COVID-19 anxiety-coping strategies of frontline health workers in a low-income country Malawi: A qualitative inquiry

References

• Al-Ghareeb, A., McKenna, L., & Cooper, S. (2019). Physiological and psychological anxiety in a simulated clinical setting: The influence of anxiety on novice frontline-healthcare-workers’ group performance. International Journal of Nursing Studies, 98, 57–66. doi:https://doi.org/10.1016/j.ijnurstu.2019.06.006
   PubMed Web of Science ®Google Scholar
• Alzahrani, M., Alfahaid, F., Almansour, M., Alghamdi, T., Ansari, T., Sami, W., … Enezi, M. M. A. (2017). Prevalence of generalized anxiety disorder and major depression in health-care givers of disabled patients in Majmaah and Shaqra cities, Kingdom of Saudi Arabia. International Journal of Health Sciences, 11(3), 9–13.
   Google Scholar
• Ameme, D. K., Nyarko, K. M., Afari, E. A., Antara, S., Sackey, S. O., & Wurapa, F. (2016). Training Ghanaian frontline healthcare workers in public health surveillance and disease outbreak investigation and response. The Pan African Medical Journal, 25(Suppl 1), 2. doi:https://doi.org/10.11604/pamj.supp.2016.25.1.6179
   PubMedGoogle Scholar
• Ames, H., Glenton, C., & Lewin, S. (2019). Purposive sampling in a qualitative evidence synthesis: A worked example from a synthesis on parental perceptions of vaccination communication. BMC Medical Research Methodology, 19(1), 26. doi:https://doi.org/10.1186/s12874-019-0665-4
   PubMed Web of Science ®Google Scholar
• Anderson, B. O., Yip, C.-H., Smith, R. A., Shyyan, R., Sener, S. F., Eniu, A., … Harford, J. (2008). Guideline implementation for breast healthcare in low-income and middle-income countries: Overview of the Breast Health Global Initiative Global Summit 2007. Cancer, 113(8 Suppl), 2221–2243. doi:https://doi.org/10.1002/cncr.23844.
   PubMed Web of Science ®Google Scholar
• Bené, B., & Foxall, M. J. (1991). Death anxiety and job stress in hospice and medical-surgical nurses. The Hospice Journal, 7(3), 25–41. doi:https://doi.org/10.1080/0742-969x.1991.11882703.
   PubMedGoogle Scholar
• Biçkes, D. M., Çizmeci, B., Göver, H., & Pomak, I. (2017). Investigation of health care workers’ stress, depression and anxiety levels in terms of work-related violence. Journal of Human Sciences, 14(3), 2628–2642. doi:https://doi.org/10.14687/jhs.v14i3.4495
   Google Scholar
• Biswas, D., Karabin, B., & Turner, D. (2019). Role of nurses and nurse practitioners in the recognition, diagnosis, and management of neurogenic orthostatic hypotension: A narrative review. International Journal of General Medicine, 12, 173–184. doi:https://doi.org/10.2147/IJGM.S170655
   PubMed Web of Science ®Google Scholar
• Blake, H., Bermingham, F., Johnson, G., & Tabner, A. (2020). Mitigating the psychological impact of COVID-19 on healthcare workers: A digital learning package. International Journal of Environmental Research and Public Health, 17(9), 2997. doi:https://doi.org/10.3390/ijerph17092997
   PubMed Web of Science ®Google Scholar
• Bodenheimer, T., & Bauer, L. (2016). Rethinking the primary care Workforce – An expanded role for nurses. The New England Journal of Medicine, 375(11), 1015–1017. doi:https://doi.org/10.1056/nejmp1606869.
   PubMed Web of Science ®Google Scholar
• Chan, A. O. M., & Huak, C. Y. (2004). Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational Medicine, 54(3), 190–196. doi:https://doi.org/10.1093/occmed/kqh027
   PubMed Web of Science ®Google Scholar
• Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., … Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet. Psychiatry, 7(4), e15–e16. doi:https://doi.org/10.1016/S2215-0366(20)30078-X
   PubMed Web of Science ®Google Scholar
• Chima, S.C. (2013). Global medicine: Is it ethical or morally justifiable for doctors and other healthcare workers to go on strike? BMC Medical Ethics, 14 (S1), 3. doi:https://doi.org/10.1186/1472-6939-14-S1-S5
   PubMedGoogle Scholar
• Chong, M.-Y., Wang, W.-C., Hsieh, W.-C., Lee, C.-Y., Chiu, N.-M., Yeh, W.-C., … Chen, C.-L. (2004). Psychological impact of severe acute respiratory syndrome on health workers in a tertiary hospital. The British Journal of Psychiatry, 185(02), 127–133. doi:https://doi.org/10.1192/bjp.185.2.127
   PubMedGoogle Scholar
• Colaizzi, P. F. (1978). Psychological research as the phenomenologist views it. In Valle, R. S., and King, M (Eds.), Existential-phenomenological alternatives for psychology (pp. 48–71). New York: Oxford University Press.
