Compassion fatigue in healthcare providers: a scoping review

BMC Health Services Research, Journal Year: 2023, Volume and Issue: 23(1)

Published: Dec. 1, 2023

Abstract The detrimental impacts of COVID-19 on healthcare providers’ psychological health and well-being continue to affect their professional roles activities, leading compassion fatigue. purpose this review was identify summarize published literature fatigue among providers its impact patient care. Six databases were searched: MEDLINE (Ovid), PsycINFO Embase CINAHL, Scopus, Web Science, for studies in providers, English from the peak pandemic 2020 2023. To expand search, reference lists included hand searched locate additional relevant studies. primarily focused nurses, physicians, other allied professionals. This scoping registered Open Science Framework (OSF), using Preferred Reporting Items Systematic reviews Meta-Analysis (PRISMA) extension review. From 11,715 search results, 24 met inclusion criteria. Findings are presented four themes: prevalence fatigue; antecedents consequences interventions address potential grouped under individual-, organization-, systems-level factors. Our findings suggest that differ risk developing a country-dependent manner. Interventions such as increasing available personnel helped minimize occurrence offers important insight common causes risks identifies strategies support well-being.

Language: Английский

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Challenges to well‐being in critical care

Nursing in Critical Care, Journal Year: 2024, Volume and Issue: 29(4), P. 745 - 755

Published: Jan. 17, 2024

Abstract Background Paediatric critical care (PCC) is a high‐pressure working environment. Staff experience high levels of burnout, symptoms post‐traumatic stress, and moral distress. Aim To understand challenges to workplace well‐being in PCC help inform the development staff interventions improve maintain well‐being. Study Design The Enhanced Critical Incident Technique (ECIT) was used. ECIT encompasses semi‐structured interviews thematic analysis. We identified ‘critical incidents’, well‐being, categorized them meaningful way, factors which helped hindered those moments. Fifty‐three nurses doctors from large UK quaternary unit were consented take part. Results Themes generated are: Context , examined staff's experiences generally during COVID‐19; Patient distress explored significant faced by caring for increasingly complex chronically ill patients; Teamwork leadership demonstrated importance team‐belonging clear leadership; Changing workforce impact staffing shortages ageing on well‐being; Satisfying basic human needs absences requirements food rest. Conclusions Staff's experiential accounts need psychologically informed environments enable sharing vulnerabilities, foster support, resonated with self‐determination theory Maslow's hierarchy needs, outline fulfilment (self‐actualization). Relevance Clinical Practice Well‐being must be psychological evidence. Recommendations are flexible rostering, advanced communication training, psychologically‐informed supervision/mentoring adequate accommodation hot food. Investment required develop successful

Language: Английский

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Quality of life and professional wellbeing of Portuguese nurses during the COVID-19 pandemic: a longitudinal study

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: Feb. 26, 2025

Several studies have indicated that the COVID-19 pandemic has had an impact on nurses' psychological and physical quality of life (QoL), as well their professional well-being. The literature also indicates perceived stress, resilience, social support, psychosocial work environment identification may be determinants these variables. However, no examined how influence QoL or well-being throughout pandemic. Thus, this study aimed to investigate Portuguese For longitudinal study, data were collected through self-administered questionnaires focused QoL, well-being, sociodemographic characteristics. collection spanned three distinct time points, from November 2021 June 2023. Data Analysis was conducted by utilizing random-intercept linear regression models. A total 555 responses analyzed at all measurement points (340 T0, 122 T1, 93 T2), compared those increased T2. Perceived stress support colleagues diminished T2 T0. During pandemic, participants who reported low high supervisors, colleagues, and/or job satisfaction tended report greater QoL. Throughout consistently negatively influenced QoL; moreover, resilience significant positive outcomes. These insights highlight need for targeted interventions reduce enhance foster among nurses, thus ultimately improving effectiveness in health care delivery, particularly during high-stress periods such pandemics. Future research should explore stressors protective factors

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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COVID-19 vaccination knowledge, attitudes, and practices within a majority Hispanic/Latino pediatric healthcare system

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

Published: April 1, 2025

Language: Английский

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Long-term impact of COVID-19 on nursing and care delivery: A national survey among anaesthetic and critical care nurses

Australian Critical Care, Journal Year: 2024, Volume and Issue: 37(5), P. 775 - 782

Published: April 9, 2024

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has put an exceptional strain on intensive care delivery and significantly impacted nursing practice in the unit, consequently affecting nurses' working environment health. Little is known about long-term impact workforce anaesthetic departments.Aim/objectiveThis cross-sectional study aimed to describe of COVID-19 profession from perspectives critical nurses.MethodsIn this study, online questionnaire with open- close-ended questions was distributed registered nurses anaesthesia between February 8 March 7, 2022. The data were analysed using content analysis descriptive statistics.ResultsOf 514 who responded questionnaire, 256 (50%) worked 215 (42%) care. expressed three categories: hold, insights experiences forming a new professional identity, organisational conditions profession. Critical considered comparable that before pandemic. Nurse anaesthetics experienced changes tasks activities compared pandemic.ConclusionsNursing still influenced by due lack resources persistent high workload needs be reclaimed prioritised. Re-establishing high-quality shared responsibility organisation profession, create prerequisites for this. Furthermore, views into their developed both positively negatively during pandemic, which must further considered, including profession's values.

