  10. GOV.UK. [Withdrawn] Coronavirus: Stay At Home, Protect The NHS, Save Lives - Web Version [Internet]. 2020 [cited 2020 Jun 28]. Available from: https://www.gov.uk/government/publications/coronavirus-covid-19-information-leaf let/coronavirus-stay-athome-protect-the-nhs-save-lives-web-version.
  11. McCarthy N. The World’s Biggest Employers [Infographic] [Internet]. Forbes. 2015 [cited 2020 Jun 28]. Available from: https://www.forbes.com/sites/niallmccarthy/2015/06/23/theworlds-biggest-employers-infographic/#5b529e87686b.
  12. The King’s Fund. Key Facts And Figures About The NHS [Internet]. 2020 [cited 2020 Jun 28]. Available from: https://www.kingsfund.org.uk/audio-video/key-facts-figures-nhs.
  13. Goulia P, Mantas C, Dimitroula D, et al. General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infectious Diseases [Internet]. BioMed Central Ltd; 2010;10(1): 322. Available from: http://www.biomedcentral.com/1471-
    2334/10/322.
  14. Glass R, Glass L, Beyeler W, et al. Targeted Social Distancing Designs for Pandemic Influenza. Emerg Infect Dis 2006; 12(11): 1671–81.
  15. Greenstone M, Nigam V. Does Social Distancing Matter?[Internet]. Chicago; 2020. Available from: https://ssrn.com/abstract=3561244.
  16. Public Health England. COVID-19 personal protective equipment(PPE) [Internet]. GOV.UK. 2020. Available from: https://www.gov.uk/government/publications/wuhan-novel-coronavirusinfection-prevention-and-control/covid-19-personal-protectiveequipment-ppe#section-8point1.
  17. World Health Organisation. Modes of transmission of virus causing COVID-19: implications for IPC precaution recommendations [Internet]. WHO. 2020 [cited 2020 Jun 24]. Available from:
    https://www.who.int/news-room/commentaries/detail/modesof-transmission-of-virus-causing-covid-19-implications-for-ipcprecaution-recommendations.
  18. van Doremalen N, Bushmaker T, Morris D, et al. Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARSCoV-1. N Eng J Med 2020; 382(16): 1564–7.
  19. 3M. Respirators and Surgical Masks: A Comparison [Internet]. 2020 [cited 2020 Jun 24]. Available from: https://multimedia.3m.com/mws/media/957730O/respirators-and-surgical-maskscontrast-technical-bulletin.pdf.
  20. HSE. Evaluating the protection afforded by surgical masks against influenza bioaerosols. 2008.
  21. Thomas J, Srinivasan A, Wickramarachchi CS, et al. Evaluating the national PPE guidance for NHS healthcare workers during the COVID-19 pandemic. Clinical Medicine 2020; clinmed 2020–0143.
  22. Wang W, Xu Y, Gao R, et al. Detection of SARS-CoV-2 in Different Types of Clinical Specimens. JAMA [Internet]. 2020; 323(18): 1843–4. Available from: https://doi.org/10.1001/jama.2020.3786.
  23. Helmich E, Diachun L, Joseph R, et al. “Oh My God, I Can't Handle This!’: Trainees’ Emotional Responses to Complex Situations. Med Educ 2018; 52(2): 206–15.
  24. Maunder R. The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philos Trans R Soc Lond B Biol Sci 2004; 359(1447):1117–25.

Request Permissions

To request copyright permission to republish or share portions of our works, please visit Copyright Clearance Center’s (CCC) Marketplace website by clicking the button below:

Get Permission

Hospital trainees’ worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic

12th May 2021
PMID: 33749692
Authors Affiliations
Nikoo Aziminia * Barnet Hospital, Royal Free London NHS Foundation Trust, London, United Kingdom
Aria Khani * Barnet Hospital, Royal Free London NHS Foundation Trust, London, United Kingdom
Colette Smith Institute for Global Health, University College London, London, United Kingdom
Ameet Bakhai Barnet Hospital, Royal Free London NHS Foundation Trust, London, United Kingdom
Clifford Lisk MBBS, FRCP, MA Medical Education, FHEA Barnet Hospital, Royal Free London NHS Foundation Trust, Wellhouse Lane, Barnet
* Contributed equally

Hospital trainees’ worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic

Cite this article as:

Aziminia N, Khani A, Smith C, Bakhai A, Lisk C. Hospital trainees' worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic. Acute Med. 2021;20(1):25-36. PMID: 33749692.

Hospital trainees’ worries, perceived sufficiency of information and reported psychological health during the COVID-19 pandemic

Share this article

Click the icon of the social media platform on which you would like to share this article.


Shopping Basket
Scroll to Top