Stressors, Job Resources, Fear of Contagion, and Secondary Traumatic Stress Among Nursing Home Workers in Face of the COVID-19: The Case of Spain

J Appl Gerontol. 2021 Mar;40(3):244-256. doi: 10.1177/0733464820964153. Epub 2020 Oct 7.

Abstract

This study aimed to analyze the psychological consequences of the COVID-19 pandemic on nursing home workers, as well as the influence of certain related stressors and job resources. Two-hundred twenty-eight nursing home workers in Spain participated in this cross-sectional study. High levels of workload, social pressure from work, contact with suffering, and fear of contagion were found. In nursing homes where cases of COVID-19 had been detected, workers experienced higher levels of secondary traumatic stress. Social pressure from work, high doses of exposure to suffering, lack of personnel and personal protective equipment, and minimal supervisor support were significant in explaining traumatic stress. Supervisor and coworker support moderated some of these relationships. The results are discussed in terms of the need to implement urgent psychosocial protection strategies and to provide personal protective equipment (PPE) to help prevent future psychological disorders in this worker population.

Keywords: COVID-19 pandemic; fear of contagion; job resources; nursing homes; secondary traumatic stress; work stressors.

MeSH terms

  • Adult
  • Anxiety / etiology
  • Attitude of Health Personnel
  • COVID-19*
  • Compassion Fatigue / etiology*
  • Cross-Sectional Studies
  • Fear / psychology*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nursing Homes
  • Nursing Staff / psychology*
  • Occupational Health
  • Regression Analysis
  • Spain
  • Workload*