The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency:

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The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review Serena Barello1,2 Loris Bonetti3,6



Anna Falco´-Pegueroles4



Debora Rosa5 • Angela Tolotti3



Guendalina Graffigna1,2



Received: 21 May 2020 / Revised: 12 August 2020 / Accepted: 17 August 2020 / Published online: 4 September 2020  The Author(s) 2020

Abstract Objectives During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research. Methods This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Results Across all the studies—both qualitative and quantitative—HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs. Conclusions This rapid review offers an overview of the major concerns regarding HCWs’ psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic. Keywords COVID-19  Pandemics  Psychology  Health personnel  Nurse  Physician

Introduction Electronic supplementary material The online version of this article (https://doi.org/10.1007/s00038-020-01463-7) contains supplementary material, which is available to authorized users.

The outbreak of COVID-19 has become a public health emergency of major international concern and has placed extraordinary demands upon healthcare systems worldwide.

& Serena Barello [email protected]

Angela Tolotti [email protected]

& Loris Bonetti [email protected]

Guendalina Graffigna [email protected]

Anna Falco´-Pegueroles [email protected]

Extended author information available on the last page of the article

Debora Rosa [email protected]

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At the time of preparing this manuscript (April 21, 2020), the World Health Organization (WHO) reported that there were 2,314,621 cases of infection across 213 countries (WHO 2020). This health emergency is trigging an intense, international