Fight or flight—intensive care nurses’ decisions to resign following the COVID-19 pandemic: a phenomenological hermeneutical study

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

Published: April 1, 2025

Abstract Background Many intensive care unit (ICU) nurses who were crucial to the frontline response during COVID-19 pandemic left their employment or after pandemic. Studies exploring experiences of these are lacking. The aim this study was explore ICU nurses’ course towards making decision resign from work in following Method Advertisements on social media and a snowball sampling-inspired method used recruit 11 hospitals around Sweden worked an then employment. participants interviewed individually via telephone, online in-person. An interview guide with few open-ended questions capture narratives. data analysed using phenomenological hermeneutical method. Results tangled paradoxes, described as three themes: ‘ To give it all yet feel insufficient’ , experience togetherness lonely ’ prioritise others need eventually oneself’ . end ambivalent but necessary, made relief no regrets, sorrow. During decision-making process, there may have been window opportunity which nursing management health service might influenced outcome. Conclusion by tangle challenging paradoxes that entailed ambivalence. marked hesitancy. While is important understand support willingness for patients crisis acknowledge suffering relates professional efforts, also essential address individual struggles needs.

Language: Английский

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Healthcare workers' experiences of patient safety in the intensive care unit during the COVID‐19 pandemic: A multicentre qualitative study

Journal of Clinical Nursing, Journal Year: 2023, Volume and Issue: 32(19-20), P. 7372 - 7381

Published: June 8, 2023

Abstract Aim To describe healthcare workers' experiences of preconditions and patient safety risks in intensive care units during the COVID‐19 pandemic. Background Healthcare ability to adapt changing conditions is crucial promote safety. During pandemic, capacity maintain safe was challenged a more in‐depth understanding on frontline needed. Design A qualitative descriptive design. Methods Individual interviews were conducted with 29 workers (nurses, physicians, nurse assistants physiotherapists) from three Swedish hospitals directly involved patients. Data analysed inductive content analysis. Reporting followed COREQ checklist. Results Three categories identified. Hazardous changes working describes challenges associated extreme workload high stress level. Imperative adaptations induced by changed for which include descriptions following related temporary facilities, handling shortage medical equipment deviations routines. Safety triggered reorganisation how diluted skill‐mix team disruptions exposed patients risks, that performance mostly relied individual worker's responsibility. Conclusions The study suggests experienced an increase pandemic mainly because extremely workload, imperative adaptations, regarding teamwork. Patient individuals' adaptability responsibility rather than system‐based Relevance Clinical Practice This provides insights can be used as source information recognition risks. improve detection future crises, guidelines approach system perspective must perceptions Public Contribution None conceptualisation or design study.

Language: Английский

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Respected but stigmatized: Healthcare workers caring for COVID-19 patients

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(7), P. e0288609 - e0288609

Published: July 21, 2023

Background Healthcare workers (HCWs) caring for Corona Virus Disease 2019 (COVID-19) patients are at increased risk of being stigmatized, which compromises their individual mental well-being and the quality care they deliver. Stigma-reduction interventions may (partly) prevent this. However, there is a lack in-depth understanding experiences underlying causes COVID-19 stigma among HCWs, needed to design such interventions. We conducted semi-structured interviews assess HCWs in Ireland, Nigeria, The Netherlands, Pakistan, Philippines. Methods used purposive snowball sampling recruit total 53 online (13 Ireland; 15 Nigeria; 6 Netherlands; Pakistan; 13 Philippines (2021). After verbatim transcribing interviews, we thematic approach data analysis. Results In all countries, stigmatization driven by fear infection perception carriers disease amplified them wearing scrubs personal protective equipment. There were differences between countries way manifested self- anticipated experienced like scolding, discrimination, avoidance, (self-) isolation, exclusion public, community, work, household. resulted feelings depression, loneliness, desire quit one’s job. Discussion from forms related work as frontliner. This affected well-being, turn affects job performance care, high need develop reduction tools HCWs.

Language: Английский

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Burnout in Nurses of an Intensive Care Unit during COVID-19: A Pilot Study in Portugal

Healthcare, Journal Year: 2023, Volume and Issue: 11(9), P. 1233 - 1233

Published: April 26, 2023

This study aimed to evaluate burnout in intensive care unit nurses and describe the relationship between dimensions sociodemographic professional variables.A pilot was carried out with 29 during COVID-19 pandemic. The data were collected using an online questionnaire consisting of a characterization Maslach Burnout Inventory Human Services Survey. In comparative statistical analysis, nonparametric Mann-Whitney Kruskal-Wallis tests used (p < 0.05).The Emotional Exhaustion dimension represented average 27.9 ± 10.4, Personal Fulfillment 30.8 7.0 considered high. Regarding Depersonalization, medium-level results (8.1 6.0) found. There prevalence 41.3% high levels burnout. no statistically significant difference comparison three variables > global point nurses, greater expression Professional domains. differences groups, demonstrating homogeneity team's level incidence this higher than that identified other studies Portugal health professionals. will allow defining strategies for reducing and, consequently, proposed extension organization wards.

