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Yazdanirad S, Haghighat M, Jahadinaeini M, Khoshakhlagh A, Mousavi S. A Bayesian approach to reveal the role of psychological factors on turnover intention among nurses during the COVID-19 pandemic. BMC Health Serv Res 2024; 24:877. [PMID: 39090650 PMCID: PMC11295345 DOI: 10.1186/s12913-024-11307-2] [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: 03/23/2024] [Accepted: 07/11/2024] [Indexed: 08/04/2024] Open
Abstract
BACKGROUND Turnover intention is considered a significant challenge for healthcare and treatment organizations. The challenging conditions of treating COVID-19 patients and the physical and mental stress imposed on nurses during the pandemic may lead them to leave their jobs. The present study aimed to determine the role of psychological factors (general health, mental workload, work-family conflicts, and resilience) on turnover intention using a Bayesian approach during the COVID-19 pandemic. METHODS The present cross-sectional study was carried out during the winter of 2021 at three hospitals in Khuzestan Province, Iran. To collect data for this investigation, 300 nurses were chosen based on Cochran's formula and random sampling technique. Seven questionnaires, including General Health, Mental Workload, Work-Family Conflict, Resilience, Job Stress, Fear of COVID-19, and Turnover Intention Questionnaires. Bayesian Networks (BNs) were used to draw probabilistic and graphical models. A sensitivity analysis also was performed to study the effects of the variables. The GeNIe academic software, version 2.3, facilitated the examination of the Bayesian network. RESULTS The statistically significant associations occurred between the variables of fear of COVID-19 and job stress (0.313), job stress and turnover intention (0.302), and resilience and job stress (0.298), respectively. Job stress had the highest association with the fear of COVID-19 (0.313), and resilience had the greatest association with the work-family conflict (0.296). Also, the association between turnover intention and job stress (0.302) was higher than the association between this variable and resilience (0.219). At the low resilience and high job stress with the probability of 100%, the turnover intention variable increased by 20%, while at high resilience and low job stress with the probability of 100%, turnover intention was found to decrease by 32%. CONCLUSION In general, the results showed that four psychological factors affect job turnover intention. However, the greatest impact was related to job stress and resilience. These results can be used to manage job turnover intention in medical environments, especially in critical situations such as COVID-19.
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Affiliation(s)
- Saeid Yazdanirad
- School of Public Health, Shahrekord University of Medical Sciences, Shahrekord, Iran
| | | | - Mahsa Jahadinaeini
- Department of Occupational Health Engineering, School of Public Health, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Amirhossein Khoshakhlagh
- Department of Occupational Health Engineering, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran
| | - Seyedmahdi Mousavi
- Behbahan university of medical sciences, Behbahan, Iran.
- Student Research Committee, Department of Occupational Health and Safety Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
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Anderson H, Scantlebury A, Galdas P, Adamson J. The well-being of nurses working in general practice during the COVID-19 pandemic: A qualitative study (The GenCo Study). J Adv Nurs 2024; 80:1574-1591. [PMID: 37902132 DOI: 10.1111/jan.15919] [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] [Received: 03/21/2023] [Revised: 10/12/2023] [Accepted: 10/15/2023] [Indexed: 10/31/2023]
Abstract
AIM Exploration of experiences of nurses working in general practice during the COVID-19 pandemic to evaluate the impact on nurses' professional well-being. DESIGN An exploratory qualitative study comprised of case studies of three general practice sites in England and a nationwide interview study of nurses working in general practice and nurse leaders. The study was funded by The General Nursing Council for England and Wales Trust. University of York ethics approval (HSRGC/2021/458/I) and Health Research Authority approval was obtained (IRAS: 30353, Protocol number: R23982, Ref 21/HRA/5132, CPMS: 51834). METHODS Forty participants took part. Case site data consisted of interviews/focus groups and national data consisted of semi-structured interviews. Data collection took place between April and August 2022. Analysis was underpinned by West et al.'s The courage of compassion. Supporting nurses and midwives to deliver high-quality care, The King's fund, 2020 ABC framework of nurses' core work well-being needs. FINDINGS The majority of participants experienced challenges to their professional well-being contributed to by lack of recognition, feeling undervalued and lack of involvement in higher-level decision-making. Some participants displayed