Network of job demands-resources and depressive symptoms in critical care nurses: a nationwide cross-sectional study

Critical Care, Journal Year: 2025, Volume and Issue: 29(1)

Published: Jan. 21, 2025

Critical care nurses are vulnerable to depression, which not only lead poor well-being and increased turnover intention, but also affect their working performances organizational productivity as well. Work related factors important drivers of depressive symptoms. However, the non-liner multi-directional relationships between job demands-resources symptoms in critical has been adequately analyzed. Understanding these would be helpful for reducing increasing nurses' retain healthcare forces. This was a cross-sectional study using baseline data from Nurses' mental health (NMHS), prospective cohort on 67 tertiary hospitals 31 province-level administrative regions China. Only clinical ICU were included (n = 13,745). Data collected online questionnaires, analyzed network analysis structural equation model. Job demands (average hours per week, average number night shifts month, paperwork burden work-life balance), resources (supervisor support, co-worker leader justice, climate satisfaction, work meaning, career prospect), personal resource (resilience) main variables networks, while demographic social (social-emotional support loneliness) covariates. The prevalence severe, moderately moderate, mild, none or minimum this 1.21, 3.42, 9.76, 42.88, 42.07% respectively. In final network, 132 210 possible edges (62.8%) zero. "Fatigue" had highest expected influence, followed by "Motor", "Appetite". Meanwhile, terms resources, node with influence "Supervisor support", "Work meaning" "Co-worker support". Three bridge identified: "Resilience-adaptation", "Average week", model basically supported results an acceptable model-fit (GFI 0.918, AGFI 0.896, PCFI 0.789, PNFI 0.788, NFI 0.909, IFI 0.911, CFI SRMR 0.040, RMSEA 0.064). There rather strong interconnectedness demands-resources. Fatigue, motor, appetite core nurses. Close attention those could help recognize depression Supervisor played vital roles negative impact long week more contagious. Resilience, mediate associations depression. practice, it's recommended nursing managers (1) encourage find "meaning work", (2) implement resilience enhancing programs nurse, (3) build maintain meaningful them daily work, (4) create harmonious dedicated environment where co-workers willing each other. Improvements modifiable aspects reduce risk prevent exacerbations

Language: Английский

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Promoting Well-being: A Scoping Review of Strategies Implemented During the COVID-19 Pandemic to Enhance the Well-being of the Nursing Workforce

International Journal of Nursing Studies Advances, Journal Year: 2024, Volume and Issue: 6, P. 100177 - 100177

Published: Jan. 11, 2024

The nursing workforce faces significant stressors every day that can lead to exhaustion and burnout. unprecedented challenges were faced during the Covid-19 pandemic, placed an added burden on nurses who already under pressure. Nurses at frontline of care provision, leaders had rapidly implement strategies support maintain staff safety, short long-term well-being.

Language: Английский

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Understanding ICU Nursing Knowledge, Perceived Barriers, and Facilitators of Sepsis Recognition and Management: A Cross-Sectional Study

Critical Care Explorations, Journal Year: 2025, Volume and Issue: 7(1), P. e1200 - e1200

Published: Jan. 1, 2025

IMPORTANCE: Nursing workforce changes, knowledge translation gaps, and environmental/organizational barriers may impact sepsis recognition management within the ICU. OBJECTIVES: To: 1) evaluate current ICU nursing of management, 2) explore individual environmental or organizational factors impacting using Theoretical Domains Framework (TDF), 3) describe perceived facilitators to patients with sepsis. DESIGN, SETTING, AND PARTICIPANTS: This cross-sectional survey was administered nurses working in four general system ICUs between October 24, 2023, January 30, 2024. MAIN OUTCOMES MEASURES: Quantitative questions (single/multiple choice, true/false, Likert-based eliciting agreement a statement) were analyzed descriptive statistics. Open-ended exploring qualitative content analysis. RESULTS: A total 101 completed responses retained. Most agreed early detection saves lives ( n = 98, 97%, TDF domain Beliefs About Consequences) that care can improve patient outcomes 97, 96%, Optimism). Fewer it easy identify priority interventions based on order urgency 53, 53%, Memory, Attention, Decision Processes). Reoccurring commonly identified across domains Knowledge, Skills, Environmental Context Resources, Social Influences, including competency deficit (with support from colleagues), workload staffing, equipment resource availability. CONCLUSION RELEVANCE: is impacted by numerous individual, environmental, factors. Recommendations include enhanced development support, utilization structured reinforcement measures (involving interdisciplinary team imploring use integrative technologies), addressing equipment/resource-related gaps. Future research improvement initiatives should theory-informed approach overcome pervasive, complex challenges impeding timely management.

Language: Английский

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Process-Focused Approach to Reduce Central Line Bloodstream Infections in the Pediatric Population

Journal for Healthcare Quality, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 14, 2025

Objective: In 2022, our pediatric and women's medical center observed a 166.67% increase in central line bloodstream infections (CLABSIs) the population. A quality-focused group was initiated to implement changes reduce CLABSIs. Methods: Hand hygiene compliance, creating resource tools, implementing CLABSI prevention competencies, bundle audits were used as interventions. Results: Our institution's rate decreased 71% from 1.59 CLABSIs per 1,000 days 2022 0.46 2023. Conclusions: multifaceted approach with unit focus allowed institution decrease number of neonatal units.

