Critical care nursing workforce in crisis: A discussion paper examining contributing factors, the impact of the COVID‐19 pandemic and potential solutions

Journal of Clinical Nursing, Journal Year: 2023, Volume and Issue: 32(19-20), P. 7125 - 7134

Published: Feb. 23, 2023

The critical care nursing workforce is in crisis, with one-third of nurses worldwide intending to leave their roles. This paper aimed examine the problem from a wellbeing perspective, offering implications for research, and potential solutions organisations.Discursive/Position paper.The discussion based on literature. It guided by authors' collaborative expertise as both clinicians researchers. Data were drawn peer-reviewed literature, such reviews empirical studies, national surveys government thinktank publications/reports.Critical have been disproportionately affected COVID-19 pandemic studies consistently showing worst psychological outcomes measures, including depression, burnout post-traumatic stress disorder (PTSD). These findings are not only concerning mental nurses, they also raise significant issues healthcare systems/organisations: poor wellbeing, increased PTSD directly linked profession. Thus, must urgently be supported. Resilience has identified protective mechanism against development burnout, thus evidence-based interventions that address resilience turnover much offer tackling crisis. However, data collected evaluating interventions, further support evidence base. Organisations cannot solely rely efficacy these crisis but concomitantly engage organisational change.We conclude urgent need preventative, make suggestions research practice.

Language: Английский

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Nurses’ caring experiences in COVID-19 pandemic: A systematic review of qualitative research

Health Sciences Review, Journal Year: 2022, Volume and Issue: 3, P. 100030 - 100030

Published: May 21, 2022

Nurses, as front-line care providers, strive to offer adequate their clients. They have acquired valuable experiences during the COVID-19 pandemic that enhance nursing profession. This study aimed explore nurses' caring in pandemic. is a qualitative meta-aggregative systematic review. Electronic databases (Google Scholar, PubMed, Web of Science, CINHAL) English were searched find out meaningful subjective data on The inclusion criteria studies published related Seventeen with several approaches included. Three key themes identified from studies: Weaknesses and strengths at beginning pandemic, Nursing beyond challenges Family career challenges. Nurses face different for patients benefit health professions. Governments, policymakers, managers support nurses after Without enough support, are likely experience significant psychological issues can lead burnout frustration.

Language: Английский

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Moral Distress, Health and Intention to Leave: Critical Care Nurses’ Perceptions During COVID-19 Pandemic

SAGE Open Nursing, Journal Year: 2023, Volume and Issue: 9

Published: Jan. 1, 2023

Moral distress increases the risk that critical care nurses will lose ability to provide quality nursing care.To describe person-related conditions and perceptions of moral distress, health intention leave among in intensive units, examine relationship between conditions, leave.Cross-sectional, with 220 15 Swedish ICUs, data gathered via a self-reported questionnaire.Highest scores were reported futile poor teamwork 21% entertaining an leave. Self-reported was lower than before COVID-19 pandemic 4.1% pronounced exhaustion disorder. health, reduced capacity tolerate demands under time pressure, emotional instability or irritability, physical weakness, being more easily fatigued decreased well-being factors had care. Sleeping problems teamwork.Different strategies are needed reduce leadership is crucial for managing crises such as pandemic.

Language: Английский

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Critical care nurses’ perception of moral distress in intensive care during the COVID-19 pandemic – A pilot study

Intensive and Critical Care Nursing, Journal Year: 2022, Volume and Issue: 72, P. 103279 - 103279

Published: June 6, 2022

To describe critical care nurses' perception of moral distress during the second year COVID-19 pandemic.

Language: Английский

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Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Frontiers in Public Health, Journal Year: 2022, Volume and Issue: 10

Published: Nov. 15, 2022

Objectives Intensive Care Unit (ICU) nurses are at the forefront of fighting and treating Coronavirus 2019 (COVID-19) pandemic often directly exposed to this virus risk disease, due their direct care for infected patients. This study aims synthesize experiences ICU working with COVID-19 Methods A systematic review meta-synthesis qualitative studies were undertaken. literature search in four databases, including Web Sciences, Scopus, Embase, PubMed (including Medline), was performed. Original section mixed method studies, written English, which focused on only patients, included. Results Seventeen two mixed-method included review. As a result inductive content analysis, six main categories identified, as follows: “distance from holistic nursing,” “psychosocial experiences,” “efforts self-protection wellbeing,” “organizational inefficiency,” “job burnout,” “emerging new workplace.” Conclusions The findings suggest that healthcare authorities policymakers can facilitate provision high-quality patient during through appropriate planning provide adequate support training, prevent shortages nursing staff equipment, attention psychological needs job satisfaction nurses. Systematic registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=256070 , identifier: CRD42021256070.