burnout and stress. Structural and cultural issues contributed to this and many experiences pre-dated, but were exacerbated by, the COVID-19 pandemic. CONCLUSIONS By mapping findings to the ABC framework, we highlight the impact of the COVID-19 pandemic on the well-being of nurses working in general practice and contributing workplace factors. The issues identified have implications for retention and for the future of nursing in general practice. The study highlights how this professional group can be supported in the future. IMPACT The study contributes to our understanding of the experiences of nurses working in general practice during the COVID-19 pandemic and beyond. Findings have implications for this skilled and experienced workforce, for retention of nurses in general practice, the sustainability of the profession more broadly and care quality and patient safety. REPORTING METHOD Standards for Reporting Qualitative Research (O'Brien et al. in Journal of the Association of American Medical Colleges, 89(9), 1245-1251, 2014). PATIENT OR PUBLIC CONTRIBUTION As this was a workforce study there was no patient or public contribution.
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Affiliation(s)
- Helen Anderson
- York Trials Unit, Department of Health Sciences, University of York, York, UK
| | | | - Paul Galdas
- Department of Health Sciences, University of York, York, UK
| | - Joy Adamson
- York Trials Unit, Department of Health Sciences, University of York, York, UK
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Porter-O'Grady T, Malloch K, Scott K. Renewing the Nursing Culture: Sustaining the Professional Community of Practice Through the Role of the Preceptor. Nurs Adm Q 2024; 48:87-96. [PMID: 38564719 DOI: 10.1097/naq.0000000000000639] [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: 04/04/2024]
Abstract
Culture is the driving frame within which all human action takes form. This article explores the elements and characteristics of culture and applies them to the nursing professional community of practice. As it drills down to the work in the cultural context, it argues for the central role of the preceptor in evidencing the influence of culture. For onboarding nurses and the nursing community, the preceptor becomes the carrier of culture, demonstrating the impact of culture in a way that exhibits its influence and impact on nursing practice and patient care.
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Affiliation(s)
- Tim Porter-O'Grady
- Author Affiliations: Senior Partner, Tim Porter-O'Grady Associates, Atlanta, Georgia (Dr Porter-O'Grady); Consultant, The Ohio State University, College of Nursing, Columbus, Ohio (Dr Malloch); and Partner, L3 Fusion, LLC. Phoenix, Arizona (Dr Scott)
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Ishii S, Jung H, Akishita M, Kawamura A. Prevalence and associated factors of work impairment among geriatricians during the COVID-19 pandemic in Japan. Geriatr Gerontol Int 2024; 24 Suppl 1:215-220. [PMID: 38131637 DOI: 10.1111/ggi.14772] [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] [Received: 09/04/2023] [Revised: 10/30/2023] [Accepted: 11/19/2023] [Indexed: 12/23/2023]
Abstract
AIM This study investigated work impairment and its associated factors among geriatricians during the coronavirus disease 2019 (COVID-19) pandemic. METHODS This cross-sectional study was carried out using an anonymous online survey questionnaire administered to members of the Japanese Geriatric Society between October and December 2022. The questionnaire included questions regarding psychological distress (Kessler Psychological Distress Scale), fear of COVID-19 (Fear of COVID-19 Scale) and work impairment (Work Functioning Impairment Scale). Multivariate logistic regression analyses were carried out to determine the factors associated with work impairment. Causal mediation analyses were performed to delineate the relationship between work impairment, psychological distress and fear of COVID-19. RESULTS The analytic sample included 386 geriatricians, and work impairment was observed in 24.8% of them. Work impairment was associated with age, prefecture where the institution was located and fear of COVID-19. Mediation analysis showed that the effect of fear of COVID-19 on work impairment was almost completely mediated by psychological distress. CONCLUSION During the COVID-19 pandemic, work impairment was commonly observed among geriatricians. We found that fear of COVID-19 might cause work impairment; however, this effect was exerted entirely through psychological distress. This implies that interventions to prevent or reduce work impairment among doctors should mainly target psychological distress; however, the fear of COVID-19, if it causes psychological distress, should also be addressed. Managers of hospitals and long-term care facilities must take steps to protect healthcare workers' mental well-being and maintain work productivity. Therefore, understanding the factors related to work impairment might help them devise effective measures. Geriatr Gerontol Int 2024; 24: 215-220.
