COVID-19 Exposure, Response, Physical and Mental Health Sequelae among Nurses in New York State

标题：2019冠状病毒病暴露、反应、身心健康后遗症在中国的护士中 纽约州 项目摘要 自宣布COVID-19大流行以来，已有超过760万人感染COVID-19 在美国有超过214，000例病例和死亡病例。同时，物理和 管理COVID-19大流行的医护人员的心理健康影响（前线 工人）已越来越多地记录，并包括抑郁，焦虑， 创伤后应激障碍和新冠肺炎感染个人层面的关联 和组织层面的特征对COVID-19感染和心理健康的风险 然而，前线护士对结果的探讨却不足。为了弥补这些差距， 该项目将1）评估COVID-19相关倦怠，应对策略， 2）研究组织层面因素对报告的影响， COVID-19症状和诊断，以及3）确定个人和组织层面 保护性因素可以缓冲不利的心理健康结果。 为了实现这些目标，我们将利用我们在COVID-19和职业方面的重要专业知识， 健康疾病差异研究，社区参与和混合方法，以及我们的 与布鲁克林大学医院的PEF联盟合作，招募2,000名前线 护士在纽约州完成一项跨部门的在线调查，以及深入 在子集（N=100）中进行定性访谈，以提供COVID-19的混合方法数据集 COVID-19易感职业群体的暴露和影响。 在这项建议计划中，我们会透过以下方法， 我们的工会伙伴关系，包括关于个人防护设备获取和培训不足的护士特定数据 使用，心理健康影响（抑郁，焦虑，创伤后应激障碍），定量和 关于护士在COVID-19大流行期间如何应对的定性数据。通过我们 研究，我们将解决诺拉“医疗保健和社会援助”部门（62）和“健康 工作设计和福利方案”跨部门。此外，这些研究问题将 在纽约州护理劳动力的背景下进行了检查，这是早期的 美国COVID-19大流行的震中，目前COVID-19的数量排名第四 病例和最高的COVID-19死亡人数 本研究的发现将有助于多层次组织策略的发展 通过阐明与COVID-19压力和身体相关的因素，支持前线工作人员 以及确定可改变的因素，以改善弱势群体的福祉 职业群体。

Title: COVID-19 Exposure, Response, Physical and Mental Health Sequalae among Nurses in New York State Project Summary Since the declaration of the COVID-19 pandemic, there have been over 7.6 million COVID-19 cases and over 214,000 deaths in the United States (US). Simultaneously, the physical and mental health impacts of health care workers managing the COVID-19 pandemic (frontline workers) has been increasingly documented, and include increased rates of depression, anxiety, post-traumatic stress disorder, and COVID-19 infection. Associations between individual-level and organizational-level characteristics on risk of COVID-19 infection and mental health outcomes, however, are under explored among frontline nurses. To address these gaps, this project will 1) evaluate the associations between COVID-19 related burnout, coping strategies, on mental health symptoms 2) examine the impact of organizational-level factors on report of COVID-19 symptoms and diagnosis and 3) identify how individual and organizational-level protective factors may buffer adverse mental health outcomes. To accomplish these aims, we will leverage our significant expertise in COVID-19 and occupation health disease disparities research, community-engaged and mixed-method approaches, and our partnership with the PEF Union at the University Hospital of Brooklyn, to recruit 2,000 frontline nurses in New York State to complete a cross-sectional online survey, as well as in-depth qualitative interviews in a subset (N=100) to provide a mixed method dataset of COVID-19 exposures and impacts among a COVID-19 vulnerable occupational group. In this proposed project, we seek to address several key needs as identified by nurses through our union partnerships, including nurse-specific data on inadequate access and training on PPE use, mental health impacts (depression, anxiety, post-traumatic stress disorder), quantitative and qualitative data on how nurses are coping during the COVID-19 pandemic period. Through our study, we will address the NORA “Healthcare and Social Assistance” sector (62) and the “Healthy Work Design and Well-Being Program” cross-sector. Further, these research questions will be examined within the context of the New York State nursing workforce, which was the early epicenter of the US COVID-19 pandemic and currently has the 4th highest number of COVID-19 cases and the highest number of COVID-19 deaths. Findings from this study will contribute to the development of multilevel organizational strategies to support frontline workers by elucidating factors associated with COVID-19 stress and physical and mental health and identifying modifiable factors to improve well-being among vulnerable occupational groups.