Tags

Type your tag names separated by a space and hit enter

The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital.
CMAJ. 2003 May 13; 168(10):1245-51.CMAJ

Abstract

BACKGROUND

The outbreak of severe acute respiratory syndrome (SARS) in Toronto, which began on Mar. 7, 2003, resulted in extraordinary public health and infection control measures. We aimed to describe the psychological and occupational impact of this event within a large hospital in the first 4 weeks of the outbreak and the subsequent administrative and mental health response.

METHODS

Two principal authors met with core team members and mental health care providers at Mount Sinai Hospital, Toronto, to compile retrospectively descriptions of the experiences of staff and patients based on informal observation. All authors reviewed and analyzed the descriptions in an iterative process between Apr. 3 and Apr. 13, 2003.

RESULTS

In a 4-week period, 19 individuals developed SARS, including 11 health care workers. The hospital's response included establishing a leadership command team and a SARS isolation unit, implementing mental health support interventions for patients and staff, overcoming problems with logistics and communication, and overcoming resistance to directives. Patients with SARS reported fear, loneliness, boredom and anger, and they worried about the effects of quarantine and contagion on family members and friends. They experienced anxiety about fever and the effects of insomnia. Staff were adversely affected by fear of contagion and of infecting family, friends and colleagues. Caring for health care workers as patients and colleagues was emotionally difficult. Uncertainty and stigmatization were prominent themes for both staff and patients.

INTERPRETATION

The hospital's response required clear communication, sensitivity to individual responses to stress, collaboration between disciplines, authoritative leadership and provision of relevant support. The emotional and behavioural reactions of patients and staff are understood to be a normal, adaptive response to stress in the face of an overwhelming event.

Authors+Show Affiliations

Department of Psychiatry, Mount Sinai Hospital, University of Toronto, Toronto, Ont. rmaunder@mtsinai.on.caNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12743065

Citation

Maunder, Robert, et al. "The Immediate Psychological and Occupational Impact of the 2003 SARS Outbreak in a Teaching Hospital." CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, vol. 168, no. 10, 2003, pp. 1245-51.
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(10):1245-51.
Maunder, R., Hunter, J., Vincent, L., Bennett, J., Peladeau, N., Leszcz, M., Sadavoy, J., Verhaeghe, L. M., Steinberg, R., & Mazzulli, T. (2003). The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, 168(10), 1245-51.
Maunder R, et al. The Immediate Psychological and Occupational Impact of the 2003 SARS Outbreak in a Teaching Hospital. CMAJ. 2003 May 13;168(10):1245-51. PubMed PMID: 12743065.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The immediate psychological and occupational impact of the 2003 SARS outbreak in a teaching hospital. AU - Maunder,Robert, AU - Hunter,Jonathan, AU - Vincent,Leslie, AU - Bennett,Jocelyn, AU - Peladeau,Nathalie, AU - Leszcz,Molyn, AU - Sadavoy,Joel, AU - Verhaeghe,Lieve M, AU - Steinberg,Rosalie, AU - Mazzulli,Tony, PY - 2003/5/14/pubmed PY - 2003/6/20/medline PY - 2003/5/14/entrez SP - 1245 EP - 51 JF - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne JO - CMAJ VL - 168 IS - 10 N2 - BACKGROUND: The outbreak of severe acute respiratory syndrome (SARS) in Toronto, which began on Mar. 7, 2003, resulted in extraordinary public health and infection control measures. We aimed to describe the psychological and occupational impact of this event within a large hospital in the first 4 weeks of the outbreak and the subsequent administrative and mental health response. METHODS: Two principal authors met with core team members and mental health care providers at Mount Sinai Hospital, Toronto, to compile retrospectively descriptions of the experiences of staff and patients based on informal observation. All authors reviewed and analyzed the descriptions in an iterative process between Apr. 3 and Apr. 13, 2003. RESULTS: In a 4-week period, 19 individuals developed SARS, including 11 health care workers. The hospital's response included establishing a leadership command team and a SARS isolation unit, implementing mental health support interventions for patients and staff, overcoming problems with logistics and communication, and overcoming resistance to directives. Patients with SARS reported fear, loneliness, boredom and anger, and they worried about the effects of quarantine and contagion on family members and friends. They experienced anxiety about fever and the effects of insomnia. Staff were adversely affected by fear of contagion and of infecting family, friends and colleagues. Caring for health care workers as patients and colleagues was emotionally difficult. Uncertainty and stigmatization were prominent themes for both staff and patients. INTERPRETATION: The hospital's response required clear communication, sensitivity to individual responses to stress, collaboration between disciplines, authoritative leadership and provision of relevant support. The emotional and behavioural reactions of patients and staff are understood to be a normal, adaptive response to stress in the face of an overwhelming event. SN - 0820-3946 UR - https://www.unboundmedicine.com/medline/citation/12743065/The_immediate_psychological_and_occupational_impact_of_the_2003_SARS_outbreak_in_a_teaching_hospital_ L2 - http://www.cmaj.ca/cgi/pmidlookup?view=long&pmid=12743065 DB - PRIME DP - Unbound Medicine ER -