Symptoms of Anxiety, Depression, and Post-Traumatic Stress Disorder in Health Care Personnel in Norwegian ICUs during the First Wave of the COVID-19 Pandemic, a Prospective, Observational Cross-Sectional Study

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(12), С. 7010 - 7010

Опубликована: Июнь 8, 2022

Background: The COVID-19 pandemic has induced demanding work situations in intensive care units (ICU). objective of our study was to survey psychological reactions, the disturbance social life, effort, and support ICU nurses, physicians, leaders. Methods: From May July 2020, this cross-sectional included 484 professionals from 27 hospitals throughout Norway. Symptoms anxiety depression were measured on Hopkins Symptom Checklist-10 (HSCL-10). post-traumatic stress disorder (PTSD) PCL-5. Results: population highly educated experienced professionals, well prepared for working with COVID-ICU patients. However, 53% felt socially isolated 67% reported a fear infecting others. Probable cases found 12.5% registered 11.6% 4.1% Younger age <5 years previous experiences predictors high HSCL-10 scores. Reported symptom-defined PTSD nurses 7.1%; leaders, 4.1%; 2.3% physicians. Conclusions: health talking colleagues as most helpful source support. leaders significantly higher mean score than physicians terms pushing themselves toward producing effort.

Язык: Английский

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Impact of the COVID-19 Pandemic on Nurses Working in Intensive Care Units: A Scoping Review

Critical Care Nurse, Год журнала: 2023, Номер 43(2), С. 55 - 63

Опубликована: Фев. 20, 2023

Background The COVID-19 pandemic resulted in significant system strain, requiring rapid redeployment of nurses to intensive care units. Little is known about the impact and surge models on nurses. Objective To identify working Methods A scoping review was performed. Articles were excluded if they concerned who not caring for critically ill adult patients with COVID-19, did describe nurses, or solely examined workload expansion pediatric Results This search identified 417 unique records, which 55 met inclusion criteria (37 peer-reviewed 18 grey literature sources). Within literature, 42.7% participants as unit 0.65% redeployed 72.4% women. predominant finding prevalence negative psychological impacts including stress, distress, anxiety, depression, fear, posttraumatic stress disorder, burnout. Women members ethnic minority groups at higher risk experiencing consequences. Common qualitative themes included presence novel changes, impacts, mitigators harm during pandemic. Conclusions Nurses units experienced adverse outcomes, stressors challenges observed among both permanent Further research required understand these outcomes over full duration pandemic, at-risk groups, within context roles.

Язык: Английский

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Conditions and strategies to meet the challenges imposed by the COVID-19-related visiting restrictions in the intensive care unit: A Scandinavian cross-sectional study

Intensive and Critical Care Nursing, Год журнала: 2021, Номер 68, С. 103116 - 103116

Опубликована: Июль 26, 2021

To examine conditions and strategies to meet the challenges imposed by coronavirus disease 2019 (COVID-19)-related visiting restrictions in Scandinavian intensive care units.A cross-sectional survey.Adult units Denmark, Norway Sweden.Likert scale responses free-text comments within six areas: capacity staffing, policies access unit, information conferences with relatives, written information, children as relatives follow-up initiatives.The overall response rate was 53% (74/140 participating units). All had planned for extensions; majority ranging between 11 30 extra beds. From March-June 2020, a mean maximum of 9.4 COVID-19 patients simultaneously. Allowing restricted more common Denmark (52%) (61%) than Sweden where mostly denied except dying (68%), due particular increased number patients. The forced nurses compromise on their usual standards family care. Numerous models maintaining contact were described.Visitation compromised quality entailed dilemmas healthcare professionals but also spurred initiatives developing new ways providing

Язык: Английский

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COVID-19: reflections on its impact on nursing

Evidence-Based Nursing, Год журнала: 2021, Номер 24(4), С. 112 - 113

Опубликована: Авг. 18, 2021

Summary

Memories of past events can be recalled long after the event, indicating stability. But new experiences are also integrated into existing memories, plasticity. In hippocampus, spatial representations known to remain stable, but have been shown drift over periods time. We hypothesized that experience, more than passage time, is driving force behind memory compared stability place cells in hippocampus mice traversing two similar, familiar tracks for different durations. found time spent an environment, greater representational drift, regardless total elapsed Our results suggest representation a dynamic process, related ongoing within specific context, and accumulation memories rather passive forgetting.

