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. 2020 Nov 5;2020(11):CD013779. doi: 10.1002/14651858.CD013779

Shen 2020a.

Methods Design: survey
Country: China
Study aim: to discuss the psychological stress of nurses working in the ICU during COVID‐19
Study recruitment details: not reported
Setting: ICU designated for the treatment of severe COVID‐19 patients. The ward has a total of 20 beds and 102 nurses from the local hospital and other hospitals in the provinces and cities outside of Wuhan City
Epidemic/pandemic disease: COVID‐19
Phase of disease outbreak: during the pandemic
Participants Total study population: 85
Inclusion criteria: not reported
Exclusion criteria: not reported
Type (profession) of staff: nurses
Length of time in the profession: not reported
Previous experience of working in the frontline during an epidemic/pandemic: not reported
Details of who the frontline staff were providing care for: patients with COVID‐19 on the ICU
Interventions 1. Early psychological intervention: (n = 85)
  • Type of intervention: psychological support interventions

  • Materials: WeChat

  • Procedures: multiple "improvements" were introduced including:

    • Adding a psychologist to each team alongside psychological assessments and interventions as required;

    • Encouraging nurses to familiarise themselves with the environment and collegial work practices;

    • Encouraged to express emotions using a range of methods (e.g. talking, drawing) in addition to relaxation and breathing exercises;

    • Peer‐support

    • Online WeChat communication groups (11 groups)

    • Regular meetings to identify sources of stress (e.g. fatigue) and potential solutions (e.g. reducing length of shift so nurses could rest as much as possible);

    • Remote mental health training and guidance, individualised psychotherapy, or appropriate medical intervention was provided to nurses through lectures, group counselling, individual counselling, online platforms, and psychological hotlines;

    • Improving social support (e.g. chat and exchange with family through WeChat videos)

  • Provided by: variety of mental health professionals, and peers

  • Delivery: face‐to‐face and remote ('online'); 1:1 and groups

  • Regimen: as required

  • Tailoring: yes ‐ personalised and tailored for each nurse

  • Modification: not reported

  • Adherence: not reported

  • Details of any adverse events/unintended consequences: not reported

Outcomes Outcomes: symptoms (e.g. decreased appetite or indigestion, fatigue, nervousness, crying), issues sleeping, suicidal thoughts
Data collection: not reported
Notes Limited evaluation reported. Further information sought from authors