Why Are Healthcare Providers Leaving Their Jobs? A Convergent Mixed-Methods Investigation of Turnover Intention among Canadian Healthcare Providers during the COVID-19 Pandemic
Nursing Reports,
Год журнала:
2024,
Номер
14(3), С. 2030 - 2060
Опубликована: Авг. 21, 2024
Background:
Staffing
shortages
across
the
healthcare
sector
pose
a
threat
to
continuity
of
Canadian
system
in
post-COVID-19
pandemic
era.
We
sought
understand
factors
associated
with
turnover
intention
as
well
providers’
(HCPs)
perspectives
and
experiences
related
both
organizational
professional
turnover.
Method:
A
convergent
questionnaire
mixed-methods
design
was
employed.
Descriptive
statistics
ordinal
logistic
regressions
were
used
analyze
quantitative
data
ascertain
intention.
Thematic
analysis
qualitative
open-field
textbox
HCPs’
Results:
Quantitative
analyses
revealed
that
78.6%
HCPs
surveyed
(N
=
398)
reported
at
least
25%
likelihood
regarding
their
organization,
67.5%
reporting
profession.
Whereas
regression
models
significant
impact
years
worked,
burnout,
support
on
for
organizations,
age,
sex,
contributed
leaving
Patterns
meaning
drawn
from
participants’
responses
organized
according
following
four
themes:
(1)
Content
stay,
(2)
Drowning
no
one
cares,
(3)
Moral
stressors,
(4)
Wrestling
costs
benefits.
Conclusions:
Many
described
weighing
benefits
organization
or
profession
during
COVID-19
pandemic.
Although
challenging
working
conditions,
moral
burnout
may
play
role
intention,
there
is
ample
room
intervene
support.
Язык: Английский
Moral injury, race-related stress and post-traumatic stress disorder in a trauma-exposed Black population
Journal of Psychiatric Research,
Год журнала:
2024,
Номер
173, С. 326 - 332
Опубликована: Март 16, 2024
Язык: Английский
Moral distress as a persistent risk factor for impaired mental health among healthcare workforce
Journal of Affective Disorders Reports,
Год журнала:
2024,
Номер
17, С. 100817 - 100817
Опубликована: Июль 1, 2024
Moral
distress
among
healthcare
workers
(HCWs)
has
dramatically
increased
during
Covid-19
emergency
however
most
evidence
relies
on
cross-sectional
data
collected
early
stages.
This
longitudinal
cohort
study
aims
to
provide
a
better
insight
into
the
occurrence
and
associations
of
moral
distress,
focusing
both
its
short
long-term
impact
HCWs'
mental
health.
A
total
990
completed
health
evaluation
between
July
2020-July
2021
(Time
1)
reporting
frequencies
psychological
(GHQ-12),
post-traumatic
(IES-R)
anxiety
(GAD-7)
symptoms;
after
one
year
(July
2021-July
2022;
Time
2),
310
participants
repeated
evaluation.
We
investigated
differences
considering
socio-demographic
occupational
characteristics.
Two
logistic
regression
models
examined
potential
role
as
risk
factor
for
scorings
above
scales'
cut-offs
at
1
2.
Frequent
episodes
were
mostly
reported
by
nurses
(24
%),
physicians
(22
younger
(<40y;
23
%)
engaged
in
area;
HCWs
from
Emergency/Intensive
Care
Departments
highest
(29
%).
Results
showed
increases
all
symptoms
became
more
frequent.
experienced
resulted
persistent
impairment
following
year,
with
stable
ORs
(Time1
OR=7.8,
95
%CI=(5.3,11.6)
Time2
OR=6.6,
%CI=(2.9,15.7).
Our
findings
support
consequences
distress;
preventive
strategies
may
be
addressed
priority
nurses/physicians
Emergency
Intensive
Departments.
Язык: Английский
Exploring the association between moral injury and posttraumatic stress symptoms among Canadian public safety personnel
Journal of Traumatic Stress,
Год журнала:
2024,
Номер
unknown
Опубликована: Дек. 16, 2024
Public
safety
personnel
(PSP),
such
as
police
officers,
firefighters,
correctional
workers,
and
paramedics,
routinely
face
work
stressors
that
increase
their
risk
of
developing
posttraumatic
stress
disorder
(PTSD).
PSP
may
additionally
moral
transgressions
in
the
workplace
(e.g.,
witnessing
human
suffering,
working
within
broken
systems),
heightening
injury
(MI)
this
population.
Research
among
military
health
care
workers
shows
an
association
between
MI
PTSD;
however,
less
is
known
about
these
constructs
PSP.
Canadian
completed
online
survey
June
2022
2023,
including
a
demographic
questionnaire
measures
PTSD,
MI,
dissociation,
depression,
anxiety,
stress,
childhood
adversity.
Latent
variable
structural
equation
modeling
(SEM)
was
performed
to
ascertain
impact
latent
construct
(i.e.,
shame,
trust
violation,
functional
impairment)
on
PTSD
intrusions,
avoidance,
negative
alterations
cognition
mood,
hyperreactivity,
depersonalization,
derealization).
Sex,
age,
adversity
were
included
covariates.
A
total
314
data
analysis.
SEM
regressing
onto
covariates
accounted
for
83.7%
variance
PTSD.
strongest
predictor
compared
all
significantly
associated
with
symptoms,
β
=
.506,
p
<
.001,
above
beyond
impacts
sex,
These
findings
are
consistent
research
members
providers
highlight
importance
further
exploring
Язык: Английский