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Affiliation(s)
- Shinya Ishii
- Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Japan
| | - Hungu Jung
- Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Japan
| | - Masahiro Akishita
- Department of Geriatric Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Atsuko Kawamura
- Department of Medicine for Integrated Approach to Social Inclusion, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima City, Japan
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Chen C, Zhang RJ. Short-term professional bereavement reactions and their links with the meaning of patient death: Evidence from network analyses. J Clin Nurs 2024; 33:630-641. [PMID: 37807635 DOI: 10.1111/jocn.16900] [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: 05/03/2023] [Revised: 09/19/2023] [Accepted: 09/27/2023] [Indexed: 10/10/2023]
Abstract
OBJECTIVES Taking a dimensional view, this study aims to understand, among professional caregivers after patient deaths, the symptom distribution and development of the short-term bereavement reaction (SBR) network and the node-level links between the meaning of patient death (MPD) and the SBR network. METHODS A cross-sectional secondary analysis was conducted with existing data from 220 Chinese urban hospital nurses and physicians who experienced the most recent patient death within a month. MPD was measured by the 10 formative items of the meaning of patient death model, and SBR was measured by the Short-term Bereavement Reactions Subscale of the Professional Bereavement Scale. Both Gaussian graphical network analysis and Bayesian network analysis were applied to the SBR network, and Gaussian graphical network analysis was used to estimate the MPD-SBR network. RESULTS Frustrated and guilty are central nodes in the regularized partial correlation SBR network. Meanwhile, a traumatic event and failure at work are important bridge nodes between the MPD network and the SBR network. In the Bayesian SBR network, moved by the family's understanding, moved by the family's gratitude and sad mainly drive other nodes. CONCLUSION After a patient death, nurses' and physicians' SBR networks feature professional-dimension symptoms at their core, while they follow 'personal to professional' and 'concrete to abstract' symptom development patterns. The personal meaning of a traumatic event and the professional meaning of a failure at work play key roles in bridging the MPD and SBR networks, and meanings of both the personal and the professional dimensions can link to professional-dimension reactions. REPORTING METHOD The manuscript followed the STROBE checklist for reporting cross-sectional studies. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Chuqian Chen
- Department of Medical Humanities, School of Humanities, Southeast University, Nanjing, China
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Hussein AHM, Abou Hashish EA, Younes BM. The Relationship Between Nurses' Psychological Well-Being and Their Work Productivity Loss: A Descriptive Correlational Study. SAGE Open Nurs 2024; 10:23779608241285400. [PMID: 39371426 PMCID: PMC11456208 DOI: 10.1177/23779608241285400] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Revised: 08/08/2024] [Accepted: 09/03/2024] [Indexed: 10/08/2024] Open
Abstract
Introduction Nurses play a vital role in ensuring effective patient care delivery and organizational productivity. Hence, it becomes imperative to prioritize their psychological well-being and explore how its impairment may be associated with their productivity loss. Aims The study aims to investigate the relationship between nurses' psychological well-being and their work productivity loss by examining how nurses self-reported their own psychological well-being and work productivity loss. Methods A descriptive correlational design was conducted at an Egyptian university hospital. A convenience sample of 400 nurses completed two tools: (a) Outcome Questionnaire-45 was used to assess the psychological well-being of nurses and (b) the Work Productivity and Activity Impairment - General Health Questionnaire was used to measure nurses' work productivity. Results Among the 400 surveyed nurses, 66.7% reported overall poor psychological well-being. Regarding work