Burnout among intensive care nurses, physicians and leaders during the COVID‐19 pandemic: A national longitudinal study

Acta Anaesthesiologica Scandinavica, Год журнала: 2024, Номер 68(10), С. 1426 - 1435

Опубликована: Июль 26, 2024

Abstract Background Burnout is frequent among intensive care unit (ICU) healthcare professionals and may result in medical errors absenteeism. The COVID‐19 pandemic caused additional strain during working hours also affected off‐duty life. aims of this study were to survey burnout levels ICU the first year COVID‐19, describe those who reported burnout, analyse demographic work‐related factors associated with burnout. Methods This was a national prospective longitudinal cohort 484 nurses, physicians leaders units patients Norway. measured at 6‐ 12‐month follow‐up, after registration baseline data months COVID epidemic. Copenhagen Inventory (CBI), used (range 0–100), caseness defined as CBI ≥50. Bi‐ multivariable logistic regression analyses performed examine variables 12 months. Results At 6 months, median score 17, increasing 21 ( p = .037), nurses accounting for most increase. Thirty‐two per cent had an increase more than 5, whereas 25% decrease 5. Ten 14% (n.s.). participants significantly lower age, fewer years experience, previous anxiety and/or depression, moral distress, less perceived hospital recognition, fear infection bivariate analyses. single standing type psychological 24 out 41 (59%) anxiety, depression post‐traumatic stress disorder (PTSD) symptoms. Multivariate analysis showed statistically significant associations professional experience .041) borderline significance support by leader .049). Conclusion In Norway, minority 1 into pandemic. A majority PTSD symptoms combined. experience.

Язык: Английский

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The relationship between post‐traumatic stress disorder and sleep quality in intensive care unit professionals

Nursing in Critical Care, Год журнала: 2025, Номер 30(2)

Опубликована: Фев. 27, 2025

Abstract Background Intensive care units (ICUs) have impact on physical and mental health not only for patients but also professionals. Post‐traumatic stress disorder that may occur in ICU professionals negatively affect the treatment process by affecting their sleep quality. Aim This study aims to evaluate relationship between post‐traumatic quality intensive unit Study Design The cross‐sectional conducted with 341 (nurses, physicians others) working ICUs Turkey. Data were collected a socio‐demographic form, Posttraumatic Stress Disorder‐Short Scale (PTSD‐SS) Richard‐Campbell Sleep Questionnaire (RCSQ). Results mean PTSD‐SS RCSQ scale scores of participants 15.37 ± 6.72 (min: 0, max: 35) 46.61 22.46 100). When cutoff points obtained from was examined, 12.9% ( n = 33) nurses, 11.3% 6) 3.4% 1) other had symptoms, it determined prevalence PTSD all 12% 40). In addition, there statistically significant negative weak correlation r −0.207) p < .05). Conclusions results this show increasing level causes deteriorate. Therefore, evaluation recognition symptoms interventions be important maintaining Additionally, can used planning improve nurses. greater support nurses prevent is recommended. Relevance Clinical Practice It necessary development reduce its

Язык: Английский

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Effects of physical activity on regulatory emotional self-efficacy, resilience, and emotional intelligence of nurses during the COVID-19 pandemic

Frontiers in Psychology, Год журнала: 2022, Номер 13

Опубликована: Дек. 9, 2022

The normalization of epidemic prevention and control has exacerbated nurses' physical mental stresses. important role activity in relieving stresses received extensive attention from researchers recent years. purpose this study was to investigate the influence on regulatory emotional self-efficacy, resilience, intelligence nurses explain their interactions. present adopted cluster sampling method. From April May 2022, a total 500 six municipal hospitals Changsha City were selected. Finally, 402 valid data samples obtained. Afterward, AMOS 23.0 (by maximum likelihood estimation) used process collected analyze proposed hypotheses by using 5,000 bootstrap test mediating effects structural equation model. results demonstrated that there are positive correlations between resilience (standardized coefficients = 0.232,

Язык: Английский

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Critical incidents and post-traumatic stress symptoms among experienced registered nurses during the COVID-19 pandemic: A cross-sectional study

International Journal of Nursing Studies Advances, Год журнала: 2024, Номер 6, С. 100194 - 100194

