Abstract

Objective:

This study investigated the effects of psychological distress on the work ability of intensive care nurses during the COVID-19 pandemic in Turkey.

Materials and Methods:

The sample size of this descriptive and cross-sectional study was determined to be at least 220 nurses, with a level of significance of 0.05, a confidence interval of 99%, and the ability to represent the population of 80%. The research was completed with 233 nurses. A Participant Information Form, the COVID-19-related Psychological Distress Scale, and the Work Ability Index were used to collect data online using Google Forms and email or social media accounts. In the analysis of data, Pearson and Spearman correlation analysis was used along with descriptive statistics.

Results:

A statistically significant positive correlation was found between the nurses’ length of time working in the profession and their WAI scores (r=0.132, p=0.043), and a negative correlation was found with their COVID-19 PDS scores (r=-0.162, p=0.013). A statistically significant difference was found about WAI total scores in the effect on work ability of the working conditions of the COVID- 19 pandemic (p<0.001). A statistically significant positive correlation was found between the WAI total score and the COVID-19 PDS sub-section of Doubt (r=0.128, p=0.049).

Conclusion:

It was found that the work abilities and COVID-19 psychological distress levels of intensive care nurses living in Turkey were medium. Correlations were found between nurses’ work competency and psychological distress. It is recommended that the many factors affecting work ability and psychological distress be taken under control.

Keywords: Anxiety, COVID-19, work ability, pandemic, psychological distress, doubt, intensive care nurses