   Google Scholar
• Coleman, C.H. (2008). Beyond the call of duty: Compelling health care professionals to work during an influenza pandemic. Iowa Law Review, 94(5), 1–47.
   Google Scholar
• Cooper, C., Katona, C., Orrell, M., & Livingston, G. (2008). Coping strategies, anxiety and depression in caregivers of people with Alzheimer’s disease. International Journal of Geriatric Psychiatry, 23(9), 929–936. doi:https://doi.org/10.1002/gps.2007.
   PubMed Web of Science ®Google Scholar
• Creswell, J. W., & Miller, D. L. (2000). Determining validity in qualitative inquiry. Theory into Practice, 39(3), 124–130. doi:https://doi.org/10.1207/s15430421tip3903_2
   Web of Science ®Google Scholar
• Crocker, J., Major, B., & Steele, C. (1998). Social stigma. In D. Gilbert, S. T. Fiske and G. Lindzey (Eds.), Handbook of social psychology (4th ed., pp. 504–553). Boston: McGraw Hill.
   Google Scholar
• Cruess, R.L., & Cruess, S.R. (2008). Expectations and obligations: Professionalism and medicine’s social contract with society. Perspective in Biology and Medicine, 51(4), 579–598.
   PubMed Web of Science ®Google Scholar
• Drury, V., Craigie, M., Francis, K., Aoun, S., & Hegney, D. G. (2014). Compassion satisfaction, compassion fatigue, anxiety, depression and stress in registered nurses in Australia: Phase 2 results. Journal of Nursing Management, 22(4), 519–531. doi:https://doi.org/10.1111/jonm.12168.
   PubMed Web of Science ®Google Scholar
• Emmite, P. L., & Diaz-Guerrero, R. (1983). Cross-cultural differences and similarities in coping style, anxiety, and success–failure on examinations. Series in Clinical and Community Psychology: Stress and Anxiety, 2, 191–206.
   Google Scholar
• Garcia, A. C. M., Simão-Miranda, T. P., Carvalho, A. M. P., Elias, P. C. L., Pereira, M. d G., & Carvalho, E. C. d. (2018). The effect of therapeutic listening on anxiety and fear among surgical patients: Randomized controlled trial. Revista Latino-Americana de Enfermagem, 26, e3027. doi:https://doi.org/10.1590/1518-8345.2438.3027
   PubMed Web of Science ®Google Scholar
• Genevier, B. J., Rao, Y. C., & Byrkit, R. (2021). Symptoms of depression, anxiety, post-traumatic stress disorder, and suicidal ideation among state, tribal, local, and territorial public health workers during the COVID-19 pandemic—United States, March–April 2021. Weekly 70(26), 947–952. doi:https://doi.org/10.15585/mmwr.mm7026e1.
   Google Scholar
• Goulia, P., Mantas, C., Dimitroula, D., Mantis, D., & Hyphantis, T. (2010). General hospital staff worries, perceived sufficiency of information and associated psychological distress during the A/H1N1 influenza pandemic. BMC Infectious Diseases, 10(1), 322. doi:https://doi.org/10.1186/1471-2334-10-322
   PubMed Web of Science ®Google Scholar
• Hassannia, L., Taghizadeh, F., Moosazadeh, M., Zarghami, M., Taghizadeh, H., Dooki, A. F., … Dehghan, N. (2021). Anxiety and depression in health workers and general population during COVID-19 in IRAN: A cross-sectional study. Neuropsychopharmacology Reports, 41(1), 40–49. doi:https://doi.org/10.1002/npr2.12153
   PubMedGoogle Scholar
• Hill, C. E., Thompson, B. J., & Williams, E. N. (1997). A guide to conducting consensual qualitative research. The Counseling Psychologist, 25(4), 517–572. doi:https://doi.org/10.1177/0011000097254001
   Web of Science ®Google Scholar
• Hofmann, S. G., & Hinton, D. E. (2014). Cross-cultural aspects of anxiety disorders. Current Psychiatry Reports, 16(6), 450. doi:https://doi.org/10.1007/s11920-014-0450-3.
