Determinants of intention to leave among nurses and physicians in a hospital setting during the COVID-19 pandemic: A systematic review and meta-analysis

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(3), P. e0300377 - e0300377

Published: March 14, 2024

Background The global outbreak of COVID-19 has brought to light the profound impact that large-scale disease outbreaks can have on healthcare systems and dedicated professionals who serve within them. It becomes increasingly important explore strategies for retaining nurses physicians hospital settings during such challenging times. This paper aims investigate determinants retention among pandemic. Method A systematic review other potential impacting rates pandemic was carried out. Secondly, a meta-analysis prevalence intention leave Findings comprehensive search performed four electronic databases March 17 2023. Fifty-five papers were included in review, whereas thirty-three fulfilled eligibility criteria meta-analysis. resulted six themes leave: personal characteristics, job demands, employment services, working conditions, work relationships, organisational culture. main are fear COVID-19, age, experience, burnout symptoms support. Meta-analysis showed intent current 38% (95% CI: 26%-51%) 29% 21%-39%), profession 28% 21%-34%) 24% 23%-25%). Conclusion findings this critical need managers address concerning increase nurses’ physicians’ intentions is affected by complex conjunction multiple determinants, including confidence availability protective equipment. Moreover, individual factors like symptoms, support maintained review. Understanding influence offers an opportunity formulate prospective settings.

Language: Английский

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Impact of the Work Environment on Nurse Outcomes: A Mediation Analysis

Western Journal of Nursing Research, Journal Year: 2024, Volume and Issue: 46(3), P. 210 - 218

Published: Feb. 11, 2024

Background: The nursing workforce remains in a vulnerable state post pandemic as working conditions are difficult and exacerbated by global shortage. Identifying factors leading to turnover intentions thus critical for health care system recovery. Purpose: purpose of this study was examine the impact nurses’ work environment on missed care, scope practice, emotional exhaustion, intent leave. Methods: This cross-sectional, self-reporting online survey, sent hospital-based nurses Canadian province (n = 419). Mediation analysis used both direct indirect effects COVID-19 nurse outcomes (emotional exhaustion leave) through practice. Results: results showed that 73% were considering leaving profession. Several pathways predicted A better related decreased Nurses’ practice partially mediated relationship between On other hand, did not mediate or Conclusions: While shortage, it is imperative implement strategies promote well-being their retention within system.

Language: Английский

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Critical care nurses’ intention to leave and related factors: Survey results from 5 European countries

Intensive and Critical Care Nursing, Journal Year: 2025, Volume and Issue: 88, P. 103998 - 103998

Published: March 9, 2025

Language: Английский

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Burnout Trends Among US Health Care Workers

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(4), P. e255954 - e255954

Published: April 21, 2025

Importance Burnout among health care workers is a widespread concern in both before and since the COVID-19 pandemic, yet little known about workers’ burnout levels across occupations settings. Objective To examine trends professional stress reported working at US Veterans Health Administration (VHA) identify that experienced notable changes factors associated with changes. Design, Setting, Participants This survey study used retrospective cohort design grouped by key stress. Responses to an annual organization-wide 140 medical centers from 2018 2023 were used. Exposures Respondents self-reported on 2 items (ie, “I feel burned out my work” worry this job hardening me emotionally”) Maslach Inventory during all years (moderate or lower vs high extreme) 2020 2023. Main Outcome Measures Trends occupation, telework status, geographic region examined, as well general pattern over time change rates following start of pandemic. Results In 2018, sample was 71.6% female, estimated mean (SD) age 46.31 (12.11) years, VA tenure 8.54 (7.33) years. Totals worker respondents identified ranged 123 271 169 448 Annual 30.4% for 31.3% 2019, 30.9% 2020, 35.4% 2021, 39.8% 2022, Rates 32.0% 26.9% 29.2% 21.4% Both measures showed decrease official public emergency ending Primary physicians highest compared other service areas, ranging 46.2% 57.6% 2022. Several areas saw relative increase 10% more between 2023, mental health, dental, rehabilitation employees reporting increases time. who teleworked most than those did not telework. Conclusions Relevance VHA workers, decreased average but remain elevated prepandemic levels. The has made several efforts reduce stress, results some promise, exploration ways needed.

