Research involving the recently deceased: ethics questions that must be answered DOI
Brendan Parent, Olivia S. Kates, Wadih Arap

et al.

Journal of Medical Ethics, Journal Year: 2023, Volume and Issue: 50(9), P. 622 - 625

Published: Dec. 8, 2023

Research involving recently deceased humans that are physiologically maintained following declaration of death by neurologic criteria-or 'research the deceased'-can fill a translational research gap while reducing harm to animals and living human subjects. It also creates new challenges for honouring donor's legacy, respecting rights donor loved ones, resource allocation public health. As this model gains traction, empirical ethics questions must be answered preserve trust in all forms tissue donation practice medicine legacy ones. This article suggests several topics immediate investigation understand attitudes experiences researchers, clinical collaborators, ones ensure advances ethically.

Language: Английский

The impact of COVID-19 on nurses’ job satisfaction: a systematic review and meta-analysis DOI Creative Commons
Yasin M. Yasin, Albara Alomari,

Areej Al‐Hamad

et al.

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 11

Published: Jan. 11, 2024

Background The global healthcare landscape was profoundly impacted by the COVID-19 pandemic placing nurses squarely at heart of this emergency. This review aimed to identify factors correlated with nurses’ job satisfaction, impact their satisfaction on both themselves and patients, explore strategies that might have counteracted dissatisfaction during pandemic. Methods Joanna Briggs Institute (JBI) methodology for systematic reviews prevalence incidence used in review. electronic databases CINAHL, MEDLINE, SCOPUS, PsycINFO Academic Search Complete were searched between January 2020 February 2023. Results literature identified 23 studies from 20 countries A pooled 69.6% satisfied personal, environmental, psychological influencing satisfaction. Job improved wellbeing quality life, while linked turnover mental health issues. Conclusion elucidates key impacting pandemic, its effects provision, potential countermeasures dissatisfaction. Core influences include working conditions, staff relationships, career opportunities. High correlates patient care, reduced burnout, greater retention. Systematic registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023405947 , title has been registered PROSPERO number is CRD42023405947.

Language: Английский

Citations

10

Resilience and Mental-Health Symptoms in ICU Healthcare Professionals Facing Repeated COVID-19 Waves DOI Creative Commons
Élie Azoulay,

Frédéric Pochard,

Laurent Argaud

et al.

American Journal of Respiratory and Critical Care Medicine, Journal Year: 2024, Volume and Issue: 209(5), P. 573 - 583

Published: Jan. 1, 2024

Rationale: Psychological resilience presents a potential protective mechanism against COVID-19-associated mental health symptoms in healthcare providers (HCPs). Objectives: to identify the determinants of HCP’s intensive care unit HCPs facing fifth pandemic wave. Methods: Cross-sectional study 21 ICUs. completed CD-RISC10, HADS, and IES-R assess resilience, anxiety, depression post-traumatic stress disorder (PTSD), respectively. Factors independently associated with were identified. Measurements Main Results:: The response rate was 73.1% (950/1300). median CD-RISC10 score 29 (25-32). Prevalence PTSD 61%, 39%, 36%, Infodemia correlated PTSD. Higher lower prevalence Men, who faced first waves, managed >50 COVID-19 patients, increased their working time motivation, report that end-of-life decisions more consensual compared previous waves had higher resilience. Conversely, having >10 deaths during ongoing wave, described themselves as frightened or isolated, reported infodemia experienced Conclusions: This identifies modifiable framing components training-skills based intervention be properly evaluated. As support remains major unmet need, this is holding accountable hospital administrators, directors, policymakers, ICU leadership, for commitment sharing responsibility preventing mitigating HCPs. article open access distributed under terms Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Language: Английский

Citations

7

Descriptive Analysis of Trauma Admission Trends before and during the COVID-19 Pandemic DOI Open Access
Mariusz Jojczuk, Katarzyna Naylor,

Adrianna Serwin

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(1), P. 259 - 259

Published: Jan. 2, 2024

Traumatic injuries are a significant global health concern, with profound medical and socioeconomic impacts. This study explores the patterns of trauma-related hospitalizations in Lublin Province Poland, particular focus on periods before during COVID-19 pandemic. The primary aim this research was to assess trends trauma admissions, average length hospital stays, mortality rates associated different types injuries, comparing urban rural settings over two distinct time periods: 2018-2019 2020-2021. descriptive analyzed admission data from 35 hospitals Province, as recorded National General Hospital Morbidity Study (NGHMS). Patients were classified based International Classification Diseases Revision 10 (ICD-10) codes. compared for an 11-week span initial lockdown 2020 equivalent period 2019. found decrease overall admissions pandemic years (11,394 2020-2021 17,773 2018-2019). Notably, hospitalization increased pandemic, especially areas (from 3.5 days 5.5 head injuries). Male patients predominantly suffered trauma, notable rise female abdominal maximal higher neck highlights disparities care between pre-pandemic periods. It underscores need healthcare systems adapt changing circumstances, particularly settings, calls targeted strategies address specific challenges faced public crises.

