Cited by 176COVID-19 and Mental HealthHealthcare professionals’ stress and burnoutOccupational Health and Burnout

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Coping Responses of Emergency Physicians and Nurses to the 2003 Severe Acute Respiratory Syndrome Outbreak

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Phua, D.H., Tang, H.K., Tham, K.Y.·2005·Academic Emergency Medicine

DOI 10.1111/j.1553-2712.2005.tb01951.x

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Abstract

Objectives: During the 2003 severe acute respiratory syndrome (SARS) outbreak, health care workers (HCWs) experienced unusual stressors. The study hospital introduced psychosocial interventions to help HCWs. This study aimed to examine the coping strategies adopted by the emergency department (ED) HCWs who cared for the SARS patients. Methods: In November 2003, a self‐administered questionnaire of physicians and nurses was conducted in the hospital ED that is the national SARS screening center in Singapore. Data collected included demographics and responses to these instruments: 1) the Coping Orientation to Problems Experienced (COPE) to assess coping strategies, 2) the Impact of Event Scale (IES) to measure psychological reactions, and 3) the General Health Questionnaire 28 (GHQ 28) to measure psychiatric morbidity. Results: Thirty‐eight of 41 (92.7%) physicians and 58 of 83 (69.9%) nurses responded. The respondents reported a preference for problem‐focused and emotion‐focused coping measures. The physicians chose humor as a coping response significantly more frequently (p < 0.001) than nurses, scoring 9.61/16 (95% CI = 8.52 to 10.69), compared with the nurses' score of 7.05/16 (95% CI = 6.28 to 7.83). The Filipino HCWs turned to religion as a coping response significantly more frequently (p < 0.001) than the non‐Filipino HCWs, scoring 14.38/16 (95% CI = 13.33 to 15.42), compared with 9.93/16 (95% CI = 9.00 to 10.87) for the non‐Filipinos. Psychiatric morbidity was 17.7% on the IES and 18.8% on the GHQ 28, with the trend for physicians to report lower psychiatric morbidity. Conclusions: With a supportive hospital environment, ED HCWs chose adaptive coping in response to the outbreak and reported low psychiatric morbidity. Physicians chose humor and Filipinos chose turning to religion as their preferred responses. Psychosocial interventions to help HCWs need to take these preferences into account.

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Authors: Phua, D. H., Tang, H. K., & Tham, K. Y.
Affiliations: Tan Tock Seng Hospital (SG)
ORCID: Phua, D.H.
Venue: Academic Emergency Medicine
Publisher: Wiley
Published: 2005-04
Volume: 12
Issue: 4
Pages: 322-328
ISSN: 1069-6563 (ISSN-L)
1553-2712
DOI: 10.1111/j.1553-2712.2005.tb01951.x
OpenAlex: W2075316770
Cited by: 176
References: 31
Citations by year: 2026: 1 · 2025: 1 · 2024: 8 · 2023: 16 · 2022: 24 · 2021: 59 · 2020: 49 · 2019: 2 · 2018: 1 · 2016: 1 · 2012: 1
FWCI: 3.86
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 1184 d)
Locations: Academic Emergency Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
Keywords: SARS epidemic, coping strategies, healthcare workers, emergency physicians, emergency department nurses, psychiatric morbidity, psychological stress, humor as coping, religious coping, psychosocial interventions, emergency department
MeSH terms: Workforce, Adaptation, Psychological, Adolescent, Adult, Disease Outbreaks, Emergency Medicine, Emergency Service, Hospital, Female, Humans, Male, Medical Staff, Hospital, Middle Aged, Nursing Staff, Hospital, Religion, Singapore, Stress, Psychological, Wit and Humor as Topic, Emergency Nursing, Severe Acute Respiratory Syndrome

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Coping Responses of Emergency Physicians and Nurses to the 2003 Severe Acute Respiratory Syndrome Outbreak

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