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Park JS, Kim HK, Lee M. Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: A structural equation modeling analysis. Appl Nurs Res 2024; 78:151819. [PMID: 39053992 DOI: 10.1016/j.apnr.2024.151819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 08/16/2023] [Accepted: 06/25/2024] [Indexed: 07/27/2024]
Abstract
AIMS This study examined the relationship between the experience of violence, social support, nursing practice environment, and mental health among South Korean mental health nurses. METHODS Structured questionnaires were distributed to participants who worked in twelve mental health hospitals, each with at least 200 beds, in South Korea. We analyzed 243 questionnaires and used AMOS 25.0 to explore the relationships between the constructs. RESULTS The total and indirect effects of the experience of violence and of social support on mental health were significant. The effects of burnout and of the nursing practice environment on mental health were positively significant. Burnout revealed a mediating association with the relationship between the experience of violence, social support, and mental health. CONCLUSION The study confirmed that the experience of violence negatively affects burnout among mental health nurses, while social support relieves burnout and strengthens mental health. IMPLEMENTATION Our research model shows that the experience of violence could affect burnout and mental health among mental health nurses. Therefore, nursing administrators should develop violence prevention policies and manuals for coping with the violence that can frequently occur in psychiatric wards.
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Affiliation(s)
- Jung Suk Park
- Keyo Mental Health Hospital, 15, Ojeon-ro, Uiwang-si, Gyeonggi-do 16062, South Korea
| | - Hee Kyung Kim
- Department of Nursing, Sangji University, 83 Sangjidae-gil, Wonju-si, Gangwon-do 26339, South Korea.
| | - Mihyoung Lee
- Inha University, 100, Inha-ro, Michuhol-gu, Incheon 22212, South Korea
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Velez MJ, Marujo HA, Charepe Z, Querido A, Laranjeira C. Well-Being and Dispositional Hope in a Sample of Portuguese Citizens: The Mediating Role of Mental Health. Eur J Investig Health Psychol Educ 2024; 14:2101-2115. [PMID: 39056655 PMCID: PMC11275276 DOI: 10.3390/ejihpe14070140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2024] [Revised: 07/18/2024] [Accepted: 07/19/2024] [Indexed: 07/28/2024] Open
Abstract
In our pursuit of a fulfilling and contented life, the study of well-being has emerged as a fundamental field of research. Higher levels of well-being are associated with better mental health outcomes. Individuals with better mental health might possess the personal resources necessary to set and pursue meaningful goals, maintain positive expectations, and overcome adversities. We aim to explore the positive relationship between well-being (hedonic, psychological, and social) and dispositional hope. We suggest that mental health acts as a mediator in this relationship, since improved mental health can create a conducive environment for the development and maintenance of dispositional hope. Data were collected using an e-survey through social media during the last quarter of 2022. The hypothesis of this study was tested using mediation analysis. The sample was composed of 471 participants (85.4% female) with a mean age of 47.72 ± 11.86 years. Participants were mainly workers (88.6%), followed by pensioners (6.8%), university students (2.5%), and unemployed (2.1%). Results revealed that well-being was positively and significantly associated with dispositional hope. Additionally, well-being presented a significant and positive relationship with mental health, which, in turn, also presented a significant and positive relationship with dispositional hope. Finally, using the Hayes process macro for SPSS, we found that mental health mediates the relationship between well-being and dispositional hope. Our findings reinforce the conceptual frameworks that consider well-being and mental health as key contributors to a resilient and optimistic mindset. Interventions that aim to cultivate positive affect, facilitate personal growth, and foster supportive social environments might help improve mental health outcomes.
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Affiliation(s)
- Maria João Velez
- Department of Human Resources and Organizational Behavior, ISCTE-Instituto Universitário de Lisboa, Avenida das Forças Armadas, 1649-026 Lisboa, Portugal;
| | - Helena A. Marujo
- Instituto Superior de Ciências Sociais e Políticas, Centro de Administração e Políticas Públicas (CAPP), Universidade de Lisboa, Rua Almerindo Lessa, 1300-663 Lisboa, Portugal;
| | - Zaida Charepe
- Centre for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, Portugal;
- Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, Portugal
| | - Ana Querido
- School of Health Sciences, Campus 2, Polytechnic University of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal;
- Centre for Innovative Care and Health Technology (ciTechCare), Campus 5, Polytechnic University of Leiria, Rua das Olhalvas, 2414-016 Leiria, Portugal
- Center for Health Technology and Services Research (CINTESIS), NursID, University of Porto, 4200-450 Porto, Portugal
| | - Carlos Laranjeira
- School of Health Sciences, Campus 2, Polytechnic University of Leiria, Morro do Lena, Alto do Vieiro, Apartado 4137, 2411-901 Leiria, Portugal;
- Centre for Innovative Care and Health Technology (ciTechCare), Campus 5, Polytechnic University of Leiria, Rua das Olhalvas, 2414-016 Leiria, Portugal
- Comprehensive Health Research Centre (CHRC), University of Évora, 7000-801 Évora, Portugal
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Li M, Wei J, Yang S, Tian Y, Han S, Jia G, De Ala M, Song R, Wei B. Relationships among perceived social support, mindful self-care, and resilience among a sample of nurses in three provinces in China: a cross-sectional study. Front Public Health 2024; 12:1334699. [PMID: 39050605 PMCID: PMC11266081 DOI: 10.3389/fpubh.2024.1334699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Accepted: 06/17/2024] [Indexed: 07/27/2024] Open
Abstract
Objective In this study, we aimed to determine the relationships among perceived social support, mindful self-care, and resilience in a sample of nurses in three provinces of China. Methods A cross-sectional study was conducted in seven hospitals in Guangdong, Guizhou, and Henan provinces between August and October, 2023; the provinces are located in south, southwest, and central China. A total of 389 nurses were surveyed using a self-designed sociodemographic characteristics questionnaire and the Chinese versions of Multidimensional Scale of the Perceived Social Support, Brief-Mindful Self-Care Scale and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10). Results Of the 389 nurses, the majority were women (n = 365; 93.8%), aged 26-35 years (n = 244; 62.7%) and had bachelor's degrees (n = 337; 86.6%), had worked for 10-20 years (n = 136; 35%), with junior professional titles (n = 331; 85.1%), and had a monthly income in the range 3,001-6,000 yuan in CNY (n = 239; 61.4%). Nurses' resilience was measured using the CD-RISC-10, which ranges from 10 to 40 points. And average score of nurses' resilience was (23.94 ± 6.95). Multiple linear regression showed that scores for resilience were higher among nurses who had higher educational attainment (95% confidence interval: 0.568-3.024, p < 0.01), professional titles (95% confidence interval: 0.009-1.693, p < 0.05), scores of mindful self-care (95% confidence interval: 0.086-0.155, p < 0.01), and scores of perceived social support (95% confidence interval: 0.242-0.328, p < 0.01). Conclusion Nurses with higher educational attainment and professional titles exhibited higher levels of resilience. Perceived social support and mindfulness self-care are significantly positively correlated with resilience of nurses. The findings of this study are beneficial to further our understanding of nurses' resilience. The identification of associated factors is conducive to providing more support for nurses who tend to have lower resilience earlier, and can provide useful information for research targeted intervention and support plans aimed at improving nurses' resilience in the future.
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Affiliation(s)
- Meng Li
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Junfan Wei
- The Seventh Clinical Medicine College of Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Shuhua Yang
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Yuan Tian
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Shan Han
- Nursing Department, Beijing Jishuitan Hospital Guizhou Hospital, Guizhou, China
| | - Guanhu Jia
- Nursing Department, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China
| | - Minerva De Ala
- School of Nursing Department, Philippine Women's University, Manila, Philippines
| | - Ruipeng Song
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Bo Wei
- Yellow River Sanmenxia Hospital, Affiliated Hospital of Henan University of Science and Technology, Sanmenxia, China
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McCluskey A, Watson C, Nugent L, O'Connor T, Moore Z, Molloy L, Patton D. 'Sometimes You Have No Choice but to Give Them Medication': Experiences of Nurses Caring for People With Auditory Hallucinations in an Acute Unit. Int J Ment Health Nurs 2024. [PMID: 38965712 DOI: 10.1111/inm.13380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 06/01/2024] [Accepted: 06/04/2024] [Indexed: 07/06/2024]
Abstract
The aim of this study was to explore psychiatric nurse's experiences of caring for people with auditory hallucinations in an acute unit. A qualitative study was conducted using thematic analysis. The study involved semi-structured interviews with 18 acute unit nurses all of whom provided interventions to patients with auditory hallucinations. Overall, participants identified their role in the management of risk within an acute unit, the importance of their therapeutic role and a perceived over-reliance on medication administration as a primary nursing intervention. These findings thus demonstrate the personal and professional conflict that nurses face when working in an acute unit with patients who experience auditory hallucinations. Nurses are in a prime position to provide effective interventions and assistance for people with auditory hallucinations in an acute unit. The findings of this study indicate that mental health nurses may require additional support and education to provide care in a truly recovery-based manner, with training in specific interventions and engagement skills for people who hear voices. Due to an unpredictable environment and sometimes high-risk workplace, nurses may also benefit from organisational assistance in this area.
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Affiliation(s)
- Anita McCluskey
- School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland
| | - Chanel Watson
- School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland
| | - Linda Nugent
- School of Nursing and Midwifery, RCSI University of Medicine and Health Sciences, Dublin, Ireland
- Department of Nursing, Fakeeh College of Health Sciences, Jeddah, Saudi Arabia
| | - Tom O'Connor
- Department of Nursing, Fakeeh College of Health Sciences, Jeddah, Saudi Arabia
- School of Nursing and Midwifery and Lead Researcher, Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland
- Department of Nursing, Lida Institute, Shanghai, China
- School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia
| | - Zena Moore
- Department of Nursing, Fakeeh College of Health Sciences, Jeddah, Saudi Arabia
- School of Nursing and Midwifery and Lead Researcher, Skin Wounds and Trauma Research Centre, RCSI University of Medicine and Health Sciences, Dublin, Ireland
- Department of Nursing, Lida Institute, Shanghai, China
- School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia
- Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourbe, Victoria, Australia
- Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
- University of Wales, Cardiff, UK
| | - Luke Molloy
- Department of Medicine and Health, School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Declan Patton
- Department of Nursing, Fakeeh College of Health Sciences, Jeddah, Saudi Arabia
- School of Nursing and Midwifery, Griffith University, Brisbane, Queensland, Australia
- Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
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Pinheiro MF, Relva IC, Costa M, Mota CP. The Role of Social Support and Sleep Quality in the Psychological Well-Being of Nurses and Doctors. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:786. [PMID: 38929032 PMCID: PMC11204052 DOI: 10.3390/ijerph21060786] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/29/2024] [Revised: 06/10/2024] [Accepted: 06/14/2024] [Indexed: 06/28/2024]
Abstract
Social support enhances the development of adaptive strategies to cope with difficulties, which may affect psychological well-being. Sleep quality has been highlighted as having a relevant role in psychological well-being. The present study aimed to analyse the role of social support and sleep quality in the psychological well-being of health professionals (nurses and doctors) compared to the general population. The sample comprised 466 adults aged between 18 and 75 (M = 43.4; SD = 10.8), of which 272 were the general population and 194 nurses and doctors. Data were collected through a Sociodemographic Questionnaire, the Multidimensional Scale of Perceived Social Support, the Pittsburgh Sleep Quality Index, and the Psychological Well-Being Manifestation Measure Scale. Nurses presented less balance (also doctors), sociability and happiness than other professionals. Less significant sociability was observed in nurses compared with doctors. The results also allowed us to observe the positive role of social support from significant others on social involvement and sociability and the positive role of the family in self-esteem. Social support from friends played a positive role in all dimensions of psychological well-being. Males had a higher prevalence of psychological well-being. Other professionals and sleep quality show high levels of psychological well-being in all dimensions. Data discussion highlights the role of social support, sleep, and sex and the implications of health professions (nurses and doctors) on psychological well-being.
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Affiliation(s)
- Marta Frazão Pinheiro
- Department of Education and Psychology, University of Trás-os-Montes and Alto Douro (UTAD), Quinta de Prados, 5000-801 Vila Real, Portugal; (M.F.P.); (I.C.R.); (M.C.)
| | - Inês Carvalho Relva
- Department of Education and Psychology, University of Trás-os-Montes and Alto Douro (UTAD), Quinta de Prados, 5000-801 Vila Real, Portugal; (M.F.P.); (I.C.R.); (M.C.)
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), University of Trás-os-Montes e Alto Douro, 5000-801 Vila Real, Portugal
- Centre for Research and Intervention in Education (CIIE), University of Porto, 4200-135 Porto, Portugal
| | - Mónica Costa
- Department of Education and Psychology, University of Trás-os-Montes and Alto Douro (UTAD), Quinta de Prados, 5000-801 Vila Real, Portugal; (M.F.P.); (I.C.R.); (M.C.)
- Center for Psychology at the University of Porto (CPUP), 4200-135 Porto, Portugal
| | - Catarina Pinheiro Mota
- Department of Education and Psychology, University of Trás-os-Montes and Alto Douro (UTAD), Quinta de Prados, 5000-801 Vila Real, Portugal; (M.F.P.); (I.C.R.); (M.C.)