Highlights

Representational experience environment. context-wide process. Place cell number decreases with information content increases.

Язык: Английский

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Experiences of intensive care unit nurses working with COVID-19 patients: A systematic review and meta-synthesis of qualitative studies

Frontiers in Public Health, Год журнала: 2022, Номер 10

Опубликована: Ноя. 15, 2022

Objectives Intensive Care Unit (ICU) nurses are at the forefront of fighting and treating Coronavirus 2019 (COVID-19) pandemic often directly exposed to this virus risk disease, due their direct care for infected patients. This study aims synthesize experiences ICU working with COVID-19 Methods A systematic review meta-synthesis qualitative studies were undertaken. literature search in four databases, including Web Sciences, Scopus, Embase, PubMed (including Medline), was performed. Original section mixed method studies, written English, which focused on only patients, included. Results Seventeen two mixed-method included review. As a result inductive content analysis, six main categories identified, as follows: “distance from holistic nursing,” “psychosocial experiences,” “efforts self-protection wellbeing,” “organizational inefficiency,” “job burnout,” “emerging new workplace.” Conclusions The findings suggest that healthcare authorities policymakers can facilitate provision high-quality patient during through appropriate planning provide adequate support training, prevent shortages nursing staff equipment, attention psychological needs job satisfaction nurses. Systematic registration https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=256070 , identifier: CRD42021256070.

Язык: Английский

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Home care nurses' and managers’ work environment during the Covid-19 pandemic: Increased workload, competing demands, and unsustainable trade-offs

Applied Ergonomics, Год журнала: 2023, Номер 111, С. 104056 - 104056

Опубликована: Май 29, 2023

Little research exists on how home care nursing personnel have experienced the Covid-19 pandemic. This qualitative study explores work environment related challenges nurses and managers in faced during We discuss these relation to Demand-Control-Support Model reflect organizational dynamics associated with them can be understood using competing pressures model. During pandemic, both an increased workload psychosocial strain. For managers, complexity of was a major problem. identify three key takeaways sustainable crisis management: 1) support managers' ability provide social their personnel, 2) increase communication preparedness, 3) apply holistic perspective protective gear use. also conclude that model is useful when exploring complex contexts.

Язык: Английский

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Post-traumatic stress disorder among ICU healthcare professionals before and after the Covid-19 health crisis: a narrative review

Annals of Intensive Care, Год журнала: 2023, Номер 13(1)

Опубликована: Июль 21, 2023

Abstract Background The ICU (intensive care unit) involves potentially traumatic work for the professionals who there. This narrative review seeks to identify prevalence of post-traumatic stress disorder (PTSD) among professionals; how PTSD has been assessed; risk factors associated with PTSD; and psychological support proposed. Methods Three databases editorial portals were used full-text articles published in English between 2009 2022 using PRISMA method. Results Among 914 obtained, 19 studies met our inclusion criteria. These undertaken primarily during Covid-19 period ( n = 12) focused on nurses assistant 10); physicians 8); or only 1). presence mild severe ranged from 3.3 24% before pandemic, 16–73.3% after pandemic. seems specific particularly intense intrusion symptoms. are confronted PTSD: confrontation death, unpredictability uncertainty care, insecurity related crisis COVID-19. show that improved communication, feeling protected supported within service, having sufficient human material resources seem protect healthcare PTSD. However, they also reveal find it difficult ask help. Conclusion at developing PTSD, especially since health crisis. There be an urgent need develop prevention policies professionals.