Language: Английский

Citations

5

Clinical competency and psychological empowerment among ICU nurses caring for COVID‐19 patients: A cross‐sectional survey study DOI Open Access
Mohammad Arshadi Bostanabad, Hossein Namdar Areshtanab, Reza Shabanloei

et al.

Journal of Nursing Management, Journal Year: 2022, Volume and Issue: 30(7), P. 2488 - 2494

Published: June 6, 2022

Aim This study aimed to determine clinical competency and psychological empowerment among ICU nurses caring for COVID-19 patients. Background Nurses need (skills pertaining knowledge, reasoning, emotions communication) (regard one's organisational role efforts) deliver quality care. Methods cross-sectional was conducted with 207 working in ICUs Iran. A survey instrument consisting of basic demographic questions the Spreitzer questionnaire completed online. Descriptive inferential statistics were used analyse data SPSS software version 13 address primary research question. Results There a significant positive relationship between (r = .55, p < .001). Clinical had work experiences .17, .01). Conclusion has been tied nurse health Given empowerment, attention must be given ways psychologically empower nurses. Implications Nursing Management managers can consider promotion related its competency. Psychological bolstered through servant leadership, justice empowering leadership practices.

Language: Английский

Citations

19

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

Shalyn Rourke,

Andrew Dimech, Rachel Bacon

et al.

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

Published: Oct. 12, 2023

Language: Английский

Citations

12

Nurses’ Lived Experience, Part 2: Lessons From Nurses for Guiding Future Emergent Situations DOI
Josephine Warren, Laura M. Yee, Margo A. Halm

et al.

American Journal of Critical Care, Journal Year: 2025, Volume and Issue: 34(2), P. 150 - 153

Published: March 1, 2025

The 2020–2030 Future of Nursing report1 focuses on the role nurses in achieving equity health and care to improve individual population health. One key areas identified report centered strengthening nurses' emergency preparedness response. If trends continue, we can expect need for serve our communities grow as climate disasters, gun violence, terror threats, infectious disease outbreaks, other public events increase frequency scale, threatening equity. current model does not account these trends, most are sufficiently prepared disaster response.1 COVID-19 aftermath taught world this lesson. Still, continue be an essential component preparing for, responding to, healing those affected by catastrophes.The supports recommends that organizations capitalize inherent leadership strengths nurses. a profession demands strong characteristics—courage, humility, caring, compassion, intelligence, empathy, awareness, accountability. These qualities compose daily work any nurse considered vital nursing competencies organizations.1 Thus, possessing ability lead is implicit expectation nurses, but must do more support development abilities leaders at all levels.To meet growing needs effectively respond threats health, supported with readiness, strength, conviction, innovation. intent part 2 evidence synthesis harvest learnings from voices frontline 1's collection 16 lived experience studies about recent pandemic thus "action-sensitive understanding" examine how applied future.2 following question informs synthesis: In 1, CINAHL PubMed databases were searched original research published since March 2020 using words COVID-19, pandemic, experience. practical solutions offered extracted synthesized Results Implications sections publications.As described retrieved.3–18 concepts harvested arranged Figure 1 according components American Association Critical-Care Nurses' (AACN) healthy environment (HWE) framework: authentic leadership, skilled communication, true collaboration, appropriate staffing, effective decision-making, meaningful recognition.19Nurses provided many suggestions HWE could have lessened impact their personal professional lives. By first listening honoring stories experience, reinforce commitment developing and, importantly, sustaining HWEs. section below offers definition each component, followed specific recommendations studies.3–18 Some pertain roles; others focus formal positions.Fully embrace imperative environment, authentically live it, engage its achievement19Be proficient communication skills you clinical skills19Be relentless pursuing fostering collaboration19Be committed partners making policy, directing evaluating care, leading organizational operations19Staffing ensure match between patient competencies19Be recognized recognize value brings organization19These echo findings large national AACN survey 9335 registered conducted 2021.20 Administered 20 months into revealed alarmingly (but perhaps surprisingly) environments had declined 6 was last administered 2018. Beacon units or journey implementing standards fared better. demonstrate when informal concept tap others, type flourish.20The framework provides roadmap interventions transform culture so well provide high-quality, equitable care.1 Formal accelerate needed changes unit organization through collaboration team, cocreating practice innovation.21,22 Leaders also elevate performance teams substantial resource investment guiding, supporting, staff fullest potential. All roles critical next step advancing future disasters emergencies.1

