Evidence map›Paper›PMID 34318963›Full record

ArticleNursing in critical care2021

Resilience and anxiety among intensive care unit professionals during the COVID-19 pandemic.

Cecilia Peñacoba, Lilian Velasco, Patricia Catalá, Fernanda Gil-Almagro, Fernando J García-Hedrera, Francisco Javier Carmona-Monge

Open access · hybridAbstract read
In one paragraph

Article in Nursing in critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Cecilia PeñacobaDepartment of Psychology, Faculty of Health Sciences, King Juan Carlos University, Madrid, Spain.
Lilian VelascoDepartment of Psychology, Faculty of Health Sciences, King Juan Carlos University, Madrid, Spain.ORCID 0000-0002-6787-324X
Patricia CataláDepartment of Psychology, Faculty of Health Sciences, King Juan Carlos University, Madrid, Spain.
Fernanda Gil-AlmagroCritical Care Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain.ORCID 0000-0002-1079-281X
Fernando J García-HedreraCritical Care Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain.
Francisco Javier Carmona-MongeCritical Care Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain.ORCID 0000-0003-3431-238X
Hospital Universitario Fundación Alcorcón · ESUniversidad Rey Juan Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe situation of the COVID-19 global pandemic has generated an unprecedented state of emergency worldwide that has had a psychological impact on health care workers working in the ICU and this has created the need to implement different psychological strategies.

aimThis study explores (a) the prevalence of symptoms associated with generalized anxiety disorder (GAD), (b) the relationship between GAD symptoms and resilience skills, and (c) which of the resilience skills were associated with a probable GAD among the ICU professionals during the COVID-19 pandemic. STUDY

designCross-sectional survey design.

methodsWe explored anxiety and resilience in 448 ICU health care workers using an online survey.

resultsThe participants showed high resilience levels and more than half of them presented symptoms consistent with a possible diagnosis of GAD. The GAD symptoms were more prevalent among women, nursing assistants, interns, staff who worked on rotation and health care workers who had to attend to more than 20 COVID patients. Significant negative correlations between resilience skills and GAD symptoms were found. The multiple regression analysis showed that resilience skills contribute to 14.4% of the variance for GAD symptoms. The binary logistic regression showed that the only skill that had a significant and negative predictive effect was "I usually take things in my stride" (OR = 0.774, 95% CI 0.67, 0.88; P = .000). This ability was the differentiating skill between professionals who equal or exceed the cut-off point established for the diagnosis of a probable GAD regarding those who do not.

conclusionICU professionals developed symptoms consistent with a possible diagnosis of GAD due to their exposure to extremely stressful circumstances. However, resilience skills acted as a protective factor. RELEVANCE TO CLINICAL PRACTICE: The importance of incorporating programmes that mitigate these psychological effects and to promote adaptive coping styles during pandemics has become a need after what ICU professionals have gone through.

Indexed as

COVID-19Resilience, PsychologicalAnxietyAnxiety DisordersCross-Sectional StudiesDepressionFemaleHealth PersonnelHumansIntensive Care UnitsPandemicsSARS-CoV-2anxietyCOVID-19health care professionalsintensive care unitresilience

Identifiers

PMID34318963
PMCPMC8447327
OpenAlexW3184283722

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.