• Jenny J W Liu, Anthony Nazarov, Rachel A Plouffe, Callista A Forchuk, Erisa Deda, Dominic Gargala, Tri Le, Jesse Bourret-Gheysen, Vanessa Soares, Maede S Nouri, Fardous Hosseiny, Patrick Smith, Maya Roth, Arlene G MacDougall, Michelle Marlborough, Rakesh Jetly, Alexandra Heber, Joy Albuquerque, Ruth Lanius, Ken Balderson, Gabrielle Dupuis, Viraj Mehta, and J Don Richardson.
• MacDonald Franklin Operational Stress Injury Research Centre, Lawson Health Research Institute, St. Joseph's Health Care London, London, ON, Canada.
• JMIR Res Protoc. 2021 Sep 27; 10 (9): e32663.

BackgroundHealth care workers (HCWs) have experienced several stressors associated with the COVID-19 pandemic. Structural stressors, including extended work hours, redeployment, and changes in organizational mandates, often intersect with interpersonal and personal stressors, such as caring for those with COVID-19 infections; worrying about infection of self, family, and loved ones; working despite shortages of personal protective equipment; and encountering various difficult moral-ethical dilemmas.ObjectiveThe paper describes the protocol for a longitudinal study seeking to capture the unique experiences, challenges, and changes faced by HCWs during the COVID-19 pandemic. The study seeks to explore the impact of COVID-19 on the mental well-being of HCWs with a particular focus on moral distress, perceptions of and satisfaction with delivery of care, and how changes in work structure are tolerated among HCWs providing clinical services.MethodsA prospective longitudinal design is employed to assess HCWs' experiences across domains of mental health (depression, anxiety, posttraumatic stress, and well-being), moral distress and moral reasoning, work-related changes and telehealth, organizational responses to COVID-19 concerns, and experiences with COVID-19 infections to self and to others. We recruited HCWs from across Canada through convenience snowball sampling to participate in either a short-form or long-form web-based survey at baseline. Respondents to the baseline survey are invited to complete a follow-up survey every 3 months, for a total of 18 months.ResultsA total of 1926 participants completed baseline surveys between June 26 and December 31, 2020, and 1859 participants provided their emails to contact them to participate in follow-up surveys. As of July 2021, data collection is ongoing, with participants nearing the 6- or 9-month follow-up periods depending on their initial time of self-enrollment.ConclusionsThis protocol describes a study that will provide unique insights into the immediate and longitudinal impact of the COVID-19 pandemic on the dimensions of mental health, moral distress, health care delivery, and workplace environment of HCWs. The feasibility and acceptability of implementing a short-form and long-form survey on participant engagement and data retention will also be discussed.International Registered Report Identifier (Irrid)DERR1-10.2196/32663.©Jenny J W Liu, Anthony Nazarov, Rachel A Plouffe, Callista A Forchuk, Erisa Deda, Dominic Gargala, Tri Le, Jesse Bourret-Gheysen, Vanessa Soares, Maede S Nouri, Fardous Hosseiny, Patrick Smith, Maya Roth, Arlene G MacDougall, Michelle Marlborough, Rakesh Jetly, Alexandra Heber, Joy Albuquerque, Ruth Lanius, Ken Balderson, Gabrielle Dupuis, Viraj Mehta, J Don Richardson. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 27.09.2021.

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