Язык: Английский

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Protective association of work environment on nurses' posttraumatic stress disorder symptoms during the pandemic

Nursing Management, Год журнала: 2025, Номер 56(1), С. 24 - 30

Опубликована: Янв. 1, 2025

FigureThe COVID-19 pandemic has had a devastating effect on the nursing workforce. Although research conducted during last 2 to 3 decades clearly quantified that factors such as an unsupportive practice environment and high patient-to-nurse ratios were associated with nurses' intentions leave, exodus of nurses was unprecedented. According study published in Health Affairs, national supply RNs decreased by 100,000 1 year height pandemic.1 New data show that, reality, these same nurses, rather than leaving profession, shifted different employers.2 Another report said US hospitals experienced 23% total turnover rate 2022 among their RN employees.3 The authors concluded rates have taken financial toll hospital budgets, recruitment costs for one averaging $52,000, resulting per approximately $6.6 million $10.5 year. A unique phenomenon potentially influencing intent leave context is posttraumatic stress disorder (PTSD). systematic review meta-analysis pandemic-related PTSD frontline revealed widespread PTSD, urging both organizational-level change psychological interventions enable recovery.4 protective factor may mitigate supportive work environment. In more 21,000 physicians working at 60 Magnet® throughout pandemic, 63% reported chaotic environments.5 Hospital organizational features, environment, are postulated affect nurse job outcomes, positively negatively.6 includes greater autonomy, increased control, availability resources, improved nurse-physician relationships better patient outcomes alike. Conversely, makes vulnerable negative outcomes. Rather relying solely wellness resilience programming improve mental health addressing achieve systemwide improvement takes onus off manage own workplace health.5,7,8 purpose this article determine whether presence symptoms decreases odds era. METHODS cross-sectional survey using list all active licenses issued Jersey Division Consumer who home address email so could contact them electronically. Rutgers University Institutional Review Board reviewed granted expedited approval. About 79% licensed addresses supplied email. invitation sent from first author's university embedded letterhead 100,463 met criteria. used modified Tailored Design Method methodology outlined Dillman, which entails specific components letter sending three follow-up invitations.9 included electronic link Qualtrics prefaced informed consent. presented additional inclusion criteria, acute care being currently employed care. There no way calculate response criteria because denominator available Overall, 1,817 opened invitation. Of those, 1,049 recipients passed consent screening questions. total, 824 answered key items: within next 12 months, impact symptoms, conditions. This subset considered analytic sample, responses subjected analyses. Intent nurse's declaration intention current operationalized single item, as, "Do you intend your months? (Yes/No)."10,11 Impact event theoretically defined appraisal individual's distress regarding significant life experience.12 recent study, Event Scale (IES-6) validated independently tool PTSD.13,14 Cronbach alpha .80 demonstrated reliability, or internal consistency, IES-6.15 Criterion validity evident correlation IES-6 original IES-R, subscale correlations ranging .78 .94.15 Respondents asked each item past 7 days, respect years. An example is, "I aware I still lot feelings about it, but didn't deal them." five Likert-type ranged 0 (not all) 4 (extremely). Based recommended scoring, mean score computed IES-6, hypothetical range 4. Mean scores impact-of-event measure routinely dichotomized tested cut points.13,14,16 Dichotomization COVID score, established point 1.75 when reflects average answer "moderately."13,14 Work environment/working conditions conditions, set attributes support professional, clinical practice, including decentralized authority, managers, interdisciplinary collaboration, open effective communication methods, sufficient continuity.17 took measurement approach Aiken colleagues simplified operationally question: "How would hospital? (Excellent, Good, Fair, Poor)."18,19 Demographic control variables Nurse demographic characteristics gender, marital status, race, ethnicity, educational title, unit, employment shift, years role, age. staffing variable, given its theoretical relevance. To evaluate unit type staffing, we ran sensitivity model found insignificant. measured number patients cared shift worked.20,21 Data analysis sample described means, standard deviations, percentage distributions. Bivariate tests explore associations between characteristics, chi-square nominal variables. Only demographics subsequent regression models. Cross-tabulations examine bivariate associations. extent missing be minimal (for example, less 5%) except ratio, 6.7%. 