The Wellbeing of Healthcare Workers during COVID-19 Era in Public Primary Health Facilities in Johannesburg, South Africa.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

COVID-19*/epidemiology; Humans ; Adult ; Middle Aged ; South Africa/epidemiology ; Pandemics ; Health Personnel ; Public Policy ; Health Facilities

As the world grappled with the COVID-19 pandemic, healthcare workers (HCWs) continued to provide uninterrupted health care service delivery; therefore, this disproportionately affected their wellbeing. Our study explored the wellbeing of HCWs during the COVID-19 era in public health facilities in the City of Johannesburg, Gauteng province, South Africa. A qualitative study was conducted among twenty (20) HCWs through face-to-face in-depth interviews (IDIs) in the form of semi-structured interviews, audiotapes, and transcribed verbatim, and thematically analyzed with NVivo version 10. The findings showed that over half of HCWs (aged between 27 and 60 years) tested positive for COVID-19. Also, one third of HCWs' family members tested positive while some died due to COVID-19 infection. Informed by the workers' wellbeing framework, four themes emerged with fourteen sub-themes. Firstly, unsafe work environment was characterized by human resource related challenges such as increased workload; staff shortage; insufficient resources, e.g., personal protective equipment (PPE); poor policies in terms of compensation/allowance for being infected with COVID-19; poor health services; and death of colleagues. Secondly, poor health outcomes were described as strained emotional (psychosocial distress) and physical (respiratory related conditions) wellbeing. Thirdly, home and community environments were negatively impacted by interrupted relationships with family and friends, and experiences of deaths of loved ones. Finally, HCWs engaged personal wellbeing strategies through self-motivation; staying positive; family support; and participating in resilience-promoting extra mural activities to cope during the pandemic. In conclusion, the wellbeing of HCWs was aggravated during the COVID-19 era and led to low morale and compromised healthcare quality. This study advocates for promotion of greater resilience, and psychological and physical safety of HCWs through evidence-based, multilevel-multicomponent interventions at the workplace, home, and community environments in addition to strengthening public health policies and response to future pandemics.

