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Perspective on the challenges of COVID-19 facing healthcare workers

Abstract

The emergence of COVID-19 has caused a significant impact on healthcare workers (HCWs) across the globe. A few of these challenges include high workload, lack of coordination and direction, changing information, shortage of personal protective equipment (PPE), managing isolation, fear, and increased anxiety, adapting to changes in healthcare practice and policy, coping strategies, and emotional and physical needs. Here, we shed light on some aspects of these challenges among healthcare workers.

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References

  1. World Health Organization. The impact of COVID-19 on health and care workers: a closer look at deaths. 2021.

  2. AlJishi JM, Alhajjaj AH, Alkhabbaz FL, AlAbduljabar TH, Alsaif A, Alsaif H, et al. Clinical characteristics of asymptomatic and symptomatic COVID-19 patients in the eastern province of Saudi Arabia. J Infect Public Health. 2021;14:6–11. https://doi.org/10.1016/j.jiph.2020.11.002.

    Article  PubMed  Google Scholar 

  3. Al-Tawfiq JA, Memish ZA. COVID-19 in the Eastern Mediterranean Region and Saudi Arabia: prevention and therapeutic strategies. Int J Antimicrob Agents. 2020;55:105968. https://doi.org/10.1016/j.ijantimicag.2020.105968.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  4. Khalid I, Imran M, Imran M, Akhtar MA, Khan S, Amanullah K, et al. From epidemic to pandemic: comparing hospital staff emotional experience between MERS and COVID-19. Clin Med Res. 2021;19:169–78. https://doi.org/10.3121/cmr.2021.1657.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  5. Temsah MH, Al-Sohime F, Alamro N, Al-Eyadhy A, Al-Hasan K, Jamal A, et al. The psychological impact of COVID-19 pandemic on health care workers in a MERS-CoV endemic country. J Infect Public Health. 2020;13:877–82. https://doi.org/10.1016/j.jiph.2020.05.021.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Barry M, Robert AA, Temsah M-H, Abdul Bari S, Akhtar MY, Al Nahdi F, et al. COVID-19 community transmission among healthcare workers at a tertiary care cardiac center. Med Sci. 2021;9:49. https://doi.org/10.3390/medsci9030049.

    CAS  Article  Google Scholar 

  7. Alshamrani MM, El-Saed A, Al Zunitan M, Almulhem R, Almohrij S. Risk of COVID-19 morbidity and mortality among healthcare workers working in a large tertiary care hospital. Int J Infect Dis. 2021;109:238–43. https://doi.org/10.1016/j.ijid.2021.07.009.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  8. Amer HA, Abdallah HA, Alkheledan HS, Gul NS, Altayieb JA, Alsalam M, et al. Characteristics of healthcare workers with COVID-19: a retrospective descriptive study in a quaternary care center in Riyadh. Saudi Arab Ann Med Surg. 2021;72:103069. https://doi.org/10.1016/j.amsu.2021.103069.

    Article  Google Scholar 

  9. Alshamrani MM, El-Saed A, Arabi YM, Al ZM, Farahat FM, Bonnie HB, et al. Risk of COVID-19 in healthcare workers working in intensive care setting. Am J Infect Control. 2022. https://doi.org/10.1016/j.ajic.2022.01.003.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Al Bujayr AA, Aljohar BA, Bin Saleh GM, Alanazi KH, Assiri AM. Incidence and epidemiological characteristics of COVID-19 among health care workers in Saudi Arabia: a retrospective cohort study. J Infect Public Health. 2021;14:1174–8. https://doi.org/10.1016/j.jiph.2021.08.005.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Gholami M, Fawad I, Shadan S, Rowaiee R, Ghanem HA, Hassan Khamis A, et al. COVID-19 and healthcare workers: a systematic review and meta-analysis. Int J Infect Dis. 2021;104:335–46. https://doi.org/10.1016/j.ijid.2021.01.013.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  12. Dzinamarira T, Nkambule SJ, Hlongwa M, Mhango M, Iradukunda PG, Chitungo I, et al. Risk factors for COVID-19 infection among healthcare workers a first report from a living systematic review and meta-analysis. Saf Health Work. 2022. https://doi.org/10.1016/j.shaw.2022.04.001.