Опубликована: Март 27, 2024

Registered nurses working on the frontline during COVID-19 pandemic encountered significant challenges, including exposure to critical incidents. Critical incidents refer sudden unexpected clinical events that surpass an individual's ability cope, leading considerable psychological distress, which could potentially result in development of post-traumatic stress disorder symptoms. Research has shown a high prevalence symptoms among healthcare workers, particularly those close contact with patients. To assess levels registered relation conditions pandemic, such as how much their work was affected by re-deployment, hours hindering sufficient recovery between shifts and Cross sectional study. The multiple health care services covering all 21 geographic regions Sweden. A total 1,923 nurses, who are part Swedish national cohort have been followed since nursing education, were invited participate survey late September 2021 (15 19 years post graduation). data analyzed using descriptive statistics, unpaired t-tests, one-way analysis variance. Cohen's d employed quantify differences mean subgroups. response rate 56.5%. Over 50% experienced reported disruptions environments. In total, 85% exposed at least one incident 60% facing organisational changes nearly experiencing emotionally distressing situations. situations involving consistently demonstrated strong associations higher compared not exposed, effect sizes ranging from moderate high. This study underscores profound impact conditions, redeployment incidents, mental nurses. Our findings offer valuable insights into nurses' pandemic-related highlighting need for support interventions prevent manage ultimately promoting well-being. These results also highlight significance thorough workforce readiness planning future pandemics other challenging scenarios, staff shortage.

Язык: Английский

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Long-term impact of COVID-19 on nursing and care delivery: A national survey among anaesthetic and critical care nurses

Australian Critical Care, Год журнала: 2024, Номер 37(5), С. 775 - 782

Опубликована: Апрель 9, 2024

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has put an exceptional strain on intensive care delivery and significantly impacted nursing practice in the unit, consequently affecting nurses' working environment health. Little is known about long-term impact workforce anaesthetic departments.Aim/objectiveThis cross-sectional study aimed to describe of COVID-19 profession from perspectives critical nurses.MethodsIn this study, online questionnaire with open- close-ended questions was distributed registered nurses anaesthesia between February 8 March 7, 2022. The data were analysed using content analysis descriptive statistics.ResultsOf 514 who responded questionnaire, 256 (50%) worked 215 (42%) care. expressed three categories: hold, insights experiences forming a new professional identity, organisational conditions profession. Critical considered comparable that before pandemic. Nurse anaesthetics experienced changes tasks activities compared pandemic.ConclusionsNursing still influenced by due lack resources persistent high workload needs be reclaimed prioritised. Re-establishing high-quality shared responsibility organisation profession, create prerequisites for this. Furthermore, views into their developed both positively negatively during pandemic, which must further considered, including profession's values.

Язык: Английский

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Occupational stress in primary care workers during the COVID-19 pandemic: mixed methods study

Revista Latino-Americana de Enfermagem, Год журнала: 2023, Номер 31

Опубликована: Ноя. 3, 2023

Objective: to analyze the risk of exposure occupational stress among primary healthcare professionals during COVID-19 pandemic and their perception regarding experience. Method: mixed-methods sequential explanatory study with 50 care professionals. Sociodemographic, clinical, labor questionnaires, Job Stress Scale, semi-structured interviews were used. Quantitative data submitted descriptive analytical statistical analysis; qualitative Thematic Content Analysis. Results: 66% exposed stress. Doctors associated highly demanding work (p<0.001); nurses, nursing technicians, dental active dentists lower psychological demand (p<0.001). Professionals more than sixteen years experience had better conditions deal stressful factors, compared those less five (p<0.03). Data integration showed implications in life, work, interfaces symptoms. Conclusion: worked under high demands a pandemic. Self-control social support may contribute reducing these risks, as well professional training

Язык: Английский

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Physician Posttraumatic Stress Disorder During COVID-19

JAMA Network Open, Год журнала: 2024, Номер 7(7), С. e2423316 - e2423316

Опубликована: Июль 24, 2024

Importance The COVID-19 pandemic placed many physicians in situations of increased stress and challenging resource allocation decisions. Insight into the prevalence posttraumatic disorder its risk factors during will guide interventions to prevent development. Objective To determine (PTSD) among examine variations based on factors, such as sex, age, medical specialty, career stage. Data Sources A Preferred Reporting Items for Systematic Reviews Meta-analyses–compliant systematic review was conducted, searching MEDLINE, Embase, PsychInfo, from December 2019 November 2022. Search terms included MeSH (medical subject heading) keywords associated with population PTSD. Study Selection Peer-reviewed published studies reporting PTSD a probable diagnosis via validated questionnaires or clinician were included. reviewed by 6 reviewers. Extraction Synthesis random-effects meta-analysis used pool estimates calculate odds ratios (ORs) relevant physician characteristics. Main Outcomes Measures primary outcome interest physicians, identified standardized questionnaires. Results Fifty-seven total 28 965 participants 25 countries (of those that reported sex: 5917 11 239 [52.6%] male 5322 [47.4%] female; stage: 4148 186 [37.1%] trainees 7038 [62.9%] attending physicians). estimated pooled 18.3% (95% CI, 15.2%-22.8%; I 2 = 97%). Fourteen (22.8%) it found female more likely develop (OR, 1.93; 95% 1.56-2.39). Of 10 (17.5%) younger less Among 13 most common emergency department doctors. 16 (28.1%) stage, prone developing than attendings 1.33; 1.12-1.57). Conclusions Relevance In this examining COVID-19, symptoms consistent PTSD, higher older physiciansy, trainees, variation specialty. Targeted support well-being traumatic events like pandemics are required.

