Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany

Introduction Epidemics lead to an increase in occupational stress and psychological strain among medical staff (cf. Mulfinger et al. 2020). However, there are no validated questionnaires to measure stress caused by an epidemic such as Covid-19, instead self-constructed questions are used frequentl...

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Main Authors: L. Jerg-Bretzke, M. Kempf, M. Jarczok, R. Kilian, K. Weimer, H. Gündel, E. Morawa, N. Hiebel, S. Schmiedgen, C. Albus, P. Beschoner
Format: Article
Language:English
Published: Cambridge University Press 2021-04-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933821008130/type/journal_article
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author L. Jerg-Bretzke
M. Kempf
M. Jarczok
R. Kilian
K. Weimer
H. Gündel
E. Morawa
N. Hiebel
S. Schmiedgen
C. Albus
P. Beschoner
author_facet L. Jerg-Bretzke
M. Kempf
M. Jarczok
R. Kilian
K. Weimer
H. Gündel
E. Morawa
N. Hiebel
S. Schmiedgen
C. Albus
P. Beschoner
author_sort L. Jerg-Bretzke
collection DOAJ
description Introduction Epidemics lead to an increase in occupational stress and psychological strain among medical staff (cf. Mulfinger et al. 2020). However, there are no validated questionnaires to measure stress caused by an epidemic such as Covid-19, instead self-constructed questions are used frequently. Objectives The aim was to develop items for the assessment of specific workload in epidemics which can be used to obtain longitudinal data. Methods A sample of N=8078 persons working in the health care sector in Germany participated in the VOICE, EviPan online survey addressing the burden of Covid-19 pandemic during the 2nd quarter of 2020. We used 15 self-constructed items to examine whether these items can represent Covid-19 specific topics. A total of N=7549 (24% males) had complete data to run a confirmatory factor analysis using SEM procedure in Stata 14.2. Results Five factors were identified a priory: Factor (F) 1: Workload due to Covid-19 pandemic (4 items; Cronbachs’ alpha (α))=0.740); F 2: Fear, uncertainty of SarsCoV-2infection (self and others) (3 items; α= 0.741); F 3: Patient safety (3 items; α=0.533; F 4: Perception of protection concepts (2 items; α=0.590); F 5: Dysfunctional coping strategies (3 items; α=0.447). Fit-Indices: χ²(73)= 1373.849, p<.001, CFI=.946, TLI=.923, RMSEA=.0049, SRMR=.037) Conclusions We identified 5 factors associated with problems occurring during the Covid-19 pandemic with acceptable to good internal consistency. Most of the constructed items could therefore be used in further surveys to monitor stress, as a basis for recommendations in the area of stress prevention and interventions for medical staff during epidemics.
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spelling doaj.art-3016234b083a47cbb4372909173ba9432023-11-17T05:05:45ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S303S30310.1192/j.eurpsy.2021.813Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in GermanyL. Jerg-Bretzke0M. Kempf1M. Jarczok2R. Kilian3K. Weimer4H. Gündel5E. Morawa6N. Hiebel7S. Schmiedgen8C. Albus9P. Beschoner10Klinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, GermanyPsychiatrie Und Psychotherapie Ii, Universität Ulm, Günzburg, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, GermanyPsychosomatik, Universitätsklinikum Erlangen, Erlangen, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universität Bonn, Bonn, GermanyKlinik Und Poliklinik Für Psychotherapie Und Psychosomatik, Universitätsklinikum Dresden, Dresden, GermanyKlinik Und Poliklinik Für Psychosomatik Und Psychotherapie, Universitätsklinik Köln, Köln, GermanyKlinik Für Psychosomatische Medizin Und Psychotherapie, Universitätsklinikum Ulm, Ulm, Germany Introduction Epidemics lead to an increase in occupational stress and psychological strain among medical staff (cf. Mulfinger et al. 2020). However, there are no validated questionnaires to measure stress caused by an epidemic such as Covid-19, instead self-constructed questions are used frequently. Objectives The aim was to develop items for the assessment of specific workload in epidemics which can be used to obtain longitudinal data. Methods A sample of N=8078 persons working in the health care sector in Germany participated in the VOICE, EviPan online survey addressing the burden of Covid-19 pandemic during the 2nd quarter of 2020. We used 15 self-constructed items to examine whether these items can represent Covid-19 specific topics. A total of N=7549 (24% males) had complete data to run a confirmatory factor analysis using SEM procedure in Stata 14.2. Results Five factors were identified a priory: Factor (F) 1: Workload due to Covid-19 pandemic (4 items; Cronbachs’ alpha (α))=0.740); F 2: Fear, uncertainty of SarsCoV-2infection (self and others) (3 items; α= 0.741); F 3: Patient safety (3 items; α=0.533; F 4: Perception of protection concepts (2 items; α=0.590); F 5: Dysfunctional coping strategies (3 items; α=0.447). Fit-Indices: χ²(73)= 1373.849, p<.001, CFI=.946, TLI=.923, RMSEA=.0049, SRMR=.037) Conclusions We identified 5 factors associated with problems occurring during the Covid-19 pandemic with acceptable to good internal consistency. Most of the constructed items could therefore be used in further surveys to monitor stress, as a basis for recommendations in the area of stress prevention and interventions for medical staff during epidemics. https://www.cambridge.org/core/product/identifier/S0924933821008130/type/journal_articleMedical stafffactor analysisworkloadCOVID-19
spellingShingle L. Jerg-Bretzke
M. Kempf
M. Jarczok
R. Kilian
K. Weimer
H. Gündel
E. Morawa
N. Hiebel
S. Schmiedgen
C. Albus
P. Beschoner
Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
European Psychiatry
Medical staff
factor analysis
workload
COVID-19
title Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
title_full Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
title_fullStr Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
title_full_unstemmed Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
title_short Results of a factor analysis of items regarding COVID-19 pandemic-specific workload among medical staff in Germany
title_sort results of a factor analysis of items regarding covid 19 pandemic specific workload among medical staff in germany
topic Medical staff
factor analysis
workload
COVID-19
url https://www.cambridge.org/core/product/identifier/S0924933821008130/type/journal_article
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