Impact of the COVID-19 pandemic on Australian community health service staff’s occupational and personal lives: a longitudinal study
Sara Holton
A B * , Karen Wynter A B , Anna Peeters C , Alexandra Georgalas D , Ann Yeomanson D and Bodil Rasmussen A B E F
A School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Vic. 3220, Australia.
B The Centre for Quality and Patient Safety Research in the Institute of Health Transformation, Deakin University - Western Health Partnership, St Albans, Vic. 3021, Australia.
C Institute of Health Transformation, Faculty of Health, Deakin University, Geelong, Vic. 3220, Australia.
D Victorian Healthcare Association, Melbourne, Vic. 3000, Australia.
E Faculty of Health Sciences, University of Southern Denmark and Steno Diabetes Center, Copenhagen, Denmark.
F Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Australian Journal of Primary Health 29(5) 527-536 https://doi.org/10.1071/PY22111
Submitted: 6 June 2022 Accepted: 23 January 2023 Published: 13 February 2023
© 2023 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution 4.0 International License (CC BY)
Abstract
Background: Little is known about the impact of the coronavirus disease 2019 (COVID-19) pandemic on community health service staff. The aim of this study was to assess the immediate and longer-term psychosocial impacts of COVID-19 on community health service staff in Australia.
Methods: A prospective cohort design with an anonymous cross-sectional online survey that was administered at two time points (March–April 2021; n = 681 and September–October 2021; n = 479). Staff (clinical and non-clinical) were recruited from eight community health services in Victoria, Australia. Study-specific questions evaluated the impact of COVID-19 on respondents’ work and personal lives. Space was provided at the end of the surveys for free-text comments.
Results: There were no significant differences in respondent characteristics between the two surveys. At both survey time points, respondents were mostly concerned about their family’s health. Compared to the first survey, survey two respondents were significantly more likely to report concerns about infecting family members (48.8% vs 41.6%, P = 0.029), clients having COVID-19 (43.2% vs 36.2%, P = 0.035), getting COVID-19 at work (53.7% vs 45.6%, P = 0.014), not being prepared to care for clients with COVID-19 (27.5% vs 18.8%, P = 0.006) and feeling more stress at work (63.7% vs 50.8%, P < 0.001). A significantly greater proportion of respondents indicated they were considering transitioning into another sector at the time of the second survey compared to the first (24.8% vs 18.7%, P = 0.026).
Conclusions: The COVID-19 pandemic has had a considerable impact on the work and personal lives of community health service staff. Staff would benefit from continued and targeted initiatives that address their wellbeing and concerns.
Keywords: Australia, community health services, COVID-19, longitudinal study, occupational health, pandemic, psychosocial, survey.
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