ArticleEnvironmental research2021
The use of mental health promotion strategies by nurses to reduce anxiety, stress, and depression during the COVID-19 outbreak: A prospective cohort study.
Article in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed, 73 citations in OpenAlex.
- Psychometric validation of the seven-time dimensions scale: a measure of daily time experience quality for nurses' mental health.BMC nursing · 2026Article
- Mental health literacy mediates associations of self rated health and chronic disease status with anxiety and depression in Chinese residents.Scientific reports · 2026Article
- Psychological Impact of Infection Fear on Healthcare Provider during the COVID-19 Pandemic: Considerations for Health Promotion.Health promotion perspectives · 2026Article
- Sustaining Health Promotion and Education to Build Resilient Communities: Lessons from Nurses During the COVID-19 Pandemic.International journal of environmental research and public health · 2026Article
- Transforming Nursing Practices: A Comprehensive Review of Performance Improvement Strategies.Health science reports · 2025Review
- Experiences of Communication and Working During the Covid-19 Pandemic Among Nursing Home Staff: A Qualitative Interview Study.Nursing open · 2025Article
- Predictors of stress among nucleic acid sampling support nurses (NASSNs) during the COVID-19 pandemic.Human resources for health · 2025Article
- Development of an AI-Integrated Smart Helmet for Motorcycle Accident Prevention: A Feasibility Study.Journal of multidisciplinary healthcare · 2025Article
- Low mental health literacy is associated with depression and anxiety among adults: a population-based survey of 16,715 adults in China.BMC public health · 2024Article
- Workforce wellbeing centres and their positive role for wellbeing and presenteeism in healthcare workers during the COVID-19 pandemic: secondary analysis of COVID-Well data.BMC health services research · 2024Article
- Trends and determinants of nurses' mental health following the COVID-19 pandemic in China: a longitudinal, comparative study over a two-year period.Frontiers in psychiatry · 2024Article
- Interventions Addressing Nurses' Psychological Well-being during COVID-19 Pandemic: A Systematic Review.Acta medica Philippina · 2024Article
- Sleep quality and mental health among Chinese nurses after the COVID-19 pandemic: A moderated model.PloS one · 2024Article
- Active and Healthy Confinement: Care Recommendations on Activity, Sleep and Relationships.Healthcare (Basel, Switzerland) · 2023Article
- Coping strategies adopted by frontline nurses in dealing with COVID-19 patients in a developing country during the pandemic: A qualitative study.Nursing open · 2023Article
- Factors Associated with Turnover Intentions of Nurses Working in Japanese Hospitals Admitting COVID-19 Patients.Nursing reports (Pavia, Italy) · 2023Article
- Staff quality of working life and turnover intentions in municipal nursing care and social welfare: a cross-sectional study.BMC nursing · 2023Article
- Sleep Quality between Nurses and the General Population during the COVID-19 Pandemic in Portugal: What Are the Differences?International journal of environmental research and public health · 2023Article
- Different effects between the current capability of and changes in self-management strategies on improving health behavior and psychological health after 6 months: evidence from a prospective cohort study of patients with cancer.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023Article
- Modifiable and nonmodifiable factors associated with anxiety, depression, and stress after one year of the COVID-19 pandemic.PloS one · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate and compare nurses' depression, anxiety and stress symptoms at the beginning of the COVID-19 pandemic and after six months; to evaluate and compare the frequency of use of mental health promotion strategies during the same period; and to identify the relationship between the frequency of use of mental health promotion strategies, during the same period, with nurses' depression, anxiety and stress symptoms.
methodsData collection was carried out in two moments: at baseline and after six months. An online questionnaire was applied to nurses to assess the frequency of use of some mental health promotion strategies and their depression, anxiety, and stress symptoms (through the Depression Anxiety Stress Scales - short version (DASS-21)).
resultsThe anxiety and stress symptoms significantly decreased over time. The physical activity increased, and a decrease was observed in the remote social contacts after six months. The stress, anxiety and depression scores were significantly lower in nurses who frequently or always used all strategies compared to participants who never or rarely used them, except for one strategy (rejecting information about COVID-19 from unreliable sources).
conclusionsMental health promotion strategies, such as physical activity, relaxation activity, recreational activity, healthy diet, adequate water intake, breaks between work shifts, maintenance of remote social contacts, and verbalization of feelings/emotions, are crucial to reduce nurses' stress, anxiety and depression symptoms during the COVID-19 outbreak.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.