Increased Job Burnout and Reduced Job Satisfaction for Nurses Compared to Other Healthcare Workers after the COVID-19 Pandemic

Nursing Reports, Год журнала: 2023, Номер 13(3), С. 1090 - 1100

Опубликована: Авг. 14, 2023

Nurses experience high levels of job burnout and low satisfaction, while the COVID-19 pandemic has deteriorated working conditions. In this context, our aim was to compare satisfaction among nurses other healthcare workers (HCWs) after pandemic. Moreover, we investigated influence demographics characteristics on satisfaction. We conducted a cross-sectional study with 1760 HCWs during June 2023. used single-item measure "Job Satisfaction Survey". sample, 91.1% experienced burnout, respective percentage for 79.9%. Nurses' lower than HCWs. particular, 61.0% 38.8%. Multivariable analysis identified that nurses, an MSc/PhD diploma, shift workers, those who considered their workplace as understaffed had higher score score. Our results showed nursing profession independent factor Several demographic affected Policy makers, organizations, managers should adopt appropriate interventions improve work

Язык: Английский

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War-related continuous traumatic stress as a potential mediator of associations between moral distress and professional quality of life in nurses: a cross-sectional study in Ukraine

BMC Nursing, Год журнала: 2025, Номер 24(1)

Опубликована: Янв. 6, 2025

Abstract Background At the beginning of 2022, Central Europe entered a state emergency due to Russian invasion Ukraine. Nurses were particularly vulnerable decline in their professional quality life, facing repeated exposure military trauma, ethical dilemmas, prolonged working hours, and increased stress fatigue. This study aimed contribute our understanding potential mediating effect war-related continuous traumatic on association between moral distress including compassion satisfaction fatigue, represented by burnout secondary stress. Methods used Professional Quality Life (ProQOL) Scale assess burnout, stress, satisfaction; Moral Distress Questionnaire for examine everyday healthcare facilities dilemmas nurses; Continuous Traumatic Stress Response (CTSR) ongoing threats, resulting exhaustion/rage, fear/betrayal. The sample consisted 130 female nurses (mean age 40.20 ± 12.15 years) from general surgery, neurosurgery, trauma orthopaedic urgent care who had been undergoing advanced training work with injured personnel at Volyn Medical Institute (Ukraine) March May 2023. All experienced direct indirect 105 participants personnel. Results results mediation analysis indicated that fully mediated relationship different components namely, satisfaction. Conclusion Research has shown significant various aspects underscoring need targeted interventions trauma.

Язык: Английский

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Moral Stress and Moral Distress: Confronting Challenges in Healthcare Systems under Pressure

The American Journal of Bioethics, Год журнала: 2023, Номер 24(12), С. 8 - 22

Опубликована: Июнь 22, 2023

Stresses on healthcare systems and moral distress among clinicians are urgent, intertwined bioethical problems in contemporary healthcare. Yet conceptualizations of inquiry often overlook a range routine threats to professional integrity work. Using examples from our research frontline physicians working during the COVID-19 pandemic, this article clarifies conceptual distinctions between

Язык: Английский

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Critical care nurse leaders addressing moral distress: A qualitative study

Nursing in Critical Care, Год журнала: 2024, Номер 29(4), С. 835 - 838

Опубликована: Фев. 23, 2024

Abstract Background Moral distress (MD) occurs when clinicians are constrained from taking what they believe to be ethically appropriate actions. When unattended, MD may result in moral injury and/or suffering. Literature surrounding how unit‐based critical care nurse leaders address practice is limited. Aim The aim of this study was explore ICU recognize and among their staff. Study Design Qualitative descriptive with inductive thematic analysis. Results Five participated a one‐time individual interview. Interview results suggest that (1) can staff (2) experience themselves, which exacerbated by leadership role responsibilities. Conclusions Further research needed develop interventions aimed at addressing equipping the skills identify within themselves. Relevance Clinical Practice an unavoidable phenomenon challenged day‐to‐day practice. As leaders, recognizing necessary task relating mitigating burnout turnover well‐being ICU.

Язык: Английский

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The influence of anxiety and depression on critical care nurses’ performance: A multicenter correlational study

Australian Critical Care, Год журнала: 2024, Номер unknown, С. 101064 - 101064

Опубликована: Май 1, 2024

Язык: Английский

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State Abortion Policy and Moral Distress Among Clinicians Providing Abortion After the Dobbs Decision

