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A cross-sectional study of the psychosocial and occupational impact of COVID-19 among NHS staff: findings from a Northwest London cohort during the second wave

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Title: A cross-sectional study of the psychosocial and occupational impact of COVID-19 among NHS staff: findings from a Northwest London cohort during the second wave
Authors: Powell, R
Burmester, V
Waddingham, E
Jesuthasan, J
Norton, J
Jayacodi, S
Guan, S
Nicholls, D
Item Type: Journal Article
Abstract: Background: Evidence of the deleterious mental health impact of COVID-19 on healthcare workers shows the priority need to support their psychological wellbeing. We assessed the nature, prevalence and factors associated with the psychosocial and occupational impact of COVID-19 among NHS staff during the pandemic. Methods: A cross-sectional online survey was sent to all NHS provider organisations in Northwest London in January 2021. Results: Of 1,065 participants completing the survey, 906 (85%) provided responses to the full survey. Over half (54.1%; n=543) exceeded the cut-off score for probable mental disorders, 31.1% (n=222) for probable burnout, and similarly for PTSD (28.5%; n=210). 28.6% (n=214) had experienced suicidal thoughts. 58% (n=429) scored >5 out of 10 for emotional and physical exhaustion. Over 30% (n=328) of respondents reported using some kind of staff support service. Staff in pay bands 4-6 were more likely to have common mental disorders (CMD) (OR 2.42 [1.20,4.88]) and PTSD symptoms (OR 4.18 [1.44,12.14]) than lower banded staff. Staff working in acute care settings were more likely to experience CMD (OR 1.50 [1.08,2.07]) and PTSD (OR 1.57 [1.03,2.41]) than in non-acute settings. Low social connectedness and perceived delivery of poor-quality care were highly associated with risk of all mental health problems, apart from alcohol misuse (OR range 1.56-18.34). Conclusions: Psychosocial morbidity and adverse occupational impacts on NHS staff in the second wave of the COVID-19 pandemic echoed that reported in the first wave. Social connection and perception of delivering good care were important, potentially modifiable, mitigating factors.
Issue Date: 12-Jan-2024
Date of Acceptance: 28-Jul-2023
URI: http://hdl.handle.net/10044/1/106334
DOI: 10.12688/f1000research.139607.1
ISSN: 2046-1402
Publisher: F1000 Research Ltd
Journal / Book Title: F1000Research
Volume: 13
Copyright Statement: Copyright: © 2024 Powell RA et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Publication Status: Accepted
Article Number: 61
Online Publication Date: 2024-01-12
Appears in Collections:Faculty of Medicine
Imperial College London COVID-19
School of Public Health
Department of Brain Sciences



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