Language: Английский

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Association between Organizational Support and Turnover Intention in Nurses: A Systematic Review and Meta-Analysis

Healthcare, Journal Year: 2024, Volume and Issue: 12(3), P. 291 - 291

Published: Jan. 23, 2024

Although recent studies suggest a negative relationship between organizational support and turnover intention among nurses, there has been no systematic review on this issue. The aim of meta-analysis was to synthesize evaluate the association in nurses. protocol registered with PROSPERO (CRD42023447109). A total eight 5754 nurses were included. All cross-sectional conducted after 2010. Quality moderate five good three studies. We found correlation since pooled coefficient −0.32 (95% confidence interval: −0.42 −0.21). ranging from −0.10 −0.51. leave-one-out sensitivity analysis showed that our results stable when each study excluded. Egger’s test funnel plot suggested absence publication bias Subgroup stronger China Australia than those Europe. Organizational However, data regarding impact are limited. Moreover, had several limitations, thus, we cannot generalize results. Therefore, further should be assess independent effect more valid way. In any case, nursing managers draw attention by developing effective clinical practice guidelines for so as reduce intention.

Language: Английский

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Factors associated with burnout among frontline nurses in the post-COVID-19 epidemic era: a multicenter cross-sectional study

BMC Public Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: March 4, 2024

Abstract Background The COVID-19 pandemic has significantly increased the risk of burnout among frontline nurses. However, prevalence and its associated factors in post-pandemic era remain unclear. This research aims to investigate nurses period pinpoint determinants China. Methods From April July 2023, a cross-sectional study was carried out across multiple centers, focusing on who had been actively involved pandemic. data collection done via an online platform. Maslach Burnout Inventory-Human Services Survey utilized evaluate symptoms burnout. A multivariable logistic regression analysis used with Results Of 2210 participated, 75.38% scored over cut-off for Multivariable revealed that like being female [odds ratio (OR) = 0.41, 95%CI 0.29–0.58] exercising 1–2 times weekly[OR 0.53, 0.42–0.67] were protective against Conversely, having 10 or more night shifts per month[OR 1.99, 1.39–2.84], holding master’s degree higher[OR 2.86, 95% CI 1.59–5.15], poor health status[OR 2.43, 1.93–3.08] [OR 2.82, 1.80–4.43], under virus infection[OR 7.12, 2.10-24.17], elevated work-related stress[OR 1.53, 1.17-2.00] all Conclusion Our findings indicate is influenced by several factors, including gender, monthly shift frequency, academic qualifications, weekly exercise condition, viral infection history. These insights can inform interventions aimed at safeguarding mental well-being period.

Language: Английский

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Relationship between workplace violence, job satisfaction, and burnout among healthcare workers in mobile cabin hospitals in China: Effects of perceived stress and work environment

Preventive Medicine Reports, Journal Year: 2024, Volume and Issue: 40, P. 102667 - 102667

Published: Feb. 28, 2024

Although workplace violence is prevalent in the healthcare system, relationship between violence, job satisfaction, and burnout among workers (HCWs) mobile cabin hospitals China during COVID-19 pandemic has not yet been investigated. This study analyzes mediating effects of perceived stress work environment burnout. A cross-sectional was conducted December 2022 on 1,199 frontline HCWs working Chongqing, China, pandemic. Multiple linear regression mediation analysis were performed. positive correlation observed (r = 0.420, P < 0.01) 0.524, 0.01), a negative with satisfaction -0.254, 0.01). The positively correlated 0.528, negatively -0.397, Job -0.300, Perceived plays significant role satisfaction. moderating effect To reduce HCWs, hospital administrators should focus reducing incidence from improving

Language: Английский

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Enhancing work environments and reducing turnover intention: a multicenter longitudinal cohort study on differentiated nursing practices in Dutch hospitals