   PubMed Web of Science ®Google Scholar
• Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., … Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497–506. doi:https://doi.org/10.1016/S0140-6736(20)30183-5
   PubMed Web of Science ®Google Scholar
• Kang, L., Li, Y., Hu, S., Chen, M., Yang, C., Yang, B. X., … Liu, Z. (2020). The mental health of medical workers in Wuhan, China dealing with the 2019 Novel Coronavirus. The Lancet. Psychiatry, 7(3), e14. doi:https://doi.org/10.1016/S2215-0366(20)30047-X
   PubMed Web of Science ®Google Scholar
• Kirkpatrick, L. (2016). A qualitative phenomenological study of Hispanic parent perspectives on school readiness (Order No. 10158710). Available from Education Collection; Education Database; ProQuest Dissertations and Theses A and I. (1839332153).
   Google Scholar
• Kombe, G., Galaty, D., Gadhia, R., & Decker, C. (2005). The human and financial resource requirements for scaling up HIV/AIDS services in Ethiopia. Bethesda: Abt Associates Int.
   Google Scholar
• Laranjeira, C. A. (2012). The effects of perceived stress and ways of coping in a sample of Portuguese health workers. Journal of Clinical Nursing, 21(11–12), 1755–1762. doi:https://doi.org/10.1111/j.1365-2702.2011.03948.x.
   PubMed Web of Science ®Google Scholar
• Lipley, N. (2020). Covid-19: Not a ‘mental health crisis’, healthcare experts warn. Retrieved 16 June 2020 from https://rcni.com/nursing-standard/newsroom/news/COVID-19-not-a-mental-health-crisis-healthcareexperts-warn-159611.
   Google Scholar
• Liu, J. X., Goryakin, Y., Maeda, A., Bruckner, T., & Scheffler, R. (2017). Global health workforce labor market projections for 2030. Human Resources for Health, 15(1), 11. doi:https://doi.org/10.1186/s12960-017-0187-2
   PubMedGoogle Scholar
• Magnavita, N., Tripepi, G., & Di Prinzio, R. R. (2020). Symptoms in Health Care Workers during the COVID-19 Epidemic. A Cross-Sectional Survey. International Journal of Environmental Research and Public Health, 17(14), 5218. doi:https://doi.org/10.3390/ijerph17145218
   Web of Science ®Google Scholar
• Maike, V., & Sebastian, R. (2019). An introduction to grounded theory with a special focus on axial coding and the coding paradigm. In K. Gabriele, and N. Presmeg (Eds.), Compendium for early career researchers in mathematics education. Cham: Springer.
   Google Scholar
• McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W., Sham, P. C., … Wong, J. G. (2007). Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. The Canadian Journal of Psychiatry, 52(4), 241–247. doi:https://doi.org/10.1177/070674370705200406
   PubMed Web of Science ®Google Scholar
• Mfinanga, S. G., Mduma, S., & Kitua, A. Y. (2017). Frontline health workers’ noble role in disease prevention for achieving global health security: Why are we not learning the lessons? Journal of Health Communication. 2, 35. doi:https://doi.org/10.4172/2472-1654.100075.
   Google Scholar
• Miceli, M., & Castelfranchi, C. (2005). Anxiety as an “epistemic” emotion: An uncertainty theory of anxiety. Anxiety, stress, and coping, 18(4), 291–319. doi:https://doi.org/10.1080/10615800500209324
   Web of Science ®Google Scholar
• Nicoll, L., & Butler, M. (1996). The study of biology as a cause of anxiety in student nurses undertaking the common foundation programme. Journal of Advanced Nursing, 24(3), 615–624. doi:https://doi.org/10.1046/j.1365-2648.1996.23224.x.
   PubMed Web of Science ®Google Scholar
• Norlyk, A., & Harder, I. (2010). What makes a phenomenological study phenomenological? An analysis of peer-reviewed empirical nursing studies. Qualitative Health Research, 20(3), 420–431. doi:https://doi.org/10.1177/1049732309357435.
   PubMed Web of Science ®Google Scholar
• Orentlicher, D. (2018). The Physician’s duty to treat during pandemics. American Journal of Public Health, 108(11), 1459–1461. doi:https://doi.org/10.2105/AJPH.2018.304582
   PubMed Web of Science ®Google Scholar
• Sarason, I. (1984). Stress, anxiety, and cognitive interference: Reactions to tasks. Journal of Personality and Social Psychology, 46(4), 929–938. doi:https://doi.org/10.1037/0022-3514.46.4.929
   PubMed Web of Science ®Google Scholar
• Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. JAMA, 323(21), 2133–2134. doi:https://doi.org/10.1001/jama.2020.5893
   PubMed Web of Science ®Google Scholar
• Sieber, J. E., O'Neil, H. F., Jr., & Tobias, S. (2009). Anxiety, learning, and instruction. New York: Routledge.
