Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal
Abstract Background With the increasing spread of COVID-19, healthcare workers, especially front-line medical staff, have become more vulnerable to emotional exhaustion. Objectives This study aimed to determine the influence of time pressure on the emotional exhaustion of front-line healthcare worke...
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doaj-36db4f13421742418a68b9a25f33839b2021-05-02T11:04:10ZengBMCBMC Public Health1471-24582021-04-0121111010.1186/s12889-021-10891-wEmotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisalHuan Wang0Xinyao Zhou1Xiuli Jia2Caiping Song3Xu Luo4Hua Zhang5Hao Wu6Junying Ye7Development and Planning Department, Chongqing Medical UniversitySchool of Economics and Management, Wuhan UniversityNeurology Department, The 987 Hospital of PLAXinqiao Hospital, Army Medical UniversityDepartment of Medical Administration, Southwest Hospital, Army Medical UniversityChongqing Health Center for Women and ChildrenXinqiao Hospital, Army Medical UniversityChongqing Health Center for Women and ChildrenAbstract Background With the increasing spread of COVID-19, healthcare workers, especially front-line medical staff, have become more vulnerable to emotional exhaustion. Objectives This study aimed to determine the influence of time pressure on the emotional exhaustion of front-line healthcare workers, and explore the effects of social sharing and cognitive reappraisal on this. Methods This cross-sectional study was conducted in March 2020. A total of 232 questionnaires were completed by front-line healthcare workers in Wuhan city, Hubei province, China. Hierarchical linear regression and conditional process analysis were performed to explore the relationships among time pressure, social sharing, cognitive reappraisal, and emotional exhaustion. Results Time pressure was positively associated with social sharing and emotional exhaustion. Social sharing presented the dark side, a negative effect that was always kept concealed, in terms of the impact on emotional exhaustion. Cognitive reappraisal negatively moderated the relationship between time pressure and social sharing, and it further indirectly influenced the relationship between time pressure and emotional exhaustion through social sharing. Conclusions Our findings shed light on how time pressure influences the emotional exhaustion of healthcare workers during the COVID-19 period. Although social sharing is commonly regarded as a positive behavior, we identified a dark side in terms of its impact. We also identified that improving cognitive reappraisal may present a positive strategy toward alleviating emotional exhaustion.https://doi.org/10.1186/s12889-021-10891-wCOVID-19Healthcare workersOccupational stressMental fatigueSocial supportCognition |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Huan Wang Xinyao Zhou Xiuli Jia Caiping Song Xu Luo Hua Zhang Hao Wu Junying Ye |
spellingShingle |
Huan Wang Xinyao Zhou Xiuli Jia Caiping Song Xu Luo Hua Zhang Hao Wu Junying Ye Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal BMC Public Health COVID-19 Healthcare workers Occupational stress Mental fatigue Social support Cognition |
author_facet |
Huan Wang Xinyao Zhou Xiuli Jia Caiping Song Xu Luo Hua Zhang Hao Wu Junying Ye |
author_sort |
Huan Wang |
title |
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal |
title_short |
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal |
title_full |
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal |
title_fullStr |
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal |
title_full_unstemmed |
Emotional exhaustion in front-line healthcare workers during the COVID-19 pandemic in Wuhan, China: the effects of time pressure, social sharing and cognitive appraisal |
title_sort |
emotional exhaustion in front-line healthcare workers during the covid-19 pandemic in wuhan, china: the effects of time pressure, social sharing and cognitive appraisal |
publisher |
BMC |
series |
BMC Public Health |
issn |
1471-2458 |
publishDate |
2021-04-01 |
description |
Abstract Background With the increasing spread of COVID-19, healthcare workers, especially front-line medical staff, have become more vulnerable to emotional exhaustion. Objectives This study aimed to determine the influence of time pressure on the emotional exhaustion of front-line healthcare workers, and explore the effects of social sharing and cognitive reappraisal on this. Methods This cross-sectional study was conducted in March 2020. A total of 232 questionnaires were completed by front-line healthcare workers in Wuhan city, Hubei province, China. Hierarchical linear regression and conditional process analysis were performed to explore the relationships among time pressure, social sharing, cognitive reappraisal, and emotional exhaustion. Results Time pressure was positively associated with social sharing and emotional exhaustion. Social sharing presented the dark side, a negative effect that was always kept concealed, in terms of the impact on emotional exhaustion. Cognitive reappraisal negatively moderated the relationship between time pressure and social sharing, and it further indirectly influenced the relationship between time pressure and emotional exhaustion through social sharing. Conclusions Our findings shed light on how time pressure influences the emotional exhaustion of healthcare workers during the COVID-19 period. Although social sharing is commonly regarded as a positive behavior, we identified a dark side in terms of its impact. We also identified that improving cognitive reappraisal may present a positive strategy toward alleviating emotional exhaustion. |
topic |
COVID-19 Healthcare workers Occupational stress Mental fatigue Social support Cognition |
url |
https://doi.org/10.1186/s12889-021-10891-w |
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