Language: Английский

Citations

0

Supporting the well-being of nurses working with trauma DOI
Lucian Hadrian Milasan

Nursing Standard, Journal Year: 2025, Volume and Issue: unknown

Published: March 3, 2025

The nursing profession has long been associated with exposure to traumatic experiences, including mental health crises, violence, emergencies and death. coronavirus disease 2019 (COVID-19) pandemic amplified the importance of recognising effects that working trauma can have on nurses' physical psychological well-being, highlighting urgency addressing this issue. This article explores concept its various manifestations, such as post-traumatic stress disorder (PTSD) secondary stress, which are increasingly prevalent among nurses. It also considers adaptive maladaptive coping mechanisms may be adopted by nurses, discusses effectiveness limitations debriefing interventions. author emphasises need for holistic support mechanisms, ongoing monitoring tailored interventions safeguard well-being. Recommendations practice include enhancing nurse education management, improving practices fostering organisational responsibility supporting These measures essential ensure sustainability workforce quality care provided patients.

Language: Английский

Citations

0

Survey and Analysis of Mental Health among Otolaryngology Nurses Following the Conclusion of COVID-19 Prevention and Control Measures DOI Creative Commons
Xiuli Yang, Rong Yu,

Huiling Zhao

et al.

British Journal of Hospital Medicine, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 19

Published: March 18, 2025

Aims/Background The coronavirus disease 2019 (COVID-19) pandemic placed unique pressures on healthcare workers, especially nurses. This study examines the factors influencing mental health, stress perception, and burnout among otolaryngology nurses after cessation of COVID-19 prevention control. Methods A cross-sectional was conducted 220 in Sichuan province from 20 January to 28 January, 2023. Data were collected using a general information questionnaire, Nurse Workplace Mental Health Questionnaire, Chinese Perceived Stress Scale (CPSS-14), Maslach Burnout Inventory-General Survey (MBI-GS). Statistical analyses included Kruskal-Wallis test, Spearman correlation analysis, multiple linear regression identify significant relationships within dataset. Results Of questionnaires distributed, 218 valid, yielding recovery rate 99.09%. cohort 3 males (mean age: 34.67 ± 12.39) 215 females 35.63 9.27). average health score 128.10 21.29, indicating moderate level psychological well-being. CPSS-14 37.42 7.27, reflecting stress, while MBI-GS scores highlighted varying levels burnout, emotional exhaustion (median = 10.00). test identified affecting including family support, testing status, staffing adequacy, frequency caring for critically ill patients, teamwork satisfaction, job resignation plans (p < 0.05). analysis revealed negative associations between (r –0.525) total –0.646; p 0.01). Multiple (β –0.922), low personal accomplishment –0.623), inadequate –2.769) as predictors satisfaction 5.516) 5.032) positively associated with improved Conclusion Otolaryngology experience notable challenges post-pandemic era, driven by burnout. Addressing shortages, fostering teamwork, enhancing are critical strategies improve their

Language: Английский

Citations

0

Understanding the Lived Experience of Nurses DOI

Jennifer Fehlman,

Josephine Warren, Lum Kah Yee

et al.

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

Citations

0

Mental well-being of intensive care unit nurses after the second surge of the COVID-19 pandemic: A cross-sectional and longitudinal study DOI Creative Commons
Hidde Heesakkers, Marieke Zegers, Margo van Mol

et al.

Intensive and Critical Care Nursing, Journal Year: 2022, Volume and Issue: 74, P. 103313 - 103313

Published: Aug. 22, 2022

To determine the impact of second surge COVID-19 pandemic (October 2020 to June 2021) on mental well-being intensive care unit nurses and factors associated with health outcomes. An online survey was available for Dutch in October 2021, measuring symptoms; anxiety, depression (Hospital Anxiety Depression Scale), post-traumatic stress disorder (Impact Event Scale-6). Additionally, work-related fatigue measured using Need For Recovery-11 questionnaire. Previous data from first (March until 2020) were used study longitudinally a subgroup nurses. Logistic regression analyses performed symptoms. In total, 589 (mean age 44.8 [SD, 11.9], 430 [73.8 %] females) participated, whom 164 also completed questionnaire 2020. After surge, 225/589 (38.2 %) experienced one or more symptoms 294/589 (49.9 fatigue. Compared measurement, occurrence remained high (55/164 [33.5 vs 63/164 [38.4 %], p = 0.36) significantly higher (66/164 [40.2 83/164 [50.6 0.02). Granted holidays as requested (aOR, 0.54; 95 % CI, 0.37–0.79), being confident about future 0.59; 0.37–0.93) better perceived work-life balance 0.42; 0.27–0.65) less The further drained reserves nurses, resulting

Language: Английский

Citations

18