- Center for Psychology at the University of Porto (CPUP), 4200-135 Porto, Portugal
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Ta'an W, Hijazi D, Suliman M, Abu Al Rub R, Albashtawy M. Exploring the relationships between stress, resilience and job performance among nurses in Jordan. Nurs Manag (Harrow) 2024; 31:27-33. [PMID: 38116598 DOI: 10.7748/nm.2023.e2112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/17/2023] [Indexed: 12/21/2023]
Abstract
BACKGROUND Nurses are a crucial part of healthcare organisations, constituting around half of the global healthcare workforce. Therefore, it is important to examine the factors that may affect their job performance, which is central to the delivery of effective healthcare services. AIM To examine the relationships between stress, resilience and job performance within the nursing context in Jordan. METHOD A cross-sectional descriptive correlational design was used. A self-administered questionnaire comprising stress, resilience and job performance scales was completed by a convenience sample of 207 nurses working in five hospitals in the northern and middle regions of Jordan. RESULTS Overall, respondents self-reported moderate stress levels, normal resilience levels and moderate job performance. The study identified: a moderate positive correlation between stress and resilience; a weak negative correlation between stress and job performance; and a weak positive correlation between resilience and job performance. CONCLUSION It is essential that nurse managers, leaders and policymakers implement measures to mitigate the stressors encountered by nurses, increase resilience and foster effective coping mechanisms. Such measures could enhance nurses' resilience and job performance, ultimately improving patient care.
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Affiliation(s)
- Wafa'a Ta'an
- Deanship of Scientific Research, Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Duha Hijazi
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Suliman
- Community and Mental Health Department, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan
| | - Raeda Abu Al Rub
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammed Albashtawy
- Community and Mental Health Department, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan
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Skarstein S, Lysfjord EM, Silseth MH, Leegaard M. 'I need support in becoming the leader I would like to be' - A qualitative descriptive study of nurses newly appointed to positions of leadership. Nurs Open 2024; 11:e2173. [PMID: 38858817 PMCID: PMC11164673 DOI: 10.1002/nop2.2173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/03/2024] [Accepted: 04/24/2024] [Indexed: 06/12/2024] Open
Abstract
AIM The aim of the study was to understand the experiences of nurses who were newly appointed to a position of leadership including facilitators and barriers to success and what they considered important for the development of their role. METHODS We used a qualitative descriptive research design. The study was conducted in Norway with 10 nurses who had been appointed to a leadership position within the last 2 years. Participants were interviewed with individual qualitative interviews which were transcribed and subsequently analysed using thematic analysis. RESULTS The following four main themes were identified from the data: I feel lonely in the leadership position, I am not confident as a leader, I am unsure of the requirements and expectations of me, and I need support and supervision. CONCLUSION The results underscore the challenges reported by new leaders in nursing and their advocacy for mentorship as a facilitator for success. The qualifications of mentors were emphasised with a need for a comprehensive leadership skill set to address the multifaceted aspects of leadership development.
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Affiliation(s)
- Siv Skarstein
- Department of Nursing and Health Promotion, Faculty of Health SciencesOslo Metropolitan UniversityOsloNorway
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Bergström C, Axén I, Field J, Hartvigsen J, van der Marck M, Newell D, Rubinstein S, de Zoete A, Persson M. The chiropractors' dilemma in caring for older patients with musculoskeletal complaints: Collaborate, integrate, coexist, or separate? PLoS One 2024; 19:e0302519. [PMID: 38696495 PMCID: PMC11065304 DOI: 10.1371/journal.pone.0302519] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2024] [Accepted: 04/07/2024] [Indexed: 05/04/2024] Open
Abstract
The world's elderly population is growing at a rapid pace. This has led to an increase in demand on the health and welfare systems due to age-related disorders, with musculoskeletal complaints driving the need for rehabilitation services. However, there are concerns about health services' ability to meet this demand. While chiropractic care is gaining recognition for its benefits in treating older adults with musculoskeletal disorders, there is limited scientific literature on chiropractors' role and experiences in this area. To bridge this gap, we interviewed 21 chiropractors in Great Britain, the Netherlands, Norway, and Sweden. Inductive qualitative content analysis was used to analyse the interviews, and despite differences in integration and regulation between the countries, several common facilitators and barriers in caring for and managing older patients with musculoskeletal complaints emerged. While participants expressed optimism about future collaborations with other healthcare professionals and the integration of chiropractic into national healthcare systems, they also highlighted significant concerns regarding the existing healthcare infrastructure. The participants also felt that chiropractors, with their non-surgical and holistic approach, were well-positioned to be the primary point of contact for older patients. However, there were some common barriers, such as the affordability of care, limited integration of chiropractic, and the need to prioritise musculoskeletal complaints within public healthcare. Our findings suggest that chiropractors experience their clinical competencies as an underutilised resource in the available healthcare systems and that they could contribute to and potentially reduce the escalating burden of musculoskeletal complaints and associated costs among older patients. Additionally, our findings highlight the desire among the participants to foster collaboration among healthcare professionals and integrate chiropractic into the national public healthcare system. Integrating chiropractors as allied health professionals was also perceived to improve coordinated, patient-centred healthcare for older adults.
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Affiliation(s)
- Cecilia Bergström
- Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, Umeå, Sweden
| | - Iben Axén
- Karolinska Institutet, Institute of Environmental Medicine, Stockholm, Sweden
- The Norwegian Chiropractors’ Research Foundation “Et Liv i Bevegelse”, Oslo, Norway
| | | | - Jan Hartvigsen
- Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Chiropractic Knowledge Hub, Odense, Denmark
| | | | - Dave Newell
- AECC University College, Bournemouth, United Kingdom
| | - Sidney Rubinstein
- Department of Health Sciences, Faculty of Science and Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Annemarie de Zoete
- Department of Health Sciences, Faculty of Science and Amsterdam Movement Sciences Research Institute, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
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Sawalma AN, Malak MZ, Asfour BY, Khader IA. The association between psychological reactions, resilience, and work engagement among Palestinian critical care nurses in West Bank. Int Nurs Rev 2024. [PMID: 38661531 DOI: 10.1111/inr.12975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 04/03/2024] [Indexed: 04/26/2024]
Abstract
AIM This study aimed to assess the association between psychological reactions (e.g., stress, anxiety, and depression), resilience, and work engagement among Palestinian critical care nurses in the West Bank and examine the correlation of psychological reactions and resilience with work engagement. BACKGROUND Work engagement is associated with psychological reactions and resilience, particularly among critical care nurses. There is a lack of studies on work engagement and these factors in Palestine. METHODS A cross-sectional, descriptive correlational design was adopted. A convenience sample consisting of 273 critical care nurses from private and governmental hospitals was recruited to participate. Depression, Anxiety, Stress Scale-21 (DASS-21), Connor-Davidson Resilience Scale-25 (CDRS-25), Utrecht Work Engagement Scale-9 (UWES-9), and demographic data were used to collect data during the period from March 20 to May 20, 2023. RESULTS Findings demonstrated that 53.9% of the nurses reported mild-to-moderate levels of depression, 49.8% reported moderate-to-severe levels of anxiety, and 49.1% reported moderate-to-severe levels of stress. Additionally, 57.5% and 52.7% of them had low resilience and work engagement, respectively. Moreover, work engagement negatively correlated with depression (r = -0.796, P < 0.01), anxiety (r = -0.654, P < 0.01), and stress (r = -0.796, P < 0.01), while positively correlated with resilience (r = 0.42, P < 0.01) and gender (r = 0.121, P < 0.05). Depression, anxiety, stress, resilience, and gender were the main predictors of work engagement. DISCUSSION The majority of the nurses suffered from depression, anxiety, and stress. Additionally, more than half of the participants had low resilience and work engagement. Moreover, increased depression, anxiety, and stress were correlated with decreased work engagement, while high resilience and gender as being female positively correlated with high work engagement. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY Policymakers and hospital administrators should develop interventions to improve critical care nurses' resilience and minimize psychological reactions, which have a significant influence on work engagement. Future studies should be conducted to examine the effectiveness of these interventions.
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Affiliation(s)
- Abdelrahman Nedal Sawalma
- Master in Critical Care Nursing, Faculty of Nursing, Arab American University of Palestine (AAUP), Jenin, Palestine
| | - Malakeh Z Malak
- Community Health Nursing, Faculty of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan
| | - Bara Y Asfour
- Business Administration Department, Faculty of Administration and Financial Services, Arab American University of Palestine (AAUP), Jenin, Palestine
| | - Imad Abu Khader
- Critical Care Nursing, Faculty of Nursing, Arab American University of Palestine (AAUP), Jenin, Palestine
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Rajamohan S, Crotser C, Fleming W. Applying Biblical Wisdom to Trying Times: 10 Leadership Lessons for Nurses. J Christ Nurs 2024; 41:88-95. [PMID: 38436338 DOI: 10.1097/cnj.0000000000001149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2024] Open
Abstract
ABSTRACT In the post-COVID era, examining nursing and pastoral leadership experiences with biblical examples offers helpful perspectives on how to lead in times of crisis and adversity. Reflecting on men and women of the Bible who led during crisis can encourage nurses to view our ministries through God's lens and motivate us to become stronger leaders.
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Entrata P, Nicomedes CJ. Emotional intelligence and perceived social support as predictors of psychological well-being among nurses in hospitals in metro manila: Basis for psychological wellness program. Arch Psychiatr Nurs 2024; 49:140-148. [PMID: 38734450 DOI: 10.1016/j.apnu.2024.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2023] [Revised: 01/28/2024] [Accepted: 02/22/2024] [Indexed: 05/13/2024]
Abstract
An important factor related to psychological well-being is emotional intelligence and perceived social support. Nurses are exposed to different stressors that are triggered by failing to meet personal needs, taking care of patients, heavy workloads, being exposed to dying patients, fear of committing errors in practice, and experiences of discrimination. Literature suggests that emotional intelligence and perceived social support are associated with psychological well-being. This study aimed to test whether emotional intelligence and perceived social support significantly predict psychological well-being among nurses working in hospitals in Metro Manila through multiple regression analysis. The result shows a high level of emotional intelligence and perceived social support among the respondents. Furthermore, it was also found that nurses have an average level of psychological well-being. There is also a positive relationship between the domains of emotional intelligence, perceived social support, and psychological well-being. Lastly, the results show that the domains of emotional intelligence and perceived social support significantly predict psychological well-being among nurses.
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Haywood D, Crocker KM, Gnatt I, Jenkins Z, Bhat R, Lalitha ARN, Butterfield I, Castle DJ. What accounts for turnover intention in the Australian public mental health workforce? Int J Ment Health Nurs 2024; 33:359-368. [PMID: 37795874 DOI: 10.1111/inm.13233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 09/06/2023] [Accepted: 09/10/2023] [Indexed: 10/06/2023]
Abstract
High staff turnover is common within the Australian public mental health workforce, contributing to workforce shortages and ultimately impacting the ability to provide stable efficient, effective, and ongoing optimal care to the community. In this study, we aimed to (a) establish the most pertinent factors associated with increased turnover intention in the public mental health workforce in Australia, and (b) establish whether such factors differ between metropolitan and rural services. We used a cross-sectional, correlational design using an online survey method. In total, 235 mental health service staff of various disciplines and levels, from four public hospitals in Victoria, Australia participated in the study. We used three feed-forward multiple regression analyses to assess the study aims. We found that job satisfaction, occupational burnout, and understaffing may be the most pertinent factors to consider regarding turnover intention. Job satisfaction and occupational burnout were factors endorsed across the entire sample, as well as specifically within both the metropolitan and rural services, while understaffing was a pertinent factor regarding turnover intention across the entire sample and for rural services, but not metropolitan services. Our findings regarding the pertinence of job satisfaction, occupational burnout, and understaffing in turnover intention provide key information that may be used to inform interventional targets aimed at reducing attrition from the public mental health workforce in Australia.
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Affiliation(s)
- Darren Haywood
- School of Psychological Science, Turner Institute for Brain and Mental Health, Monash University, Victoria, Clayton, Australia
- Department of Mental Health, St. Vincent's Hospital Melbourne, Victoria, Fitzroy, Australia
- Human Performance Research Centre, INSIGHT Research Institute, Faculty of Health, University of Technology Sydney, Sydney, New South Wales, Australia
- Department of Psychiatry, University of Melbourne, Parkville, Victoria, Australia
| | - Kaitlyn M Crocker
- Department of Mental Health, St. Vincent's Hospital Melbourne, Victoria, Fitzroy, Australia
- Melbourne Neuropsychiatry Centre, The University of Melbourne, Victoria, Carlton, Australia
| | - Inge Gnatt
- Department of Mental Health, St. Vincent's Hospital Melbourne, Victoria, Fitzroy, Australia
- Centre for Mental Health and Brain Sciences, Swinburne University of Technology, Victoria, Hawthorn, Australia
| | - Zoe Jenkins
- Department of Mental Health, St. Vincent's Hospital Melbourne, Victoria, Fitzroy, Australia
| | - Ravi Bhat
- Department of Rural Health, University of Melbourne, Victoria, Shepparton, Australia
- Mental Health Services, Goulburn Valley Health, Shepparton, Victoria, Australia
| | | | - Ingrid Butterfield
- HER Centre Australia, Monash University, Victoria, Clayton, Australia
- Department of Psychiatry, Cabrini Health, Victoria, Malvern, Australia
| | - David J Castle
- University of Tasmania and Tasmanian Centre for Mental Health Service Innovation, Tasmania, Hobart, Australia
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13
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Cooper AL, Best MC, Read RA, Brown JA. Exploring work-related stressors experienced by mental health nurses: A qualitative descriptive study. J Psychiatr Ment Health Nurs 2024. [PMID: 38462894 DOI: 10.1111/jpm.13038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/11/2024] [Accepted: 02/27/2024] [Indexed: 03/12/2024]
Abstract
INTRODUCTION The challenging work environments mental health nurses (MHNs) encounter can negatively impact their mental health, psychological well-being and physical health. While these impacts have been investigated in quantitative research, little is known about work-related stress from the perspective of MHNs. AIM To explore the stresses faced by nurses working in mental health settings and to gain an understanding of the underlying workplace context. METHOD A descriptive qualitative study with data collected via semi-structured individual telephone interviews conducted with n = 21 Western Australian MHNs. Data were analysed using reflexive thematic analysis. RESULTS A total of 85 codes were generated that led to the identification of 13 subthemes and 4 main themes: (1) mental health nursing context, (2) work environment stressors, (3) factors that alleviate stress and (4) the impact of workplace stress. DISCUSSION Many of the stressors MHNs were exposed to are modifiable, such as understaffing and poor skill mix. Modifiable stressors increased risk for MHNs, impeded patient care and exacerbated inherent stressors such as patient acuity and complexity. IMPLICATIONS FOR PRACTICE This study collected data that provide rich descriptions of the experiences of MHNs and identify modifiable work-related stressors that could be alleviated through effective leadership and management.