Language: Английский

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Patient safety as a measure of resilience in US hospitals: central line-associated bloodstream infections, July 2020 through June 2021

Infection Control and Hospital Epidemiology, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 7

Published: Feb. 14, 2025

Abstract Objective: Resilience of the healthcare system has been described as ability to absorb, adapt, and respond stress while maintaining provision safe patient care. We quantified impact that stressors associated with COVID-19 pandemic had on safety, measured by central line-associated bloodstream infections (CLABSIs) reported Centers for Disease Control Prevention’s National Healthcare Safety Network. Design: Acute care hospitals were mandated report markers resource availability (staffing hospital occupancy inpatients) federal government between July 2020 June 2021. These data used community levels develop a statistical model assess factors influencing rates CLABSIs among inpatients during pandemic. Results: After risk adjustment characteristics, increased CLABSIs. Staff shortages more than 10% days per month statistically significant increase 2 10,000 line versus reporting staff less month. higher inpatient rate; when was 20% or more, there 5 referent (less 5%). Conclusions: Reporting pertaining operations afforded an opportunity evaluate resilience US hospitals. demonstrate how staffing high numbers patients negatively impacted demonstrating poor resilience. Understanding in may allow development policies support drive

Language: Английский

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The Effects of the Physical and Professional Workplace Environments on the Well-Being of Nursing Staff

AJN American Journal of Nursing, Journal Year: 2025, Volume and Issue: 125(3), P. 30 - 39

Published: Feb. 20, 2025

ABSTRACT Background: Nursing services are often compromised by excessive stress, burnout, and low job satisfaction. These experiences can cause nurses to leave jobs or the profession entirely, exacerbating staffing deficiencies that have deleterious consequences for patient care. Purpose: The aim of this study was determine which aspects physical social hospital environments might be related nurses' well-being. Identifying factors intervening in areas could reduce staff stress burnout improve satisfaction help combat nursing turnover outcomes. Methods: A total 2,115 at one tertiary health care campus were anonymously surveyed using Qualtrics. Of these, 393 returned their surveys provided informed consent. Outcome measures included overall psychological satisfaction, stress. Data analyzed SPSS Statistics software. Results: Nurses' appreciation workplace environment strongly associated with a positive perception outcome measures, notably There strong correlation between all control over practice, independent environment. Conclusion: This supports idea improvements working well-being Notably, interventions designed make it easier perform duties may impact on In environments, these include improving orientation, reducing noise, facilitating increased practice staff.

Language: Английский

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Critical care nurses role and scope of practice during a global crisis: a qualitative study

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

Published: March 4, 2025

Critical care nurses (CCNs) role and scope of practice include advanced nursing for acute critically ill patients significant others. Before the pandemic, it was well-known that there a shortage globally need to invest in greater self-sufficiency nurses. The borders closed at start pandemic Norway intensive units were challenged with increased numbers seriously CCNs. This study aimed explore how CCNs experienced their during COVID-19 crisis Norway. had descriptive explorative design. Individual semi-structured interviews conducted fourteen working five from four hospitals analysed using Braun Clarkes six-phase approach thematic analysis. described clinical promoting safe critical nursing, competence moral responsibility Promoting with. Competence useful caring collaboration less allocated healthcare professionals. CCN is contribute national promote patient family-centred environment. nurses` experience when findings revealed acknowledge unique broad ICU an unknown virus led lockdown country such as Moreover, CCNs` wide variety responsibilities needs be addressed, strong sense duty attention support. A sustainable qualified workforce should established supported prepare future global crises.

Language: Английский

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Toolkit to promote Paediatric Critical Care staff well-being: a report

Intensive Care Medicine – Paediatric and Neonatal, Journal Year: 2025, Volume and Issue: 3(1)

Published: March 5, 2025

Language: Английский

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Strategies for adapting under pressure: an interview study in intensive care units

BMJ Quality & Safety, Journal Year: 2024, Volume and Issue: unknown, P. bmjqs - 017385

Published: Aug. 23, 2024

Background Healthcare systems are operating under substantial pressures. Clinicians and managers constantly having to make adaptations, which typically improvised, highly variable not coordinated across teams. This study aimed identify describe the types of everyday pressures in intensive care adaptive strategies staff use respond, with longer-term aim developing practical for managing pressure. Methods We conducted qualitative semi-structured interviews 20 senior multidisciplinary healthcare professionals from units (ICUs) 4 major hospitals UK. The explored faced by they adapt. A thematic template analysis approach was used analyse data based on our previously empirically developed taxonomy strategies. Results principal source pressure described a shortage necessary skills experience increased numbers complexity patients which, turn, workload reduced patient flow. Strategies were categorised into anticipatory (in advance anticipated pressures) day. dynamic unpredictable demands ICUs meant that mostly deployed day, most commonly flexing staff, prioritisation tasks increasing modes communication support. Conclusions ICU wide variety at times minimise risk maintain reasonable standard patients. These findings provide foundation portfolio strategies, can be flexibly employed when There is considerable potential training clinical leaders teams effective

Language: Английский

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Can the Reboot coaching programme support critical care nurses in coping with stressful clinical events? A mixed-methods evaluation assessing resilience, burnout, depression and turnover intentions

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

Published: March 15, 2024

Critical care nurses (CCNs) are routinely exposed to highly stressful situations, and at high-risk of suffering from work-related stress developing burnout. Thus, supporting CCN wellbeing is crucial. One approach for delivering this support by preparing CCNs situations they may encounter, drawing on evidence-based techniques strengthen psychological coping strategies. The current study tailored a Resilience-boosting coaching programme [Reboot] CCNs. Other healthcare staff receiving Reboot have reported improvements in confidence with clinical events increased resilience. online, remote delivery (as it had not previously been delivered nurses, or format), (1) assess the feasibility remotely, (2) provide preliminary assessment whether could increase resilience, adverse

Language: Английский

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