Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study

Arch Psychiatr Nurs. 2018 Feb;32(1):2-6. doi: 10.1016/j.apnu.2017.09.006. Epub 2017 Sep 5.


Background: During an epidemic of a novel infectious disease, many healthcare workers suffer from mental health problems.

Objectives: The aims of this study were to test the following hypotheses: stigma and hardiness exert both direct effects on mental health and also indirect (mediated) effects on mental health through stress in nurses working at a government-designated hospital during a Middle East Respiratory Syndrome coronavirus (MERS-CoV) epidemic.

Methods: A total of 187 participants were recruited using a convenience sampling method. The direct and indirect effects related to the study hypotheses were computed using a series of ordinary least-squares regressions and 95% bootstrap confidence intervals with 10,000 bootstrap resamples from the data.

Discussions: The influences of stigma and hardiness on mental health were partially mediated through stress in nurses working at a hospital during a MERS-CoV epidemic. Their mental health was influenced more by direct effects than by indirect effects.

Keywords: Hardiness; Mental health; Middle East Respiratory Syndrome coronavirus; Nurse; Stigma; Stress.

MeSH terms

  • Adult
  • Coronavirus Infections / epidemiology*
  • Coronavirus Infections / psychology
  • Cross-Sectional Studies
  • Disease Outbreaks / statistics & numerical data*
  • Female
  • Hospitals, State*
  • Humans
  • Mental Health*
  • Middle East Respiratory Syndrome Coronavirus*
  • Nurse's Role / psychology*
  • Psychiatric Nursing
  • Republic of Korea
  • Stress, Psychological / psychology