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Affiliation(s)
- Alannah L Cooper
- Centre for Wellbeing and Sustainable Practice, Royal Perth Bentley Group, Perth, Western Australia, Australia
| | - Megan C Best
- Faculty of Medicine and Health, Sydney Medical School, The University of Sydney, Camperdown, New South Wales, Australia
| | - Richard A Read
- Centre for Wellbeing and Sustainable Practice, Royal Perth Bentley Group, Perth, Western Australia, Australia
| | - Janie A Brown
- School of Nursing, Curtin University, Perth, Western Australia, Australia
- St John of God Midland Public and Private Hospital, Midland, Western Australia, Australia
- The Western Australian Group for Evidence Informed Healthcare Practice, Curtin University, Perth, Western Australia, Australia
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14
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Wang AQ, Cheng WD, Fu YY, Luo YS, Li J, Wang HY, Jin CL. Development and initial validation of the career resilience instrument for CDC emergency responders in China within the context of public health emergencies: based on a survey conducted in Shanghai. Front Public Health 2024; 12:1327738. [PMID: 38515597 PMCID: PMC10955067 DOI: 10.3389/fpubh.2024.1327738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 02/20/2024] [Indexed: 03/23/2024] Open
Abstract
Background China faces various public health emergencies, and emergency responders at the Centers for Disease Control and Prevention (CDC emergency responders) are a mainstay in responding to public health emergencies. Career resilience can help CDC emergency responders to effectively respond to and recover from public health emergencies, but there is no specific measurement instrument available. In this study, we aimed to develop and conduct an initial validation of the career resilience instrument for CDC emergency responders in China within the context of public health emergencies from a process perspective. Methods Based on a survey conducted in Shanghai, interpretive phenomenological analysis (IPA), which is a qualitative research approach to describing and analyzing individual experiences, was used to analyze the interview texts to develop the initial career resilience instrument for CDC emergency responders. The initial career resilience instrument was revised through two rounds of expert consultation. Cronbach's α coefficient and exploratory factor analysis were used to test the reliability and validity of the revised career resilience instrument. Results The initial career resilience instrument for CDC emergency responders contained three first-level measurement dimensions, 9 second-level measurement dimensions, and 52 measurement items. After expert consultation, the first-level and second-level measurement dimensions were not revised, 13 measurement items were deleted or revised, and six measurement items were added, resulting in 48 measurement items. The revised career resilience instrument was tested for good reliability and validity. Conclusion Career resilience for CDC emergency responders can be regarded as a set of protective factors and dynamic processes that can be cultivated and intervened in cognitive, affective, and behavioral dimensions to improve their ability to respond to and recover from public health emergencies.
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Affiliation(s)
- An-Qi Wang
- School of Public Health, Shandong Second Medical University, Weifang, Shandong, China
| | - Wen-Di Cheng
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
| | - Yu-Yan Fu
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
| | - Ya-Shuang Luo
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
| | - Juan Li
- School of Public Health, Shanghai University of Traditional Chinese Medicine, Shanghai, China
| | - Hai-Yin Wang
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
| | - Chun-Lin Jin
- Department of Health Technology Assessment, Shanghai Health Development Research Center (Shanghai Medical Information Center), Shanghai, China
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15
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Kurt FY, Kahriman İ, Çolak B. The association of fear of COVID-19 on occupational stress in pediatric nurses: Examining the mediating role of psychological well-being. J Pediatr Nurs 2024; 75:140-148. [PMID: 38159479 DOI: 10.1016/j.pedn.2023.12.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 09/07/2023] [Accepted: 12/20/2023] [Indexed: 01/03/2024]
Abstract
PURPOSE This study investigated the associations of fear of COVID-19 with occupational stress and the mediating role of psychological well-being in pediatric nurses. METHODS This cross-sectional study was conducted between December 2021 and February 2022. The sample consisted of 464 pediatric nurses from public or university hospitals in Türkiye. Data were collected using a sociodemographic characteristics questionnaire, the Fear of COVID-19 Scale, the Occupational Stress Scale, and the Psychological Well-Being Scale. The data were analyzed using Pearson's correlation and regression analysis. RESULTS Participants' fear of COVID-19 was positively associated with their occupational stress (F = 17.263; p < 0.001) but negatively associated with their psychological well-being (F = 10.575; p = 0.001). Their psychological well-being was negatively associated with their occupational stress (F = 22.084; p < 0.001). Nurses fear of COVID-19 explained three and 2 % of their occupational stress and psychological well-being, respectively. Nurses' psychological well-being explained 4 % of their occupational stress. The results showed that participants' psychological well-being did not mediate between their fear of COVID-19 and occupational stress. CONCLUSION Pediatric nurses fear COVID-19 but have an above-mean level of occupational stress and psychological well-being. In conclusion, psychological well-being does not mediate between pediatric nurses' fear of COVID-19 and occupational stress. PRACTICE IMPLICATIONS The pandemic was a traumatic experience for pediatric nurses. Hospital administrators and nurse managers must monitor the psychosocial health of pediatric nurses and support them in times of crisis.
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Affiliation(s)
- Fatma Yılmaz Kurt
- Çanakkale On Sekiz Mart University, Faculty of Health Sciences, Pediatric Nursing, Çanakkale, Turkey
| | - İlknur Kahriman
- Karadeniz Technical University, Faculty of Health Sciences, Pediatric Nursing, Trabzon, Turkey
| | - Bahar Çolak
- Karadeniz Technical University, Institute of Health Sciences, Pediatric Nursing, Trabzon, Turkey.
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Abdou AH, El-Amin MAMM, Mohammed EFA, Alboray HMM, Refai AMS, Almakhayitah MY, Albohnayh ASM, Alismail AM, Almulla MO, Alsaqer JS, Mahmoud MH, Elshazly AIA, Allam SFA. Work stress, work-family conflict, and psychological distress among resort employees: a JD-R model and spillover theory perspectives. Front Psychol 2024; 15:1326181. [PMID: 38420179 PMCID: PMC10899679 DOI: 10.3389/fpsyg.2024.1326181] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Accepted: 01/29/2024] [Indexed: 03/02/2024] Open
Abstract
The hospitality industry is well-known for its challenging and high-pressure work settings. In this context, employees commonly face a multitude of stressors originating from their roles and job responsibilities, which can significantly impact their psychological wellbeing. Hence, based on the job demands-resources (JD-R) model and the spillover theory, this study aims to empirically explore the direct and indirect effect of work stress (assessed by role overload, ambiguity, and conflict) on psychological distress among frontline employees in 3- and 4-star Egyptian resorts while considering the mediating influence of work-family conflict (WFC). Four hypotheses were put to the test through the application of the PLS-SEM 4.0 version (4.0.9.9). Based on the findings from 563 frontline employees who participated in this research, the study supports the four hypotheses affirming that work-related stressors significantly contributed to employees' psychological distress. Further, the findings highlighted that these stressors significantly spill over into employees' family lives, generating conflicts between work and family roles. In addition, the results emphasized the significance of WFC as a contributing factor to employees' psychological distress. Finally, the study concluded that WFC partially mediates the link between work stress and employees' psychological distress. Based on these findings, some theoretical and practical implications for hospitality scholars, resort management, and policymakers were suggested to enhance the employees' wellbeing and mitigate psychological distress in this vital sector.
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Affiliation(s)
- Ahmed Hassan Abdou
- Social Studies Department, College of Arts, King Faisal University, Al-Ahsa, Saudi Arabia
- Hotel Studies Department, Faculty of Tourism and Hotels, Mansoura University, Mansoura, Egypt
| | | | | | - Hanem Mostafa Mohamed Alboray
- Department of Education and Psychology, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
- Mental Health Department, Faculty of Education, Suez Canal University, Ismailia, Egypt
| | - Aza Mohamed Sediek Refai
- Department of Education and Psychology, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
- Department of Psychology, Faculty of Arts, Helwan University, Cairo, Egypt
| | | | | | | | - Mazen Omar Almulla
- Department of Education and Psychology, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
| | - Jawharah Saleh Alsaqer
- Department of Education and Psychology, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
| | - Maha Hassanein Mahmoud
- Department of Geography, College of Arts, King Faisal University, Al-Ahsa, Saudi Arabia
- Department of Geography, College of Arts, Mansoura University, Mansoura, Egypt
| | | | - Sahar Farouk Abdelgaed Allam
- Department of Education and Psychology, College of Education, King Faisal University, Al-Ahsa, Saudi Arabia
- Department of Psychology, Faculty of Women, Ain Shams University, Cairo, Egypt
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17
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Li M, Zhao R, Wei J, Zhou L, Yang S, Tian Y, Wang L, Zhang W, Xiong X, Huang C, Pan Z, Song R. Nurses' perspectives on workplace environment needs associated to resilience: a qualitative descriptive study. Front Psychiatry 2024; 15:1345713. [PMID: 38404475 PMCID: PMC10884228 DOI: 10.3389/fpsyt.2024.1345713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 01/24/2024] [Indexed: 02/27/2024] Open
Abstract
Objective The purpose of this study was to explore the demands of nurses on the workplace environment related to psychological resilience. Methods A qualitative descriptive design was employed for this study. Purposeful sampling was chosen from a tertiary hospital in Henan Province, China. Semi-structured in-depth interviews were conducted with 20 nurses. The interview data was analyzed using the Colaizzi's method and results were reported following the COREQ standards. Results Analysis of the interview data revealed three main themes: (1) Career Support and Development, (2) Practical Support & Development, and (3) Personal Support and Development. Conclusion The perspectives of nurses for a workplace environment demands needs to be appreciated, and in addition, it is worth noting that the key role of building a good workplace environment in strengthening the resilience of nurses emphasizes the need for careful consideration. Nursing administrators should formulate policies and measures from multiple perspectives based on the real needs of nurses in terms of professional, practical, and personal dimensions.
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Affiliation(s)
- Meng Li
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Runze Zhao
- School of Medicine, Zhengzhou University of Industrial Technology, Zhengzhou, China
| | - Junfan Wei
- The Seventh Clinical Medicine College of Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Linghan Zhou
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Shuhua Yang
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Yuan Tian
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Lingning Wang
- School of Medicine, Maanshan University, Maanshan, China
| | - Wenling Zhang
- Operating Room, Henan Provincial People’s Hospital, Zhengzhou, China
| | - Xiaoyun Xiong
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
| | - Chuzhen Huang
- The Seventh Clinical Medicine College of Guangzhou University of Chinese Medicine, Shenzhen, China
| | - Zhongjie Pan
- School of Medicine, Zhengzhou University of Industrial Technology, Zhengzhou, China
| | - Ruipeng Song
- Nursing Department, The Third People’s Hospital of Henan Province, Zhengzhou, China
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18
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Nash C. The Health Narratives Research Group (HeNReG): A self-direction process offered to help decrease burnout in public health nurse practitioners. AIMS Public Health 2024; 11:176-208. [PMID: 38617405 PMCID: PMC11007417 DOI: 10.3934/publichealth.2024009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 01/27/2024] [Accepted: 01/30/2024] [Indexed: 04/16/2024] Open
Abstract
Founded in accordance with 19th century sex roles and public health concerns, nursing evolved as other-directed, dependent on physician-focused diagnosis, prescription decisions, and public health advancements. The result of this other direction is that public health nurse practitioners have endured significant workplace stress resulting in burnout, especially during COVID-19. To help decrease their burnout, nurses require development of self-direction. The Health Narratives Research Group (HeNReG) has the potential to reduce burnout in nurse practitioners by encouraging the development of self-direction. The HeNReG process is presented through historically analyzed documents regarding reducing burnout in health researchers by developing self-direction including: (1) three years of archived year-end feedback results provided by participants, (2) archived participant responses to specific HeNReG-related writing prompts, and (3) a comparison of HeNReG results with the outcomes of resilience programs. The conclusion-the HeNReG offers an effective option for reducing burnout in health researchers that has the potential to decrease nurse practitioner burnout in a way that resilience programs do not. Tailoring the HeNReG process to public health nurses is discussed, inviting future research for reducing burnout in public health nurses.
