Assessing COVID-19 related anxiety among nurses in Malawi

Abstract Introduction: Psychological wellbeing of nurses is crucial for them to effectively discharge their duties. However, COVID-19 related anxiety can interfere with nurses’ performance in their duties and reduce their self-efficacy levels. Aim: This study aimed at assessing COVID-19 related anxiety among nurses in Malawi. Method: This was a cross-sectional study that collected data from 102 nurses online. Data were analysed using descriptive statistics and receiver operating curve analysis. Results: This study found that 25.5% (n=26) of respondents had COVID-19 related anxiety and 48% (n=49) functional impairment. There were significant differences in the numbers of respondents who had functional impairment in relation to workplace (χ 2 =8.7, p= 0.03) with many of those working in hospitals (58.6%, n=34) having highest levels (Mean =20.6±10.4). The Coronavirus Anxiety Scale proved to be an effective instrument (Sensitivity=73.1%; Specificity=60.5%; AUC=0.73) for assessing COVID-19 related anxiety among nurses. Discussion: Prevalence of COVID-19 related anxiety is high among nurses and many of them experience functional impairment. The CAS should be used in clinical practice for detecting COVID-19 related anxiety among nurses. Implications for practice Nurses should be screened of COVID-19 related anxiety using valid instrument. Psychosocial interventions should be part of preparedness to reduce COVID-19 impact on nurses.