ArticlePloS one2020
Self-efficacy and fatigue among non-frontline health care workers during COVID-19 outbreak: A moderated mediation model of posttraumatic stress disorder symptoms and negative coping.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Healthcare worker fatigue during COVID-19, SARS, and MERS: a meta-analysis.Occupational medicine (Oxford, England) · 2026Pooled it
- Psychological resilience, coping behaviours and social support among health care workers during the COVID-19 pandemic: A systematic review of quantitative studies.Journal of nursing management · 2021Pooled it
- Testing the Effectiveness of a Mindfulness- and Acceptance-Based Smartphone App for Nurses Traumatized by the COVID-19 Pandemic: A Pilot Study.Issues in mental health nursing · 2024Trial
- The relationship between self-efficacy/resilience and the mental health status of hemodialysis nurses: multiple mediation effects of insomnia and fatigue.Frontiers in psychology · 2025Article
- Fatigue Syndrome among Medical Students in Saudi Arabia: A Cross-Sectional Study on Depression and Anxiety.Journal of pharmacy & bioallied sciences · 2024Article
- Effects of Cognitive Appraisals on Perceived Self-Efficacy and Distress during the COVID-19 Lockdown: An Empirical Analysis Based on Structural Equation Modeling.International journal of environmental research and public health · 2023Article
- Resilience and Wellbeing Strategies for Pandemic Fatigue in Times of Covid-19.International journal of applied positive psychology · 2023Review
- Job Satisfaction and Negative Coping Style Affect the Relationship between Transition Shock and Intent to Stay among Newly Graduated Nurses during the COVID-19 Pandemic.Journal of nursing management · 2023Article
- Mental health and resilience during the coronavirus pandemic: A machine learning approach.Journal of clinical psychology · 2022Article
- The Persian COVID-19 Anxiety Syndrome Scale (C-19ASS): Psychometric properties in a general community sample of Iranians.Clinical psychology & psychotherapy · 2022Article
- Article
- Intersection of anxiety and negative coping among Asian American medical students.Frontiers in psychology · 2022Article
- Nursing staff fatigue and burnout during the COVID-19 pandemic in Greece.AIMS public health · 2022Article
- Determinants of emotional distress in neonatal healthcare professionals: An exploratory analysis.Frontiers in public health · 2022Article
- Did rest breaks help with acute fatigue among nursing staff on 12-h shifts during the COVID-19 pandemic? A cross-sectional study.Journal of advanced nursing · 2021Article
- Impact of COVID-19 outbreak on Italian healthcare workers versus general population: Results from an online survey.Clinical psychology & psychotherapy · 2021Article
- Stress and quality of life of intensive care nurses during the COVID-19 pandemic: Self-efficacy and resilience as resources.Nursing in critical care · 2021Article
- Lockdown fatigue among college students during the COVID-19 pandemic: Predictive role of personal resilience, coping behaviors, and health.Perspectives in psychiatric care · 2021Article
- Article
- Differences Between the Psychological Symptoms of Health Workers and General Community After the First Wave of the COVID-19 Outbreak in Spain.Frontiers in psychology · 2021Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposesSince a considerable number of health care workers (HCWs) were sent to Wuhan to aid COVID-19 control during the epidemic, non-frontline HCWs who stayed in local hospitals had to work overload to provide daily health care services for other health issues, which makes them more vulnerable to experience fatigue. Self-efficacy is suggested as a protective factor for fatigue. Nonetheless, less is known regarding the underlying mechanisms. This research aimed to explore the prevalence of fatigue among non-frontline HCWs during the pandemic, investigate the mediating effect of posttraumatic stress disorder (PTSD) symptoms and moderating effect of negative coping in the association between self-efficacy and fatigue.
methodsGeneral Self-Efficacy Scale, PTSD Checklist-Civilian Version, Simplified Coping Style Questionnaire and 14-item Fatigue Scale were administrated to 527 non-frontline HCWs from Anhui Province, China. The mediating effect was examined by Mackinnon's four-step procedure, while Hayes PROCESS macro was used to test the moderated mediation model.
resultsThe prevalence of fatigue among non-frontline HCWs was 56.7%. The effect of self-efficacy on fatigue was partially mediated by PTSD symptoms (ab = -0.146, SE = 0.030, 95% CI = [-0.207, -0.095]). Additionally, negative coping moderated both the direct effect of self-efficacy on fatigue (β = -0.158, P<0.001) and the mediating effect of PTSD symptoms (β = 0.077, P = 0.008). When the standard score of negative coping increased to 1.49 and over, the direct association between self-efficacy and fatigue became insignificant. Likewise, the effect of self-efficacy on PTSD symptoms had no statistical significance when the standard score of negative coping was -1.40 and lower.
conclusionsMore than half non-frontline HCWs suffered from fatigue during COVID-19. For those who tend to use negative coping, it might be crucial to design programs combining the enhancement of self-efficacy, preventions for PTSD symptoms and interventions for fatigue.
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