References

  1. Labrague LJ, de Los Santos JAA. Fear of COVID-19, psychological distress, work satisfaction and turnover intention among frontline nurses. J Nurs Manag 2021;29:395-403.
  2. Rostamabadi A, Zamanian Z, Sedaghat Z. Factors associated with work ability index (WAI) among intensive care units’ (ICUs’) nurses. J Occup Health 2017;59:147-55.
  3. Snape J, Cavanagh SJ. Occupational stress in neurosurgical nursing. Intensive Crit Care Nurs 1993;9:162-70.
  4. Da Rosa P, Brown R, Pravecek B, Carotta C, Garcia AS, Carson P, et al. Factors associated with nurses emotional distress during the COVID-19 pandemic. Appl Nurs Res 2021;62:151502.
  5. Karasu F, Öztürk Çopur E. An Intensive Care Nurse in the Forefront of the Epidemic While Increasing Cases of Covid19: “HEROES IN FRONT-LINE. J Intensive Care Nurs 2020;24:11-4.
  6. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet 2020;395(10223):497-506.
  7. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228-9.
  8. World Health Organization. 2020. State of the world’s nursing 2020: Investing in education, jobs and leadership. Geneva. Accessed 14.09.2022https://apps.who.int/iris/rest/bitstreams/1274201/ retrieve.
  9. Romero-Sánchez JM, Porcel-Gálvez AM, Paloma-Castro O, García-Jiménez J, González-Domínguez ME, Palomar-Aumatell X, et al. Worldwide prevalence of inadequate work ability among hospital nursing personnel: A systematic review and meta-analysis. J Nurs Scholarsh 2022;54:513-28.
  10. Ilmarinen J. Work ability--a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health 2009;35:1-5.
  11. Ilmarinen J. From Work Ability Research to Implementation. Int J Environ Res Public Health 2019;16:2882.
  12. Rotenberg L, Griep RH, Fischer FM, Fonseca Mde J, Landsbergis P. Working at night and work ability among nursing personnel: when precarious employment makes the difference. Int Arch Occup Environ Health 2009;82:877-85.
  13. van den Berg TI, Elders LA, de Zwart BC, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med 2009;66:211-20.
  14. Milosevic M, Golubic R, Knezevic B, Golubic K, Bubas M, Mustajbegovic J. Work ability as a major determinant of clinical nurses’ quality of life. J Clin Nurs 2011;20:2931-8.
  15. Camerino D, Conway PM, Sartori S, Campanini P, Estryn-Béhar M, van der Heijden BI, et al. Factors affecting work ability in day and shift-working nurses. Chronobiol Int. 2008;25:425-42.
  16. Laitinen J, Näyhä S, Kujala V. Body mass index and weight change from adolescence into adulthood, waist-to-hip ratio and perceived work ability among young adults. Int J Obes (Lond) 2005;29:697-702.
  17. Martinez MC, Fischer FM. Aging and work ability: Reflections on a complex subject. In: T. Cotrim, F Serranheira, P Sousa, S Hignett, S Albolino, R Tartaglia, editors. Health and Social Care Systems of the Future: Demographic Changes, Digital Age and Human Factors. HEPS 2019. Advances in Intelligent Systems and Computing Springer; 2019. p. 280-5.
  18. Feng LS, Dong ZJ, Yan RY, Wu XQ, Zhang L, Ma J, et al. Psychological distress in the shadow of the COVID-19 pandemic: Preliminary development of an Assessment Scale. Psychiatry Res 2012;291:113202.
  19. Ay T, Oruç D, Özdoğru AA. Adaptation and evaluation of COVID-19 related Psychological Distress Scale Turkish form. Death Stud 2012;46:560-8.
  20. Tuomi K, Ilmarinen J, Jankola A, Katajarinne L, Tulkki A. Work Ability Index, 2nd revised edition. Finnish Institute of Occupational Health, Helsinki,1998.
  21. Das Gecim GY, Esin MN. A self-management programme for work ability and quality of life in nurses aged 45 years and over: A randomized controlled trial. Int J Nurs Pract 2021;27:e12963.
  22. Abdolalizadeh M, Arastoo AA, Ghsemzadeh R, Montazeri A, Ahmadi K, Azizi A. The psychometric properties of an Iranian translation of the Work Ability Index (WAI) questionnaire. J Occup Rehabil 2012;22:401-8.
  23. Chiu MC, Wang MJ, Lu CW, Pan SM, Kumashiro M, Ilmarinen J. Evaluating work ability and quality of life for clinical nurses in Taiwan. Nurs Outlook 2007;55:318-26.
  24. Vasconcelos SP, Fischer FM, Reis AO, Moreno CR. Factors associated with work ability and perception of fatigue among nursing personnel from Amazonia. Rev Bras Epidemiol 2011;14:688-97.
  25. Rostamabadi A, Mazloumi A, Rahimi Foroushani A. Work Ability Index (WAI) and its health-related determinants among Iranian farmers working in small farm enterprises. J Occup Health 2014;56:478-84.
  26. Karabel MP. The validity and reliability of Turkish adaptation of work ability index. Sakarya University Medical School Department of Publıc Health Master (thesis). 2019.
  27. Tuomi K, Eskelinen L, Toikkanen J, Jarvinen E, Ilmarinen J, Klockars M. Work load and individual factors affecting work ability among aging municipal employees. Scand J Work Environ Health 1991;17(Suppl 1):28-34.
  28. Kackin O, Ciydem E, Aci OS, Kutlu FY. Experiences and psychosocial problems of nurses caring for patients diagnosed with COVID-19 in Turkey: A qualitative study. Int J Soc Psychiatry 2020;67:158-67.
  29. Spoorthy MS, Pratapa SK, Mahant S. Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian J Psychiatr 2020;51:102119.
  30. Nazari N, Zekiy AO, Feng LS, Griffiths MD. Psychometric Validation of the Persian Version of the COVID-19-Related Psychological Distress Scale and Association with COVID-19 Fear, COVID-19 Anxiety, Optimism, and Lack of Resilience. Int J Ment Health Addict 2021;20:2665-80.
  31. Zonp Z, Aktas E, Adıgüzel Y. The relationship between psychological distress and well-being among nurses in Türkiye during the COVID-19 pandemic. J Psy Nurs. 2022;13:211-8
  32. Badahdah A, Khamis F, Al Mahyijari N, Al Balushi M, Al Hatmi H, Al Salmi I, et al. The mental health of health care workers in Oman during the COVID-19 pandemic. Int J Soc Psychiatry. 2021; 67:90-5.
  33. Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, et al. Implications for COVID-19: A systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud 2020;111:103637.
  34. Sampaio F, Sequeira C, Teixeira L. Nurses’ Mental Health During the Covid-19 Outbreak: A Cross-Sectional Study. J Occup Environ Med 2020;62:783-7.
  35. Said RM, El-Shafei DA. Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environ Sci Pollut Res Int 2021;28:8791-801.
  36. Gaber TAK, Ashish A, Unsworth A. Persistent post-covid symptoms in healthcare workers. Occup Med (Lond) 2021;71:144-6.

How to cite?

1.
Daş Geçim GY, Terzi B. The Effect on the Work Ability of Intensive Care Nurses of Psychological Distress During the COVID-19 Pandemic: Descriptive and Cross-sectional Study. Turk J Intensive Care. 2023;22(2):122-131. https://doi.org/10.4274/tybd.galenos.2023.40412