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Affiliation(s)
- Carol Nash
- History of Medicine Program, Department of Psychiatry, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A1
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19
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O'Malley M, O'Mahony J, Happell B, Mulcahy H. The nurse bombarded, consumed and vulnerable: An interpretative phenomenological analysis of mental health nurses' self-care at work. J Psychiatr Ment Health Nurs 2024; 31:66-76. [PMID: 37534379 DOI: 10.1111/jpm.12956] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 05/16/2023] [Accepted: 06/28/2023] [Indexed: 08/04/2023]
Abstract
INTRODUCTION Self-care is essential for nurses' wellbeing, with stress posing a major barrier. Research into self-care is often absorbed into studies of burnout or resilience. Understanding lived experiences of influences on nurses' self-care practices is essential. There is currently a paucity of literature on this topic. AIM To explore mental health nurses' views about what influences their ability to self-care in relation to workplace stress and the impact on their practice and work environment. METHODS An Interpretative Phenomenological Analysis approach was utilized. In-depth interviews explored how nurses perceived the influence of environment and relationships on self-care practices in the workplace. RESULTS Participants' perceptions and experiences are embodied by the theme: the nurse bombarded, comprising two subordinate themes-the nurse consumed by the intensity of work and therapeutic relationships; and feeling vulnerable from colleague relationships and feeling undervalued. Participants described conflict between workload demands and expectations and the desire to provide optimal care. CONCLUSIONS Stressful working environments pose major barriers to effective self-care. Feeling bombarded and vulnerable, impacts nurses' lives personally and professionally. IMPLICATIONS FOR PRACTICE Mental health nurses' self-care is crucial for quality practice. Strategies to address relational, personal and environmental barriers to self-care are therefore necessary.
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Affiliation(s)
- Maria O'Malley
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - James O'Mahony
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Brenda Happell
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
- Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia
| | - Helen Mulcahy
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
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20
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O'Dea A, Caulfield R, Roche MA. The Impact of COVID-19 Visitor Restrictions on Clinical Cancer Nurses. Semin Oncol Nurs 2024; 40:151530. [PMID: 38007320 DOI: 10.1016/j.soncn.2023.151530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Revised: 10/09/2023] [Accepted: 10/16/2023] [Indexed: 11/27/2023]
Abstract
OBJECTIVES To explore the impact of visitor restrictions on clinical cancer nurses, their roles and duties, and the coping strategies used to address the impact. DATA SOURCES Semistructured qualitative interviews were conducted through purposive sampling with nurses working in a clinical role within cancer services at the study site for at least 1 year. Interviews were recorded and transcribed. Textual data transcribed from interviews were analyzed for themes using NVivo version 12 software, following Braun and Clarke's six phases of thematic analysis. CONCLUSION Visitor restrictions implemented due to COVID-19 had a significant impact on clinical cancer nurses. The study found evidence of moral injury and conflict-within the role of the nurse, the implementation of organizational policies, and nurses' professional identity and personal beliefs. Despite this adversity, nurses remained committed to their clinical practice. IMPLICATIONS FOR NURSING PRACTICE Changes to nurses' roles and the practice environment have potentially significant impact on well-being and retention. To ensure that nurses can continue to provide high-quality nursing care in challenging environments, organizations must minimize this impact. Consistent communication and support activities, including recognizing and responding appropriately to situations, may be used in the reduction of potential moral injury and stress.
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Affiliation(s)
- Amy O'Dea
- Nursing Honours Candidate, School of Nursing and Midwifery, University of Canberra, Bruce ACT, Australia.
| | - Rebecca Caulfield
- Lecturer, School of Nursing and Midwifery, University of Canberra, Bruce ACT; Registered Nurse, Canberra Health Services, Canberra, ACT
| | - Michael A Roche
- Professor of Mental Health Nursing, Faculty of Health, University of Canberra, Bruce ACT; Clinical Chair in Mental Health Nursing, SYNERGY Nursing & Midwifery Research Centre, ACT Health; Adjunct Professor, Faculty of Health, University of Technology Sydney, Ultimo NSW, Australia
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21
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Anandarajah AP, Yi L, Anandarajah AA, Shelton N, Feng C, Williams EM. Impact of COVID-19 pandemic on social isolation and loneliness among minority populations. Am J Med Sci 2024; 367:21-27. [PMID: 37769872 DOI: 10.1016/j.amjms.2023.09.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Revised: 07/29/2023] [Accepted: 09/20/2023] [Indexed: 10/03/2023]
Abstract
BACKGROUND The impact of social isolation and loneliness (SIL) was heightened during the COVID-19 pandemic. Although the pandemic disproportionately affected racial/ ethnic minorities, no studies have investigated the ramifications of the pandemic on SIL among these populations. This study aimed to determine the prevalence and pervasiveness of SIL during the COVID-19 pandemic on minority communities. MATERIALS AND METHODS This was a single center, cross sectional study conducted by scientists from the University of Rochester Medical Center (URMC) working in collaboration with members of the Rochester community. Adult patients presenting to the emergency department at URMC who identified themselves as belonging to minority communities were asked to complete a survey that comprised questions from the Lubben Social Network Scale-6 and questions from the Campaign to End Loneliness Measurement Tool. We analyzed the percentage of SIL and conducted linear regression models to study the association between these outcomes and race/ ethnicity, age, gender, chronic disease status and the frequency of hospitalizations. RESULTS A total of 1,029 subjects completed the survey. Social isolation was reported by 375 (37%) persons. Those of Latinx ethnicity had higher prevalence of social isolation (41%) compared to those of Black/African American race (36%) and also had higher degrees of isolation (14.8%) (15.42; p = 0.07). Loneliness was documented by 215 (21%) for the cohort with no differences based on race or ethnicity. CONCLUSIONS Social isolation was common among minority communities during the pandemic but loneliness was less pervasive. The study highlights the need to address the specific needs of these populations.
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Affiliation(s)
| | - Leta Yi
- University of North Carolina, Chapel Hill, NC, USA
| | | | | | - Changyong Feng
- University of Rochester Medical Center, Rochester, NY, USA
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22
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Martínez-Arriaga RJ, Dominguez-Rodriguez A, Herdoiza-Arroyo PE, Robles-Garcia R, de la Rosa-Gómez A, Figueroa González JA, Muñoz Anacona YA. Suicide risk and associated factors in healthcare workers seeking psychological support during COVID-19: a cross-sectional study. PSYCHOL HEALTH MED 2023; 28:3076-3090. [PMID: 37224286 DOI: 10.1080/13548506.2023.2216469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Accepted: 05/16/2023] [Indexed: 05/26/2023]
Abstract
Healthcare workers have been one of the groups most severely affected by the COVID-19 pandemic, leaving them with serious psychological effects. Some of these effects have not been treated promptly, leading to further psychological symptoms. The objective of this study was to evaluate suicide risk in healthcare workers seeking psychological help during the COVID-19 pandemic, and factors associated with this risk on participants that were searching for treatment during the COVID-19 pandemic. This is a cross-sectional study analyzing data from 626 Mexican healthcare workers seeking psychological help due to the COVID-19 pandemic through the www.personalcovid.com platform. Before they entered treatment, the Plutchik Suicide Risk Scale, the Depression Scale of the Center for Epidemiologic Studies, the Pittsburgh Sleep Quality Index, and the Professional Quality of Life Measure, were administered. Results: 49.4% (n = 308) presented suicide risk. The most severely affected groups were nurses (62%, n = 98) and physicians (52.7%, n = 96). Predictors of suicide risk in healthcare workers were secondary traumatic stress, high depressive affect, low positive affect, emotional insecurity and interpersonal problems, and medication use. Conclusions: The suicidal risk detected was high, found mostly in nurses and doctors. This study suggests the presence of psychological effects on healthcare workers, despite the time that has elapsed since the onset of the pandemic.
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Affiliation(s)
- Reyna Jazmín Martínez-Arriaga
- Departamento de Clínicas de Salud Mental, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Jalisco, Mexico
| | - Alejandro Dominguez-Rodriguez
- Department of Psychology, Health and Technology, University of Twente, Enschede, The Netherlands
- Health Sciences Area, Valencian International University, Valencia, Spain
| | | | - Rebeca Robles-Garcia
- Epidemiological and Psychosocial Research Directorate, Instituto Nacional de Psiquiatría "Ramón de la Fuente Muñiz", Mexico City, Mexico
| | - Anabel de la Rosa-Gómez
- Facultad de Estudios Superiores Iztacala, Universidad Nacional Autónoma de México, Mexico City, Mexico
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Engelmann P, Toussaint A, Addo MM, Brehm TT, Lohse AW, Weigel A, Thompson M, Löwe B. Predictors of somatic symptom burden in healthcare professionals during the COVID-19 pandemic: an 8-week follow-up study. J Ment Health 2023; 32:1111-1121. [PMID: 35549625 DOI: 10.1080/09638237.2022.2069709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 11/29/2021] [Accepted: 02/09/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND Literature investigating the impact of COVID-19 on healthcare professionals barely addresses predictors of somatic symptom burden during the COVID-19 pandemic. AIMS As biopsychosocial models propose that not only the disease but also sociodemographic and psychosocial factors contribute to the development and maintenance of symptoms, this study investigates the predictive value of these factors for bothersome somatic symptoms in SARS-CoV-2 negative healthcare professionals. METHODS German healthcare professionals were assessed with self-rating questionnaires and underwent SARS-CoV-2 IgG antibody tests at baseline and 8 weeks later between April and August 2020. Differences in psychosocial variables between the time points were analyzed and regression analyses were performed to predict somatic symptoms at follow-up. RESULTS 1185 seronegative healthcare professionals completed both assessments. Previous somatic symptom burden, higher levels of anxiety, being a nurse, younger age, higher psychological symptom burden, lower efficiency, and higher fatigability at baseline predicted somatic symptom burden at follow-up. Comparisons between baseline and follow-up showed a significant improvement in psychological impairment and deterioration of physical exhaustion. CONCLUSIONS Our study applies a biopsychosocial perspective to bothersome somatic symptoms during the COVID-19 pandemic and contributes to the identification of potential risk factors as a starting point for future interventions that could support the handling of symptoms.
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Affiliation(s)
- Petra Engelmann
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Anne Toussaint
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Marylyn M Addo
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Thomas Theo Brehm
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Ansgar W Lohse
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Angelika Weigel
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Michelle Thompson
- I. Department of Internal Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- German Center for Infection Research (DZIF), Partner Site Hamburg-Lübeck-Borstel-Riems
| | - Bernd Löwe
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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Bui MV, McInnes E, Ennis G, Foster K. Mental health nurses' experience of resilience during COVID-19: A qualitative inquiry. Int J Ment Health Nurs 2023; 32:1735-1744. [PMID: 37605316 DOI: 10.1111/inm.13213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Revised: 08/06/2023] [Accepted: 08/08/2023] [Indexed: 08/23/2023]
Abstract
The COVID-19 pandemic created unprecedented demands and additional stress for nurses in mental health settings. There is no prior evidence on nurses' experience of building and maintaining resilience in the context of work during COVID-19. The aim of this study was to explore the experience and impacts of the COVID-19 pandemic on the resilience of nurses in mental health settings. Data from semi-structured interviews with 20 nurses from an Australian mental health service were analysed using reflexive thematic analysis. Four main themes were generated: experiencing significant disruptions; making sense of shared chaos; having professional commitment; and growing through the challenges. Nurses' practice and teamwork were disrupted by COVID-19 related changes to care models and infection prevention policies. They successfully adjusted by having awareness of self and others' emotions, using mental and emotional self-regulatory strategies, engaging in self-care, using 'bricolage' to create different ways to provide care, and having mutually supportive relationships. Nurses connected to their sense of purpose and professional commitment to fuel their therapeutic work and sustain care delivery. They experienced personal and professional growth with an increased understanding of their strengths and resilience. In the post-pandemic period, although the challenges presented by the pandemic have lessened, there are ongoing negative impacts on nurses' wellbeing. To maintain and strengthen their wellbeing and practice, the findings indicate the importance of professional development in emotional regulation skills, and strategies to strengthen self-care and build collegial relationships in teams. Resilience education can be implemented to support nurses' resilient practice skills.
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Affiliation(s)
- Minh Viet Bui
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
| | - Elizabeth McInnes
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
- Nursing Research Institute - St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Fitzroy, Victoria, Australia
| | - Gary Ennis
- Northern Health, Epping, Victoria, Australia
| | - Kim Foster
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
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Maddigan J, Brennan M, McNaughton K, White G, Snow N. The Prevalence and Predictors of Compassion Satisfaction, Burnout and Secondary Traumatic Stress in Registered Nurses in an Eastern Canadian Province: A Cross-Sectional Study. Can J Nurs Res 2023; 55:425-436. [PMID: 36694930 PMCID: PMC10619188 DOI: 10.1177/08445621221150297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND The quality of Registered Nurses' worklife is impacting nurses' mental health, and the standard of care received by clients. Contributing factors to nurses' stress are the trauma of continuous caring for those in great suffering, and adverse working conditions. OBJECTIVES i) to explore the prevalence of work-related stress in a provincial sample of Registered Nurses; ii) to compare the levels of compassion satisfaction, burnout and secondary traumatic stress reported by nurses in hospital, community, non-direct care settings, and, iii) to identify factors that predict levels of nursing work stress. METHODS A descriptive, predictive study with a self-report survey containing demographic questions and the Professional Quality of Life Scale was emailed to over 3,300 Registered Nurses. The scale measured the prevalence of three worklife indicators, compassion satisfaction, burnout and secondary traumatic stress. Multiple linear regression identified factors that predicted the levels of the three indicators. A subgroup analysis explored the quality of worklife based on three practice environments. FINDINGS Nurses (n = 661) reported moderate compassion satisfaction, burnout, and secondary traumatic stress. The strongest predictor, satisfaction with one's current job, predicted high compassion satisfaction and lower burnout and secondary stress. The subgroup analysis identified hospital nurses as having the most work-related stress and the lowest level of compassion satisfaction. CONCLUSION Innovative, collaborative action can transform nurses' practice environments. Organizational support is essential to bring about needed improvements.
