Table 1 Distribution of responses of experiences related to most difficult experiences among 1124 physicians and nurses in relation the psychological needs from self-determination theory (STD) they undermined, and HADS scores > 10 (cases of anxiety and depression) among 869 with complete data
Psychological need undermined | Theme coded | All records | Persons with complete data | |||||
|---|---|---|---|---|---|---|---|---|
Anxiety case | Depression case | |||||||
N | % | N | % | N | % | |||
Competence & Autonomy | Change in work and work effort | 61 | 5.4 | 56 | 18 | 32 | 8 | 14 |
Competence & Autonomy | Concerns about PPE access and use | 161 | 14.3 | 160 | 51 | 32 | 19 | 12 |
Relatedness | Social stigma due to work in healthcare | 5 | 0.4 | 5 | 2 | 40 | 1 | 20 |
Competences & Relatedness | Worry about infecting family | 59 | 5.2 | 58 | 26 | 45 | 8 | 14 |
Competence & Relatedness | Aggression of patients or their families | 13 | 1.2 | 13 | 4 | 31 | 3 | 23 |
Competences & Relatedness | Self-expressed anger | 18 | 1.6 | 17 | 7 | 41 | 5 | 29 |
Autonomy | Change in schooling: self or child | 7 | 0.6 | 7 | 4 | 57 | 1 | 14 |
Autonomy | Childcare shortage | 30 | 2.7 | 30 | 14 | 47 | 3 | 10 |
Competence & Autonomy | Testing for COVID-19 concerns | 29 | 2.6 | 29 | 5 | 17 | 2 | 7 |
Relatedness | Death in the family or a friend | 10 | 0.9 | 10 | 2 | 20 | 1 | 10 |
Competence | Death of patient | 89 | 7.9 | 86 | 37 | 43 | 12 | 14 |
Competence | Guilt over perceived substandard patient care | 29 | 2.6 | 29 | 15 | 52 | 4 | 14 |
Autonomy & Relatedness | Lack of transparency in workplace communications and administrative support | 157 | 14.0 | 153 | 57 | 37 | 23 | 15 |
Autonomy | Loss of income: self or family | 87 | 7.7 | 86 | 23 | 27 | 8 | 9 |
Relatedness | Media coverage of the pandemic | 10 | 0.9 | 9 | 2 | 22 | 0 | 0 |
Relatedness | Overstated risk of COVID-19 by others | 5 | 0.4 | 5 | 0 | 0 | 0 | 0 |
Relatedness | Denial of severity of COVID-19 by others | 8 | 0.7 | 8 | 2 | 25 | 2 | 25 |
Competence & Autonomy | Fear of infection and unavoidable proximity to strangers | 171 | 15.2 | 165 | 53 | 32 | 20 | 12 |
Relatedness | Social isolation due to pandemic mitigation measures | 62 | 5.5 | 62 | 21 | 34 | 6 | 10 |
Relatedness | Witnessing distressed colleagues | 37 | 3.3 | 37 | 12 | 32 | 5 | 14 |
Relatedness & Competence | Training staff under changing policies | 47 | 4.2 | 44 | 13 | 30 | 5 | 13 |
Autonomy & Competence | Uncertainty | 128 | 11.4 | 125 | 46 | 37 | 12 | 10 |