    Article  PubMed  Google Scholar 

  13. Chou R, Dana T, Selph S, Totten AM, Buckley DI, Fu R. Update alert 6: epidemiology of and risk factors for coronavirus infection in health care workers. Ann Intern Med. 2021;174:W18–9. https://doi.org/10.7326/L20-1323.

    Article  PubMed  Google Scholar 

  14. Alhabbab RY, Alsaieedi A, Algaissi A, Almahboub S, Al-Raddadi RM, Shabouni OI, et al. Seroprevalence of sars-cov-2 binding and neutralizing antibodies in healthcare workers during the epidemic peak in referral hospitals and quarantine sites: Saudi Arabia. Viruses. 2021;13:1413. https://doi.org/10.3390/v13071413.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  15. Alharbi NK, Alghnam S, Algaissi A, Albalawi H, Alenazi MW, Albargawi AM, et al. Nationwide seroprevalence of SARS-CoV-2 in Saudi Arabia. J Infect Public Health. 2021;14:832–8. https://doi.org/10.1016/j.jiph.2021.04.006.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Alserehi HA, Alqunaibet AM, Al-Tawfiq JA, Alharbi NK, Alshukairi AN, Alanazi KH, et al. Seroprevalence of SARS-CoV-2 (COVID-19) among healthcare workers in Saudi Arabia: comparing case and control hospitals. Diagn Microbiol Infect Dis. 2021;99: 115273. https://doi.org/10.1016/j.diagmicrobio.2020.115273.

    CAS  Article  PubMed  Google Scholar 

  17. Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Seroprevalence of SARS-CoV-2 antibodies and associated factors in healthcare workers: a systematic review and meta-analysis. J Hosp Infect. 2021;108:120–34. https://doi.org/10.1016/j.jhin.2020.11.008.

    CAS  Article  PubMed  Google Scholar 

  18. Steensels D, Oris E, Coninx L, Nuyens D, Delforge ML, Vermeersch P, et al. Hospital-wide SARS-CoV-2 antibody screening in 3056 staff in a tertiary center in Belgium. JAMA - J Am Med Assoc. 2020;324:195–7. https://doi.org/10.1001/jama.2020.11160.

    CAS  Article  Google Scholar 

  19. Jeremias A, Nguyen J, Levine J, Pollack S, Engellenner W, Thakore A, et al. Prevalence of SARS-CoV-2 infection among health care workers in a tertiary community hospital. JAMA Intern Med. 2020;180:1707–9. https://doi.org/10.1001/jamainternmed.2020.4214.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  20. Moscola J, Sembajwe G, Jarrett M, Farber B, Chang T, McGinn T, et al. Prevalence of SARS-CoV-2 antibodies in health care personnel in the New York city area. JAMA-J Am Med Assoc. 2020;324:893–5. https://doi.org/10.1001/jama.2020.14765.

    CAS  Article  Google Scholar 

  21. Martin C, Montesinos I, Dauby N, Gilles C, Dahma H, Van Den Wijngaert S, et al. Dynamics of SARS-CoV-2 RT-PCR positivity and seroprevalence among high-risk healthcare workers and hospital staff. J Hosp Infect. 2020;106:102–6. https://doi.org/10.1016/j.jhin.2020.06.028.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  22. Rudberg AS, Havervall S, Månberg A, Jernbom Falk A, Aguilera K, Ng H, et al. SARS-CoV-2 exposure, symptoms and seroprevalence in healthcare workers in Sweden. Nat Commun. 2020. https://doi.org/10.1038/s41467-020-18848-0.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Dzinamarira T, Murewanhema G, Mhango M, Iradukunda PG, Chitungo I, Mashora M, et al. COVID-19 prevalence among healthcare workers. A systematic review and meta-analysis. Int J Environ Res Public Health. 2022;19:146. https://doi.org/10.3390/ijerph19010146.