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Affiliation(s)
- Joy Maddigan
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Maureen Brennan
- Organizational Development, Eastern Regional Health Authority, St. John's, NL, Canada
| | - Kelly McNaughton
- Peer Support and Trauma Response Program, Toronto Hospital for Sick Kids, Toronto, ON, Canada
| | - Gerry White
- Faculty of Medicine, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
| | - Nicole Snow
- Faculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, NL, Canada
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Mazuecos FJ, De-Juanas Oliva Á, Rodríguez-Bravo AE, Páez Gallego J. The Social Values of Nursing Staff and the Perceived Quality of Their Professional Lives. Healthcare (Basel) 2023; 11:2720. [PMID: 37893794 PMCID: PMC10606655 DOI: 10.3390/healthcare11202720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Revised: 09/30/2023] [Accepted: 10/10/2023] [Indexed: 10/29/2023] Open
Abstract
This study's main purpose involves exploring the relationship between the social values of nursing staff and the perception they have of their professional lives. A further aim is to examine how their terms of employment and tenure of service relate to the quality of their careers and their social values. The research consisted of a non-experimental quantitative approach of a descriptive nature involving 380 nursing staff at four public hospitals in Madrid (Spain). The values were appraised by means of the Schwarz Value Survey (SVS) and the quality of their careers was measured through the Quality of Professional Life (QPL-35) questionnaire. The results reveal significant correlations between the two, highlighting the significance of such values as universalism, benevolence, achievement and power depending on their terms of employment, on the one hand, and all the values in the Schwartz model according to the length of their tenure on the other. The findings suggest that terms of employment and tenure are significantly related to the axiological profile of nursing staff and the quality of their professional lives. This study provides major empirical evidence that contributes to our understanding of how social values and the quality of professional lives are interwoven within the field of nursing in Spain.
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Affiliation(s)
- Francisco Javier Mazuecos
- Faculty of Education, Universidad Nacional de Educación a Distancia, Calle Juan del Rosal 14, 28040 Madrid, Spain; (F.J.M.); (A.E.R.-B.)
| | - Ángel De-Juanas Oliva
- Faculty of Education, Universidad Nacional de Educación a Distancia, Calle Juan del Rosal 14, 28040 Madrid, Spain; (F.J.M.); (A.E.R.-B.)
| | - Ana Eva Rodríguez-Bravo
- Faculty of Education, Universidad Nacional de Educación a Distancia, Calle Juan del Rosal 14, 28040 Madrid, Spain; (F.J.M.); (A.E.R.-B.)
| | - Javier Páez Gallego
- Faculty of Law, Universidad Nacional de Educación a Distancia, Calle del Obispo Trejo, 2, 28040 Madrid, Spain;
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Hong S, Nam S, Wong JYH, Kim H. Post-traumatic responses to workplace violence among nursing professionals: a collaborative and comparative study in South Korea and Hong Kong. BMC Nurs 2023; 22:354. [PMID: 37794376 PMCID: PMC10548618 DOI: 10.1186/s12912-023-01502-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 09/12/2023] [Indexed: 10/06/2023] Open
Abstract
BACKGROUND Workplace violence has had a significant and negative psychological impact on nursing professionals worldwide. Concerted worldwide efforts to improve work environments have not yet removed nursing professionals from the threat of violence. It is highly essential to conduct comparative research in various working environments where the nurses of each country have unique experiences of workplace violence. The aim of this study was to examine the differences in the rate, associated factors, and post-traumatic responses to workplace violence between South Korean and Chinese nurses in Hong Kong among East Asian countries. METHODS A cross-sectional, correlational study design recruited a total of 471 registered nurses (319 South Korean nurses and 152 Chinese nurses in Hong Kong; overall response rate = 78.5%) at online communities in South Korea and Hong Kong. The data were collected by conducting a Qualtrics survey from January 15, 2020, to July 24, 2021. A structured questionnaire was administered for data collection, including rate of workplace violence, perception of workplace violence, attitudes toward workplace violence, coping styles, post-traumatic cognitions, post-traumatic stress disorder, post-traumatic growth, and mental health indicators (depression, anxiety, and stress). T-test, chi-squared, and binary logistic regression analyses were conducted. RESULTS In our sample, 30.7% South Korean nurses and 31.6% Chinese nurses in Hong Kong had experienced workplace violence. South Korean and Chinese nurses in Hong Kong with experience of workplace violence had lower perceptions of it. Nurses with experience of workplace violence reported lower levels of mental health, and this trend was more prominent among South Korean nurses. CONCLUSIONS Our study findings showed a positive association between workplace violence and post-traumatic responses in both settings. We found that the close monitoring of post-traumatic responses associated with workplace violence could be improved by enhancing nurses' perception of workplace violence.
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Affiliation(s)
- Soyun Hong
- College of Nursing Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea
- Department of Nursing, Korean Bible University, Seoul, Republic of Korea
| | - Sujin Nam
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China
| | - Janet Yuen Ha Wong
- School of Nursing and Health Studies, Hong Kong Metropolitan University, Hong Kong, China.
| | - Heejung Kim
- College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea.
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Shen L, Zhang X, Chen J, Yang Y, Hu R. Exploring the experience of undergraduate nursing students following placement at psychiatric units in China: A phenomenological study. Nurse Educ Pract 2023; 72:103748. [PMID: 37625361 DOI: 10.1016/j.nepr.2023.103748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 07/22/2023] [Accepted: 08/15/2023] [Indexed: 08/27/2023]
Abstract
AIM To explore undergraduate nursing students' experiences of psychiatric placements. BACKGROUND Placement is an important learning phase for undergraduate nursing students and the placement experiences may affect their career choices. However, nursing students' experiences of psychiatric placements have not been fully explored in China. DESIGN This study adopted a descriptive, phenomenological design. METHODS After psychiatric placement, a semi-structured interview was conducted in June 2022 among 22 final-year undergraduate nursing students using purposive sampling. The data were analysed using Colaizzi's seven-step analysis method. RESULTS Five themes were identified: i) destigmatising mental illness; ⅱ) beneficial communication; ⅲ) gaining confidence; iv) disappointment and sadness; and v) fear and discomfort. CONCLUSION Nursing students experienced various positive experiences and negative emotions during their psychiatric placement. Further research should explore and validate appropriate educational strategies to optimise students' placement experiences to increase their career interest in psychiatric nursing.
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Affiliation(s)
- Ling Shen
- The School of Nursing, Fujian Medical University, No.1 of Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, China
| | - Xiao Zhang
- The School of Nursing, Fujian Medical University, No.1 of Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, China
| | - Jingyi Chen
- The School of Nursing, Fujian Medical University, No.1 of Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, China
| | - Yidan Yang
- The School of Nursing, Fujian Medical University, No.1 of Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, China
| | - Rong Hu
- The School of Nursing, Fujian Medical University, No.1 of Xueyuan Road, Shangjie Town, Minhou County, Fuzhou City, Fujian Province, China.
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Vera M, Lorente L. Nurses´ Performance: The Importance of Personal Resources for Coping with Stressors. Issues Ment Health Nurs 2023; 44:844-853. [PMID: 37643368 DOI: 10.1080/01612840.2023.2239908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/31/2023]
Abstract
The health crisis caused by the COVID-19 pandemic has negatively influenced the work of health staff, especially nurses. Stressors that affect nurses have been intensified and new stressors have also emerged, threatening their well-being and job performance. The main objective of this study is to analyze the role of nurses´ personal resources in the relationship between job stressors and job performance during the COVID-19. Sample is composed of 438 nurses from 39 Spanish cities. This is a cross-sectional study. The results confirm the full mediation of resilience in the relationship between stressors and job performance, and the moderation of self-efficacy in the relationship between resilience and job performance, and in the full mediation. This study highlight the role played by self-efficacy as the main personal resource in buffering the effect of stressors on nurses´ performance. Resilience only becomes crucial in individuals with low levels of self-efficacy beliefs. Managers of health institutions and hospitals are invited to invest resources in strengthening the personal resources of health staff, especially self-efficacy beliefs, and resilience to ensure that their performance remains adequate.
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Affiliation(s)
- María Vera
- Universidad Pablo de Olavide, Sevilla, Spain
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30
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Abdul-Mumin KH, Maideen AA, Lupat A, Mohd-Alipah SND, Mohammad-Alli RH, Abd-Manaf HNH, Osman AR, Abd. Fata HMR, Busrah N, Darling-Fisher C, Idris DR. "Embracing the Inner Strength and Staying Strong": Exploring Self-Care Preparedness among Nurses for Enhancing Their Psychological Well-Being against the Long-Term Effect of COVID-19 Pandemic in Brunei Darussalam. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6629. [PMID: 37681769 PMCID: PMC10487716 DOI: 10.3390/ijerph20176629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 06/03/2023] [Accepted: 06/07/2023] [Indexed: 09/01/2023]
Abstract
During three years of the unprecedented, massive COVID-19 pandemic that affected the world, nurse front liners faced substantial challenges and experienced long-term adverse mental health. This study explored psychological self-care practices undertaken by nurses to strengthen their mental health and develop resilience in their professional care role while addressing the challenges of the COVID-19 era. A qualitative descriptive exploratory study was conducted on 40 nurses who worked in providing COVID-19 care across Brunei using focus groups aided by semi-structured open-ended questions. Data were thematically analyzed using constructivist grounded theory. Four themes emerged: (1) 'Care of the mind, heart and soul'; (2) 'Physical care for the psychological well-being'; (3) 'Venting out and distraction'; (4) 'Have faith, think and stay positive'. The challenges of dealing with a worldwide pandemic unintentionally placed nurses' mental well-being at risk while the government strategized and prioritized containing and preventing the spread of and death from COVID-19. Health administrators, as well as nursing educators, need to promote and develop resources to strengthen nurses' psychological self-care practices. This will not only benefit individual nurses but will help promote the well-being of patients and employees, improve the health of all, and counteract any unintended stressful situations, even beyond the COVID-19 pandemic.
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Affiliation(s)
- Khadizah H. Abdul-Mumin
- Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong BE1410, Brunei; (A.A.M.); (A.L.); (D.R.I.)
- School of Nursing and Midwifery, La Trobe University, Bundoora, Melbourne, VIC 3086, Australia
| | - Aminol Azrin Maideen
- Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong BE1410, Brunei; (A.A.M.); (A.L.); (D.R.I.)
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | - Agong Lupat
- Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong BE1410, Brunei; (A.A.M.); (A.L.); (D.R.I.)
| | | | - Roziah H. Mohammad-Alli
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | - Hajah-Noraini H. Abd-Manaf
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | - Abd-Rani Osman
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | - Haji Mohd Reduan Abd. Fata
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | - Nani Busrah
- Department of Nursing Services, Ministry of Health, Bandar Seri Begawan BB3910, Brunei; (R.H.M.-A.); (H.-N.H.A.-M.); (A.-R.O.); (H.M.R.A.F.); (N.B.)
| | | | - Deeni Rudita Idris
- Pengiran Anak Puteri Rashidah Sa’adatul Bolkiah Institute of Health Sciences, Universiti Brunei Darussalam, Gadong BE1410, Brunei; (A.A.M.); (A.L.); (D.R.I.)
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Zhang Y, Ma J, Xu Q, Rong Y, Lu S, Wang Z. Effects of sleep duration, perceived organisational support and personal resilience on anxiety in non-hospitalised residents during the COVID-19 pandemic: a survey study in Ningbo, China. BMJ Open 2023; 13:e073648. [PMID: 37607791 PMCID: PMC10445373 DOI: 10.1136/bmjopen-2023-073648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2023] [Accepted: 08/11/2023] [Indexed: 08/24/2023] Open
Abstract
OBJECTIVE This study assessed the association between sleep duration, perceived organisational support (POS), personal resilience and anxiety among non-hospitalised residents during the COVID-19 pandemic in Ningbo, China. METHODS In this cross-sectional study, an online survey was conducted from 27 January 2023 to 5 February 2023, involving non-hospitalised residents over 14 years old in Ningbo. We received 1938 valid responses. The study used the General Demographic Characteristics Scale, the Generalised Anxiety Disorder Scale, Brief Resilient Coping Scale and the POS questionnaire. RESULTS Among the 1938 valid questionnaires, 1068 (55.1%) participants reported anxiety. Multivariate logistic regression analysis revealed that high organisational support (β=-0.34, adjusted OR (aOR) 0.71, 95% CI 0.51 to 0.98, p=0.038), moderate resilience (β=-0.26, aOR 0.77, 95% CI 0.63 to 0.95, p=0.013), high resilience (β=-0.67, aOR 0.51, 95% CI 0.36 to 0.73, p<0.001) and sleep duration of ≥7 hours (β=-1.00, aOR 0.37, 95% CI 0.28 to 0.49, p<0.001) were significantly associated with anxiety. Participant characteristics were not associated with anxiety. CONCLUSIONS During the COVID-19 pandemic, organisational support, personal resilience and adequate sleep duration were associated with anxiety among non-hospitalised residents. These findings highlight the importance of increasing organisational support, implementing interventions that promote resilience and stress management, ensuring sufficient rest and sleep duration, and helping residents better manage anxiety.
