Abstract

Objective This study investigated the short-term psychosocial effects of the COVID-19 pandemic on hospital clinical staff, specifically their self-reported concerns and perceived impact on their work and personal lives. Methods Nurses, midwives, doctors and allied health staff at a large metropolitan tertiary health service in Melbourne, Australia, completed an anonymous online cross-sectional survey between 15 May and 10 June 2020. The survey assessed respondents' COVID-19 contact status, concerns related to COVID-19 and other effects of COVID-19. Space was provided for free-text comments. Results Respondents were mostly concerned about contracting COVID-19, infecting family members and caring for patients with COVID-19. Concerns about accessing and using personal protective equipment, redeployment and their ability to provide high-quality patient care during the pandemic were also reported. Pregnant staff expressed uncertainty about the possible impact of COVID-19 on their pregnancy. Despite their concerns, few staff had considered resigning, and positive aspects of the pandemic were also described. Conclusion The COVID-19 pandemic has had a considerable impact on the work and personal lives of hospital clinical staff. Staff, particularly those who are pregnant, would benefit from targeted well-being and support initiatives that address their concerns and help them manage their work and personal lives. What is known about the topic? The COVID-19 pandemic is having an impact on healthcare workers' psychological well-being. Little is known about their COVID-19-related concerns and the perceived impact of the pandemic on their work and personal lives, particularly hospital clinical staff during the 'first wave' of the pandemic in Australia. What does this paper add? This paper contributes to a small but emerging evidence base about the impact of the COVID-19 pandemic on the work and personal lives of hospital clinical staff. Most staff were concerned about their own health and the risk to their families, friends and colleagues. Despite their concerns, few had considered resigning. Uncertainty about the possible impact of COVID-19 on pregnancy was also reported. What are the implications for practitioners? During the current and future pandemics, staff, especially those who are pregnant, would benefit from targeted well-being and support initiatives that address their concerns and help them manage the impact on their health, work and personal lives.

Highlights

  • The outbreak of COVID-19 is having, and will have, a considerable impact on health services in Australia and internationally

  • The COVID-19 pandemic has had a considerable impact on the work and personal lives of hospital clinical staff

  • What is known about the topic? The COVID-19 pandemic is having an impact on healthcare workers’ psychological well-being

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Summary

Introduction

The outbreak of COVID-19 is having, and will have, a considerable impact on health services in Australia and internationally. Health services in Australia implemented several measures in response to the outbreak aimed at protecting employees while providing best care for patients, including clinical testing and infection control measures such as the use of personal protective equipment (PPE), cancellation or postponement of patient clinics and elective surgeries, limited access for hospital visitors and suspension of volunteer programs (https://coronavirus.wh.org.au). Previous research about the experiences of health service staff during the Severe Acute Respiratory Syndrome (SARS) outbreak in 2003 suggests that staff were concerned about their risk of infection[1] and exposing their friends, family and colleagues to SARS.[1] Positive aspects of the SARS outbreak were reported, including increased awareness of infection control and a sense of togetherness and cooperation.[2]

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