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Examination of Hospital Workers’ Emotional Responses to an Infectious Disease Outbreak: Lessons From the 2015 MERS Co-V Outbreak in South Korea

  • Heejung Son (a1), Wang Jun Lee (a2), Hyun Soo Kim (a3), Kkot Sil Lee (a4) and Myoungsoon You (a5)...

Abstract

Hospital workers are critical for a successful response to an infectious disease outbreak and for preventing disease transmission to the community. Therefore, hospital crisis management should implement efforts to improve hospital workers’ preparedness in responding to public health emergencies caused by infectious diseases. Traditionally, preparedness and skill of hospital workers have been emphasized, but awareness of the importance of the emotional mindset of hospital workers in dealing with disease outbreaks has only recently increased; therefore, empirical approaches to examining emotional responses of hospital workers has been limited. This study analyzed qualitative data of the 2015 Middle East Respiratory Syndrome outbreak in South Korea. In particular, negative emotions and stress experienced by hospital workers who treated patients were characterized, as were the events that triggered such experiences. These events were categorized into four themes (eg, Mistake, Missing, Delay Due to Communication Failure). Identifying events that trigger negative emotions in hospital workers has important implications for hospitals’ management guidance in relation to an infectious disease outbreak. (Disaster Med Public Health Preparedness. 2019;13:504-510)

Copyright

Corresponding author

Correspondence and reprint requests to Dr Myoungsoon You, Department of Public Health Science, Graduate School of Public Health & Institute of Health and Environment, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea (e-mail: msyou@snu.ac.kr).

References

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1. Kim, SY. Middle East respiratory syndrome in Korea. Asia Pac J Public Health. 2015;27:116S-117S.
2. Kim, S.Healthcare workers infected with Middle East respiratory syndrome coronavirus and infection control. JKMA. 2015;58:647-654.
3. DoctorsNews. Psychological health of hospital workers where patients were diagnosed by Middle East Respiratory Syndrome (MERS) reached to the dangerous level of despair. Published February 11, 2016. http://www.doctorsnews.co.kr/news/articleView.html?idxno=108559. Accessed January 12, 2017.
4. Zhong, S, Clark, M, Hou, XY, et al. Development of hospital disaster resilience: conceptual framework and potential measurement. Emerg Med J. 2013;0:1-9.
5. Ki, M. 2015 MERS outbreak in Korea: hospital-to-hospital transmission. Epidemiol Health. 2015;37:e2015033.
6. Sauer, LM, McCarthy, ML, Knebel, A, Brewster, P. Major influences on hospital emergency management and disaster preparedness. Disaster Med Public Health Prep. 2009;3(S1):S68-S73.10.1097/DMP.0b013e31819ef060
7. Kaji, A, Koenig, KL, Bey, T. Surge capacity for healthcare systems: a conceptual framework. Acad Emerg Med. 2006;13:1157-1159.10.1197/j.aem.2006.06.032
8. Qureshi, K, Gershon, MR, Sherman, MM, et al. Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005;82:378-388.10.1093/jurban/jti086
9. Mitroff, II. Why Some Companies Emerge Stronger and Better from Crisis: 7 Essential Lessons from Surviving Disasters. New York: AMACOM American Management Association; 2005.
10. Maunder, RG. The experience of the 2003 SARS outbreak as a traumatic stress among frontline healthcare workers in Toronto: lessons learned. Philos Trans R Soc Lond B Biol Sci. 2004;359:1117-1125.10.1098/rstb.2004.1483
11. Lin, CY, Peng, YC, Wu, YH, et al. The psychological effect of severe acute respiratory syndrome on emergency department staff. J Emerg Med. 2007;24:12-17.
12. Maunder, RG, Lancee, WJ, Rourke, S, et al. Factors associated with the psychological impact of severe acute respiratory syndrome on nurses and other hospital workers in Toronto. Psychosom Med. 2004;66:938-942.10.1097/01.psy.0000145673.84698.18
13. Maunder, RG, Lancee, WJ, Balderson, KE, et al. Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerg Infect Dis. 2006;12:1924-1932.10.3201/eid1212.060584
14. McAlonan, GM, Lee, AM, Cheung, V, et al. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can J Psychiatry. 2007;52:241-247.
15. Nickell, LA, Crighton, EJ, Tracy, CS, et al. Psychosocial effects of SARS on hospital staff: survey of a large tertiary care institution. CMAJ. 2004;170:793-798.
16. Korean Medical Association. MERS White Paper. Seoul, South Korea: Research Institute for Healthcare Policy; 2016.
17. Elo, S, Kyngäs, H. The qualitative content analysis process. J Adv Nurs. 2008;62:107-115.10.1111/j.1365-2648.2007.04569.x
18. Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psych. 2006;3:77-101.10.1191/1478088706qp063oa
19. Chaiken, S, Trope, Y. Dual-process Theories in Social Psychology. New York: Guilford Press; 1999.
20. Lazarus, RS. Emotion and Adaptation. New York: Oxford University Press; 1991.
21. Park, IJ, Min, KH. Making a list of Korean emotion terms and exploring dimensions underlying them. Korean J Soc Pers Psychol. 2005;19:109-129.
22. Sohn, SJ, Park, MS. Korean emotion vocabulary: extraction and categorization of feeling words. Korean J Sci Emot Sensib. 2012;15:105-120.
23. O’Boyle, C, Robertson, C, Secor-Turner, M. Nurses’ beliefs about public health emergencies: fear of abandonment. Am J Infect Control. 2006;34(6):351-357.
24. World Health Organization. Hospital preparedness checklist for pandemic influenza: focus on pandemic (H1N1). 2009.
25. Zhong, S, Clark, M, Hou, XY, et al. Development of hospital disaster resilience: conceptual framework and potential measurement. J Emerg Med. 2014;31:930-938.10.1136/emermed-2012-202282
26. Nekoie-Moghadam, M, Kurland, L, Moosazadeh, M, et al. Tools and checklists used for the evaluation of hospital disaster preparedness: a systematic review. Disaster Med Public Health Prep. 2016;10:781-788.
27. Zucker, HA, Whalen, D, Raske, KE. Lessons from New York state’s preparedness efforts for Ebola. Disaster Med Public Health Prep. 2017;11:383-388.
28. Dickmann, P, Biedenkopf, N, Keeping, S, et al. Risk communication and crisis communication infectious disease outbreaks in Germany: what is being done, and what needs to be done. Disaster Med Public Health Prep. 2014;8:206-211.10.1017/dmp.2014.36
29. Gesser-Edelsburg, A, Stolero, N, Mordini, E, et al. Emerging infectious disease (EID) communication during the 2009 H1N1 influenza outbreak: literature review (2009-2013) of the methodology used for EID communication analysis. Disaster Med Public Health Prep. 2015;9(02):199-206. 10.1017/dmp.2014.126
30. Djalali, A, Castren, M, Khankeh, H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehosp Disaster Med. 2013;28:454-461.
31. Heide, M, Simonsson, C. Developing internal crisis communication: new roles and practices of communication professionals. CCIJ. 2014;19:128-146.
32. Maldin, B, Lam, C, Franco, C, et al. Regional approaches to hospital preparedness. Biosecur Bioterror. 2007;5:43-54.
33. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(S1):S74-S82.
34. Maunder, R, Hunter, J, Vincent, L, et al. The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ. 2003;168:1245-1251.

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