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Affiliation(s)
- Yiqing Zhang
- Department of Nursing, Ningbo Medical Center LiHuili Hospital, Ningbo, China
| | - Jingjing Ma
- Department of Nursing, Ningbo Medical Center LiHuili Hospital, Ningbo, China
| | - Qihang Xu
- Department of Pharmacy, Ningbo Medical Center LiHuili Hospital, Ningbo, China
| | - Yuezheng Rong
- Department of Nursing, Ningbo Medical Center LiHuili Hospital, Ningbo, China
| | - Shunshun Lu
- Department of Infection, Ningbo Medical Center LiHuili Hospital, Ningbo, China
| | - Zhengzheng Wang
- Department of Nursing, Ningbo Medical Center LiHuili Hospital, Ningbo, China
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Cabrera-Aguilar E, Zevallos-Francia M, Morales-García M, Ramírez-Coronel AA, Morales-García SB, Sairitupa-Sanchez LZ, Morales-García WC. Resilience and stress as predictors of work engagement: the mediating role of self-efficacy in nurses. Front Psychiatry 2023; 14:1202048. [PMID: 37649562 PMCID: PMC10464840 DOI: 10.3389/fpsyt.2023.1202048] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2023] [Accepted: 07/31/2023] [Indexed: 09/01/2023] Open
Abstract
Background Nurses face high levels of stress and work demands, which can affect their work engagement and psychological well-being. Resilience and self-efficacy have been identified as important resources to improve nurses' adaptation and work engagement. Objective This study aimed to evaluate the mediating role of self-efficacy in the relationship between resilience and stress on work engagement in Peruvian nurses. Methods A cross-sectional design was used, and data were collected from a sample of 459 nurses. Self-report questionnaires were administered to measure self-efficacy, resilience, stress, and work engagement. SEM analyses were performed to examine the relationship between these variables, and a mediation analysis was conducted to evaluate the role of self-efficacy as a mediator in the relationship between resilience, stress, and work engagement. Results The results indicated a positive relationship between resilience, self-efficacy, and work engagement, as well as a negative relationship between stress and work engagement. Additionally, self-efficacy mediated the relationship between resilience and work engagement, as well as the relationship between stress and work engagement in nurses. Conclusion Personal resources such as self-efficacy are a key factor in the relationship between resilience (work resources), stress (work demands), and work engagement of Peruvian nurses. Strengthening self-efficacy and resilience can improve work engagement and personal satisfaction of nurses. Hospital administrators and nursing managers should consider the importance of resilience, stress, work engagement, and self-efficacy in registered nurses and develop effective strategies to improve them. This can have a positive impact on the quality of care provided to patients and on the job satisfaction of nurses.
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Affiliation(s)
- Elard Cabrera-Aguilar
- Unidad de Posgrado en Salud Pública, Escuela de Posgrado, Universidad Peruana Unión, Lima, Peru
| | | | - Mardel Morales-García
- Unidad de Posgrado en Salud, Escuela de Posgrado, Universidad Peruana Unión, Lima, Peru
| | - Andrés Alexis Ramírez-Coronel
- Nursing Career, Azogues Campus, Catholic University of Cuenca, Cañar, Ecuador
- Laboratory of Psychometry, Comparative Psychology and Ethology, Catholic University of Cuenca, Cuenca, Ecuador
- Health and Behavior Research Group (HBR), Catholic University of Cuenca, Cuenca, Ecuador
| | - Sandra B. Morales-García
- Departamento Académico de Enfermería, Obstetricia y Farmacia, Facultad de Farmacia y Bioquímica, Universidad Científica del Sur, Lima, Peru
| | - Liset Z. Sairitupa-Sanchez
- Escuela Profesional de Psicología, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Peru
| | - Wilter C. Morales-García
- Escuela de Medicina Humana, Facultad de Ciencias de la Salud, Universidad Peruana Unión, Lima, Peru
- Escuela de Posgrado, Universidad Peruana Unión, Lima, Peru
- Facultad de Teología, Universidad Peruana Unión, Lima, Peru
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Cao F, Li J, Xin W, Yang Z, Wu D. The impact of resilience on the mental health of military personnel during the COVID-19 pandemic: coping styles and regulatory focus. Front Public Health 2023; 11:1240047. [PMID: 37621610 PMCID: PMC10445488 DOI: 10.3389/fpubh.2023.1240047] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Accepted: 07/27/2023] [Indexed: 08/26/2023] Open
Abstract
Military personnel encountered multiple stressful events during the COVID-19 lockdown. Reducing non-combat attrition due to mental disorders is crucial for military morale and combat effectiveness. Grounded in stress theory and regulatory focus theory, this study investigates the influence of resilience on military personnel's mental health; coping style and regulatory focus are considered potential mediators and moderators, respectively. We conducted a routine psychological assessment on 1,110 military personnel in China. The results indicate that: (1) resilience has a negative impact on the psychological symptoms of military groups; (2) mature and mixed coping styles in military personnel mediate the association between resilience and psychological symptoms; and (3) regulatory focus predominance has a negative moderating effect on mature coping styles' effects on psychological symptoms. Furthermore, this study supports previous findings that resilience and mental health are interrelated; it demonstrates that military personnel can effectively reduce negative psychological symptoms by improving their resilience level and adopting mature coping styles under stressful situations. The current study presents interventional insights regarding coping styles and mental health from a self-regulatory perspective during the COVID-19 pandemic.
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Affiliation(s)
- Fei Cao
- Department of Sociology, School of Law, Jiangnan University, Wuxi, China
| | - Juan Li
- Department of Sociology, School of Law, Jiangnan University, Wuxi, China
| | - Wei Xin
- Department of Medical Psychology, The Sixth Medical Center of PLA General Hospital, Beijing, China
| | - Zhibing Yang
- Department of Military and Political Training, Army Academy of Armed Forces, Beng Bu, China
| | - Di Wu
- Department of Medical Psychology, Air Force Medical University, Xi’an, China
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Chen SH, Chen PJ, Lee CH, Wu YP, Ahorsu DK, Griffiths MD, Lin CY. Perceived Stress Mediating the Association Between Mindfulness and Resilience Among Registered Nurses. Psychol Res Behav Manag 2023; 16:3035-3044. [PMID: 37576445 PMCID: PMC10417837 DOI: 10.2147/prbm.s412918] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Accepted: 06/12/2023] [Indexed: 08/15/2023] Open
Abstract
Purpose Resilience continues to be an important concept in the nursing profession due to its significant role in personal healthcare, patients' healthcare, and leadership. The present study examined the mediating role of perceived stress in the association between mindfulness and resilience among registered nurses in order to understand their importance among those in the Taiwanese nursing profession. Materials and Methods Between October and November 2021, a total of 816 registered nurses participated in a cross-sectional survey including psychometric measures assessing perceived stress (Chinese Perceived Stress Scale-10), mindfulness (Chinese Mindful Attention Awareness Scale), and resilience (Chinese Questionnaire of Resilience). Results Results indicated that perceived stress mediated the association between mindfulness and resilience (standardized coefficient = 0.251, p<0.001), although there was no significant association between mindfulness and resilience (standardized coefficient = 0.042, p=0.16). This suggests that perceived stress may function as both distress and eustress because mindfulness was not directly associated with resilience but indirectly via perceived stress. Conclusion Nurses and their administrators should focus on different ways of coping with stress so that they become more resilient in facing other stressors. Future studies may be conducted to examine the mediating role of perceived stress in the association between other coping strategies and resilience among registered nurses.
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Affiliation(s)
- Shun-Hua Chen
- School of Nursing, Fooyin University, Kaohsiung, 83102, Taiwan
| | - Po-Jen Chen
- Department of Medical Research, E-Da Hospital, I-Shou University, Kaohsiung, 824005, Taiwan
| | - Chiu-Hsiang Lee
- Department of Nursing, Chung Shan Medical University, Taichung, Taiwan
- Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Yu-Ping Wu
- Department of Nursing, Chung Shan Medical University, Taichung, Taiwan
- Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan
| | - Daniel Kwasi Ahorsu
- Mental Health Research Centre, the Hong Kong Polytechnic University, Hung Hom, Hong Kong
- Department of Special Education and Counselling, the Education University of Hong Kong, Tai Po, Hong Kong
| | - Mark D Griffiths
- International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham, UK
| | - Chung-Ying Lin
- Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
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Manana M, Ntuli ST, Mokwena K, Maaga K. Prevalence and Risk Factors for Anxiety Symptoms among Student Nurses in Gauteng Province of South Africa. Behav Sci (Basel) 2023; 13:630. [PMID: 37622771 PMCID: PMC10452000 DOI: 10.3390/bs13080630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2023] [Revised: 07/18/2023] [Accepted: 07/25/2023] [Indexed: 08/26/2023] Open
Abstract
Background: Globally, mental disorders are common among nursing students; therefore, effective prevention and early detection are urgently needed. However, the prevalence rate of anxiety symptoms has not been investigated in South African nursing colleges. Aim: The study aimed to assess the prevalence of anxiety symptoms and their sociodemographic risk factors among nursing students in Gauteng province, South Africa. Methods: This cross-sectional descriptive study was conducted at Chris Hani Baragwanath and SG Lourens nursing colleges in the first week of June 2022. A purposeful sampling technique selected the third- and fourth-year nursing students aged ≥ 18 years registered at the two nursing colleges. The seven-item Generalised Anxiety Disorder scale was used to assess anxiety symptoms. Results: The prevalence of anxiety symptoms was 74.7% (95% confidence interval: 69.9-78.9). Being a student at nursing college B, being in the fourth academic year of study and use of substances were identified as predictors of anxiety symptoms in these nursing students. Conclusions: The prevalence of anxiety symptoms in this study is relatively high, with predictors of developing anxiety being a student at nursing college B, in the fourth academic year and current use of psychoactive substances were predictors of anxiety symptoms. These findings highlight the need to develop interventions and strategies to promote mental health assessments and management to prevent and reduce the problem of mental disorders among nursing students.
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Affiliation(s)
- Maleke Manana
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
| | - Sam Thembelihle Ntuli
- Department of Statistical Sciences, School of Science and Technology, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa
| | - Kebogile Mokwena
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
| | - Kgomotso Maaga
- Department of Public Health, School of Health Care Sciences, Sefako Makgatho Health Sciences University, Pretoria 0204, South Africa (K.M.)
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Pachi A, Kavourgia E, Bratis D, Fytsilis K, Papageorgiou SM, Lekka D, Sikaras C, Tselebis A. Anger and Aggression in Relation to Psychological Resilience and Alcohol Abuse among Health Professionals during the First Pandemic Wave. Healthcare (Basel) 2023; 11:2031. [PMID: 37510472 PMCID: PMC10378977 DOI: 10.3390/healthcare11142031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Revised: 06/27/2023] [Accepted: 07/12/2023] [Indexed: 07/30/2023] Open
Abstract
Mental health problems, behavior changes, and addictive issues have been consistently documented among healthcare workers during the pandemic. The objective of this study was to investigate the levels of anger and aggression in relation to psychological resilience and alcohol abuse among healthcare workers during the first wave of the COVID-19 pandemic. A total of 120 physicians and 123 nurses completed an online survey of the Dimensions of Anger Reactions-5 (DAR-5), the Brief Aggression Questionnaire (BAQ), the Brief Resilience Scale (BRS), and the Alcohol Screening questionnaire CAGE which is an acronym for the focus of the questions (Cutting down, Annoyance by criticism, Guilty feeling, and Eye-openers). Demographic and professional data were also recorded. A total of 53 men and 190 women participated in the study. Almost one-third of the participants had a positive score on the DAR-5 scale and one out of ten respondents presented with current problematic alcohol use. Male participants demonstrated lower scores on the DAR-5 scale compared to females. Individuals with current problematic alcohol use displayed higher scores on the BAQ compared to those without alcohol use disorders. Regression analysis revealed that 16.4% of the variance in the BAQ scores can be attributed to scores on the DAR-5, 5.9% to the BRS scores, 2.1% to the CAGE scores, 1.7% to gender, and 1.2% to years of work experience. Mediation analysis highlighted the role of psychological resilience as a negative mediator in the DAR-5 and BAQ relationship. Professional experience and alcohol abuse emerged as positive and negative risk factors contributing to aggression and psychological resilience. The findings hold practical implications for implementing interventions to strengthen resilience in order to compensate for aggressive tendencies and discourage addictive issues.
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Affiliation(s)
- Argyro Pachi
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Evgenia Kavourgia
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Dionisios Bratis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Konstantinos Fytsilis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Styliani Maria Papageorgiou
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Dimitra Lekka
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
| | - Christos Sikaras
- Nursing Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece;
| | - Athanasios Tselebis
- Psychiatric Department, Sotiria Thoracic Diseases Hospital of Athens, 11527 Athens, Greece; (A.P.); (E.K.); (D.B.); (K.F.); (S.M.P.); (D.L.)
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Binsaeed RH, Grigorescu A, Patru CL, Yousaf Z, Nassani AA, Patru Grigorie L. Mental Well-Being of Nursing Staff and Destructive Role of COVID-19 Fear and Perceived Stress. Brain Sci 2023; 13:1047. [PMID: 37508979 PMCID: PMC10377100 DOI: 10.3390/brainsci13071047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2023] [Revised: 06/14/2023] [Accepted: 07/06/2023] [Indexed: 07/30/2023] Open
Abstract
Health crises across the globe bring dramatic changes to the lives of individuals and organizations. These crises have some psychological effects on society. The COVID-19 pandemic also caused some serious problems for individual and organizational life. Globally, the COVID-19 situation precipitated various economic and psychological issues that are far-reaching and exceptional. Health crises are increasing following the occurrence of COVID-19 due to its psychological effects on individuals worldwide. The current study highlighted the impact of COVID-19 fear on mental well-being (MWB). Most studies have examined the MWB of nursing staff and related their MWB to psychological factors. Few studies have considered the health crisis factors that are important in terms of bringing about variation in the MWB of nursing staff. Nursing staff MWB is impacted by various health crises (including COVID-19) at the global level and it has been ignored by researchers. In this study, a list of 1940 healthcare units with 6758 nursing staff was obtained. A total of 822 nurses were selected with the help of random sampling. The collected data were analyzed using correlation analysis, SPSS (statistical package for social sciences) version 23, and SEM. Thus, in this study we examined the effect of a health crisis (i.e., COVID-19) fear on the MWB of nurses. Moreover, we also examined the extent to which perceived stress (PS) influences the link between COVID-19 fear and MWB. The study's findings confirmed that COVID-19 fear shown negative effect on MWB, while PS mediated the link between COVID-19 fear and MWB.
