The relationship of stress, self-efficacy and sociodemographic factors among physicians during the COVID-19 pandemic

COVID-19 pandemic & stress and self-efficacy among physicians

Authors

Keywords:

COVID-19, physician self-efficacy, stress

Abstract

Background/Aim: During the COVID-19 pandemic, many health care workers had to perform jobs that were not in their area of expertise. That the disease is a newly defined disease and that it required health care workers to work outside of their fields may have affected their stress levels. In this study, we aimed to determine the relationship among sociodemographic characteristics, the sense of self-efficacy in the diagnosis and treatment of COVID-19, and perceived stress levels of physicians working in a university hospital.

Methods: This was a cross-sectional study. The population included in this study was 327 physicians working in a university hospital at the time of the pandemic. No sampling was performed for this study. This study was completed by a total of 108 physicians (participation level: 33.03%). After being informed about this study, the physicians were asked whether they agreed to participate. Research data were collected with a questionnaire and the Perceived Stress Scale. The questionnaire included questions about physicians' sociodemographic characteristics and feelings of self-efficacy in the diagnosis and treatment of COVID-19.

Results: The total number of skills physicians reported they could perform was higher among specialist physicians and faculty members, those 34 years and older, and those who received training on the diagnosis and treatment of COVID-19 and virus prevention (P=0.04; P=0.01; P<0.001; P<0.001; P<0.001, respectively). In addition, perceived stress levels (PSLs) were found to be lower among those who reported a high total number of skills they could perform, as assessed by the self-efficacy questions (P=0.04).

Conclusion: Although the PSLs of physicians were high, this is expected in a state of emergency such as the pandemic. The sense of self-efficacy regarding COVID-19 improved with training and professional experience. In-service training and shared experiences can both decrease PSLs and improve self-efficacy.

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References

WHO. Coronavirus. https://www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed: 07.08.2021.

TR Ministry of Health. Current Situation in Turkey. https://covid19.saglik.gov.tr/ Accessed: 07.08.2021.

The Lancet. COVID-19: protecting health-care workers. Lancet. 2020 Mar 21;395(10228):922. doi: 10.1016/S0140-6736(20)30644-9. DOI: https://doi.org/10.1016/S0140-6736(20)30644-9

Chersich MF, Gray G, Fairlie L, Eichbaum Q, Mayhew S, Allwood B, et al. COVID-19 in Africa: care and protection for frontline healthcare workers. Global Health. 2020;16(1):46. doi: 10.1186/s12992-020-00574-3. DOI: https://doi.org/10.1186/s12992-020-00574-3

Zhou AY, Panagioti M, Esmail A, Agius R, Van Tongeren M, Bower P. Factors Associated With Burnout and Stress in Trainee Physicians: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(8):e2013761. doi: 10.1001/jamanetworkopen.2020.13761.

Akinsulore A, Adegbenro CA, Balogun YA, Elekwachi G, Babalola OO, Akinlua FM. Perceived Stress and its Relationship with Coping Strategies among Doctors at a Tertiary Hospital in Ile-Ife, Nigeria. West Afr J Med. 2020;37(2):145-51.

Maswadi N, Khader YS, Abu Slaih A. Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study. JMIR Public Health Surveill. 2019;5(4):e14238. doi: 10.2196/14238. DOI: https://doi.org/10.2196/14238

Preti E, Di Mattei V, Perego G, Ferrari F, Mazzetti M, Taranto P, et al. The Psychological Impact of Epidemic and Pandemic Outbreaks on Healthcare Workers: Rapid Review of the Evidence. Curr Psychiatry Rep. 2020;22(8):43. DOI: https://doi.org/10.1007/s11920-020-01166-z

Pollock A, Campbell P, Cheyne J, Cowie J, Davis B, McCallum J et all. Interventions to support the resilience and mental health of frontline health and social care professionals during and after a disease outbreak, epidemic or pandemic: a mixed methods systematic review. Cochrane Database Syst Rev. 2020;11(11):CD013779. DOI: https://doi.org/10.1002/14651858.CD013779

Benfante A, Di Tella M, Romeo A, Castelli L. Traumatic Stress in Healthcare Workers During COVID-19 Pandemic: A Review of the Immediate Impact. Front Psychol. 2020;11:569935. DOI: https://doi.org/10.3389/fpsyg.2020.569935

