Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-20T20:45:25.380Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  18 October 2018

Heejung Son
Affiliation:
Department of Public Health Sciences, GraduateSchool of Public Health, Seoul National University, Seoul, Republic ofKorea
Wang Jun Lee
Affiliation:
Office of Chief Executive Officer and Chairman, Myongji Hospital, Goyang, Republic ofKorea
Hyun Soo Kim
Affiliation:
Department of Psychiatry, Myongji Hospital, Goyang, Republic ofKorea
Kkot Sil Lee
Affiliation:
Department of Infection. Myongji Hospital, Goyang, Republic ofKorea
Myoungsoon You*
Affiliation:
Department of Public Health Sciences, Graduate School of Public Health & Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea
*
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: [email protected]).

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)

Type
Original Research
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1. Kim, SY. Middle East respiratory syndrome in Korea. Asia Pac J Public Health. 2015;27:116S-117S.Google Scholar
2. Kim, S.Healthcare workers infected with Middle East respiratory syndrome coronavirus and infection control. JKMA. 2015;58:647-654.Google Scholar
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.Google Scholar
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.Google Scholar
5. Ki, M. 2015 MERS outbreak in Korea: hospital-to-hospital transmission. Epidemiol Health. 2015;37:e2015033.Google Scholar
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.Google Scholar
7. Kaji, A, Koenig, KL, Bey, T. Surge capacity for healthcare systems: a conceptual framework. Acad Emerg Med. 2006;13:1157-1159.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
16. Korean Medical Association. MERS White Paper. Seoul, South Korea: Research Institute for Healthcare Policy; 2016.Google Scholar
17. Elo, S, Kyngäs, H. The qualitative content analysis process. J Adv Nurs. 2008;62:107-115.Google Scholar
18. Braun, V, Clarke, V. Using thematic analysis in psychology. Qual Res Psych. 2006;3:77-101.Google Scholar
19. Chaiken, S, Trope, Y. Dual-process Theories in Social Psychology. New York: Guilford Press; 1999.Google Scholar
20. Lazarus, RS. Emotion and Adaptation. New York: Oxford University Press; 1991.Google Scholar
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.Google Scholar
22. Sohn, SJ, Park, MS. Korean emotion vocabulary: extraction and categorization of feeling words. Korean J Sci Emot Sensib. 2012;15:105-120.Google Scholar
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.Google Scholar
24. World Health Organization. Hospital preparedness checklist for pandemic influenza: focus on pandemic (H1N1). 2009.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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.Google Scholar
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. Google Scholar
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.Google Scholar
31. Heide, M, Simonsson, C. Developing internal crisis communication: new roles and practices of communication professionals. CCIJ. 2014;19:128-146.Google Scholar
32. Maldin, B, Lam, C, Franco, C, et al. Regional approaches to hospital preparedness. Biosecur Bioterror. 2007;5:43-54.Google Scholar
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.Google Scholar
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.Google Scholar