Frontiers in Public Health,
Год журнала:
2025,
Номер
13
Опубликована: Март 5, 2025
Reducing
nurse
job
burnout
is
vital
for
quality
care
and
turnover
reduction,
particularly
in
emergency
departments.
Given
that
moral
distress
a
crucial
predictor
of
burnout,
this
study
seeks
to
identify
factors
can
alter
relationship
its
underlying
mechanisms.
The
finding
essential
enhancing
satisfaction
among
nurses
improving
patient
safety
healthcare
quality.
This
employed
cross-sectional
design
was
conducted
May
2024
the
departments
five
tertiary
hospitals
Southern
China.
survey
instruments
included
General
Demographic
Questionnaire,
Moral
Distress
Scale-R
(MDS-R),
Hospital
Ethical
Climate
Survey
(HECS),
Rushton
Resilience
Scale
(RMRS),
Maslach
Burnout
Inventory
Human
Services
(MBI-HSS).
Descriptive
analysis
Pearson
correlation
were
performed
using
SPSS
27.0.
structural
equation
model
constructed
with
AMOS
28.0
software,
Bootstrap
testing
conducted.
results
showed
directly
affected
(β
=
0.265,
95%CI
[0.114,
0.391]).
ethical
climate
resilience
both
played
mediating
roles
between
0.161,
[0.091,
0.243])
0.216,
[0.123,
0.337]).
play
chain
0.090,
[0.047,
0.161]).
hospital
burnout.
It
recommended
managers
pay
comprehensive
attention
nurses'
distress.
By
resilience,
level
be
reduced.
During
the
COVID-19
pandemic,
long-term
care
(LTC)
facilities
in
Canada
were
confronted
with
many
rapidly
changing
public
health
safety
guidelines.
Based
on
guidelines,
LTC
had
to
implement
a
series
of
virus
containment
and
mitigation
measures,
presenting
significant
challenges
for
both
workers
residents.
This
research
aims
provide
insights
that
could
be
used
guide
improvements
experiences
workers,
residents,
future
pandemic
crises.
A
qualitative
multi-case
study
was
explore
demographically
diverse
group
Canada,
focusing
how
guidelines
impacted
them,
their
perceptions
faced
by
Fourteen
engaged
from
Nova
Scotia
British
Columbia,
which
are
regions
distinct
geographically
differences
implementation.
Semi-structured
interviews
conducted
between
April
October
2021.
Using
thematic
analysis,
we
identified
patterns
within
across
interview
transcripts.
The
analysis
provided
an
understanding
perspectives
workers.
There
four
key
themes:
(1)
Tangling
Uncertainty,
describes
effects
ambiguous
messaging
shifting
guidance
workers;
(2)
Finding
Voice,
highlights
coped
feelings
helplessness
during
healthcare
crisis;
(3)
Ripple
Effects,
pressures
beyond
resident
care,
included
strengthening
inter-colleague
support
as
well
financial
challenges,
and;
(4)
Loss
Home,
where
perceived
protection
residents
led
loss
residents'
home
environment,
personal
freedom,
autonomy.
findings
suggest
workers'
pandemics
may
improved
inclusion
development
facilitating
systems,
ensuring
worker
stability.
balance
should
found
preventing
infection
retaining
principles
holistic
resident-centered
mental
benefits.
Enterprise Information Systems,
Год журнала:
2025,
Номер
unknown
Опубликована: Фев. 18, 2025
This
study
contains
an
investigation
of
the
articles
on
healthcare
resilience
through
bibliometric
and
network
analysis,
inspecting
local
global
trends
based
citation
quantity.
By
using
keyword
'healthcare
resilience',
3060
papers
published
from
1997
to
2023
are
accumulated
Scopus
directory.
Gephi,
Biblioshiny,
VOSviewer
generate
networks
trace
intellectual
structure
research.
PageRank
analysis
is
employed
determine
article
with
highest
scientific
academic
influence
resilience.
Based
thematic
cluster
four
clusters
formed
manually
explained
in
detail.
Background:
The
relationship
between
moral
resilience,
distress,
and
injury
among
nurses
during
the
COVID-19
pandemic
has
been
widely
investigated;
however,
literature
in
post-COVID-19
era
is
scarce.