productivity loss, 22.8% of nurses missed an average of 974.81 work hours due to absenteeism, and 62.0% lost an average of 10,630 work hours due to presenteeism. Additionally, 75.5% experienced impaired daily living activities. Approximately 13.4% of total working hours were missed due to health problems or psychological distress. Regression analysis revealed that poor psychological well-being significantly predicts work productivity loss, accounting for 2.0% of absenteeism, 11.0% of presenteeism, 17.0% of daily activity impairment, and 9.0% of overall productivity loss, with the model being significant (p < 0.01). Conclusion Nurses often experience poor psychological well-being and distress that hinder their daily activities and cause work productivity loss. Therefore, hospital management should prioritize improving nurses' physical and mental health and bolstering their self-efficacy and resilience to minimize the effects of symptom distress on productivity. Investing in nurses' well-being through managerial caring, organizational support, and fostering a supportive work environment are vital strategies for promoting quality patient care and enhancing their work productivity.
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Affiliation(s)
| | - Ebtsam Aly Abou Hashish
- Faculty of Nursing, Alexandria University, Alexandria, Egypt
- College of Nursing - Jeddah, King Saud bin Abdul-Aziz University for Health Sciences, Jeddah, Saudi Arabia
- King Abdullah International Medical Research Center, Jeddah, Saudi Arabia
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Liu J, Si TL, Chen P, Wang YY, Su Z, Cheung T, Jackson T, Xiang YT, Feng Y. Prevalence of COVID-19 fear and its association with quality of life among fire service recruits after ceasing the dynamic zero-COVID policy in China. Front Public Health 2023; 11:1257943. [PMID: 37869198 PMCID: PMC10587416 DOI: 10.3389/fpubh.2023.1257943] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Accepted: 09/20/2023] [Indexed: 10/24/2023] Open
Abstract
Background In December 2022, China terminated its dynamic zero-COVID policy. To date, however, no research has been conducted upon mental health issues and their relationship with quality of life (hereafter QoL) among fire service recruits since the dynamic zero-COVID policy ended. This study explored fear of COVID-19 (FOC) prevalence and correlates as well as its network structure and interconnections with QoL among fire service recruits. Methods A cross-sectional survey design was used to assess fire service recruits in Beijing and Sichuan, Guangxi and Guizhou provinces of China between February 13 and 16, 2023. Fear of COVID-19 was measured using the Fear of COVID-19 Scale, depression was assessed with the Patient Health Questionnaire, anxiety was examined using the Generalized Anxiety Disorder scale, and QOL was evaluated with the World Health Organization Quality of Life-brief version. Univariate and multivariate analyses were used to explore correlates of COVID-19 fear. Network analysis assessed the structure of fear of COVID-19 and its associations with QoL. Results A total of 1,560 participants were included in this study. The overall prevalence of fear of COVID-19 was 38.85% (n = 606; 95% CI = 36.42-41.32%). Being afraid of COVID-19 was significantly related to depression (OR = 1.084; p < O.OO1) and physical fatigue (OR = 1.063; p = 0.026). Fire service recruits with more fear of COVID-19 had lower QOL (F = 18.061 p < 0.001) than those with less fear of COVID-19 did. The most central symptoms included FOC6 ("Sleep difficulties caused by worry about COVID-19"), FOC7 ("Palpitations when thinking about COVID-19") and FOC2 ("Uncomfortable to think about COVID-19"). The top three symptoms negatively associated with QoL were FOC4 ("Afraid of losing life because of COVID-19"), FOC6 ("Sleep difficulties caused by worry about COVID-19") and FOC2 ("Uncomfortable to think about COVID-19"). Conclusion Over one-third of fire service recruits reported fear of COVID-19 after China's dynamic zero-COVID policy had terminated. Poorer QoL was related to fear of COVID-19. Targeting core symptoms of the fear network structure could help improve the physical and mental health of fire service recruits during public health crises.