55 values, another 20 due exceeding nurse. Logistic analyze independent (PTSD symptoms), dependent leave. Four models estimated multivariate logistic regression. Model simple (unadjusted) model. controlled marriage- job-related added ratio. Nurses values multiple excluded assure convergence. Statistics Stata 17 software.22 RESULTS As Table 1, majority female (88%), married (61%), diverse (72% White 28% non-White), non-Hispanic (92%), held bachelor's degree (52%), age 47.3 (SD 12.2). 78% title direct nursing, 27% worked medical-surgical full-time, 72% 12-hour 43% equal 5 experience role. 4.9 3.1). TABLE 1: - participants (N = 824) Characteristics % Gender (n 819) Male 10.1 Female 88.4 Other 1.5 Marital status 815) Nonmarried 39.4 Married 60.6 Race 813) Non-White 27.9 72.1 Ethnicity Non-Hispanic 92.1 Hispanic 7.9 Educational 817) Associate 12.6 Bachelor's 52.2 Graduate 36.2 Job 820) Clinical 77.6 Nursing management 10.7 Advanced 4.8 7.0 Unit 818) Outpatient 18.3 Critical 20.3 Medical-surgical 27.0 Labor delivery/postpartum women's 8.6 25.8 Employment Less full-time 21.5 Full-time 77.7 0.9 Shift 8 hours 11.1 71.6 17.3 Years role 42.7 Between 6 35.4 Greater 21.9 Age SD 12.2 Note: Total percentages variable not 100% rounding. Chi-square significance determined statistically significantly (χ2(1) 11.3, P .001), (χ2(4) 11.1, .025), length (χ2(2) 6.3, .044), 19.5, < .001) (see 2). Thus, only estimating variable. 2: categorical Independent No Yes χ2 4.4 .112 68.7 31.3 57.2 42.8 11.3 .001 51.1 48.9 63.0 37.0 3.0 .084 53.7 46.3 58.6 41.4 811) 2.1 .147 59.3 40.7 50.0 1.6 .441 58.3 41.8 60.5 39.5 55.7 44.3 6.8 .079 56.5 43.6 61.4 38.6 60.0 41.0 73.7 26.3 .025 57.3 54.8 45.2 52.0 48.0 64.3 35.7 66.3 33.7 1.1 .563 60.8 39.2 58.0 42.0 57.1 6.3 .044 65.9 34.1 64.8 35.2 19.5 49.6 50.4 64.7 35.3 65.4 34.6 Half (50%) study's exceeded cut-point, indicating positive symptoms. 0.50 0.50). 42% intended job. Most viewed fair poor (58%). association symptom 43.1, 3). 286 nonthreshold 60% jobs. Among 219 did threshold-level Moreover, test 75.3, .001). 260 rated jobs good/excellent, 75% contrast, 263 poor/fair, 55% 3: Cross-tabulation 69.4 30.6 Yes, 46.8 53.2 Poor/fair 45.4 54.6 Good/excellent 75.6 24.4 Multivariate analyses marriage upon 4). symptoms) job, χ2(1) 43.6, .001. 2.6 times intending compared without (OR 2.58, 95% CI 1.94, 3.43, (Model 1). Models 2, 3, covariates, characteristics. χ2(12) When controlling 2.56, 1.90, 3.44, 4: Effects ratio 818)∗ Unadjusted Adjusted LL UL Predictor (Ref. 2.58 1.94 3.43 2.56 1.90 3.44 2.19 1.61 2.98 2.11 1.55 2.88 Good/excellent) 3.34 2.41 4.61 3.23 2.33 4.47 Patient-to-nurse 1.07 1.01 1.13 following type, length, time Subsequently, χ2(13) 131.8, 2.2 2.19, 1.61, 2.98, environments 3.3 those good excellent 3.34, 2.41, 4.61, Combining effects having poor/fair 7.30, 4.76, 11.20, covariates. significant, χ2(15) 136.9, 4, 2.11, 1.55, 2.88, almost likely 3.23, 2.33, 4.47, For every increase 7% 1.07, 95%, 1.01, 1.13, .03). Within (P .025). also .004). addition, covariate .016, .041 .044, respectively), .003, .001, respectively). Being reduces 31% 0.689, 0.509, 0.934) and, experience, reduced 40% 0.596, 0.426, 0.834). DISCUSSION We motivated pandemic. combined plus Our intrapandemic small hypothesized. improving complementary strategy addition offering healthcare services months. findings line comparable era studies intent-to-leave 36%, 44%, 22%.2,23,24 our 50%. Prior onset 8% 21% nurses.25 US, 33%, ICU 22.2%.24,26 pooled 25 COVID-era 0.4% 37.4%.4 However, state highest death any nation, might possibly account higher 50% study.27 Furthermore, 53% Fifty-eight percent (58%) keeping 2021 cites stressful West (68.6%) Southeast (59.5%).28 staff collegial physicians.29 seminal literature corroborate modifiable components, reducing increasing personal over environment.2 Hence, quantifiable decreasing experiencing patient-ratio variable's significant. workload patients. 4:1 along other factors, thought assist retention outcomes.30 Cross-sectional design prevents determination causal relationships. Response bias always potential. potential participate been different. respondents, there 20,000 practicing hospitals.31,32 Perhaps suffering complete therefore, results representative respond, don't know if respondents hospitals. Additionally, little known left workforce prior survey. captured located Jersey, fraction nation. Replicating level yield valuable information retaining IMPLICATIONS FOR NURSE LEADERS substitute nurse, leaders able tangibly reduce Practice Environment Index (PES-NWI) offers dimensions, provide framework improvement.17 Leaders can compare benchmark then focus domain poorest scores. designed implemented, manager development collaboration. IMPACT ON INTENT TO LEAVE Important include small, suggests environments, threshold scores, Without changes programs policy, will most result new wave costly resignations.

