Fear of COVID 19, Health Anxiety and Work Family Conflict in Nurses Working in the COVID 19 Ward

Seyedeh Fatemeh Mirbazegh, Simin Ranjbaran, Seyed Farshad Allameh, Ali Ganjalikhan Hakemi, Fereshteh Rezaie, Forouzandeh Jannat, Gholamreza Ghaedamini Harouni, Ladan Fattah Moghaddam8

Abstract


Background: COVID‑19 is an example of an epidemic and sudden crisis that has affected many aspects of life and work and identifying the factors that contribute to its impact can help prevent similar crises in the future. The purpose of this study was to investigate fear of COVID‑19, health anxiety, and work–family conflict in nurses working in COVID‑19 wards in hospitals affiliated with the Tehran University of Medical Sciences (TUMS).

Materials and Methods: This descriptive‑analytical study used a census method to survey 226 nurses working in eight hospitals affiliated with TUMS. Demographics information and three questionnaires including; the Fear of COVID‑19 Scale, Short Health Anxiety Inventory, and Work–Family Conflict Scale were completed online. Data were analyzed using descriptive statistics and analytical statistics, and a significance level of p < 0.05 was considered.

Results: Structural equation modeling test showed that work–family conflict had an effect on health anxiety, and health anxiety had an effect on fear of COVID‑19 (p < 0.05). The severity of the effect of work–family conflict on health anxiety was 0.73, and the severity of the effect of health anxiety on fear of COVID‑19 was 0.46. Work–family conflict had an indirect effect on fear of COVID‑19 mediated only by health anxiety (p < 0.05) and the severity of the indirect effect was 0.33.

Conclusions: Health anxiety plays a mediating role in the relationship between work–family conflict and fear of COVID‑19. Workplaces should provide more support to their employees during a crisis such as the COVID‑19 pandemic, and prevention programs should be implemented to decrease anxiety.



Keywords


COVID‑19, fear of COVID‑19, health anxiety, nurses, work–family conflict

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References


Mohammad E, Reza N, Razieh F. COVID 19 epidemic: Hospital level response. Nurs Pract Today 2020;7.doi: 10.18502/ npt.v7i2.2728

Worldometer. COVID 19 Coronavirus Pandemic. 2022 Available from: https://www.worldometers.info/coronavirus/. [Last access on 2022 Jul 17.

Veysi S, Imani S, Behrooz B, Imani S. The evaluation of the psychometric properties of fear of disease coronaviruses scale (Covid2019). J New Adv Behav Sci 2020;5:1 10.

Wheaton MG, Messner GR, Marks JB. Intolerance of uncertainty as a factor linking obsessive compulsive symptoms, health anxiety and concerns about the spread of the novel coronavirus (COVID 19) in the United States. J obsessive Compuls Relat Disord 2021;28:100605.

Alimoradi Z, Ohayon MM, Griffiths MD, Lin CY, Pakpour AH. Fear of COVID 19 and its association with mental health related factors: Systematic review and meta analysis. BJPsych open 2022;8:e73.

Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open 2020;3:e203976 e.

Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry 2020;7:228 9.

Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of coronavirus disease 2019 (COVID 19) Beyond paranoia and panic. Ann Acad Med Singap 2020;49:155 60.

Li W, Yang Y, Liu ZH, Zhao YJ, Zhang Q, Zhang L, et al. Progression of mental health services during the COVID 19 outbreak in China. Int J Biol Sci 2020;16:1732 8.

Digon J. Anti anxiety Prescription Meds Increase Amid COVID 19 Pandemic, Report Says. International Business Times; 2020.

Sher L. Long COVID and the risk of suicide. Gen Hosp Psychiatry 2023;80:66 7.

Tao Y, Niu H, Hou W, Zhang L, Ying R. Hopelessness during and after the COVID 19 pandemic lockdown among Chinese college students: A longitudinal network analysis. Jf Clin Psychol 2023;79:748 61.

Abhijit C, Soumen K. Impact of COVID 19 on obsessive compulsive disorder (OCD). Iran J Psychiatry 2020;15:256 9.

Vitória BA, Ribeiro MT, Carvalho VS. The work family interface and the COVID 19 pandemic: A systematic review. Front Psychol 2022;13:914474.

AlAzzam M, AbuAlRub RF, Nazzal AH. The relationship between work family conflict and job satisfaction among hospital nurses. Nurs Forum 2017;52:278 88.

Carlson DS, Grzywacz JG, Ferguson M, Hunter EM, Clinch CR, Arcury TA. Health and turnover of working mothers after childbirth via the work–family interface: An analysis across time. J Appl Psychol 2011;96:1045 54.

Rafiee vardanjani L, Arsalani N, Zabolipour S, Gilvari T, khajehmirzaei F, Fallahi Khoshknab M. Challenges of work family conflicts in nurses during the Covid 19 pandemic and its management strategies: A review study. Iran J Nurs Res 2023;17:56 74.

Dilmaghani RB, Armoon B, Moghaddam LF. Work family conflict and the professional quality of life and their sociodemographic characteristics among nurses: A cross sectional study in Tehran, Iran. BMC Nurs 2022;21:289.

Raesi R, Abbasi Z, Bokaie S, Raei M, Hushmandi K. Investigation of the relationship between work family conflict and the quality of nursing care among nurses working in the Covid 19 ward. EBNESINA 2022;23:33 43.

Biyabani Dilmaghani R. The relationship between work family conflict and the quality of professional life of nurses working in the hospitals of the police force of the Islamic Republic of Iran (NAJA) in Tehran. Master’s thesis in nursing, Tehran, School of Nursing and Midwifery, Islamic Azad University. 2018.

Ahorsu DK, Lin CY, Imani V, Saffari M, Griffiths MD, Pakpour AH. The fear of COVID 19 scale: Development and Initial validation. Int J Mental Health Addict 2022;20:1537 45.

Davoudi I, Nargesi F, Mehrabizadeh HM. The comparison of dysfunctional beliefs and Personality traits between teachers with and without health anxiety. Jentashapir J Cell Mol Biol 2012;3:21.

Rasooli P, Khankeh H, Falahi Khoshknab M, Rahgozar M. Effect of time management training on work family conflict among hospital nurses. J Hayat 2009;15:5 11.

Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID 19 pandemic in Nohe Dey Hospital in Torbat e Heydariyeh city, Iran. J Mil Med 2020;22:526 33.

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;89:242 50.

Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid 19 outbreak: A comparative study. PLoS One 2020;15:e0237303.

Augusto Landa JM, López Zafra E, Berrios Martos MP, Aguilar Luzón Mdel C. The relationship between emotional intelligence, occupational stress and health in nurses: A questionnaire survey. Int J Nurs Stud 2008;45:888 901


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