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Affiliation(s)
- Jian Liu
- Department of Rehabilitation Medicine, China Emergency General Hospital, Beijing, China
| | - Tong Leong Si
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Pan Chen
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Yue-Ying Wang
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Zhaohui Su
- School of Public Health, Southeast University, Nanjing, China
| | - Teris Cheung
- School of Nursing, Hong Kong Polytechnic University, Kowloon, Hong Kong SAR, China
| | - Todd Jackson
- Department of Psychology, University of Macau, Taipa, Macao SAR, China
| | - Yu-Tao Xiang
- Unit of Psychiatry, Department of Public Health and Medicinal Administration, Institute of Translational Medicine, Faculty of Health Sciences, University of Macau, Taipa, Macao SAR, China
- Centre for Cognitive and Brain Sciences, University of Macau, Taipa, Macao SAR, China
| | - Yuan Feng
- Beijing Key Laboratory of Mental Disorders, National Clinical Research Center for Mental Disorders & National Center for Mental Disorders, Beijing Anding Hospital, Capital Medical University, Beijing, China
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Alemi F, Lee KH, Vang J, Lee D, Schwartz M. Social and Medical Determinants of Diabetes: A Time-Constrained Multiple Mediator Analysis. Cureus 2023; 15:e46227. [PMID: 37905243 PMCID: PMC10613532 DOI: 10.7759/cureus.46227] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/29/2023] [Indexed: 11/02/2023] Open
Abstract
Background A number of studies have shown an association between social determinants of health and the emergence of obesity and diabetes, but whether the relationship is causal is not clear. Objective To test whether social, environmental, and medical determinants directly or indirectly affect population-level diabetes prevalence after controlling for mediator-mediator interactions. Methods Data were obtained from the CDC and supplemented with nine other data sources for 3,109 US counties. The dependent variable was the prevalence of diabetes in 2017. Independent variables were a given county's 30 social, environmental, and medical characteristics in 2015 and 2016. A network multiple mediation analysis was conducted. First, we used Least Absolute Shrinkage and Selection Operator (LASSO) regression to relate the 2017 diabetes rate in each county to 30 predictors measured in 2016, identifying statistically significant and robust predictors as the mediators within the network model and as direct determinants of 2017 diabetes. Second, each of the direct causes of diabetes was taken as a new response variable and LASSO-regressed on the same 30 independent variables measured in 2015, identifying the indirect (mediated) causes of diabetes. Subsequently, these direct and indirect predictors were used to construct a network model. The completed network was then employed to estimate the direct and mediated impact of variables on diabetes. Results For 2017 diabetes rates, 63% of the variation was explained by five variables measured in 2016: the percentage of residents who were (1) obese, (2) African American, (3) physically inactive, (4) in poor health condition, and (5) had a history of diabetes. These five direct predictors, measured in 2016, mediated the effect of indirect variables measured in 2015, including the percentage of residents who were (1) Hispanic, (2) physically distressed, (3) smokers, (4) living with children in poverty, (5) experiencing limited access to healthy foods, and (6) had low income. Conclusion All of the direct predictors of diabetes prevalence, except the percentage of residents who were African American, were medical conditions potentially influenced by lifestyles. Counties characterized by higher levels of obesity, inactivity, and poor health conditions exhibited increased diabetes rates in the following year. The impact of social determinants of illness, such as low income, children in poverty, and limited access to healthy foods, had an indirect effect on the health of residents and, consequently, increased the prevalence of diabetes.
