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Acute Stress among Nurses in Sweden during the COVID-19 Pandemic

Palmborg, Åsa ; Lötvall, Rebecka and Cardeña, Etzel LU orcid (2022) In European Journal of Trauma and Dissociation 6(3).
Abstract

Sweden was hit hard in the beginning of the COVID-19 pandemic with deaths per capita among the highest in Europe. The pandemic was a stressful time especially for healthcare workers caring for COVID-19 patients. Various studies have evaluated whether nurses caring for these patients had higher levels of acute stress, but typically with measures that either used older DSM-IV criteria for Acute Stress Disorder (ASD) or general measures of acute stress. We recruited an online sample (N = 101) of nurses in Sweden from COVID-19 specialized units (ICU), Emergency (ER), and other units (Other), and asked them to answer questionnaires retrospectively to the peak of infections in Sweden. We aimed to evaluate: 1) the psychometric properties of... (More)

Sweden was hit hard in the beginning of the COVID-19 pandemic with deaths per capita among the highest in Europe. The pandemic was a stressful time especially for healthcare workers caring for COVID-19 patients. Various studies have evaluated whether nurses caring for these patients had higher levels of acute stress, but typically with measures that either used older DSM-IV criteria for Acute Stress Disorder (ASD) or general measures of acute stress. We recruited an online sample (N = 101) of nurses in Sweden from COVID-19 specialized units (ICU), Emergency (ER), and other units (Other), and asked them to answer questionnaires retrospectively to the peak of infections in Sweden. We aimed to evaluate: 1) the psychometric properties of the translation of the Stanford Acute Stress Reaction Questionnaire-II (SASRQ-II, which follows DSM-5 criteria for ASD) into Swedish, 2) whether nurses in COVID-19 units had experienced more acute stress than nurses in other units, and 3) the extent of potential acute stress disorder. The SASRQ-II evidenced good construct, convergent and divergent validity, and good reliability. It showed that ICU nurses reported significantly more acute stress than the other two groups, a difference that could not be accounted for by demographic or other variables. A retrospective diagnosis of ASD using the SASRQ-II suggested that 60% of nurses might have fulfilled ASD criteria, but no differences across groups were found.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Acute stress, Acute stress disorder, COVID-19, Healthcare workers, Nurses
in
European Journal of Trauma and Dissociation
volume
6
issue
3
article number
100283
publisher
Elsevier
external identifiers
  • scopus:85131691574
  • pmid:37521718
ISSN
2468-7499
DOI
10.1016/j.ejtd.2022.100283
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2022 The Author(s)
id
5ac045fb-7331-44bb-9b7f-9c5ac4f2c63b
date added to LUP
2022-09-02 08:57:58
date last changed
2024-06-12 19:01:15
@article{5ac045fb-7331-44bb-9b7f-9c5ac4f2c63b,
  abstract     = {{<p>Sweden was hit hard in the beginning of the COVID-19 pandemic with deaths per capita among the highest in Europe. The pandemic was a stressful time especially for healthcare workers caring for COVID-19 patients. Various studies have evaluated whether nurses caring for these patients had higher levels of acute stress, but typically with measures that either used older DSM-IV criteria for Acute Stress Disorder (ASD) or general measures of acute stress. We recruited an online sample (N = 101) of nurses in Sweden from COVID-19 specialized units (ICU), Emergency (ER), and other units (Other), and asked them to answer questionnaires retrospectively to the peak of infections in Sweden. We aimed to evaluate: 1) the psychometric properties of the translation of the Stanford Acute Stress Reaction Questionnaire-II (SASRQ-II, which follows DSM-5 criteria for ASD) into Swedish, 2) whether nurses in COVID-19 units had experienced more acute stress than nurses in other units, and 3) the extent of potential acute stress disorder. The SASRQ-II evidenced good construct, convergent and divergent validity, and good reliability. It showed that ICU nurses reported significantly more acute stress than the other two groups, a difference that could not be accounted for by demographic or other variables. A retrospective diagnosis of ASD using the SASRQ-II suggested that 60% of nurses might have fulfilled ASD criteria, but no differences across groups were found.</p>}},
  author       = {{Palmborg, Åsa and Lötvall, Rebecka and Cardeña, Etzel}},
  issn         = {{2468-7499}},
  keywords     = {{Acute stress; Acute stress disorder; COVID-19; Healthcare workers; Nurses}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{3}},
  publisher    = {{Elsevier}},
  series       = {{European Journal of Trauma and Dissociation}},
  title        = {{Acute Stress among Nurses in Sweden during the COVID-19 Pandemic}},
  url          = {{http://dx.doi.org/10.1016/j.ejtd.2022.100283}},
  doi          = {{10.1016/j.ejtd.2022.100283}},
  volume       = {{6}},
  year         = {{2022}},
}