Language: Английский

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Factors Contributing to Nurses’ Intention to Leave the Profession: A Qualitative Study in Catalonia, Spain, following the Latest Waves of COVID-19

Journal of Nursing Management, Journal Year: 2024, Volume and Issue: 2024, P. 1 - 11

Published: May 30, 2024

The COVID-19 pandemic has had a significant impact on healthcare professionals globally, with nurses facing diverse challenges at the forefront. Despite their resilience, are experiencing emotional burdens, which have contributed to growing intention abandon profession. Understanding these factors is crucial for addressing global nursing shortage. A qualitative descriptive approach was utilized this study. Nurses who were actively working during last waves of in Catalonia, Spain, intentionally recruited through social media and personal contacts, data collected online semistructured interviews until saturation reached. Data analyzed using Braun Clarke's thematic analysis method. Fourteen nurses, an average 22.8 years work experience, interviewed. Thematic revealed three main themes: (1) health, (2) influencing decision stay, (3) recommendations improve crisis management. faced impacts but demonstrated dedication resilience. Their persevere influenced by such as responsibility, guilt, economic stability. Urgent measures necessary provide tailored mental health support recognize preparedness.

Language: Английский

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Person-Centred Care: Lessons from a service evaluation

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Jan. 26, 2024

Context: Critical care encompasses intensive care, therapy and high dependency is operationalised when patients require specialised monitoring intervention following complex surgery, or a life-threatening illness injury. Background: During the pandemic, Care Department at UCLH formed family liaison team to bridge connection gap between patients, families, clinical teams. This evolved into Patient & Family Team (PFT), which organised several engagement events understand patient experiences in critical care. Methods: Focus group discussions were conducted online in-person with bereaved families exploring their experience of service. Discussions revolved around pivotal moments journey. Feedback was analysed thematically validated participants. Findings: Patients described journey through four stages: Admission, Period Disorientation, Re-Awakening, Recovery. Bereaved categorised seven stages from 'The Phone Call' 'Bereavement.' The need for effective compassionate communication support evident both groups. Discussion: revealed emotional journeys While many align existing literature, they also highlight areas improvement, emphasising value human healthcare. study demonstrated continuous service evaluation strategies understanding underserved populations.

Language: Английский

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Traumatised Nurses' Desired Support Needs for Continued Recovery After the COVID‐19 Pandemic: A Qualitative Descriptive Study Utilising Photovoice

Journal of Advanced Nursing, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 10, 2024

ABSTRACT Aims The aims of this study were to describe the experiences nurses in aftermath COVID‐19 pandemic and explore nurses' current desired support needs. Design This used a qualitative descriptive design. Methods was conducted Southeastern United States at an academic health system encompassing acute care hospitals outpatient speciality clinics. Thirteen interviewed August September 2023 five small groups two or three nurses. Photovoice for data collection each nurse submitted photographs. Data analysed utilising conventional content analysis, with transcripts photograph analysis occurring concurrently. Results Three themes identified: (1) organisational turmoil, (2) personal traumatisation transitions (3) striving revival renewal. A conceptual model illustrating their relationships developed depict findings. Conclusion Nurses impacted by factors, such as staffing issues lack support, personally through psychological trauma that has remained challenging. found renewal lives, but still desire continued improvement factors enhance well‐being ways not currently being addressed allow full recovery. Findings from are pertinent healthcare organisations leaders develop changes mental solutions well‐being. Implications Profession prioritisation is critical nursing profession organisations. Organisational improvements implementation resources urgently needed aid recovery, retention ensure patients receive quality care. Impact identified struggles 3 years after beginning pandemic, highlighting ongoing need provide interventions Our findings offer descriptions needs consider future. Reporting Method Standards Qualitative Research (SRQR) Checklist. Patient Public Contribution No patient public contribution.

Language: Английский

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A model of occupational stress to assess impact of COVID-19 on critical care and redeployed nurses: a mixed-methods study

Health and Social Care Delivery Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 32

Published: April 25, 2024

Objective To use the job demands−resources model of occupational stress to quantify and explain impact working in critical care during COVID-19 pandemic on nurses their employing organisation. Design Two-phase mixed methods: a cross-sectional survey (January 2021–March 2022), with comparator baseline data from April October 2018 (critical only), semistructured interviews. Participants Critical ( n = 461) redeployed 200) who worked United Kingdom National Health Service (primarily Scotland) between January 2021 March 2022. The was completed by 557 (Scotland only). Survey response rate Scotland 32% but could not be determined outside Scotland. Forty-four were interviewed 28, 16). Methods A measured demands, resources, health impairment, work engagement organisational outcomes. Data compared data. Regression analyses identified predictors Semistructured interviews conducted remotely, audio-recorded transcribed. analysed deductively using framework analysis. Findings Three-quarters reached threshold for psychological distress, approximately 50% burnout emotional exhaustion third clinically concerning post-traumatic symptoms. Compared 2018, at elevated risk probable odds ratio 6.03 (95% CI 4.75 7.95); exhaustion, 4.02 (3.07 5.26); depersonalisation, 3.18 (1.99 5.07); accomplishment, 1.53 (1.18 1.97). There no differences impairment outcomes, suggesting would apply nurses. Job demands increased resources decreased pandemic. Higher predicted greater distress. reduced negative this moderating effect observed higher levels demand. All outcomes worsened. Lack worse In interviews, staff described pace amount, complexity, physical effort as most difficult demands. sustained high-demand environment impacted well-being, interviewees experiencing burnout, symptoms disorder. Camaraderie support colleagues supervisors core resources. combination well-being incurred consequences, increasing numbers considering leaving specialty or nursing altogether. Dissemination events range stakeholders, including study participants, staffing issues lack learning development opportunities problematic. are concerned about future delivery high-quality services. Positive aspects identified, example, bureaucratic systems, local autonomy decision-making, recognition nurse skill set. Conclusions needs recognise group, prioritise welfare nurses, implement workplace change/planning, them recover is struggling retain and, unless improved, quality patient safety will likely decline. Funding This synopsis presents independent research funded Institute Care Research (NIHR) Social Delivery award number NIHR132068.

Language: Английский

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