“It was simply disturbing“ - evaluation of the stress factors of nursing staff on special COVID-19 wards during the pandemic: a qualitative study

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

Published: Feb. 3, 2025

The COVID-19 pandemic has posed enormous challenges for healthcare systems worldwide. strain on nursing staff working in special wards during the increased dramatically. To support more effectively similar situations future, it is important to identify specific stress factors design effective measures. collect experiences and lessons learned from who have been affected by a ward that were perceived as stressful. findings should contribute development of measures professionals. Qualitative interview study. We interviewed 14 members worked at two University Hospitals about their pandemic. able 10 key factors. These included an workload, communication deficits, difficult personnel situation, subjective pressure, establishment new ward, shortage material resources, inadequate hygiene conditions, lack opportunities cope with absence relatives decision making. identification various highlights urgent need comprehensive could include concepts dealing physical psychosocial stress, provision resources sufficient support. It remains crucial proactively take preventive supportive reduce burden moral distress protect health long term. Despite pandemic, implications our remain relevant future.

Language: Английский

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Changes in work conditions and well-being among healthcare professionals in long-term care settings in the Netherlands during the COVID-19 pandemic: a longitudinal study

Human Resources for Health, Journal Year: 2023, Volume and Issue: 21(1)

Published: July 28, 2023

Abstract Background Healthcare professionals working in long-term care facilities reported heavy job demands and a lack of resources during the 2019 coronavirus disease (COVID-19) pandemic. However, how these changed pandemic, possible changes affected professionals’ work-related well-being, remains unclear. Thus, we explored face surging COVID-19 infection rates, investigated associations with burnout work engagement, among healthcare Netherlands. Methods This longitudinal study was conducted five Data were collected early late 2021, when rates low high (mean, 29.1 275.4 infections/day), respectively. In total, 173 completed validated Job Demands Resources Questionnaire, Copenhagen Burnout Inventory, Utrecht Work Engagement Scale at both timepoints. We performed paired-samples t tests to examine resources, fixed-effects linear regression analyses within-person those engagement. Results perceived increased workloads, associated decreased engagement period. Within-person increases collegial support positively negatively symptoms. Conclusions workloads wake resulting These also response declining support. Efforts protect well-being pandemic context that focus on workload reduction promotion may be most beneficial.

Language: Английский

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Listen to the voices of nurses: the role of community chief nurses and registered nurses in the provision of care for older people in Sweden during the COVID-19 pandemic – a cross-sectional study

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

Published: Feb. 2, 2024

Abstract Background During the pandemic in Sweden, aim was to protect older people, especially those among them who were sick, frail and vulnerable residential care facilities. A ban put on visits at all facilities March 2020 prevent spread of infection people. This study aims describe experiences Community Chief Nurses Registered provided medical nursing for people home during first wave COVID-19 pandemic, examine factors associated with quality care. Methods The has a mixed method cross-sectional design (STROBE). Data collected using web-based survey that comprised two questionnaires, developed study. analysed descriptive statistics logistic regression models, as well qualitative content analyses. Results majority reported adequate opportunities work management handle pandemic. care, person’s safety, negatively affected Factors good follows: information-sharing; ability comply hygiene practices; competence how persons COVID-19; physician bedside assessing their health; support from frontline managers. Conclusion highlights crucial facets organizations must address enhance readiness future pandemics or disasters, ensuring security well-being

Language: Английский

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The moderating effect of care time on care-related characteristics and caregiver burden: differences between formal and informal caregivers of dependent older adults

Frontiers in Public Health, Journal Year: 2024, Volume and Issue: 12

Published: April 4, 2024

Objective This study examined differences in care burden between formal and informal caregivers of dependent older adults according to care-related characteristics, whether time had a moderating effect on the relationship characteristics caregiver burden. Methods Participants were ( n = 520) 142) South Korea. Caregiver was measured using Korean version Zarit Burden Interview. Data analyzed hierarchical regression with interaction terms moderation analysis. Results higher for than caregivers. Factors associated an increased risk both caregivers’ stress, physical strain, time. Care significantly moderated attitude only among When 1 standard deviation mean value, (b simple −0.903, SE 0.106, p < 0.001). Conclusion The can be reduced by providing interventions attenuate effects modifiable factors that identified this study. And weaken who have long hours, positive social atmosphere should provided addition education. To realize sustainable care, policy considerations reflect results will help solve problem adults.

Language: Английский

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Moral failure, moral prudence, and character challenges in residential care during the Covid-19 pandemic

Nursing Ethics, Journal Year: 2023, Volume and Issue: 31(1), P. 17 - 27

Published: June 9, 2023

In many high-income countries, an initial response to the severe impact of Covid-19 on residential care was shield residents from outside contacts. As pandemic progressed, these measures have been increasingly questioned, given their detrimental residents’ health and well-being dubious effectiveness. Many authorities hesitant in adapting visiting policies, often leaving nursing homes act own safety liability considerations. Against this backdrop, article discusses appropriateness viewing continuation practice shielding as a moral failure. This is affirmed specified four dimensions: preventability foreseeable harm, agency, character, (in MacIntyre’s sense). Moral character discussed context prudent versus proportionate choices. practice, it will be shown that continued no longer met requirements (inherently moral) external goods such security thinking structural deficiencies prevented pursuit internal focusing interests welfare, which places has led loss trust facilities. specification failure also allows novel perspective distress, can understood expression psychological agents. Conclusions are formulated about how events challenges for healthcare professionals within care, aimed at preserving even under difficult circumstances, manifestation resilience. Finally, importance civic education students emphasized facilitate students' early identification trusted members profession caring society, order reduce experiences or improve way deal with effectively.