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Affiliation(s)
- Rima H Binsaeed
- Department of Management, College of Business Administration, King Saud University, P.O. Box 71115, Riyadh 11587, Saudi Arabia
| | - Adriana Grigorescu
- Department of Public Management, Faculty of Public Administration, National University of Political Studies and Public Administration, Expozitiei Boulevard, 30A, 012104 Bucharest, Romania
- Academy of Romanian Scientists, Ilfov Street 3, 050094 Bucharest, Romania
| | - Ciprian Laurentiu Patru
- Department 8 Mother and Chid, University of Medicine and Pharmacy from Craiova, Petru Rares Street, 2, 200349 Craiova, Romania
| | - Zahid Yousaf
- Higher Education Department, Government College of Management Sciences, Mansehra 21300, Pakistan
| | - Abdelmohsen A Nassani
- Department of Management, College of Business Administration, King Saud University, P.O. Box 71115, Riyadh 11587, Saudi Arabia
| | - Larisa Patru Grigorie
- Institute of National Economy, Romanian Academy, 13 Septembrie Street, 13, Sector 5, 050711 Bucharest, Romania
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Rahmat I, Pawestri F, Saputro RA, Widianingrum S, Hanifah T. Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic. Nurs Res Pract 2023; 2023:3689759. [PMID: 37441199 PMCID: PMC10335755 DOI: 10.1155/2023/3689759] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 06/17/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
COVID-19 has a negative effect on the psychological well-being of psychiatric nurses. Thus, examining the psychosocial response of nurses is important for preventing more serious mental health problems and disruption of the quality of nursing care. This study aimed to evaluate the psychosocial problems of nurses who provided nursing care to patients with mental health disorders during the COVID-19 pandemic. A quantitative study with a cross-sectional design was conducted. The 101 nurses at Central Mental Health Hospital who provide nursing care to patients with mental health disorders were recruited through consecutive sampling. The instruments used were the demographic questionnaire, the Expanded Nursing Stress Scale, Zung Self-Rating Anxiety Scale, and The Connor-Davidson Resilience Scale 25. Univariate and bivariate analyses were used to process the data. The mean score of 45.1 (±24.3) was obtained for the ENSS; around 97% of nurses have a work stress score below the average, 4.95% have mild-moderate anxiety, and 28.7% have a low level of resilience. Work stress and contact frequency, work stress and gender, anxiety and contact frequency, as well as resilience and contact frequency all correlated significantly (p value <0.05). The Pearson test showed a significant positive correlation between work stress and anxiety (p: 0.002, r: 0.299). However, there was no significant correlation between anxiety and resilience (p: 0.643, r: 0.47), nor between work stress and resilience (p: 0.643; r: 0.47). Psychosocial disorders that psychiatric nurses face include occupational stress, mild-moderate anxiety, and low resilience. The government can create specific infection control guidelines for the mental health setting, and hospital management or ward leaders can also provide support to psychiatric nurses to increase resilience in reducing psychosocial problems.
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Affiliation(s)
- Ibrahim Rahmat
- Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Fajar Pawestri
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ragil Aji Saputro
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Setiyati Widianingrum
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Triana Hanifah
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
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Wu X, You X, Pu J, Li J, Wu W, Ma X, Long Q, Zhang Y, Zhao X, Guo Z, Cao X, Tu F, Zeng Y. Self-esteem and professional identity among male nurses and male nursing students: mediating roles of perceived prejudice and psychological distress. Front Psychol 2023; 14:1176970. [PMID: 37384191 PMCID: PMC10294685 DOI: 10.3389/fpsyg.2023.1176970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Accepted: 05/26/2023] [Indexed: 06/30/2023] Open
Abstract
Introduction There are not enough nurses around the world, and there are even fewer male nurses. It has not been easy for men to become nurses because of stereotypes about the roles of men and women in the workplace, which lead to prejudice and discrimination. This study explored how the self-esteem of male nurses and male nursing students affects their professional identity in an environment where stereotypes and social prejudice exist. This study also examined the differences of relevant variables in different sociodemographic characteristics of the research subjects in a Chinese social context. Methods By purposive and snowball sampling, 464 male nurses and male nursing students were surveyed through questionnaires from November 2021 to January 2022. Data analysis was performed using SPSS 25.0 and PROCESS Macro 3.3. Results Self-esteem could indirectly affect professional identity through perceived prejudice and psychological distress. Nonetheless, self-esteem still had a significant direct effect on professional identity. The total mediating effect accounted for 32.816% of the total effect, and the direct effect accounted for 67.184% of the total effect. Also of note was that 81.7% of participants reported experiencing psychological distress. Discussion To improve the professional identity of male nurses and male nursing students, nursing educators and administrators should do the following: protect and improve their self-esteem; take steps to reduce social prejudice against them; value their mental health and alleviate their psychological distress.
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Affiliation(s)
- Xiaoqin Wu
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Xu You
- Department of Psychiatry, Honghe Second People’s Hospital, Honghe, China
| | - Jinyuan Pu
- Department of Psychiatry, Honghe Second People’s Hospital, Honghe, China
| | - Junping Li
- Department of Psychiatry, Honghe Second People’s Hospital, Honghe, China
| | - Wenzhi Wu
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Xiao Ma
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Qing Long
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Yunqiao Zhang
- Department of Psychiatry, Honghe Second People’s Hospital, Honghe, China
| | - Xinling Zhao
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Zeyi Guo
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Xiang Cao
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Fangjun Tu
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Yong Zeng
- Department of Psychiatry, The Second Affiliated Hospital of Kunming Medical University, Kunming, China
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Lo WY, Lin YK, Lee HM, Liu TY. The lens of Yin-Yang philosophy: the influence of paradoxical leadership and emotional intelligence on nurses' organizational identification and turnover intention. Leadersh Health Serv (Bradf Engl) 2023; ahead-of-print. [PMID: 36853757 DOI: 10.1108/lhs-09-2022-0095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/01/2023]
Abstract
PURPOSE This study aims to use "both-and" thinking of Yin-Yang philosophy to extend the field of leadership literatures and explore the influences of paradoxical leadership and emotional intelligence on organizational identification and turnover intentions of nurses. DESIGN/METHODOLOGY/APPROACH The authors adopted a cross-sectional survey completed by 285 nurses in Taiwan. SPSS 22, PROCESS and AMOS 21 were used for data analysis. FINDINGS The results reveal that paradoxical leadership has a significant positive relationship with nurses' organizational identification and a significant negatively relationship with their turnover intentions, and organizational identification partially mediated the relationship between paradoxical leadership and turnover intentions. The results further show that emotional intelligence strengthens the effect of paradoxical leadership on organizational identification, and paradoxical leadership had a stronger indirect effect on turnover intentions through organizational identification under strong emotional intelligence. ORIGINALITY/VALUE Paradoxical leadership can strengthen managers' abilities in dealing with interrelated and substantial issues and correspond to organizing and belonging paradoxes in holistic thinking processes. Health-care organizations must shape a coordinated institution and offer training initiatives to increase managers' ability and attitude to control organizational rules and procedures while allowing employees' flexibility and autonomy according to the requirements of the situation, which will maintain both organizational short-term benefits and long-term growth.
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Affiliation(s)
- Wei-Yuan Lo
- Department of Executive Master of Business Administration in International Finance, National Taipei University, New Taipei City, Taiwan
| | - Yu-Kai Lin
- Department of Health and Welfare, University of Taipei, Taipei, Taiwan
| | - Hsiang-Ming Lee
- Department of Business Administration, National Taipei University of Business, Taipei, Taiwan
| | - Tsui-Yau Liu
- Department of Nursing, Taipei City Hospital, Taipei, Taiwan
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Bui MV, McInnes E, Ennis G, Foster K. Resilience and mental health nursing: An integrative review of updated evidence. Int J Ment Health Nurs 2023. [PMID: 36854950 DOI: 10.1111/inm.13132] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 01/30/2023] [Accepted: 02/09/2023] [Indexed: 03/02/2023]
Abstract
Mental health nursing work is challenging, and workplace stress can have negative impacts on nurses' well-being and practice. Resilience is a dynamic process of positive adaptation and recovery from adversity. The aims of this integrative review were to examine and update understandings and perspectives on resilience in mental health nursing research, and to explore and synthesize the state of empirical knowledge on mental health nurse resilience. This is an update of evidence from a previous review published in 2019. Using integrative review methodology, 15 articles were identified from a systematic search (July 2018-June 2022). Data were extracted, analysed with constant comparison method, synthesized narratively and then compared with the findings from the original review. As an update of evidence, mental health nurse resilience was moderate to high across studies, was positively associated with psychological well-being, post-traumatic growth, compassion satisfaction and negatively associated with burnout, mental distress and emotional labour. Lack of support and resources from organizations could negatively impact nurses' ability to maintain resilience and manage workplace challenges through internal self-regulatory processes. A resilience programme improved mental health nurses' awareness of personal resilience levels, self-confidence, capacity to develop coping skills and professional relationships. Some studies continue to lack contemporary conceptualizations of resilience, and methodological quality varied from high to low. Further qualitative and interventional research is needed to investigate the role of resilience in mental health nursing practice, personal well-being, workforce sustainability and the ongoing impacts of the COVID-19 pandemic.
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Affiliation(s)
- Minh Viet Bui
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.,NorthWestern Mental Health, Melbourne Health, Parkville, Victoria, Australia
| | - Elizabeth McInnes
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.,Nursing Research Institute-St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne and Australian Catholic University, Fitzroy, Victoria, Australia
| | - Gary Ennis
- Northern Health, Epping, Victoria, Australia
| | - Kim Foster
- School of Nursing, Midwifery and Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.,NorthWestern Mental Health, Melbourne Health, Parkville, Victoria, Australia
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Sanhokwe H, Chinyamurindi W. Work engagement and resilience at work: The moderating role of political skill. SA JOURNAL OF INDUSTRIAL PSYCHOLOGY 2023. [DOI: 10.4102/sajip.v49i0.2017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/05/2023] Open
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Foster K, Evans A, Alexander L. Grace under pressure: Mental health nurses' stories of resilience in practice. Int J Ment Health Nurs 2023; 32:866-874. [PMID: 36807430 DOI: 10.1111/inm.13130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Revised: 01/30/2023] [Accepted: 02/06/2023] [Indexed: 02/23/2023]
Abstract
Mental health nurses experience both organizational and practice-related stressors in their work. Resilience is an interactive process of positive adaptation following stress and adversity. There is limited evidence on how personal resilience is applied to mental health nursing practice. The aim of this interpretive narrative study was to explore mental health nurses' stories of resilience in their practice for the purpose of gaining an understanding of resilience resources they draw on when dealing with challenging workplace situations. A storytelling approach was used in semistructured phone interviews with 12 mental health nurses who measured high on resilience (Workplace Resilience Inventory) and caring behaviours (Caring Behaviours Inventory). Within and across case narrative analysis produced stories of resilient practice within four themes: proactively managing the professional self; sustaining oneself through supportive relationships; engaging actively in practice, learning and self-care; and seeking positive solutions and outcomes. Nurses displayed poise in stressful situations and grace under pressure in demanding and emotionally challenging interactions, holding dignity and respect for self and others, with the aim of achieving positive outcomes for both. Resilient practice is the responsibility of organizations as well as individuals. To develop practice and support staff retention, we recommend organizations use tailored professional development to cultivate a growth mindset in new and experienced staff, develop organizational strategies to build positive team cultures, and prioritize strategies to reduce workplace stressors and strengthen staff psychological safety and well-being. The use of narrative techniques in reflective practice and clinical supervision may help build nurses' resilience and practice.
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Affiliation(s)
- Kim Foster
- School of Nursing, Midwifery & Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia.,NorthWestern Mental Health, Royal Melbourne Hospital, Parkville, Victoria, Australia
| | - Alicia Evans
- School of Nursing, Midwifery & Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
| | - Louise Alexander
- School of Nursing, Midwifery & Paramedicine, Australian Catholic University, Fitzroy, Victoria, Australia
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Wan X, Huang H, Zhang Y, Peng Q, Guo X, Wu S, Li Y, Ding Y, Chen C. The effect of prosocial behaviours on Chinese undergraduate nursing students' subjective well-being: The mediating role of psychological resilience and coping styles. Int J Ment Health Nurs 2023; 32:277-289. [PMID: 36300668 DOI: 10.1111/inm.13081] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/01/2022] [Indexed: 01/14/2023]
Abstract
This study aimed to explore the effect of prosocial behaviours on Chinese undergraduate nursing students' subjective well-being (SWB) and examine the roles of psychological resilience and coping styles. The sample for this study included 683 nursing students from two undergraduate universities in Henan Province, China. SWB, prosocial behaviours, psychological resilience, and coping styles were assessed by the Index of Well-Being, the Prosocial Behavioural Tendency Scale, the Connor-Davidson Resilience Scale, and the Simplified Coping Style Questionnaire, respectively. We adopted Pearson's correlation analysis and the PROCESS Macro Model 81 in regression analysis to explore the relationships among prosocial behaviours, psychological resilience, coping styles, and SWB. Prosocial behaviours of undergraduate nursing students had a positive predictive effect on SWB; psychological resilience and coping styles both were the mediating variable between prosocial behaviours and undergraduate nursing students' SWB; psychological resilience and coping styles played a chain mediating role between the prosocial behaviours and SWB of undergraduate nursing students. The results indicated that prosocial behaviours not only directly affected the SWB of undergraduate nursing students but also affected the SWB of undergraduate nursing students via psychological resilience and coping styles. These results offer certain theoretical support and guidance for the research and improvement of undergraduate nursing students' SWB and emphasize the importance of interventions to increase prosocial behaviours, improve psychological resilience, promote positive coping styles, and address negative coping styles.