Zhang WR, Wang K, Yin L, Zhao WF, Xue Q, Peng M, et al. Mental Health and Psychosocial Problems of Medical Health Workers during the COVID-19 Epidemic in China. Psychother Psychosom. 2020;89(4):242-50. doi: 10.1159/000507639. DOI: https://doi.org/10.1159/000507639

Mahgoub IM, Abdelrahman A, Abdallah TA, Mohamed Ahmed KAH, Omer MEA, Abdelrahman E, et al. Psychological effects of the COVID-19 pandemic: Perceived stress, anxiety, work-family imbalance, and coping strategies among healthcare professionals in Khartoum state hospitals, Sudan, 2021. Brain Behav. 2021;11(8):e2318. doi: 10.1002/brb3.2318. DOI: https://doi.org/10.1002/brb3.2318

Danet Danet A. Psychological impact of COVID-19 pandemic in Western frontline healthcare professionals. A systematic review. Med Clin (Barc). 2021;156(9):449-58. English, Spanish. doi: 10.1016/j.medcli.2020.11.009. DOI: https://doi.org/10.1016/j.medcle.2020.11.003

Aloglu N, Gecdi T. Investigation of the Emotions of Health Personnel During the Pandemic Process in Terms of Some Variables. Gevher Nesibe Journal of Medical & Health Sciences. 2021;6(12):29-39. DOI: https://doi.org/10.46648/gnj.196

Afşar F, Erdoğan H, İbrahimoğlu Ö, Şaylan B, Köksal Ö. Job Stress And Organizational Support Perceptions Of Healthcare Professionald During COVID-19. Gevher Nesibe Journal of Medical & Health Sciences. 2021;6(14):89-96. DOI: https://doi.org/10.46648/gnj.275

Polat Ö, Coşkun F. Determining the Relationship Between Personal Protective Equipment Uses of Medical Healthcare Workers and Depression, Anxiety and Stress Levels in the COVID-19 Pandemic. Med J West Black Sea. 2020;4(2):51-8 doi: 10.29058/mjwbs.2020.2.3 DOI: https://doi.org/10.29058/mjwbs.2020.2.3

Özel Y, Bay Karabulut A. Daily Living and Stress Management. Turkish Journal of Health Sciences and Research. 2018;1(1):48-56.

Liao S, Lv J, Zhou J, Kalavagunta PK, Shang J. Effects of two chronic stresses on mental state and hair follicle melanogenesis in mice. Experimental Dermatology. 2017;26:1083–90. DOI: https://doi.org/10.1111/exd.13380

Klassen R.M, Klassen J.R. L. Self-efficacy beliefs of medical students: a critical review. Perspect Med Educ. 2018;7:76–82. DOI: https://doi.org/10.1007/S40037-018-0411-3

Bandura A. On the functional properties of perceived self-efficacy revisited. J Manag. 2012;38:9–44. DOI: https://doi.org/10.1177/0149206311410606

Schönfeld P, Preusser F, Margraf J. Costs and benefits of self-efficacy: Differences of the stress response and clinical implications. Neurosci Biobehav Rev. 2017;75:40-52. DOI: https://doi.org/10.1016/j.neubiorev.2017.01.031

Makara-Studzińska M, Golonka K, Izydorczyk B. Self-Efficacy as a Moderator between Stress and Professional Burnout in Firefighters. Int J Environ Res Public Health. 2019;16(2):183. DOI: https://doi.org/10.3390/ijerph16020183

Yao Y, Zhao S, Gao X, An Z, Wang S, Li H, et al. General self-efficacy modifies the effect of stress on burnout in nurses with different personality types. BMC Health Serv Res. 2018;18(1):667. DOI: https://doi.org/10.1186/s12913-018-3478-y

Zhou AY, Panagioti M, Esmail A, Agius R, Van Tongeren M, Bower P. Factors Associated With Burnout and Stress in Trainee Physicians: A Systematic Review and Meta-analysis. JAMA Netw Open. 2020;3(8):e2013761. DOI: https://doi.org/10.1001/jamanetworkopen.2020.13761

Eskin M, Harlak H, Demirkıran F, Dereboy Ç. The Adaptation of the Perceived Stress Scale Into Turkish: A Reliability and Validity Analysis. Yeni Symposium Journal. 2013;51(3):132-40.