Language: Английский

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Nurses’ priority-setting for older nursing home residents during COVID-19

Nursing Ethics, Journal Year: 2024, Volume and Issue: 31(8), P. 1616 - 1629

Published: Feb. 5, 2024

Background Ethical principles behind prioritization in healthcare are continuously relevant. However, applying ethical during times of increased need, such as the COVID-19 pandemic, is challenging. Also, little known about nursing home nurses’ prioritizations their work to achieve well-being and health for residents. Aim The aim this study was explore priority-setting older residents Sweden pandemic. Research design, participants, research context We conducted a qualitative interview study. Data were collected through in-depth interviews (retrospective self-reports) between February May 2021 with 21 nurses. To help respondents recall memories, we used critical incident technique (CIT). analyzed data within theoretical framework methodological orientation content analysis. considerations Written verbal consent obtained before interviews, information given participants informing them that participation entirely voluntary. Swedish Review Agency gave an advisory opinion stating there no objections project (Dnr. 2020-05649). Findings identified overarching theme—nursing nurses struggling on multiple fronts, “just do it”—and seven categories: striving survival caring dignified death; responding sensitively relatives’ expectations; ranking urgency needed care; input from different actors; combating spread infection unconventional ways; taking lead doing what required; following ideals person-centered nursing. Conclusions Nurses’ homes pandemic meant strain struggle. In some cases, had taken responsibility priorities falling outside statutory powers. Different demands interests affected priorities. Nursing need organizational managerial support prioritize.

Language: Английский

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Primary Health Care Case-Management Nurses during the COVID-19 Pandemic: A Qualitative Study

Nursing Reports, Journal Year: 2024, Volume and Issue: 14(2), P. 1119 - 1128

Published: April 28, 2024

The COVID-19 has caused high morbidity and mortality in vulnerable people, such as those affected by chronic diseases, case-management nurses (CMNs) are reference professionals for their health care management. objective of this study is to better understand the discourse, experiences, feelings about professional performance CMNs during pandemic. A qualitative was conducted conducting semi-structured interviews with (n = 31) from province Seville (Spain) performing a narrative discourse analysis. Atlas Ti 6.2 software program used. Two categories were defined: 1. CMNs' competencies (76 verbatim testimonies); 2. Consequences pandemic (61 testimonies). This granted due permission Research Ethics Committee belonging University Seville, under protocol code: 1139-N-22. an increase workload, they had assume usual tasks populations addition simultaneously prioritizing assistance nursing homes. We can highlight adaptation situation these new requirements context significant social commitment advanced practice profession, that closely related leadership. should also indicate interpersonal relationships improved, there technological progress. Some mentioned workload reported experiencing burnout syndrome. conclude management been extraordinary, especially regard most patients, including individuals diseases institutionalized older adults, fact valued institutions society general.

Language: Английский

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The palliative care experience in Irish nursing homes during the COVID-19 pandemic: a survey of residents, family, and staff

BMC Palliative Care, Journal Year: 2024, Volume and Issue: 23(1)

Published: May 22, 2024

Abstract Background Nursing homes and other long-term care services account for a disparate share of COVID-19 cases casualties worldwide. During there is distinct need to preserve holistic view the wellbeing residents nursing homes, be mindful their rights as citizens, aware protecting from infection. The delivery health social throughout pandemic must remain person-centred adhere human rights-based approach. Methods This study aimed capture home residents, families staff’s perspective experience, approaches staff environment. An online survey was distributed via stakeholder networks platforms across Ireland. performed reported in line with Consensus-Based Checklist Reporting Survey Studies (CROSS). Results 25 42 family members 51 completed ( n = 118). Across domains measured all but one aspect scored above 50% get up go bed when they want 41.5%) highest score 89.1% comfortable well-kept. highlight evidence positive experiences endeavours connections, were safe place cared by who did best difficult position went beyond duty care. However, some poor communication, no internet not enough phones or tablets, that busy unable at times assist needed help using phones/tablets. Conclusion highlights importance how ought inform shape advancement public advice policy documents. Overall, favourably on measures. issues pertaining communication are essential address such provision accurate timely information, infrastructure resources, inconsistencies communications. Of note while healthcare professionals have uphold themselves which also protected supported.

Language: Английский

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Presenteeism and mental health of workers during the COVID-19 pandemic: a systematic review

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Sept. 14, 2023

A large number of workers attend work despite being ill. Attending during sickness can have a consequences for the worker (e.g., worsening physical and mental condition), co-workers, company, service users.

Language: Английский

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Perceived Work Environment, Educational Status, Staffing Levels, and Work Outcomes in Long-Term Care Settings During COVID-19

Journal of the American Medical Directors Association, Journal Year: 2023, Volume and Issue: 24(10), P. 1600 - 1605

Published: Sept. 9, 2023

Language: Английский

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