• Su Hong, Ming Ai, Xiaoming Xu, Wo Wang, Jianmei Chen, Qi Zhang, Lixia Wang, and Li Kuang.
• Mobile Postdoctoral Station, School of Nursing, Chongqing Medical University, Chongqing 400016, China.
• Nurs Outlook. 2021 Jan 1; 69 (1): 6-12.

BackgroundDuring an epidemic of a novel infectious disease, frontline nurses suffer from unprecedented psychological stress. This study aimed to assess the immediate psychological impact on frontline nurses in China.MethodsA multicenter, cross-sectional survey of frontline nurses was conducted via online questionnaires. Symptoms of depression, anxiety, somatic disorders, and suicidal ideation were evaluated. Demographic, stress, and support variables were entered into logistic regression analysis to identify the impact factors.FindingsOf the 4,692 nurses who completed the survey, 9.4% (n = 442) were considered to have depressive symptoms, 8.1% (n = 379) represented anxiety, and 42.7% (n = 2,005) had somatic symptom. About 6.5% (n = 306) respondents had suicidal ideation.DiscussionThe study showed that the overall mental health of frontline nurses was generally poor during COVID-19 outbreak, and several impact factors associated with nurses' psychological health were identified. Further research is needed to ascertain whether training and support strategies are indeed able to mitigate psychological morbidities.Copyright © 2020 Elsevier Inc. All rights reserved.

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