NSG 4067 What I will discuss with this group of 3 is problems they’re facing in their lives as it relates to COVID19 and how has these problems affecting their mental health negatively
NSG 4067 What I will discuss with this group of 3 is problems they’re facing in their lives as it relates to COVID19 and how has these problems affecting their mental health negatively
NSG 4067 What I will discuss with this group of 3 is problems they’re facing in their lives as it relates to COVID19 and how has these problems affecting their mental health negatively
Midweek Project
Covid19 is a pandemic that originated from China, which led to the disruption in global economies. The pandemic led to restricted public activities, transportation, interruption of learning, and high workload in healthcare institutions. Healthcare providers are at the frontline in the management and prevention of covid19 (Asnakew et al., 2021). Their role predisposes them to mental and physical health problems, which affect their quality of life. Post-traumatic stress disorder is one of the mental health problems that healthcare providers face due to covid19 (Kabunga & Okalo, 2021). Studies conducted in most countries reveal that healthcare workers were increasingly predisposed to post-traumatic stress disorder and other mental health problems, including depression and anxiety. Work-related factors such as lack of protective personal equipment, witnessing the suffering and death of the affected patients, and high levels of stress predispose them to post-traumatic stress disorder (Pan et al., 2021).
Interventions such as cognitive behavioral therapy have proven effective in managing post-traumatic stress disorder symptoms (Sun et al., 2021). Cognitive-behavioral therapy improves resilience among healthcare providers, which strengthens their development of effective coping strategies against occupational stress and burnout. Despite its effectiveness, cognitive behavioral therapy use in preventing and managing mental health problems such as post-traumatic stress disorder remains unexplored in most settings (Benhamou & Piedra, 2020). Therefore, the purpose of this project is to examine the effect of cognitive-behavioral therapy in improving post-traumatic stress disorder among healthcare providers caring for covid19 patients. Cognitive-behavioral therapy will be provided to selected healthcare providers to determine its effectiveness in improving its symptoms and their quality of life. The outcomes of the project will include a reduction in distressing symptoms of post-traumatic stress disorder and the prevalence of post-traumatic stress disorder among healthcare providers.
Problem Statement
Covid19 has placed immense pressure on healthcare providers. Healthcare providers provide direct patient care, which increases their vulnerability to mental and physical health problems compared to the general population. Studies conducted in the past show varying rates of post-traumatic stress disorder. For example, post-traumatic stress disorder prevalence was 55.1% (Asnakew et al., 2021), 13.52% (Sahebi et al., 2021), 14.9% (Alshehri & Alghamdi, 2021), and 56.8% in the study by Ayalew et al., (2022). The high vulnerability of healthcare workers to covid19 has been found to increase their fear of contagion, isolation, family health, and stigma. The consequence includes overwhelming psychological pressure, which increases their risk of psychological problems, including post-traumatic stress disorder, depression, fear, and insomnia (Asnakew et al., 2021). Psychotherapy interventions such as cognitive behavioral therapy are effective in managing post-traumatic stress disorder in the general population. Its use in healthcare workers affected by post-traumatic stress disorder has not been largely explored. A meta-analysis performed by Sun et al., (2021) demonstrated that cognitive-behavioral therapy had the most significant effect on healthcare providers affected by post-traumatic stress disorder during the pandemic. Interventions such as empathic listening, values clarification, validation of crisis, self-monitoring, relaxation techniques, and acceptance may be effective in improving post-traumatic stress disorder symptoms (Benhamou & Piedra, 2020). Despite this evidence, the use of cognitive-behavioral therapy has not been explored in the practice site to determine its benefits to healthcare providers affected by post-traumatic stress disorder, hence, the focus of the project.
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Questions
- What is the prevalence of post-traumatic stress disorder among healthcare providers involved in the care of covid19 patients?
- What is the effectiveness of cognitive-behavioral therapy in healthcare providers affected by post-traumatic stress disorder due to caring for covid19 patients?
Methodology
Questionnaires on post-traumatic stress disorder symptoms will be administered at the beginning of the project to obtain pre-intervention data. The data will be compared with that obtained at the end of the project to determine the effectiveness of the intervention. The intervention for the project will entail the provision of cognitive-behavioral interventions to healthcare providers affected by post-traumatic stress disorder due to caring for covid19 patients. Trained registered nurses will deliver cognitive-behavioral therapy interventions to the selected participants. Questionnaires will be administered at the end of the project to obtain data on the effectiveness of the intervention. Quantitative methods of data analysis, including analysis of variance, mean, and standard deviation will be used.
