Evidence map›Paper›PMID 33687343›Full record

ArticleJMIR formative research2021

An Acute Stress Scale for Health Care Professionals Caring for Patients With COVID-19: Validation Study.

Jose Joaquin Mira, Angel Cobos, Olga Martínez García, María José Bueno Domínguez, María Pilar Astier-Peña, Pastora Pérez Pérez, Irene Carrillo, Mercedes Guilabert, Virtudes Perez-Jover, Cesar Fernandez and 12 more

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  5. Development and initial psychometric evaluation of a COVID-related psychosocial experiences questionnaire for cancer survivors.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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  6. Observational
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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

22 authors at 7 institutions in 2 countries.

Jose Joaquin Mira *Atenea Research Group, Foundation for the Promotion of Health and Biomedical Research, Alicante, Spain.ORCID 0000-0001-6497-083X
Angel CobosIntensive Care Unit, San Cecilio Clinical University Hospital, Granada, Spain.ORCID 0000-0001-9431-9466
Olga Martínez GarcíaPsychiatry Department, San Cecilio Clinical University Hospital, Granada, Spain.ORCID 0000-0001-8743-5100
María José Bueno DomínguezDepartment of Patient Safety, Sagessa Group, Reus, Spain.ORCID 0000-0003-1160-2245
María Pilar Astier-PeñaCentro de Salud la Jota, Zaragoza, Spain.ORCID 0000-0002-3192-7672
Pastora Pérez PérezSpanish Society for Quality Care, Oviedo, Spain.ORCID 0000-0001-8779-0591
Irene CarrilloAtenea Research Group, Foundation for the Promotion of Health and Biomedical Research, Alicante, Spain.ORCID 0000-0002-6981-7284
Mercedes GuilabertDepartment of Health Psychology, Miguel Hernandez University, Elche, Spain.ORCID 0000-0002-0706-9911
Virtudes Perez-JoverDepartment of Health Psychology, Miguel Hernandez University, Elche, Spain.ORCID 0000-0001-9089-0497
Cesar FernandezTelematics Engineering Area, Miguel Hernandez University, Elche, Spain.ORCID 0000-0002-9391-9192
María Asuncion VicenteTelematics Engineering Area, Miguel Hernandez University, Elche, Spain.ORCID 0000-0002-8630-7251
Matilde Lahera-MartinDepartment of Occupational Health, Osasunbidea, Pamplona, Spain.ORCID 0000-0002-2078-9147
Carmen Silvestre BustoPatient Safety Department, Osasunbidea, Pamplona, Spain.ORCID 0000-0002-6034-4142
Susana Lorenzo MartínezDepartment of Quality and Patient Management, Alcorcon Foundation University Hospital, Madrid, Spain.ORCID 0000-0003-0954-7830
Ascension Sanchez MartinezDepartment of Quality of Care, General University Hospital Reina Sofía, Murcia, Spain.ORCID 0000-0003-3010-2502
Jimmy Martin-DelgadoAtenea Research Group, Foundation for the Promotion of Health and Biomedical Research, Alicante, Spain.ORCID 0000-0003-4384-9197
Aurora MulaAtenea Research Group, Foundation for the Promotion of Health and Biomedical Research, Alicante, Spain.ORCID 0000-0001-6966-1446
Barbara Marco-GomezMental Health Department, Calatayud Health Area, Zaragoza, Spain.ORCID 0000-0002-3066-6781
Cristina Abad BouzanMental Health Department, Calatayud Health Area, Zaragoza, Spain.ORCID 0000-0003-2745-6801
Carlos Aibar-RemonDepartment of Preventive Medicine, Lozano Blesa Univerisity Clinical Hospital, Zaragoza, Spain.ORCID 0000-0001-9714-8105
Jesus Aranaz-AndresDepartment of Preventive Medicine, Ramón y Cajal University Hospital, Madrid, Spain.ORCID 0000-0002-3658-0321
SARS-CoV-2 Second Victims Working Group *Be+ Against COVID, Alicante, Spain.
Universitat de Miguel Hernández d'Elx · ESInstituto de Investigación Biosanitaria de Granada · ESHospital Clínico Universitario Lozano Blesa · ESHospital Reina Sofía de Murcia · ESHospital Universitario Fundación Alcorcón · ESResearch Network (United States) · USSpanish Society of Family and Community Medicine · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has affected the response capacity of the health care workforce, and health care professionals have been experiencing acute stress reactions since the beginning of the pandemic. In Spain, the first wave was particularly severe among the population and health care professionals, many of whom were infected. These professionals required initial psychological supports that were gradual and in line with their conditions.

objectiveIn the early days of the pandemic in Spain (March 2020), this study aimed to design and validate a scale to measure acute stress experienced by the health care workforce during the care of patients with COVID-19: the Self-applied Acute Stress Scale (EASE).

methodsItem development, scale development, and scale evaluation were considered. Qualitative research was conducted to produce the initial pool of items, assure their legibility, and assess the validity of the content. Internal consistency was calculated using Cronbach α and McDonald ω. Confirmatory factor analysis and the Mann-Whitney-Wilcoxon test were used to assess construct validity. Linear regression was applied to assess criterion validity. Back-translation methodology was used to translate the scale into Portuguese and English.

resultsA total of 228 health professionals from the Spanish public health system responded to the 10 items of the EASE scale. Internal consistency was .87 (McDonald ω). Goodness-of-fit indices confirmed a two-factor structure, explaining 55% of the variance. As expected, the highest level of stress was found among professionals working in health services where a higher number of deaths from COVID-19 occurred (P<.05).

conclusionsThe EASE scale was shown to have adequate metric properties regarding consistency and construct validity. The EASE scale could be used to determine the levels of acute stress among the health care workforce in order to give them proportional support according to their needs during emergency conditions, such as the COVID-19 pandemic.

Indexed as

acute stressCOVID-19COVID-19 outbreakmedical staffmoral injuryposttraumatic stressSARS-CoV-2 virus

Identifiers

PMID33687343
PMCPMC7945973
OpenAlexW3112273523

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.