• Hui Wang, Yu Liu, Kaili Hu, Meng Zhang, Meichen Du, Haishan Huang, and Xiao Yue.
• 66375Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, P.R. China.
• Nurs Ethics. 2020 Nov 1; 27 (7): 1490-1500.

BackgroundWhen the contagious COVID-19 spread worldwide, the frontline staff faced unprecedented excessive work pressure and expectations of all of the society.ObjectiveThe aim was to explore healthcare workers' stress and influencing factors when caring for COVID-19 patients from an altruistic perspective.MethodsA cross-sectional, descriptive study was conducted in a tertiary hospital during the outbreak of COVID-19 between February and March 2020 in Wuhan, the capital city of Hubei province in China. Data were collected from 1208 healthcare workers. Descriptive statistics and multiple linear regression were used to analyze the data.Ethical ConsiderationsResearch ethics approval (with the code of TJ-IRB20200379) was obtained from Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology. Written informed consent was also received from participants.ResultsLess than 60% of participants chose moderate or severe stress on all stressors, indicating a low stress level among healthcare workers. The main source of stress among frontline healthcare workers caring for COVID-19 patients came from the fear of being infected, the fear of family members being infected, and the discomfort caused by protective equipment. Frontline staff who were nurses, were married, and had worked more than 20 days suffered higher stress, whereas rescue staff showed lower stress.ConclusionThe healthcare workers caring for patients with COVID-19 had low stress level, although they still had the fear of being infected or uncomfortable feeling caused by personal protective equipment. A low stress level among healthcare workers indicated their professional devotion and altruism during COVID-19 epidemic. Medical institutions and the government should continue to strengthen infection prevention measures and provide more comprehensive care involving families of frontline healthcare workers, especially nurses and married staff. It will be a lesson to other countries that awaking healthcare workers' inside motivation and providing necessary support from government and society were significant.

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