Anxiety of Nurses to support Wuhan in fighting against COVID-19 Epidemic and its Correlation With Work Stress and Self-efficacy

J Clin Nurs. 2021 Feb;30(3-4):397-405. doi: 10.1111/jocn.15549. Epub 2020 Nov 22.

Abstract

Aims and objectives: We aimed to investigate the anxiety of nurses who are supporting Wuhan in fighting against coronavirus disease 2019 (COVID-19) infection and explore relevant influencing factors.

Background: The COVID-19 outbreak poses a major threat to public health worldwide. Nurses play an important role in this epidemic. However, available data on the mental health among these nurses are limited.

Design: A descriptive, cross-sectional survey was performed.

Methods: An online questionnaire was completed by 200 nurses who went to Wuhan to help to fight against COVID-19 from another province. Data collection tools include the Chinese version of the Stress Overload Scale (SOS), the Self-Rating Anxiety Scale (SAS) and General Self-Efficacy Scale (GSES). Descriptive, single-factor correlation and multiple regression analyses were used in exploring related influencing factors. Reporting followed the STROBE guidelines.

Results: The scores of SAS, SOS and GSES range from 20 to 80, 22 to 110 and 10 to 40, respectively, and the SAS (31.79 ± 7.32) and SOS (40.19 ± 12.92) and GSES scores (24.83 ± 6.60) were obtained. Anxiety was positively correlated with stress (r = .679, p < .001) but negatively correlated with self-efficacy (r = -.326, p < .001). Multiple regression analysis showed that professional qualification, sleep, stress and self-efficacy were the main factors affecting nurse anxiety (p = .006, <.001, <.001, .039, respectively).

Conclusions: Nurses who are supporting Wuhan in fighting against COVID-19 were under a low level of anxiety.

Relevance to clinical practice: The current study suggests work stress reduction might be a key factor in reducing anxiety and maintaining mental health to support nurses who are fighting against COVID-19 infection.

Keywords: COVID-2019; Wuhan; anxiety; mental health; nurses; social support; work stress.

MeSH terms

  • Adult
  • Anxiety / psychology
  • COVID-19 / nursing
  • COVID-19 / psychology*
  • China / epidemiology
  • Cross-Sectional Studies
  • Epidemics
  • Female
  • Humans
  • Male
  • Mental Health / statistics & numerical data*
  • Nursing Staff / psychology*
  • Nursing Staff / statistics & numerical data
  • Occupational Stress / psychology*
  • Self Efficacy*
  • Surveys and Questionnaires