Quality of professional life and its association with emotional well-being among COVID-19 physicians and nurses

Authors

1 Department of Emergency Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

3 Department of Counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran

4 Department of Pharmacy, French Pharmaceutical Research Center, Metz, France

5 Department of Nephrology, French Center for Nephrology and Hemodialysis, Metz, France

6 Department of Infectious Diseases and Tropical Medicine, Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The present study was to compare the professional quality of life (ProQOL) and its association with the emotional well-being among the physicians and nurses in contact with COVID-19 patients in Iran and France.
Materials and Methods: The study was performed on 903 nurses and physicians in contact with COVID-19 patients in Iran and France.he subjects completed their demographics online and then answered questions addressing their job stress and emotion associated with their contact with COVID-19 patients and ProQOL. Finally, the collected data were analyzed using the SPSS software (ver. 25).
Results: According to the results of the present study, the degree of contact with COVID-19 patients had a significant role in compassion satisfaction, burnout, and compassion fatigue, with the coefficient effects of 0.459, 0.688, and 0.433, respectively (P < 0.05). The emotional well-being had a significant role in increasing compassion satisfaction (B = 0.505, P < 0.05).
Conclusion: According to the results of the present study, factors such as contact with a COVID-19 patient, emotional well-being, gender, and marital status had a significant effect on dimensions of ProQOL in both Iran and France. Considering that the entire focus of the physicians and nurses is on the health of COVID-19 patients and they have no concentration on improving their emotional state, it seems that supporting them in terms of psychological self-care and considering its indirect impact on the quality of professional performance are of particular significance.

Keywords

1.
Murthy S, Gomersall CD, Fowler RA. Care for critically ill patients with COVID-19. JAMA 2020;323:1499-500.  Back to cited text no. 1
    
2.
Baud D, Qi X, Nielsen-Saines K, Musso D, Pomar L, Favre G. Real estimates of mortality following COVID-19 infection. Lancet Infect Dis 2020;20:773.  Back to cited text no. 2
    
3.
Kang X, Fang Y, Li S, Liu Y, Zhao D, Feng X, et al. The benefits of indirect exposure to trauma: The relationships among vicarious posttraumatic growth, social support, and resilience in ambulance personnel in China. Psychiatry Investig 2018;15:452-9.  Back to cited text no. 3
    
4.
Liu YH, Yang HN, Liu HL, Wang F, Hu LB, Zheng JC. Medical rescue of China national earthquake disaster emergency search and rescue team in Lushan earthquake. Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2013;25:265-7.  Back to cited text no. 4
    
5.
Doherty M, Hauser J. Care of the dying patient In: Waldman E, Glass M, editors. A Field Manual for Palliative Care in Humanitarian Crises. Oxford medicine online, this is the digital platform hosting: Oxford University Press; 2019. p. 1-17. Available from: https://oxfordmedicine.com/view/10.1093/med/9780190066529.001.0001/med-9780190066529. [Last accessed on 2021 Mar].  Back to cited text no. 5
    
6.
Wallace CL, Wladkowski SP, Gibson A, White P. Grief during the COVID-19 pandemic: Considerations for palliative care providers. J Pain Symptom Manage 2020;60:e70-6.  Back to cited text no. 6
    
7.
Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs 2020;29:2762-4.  Back to cited text no. 7
    
8.
Alharbi J, Jackson D, Usher K. Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nurs Health Sci 2020;22:20-7.  Back to cited text no. 8
    
9.
Vagharseyyedin SA, Vanaki Z, Mohammadi E. The nature nursing quality of work life: An integrative review of literature. West J Nurs Res 2011;33:786-804.  Back to cited text no. 9
    
10.
Kim K, Han Y, Kwak Y, Kim JS. Professional quality of life and clinical competencies among Korean nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2015;9:200-6.  Back to cited text no. 10
    
11.
Stamm BH. The Concise ProQOL Manual. 2nd ed. Pocatello, ID: ProQOL.org; 2010.  Back to cited text no. 11
    
12.
Hunsaker S, Chen HC, Maughan D, Heaston S. Factors that influence the development of compassion fatigue, burnout, and compassion satisfaction in emergency department nurses. J Nurs Scholarsh 2015;47:186-94.  Back to cited text no. 12
    
13.
Kim S. Compassion fatigue in liver and kidney transplant nurse coordinators: A descriptive research study. Prog Transplant 2013;23:329-35.  Back to cited text no. 13
    
14.
Gerami Nejad N, Hosseini M, Mousavi Mirzaei SM, Ghorbani Moghaddam Z. Association between resilience and professional quality of life among nurses working in intensive care units. Iran J Nurs 2019;31:49-60.  Back to cited text no. 14
    
15.
Hassan Kalhori S, Mohammadkhani S, Hasani J, Akbari M, Moghadasin M. Psychometric properties of the Persian version of professional quality of life scale among nurses. Horiz Med Sci 2019;25:139-45.  Back to cited text no. 15
    