JAMA Network Open, Год журнала: 2024, Номер 7(8), С. e2426248 - e2426248

Опубликована: Авг. 1, 2024

Importance Moral distress occurs when individuals feel powerless to do what they think is right, including clinicians are prevented from providing health care deem necessary. The loss of federal protections for abortion following the Dobbs v Jackson Women’s Health Organization Supreme Court decision may place at risk experiencing moral distress, as many could face new legal and civil penalties in line with professional standards that perceive Objective To assess self-reported scores among abortion-providing overall by state-level policy. Design, Setting, Participants This survey study, conducted May December 2023, included US (physicians, advanced practice clinicians, nurses). A purposive electronic was disseminated nationally through listservs snowball sampling. Exposure Abortion policy each respondent’s state (restrictive vs protective using classifications Guttmacher Institute). Main Outcomes Measures Using descriptive statistics unadjusted adjusted negative binomial regression models, association between on Distress Thermometer (MDT), a validated psychometric tool 0 (none) 10 (worst possible), examined. Results Overall, 310 (271 [87.7%] women; mean [SD] age, 41.4 [9.7] years) completed 352 MDTs, 206 responses (58.5%) states 146 (41.5%) restrictive states. Reported ranged (median, 5) were more than double compared 8 [IQR, 6-9] 3 1-6]; P < .001). Respondents higher physicians 6 3-8] 4 2-7]; = .005), those practicing free-standing clinics hospitals .001), no longer still 4-9] 5 2-8]; .004), (states greatest decline volume since decision) stable (unadjusted incidence rate [IRR], 1.72 [95% CI, 1.55-1.92]; .001; IRR, 1.59 1.40-1.79]; surge increase 1.27 1.11-1.46]; 1.24 1.09-1.41]; Conclusions Relevance In this national study abortion, elevated all twice high restrict protect abortion. findings suggest structural changes addressing bans necessary care, such needed institutional, state, levels combat widespread distress.

Язык: Английский

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COVID-19 pandemic increases the occurrence of nursing burnout syndrome: an interrupted time-series analysis of preliminary data from 38 countries

Nurse Education in Practice, Год журнала: 2023, Номер 69, С. 103643 - 103643

Опубликована: Апрель 11, 2023

Язык: Английский

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Moral Distress, Moral Resilience, Moral Courage, and Moral Injury Among Nurses in the Philippines During the COVID-19 Pandemic: A Mediation Analysis

Journal of Religion and Health, Год журнала: 2023, Номер 62(6), С. 3957 - 3978

Опубликована: Июль 13, 2023

Язык: Английский

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Occupational stress and burnout among intensive care unit nurses during the pandemic: A prospective longitudinal study of nurses in COVID and non-COVID units

Frontiers in Psychiatry, Год журнала: 2023, Номер 14

Опубликована: Март 13, 2023

Intensive care unit (ICU) nurses are highly prone to occupational stress and burnout, affecting their physical mental health. The occurrence of the pandemic related events increased nurses' workload further exacerbated burnout. This work investigates burnout experienced by ICU working with COVID non-COVID patients.A prospective longitudinal mixed-methods study was conducted a cohort in medical (COVID unit; n = 14) cardiovascular (non-COVID 5). Each participant followed for six 12-h shifts. Data on prevalence were collected using validated questionnaires. Physiological indices wrist-worn wearable technologies. Participants elaborated causes each shift completing open-ended questions. analyzed statistical qualitative methods.Participants caring patients at 3.71 times more likely experience (p < 0.001) comparison participants. No differences levels found when same participants worked different shifts 0.58) unit. cohorts expressed similar contributors stress, based communication tasks, patient acuity, clinical procedures, admission processes, proning, labs, assisting coworkers.Nurses units, irrespective whether they patient,

Язык: Английский

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Unveiling nurses’ end-of-life care experiences: Moral distress and impacts

Nursing Ethics, Год журнала: 2024, Номер 31(8), С. 1600 - 1615

Опубликована: Апрель 16, 2024

Background Nurses providing care to patients with end-of-life or terminal illnesses often encounter ethically challenging situations leading moral distress. However, existing quantitative studies have examined distress using instruments that address general clinical rather than those specific care. Furthermore, qualitative been limited participants from a single unit experiencing distress-induced circumstances. A comprehensive and integrated understanding of the overarching process is vital discern unique circumstances surrounding its consequential impacts. Research objectives To explore experiences nurses who are frequently involved in caring for apply it two theories: model ecological model. design descriptive approach was employed. Participants research context Seven focus group interviews involving 30 were performed. The subsequent transcriptions underwent rigorous content analysis. Ethical considerations We obtained Institutional Review Board approval university. Focus conducted agreed participate signed consent form. Findings distress-inducing factors nurses’ perceived impact identified categorized based on theories models. total 15 categories subcategories across following 4 domains derived: (1) intrapersonal, (2) interpersonal, (3) organizational, (4) structural factors. Conclusions End-of-life-specific induced among nurses, both negative positive impacts identified. Effective organizational policy support essential manage conflicts, form healthy culture, provide training, prevent unnecessary expenses due consequences

Язык: Английский

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