Evidence map›Paper›PMID 33630134›Full record

Observational studyInternational archives of occupational and environmental health2021

A model for occupational stress amongst paediatric and adult critical care staff during COVID-19 pandemic.

T Feeley, R Ffrench-O'Carroll, M H Tan, C Magner, K L'Estrange, E O'Rathallaigh, S Whelan, B Lyons, E O'Connor

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Experiences of U.S. frontline physicians during the COVID-19 pandemic: a qualitative study.Archives of public health = Archives belges de sante publique · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

T FeeleyAnaesthesia Department, National Women's Health, Auckland City Hospital, Level 9, 2 Park Road, Grafton, Auckland, 1023, New Zealand. tfeeley@adhb.govt.nz.ORCID 0000-0002-0187-7942
R Ffrench-O'CarrollDepartment of Anaesthesia and Intensive Care, Children's Health Ireland at Crumlin, Dublin, Ireland.
M H TanPaediatric Intensive Care Department, Children's Health Ireland at Crumlin, Dublin, Ireland.
C MagnerMidwifery and Health Systems, University College Dublin School of Nursing, Dublin, Ireland.
K L'EstrangePaediatric Intensive Care Department, Children's Health Ireland at Crumlin, Dublin, Ireland.
E O'RathallaighDepartment of Anaesthesia and Intensive Care, St James's Hospital, Dublin, Ireland.
S WhelanDepartment of Anaesthesia and Intensive Care, Children's Health Ireland at Temple Street Dublin, Dublin, Ireland.
B LyonsDepartment of Anaesthesia and Intensive Care, Children's Health Ireland at Crumlin, Dublin, Ireland.
E O'ConnorDepartment of Anaesthesia and Intensive Care, St James's Hospital, Dublin, Ireland.
Children's Health Ireland at Crumlin · IESt. James's Hospital · IEAuckland City Hospital · NZUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe coronavirus 2019 pandemic has placed all intensive care unit (ICU) staff at increased risk of psychological distress. To date, measurement of this distress has largely been by means of validated assessment tools. We believe that qualitative data may provide a richer view of staff experiences during this pandemic.

methodsWe conducted a cross-sectional, observational study using online and written questionnaires to all ICU staff which consisted of validated tools to measure psychological distress (quantitative findings) and open-ended questions with free-text boxes (qualitative findings). Here, we report our qualitative findings. We asked four questions to explore causes of stress, need for supports and barriers to accessing supports. A conventional content analysis was undertaken.

resultsIn total, 269 of the 408 respondents (65.9%) gave at least one response to a free-text question. Seven overarching themes were found, which contribute to our proposed model for occupational stress amongst critical care staff. The work environment played an important role in influencing the perceived psychological impact on healthcare workers. Extra-organisational factors, which we termed the "home-work interface" and uncertainty about the future, manifested as anticipatory anxiety, had a proportionally larger influence on worker well-being than would be expected in non-pandemic conditions.

conclusionOur findings have important implications for appropriate allocation of resources and ensuring well-being of the ICU multidisciplinary team for this and future pandemics.

Indexed as

CommunicationCOVID-19Critical CareCross-Sectional StudiesEnvironmentHealth PersonnelHumansIntensive Care UnitsIntensive Care Units, PediatricMental HealthOccupational StressPandemicsPatient Care TeamPersonal Protective EquipmentProfessional RoleSARS-CoV-2Anticipatory anxietyCOVID-19Critical care staffHome-work interfaceOccupational stressPandemicWork intensification

Identifiers

PMID33630134
PMCPMC7905984
OpenAlexW3131913770

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.