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BackgroundReports of significant psychological stress among frontline healthcare workers are emerging from the Covid-19 outbreak in China Concerningly, these match findings from previous infective outbreaks, which resulted in long-term psychological pathology MethodsDuring the Covid-19 pandemic, a multi-disciplinary cohort of Intensive Care staff completed an online survey of psychological well-being and rated the perceived usefulness of supportive interventions ResultsSixty per cent of invited staff responded Seventy-seven per cent reported normal/high level of resilience Thirty-two staff (35%) reported anxiety of a level at which formal psychological assessment is recommended Sixteen (14%) staff members reported symptomology suggestive of post-traumatic stress disorder (PTSD) Multiple regression analysis revealed a significant relationship between job-related well-being, anxiety (p?=?0 003) and PTSD (p?=?0 005) Nurses were seven times more likely than doctors to score higher anxiety (OR?=?6 8;p?=?0 01) Preferred supportive interventions were adequate personal protective equipment, rest facilities and regular breaks In the subgroup with high anxiety, psychological support was perceived as significantly more useful, with significant reductions reported for rest facilities and PPE DiscussionWe report concerning levels of anxiety and post-traumatic stress symptomology among intensive care staff during the Covid-19 crisis, significantly impacting job-related well-being Nurses are disproportionately affected Overall, physiologically protective supportive interventions were preferred by staff;however, staff with established anxiety desire professional psychological help Our findings match reports from SARS 2003 and China 2019 To mitigate long-term psychological consequences of caring for patients during a pandemic, easily deliverable protective strategies should be instigated, supported by formal and longer-term psychological support Particular attention should be paid to developing strategies which support nursing staff
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