RT Journal Article
T1 An Acute Stress Scale for Health Care Professionals Caring for Patients With COVID-19: Validation Study
A1 Joaquin Mira, Jose
A1 Cobos, Angel
A1 Martinez Garcia, Olga
A1 Bueno Dominguez, Maria Jose
A1 Pilar Astier-Pena, Maria
A1 Perez Perez, Pastora
A1 Carrillo, Irene
A1 Guilabert, Mercedes
A1 Perez-Jover, Virtudes
A1 Fernandez, Cesar
A1 Asuncion Vicente, Maria
A1 Lahera-Martin, Matilde
A1 Silvestre Busto, Carmen
A1 Lorenzo Martinez, Susana
A1 Sanchez Martinez, Ascension
A1 Martin-Delgado, Jimmy
A1 Mula, Aurora
A1 Marco-Gomez, Barbara
A1 Abad Bouzan, Cristina
A1 Aibar-Remon, Carlos
A1 Aranaz-Andres, Jesus
A1 SARS-CoV-2 Second Victims Working, 
K1 SARS-CoV-2 virus
K1 COVID-19 outbreak
K1 medical staff
K1 acute stress
K1 moral injury
K1 posttraumatic stress
K1 COVID-19
K1 Quadruple aim care
K1 Triple
AB Background: The COVID-19 pandemic has affected the response capacity of the health care workforce, and health care professionals have been experiencing acute stress reactions since the beginning of the pandemic. In Spain, the first wave was particularly severe among the population and health care professionals, many of whom were infected. These professionals required initial psychological supports that were gradual and in line with their conditions.Objective: In the early days of the pandemic in Spain (March 2020), this study aimed to design and validate a scale to measure acute stress experienced by the health care workforce during the care of patients with COVID-19: the Self-applied Acute Stress Scale (EASE).Methods: Item development, scale development, and scale evaluation were considered. Qualitative research was conducted to produce the initial pool of items, assure their legibility, and assess the validity of the content. Internal consistency was calculated using Cronbach alpha and McDonald omega. Confirmatory factor analysis and the Mann-Whitney-Wilcoxon test were used to assess construct validity. Linear regression was applied to assess criterion validity. Back-translation methodology was used to translate the scale into Portuguese and English.Results: A total of 228 health professionals from the Spanish public health system responded to the 10 items of the EASE scale. Internal consistency was .87 (McDonald omega). Goodness-of-fit indices confirmed a two-factor structure, explaining 55% of the variance. As expected, the highest level of stress was found among professionals working in health services where a higher number of deaths from COVID-19 occurred (P
PB Jmir publications, inc
YR 2021
FD 2021-03-01
LK https://hdl.handle.net/10668/25988
UL https://hdl.handle.net/10668/25988
LA en
DS RISalud
RD Apr 4, 2025