Timetable
| February 2022 | March 2022 | April 2022 | May-July 2022 | Mid-July 2022 | August 2022 | |
| Needs assessment and collection of baseline data | ||||||
| Seeking approval | ||||||
| Training implementers | ||||||
| Project implementation and monitoring | ||||||
| Data collection and analysis | ||||||
| Presentation of findings |
Regular assessment will be performed in the different phases of project implementation. Feedback will be provided to the implementers on the improvements needed to achieve optimum outcomes. The project progress will be determined using the benchmark data and the realization of the set milestones.
Conclusion
Covid19 has affected significantly healthcare providers involved in the care of covid19 patients. Healthcare providers are highly predisposed to mental health problems, including post-traumatic stress disorder and depression, which affect their health and quality of life. Interventions that include cognitive behavioral therapy can be used to manage post-traumatic stress disorder symptoms. However, its use has not been explored in the practice site, hence, the focus of this project.
References
Alshehri, A. S., & Alghamdi, A. H. (2021). Post-traumatic Stress Disorder Among Healthcare Workers Diagnosed With COVID-19 in Jeddah, Kingdom of Saudi Arabia, 2020 to 2021. Cureus, 13(8), e17371. https://doi.org/10.7759/cureus.17371
Asnakew, S., Legas, G., Liyeh, T. M., Belete, A., Haile, K., Yitbarek, G. Y., Bayih, W. A., Feleke, D. G., Birhane, B. M., Amha, H., Shumet, S., & Chanie, E. S. (2021). Prevalence of post-traumatic stress disorder on health professionals in the era of COVID-19 pandemic, Northwest Ethiopia, 2020: A multi-centered cross-sectional study. PLOS ONE, 16(9), e0255340. https://doi.org/10.1371/journal.pone.0255340
Ayalew, M., Deribe, B., Abraham, Y., Reta, Y., Tadesse, F., & Defar, S. (2022). Post-traumatic Stress Disorder Symptoms and Its Predictors Among Healthcare Workers Following COVID-19 Pandemic in Southern Ethiopia: A Cross-Sectional Study. Frontiers in Psychiatry, 12, 2503. https://doi.org/10.3389/fpsyt.2021.818910
Benhamou, K., & Piedra, A. (2020). CBT-Informed Interventions for Essential Workers During the COVID-19 Pandemic. Journal of Contemporary Psychotherapy, 50(4), 275–283. https://doi.org/10.1007/s10879-020-09467-3
Kabunga, A., & Okalo, P. (2021). <p>Frontline Nurses’ Post-Traumatic Stress Disorder and Associated Predictive Factors During the Second Wave of COVID-19 in Central, Uganda</p>. Neuropsychiatric Disease and Treatment, 17, 3627–3633. https://doi.org/10.2147/NDT.S340771
Pan, L., Xu, Q., Kuang, X., Zhang, X., Fang, F., Gui, L., Li, M., Tefsen, B., Zha, L., & Liu, H. (2021). Prevalence and factors associated with post-traumatic stress disorder in healthcare workers exposed to COVID-19 in Wuhan, China: A cross-sectional survey. BMC Psychiatry, 21(1), 572. https://doi.org/10.1186/s12888-021-03589-1
Sahebi, A., Yousefi, A., Abdi, K., Jamshidbeigi, Y., Moayedi, S., Torres, M., Wesemann, U., Sheikhbardsiri, H., & Golitaleb, M. (2021). The Prevalence of Post-traumatic Stress Disorder Among Health Care Workers During the COVID-19 Pandemic: An Umbrella Review and Meta-Analysis. Frontiers in Psychiatry, 12, 764738. https://doi.org/10.3389/fpsyt.2021.764738
Sun, Z., Yu, C., Zhou, Y., & Liu, Z. (2021). Psychological Interventions for Healthcare Providers With PTSD in Life-Threatening Pandemic: Systematic Review and Meta-Analysis. Frontiers in Psychiatry, 12, 1218. https://doi.org/10.3389/fpsyt.2021.697783