Health SA. 2023 Mar 31;28:2159. (PMID: 37064645)
Int J Environ Res Public Health. 2020 Dec 03;17(23):. (PMID: 33287343)
S Afr Med J. 2021 Jan 18;111(4):309-314. (PMID: 33944762)
Br J Psychiatry. 2018 Jun;212(6):339-346. (PMID: 29786495)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
EClinicalMedicine. 2020 May 03;23:100373. (PMID: 32368726)
Health SA. 2021 Sep 28;26:1652. (PMID: 34667654)
Int J Environ Res Public Health. 2022 Jul 28;19(15):. (PMID: 35954573)
Med Sci Monit. 2020 Mar 05;26:e923549. (PMID: 32132521)
Infect Control Hosp Epidemiol. 2020 May;41(5):493-498. (PMID: 32131908)
Curr Pharm Des. 2021;27(1):115-126. (PMID: 32634080)
Psychol Med. 2005 Sep;35(9):1241-52. (PMID: 16168147)
Healthcare (Basel). 2021 Jan 16;9(1):. (PMID: 33467080)
Clin Infect Dis. 2020 Nov 19;71(16):2218-2221. (PMID: 32179890)
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Mar 20;38(3):192-195. (PMID: 32131151)
Int J Environ Res Public Health. 2023 May 12;20(10):. (PMID: 37239527)
Am J Infect Control. 2021 Mar;49(3):286-292. (PMID: 32649990)
Nurs Outlook. 2022 Jul-Aug;70(4):639-650. (PMID: 35798582)
J Adv Nurs. 2004 Mar;45(5):536-45. (PMID: 15009358)
Psychiatry Res. 2020 Aug;290:113145. (PMID: 32544650)
Nature. 2022 Mar;603(7902):679-686. (PMID: 35042229)
Z Gesundh Wiss. 2022;30(3):531-536. (PMID: 32837840)
PLoS One. 2012;7(4):e35585. (PMID: 22530055)
Curationis. 2019 May 29;42(1):e1-e9. (PMID: 31170800)
Lancet. 2021 May 22;397(10288):1885-1894. (PMID: 34022988)
Clin Epidemiol Glob Health. 2021 Jul-Sep;11:100759. (PMID: 33977169)
J Occup Environ Med. 2018 Jul;60(7):589-593. (PMID: 29608542)
Afr J Prim Health Care Fam Med. 2017 May 31;9(1):e1-e8. (PMID: 28582994)
Math Biosci. 2020 Oct;328:108441. (PMID: 32763338)
Afr J Prim Health Care Fam Med. 2021 Nov 26;13(1):e1-e11. (PMID: 34879694)
BMC Psychol. 2023 Sep 22;11(1):284. (PMID: 37736738)
Front Public Health. 2022 Dec 08;10:992481. (PMID: 36568767)
J Trauma Stress. 2019 Jun;32(3):341-349. (PMID: 31162737)
J Multidiscip Healthc. 2021 Oct 27;14:3015-3025. (PMID: 34737573)
Clin Gerontol. 2022 Jan-Feb;45(1):4-19. (PMID: 34080527)
Int J Environ Res Public Health. 2021 Jul 27;18(15):. (PMID: 34360211)
Palliat Med. 2020 Oct;34(9):1137-1139. (PMID: 32736490)
Diabetes Metab Syndr. 2020 Nov-Dec;14(6):1809-1814. (PMID: 32956925)
Sci Rep. 2021 Apr 20;11(1):8562. (PMID: 33879826)
Vaccines (Basel). 2022 Feb 02;10(2):. (PMID: 35214687)
Lancet Glob Health. 2021 Jul;9(7):e889-e890. (PMID: 34143983)
BMC Infect Dis. 2021 Feb 1;21(1):138. (PMID: 33526033)
Int J Ment Health Nurs. 2018 Feb;27(1):20-32. (PMID: 29243348)
BMJ Open. 2021 Dec 30;11(12):e053680. (PMID: 35258477)
Behav Res Ther. 2004 Oct;42(10):1129-48. (PMID: 15350854)
J Nurs Manag. 2021 Oct;29(7):1893-1905. (PMID: 33843087)
Med Care. 2019 May;57(5):353-361. (PMID: 30908381)
Psychiatry Res. 2020 Nov;293:113441. (PMID: 32898840)
Int J Environ Res Public Health. 2020 Nov 03;17(21):. (PMID: 33153198)
PLoS One. 2016 Jul 08;11(7):e0159015. (PMID: 27391946)
Asian J Psychiatr. 2020 Jun;51:102073. (PMID: 32278889)
BMJ Open. 2021 Jan 26;11(1):e042945. (PMID: 33500288)
Diseases. 2023 Sep 26;11(4):. (PMID: 37873773)
PLoS One. 2024 Jan 29;19(1):e0296720. (PMID: 38285712)
Psychother Psychosom. 2020;89(4):242-250. (PMID: 32272480)
J Nurs Care Qual. 2022 Jan-Mar 01;37(1):28-34. (PMID: 34538814)
EClinicalMedicine. 2020 Jun 27;24:100424. (PMID: 32766539)
Int J Ment Health Syst. 2015 Mar 11;9:14. (PMID: 25806085)
S Afr Med J. 2020 Sep 30;110(10):1010-1019. (PMID: 33205731)
Health Secur. 2017 Jan/Feb;15(1):104-109. (PMID: 28192056)
N Engl J Med. 2020 Jun 11;382(24):e95. (PMID: 32469479)
Int J Environ Res Public Health. 2020 Jul 30;17(15):. (PMID: 32751624)
Prim Health Care Res Dev. 2022 Nov 04;23:e67. (PMID: 36330843)
Front Psychol. 2020 Oct 02;11:566212. (PMID: 33117234)
BMJ. 2020 Oct 28;371:m3582. (PMID: 33115726)
Future Healthc J. 2021 Mar;8(1):e60-e66. (PMID: 33791478)
Int J Environ Res Public Health. 2022 Apr 18;19(8):. (PMID: 35457765)
J Multidiscip Healthc. 2021 Aug 12;14:2169-2183. (PMID: 34408431)
Int J Environ Res Public Health. 2022 May 02;19(9):. (PMID: 35564914)
Brain Behav Immun. 2020 Jul;87:40-48. (PMID: 32298802)
JAMA Netw Open. 2020 Mar 2;3(3):e203976. (PMID: 32202646)
Collegian. 2021 Dec;28(6):709-719. (PMID: 34924806)
Global Health. 2020 Sep 25;16(1):89. (PMID: 32977818)
J Infect Public Health. 2018 Mar - Apr;11(2):187-191. (PMID: 28676285)
Int J Emerg Med. 2020 Jul 20;13(1):40. (PMID: 32689925)
Clin Infect Dis. 2021 Nov 16;73(10):1896-1900. (PMID: 33949670)
Lancet. 2020 Mar 14;395(10227):912-920. (PMID: 32112714)
PLoS One. 2023 Aug 10;18(8):e0277392. (PMID: 37561687)
Brain Behav Immun. 2020 Aug;88:559-565. (PMID: 32330593)
Eur Respir J. 2020 Jun 18;55(6):. (PMID: 32381497)
Int J Nurs Stud. 2021 Feb;114:103809. (PMID: 33207297)

Keywords: COVID-19 era; South Africa; health facilities; healthcare workers; wellbeing

Date Created: 20240328 Date Completed: 20240329 Latest Revision: 20240330

20240330

PMC10970337

10.3390/ijerph21030372

38541371