    CAS  Article  Google Scholar 

  24. Blairon L, Mokrane S, Wilmet A, Dessilly G, Kabamba-Mukadi B, Beukinga I, et al. Large-scale, molecular and serological SARS-CoV-2 screening of healthcare workers in a 4-site public hospital in Belgium after COVID-19 outbreak. J Infect. 2021;82:159–98. https://doi.org/10.1016/j.jinf.2020.07.033.

    CAS  Article  PubMed  Google Scholar 

  25. Assiri A, Al-Tawfiq JA, Alkhalifa M, Al Duhailan H, Al Qahtani S, Dawas RA, et al. Launching COVID-19 vaccination in Saudi Arabia: lessons learned, and the way forward. Travel Med Infect Dis. 2021;43: 102119. https://doi.org/10.1016/j.tmaid.2021.102119.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  26. Temsah MH, Barry M, Aljamaan F, Alhuzaimi A, Al-Eyadhy A, Saddik B, et al. Adenovirus and RNA-based COVID-19 vaccines’ perceptions and acceptance among healthcare workers in Saudi Arabia: A national survey. BMJ Open. 2021;11: e048586. https://doi.org/10.1136/bmjopen-2020-048586.

    Article  PubMed  Google Scholar 

  27. Barry M, Temsah MH, Aljamaan F, Saddik B, Al-Eyadhy A, Alenezi S, et al. COVID-19 vaccine uptake among healthcare workers in the fourth country to authorize BNT162b2 during the first month of rollout. Vaccine. 2021;39:5762–8. https://doi.org/10.1016/J.VACCINE.2021.08.083.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  28. Ackah M, Ameyaw L, Gazali Salifu M, Afi Asubonteng DP, Osei Yeboah C, NarkoteyAnnor E, et al. COVID-19 vaccine acceptance among health care workers in Africa: a systematic review and meta-analysis. PLoS ONE. 2022;17: e0268711. https://doi.org/10.1371/journal.pone.0268711.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  29. Patwary MM, Alam MA, Bardhan M, Disha AS, Haque MZ, Billah SM, et al. COVID-19 vaccine acceptance among low-and lower-middle-income countries: a rapid systematic review and meta-analysis. Vaccines. 2022;10:427. https://doi.org/10.3390/vaccines10030427.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  30. Gallè F, Sabella EA, Roma P, De Giglio O, Caggiano G, Tafuri S, et al. Knowledge and acceptance of COVID-19 vaccination among undergraduate students from central and southern Italy. Vaccines. 2021;9:638. https://doi.org/10.3390/vaccines9060638.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  31. Lucia VC, Kelekar A, Afonso NM. COVID-19 vaccine hesitancy among medical students. J Public Heal (UK). 2021;43:445–9. https://doi.org/10.1093/pubmed/fdaa230.

    Article  Google Scholar 

  32. Tavolacci MP, Dechelotte P, Ladner J. Covid-19 vaccine acceptance, hesitancy, and resistancy among university students in France. Vaccines. 2021;9:654. https://doi.org/10.3390/vaccines9060654.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  33. Luo C, Yang Y, Liu Y, Zheng D, Shao L, Jin J, et al. Intention to COVID-19 vaccination and associated factors among health care workers: a systematic review and meta-analysis of cross-sectional studies. Am J Infect Control. 2021;49:1295–304. https://doi.org/10.1016/j.ajic.2021.06.020.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Temsah MH, Al Huzaimi A, Alrabiaah A, Alamro N, Al-Sohime F, Al-Eyadhy A, et al. Changes in healthcare workers’ knowledge, attitudes, practices, and stress during the COVID-19 pandemic. Med (Baltim). 2021;100: e25825. https://doi.org/10.1097/MD.0000000000025825.

