Evaluation of Emergency Department (ED) Staff Stress Level During COVID-19 Pandemic (COVER-PRO)

In the context of the COVID-19 pandemic, Emergency Department (ED) are in front line for the reception of patients presenting COVID-19 symptoms and have to face a new situation given the expected number of patients. Staff participate in suspect patients triage, in the diagnosis and the management of Covid-19 patients, having to follow the instructions and recommendations that evolve in real time, depending on the stage, resources and means available. This situation requires that the staff immediately adaptation within this reorganization and redeployment of the activity. Then; they are subject to many stress and anxiety factors such as:

• Increased activity: massive influx of patients, overload of work, lack of material and human resources
• Modification of practices: training in procedures, measures isolation and prevention of contamination of other patients, replacement by professionals reassigned from other departments
• Ethical dilemma: decisions to be made in an emergency, patient prioritization
• Numerous, evolving information, from various sources and sometimes contradictory (national, governance, service, media)
• Individual: fear of personal contamination and of those close to you, personal organization in a situation of confinement of the population, loss of usual social support
• Anxiety and stress management of patients and relatives, their entourage and colleagues In this study, it is proposed to study the psychic impact of the COVID-19 pandemic on emergency department staff.

Study Overview

• Status: Completed
• Conditions: Emergency Department Staff During the COVID-19 Pandemic; Emergency Department Staff's Level of Stress
• Intervention / Treatment: Other: stress and anxiety questionnaire

• Study Type: Observational
• Enrollment (Actual): 247

Contacts and Locations

Study Locations

• France
  • Lyon, France, 69003
    • SAMU Hospices Civils de Lyon
  • Lyon, France, 69003
    • Service d'accueil des urgences, Hôpital Edouard Herriot, Hospices Civlis de Lyon
  • Lyon, France, 69004
    • Service d'accueil des urgences, Hôpital de la Croix-Rousse, Hospices Civils de Lyon
  • Pierre-Bénite, France, 69310
    • Service d'accueil des urgences, Hôpital Lyon Sud, Hospices Civils de Lyon
  • Villefranche-sur-Saône, France, 69400
    • Hôpital de Villefranche-sur-Saône

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Emergency department staff

Description

Inclusion Criteria:

• Adults
• medical and paramedical staff working the the emergency room permanently or specifically during the COVID19 pandemic
• not opposed to participate to this study

Exclusion Criteria:

• Staff under legal protection
• refusing to participate

Study Plan

How is the study designed?

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Emergency department staff	Other: stress and anxiety questionnaire; Emergency department staff will be asked to fill in questionnaires in order to measure their stress and anxiety level, their propensity to have a burn-out, their consumption of psychoactive substances such as alcohol, tobacco, coffee or anxiolytic, their sleep disorder.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change of emergency department staff's level of stress during the covid19 pandemic, measured using the Chamoux et Simard visual analogic scale	The level of stress will be measured using the Chamoux et Simard visual analogic scale. This scale is composed of 3 subscales evaluating the stress level at work, at home and in the life in general. Each scale are rating from 0 to 10, 0 being the absence of stress and 10 the highest level of stress ever experienced a cotation at each scale greater than 6 will defined the presence of a stress.	Every 15 days from baseline to 3 months

Collaborators and Investigators

• Sponsor: Hospices Civils de Lyon

Publications and helpful links

General Publications

• Douplat M, Termoz A, Subtil F, Haesebaert J, Jacquin L, Durand G, Potinet V, Hernu R, Nohales L, Mazza S, Berthiller J, Tazarourte K. Changes over time in anxiety, depression, and stress symptoms among healthcare workers in French emergency departments during the first COVID-19 outbreak. J Affect Disord. 2022 Nov 1;316:194-200. doi: 10.1016/j.jad.2022.08.028. Epub 2022 Aug 15.

Study record dates

Study Major Dates

• Study Start (Actual): April 18, 2020
• Primary Completion (Actual): September 12, 2020
• Study Completion (Actual): September 12, 2020

Study Registration Dates

• First Submitted: May 8, 2020
• First Submitted That Met QC Criteria: May 8, 2020
• First Posted (Actual): May 12, 2020

Study Record Updates

• Last Update Posted (Actual): April 6, 2023
• Last Update Submitted That Met QC Criteria: April 5, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: COVID-19 pandemic; level of stress; emergency department staff
• Additional Relevant MeSH Terms: Pathologic Processes; Coronavirus Infections; Coronaviridae Infections; Nidovirales Infections; RNA Virus Infections; Virus Diseases; Infections; Respiratory Tract Infections; Respiratory Tract Diseases; Pneumonia, Viral; Pneumonia; Lung Diseases; Disease Attributes; COVID-19; Emergencies
• Other Study ID Numbers: 69HCL20_0330

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No