Ünver-Ulusoy T, Tanyel E. Knowledge Levels, Perceptions, Attitudes, and Behaviors Regarding Flu, Common Cold, Influenza Vaccine and Antimicrobial Usage Among Physicians Working at a University Hospital. Klimik Dergisi. 2017;30(2):71-7. DOI: https://doi.org/10.5152/kd.2017.18

Pandey SK. Physician heal thyself: tips to manage stress & burnouts among doctors in India. Adv Ophthalmol Vis Syst. 2018;8(4):224‒5. DOI: https://doi.org/10.15406/aovs.2018.08.00307

Cass I, Duska LR, Blank SV, Cheng G, duPont, Nefertiti C et all. Stress and Burnout Among Gynecologic Oncologists: A Society Of Gynecologic Oncology Evidence-Based Review and Recommendations. Gynecol Oncol. 2016;143:421–7. DOI: https://doi.org/10.1016/j.ygyno.2016.08.319

West CP, Dyrbye LN, Shanafelt TD. Physician burnout: contributors, consequences and solutions. Journal of Internal Medicine. 2018;283:516–29. DOI: https://doi.org/10.1111/joim.12752

Burton A, Burgess C, Dean S, Koutsopoulou GZ, Hugh‐Jones S. How Effective are Mindfulness‐Based Interventions for Reducing Stress Among Healthcare Professionals? A Systematic Review and Meta‐Analysis. Stress and Health. 2017;33:3–13. DOI: https://doi.org/10.1002/smi.2673

Amole BB, Adebiyi SO, Dakare O. Multi-criteria decision analysis of occupational stress among healthcare professionals in Nigeria. Prog Health Sci. 2018;8(1):113-25.

Mccann CM, Beddoe E, Mccormick K, Huggard P, et al. Resilience in the health professions: A review of recent literature. International Journal of Wellbeing. 2013;3:60–81. DOI: https://doi.org/10.5502/ijw.v3i1.4

Tarantino B, Earley M, Audia D, D’Adamo C, Berman B. Qualitative and quantitative evaluation of a pilot integrative coping and resiliency program for healthcare professionals. Explore (NY). 2013;9:44–7. DOI: https://doi.org/10.1016/j.explore.2012.10.002

Cusack L, Smith M, Hegney D, Rees CS, Breen LJ, Witt RR, et al. Exploring Environmental Factors in Nursing Workplaces That Promote Psychological Resilience: Constructing a Unified Theoretical Model. Front Psychol. 2016;7:600. DOI: https://doi.org/10.3389/fpsyg.2016.00600

Çitak N, Altaş O. The perspective of thoracic surgery and cardiovascular surgery residents in Turkey on situation of medical training programs and institutions. Turkish J Thorac Cardiovasc Surg. 2012;20(4):826-34 doi: 10.5606/2012.161. DOI: https://doi.org/10.5606/tgkdc.dergisi.2012.161

Sakız G. Key Word in Success: Self-efficacy. Uludag University Faculty of Education Journal. 2013;26(1):185-209.

Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud. 2012;49:292–9. DOI: https://doi.org/10.1016/j.ijnurstu.2011.09.015

McDonald G, Jackson D, Wilkes L, Vickers MH. A work-based educational intervention to support the development of personal resilience in nurses and midwives. Nurse Educ Today. 2012;32:378–84. DOI: https://doi.org/10.1016/j.nedt.2011.04.012

Seo SK, Kim M, Park J. Effects of resilience and job satisfaction on organizational commitment in korean-american registered nurses. J Korean Acad Nurs Adm. 2014;20:48–58. DOI: https://doi.org/10.11111/jkana.2014.20.1.48

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Published

2023-06-22

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Research Article

How to Cite

1.
Beyazgül B, Cindoğlu Çiğdem, Koruk İbrahim. The relationship of stress, self-efficacy and sociodemographic factors among physicians during the COVID-19 pandemic: COVID-19 pandemic & stress and self-efficacy among physicians. J Surg Med [Internet]. 2023 Jun. 22 [cited 2024 Jul. 23];7(6):369-74. Available from: https://jsurgmed.com/article/view/7379