Language: Английский

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Resource allocation

Current Opinion in Anaesthesiology, Journal Year: 2023, Volume and Issue: 36(2), P. 246 - 251

Published: Feb. 23, 2023

Purpose of review The coronavirus disease 2019 pandemic and recent global recessions have brought to the forefront medical-political discussion fact that medical resources are finite focused a spotlight on fair allocation prioritization healthcare describe why this is timely relevant. Recent findings This presents past present concepts related ethics resource allocation. Included discussions regarding topics who should determine allocation, what types research require methods currently in use appropriate which be prioritized. main themes literature covered by article. Summary Models for must differentiate between different resources, some may early preparation or distribution. Local availability specific supplies infrastructure taken into consideration during preparation. When planning long durations limited availability, limitations human resilience also considered. Preparation requires information needs population at hand (e.g. age distributions, prevalence) societal preferences acknowledged within possible limits.

Language: Английский

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Síntomas de Burnout entre médicos y enfermeros antes, durante y después de atender pacientes con COVID-19

Revista Latino-Americana de Enfermagem, Journal Year: 2023, Volume and Issue: 31

Published: Nov. 3, 2023

this study evaluated burnout symptoms among physicians and nurses before, during after COVID-19 care.

Language: Английский

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An Integrated Review of Difficulties and Response Strategies Experienced by Korean Nurses during the COVID-19 Outbreak: Based on Qualitative Research

Korean Journal of Medical Ethics, Journal Year: 2024, Volume and Issue: 27(1), P. 27 - 46

Published: March 1, 2024

Since the end of 2019, thousands healthcare professionals worldwide have lost their lives due to COVID-19 infections. In South Korea too, experienced various physical and psychological difficulties stemming from The purpose this study was comprehensively analyze difficulties, responses, changes in experience Korean nurses during recent pandemic. Using integrated literature review method suggested by Whittemore Knafl, qualitative research papers on experiences pandemic were analyzed. A total nine documents selected, classified terms they encountered, other relevant changes. main finding is that underwent severe mental stress This suggests plans should be developed now, both governments medical institutions, provide better support protection event future pandemics.

Language: Английский

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Quality of life at work for health professionals during the COVID-19 pandemic

Revista Brasileira de Enfermagem, Journal Year: 2024, Volume and Issue: 77(suppl 1)

Published: Jan. 1, 2024

to evaluate the quality of life at work health professionals in direct and indirect care COVID-19 cases.

Language: Английский

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Safeguarding nurses' mental health: The critical role of psychosocial safety climate in mitigating relational stressors and exhaustion

AIMS Public Health, Journal Year: 2024, Volume and Issue: 11(3), P. 904 - 916

Published: Jan. 1, 2024

Burnout among nurses is a pervasive concern in healthcare, with profound implications for patient care and nurse well-being. While research has highlighted the detrimental effects of burnout on many aspects nursing, including safety quality care, underlying mechanisms driving warrant further investigation. In this cross-sectional study, we surveyed 196 from diverse Italian hospitals using an online questionnaire via Qualtrics. Our findings revealed significant negative correlations between psychological climate both relational stressors emotional exhaustion. Conversely, positively correlated exhaustion, indirect effect was found exhaustion through stressors, emphasizing pivotal role mitigating burnout. study underscores potential effectiveness interventions targeting alleviating nurses. Theoretical underscore importance deepening while practical emphasize need fostering positive implementing targeted to support nurses'

Language: Английский

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Calidad del sueño y satisfacción laboral en enfermeros españoles: las consecuencias de la COVID-19

Revista CUIDARTE, Journal Year: 2024, Volume and Issue: 15(2), P. 1 - 14

Published: July 30, 2024

Introduction: Sleep is fundamental to the quality of life and can affect individuals' well-being mental health. Objective: This study analyzed sleep job satisfaction among Spanish nurses following COVID-19 pandemic. Materials Methods: A cross-sectional was conducted using Pittsburgh Quality Index (PSQI), Font Roja Job Satisfaction Questionnaire, sociodemographic work-related variables. “snowball” sampling method employed through social media dissemination. Results: The mean PSQI score 9.75 ± 4,36 points. poorest identified in participants without dependents (p=0.031; β=3.329; 95% CI=0.035-6.354) those with other than children (p=0.022; β=4.121; CI=0.575-7.667). However, having a Ph.D degree (p=0.001; β=-3.406; CI=-5.503-1.309) or specialist (p=0.021; β=-1.639; CI=-3.031- -0.247) associated better quality. Higher found women (p=0.034; β=0.104; CI=0.007-0.201) who did not work patients (p=0.049; β=-0.085; CI=-0.174- -0.003). Discussion: Improving working conditions, such as nurse-to-patient ratio distribution shifts, crucial enhancing nurses' Conclusions: reported poor Not were risk factors for higher patients. No relationship between

Language: Английский

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