    CAS  Article  Google Scholar 

  35. Alhasan K, Aljamaan F, Temsah MH, Alshahrani F, Bassrawi R, Alhaboob A, et al. Covid-19 delta variant: Perceptions, worries, and vaccine-booster acceptability among healthcare workers. Healthc. 2021;9:1566. https://doi.org/10.3390/healthcare9111566.

    Article  Google Scholar 

  36. Temsah MH, Alenezi S, Alarabi M, Aljamaan F, Alhasan K, Assiri R, et al. Healthcare workers’ SARS-CoV-2 omicron variant uncertainty-related stress, resilience, and coping strategies during the first week of the World Health Organization’s alert. Int J Environ Res Public Health. 2022;19:1944. https://doi.org/10.3390/ijerph19041944.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  37. Cabarkapa S, Nadjidai SE, Murgier J, Ng CH. The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: a rapid systematic review. Brain Behav Immun-Heal. 2020;8: 100144. https://doi.org/10.1016/j.bbih.2020.100144.

    Article  Google Scholar 

  38. Salari N, Khazaie H, Hosseinian-Far A, Khaledi-Paveh B, Kazeminia M, Mohammadi M, et al. The prevalence of stress, anxiety and depression within front-line healthcare workers caring for COVID-19 patients: a systematic review and meta-regression. Hum Resour Health. 2020. https://doi.org/10.1186/s12960-020-00544-1.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Chew NWS, Lee GKH, Tan BYQ, Jing M, Goh Y, Ngiam NJH, et al. A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain Behav Immun. 2020;88:559–65. https://doi.org/10.1016/j.bbi.2020.04.049.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  40. Hong S, Ai M, Xu X, Wang W, Chen J, Zhang Q, et al. Immediate psychological impact on nurses working at 42 government-designated hospitals during COVID-19 outbreak in China: a cross-sectional study. Nurs Outlook. 2021;69:6–12. https://doi.org/10.1016/j.outlook.2020.07.007.

    Article  PubMed  Google Scholar 

  41. Pouralizadeh M, Bostani Z, Maroufizadeh S, Ghanbari A, Khoshbakht M, Alavi SA, et al. Anxiety and depression and the related factors in nurses of Guilan University of Medical Sciences hospitals during COVID-19: a web-based cross-sectional study. Int J Africa Nurs Sci. 2020;13:100233. https://doi.org/10.1016/j.ijans.2020.100233.

    Article  Google Scholar 

  42. Romero CS, Delgado C, Catalá J, Ferrer C, Errando C, Iftimi A, et al. COVID-19 psychological impact in 3109 healthcare workers in Spain: the PSIMCOV group. Psychol Med. 2022;52:188–94. https://doi.org/10.1017/S0033291720001671.

    Article  Google Scholar 

  43. Elbay RY, Kurtulmuş A, Arpacıoğlu S, Karadere E. Depression, anxiety, stress levels of physicians and associated factors in Covid-19 pandemics. Psychiatry Res. 2020;290:113130. https://doi.org/10.1016/j.psychres.2020.113130.

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  44. Temsah MH, Barry M, Aljamaan F, Alhuzaimi AN, Al-Eyadhy A, Saddik B, et al. SARS-CoV-2 B.1.1.7 UK variant of concern lineage-related perceptions covid-19 vaccine acceptance and travel worry among healthcare workers. Front Public Heal. 2021. https://doi.org/10.3389/fpubh.2021.686958.

    Article  Google Scholar 

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Correspondence to Jaffar A. Al-Tawfiq.

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Al-Tawfiq, J.A., Temsah, MH. Perspective on the challenges of COVID-19 facing healthcare workers. Infection (2022). https://doi.org/10.1007/s15010-022-01882-z

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  • DOI: https://doi.org/10.1007/s15010-022-01882-z

Keywords

  • COVID-19
  • Pandemic
  • Infection
  • Coronavirus
  • SARS-CoV-2