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

Published: Jan. 10, 2025

Abstract Background Addressing the growing challenge of nurse retention requires coordinated actions at national and global levels to improve recruitment, policies, investments in nursing work environment. The environment, defined as "organizational characteristics a setting that facilitate or constrain professional practice", is critical influencing whether nurses decide leave their jobs. This study investigates impact differentiated practices – which involved tailoring roles responsibilities based on nurses’ training, skills, experience Dutch hospitals investigated environment turnover intention (i.e., intentions organization). We also explored mediates this relationship. Methods A multicenter longitudinal cohort was conducted across 19 between 2019 2023. Nursing professionals participated via digital surveys administered before (T0) after (T1) were introduced. assessed using Practice Environment Scale Work Index. multilevel analysis with random intercept fixed slope used evaluate nurses' intentions. Results received 5411 responses our questionnaire 4259 T0 1152 T1. showed that, while overall improved, particularly dimensions staffing resource adequacy , collegial nurse–physician relationships participation hospital affairs there no significant improvements foundation for quality care managers' ability, leadership, support . Additionally, did not significantly intention, nor mediate Conclusions first explore unique effects practice differentiation mediated by findings suggest can enhance certain aspects more systemic integrated approach required sustained improvements. Future research should include longer term studies fully understand complex relationship accompanying mechanisms practices, intention. Trial registration Clinical trial number applicable.

Language: Английский

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The Burnout of Nurses in Intensive Care Units and the Impact of the SARS-CoV-2 Pandemic: A Scoping Review

Nursing Reports, Journal Year: 2023, Volume and Issue: 13(1), P. 230 - 242

Published: Feb. 8, 2023

Background: The world’s population changed with the emergence of SARS-CoV-2 pandemic. Burnout arises due to overwork, prolonged work periods, a lack human and material resources, etc. Several studies have reported incidence burnout syndrome in nurses that intensive care units (ICUs). aim was map scientific evidence related nurses’ ICU, namely repercussions terms among nurses. Methods: A scoping review followed Joanna Briggs Institute methodology guidelines search for synthesise published between 2019 2022. databases searched were MEDLINE, CINAHL, LILACS, SCOPUS, PsycINFO OPEN GREY. total fourteen articles eligible be included. Results: content analysis selected carried out, three categories emerged corresponded dimensions according Maslach Leiter: emotional exhaustion, depersonalisation dimension personal accomplishment. It evident who worked ICU during pandemic showed high levels burnout. Conclusions: is recommended hospital administrations hire health professionals, nurses, as strategic operational management strategy reduce risk increased outbreaks.

Language: Английский

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Psychological capital, grit and organizational justice as positive strengths and resources among registered nurses: A path analysis

Nursing Open, Journal Year: 2023, Volume and Issue: 10(8), P. 5314 - 5327

Published: May 2, 2023

Abstract Aim To examine registered nurses' individual strengths (psychological capital and grit) an organizational resource (organizational justice) as well associated work‐related outcomes. In a time of global nursing shortage, there is urgent need to identify resources that can have positive impact on the health, well‐being retention nurses. Design A cross‐sectional survey. Methods nationwide convenience sample 514 nurses responded Data were collected using self‐reported questionnaire between March May 2018. analysed descriptive statistics multivariate path analysis. Results Participants rated their psychological grit moderately high. Grit justice found significant direct effects capital. Furthermore, had engagement perception well‐conducted everyday negative burnout, stress conscience intent leave profession. Conclusion The results suggest nurse leaders managers could consider improving with two complementary approaches. It might be useful reinforce positive, strengths, such capital, at same create more favourable work environments, for example by strengthening justice. Implications Profession Psychological are emerging concepts in workforce research. Identifying important inventing interventions enhance reduce turnover intentions. Impact Nurse play crucial roles managing developing resources. This has gained even importance now COVID‐19 pandemic long‐term well‐being. Reporting Method study reported following STROBE guidelines. Patient or Public Contribution No patient public contribution.

Language: Английский

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