Research
aim:
To
examine
impact
of
resilience
on
distress
after
pandemic.Research
design:
Cross-sectional
study.Participants
research
context:
We
obtained
a
convenience
sample
1118
Greece.
collected
demographic
data
(gender,
age)
work-related
(understaffed
wards,
shift
work,
clinical
experience).
measured
with
revised
"Rushton
Moral
Resilience
Scale",
"Moral
Distress
Thermometer",
Injury
Symptom
Scale-Healthcare
Professionals"
version.
adjusted
all
multivariable
models
for
variables.Ethical
considerations:
Ethics
Committee
Faculty
Nursing,
National
Kapodistrian
University
Athens
approved
our
study
protocol
(approval
number;
474,
approved:
November
2023).
Our
followed
Declaration
Helsinki.Findings/results:
Multivariable
linear
regression
analysis
showed
that
reduced
injury.
In
particular,
we
found
increased
response
to
adversity
was
associated
decreased
(adjusted
coefficient
beta
=
-1.81,
95%
confidence
interval
[CI]
-2.07
-1.54).
Moreover,
-8.24,
CI
-9.37
-7.10)
efficacy
-3.24,
-5.03
-1.45)
were
injury.Conclusions:
can
reduce
level
nurses.
However,
persistence
moderate
Greek
does
not
guarantee
its
sustainability.
ensure
this
maintained
potentially
enhanced,
it
imperative
nurse
leaders
policymakers
strategically
design
interventions
address
issues
at
organizational,
team,
individual
levels.
Newly
graduated
nurses
are
particularly
vulnerable
to
moral
distress
due
limited
experience,
low
self-confidence,
and
inadequate
ethical
knowledge,
which
impact
their
ability
make
act
on
decisions.
This
study
aims
describe
experiences
during
the
transition
professional
practice
identify
predictive
factors
affecting
levels.
A
convergent
parallel
mixed-methods
design
was
used.
The
quantitative
qualitative
data
were
collected
in
using
Measure
of
Moral
Distress
for
Healthcare
Professionals
a
semi-structured
questionnaire.
analysis
conducted
separately
then
integrated.
In
part
study,
205
new
with
1-18
months
working
experience
recruited,
25
recruited
part.
Gender,
type
hospital,
time,
caregiver
manager
role
level,
subjective
perception
levels
significant
predictors
distress.
Qualitative
revealed
four
main
themes:
(1)
causes
distress,
(2)
effect
(3)
coping
(4)
suggestions
reducing
experienced
by
newly
may
become
more
pronounced
life.
During
this
period,
lack
insufficient
knowledge
can
increase
affect
future
making
it
difficult
implement
showed
that
individual,
organizational,
systemic
influence
graduate
nurses.
It
highlights
challenges
developing
identity
closely
tied
organizational
structure
regulations,
emphasizing
need
individual
support
improvements
education
systems
reduce
Not
applicable.
Frontiers in Public Health,
Год журнала:
2025,
Номер
13
Опубликована: Март 5, 2025
Reducing
nurse
job
burnout
is
vital
for
quality
care
and
turnover
reduction,
particularly
in
emergency
departments.
Given
that
moral
distress
a
crucial
predictor
of
burnout,
this
study
seeks
to
identify
factors
can
alter
relationship
its
underlying
mechanisms.
The
finding
essential
enhancing
satisfaction
among
nurses
improving
patient
safety
healthcare
quality.
This
employed
cross-sectional
design
was
conducted
May
2024
the
departments
five
tertiary
hospitals
Southern
China.
survey
instruments
included
General
Demographic
Questionnaire,
Moral
Distress
Scale-R
(MDS-R),
Hospital
Ethical
Climate
Survey
(HECS),
Rushton
Resilience
Scale
(RMRS),
Maslach
Burnout
Inventory
Human
Services
(MBI-HSS).
Descriptive
analysis
Pearson
correlation
were
performed
using
SPSS
27.0.
structural
equation
model
constructed
with
AMOS
28.0
software,
Bootstrap
testing
conducted.
results
showed
directly
affected
(β
=
0.265,
95%CI
[0.114,
0.391]).
ethical
climate
resilience
both
played
mediating
roles
between
0.161,
[0.091,
0.243])
0.216,
[0.123,
0.337]).
play
chain
0.090,
[0.047,
0.161]).
hospital
burnout.
It
recommended
managers
pay
comprehensive
attention
nurses'
distress.
By
resilience,
level
be
reduced.
