Race/Skin color and psychological distress in Nursing teams during the COVID-19 pandemic
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2025.227962Keywords:
Nursing Practitioners, COVID-19, Mental Health, Mental Disorders, PandemicsAbstract
Objective: to verify the relationship between mental distress and race/skin color of Nursing professionals
working in the COVID-19 context. Methodology: a cross-sectional, descriptive, correlational and quantitative study with a non-probability sampling approach, using the snowball technique with 1,737 Nursing professionals. Virtual collection with a personal/work characterization questionnaire and the Mental Symptoms Assessment Scale-40-R. The G*power software version 3.0 was used. Significance level of p<0.05. The post hoc power analysis was 100% with effect power of 0.50. Results: predominance of white-skinned nurses (51.2%) and black/brown-skinned nursing technicians (46.3%). Higher mean value in the Psychoticism domain among black/brown-skinned professionals (p=0.048), who earn lower salaries than their white-skinned peers (48.8%, p=0.001). The latter were dissatisfied with the spaces provided to relax between work and shift changes (55.3%, p=0.033), receive less psychological/emotional support from the institution where they work/study (graduate level) (19.5%, p=0.004), had more of deaths of family members, friends, neighbors and work/study peers due to COVID-19 (30.7%) than the white-skinned participants. White- and black-/brown-skinned professionals were satisfied with alcohol gel availability (p=0.001) and the conditions for washing their hands (p=0.001). Conclusion: these findings raise concerns about working conditions, neglect by health institutions and social inequality that affect the mental health of female black/brown-skinned professionals.
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Ferreira SC, Jesus LC, Pinto AJCC. The production of healthcare knowledge from the perspective of ethnic-racial, class and gender intersectionalities in Brazil. Cenas Educacionais [Internet]. 2021 [cited 2024 Aug 18];4:e11858. Available from: https://www.revistas.uneb.br/index.php/cenaseducacionais/article/view/11858.
Conselho Federal de Enfermagem (BR). Pesquisa perfil da Enfermagem no Brasil [Internet]. Brasília: Cofen; 2015 [cited 2024 Aug 18]. Available from: http://www.cofen.gov.br/perfilenfermagem/index.html.
Machado MH, Aguiar W Filho, Lacerda WF, Oliveira E, Lemos W, Wermelinger M, et al. Características gerais da enfermagem: o perfil sócio demográfico. Enferm Foco. 2016;7(ESP):9-14. https://doi.org/10.21675/2357-707X.2016.v7.nESP.686.
Conselho Federal de Enfermagem (BR). Vitória do Cofen garante proteção a profissionais em grupos de risco [Internet]. Brasília: Cofen; 2020 [cited 2024 Aug 18]. Available from: http://www.cofen.gov.br/vitoria-do-cofen-garante-protecao-a-profissionais-em-grupos-de-risco_79503.html.
Rézio LA, Oliveira E, Queiroz AM, Sousa AR, Zerbetto SR, Marcheti PM, et al. Neoliberalism and precarious work in nursing in the COVID-19 pandemic: repercussions on mental health. Rev Esc Enferm USP. 2022;56:e20210257. https://doi.org/10.1590/1980-220X-REEUSP-2021-0257.
Goes EF, Ramos DO, Ferreira AJF. Racial health inequalities and the COVID-19 pandemic. Trab Educ Saude. 2020;18(3):e00278110. https://doi.org/10.1590/1981-7746-sol00278.
Rede Brasileira de Pesquisa em Soberania e Segurança Alimentar. II VIGISAN: II Inquérito Nacional sobre Insegurança Alimentar no Contexto da Pandemia da COVID-19 no Brasil [Internet]. São Paulo: Fundação Friedrich Ebert; Rede PENSSAN; 2022 [cited 2024 Aug 18]. 66 p. Available from: https://www12.senado.leg.br/noticias/arquivos/2022/10/14/olheestados-diagramacao-v4-r01-1-14-09-2022.pdf.
Humerez DC, Ohl RIB, Silva MCN. Mental health of Brazilian nursing professionals in the context of the covid-19 pandemic: action of the nursing federal council. Cogitare Enferm. 2020;25. https://doi.org/10.5380/ce.v25i0.74115.
Dresch LSC, Paiva TS, Moraes IIG, Sales ALLF, Rocha CMFF. The mental health of nurses handling the Covid-19 Pandemic: an integrative revision. Enferm Foco. 2020;11(6). https://doi.org/10.21675/2357-707X.2020.v11.n6.3675.
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain Behav Immun. 2020;88:901-7. https://doi.org/10.1016/j.bbi.2020.05.026.
Shahrour G, Dardas LA. Acute stress disorder, coping self-efficacy and subsequent psychological distress among nurses amid COVID-19. J Nurs Manag. 2020;28(7):1686-95. https://doi.org/10.1111/jonm.13124.