   Google Scholar
• Spangler, P. T., Liu, J., & Hill, C. E. (2012). Consensual qualitative research for simple qualitative data: An introduction to CQR-M. In C. E. Hill (Ed.), Consensual qualitative research: A practical resource for investigating social science phenomena. Washington D.C.: American Psychological Association.
   Google Scholar
• Spoorthy, M. S., Pratapa, S. K., & Mahant, S. (2020). Mental health problems faced by healthcare workers due to the COVID-19 pandemic-A review. Asian Journal of Psychiatry, 51, 102119–102119. doi:https://doi.org/10.1016/j.ajp.2020.102119
   PubMed Web of Science ®Google Scholar
• Stephan, M., John, P., & Michael, M. (1986). Occupational anxiety. Its sources and consequences for job performance. The Journal of Applied Psychology, 71, 618–629. doi: https://doi.org/10.1037//0021-9010.71.4.618.
   PubMed Web of Science ®Google Scholar
• Styra, R., Hawryluck, L., Robinson, S., Kasapinovic, S., Fones, C., & Gold, W. L. (2008). Impact on health care workers employed in high-risk areas during the Toronto SARS outbreak. Journal of Psychosomatic Research, 64(2), 177–183. doi:https://doi.org/10.1016/j.jpsychores.2007.07.015
   PubMed Web of Science ®Google Scholar
• Sun, F.-K., Long, A., Tseng, Y. S., Huang, H.-M., You, J.-H., & Chiang, C.-Y. (2016). Undergraduate student frontline-healthcare-workers’ lived experiences of anxiety during their first clinical practicum: A phenomenological study. Nurse Education Today, 37, 21–26. doi:https://doi.org/10.1016/j.nedt.2015.11.001
   PubMed Web of Science ®Google Scholar
• Tekola, B., Baheretibeb, Y., Roth, I., Tilahun, D., Fekadu, A., Hanlon, C., & Hoekstra, R. A. (2016). Challenges and opportunities to improve autism services in low-income countries: Lessons from a situational analysis in Ethiopia. Global Mental Health, 3, 17. doi:https://doi.org/10.1017/gmh.2016.17
   Web of Science ®Google Scholar
• Thompson, N. A., van Gelderen, M., & Keppler, L. (2020). No need to worry? Anxiety and coping in the entrepreneurship process. Frontiers in Psychology, 11, 398. doi:https://doi.org/10.3389/fpsyg.2020.00398.
   PubMed Web of Science ®Google Scholar
• Wittchen, H. U. (2002). Generalized anxiety disorder: Prevalence, burden, and cost to society. Depression and Anxiety, 16(4), 162–171. doi:https://doi.org/10.1002/da.10065.
   PubMed Web of Science ®Google Scholar
• Word Health Organization. (2020). Ethics and Covid-19: Resource allocation and priority-setting. Geneva, Switzerland: WHO.
   Google Scholar
• World Bank. (2019). https://www.worldbank.org/en/country/malawi/overview.
   Google Scholar
• World Health Organization. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak. Retrieved 17 April 2020 from https://www.who.int/docs/default-source/coronaviruse/mentalhealth-considerations.pdf.
   Google Scholar
• World Health Organization. (2020). Statement on the Second Meeting of the International Health Regulations (2005) Emergency Committee regarding the Outbreak of Novel Coronavirus (2019-nCoV). Geneva: WHO.
   Google Scholar
• Xiong, Y., & Peng, L. (2020). Focusing on health-care providers’ experiences in the COVID-19 crisis. The Lancet. Global Health, 8(6), e740–e741. doi:https://doi.org/10.1016/S2214-109X(20)30214-X
   PubMed Web of Science ®Google Scholar
• Yazed, K. A. (2018). Generalized anxiety disorder: A review. International Journal of Medicine in Developing Countries, 2(2), 65–69. doi:https://doi.org/10.24911/IJMDC.51-1518966687
   Google Scholar
• Yip, C.-H., & Taib, N. A. (2012). Challenges in the management of breast cancer in low- and middle-income countries. Future Oncology, 8(12), 1575–1583. doi:https://doi.org/10.2217/fon.12.141.
   PubMed Web of Science ®Google Scholar