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Safety Responsiveness and Psychological Distress Among Health Care Workers During Covid-19 (2020–2022) in the Pacific Northwest

Bibliographic Data

ID11030331
AuthorsDavid Hurtado (0000-0002-5769-6083, The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.), Samuel A Greenspan (The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.), Lindsey Alley (The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.), Leslie B Hammer (0000-0001-8066-7531, The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.), Megan Furnari (0000-0002-5872-412X, The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.), Abigail Lenhart (The authors are with Oregon Health & Science University, Portland. David A. Hurtado, Samuel A. Greenspan, Leslie B. Hammer, and Lindsey Alley are with the Oregon Institute of Occupational Health Sciences. Megan Furnari is with the Division of Neonatology, School of Medicine. Abigail Lenhart is with the Division of General Internal Medicine and Geriatrics.)
Year2024
Volume114
IssueS2
Pages204-212
Publication date2024-02-01
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307582
PMID38354349
OpenAlexW4391805854
LanguageEN
References cited28

Objectives. The COVID-19 pandemic imposed unprecedented safety challenges on health care facilities. This study examined whether health care workers who deemed a better safety response to the pandemic by their units or employers experienced lower psychological distress. Methods. Patient care workers at a health care system in the Pacific Northwest were surveyed every 6 to 8 months from May 2020 to May 2022 (n = 3468). Psychological distress was measured with the Well-being Index (range: −2 to 7 points). Safety response was scored on the basis of participants’ ratings (on a 1–5 scale) of equipment sufficiency and responsiveness to safety concerns by their health care system and unit. Results. Adjusted multilevel regressions showed an inverse association between safety responsiveness and psychological distress at the individual level (b = −0.54; 95% confidence interval [CI] = −0.67, −0.41) and the unit level (b = −0.73; 95% CI = −1.46, −0.01). The cross-level interaction was also statistically significant (b = −0.46; 95% CI = −0.87, −0.05). Conclusions. Health care workers who deemed a better response to safety challenges reported lower psychological distress. This study highlights the need for continued efforts to ensure adequate safety resources. ( Am J Public Health. 2024;114(S2):S204–S212. https://doi.org/10.2105/AJPH.2024.307582 )

Confidence interval · Coronavirus disease 2019 (COVID-19) · Disease · Distress · Environmental health · Family medicine · Health care · Mental health · Occupational safety and health · Pandemic · Psychiatry · Psychological distress · Public health · Clinical Psychology · Healthcare professionals’ stress and burnout · Medicine · Nursing · Occupational Health and Safety Research · Workplace Health and Well-being · Gerontology

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