Lombardi MR, Campos VP. Nursing in Brazil: intersection of gender, race and social classes relations in the professional field. Rev ABET. 2018;17(1):28-46. https://doi.org/10.22478/ufpb.1676-4439.2018v17n1.41162.
Laloni DT. Escala de Avaliação de Sintomas-90-R Scl-90-R: Adaptação, Precisão e Validade [dissertation]. Campinas: Pontifícia Universidade Católica de Campinas; 2001 [cited 2024 Aug 18]. Available from: https://repositorio.sis.puc-campinas.edu.br/xmlui/handle/123456789/15720.
Santos FBO, Carregal FAS, Schreck RSC, Marques RC, Peres MAA. Anna Nery Standard and possible nursing professional profiles for nurses in Brazil. Hist Enferm Rev Eletrônica [Internet]. 2020 [cited 2024 Aug 18];11(1):10-21. Available from: http://here.abennacional.org.br/here/v11/n1/a1.pdf.
Sousa MEA. Human rights in pandemic times: black women and the social devaluation by gender and race. Rev Bras Sociol Direito. 2021;8(2):130-59. https://doi.org/10.21910/rbsd.v8i2.464.
Gandra EC, Silva KL, Passos HR, Schreck RSC. Brazilian nursing and the COVID-19 pandemic: inequalities in evidence. Esc Anna Nery. 2021;25(spe):e20210058. https://doi.org/10.1590/2177-9465-EAN-2021-0058.
Estrela FM, Soares e Soares CF, Cruz MA, Silva AF, Santos JRL, Moreira TMO, et al. Covid-19 Pandemic: reflecting vulnerabilities in the light of gender, race and class. Cien Saude Colet. 2020;25(9):3431-6. https://doi.org/10.1590/1413-81232020259.14052020.
Reis AP, Góes EF, Pilecco FB, Almeida MCC, Diele-Viegas LM, Menezes GMS, et al. Gender and race inequalities in the Covid-19 pandemic: implications for control in Brazil. Saude Debate. 2020;44(spe4):324-40. https://doi.org/10.1590/0103-11042020E423.
Souza IL, Oliveira SA, Rafael RMR, Rodrigues PHA. A atenção primária à saúde na pós-pandemia e a prática dos profissionais de enfermagem. In: Teodósio SSS, Leandro SS, editors. Enfermagem na atenção básica no contexto da COVID-19. 2. ed. rev. Brasília: Editora ABEn; 2020. p. 11-7. https://doi.org/10.51234/aben.20.e03.c02.
Góes FGB, Silva ACSS, Santos AST, Pereira-Ávila FMV, Silva LJ, Silva LF, et al. Adversities experienced by nursing professionals in intensive care units in times of COVID-19. Rev Baiana Enferm. 2022;36. https://doi.org/10.18471/rbe.v36.45555.
Oliveira RG, Cunha AP, Gadelha AGS, Carpio CG, Oliveira RB, Corrêa RM. Racial inequalities and death on the horizon: COVID-19 and structural racism. Cad Saude Publica. 2020;36(9):e00150120. https://doi.org/10.1590/0102-311X00150120.
Ferreira RBS, Camargo CL. Vulnerability of the Black Population in Brazil to the Evolution of the COVID-19 Pandemic. Rev Cuidarte. 2021;12(2). https://doi.org/10.15649/cuidarte.1322.
Zerbetto SR, Marcheti PM, Queiroz AM, Rezio LA, Sousa AR, Oliveira. E, et al. Senses of hope of the Nursing professionals in the context of the COVID-19 pandemic. Rev Min Enferm. 2021;25. https://doi.org/10.5935/1415.2762.20210067.
Toso BRGO, Terre BRBF, Silva ACO, Gir E, Caliari JS, Evangelista DR. Prevention adopted by healthcare workers within their families in the Covid-19 pandemic. Rev Esc Enferm USP. 2022;56:e20210330. https://doi.org/10.1590/1980-220X-REEUSP-2021-0330.
Trotta A, Murray RM, Fisher HL. The impact of childhood adversity on the persistence of psychotic symptoms: a systematic review and meta-analysis. Psychol Med. 2015;45(12):2481-98. https://doi.org/10.1017/s0033291715000574.
Brouwer KR, Walmsley LA, Parrish EM, McCubbin AK, Welsh JD, Braido CEC, et al. Examining the associations between self-care practices and psychological distress among nursing students during the COVID-19 pandemic. Nurse Educ Today. 2021;100:104864. https://doi.org/10.1016/j.nedt.2021.104864.
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Conselho Nacional de Desenvolvimento Científico e Tecnológico
Grant numbers 4011002020