Язык: Английский

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What motivates critical care nurses to stay in their job? – Structural aspects for empowering intrinsic motivation in permissive professional contexts: A scoping review

Intensive and Critical Care Nursing, Год журнала: 2025, Номер 88, С. 103929 - 103929

Опубликована: Янв. 8, 2025

Язык: Английский

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Insights from the top‐cited papers in the critical care nursing literature: A bibliometric and visualized analysis

Nursing in Critical Care, Год журнала: 2025, Номер unknown

Опубликована: Янв. 14, 2025

Highly cited papers in critical care nursing can offer valuable insights for all stakeholders engaged the research process by highlighting key trends, guiding resource allocation and shaping future priorities. To gain from top-cited top journals. This was a bibliometric analysis of journals as reported Journal Citation Report 2023-released June 2024. Data were tabulated visualized using Microsoft Excel VOSviewer software. Forty four (Intensive Critical Care Nursing [ICCN], [NICC], Australian [ACC] American [AJCC]) analysed. Half analysed related to COVID-19 pandemic, mental health most addressed theme (n = 11 papers). Papers ICCN featured contributions 17 countries, highest among analysed, followed NICC, with countries. Articles received more citations than reviews (median [interquartile range]: 18 [9-23] vs. 8 [8-11.5]), open-access about twice those published under subscription model (19 [16-31] 9 [8-15]). In ICCN, 10 open access compared 3 NICC ACC 2 AJCC. The identified themes this paper underscore dynamic nature field ongoing efforts address challenges practice delivery. Publishing articles on trending topics collaborating internationally seem be effective approaches gaining citations. Understanding these prevalent has significant implications priorities, informing clinical practice, policy improving patient outcomes. Academic need encourage increasing representation researchers Global South both journals' editorial boards submissions

Язык: Английский

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