16.
Azadehjo N, Nasrabadi T, Nasrollah S. The relationship of compassion fatigues and moral sensitivity in critical care nurses. Cardiovasc Nurs 2018;6:50-9.  Back to cited text no. 16
    
17.
Ghalami Z, Sohrabi Z. The study of relationship between perceived parenting styles with emotional well-being and social well-being of students. Rooyesh Ravanshenasi J 2019;8:107-12.  Back to cited text no. 17
    
18.
Wu Y, Wang J, Luo C, Hu S, Lin X, Anderson AE, et al. A comparison of burnout frequency among oncology physicians and nurses working on the front lines and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage 2020;60:e60-5.  Back to cited text no. 18
    
19.
Hendin A, La Rivière CG, Williscroft DM, O'Connor E, Hughes J, Fischer LM. End-of-life care in the emergency department for the patient imminently dying of a highly transmissible acute respiratory infection (such as COVID-19). CJEM 2020;22:414-7.  Back to cited text no. 19
    
20.
Horesh D, Brown AD. Traumatic stress in the age of COVID-19: A call to close critical gaps and adapt to new realities. Psychol Trauma 2020;12:331-5.  Back to cited text no. 20
    
21.
Stamm BH. The ProQOL Manual: The Professional Quality of Life Scale: Compassion Satisfaction, Burnout and Compassion Fatigue/Secondary Trauma Scales. Baltimore, MD: Sidran; 2005.  Back to cited text no. 21
    
22.
Adams RE, Boscarino JA, Figley CR. Compassion fatigue and psychological distress among social workers: A validation study. Am J Orthopsychiatry 2006;76:103-8.  Back to cited text no. 22
    
23.
Mohammadi S, Borhani F, Roshanzadeh M. Compassion fatigue in nurses of intensive care unit. Med Ethics J 2015;9:85-102.  Back to cited text no. 23
    
24.
Keyes CL, Shmotkin D, Ryff CD. Optimizing well-being: The empirical encounter of two traditions. J Pers Soc Psychol 2003;82:1007-22.  Back to cited text no. 24
    
25.
Dost M. Subjective well-being of university students. In: Unpublished PhD Thesis. Ankara: Hacettepe University; 2004.  Back to cited text no. 25
    
26.
Yang YH, Kim JK. A literature review of compassion fatigue in nursing. Korean J Adult Nurs 2012;24:38-51.  Back to cited text no. 26
    
27.
Ebrahimpour M, Azzizadeh Forouzi M, Tirgari B. The relationship between post-traumatic stress symptoms and professional quality of life in psychiatric nurses. J Hayat 2017;22:312-24.  Back to cited text no. 27
    
28.
Li Z, Ge J, Yang M, Feng J, Qiao M, Jiang R, et al. Vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Immun 2020;88:916-9.  Back to cited text no. 28
    
29.
Mangoulia P, Fildissis G, Koukia E, Alevizopoulos G, Katostaras T. Factors associated with compassion fatigue among ICU nurses in Greece. Crit Care 2011;15:P489.  Back to cited text no. 29
    
30.
Alharbi J, Jackson D, Usher K. The potential for COVID-19 to contribute to compassion fatigue in critical care nurses. J Clin Nurs 2020;29:2762-4.  Back to cited text no. 30
    
31.
Sheppard K. Compassion fatigue among registered nurses: Connecting theory and research. Appl Nurs Res 2015;28:57-9.  Back to cited text no. 31
    
32.
Wu SY, Li HY, Tian J, Zhu W, Li J, Wang XR. Health-related quality of life and its main related factors among nurses in China. Ind Health 2011;49:158-65.  Back to cited text no. 32
    
33.
Racic M, Todorovic R, Ivkovic N, Masic S, Joksimovic B, Kulic M. Self- perceived stress in relation to anxiety, depression and health-related quality of life among health professions students: A cross-sectional study from Bosnia and Herzegovina. Zdr Varst 2017;56:251-9.  Back to cited text no. 33
    
34.
Ibañez-Masero O, Carmona-Rega IM, Ruiz-Fernández MD, Ortiz-Amo R, Cabrera-Troya J, Ortega-Galán ÁM. Communicating health information at the end of life: The caregivers' perspectives. Int J Environ Res Public Health 2019;16:E2469.  Back to cited text no. 34
    
35.
Cavanagh N, Cockett G, Heinrich C, Doig L, Fiest K, Guichon JR, et al. Compassion fatigue in healthcare providers: A systematic review and meta-analysis. Nurs Ethics 2020;27:639-65.  Back to cited text no. 35
    
36.
van Zyl AB, Noonan I. The Trojan War inside nursing: An exploration of compassion, emotional labour, coping and reflection. Br J Nurs 2018;27:1192-6.  Back to cited text no. 36