National Nurse Work Environments - October 2021: A Status Report

Critical Care Nurse, Год журнала: 2022, Номер 42(5), С. 58 - 70

Опубликована: Авг. 1, 2022

The health of nurse work environments has been shown to affect both patient and outcomes. In 2005, the American Association Critical-Care Nurses published AACN Standards for Establishing Sustaining Healthy Work Environments: A Journey Excellence, a second edition was in 2016. conducted critical care environment studies 2006, 2008, 2013, 2018, and, most recently, October 2021, which expanded include registered nurses all areas practice.To report results 2021 study with comparisons previous recommendations continued improvement evaluate current state environments.An online survey used. total 9862 responded survey; 9335 met criteria currently practicing as nurse.The declined dramatically since 2018 study. However, evidence positive relationship exists between implementation Environment environments, job satisfaction, satisfaction intent leave their positions or stay.It is time bold, intentional, relentless efforts create sustain healthy that foster excellence optimal outcomes patients, nurses, other members team.

Язык: Английский

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Critical Care Nurses’ Moral Resilience, Moral Injury, Institutional Betrayal, and Traumatic Stress After COVID-19

American Journal of Critical Care, Год журнала: 2024, Номер 33(2), С. 105 - 114

Опубликована: Март 1, 2024

Background Traumatic stress and moral injury may contribute to burnout, but their relationship institutional betrayal resilience is poorly understood, leaving risk protective factors understudied. Objectives To examine traumatic symptoms, resilience, experienced by critical care nurses how symptoms relate betrayal, patient-related burnout. Methods This cross-sectional study included 121 used an online survey. Validated instruments were measure key variables. Descriptive statistics, regression analyses, group t tests relationships among Results Of participating nurses, 71.5% reported significant and/or stress. Both associated with Regression models showed that was increased likelihood of injury. Increases in scores on Response Moral Adversity subscale a lower symptoms. Conclusions especially response difficult circumstances, be environments, system (eg, betrayal) must also addressed systemically rather than relying individual-level interventions address nurses’ needs.

Язык: Английский

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Post-Pandemic Stress Disorder as an Effect of the Epidemiological Situation Related to the COVID-19 Pandemic

Healthcare, Год журнала: 2022, Номер 10(6), С. 975 - 975

Опубликована: Май 24, 2022

According to many experts in the fields of psychology and psychiatry, destabilization resulting from coronavirus pandemic may not be as noticeable now it will after period is over. Undoubtedly, fact that surrounding reality standardized normalized by at present contributes this. In opinion researchers, scale degree trauma experienced society only noticed once Many also suggest we experience post-pandemic stress disorder. This literature review aims bring together one place information speaks nature problem, which The main sections paper deal with exposure disorder general population a current on subject. second section deals group medical personnel who are direct frontline fight against COVID-19 pandemic; assumed here they those much higher risk developing

Язык: Английский

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Transforming Moral Suffering by Cultivating Moral Resilience and Ethical Practice

American Journal of Critical Care, Год журнала: 2023, Номер 32(4), С. 238 - 248

Опубликована: Июль 1, 2023

Ethical challenges are inherent in nursing practice. They affect patients, families, teams, organizations, and nurses themselves. These arise when there competing core values or commitments diverse views on how to balance reconcile them. When ethical conflict, confusion, uncertainty cannot be resolved, moral suffering ensues. The consequences of its many forms undermine safe, high-quality patient care, erode teamwork, well-being integrity. My experience as a nurse the pediatric intensive care unit later clinical specialist confronting these has been foundation my program research. Together we will explore evolution our understanding suffering—its expressions, meanings, attempts measure it. Moral distress, most described form suffering, took hold within slowly other disciplines. After 3 decades research documenting existence were few solutions. It was at this juncture that work pivoted toward exploring concept resilience means for transforming but not eliminating suffering. concept, components, scale it, findings explored. Throughout journey, interplay culture practice highlighted examined. is continuing evolve application relevance. Many vital lessons have learned can inform future guide interventions harness capabilities clinicians restore preserve their integrity engage large-scale system transformation.

Язык: Английский

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Examining the effect of moral resilience on moral distress

Nursing Ethics, Год журнала: 2023, Номер 30(7-8), С. 1156 - 1170

Опубликована: Май 31, 2023

Aims The study aims to test the Turkish validity and reliability of Rushton Moral Resilience Scale (RMRS) examine effect moral resilience on distress. Background distress is a phenomenon that negatively affects health workers, institutions, person receiving care. In order eliminate or minimize negative effects distress, it necessary increase nurses. involves developing systems support culture ethical practice in healthcare aim an individual’s capacity cope with challenges. Methods A methodological descriptive-predictive design was adopted. Sociodemographic Information Form, Measure Distress – Healthcare Professionals (MMD-HP), were used collect data from total 255 clinical nurses recruited. Ethical considerations Hacettepe University’s non-interventional ethics committee approved study’s protocol informed consent obtained participants. Results original four-factor structure scale tested confirmatory factor analysis, index values evaluated found at acceptable level. Cronbach Alpha coefficient be 0.826. predicted total, intensity, frequency levels. moderate weak relationship between all sub-dimensions resilience. Conclusions version showed good psychometric properties. has reducing Young who have less experience are risk because they lower levels, while working intensive care units their high healthy workplace can created by specific approaches improve impact environment.