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Affiliation(s)
- Xiao Wan
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Haitao Huang
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yiming Zhang
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Qianwen Peng
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Xiajun Guo
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Sijia Wu
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yuanyuan Li
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Yueming Ding
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
| | - Chaoran Chen
- College of Nursing and Health, Institute of Nursing and Health, Henan University, Kaifeng, China
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Vijayalakshmi P, Kathyayani BV, Sreelatha M, Reddy S, Manjunatha N, Naveen Kumar C, BadaMath S. Resilience as a protective factor on the quality of life (QoL) of Indian nursing students during the COVID-19 pandemic. Arch Psychiatr Nurs 2023; 42:55-59. [PMID: 36842828 PMCID: PMC9769067 DOI: 10.1016/j.apnu.2022.12.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 09/21/2022] [Accepted: 12/11/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND The COVID-19 pandemic negatively impacted the quality of life of individuals around the world, including health care professionals. There has been little research that examines the role of resilience concerning the impact of COVID-19 on the quality of life of nursing students. This study aimed to determine how resilience influenced the quality of life among nursing students during the COVID-19 pandemic. METHODS A cross-sectional research design was adopted for this study. A total of two hundred sixty-eight nursing students from three universities, South India responded in the web-based survey. Data was collected using self-reported questionnaires in June 2021. RESULTS Our findings revealed that the participants' resilience was normal, which had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. The COVID-19 impact on QoL significantly differed with year of education (F = 3.087; p < 0.02) and university (F = 6.697, p < 0.001). Bivariate analysis revealed significant inverse relationships between the impact of COVID-19 on quality of life with resilience (r = -0.259; p < 0.001) and perceived knowledge on COVID-19(r = -0.168; p < 0.006). CONCLUSION In our study, we found that resilience had a moderate impact on the quality of life of nursing students during the COVID-19 pandemic. Therefore, it is important to promote students' resilience and improve their quality of life during stressful situations.
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Affiliation(s)
- P Vijayalakshmi
- College of Nursing, National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India.
| | - B V Kathyayani
- College of Nursing, National Institute of Mental Health and Neuro Sciences, (Institute of National Importance), Bangalore, India
| | - M Sreelatha
- Sri Venkateswara Institute of Medical Sciences, Tirupathi, AP, India
| | - SaiYathin Reddy
- The Oxford Medical College, Hospital & Research Centre, Bangalore, India
| | - Narayana Manjunatha
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Institute of National Importance, Bangalore, India
| | - C Naveen Kumar
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Institute of National Importance, Bangalore, India
| | - Suresh BadaMath
- Department of Psychiatry, National Institute of Mental Health and Neuro Sciences, Institute of National Importance, Bangalore, India
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Gu L, Chang J, Wang J, Feng P, Xu H. Stress load of Chinese nurses in Fangcang Shelter Hospitals during the COVID-19 pandemic: A latent profile analysis. Front Public Health 2023; 10:1048358. [PMID: 36703822 PMCID: PMC9873243 DOI: 10.3389/fpubh.2022.1048358] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Accepted: 12/19/2022] [Indexed: 01/12/2023] Open
Abstract
The Omicron wave of the COVID-19 pandemic significantly affected Shanghai, China, from March to June 2022. Numbers of Fangcang Shelter Hospitals (FSHs) were conversed from stadiums and exhibition centers to tackle the pandemic. This study aimed to identify the stress load profiles of nurses working in FSHs and explore the characteristics and factors influencing stress load profiles. Totally, 609 out of 700 FSH nurses (with an effective response rate of 87%) participated in an online survey investigating their socio-demographic information, work-related stressors, and stress load. Results of the latent profile analysis identified four classes of stress load, which were labeled as the low (Class 1), mild (Class 2), moderate (Class 3), and high (Class 4) stress load class. Maternity status and self-perceived health condition were significantly different between the four stress load classes by comparisons using the Chi-square test and the Kruskal-Wallis test. The contributors to the stress load profiles were determined by the multinomial logistic regression analysis, including age, education, maternity status, self-perceived health condition, working time in FSHs, and the four dimensions of work-related stressors. Participants who were less healthy (OR = 0.045, 95% CI:0.012,0.171), worked longer time in FSHs (OR = 40.483, 95% CI: 12.103,135.410), faced with more workload (OR = 3.664, 95% CI: 1.047,12.815), and worse working environment (OR = 12.274, 95% CI: 3.029,49.729) were more likely to be classified to the high stress load class. The task arrangement and working environment for FSH nurses should be optimized, and psychological training should be conducted routinely.
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Affiliation(s)
- Liyan Gu
- Department of Neurology, 905th Hospital of the PLA Navy, Shanghai, China
| | - Jian Chang
- Nursing Department, Shanghai General Hospital, School of Nursing, Shanghai Jiao Tong University, Shanghai, China,*Correspondence: Jian Chang ✉
| | - Ji Wang
- Nursing Department, 905th Hospital of the PLA Navy, Shanghai, China,Ji Wang ✉
| | - Ping Feng
- Nursing Department, Changhai Hospital, Naval Medical University, Shanghai, China
| | - Hao Xu
- Department of Infectious Diseases, Changhai Hospital, Naval Medical University, Shanghai, China
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Dalokay EB, Aydin A. The relationship between alexithymia, communication skills and mental well-being of Nurses' in Turkey: A cross-sectional study. Arch Psychiatr Nurs 2023; 43:81-86. [PMID: 37032020 DOI: 10.1016/j.apnu.2022.12.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Revised: 10/22/2022] [Accepted: 12/27/2022] [Indexed: 01/05/2023]
Abstract
PURPOSE The aim of this study is to examine the relationship between alexithymia, communication skills, and mental well-being of nurses. METHODS This descriptive and correlational study was conducted with 272 nurses working in a hospital in Turkey. Data were collected using the "Introductory Information Form", "Health Professionals Communication Skills Scale", "Warwick-Edinburgh Mental Wellbeing Scale", and "Toronto Alexithymia Scale". Mean and percentage distributions as well as Pearson's correlation analysis and multiple regression analysis were used to analyze the data. The STROBE checklist was used to report this study. RESULTS It was determined that non-alexithymic nurses had higher mean scores communication skills and in mental well-being compared to alexithymic nurses. The nurses' alexithymia scores were negatively correlated with their communication skills and mental well-being scores. On the other hand, their nurses' mental well-being scores were positively correlated with their communication skills scores. Communication skills and mental well-being of the nurses accounted for 38.5 % of their alexithymia levels. CONCLUSIONS It is recommended that awareness-based interventions be carried out since increasing the emotional awareness of nurses will contribute to the development of their professional skills as well as their positive psychological effects.
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Affiliation(s)
- Elif Buse Dalokay
- Eskişehir Osmangazi University Health, Practice and Research Hospital, Eskişehir, Turkey
| | - Adeviye Aydin
- Sinop University Faculty of Health Sciences Nursing Department, Sinop, Turkey.
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Cooper AL, Leslie GD, Brown JA. Defining the influence of external factors on nurse resilience. Int J Ment Health Nurs 2022; 31:1523-1533. [PMID: 36008889 PMCID: PMC9805183 DOI: 10.1111/inm.13059] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/06/2022] [Indexed: 01/09/2023]
Abstract
In the context of pressures faced by the nursing profession including increasing patient acuity and global nursing shortages, the importance of nurse resilience has gained attention in research and practice. Resilience is viewed as a protective factor that enables individuals to avoid psychological harm and continue in their work. There is limited evidence on the impact of external factors such as work conditions on nurse resilience. This study aimed to explore how external factors influence nurse resilience and to incorporate this knowledge into an updated definition of nurse resilience. As part of a two-phase mixed methods study, focus groups were conducted to obtain qualitative data to explore nurse's perceptions of resilience and factors they felt affected their resilience. Data analysis identified three main themes derived from 10 subthemes: Perceptions of Resilience, Pressures and Challenges, and Support and Strategies contributed to understanding how external factors can affect nurse resilience. A range of factors emerged including the impact of workplace conditions, organizational philosophy, the performance of managers, and the teams nurses work within, which were not reflected in an earlier definition of nurse resilience derived through a concept analysis. These factors were incorporated in an updated definition of nurse resilience. Understanding resilience in the nursing profession and the external factors that affect it is critical to the development of effective research, policies, interventions, and work environments to protect nurse well-being, promote nurse retention, and ensure the provision of quality patient care.
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Affiliation(s)
- Alannah L Cooper
- St John of God Subiaco Hospital, Subiaco, Western Australia, Australia.,School of Nursing, Curtin University, Bentley, Western Australia, Australia
| | - Gavin D Leslie
- School of Nursing, Curtin University, Bentley, Western Australia, Australia.,South Metropolitan Health Service, Murdoch, Western Australia, Australia
| | - Janie A Brown
- School of Nursing, Curtin University, Bentley, Western Australia, Australia.,St John of God Midland Public and Private Hospital, Midland, Western Australia, Australia.,The Western Australian Group for Evidence Informed Healthcare Practice, Curtin University, Bentley, Western Australia, Australia
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Vancampfort D, Mugisha J. Associations between compassion fatigue, burnout and secondary traumatic stress with lifestyle factors in mental health nurses: A multicenter study from Uganda. Arch Psychiatr Nurs 2022; 41:221-226. [PMID: 36428053 DOI: 10.1016/j.apnu.2022.08.009] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Revised: 08/22/2022] [Accepted: 08/22/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE This cross-sectional study aimed (a) to explore levels of compassion satisfaction, secondary traumatic stress, and symptoms of burnout among Ugandan mental health nurses working in regional referral hospitals in Uganda during the Covid-19 pandemic, and (b) to investigate associations between compassion satisfaction, secondary traumatic stress, and symptoms of burnout and sedentary levels, physical activity (PA) levels, sleep quality, and harmful drinking. MATERIAL AND METHODS In total 108 mental health nurses from 8 regional referral hospitals across Uganda (age = 34.8 ± 10.0 years; 55.6 % female) completed the Professional Quality of Life Scale-5, (PQoLS-5), the Simple Physical Activity Questionnaire (SIMPAQ), Physical Activity Vital Sign (PAVS), Pittsburgh Sleep Quality Index (PSQI), and Alcohol Use Disorder Identification Test - Concise (AUDIT-C). Spearman Rho correlations and Mann-Whitney U tests were applied. RESULTS ProQOL-5 compassion satisfaction correlated significantly with SIMPAQ walking, PSQI and AUDIT-C, ProQOL-5 burnout with SIMPAQ exercise and PSQI and ProQOL-5 traumatic with SIMPAQ walking and PSQI. Mental health nurses meeting PA guidelines reported higher ProQOL-5 compassion satisfaction and lower ProQOL-5 burnout and traumatic stress than those who did not. Those who reported a poor sleep quality reported significantly less ProQOL-5 compassion satisfaction and higher ProQOL-5 burnout than those who did not. Those who reported harmful drinking patterns reported a significantly lower compassion satisfaction versus those who did not. DISCUSSION In mental health nurses, a lower professional quality of life is associated with an unhealthy lifestyle. The effectiveness and efficacy of resilience and self-care programs for mental health nurses focusing on unhealthy lifestyle patterns should be explored.
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Affiliation(s)
- Davy Vancampfort
- Department of Rehabilitation Sciences, Faculty of Movement and Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
| | - James Mugisha
- Department of Sociology and Social Administration, Faculty of Arts and Social Sciences, Kyambogo University, Kampala, Uganda
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Zhou H, Wang Y, Cheng L. The mediating effect of self-directed learning in the relationship between caring and resilience among Chinese nursing students: A multi-center cross-sectional study. NURSE EDUCATION TODAY 2022; 119:105598. [PMID: 36272323 DOI: 10.1016/j.nedt.2022.105598] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 08/30/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Despite the proliferation of literature focusing on resilience, a paucity of research has attempted a thorough and accurate examination of factors that contribute to resilience among nursing students. OBJECTIVES To examine the mediating effect of self-directed learning in the relationship between caring and resilience in Chinese nursing students. DESIGN A cross-sectional design. SETTINGS Five universities in China. PARTICIPANTS Undergraduate nursing students (N = 511). METHODS The Caring Ability Inventory, Self-Rating Scale of Self-Directed Learning, and Connor-Davidson Resilience Scale (CD-RISC) were administered. Socio-demographic and academic data were collected from nursing students after obtaining their informed consent. A multiple linear regression analysis was performed to assess factors associated with resilience. A structural equation model with bootstrapping estimation was conducted to further explore the potential mediating role of self-directed learning in the relationship between caring and resilience. RESULTS The average score of CD-RISC for nursing students was 92.96 ± 14.85. Multiple linear regression analyses indicated that caring and self-directed learning were significantly positively associated with resilience. Self-directed learning (β = 0.327, 95% Confidence Interval [CI]: 0.049-6.667, p < 0.001) had a significant mediating effect on the relationship between caring and resilience in nursing students, explaining 67.1% of the total effect of caring on resilience. CONCLUSIONS Interventions that enhance students' self-directed learning have the potential to enhance resilience level. Innovative pedagogical approaches, strategic reinforcement, and nursing curriculum transformation are recommended to promote self-directed learning awareness and internalize self-directed learning skills.
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Affiliation(s)
- Hua Zhou
- School of Nursing, Sun Yat-sen University, Nonglin Street, Yuexiu District, Guangzhou, China.
| | - Yarui Wang
- School of Nursing, Sun Yat-sen University, Nonglin Street, Yuexiu District, Guangzhou, China.
| | - Li Cheng
- School of Nursing, Sun Yat-sen University, Nonglin Street, Yuexiu District, Guangzhou, China.
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