Language: Английский

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The lived experiences of critical care nurses during the COVID-19 pandemic. A qualitative systematic review

Intensive and Critical Care Nursing, Journal Year: 2023, Volume and Issue: 80, P. 103555 - 103555

Published: Oct. 12, 2023

Language: Английский

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‘Striving to achieve control’. Registered nurses’ experiences of palliative care quality during the COVID-19 pandemic – a qualitative study

BMC Palliative Care, Journal Year: 2025, Volume and Issue: 24(1)

Published: Jan. 23, 2025

Abstract Background Providing quality palliative care during a pandemic was challenging. Both specialist and community healthcare services cared for patients that faced life-threatening illness who were influenced by the restrictions of COVID-19 pandemic. Little knowledge has yet been provided on how registered nurses (RNs) experienced The aim this study to explore RN’s experiences providing Methods This qualitative had descriptive design. Semi-structured individual interviews conducted between November 2021 January 2022 with 18 RNs worked in intensive units hospitals, dementia or nursing homes Norway Data analysed using content analysis. reported according COREQ’s checklist. Results Analysis data resulted an overall theme: ‘Striving achieve control’. theme comprised six categories: (1) when toolbox does not fit; (2) protective equipment—social distance opportunities closeness; (3) unpredictable workday; (4) right person assignment at time; (5) presence absence relatives friends; (6) situations required creativity. various regarding perceived; being worse, preserved, some cases even better than before Conclusions provision as challenging forced them be creative strive control provide best possible given situation. results may contribute important leaders, policy makers learn from planning future pandemics crises. Especially optimise factors perceived quality, related specific situation context, include perspectives those involved take into consideration time perspective

Language: Английский

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Critical care nurses’ health and their description of a healthy and sustainable work environment in intensive care units in Sweden: A cross-sectional study

Nordic journal of nursing research, Journal Year: 2025, Volume and Issue: 45

Published: March 1, 2025

Intensive care units are stressful environments and can bring negative psychological outcomes among critical nurses. The aim of the present study is to describe nurses’ characteristics perceptions health in relation sex, also provide their description a healthy sustainable work environment intensive using person-centred practice framework. A cross-sectional design was employed with 136 participants who responded questionnaire. Descriptive statistics qualitative content analysis were used. Regardless nurses perceived current be significantly lower than before COVID-19 pandemic. They described effective staff relationships supportive organization as being essential for environment. Critical have recovered pre-pandemic some degree. Well-functioning teams organizational system might nurture

Language: Английский

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Persistent Changes of Nurses' Practices and Working Conditions in High Acuity Settings in the Post‐Pandemic Era: A Qualitative Meta‐Aggregation

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: March 18, 2025

ABSTRACT Aims To explore the persistent changes in working conditions and nursing practices high acuity settings post COVID‐19 pandemic era. Design A qualitative systematic review using meta‐aggregation design of Joanna Briggs Institute. Methods After screening by two authors based on inclusion exclusion criteria, 36 studies were included. Quality was appraised Institute Critical Appraisal Checklist for Qualitative Research. Data then extracted synthesised. Confidence findings assessed ConQual approach. Sources The electronic databases: MEDLINE, CINAHL, Embase, Scopus searched November 2023. Additional searches conducted preprint servers: medRxiv, Open Science Foundation, Social Research Network, Journal Medical Internet Results Synthesised ‘unfavourable changed practices’ ‘health concerns caused with eight categories identified. Significant included increased workloads; overwhelming use insufficient supply personal protective equipment; decreased communication between nurses patients, families, other healthcare workers; lack knowledge disease; adequate support from coworkers, but inadequate nurse managers physicians. Conclusion This study synthesised existing offered insight into during pandemic. Clinical need to actively take action those modifiable aspects their a future similar crisis. did not identify any focusing nurses' post‐pandemic kind research is urgently needed. Impact Nurse policy makers can this help construct better high‐acuity staff Frontline clinical may guide mitigate negative effects crisis practice health. Reporting Method reported according Enhancing Transparency Synthesis statement. Patient or Public Contribution No patient public contribution. Trial Registration International Prospective Register Systematic Reviews: CRD42023473414

Language: Английский

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Understanding the Lived Experience of Nurses

Dimensions of Critical Care Nursing, Journal Year: 2025, Volume and Issue: 44(3), P. 159 - 165

Published: April 7, 2025

During COVID-19, organizations accommodated an increase in critically ill and isolated patients. Rapid changes to workload the environment consumed daily operations, causing unrelenting strain on nurses. This study explored lived experience of nurses during a pandemic event. Additional objectives were determine levels individual resilience burnout. cross-sectional survey used convergent mixed-methods design. Descriptive inferential statistics summarize test differences resiliency burnout scores. Constant comparative analysis was analyze qualitative responses. The Brief Resilient Coping Scale indicated medium resilient copers (mean, 15.7 [SD, 2.52]). There no correlation between (r = 0.186). Four themes identified: (1) mental, physical, emotional toll; (2) constant change; (3) perceptions leadership; (4) No found coping ability Nursing associated with ongoing tolls, change, leadership challenges.

Language: Английский

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