Язык: Английский

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The Mindful Ethical Practice and Resilience Academy: Sustainability of Impact

American Journal of Critical Care, Год журнала: 2023, Номер 32(3), С. 184 - 194

Опубликована: Май 1, 2023

Nurses face many ethical challenges, placing them at risk for moral distress and burnout challenging their ability to provide safe, high-quality patient care. Little is known about the sustainability of interventions address this problem.To determine long-term impact on acute care nurses a 6-session experiential educational program called Mindful Ethical Practice Resilience Academy (MEPRA).MEPRA includes facilitated discussion, role play, guided mindfulness reflective practices, case studies, high-fidelity simulation training improve nurses' skills in mindfulness, resilience, competence confronting challenges. A prospective, longitudinal study was conducted MEPRA curriculum 2 hospitals large academic medical system. The involved surveys 245 baseline, immediately after intervention, 3 6 months intervention.The results intervention were generally sustained afterward. most robust improvements confidence, competence, work engagement, emotional exhaustion, depression, anger. Some outcomes not improved but significantly months, including anxiety empathy. Depersonalization turnover intentions initially reduced, these months.Many conclusion initial foundational program. such as depersonalization may benefit from boosters or efforts supplement by making organizational changes environment.

Язык: Английский

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Reliability and validity of the revised Rushton Moral Resilience Scale for healthcare workers

Journal of Advanced Nursing, Год журнала: 2023, Номер 80(3), С. 1177 - 1187

Опубликована: Сен. 29, 2023

Abstract Aim To refine the Rushton Moral Resilience Scale (RMRS) by creating a more concise scale, improving reliability, particularly of personal integrity subscale and providing further evidence validity. Background Healthcare workers are exposed to moral adversity in practice. When unable preserve/restore their integrity, suffering ensues. resilience is resource that may mitigate negative consequences. better understand mechanisms for doing so, valid reliable measurement tool necessary. Design Cross‐sectional survey. Methods Participants ( N = 1297) had completed ≥1 items on RMRS as part baseline survey larger longitudinal study. Item analysis, confirmatory factor analyses, reliability analyses (Cronbach's alpha), correlations were used establish validity revised RMRS. Results analysis from 21 16 items. The four‐factor structure (responses adversity, relational efficacy) demonstrated adequate fit follow‐up initial hold‐out sub‐samples. All subscales total scale reliabilities α ≥ 0.70). A higher‐order supports computation either scores or score. Correlations with stress, anxiety, depression distress provide scale's Reliability improved. Conclusion Implications RMRS‐16 demonstrates validity, subscale. an important lever reducing consequences when confronted ethical challenges Improved four having shorter overall allow targeted application will facilitate research intervention development. Patient/Public Contribution Data came study Canadian healthcare multiple organizations who about experiences during COVID‐19.

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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Perceived organizational effectiveness, moral injury, and moral resilience among nurses during the COVID-19 pandemic

Nursing Management, Год журнала: 2022, Номер unknown

Опубликована: Июнь 22, 2022

In Brief It's crucial to understand the perspective of nurses during pandemic determine actionable steps for moving forward. This analysis looks at nurses' perceptions their organizations' effectiveness first surge COVID-19 and its impact on moral injury resilience.

Язык: Английский

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Resilience Improves the Quality of Life and Subjective Happiness of Physiotherapists during the COVID-19 Pandemic

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(14), С. 8720 - 8720

Опубликована: Июль 18, 2022

Resilience is an individual characteristic that protects mental health. However, its impact on the lives of Brazilian physiotherapists during COVID-19 not known. This study aimed to analyze whether resilience modulates perceived quality life (QoL) and subjective happiness (SH) who work with patients, compared those do not. A cross-sectional was conducted between 22 August October 2020. Physiotherapists working in critical non-critical hospital sectors were invited participate study. The participants completed sociodemographic questionnaires graded 14-item Scale, 36-item Short-Form Health Survey (SF-36), Subjective Happiness Scale. In total, 519 enrolled low worked patients reported lower scores SF-36 subscales (except for social functioning) high did patients. These responses modulated by age, sex, absence from work, receipt personal protective equipment, host leadership, practice maintenance regular physical activity. conclusion, presented perceptions QoL SH, other participants.

Язык: Английский

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