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

调查护士的新冠肺炎暴露、反应及身心健康状况 纽约州 项目摘要 自宣布新冠肺炎大流行以来，已有760多万条新冠肺炎 美国的病例和死亡人数超过21.4万人。同时，物理和 医护人员应对新冠肺炎疫情对心理健康的影响(一线 工人)越来越多地被记录在案，包括抑郁症、焦虑症、 创伤后应激障碍和新冠肺炎感染。个人层面之间的联系 新冠肺炎感染风险与心理健康的组织层面特征 然而，在一线护士中还在探索结果。为了解决这些差距，这 该项目将1)评估新冠肺炎相关职业倦怠、应对策略、 论心理健康症状2)考察组织层面因素对心理健康报告的影响 新冠肺炎症状和诊断以及3)确定个人和组织级别 保护性因素可能会缓解不利的心理健康后果。 为了实现这些目标，我们将利用我们在新冠肺炎和占领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 Union合作，招聘2,000名前线人员 在纽约州护士完成横断面在线调查，以及深入调查 子集(N=100)中的定性访谈，以提供新冠肺炎的混合方法数据集 新冠肺炎弱势职业群体的暴露和影响。 在这个拟议的项目中，我们寻求解决护士通过以下方式确定的几个关键需求 我们的工会伙伴关系，包括护士在个人防护装备方面获取和培训不足的具体数据 使用、心理健康影响(抑郁、焦虑、创伤后应激障碍)、数量和 关于护士在新冠肺炎大流行期间如何应对的定性数据。通过我们的 在这项研究中，我们将讨论Nora的“保健和社会援助”部门(62)和“健康” 工作设计和福祉计划“跨部门。此外，这些研究问题将是 在纽约州护理劳动力的背景下进行了检查，这是早期的 美国新冠肺炎疫情的震中，目前新冠肺炎的数量位居第四 病例数和新冠肺炎死亡人数最多。 这项研究的发现将有助于制定多层次的组织战略 通过阐明与新冠肺炎压力和身体状况相关的因素来支持一线工作人员 和心理健康，并确定可改变的因素以改善弱势群体的幸福感 职业组别。

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.