Язык: Английский

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Measuring depression in Primary Health Care in Spain: Psychometric properties and diagnostic accuracy of HSCL-5 and HSCL-10

Frontiers in Medicine, Год журнала: 2023, Номер 9

Опубликована: Янв. 9, 2023

Depression has a high prevalence among European countries. Several instruments have been designed to assess its symptoms in different populations. The Hopkins Symptom Checklist 25 (HSCL-25) scale identified as valid, reproducible, effective, and easy use. There are short versions of this that could be useful Primary Care (PC) settings, but their psychometric properties unknown. To PC patients the diagnostic accuracy Spanish version HSCL-10 HSCL-5 consisting 10 5 items, respectively. A multicenter, cross-sectional study was carried out at six centers Spain. HSCL-25 administered outpatients aged 45-75 who also participated structured Composite International Diagnostic Interview (CIDI). were assessed compared regarding total score correlation, internal consistency, criterion validity against gold-standard CIDI. This is methodological from secondary data analysis primary previously published. Out 790 patients, 767 completed 736 CIDI interview (96.0%). Cronbach's Alpha 0.84 for 0.77 HSCL-5. known-group method confirmatory factor acceptable establishment construct validity. Sensitivity 79.7% (CI95%, 67.7-88.0%) HSCL-10, 78.0% 65.9-86.6%) HSCL-5, whereas specificity 83% 80.0-85.7%) 72.8% 69.3-76.0%) Area under curve 0.88 0.84-0.92%) 0.85 0.81-0.89%) Optimum cutoff point calculated with Youden Index 1.90 1.80 reliable valid tools detect depression can used settings.

Язык: Английский

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The prevalence and risk factors of PTSD symptoms among nurses during the COVID‐19 pandemic—A systematic review and meta‐analysis

International Journal of Mental Health Nursing, Год журнала: 2023, Номер 33(3), С. 523 - 545

Опубликована: Дек. 7, 2023

Abstract Since the first reported outbreak in China, Coronavirus disease 2019 (COVID‐19) has raised serious concerns globally. The COVID‐19 pandemic caused a severe psychological impact on healthcare workers (HCWs), and especially nurses, who are most numerous exposed frontline group. This systematic review meta‐analysis aims to summarise extant literature effects of health particularly concerning prevalence risk factors for post‐traumatic stress disorder (PTSD). A search was conducted PubMed , Embase PsycInfo from March 2020 July 2023. Articles were included/excluded predetermined eligibility criteria. random‐effect performed using proportions determine pooled PTSD among nurses. Subgroup analyses also performed, heterogeneity across studies analysed meta‐regression. Relatively high rates nurse populations during twenty‐six different countries, Risk associated with include having prior mental co‐morbidities, being female, exposure/contact patients, insufficient protective conditions intensive workloads. overall 29.1% (95% C.I. = 23.5%, 35.5%) random‐effects model 55 studies. regression test funnel plot asymmetry indicated significant level publication bias is levels nurses observed Psychological, social administrative interventions should be implemented mitigate heavy distress

Язык: Английский

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Prevalence of psychological distress in nurses, physicians and leaders working in intensive care units during the COVID-19 pandemic: a national one-year follow-up study

BMJ Open, Год журнала: 2023, Номер 13(12), С. e075190 - e075190

Опубликована: Дек. 1, 2023

Objective To report and compare psychological distress as symptoms of anxiety, depression post-traumatic stress among intensive care units’ (ICU) nurses, physicians leaders at 12 months after the baseline survey (spring 2020), during COVID-19 pandemic in Norway. Furthermore, to analyse which demographic COVID ICU-related factors have a significant impact on months. Design Prospective, longitudinal, observational cohort study. Setting Nationwide, 27 28 hospitals with ICUs Participants Nurses, their leaders. At month follow-up 287 (59.3%) 484 participants responded. Primary secondary outcome measures Symptoms anxiety using Hopkins Checklist-10 (HSCL-10). disease checklist for Diagnostic Statistical Manual Mental Disorders 5 (PCL-5). Demographics (included previous depression) (professional preparations, emotional experience support) impacting Results Psychological distress, defined caseness either or both HSCL-10 PCL-5, did not change significantly was present 13.6% 13.2% follow-up. Nurses reported higher levels than Adjusted demographics baseline, fear infection were associated Previous depression, feeling loneliness more stress. Conclusion One year into professionals frequently nurses. Fear infection, distress. Protective equipment peer support are recommended mitigate Trial registration number ClinicalTrials.gov. Identifier: NCT04372056 .

Язык: Английский

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