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Affiliation(s)
- Farrokh Alemi
- Health Administration and Policy, George Mason University, Fairfax, USA
| | - Kyung Hee Lee
- Recreation, Parks and Leisure Services Administration, Central Michigan University, Mount Pleasant, USA
| | - Jee Vang
- Health Administration and Policy, George Mason University, Fairfax, USA
| | - David Lee
- Department of Emergency Medicine, New York University Grossman School of Medicine, New York City, USA
| | - Mark Schwartz
- Department of Population Health, New York University Grossman School of Medicine, New York City, USA
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Franco-O'Byrne D, Sepúlveda JPM, Gonzalez-Gomez R, Ibáñez A, Huepe-Artigas D, Matus C, Manen R, Ayala J, Fittipaldi S, Huepe D. The neurocognitive impact of loneliness and social networks on social adaptation. Sci Rep 2023; 13:12048. [PMID: 37491346 PMCID: PMC10368735 DOI: 10.1038/s41598-023-38244-0] [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] [Received: 08/16/2022] [Accepted: 07/05/2023] [Indexed: 07/27/2023] Open
Abstract
Social adaptation arises from the interaction between the individual and the social environment. However, little empirical evidence exists regarding the relationship between social contact and social adaptation. We propose that loneliness and social networks are key factors explaining social adaptation. Sixty-four healthy subjects with no history of psychiatric conditions participated in this study. All participants completed self-report questionnaires about loneliness, social network, and social adaptation. On a separate day, subjects underwent a resting state fMRI recording session. A hierarchical regression model on self-report data revealed that loneliness and social network were negatively and positively associated with social adaptation. Functional connectivity (FC) analysis showed that loneliness was associated with decreased FC between the fronto-amygdalar and fronto-parietal regions. In contrast, the social network was positively associated with FC between the fronto-temporo-parietal network. Finally, an integrative path model examined the combined effects of behavioral and brain predictors of social adaptation. The model revealed that social networks mediated the effects of loneliness on social adaptation. Further, loneliness-related abnormal brain FC (previously shown to be associated with difficulties in cognitive control, emotion regulation, and sociocognitive processes) emerged as the strongest predictor of poor social adaptation. Findings offer insights into the brain indicators of social adaptation and highlight the role of social networks as a buffer against the maladaptive effects of loneliness. These findings can inform interventions aimed at minimizing loneliness and promoting social adaptation and are especially relevant due to the high prevalence of loneliness around the globe. These findings also serve the study of social adaptation since they provide potential neurocognitive factors that could influence social adaptation.
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Affiliation(s)
- Daniel Franco-O'Byrne
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Diagonal Las Torres 2640, Peñalolén, Santiago de Chile, Chile
| | - Juan Pablo Morales Sepúlveda
- University of Sydney Business School, Darlington, Australia
- Facultad de Educación Psicología y Familia, Universidad Finis Terrae, Santiago, Chile
| | - Raúl Gonzalez-Gomez
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Diagonal Las Torres 2640, Peñalolén, Santiago de Chile, Chile
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
| | - Agustín Ibáñez
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Cognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina
- National Scientific and Technical Research Council (CONICET), Buenos Aires, Argentina
- Global Brain Health Institute, Trinity college , Dublin, Ireland
| | - Daniela Huepe-Artigas
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Diagonal Las Torres 2640, Peñalolén, Santiago de Chile, Chile
| | - Cristián Matus
- Hospital de Carabineros de Chile, Santiago de Chile, Chile
| | - Ruth Manen
- Hospital de Carabineros de Chile, Santiago de Chile, Chile
| | - Jaime Ayala
- Hospital de Carabineros de Chile, Santiago de Chile, Chile
| | - Sol Fittipaldi
- Latin American Brain Health Institute (BrainLat), Universidad Adolfo Ibáñez, Santiago, Chile
- Cognitive Neuroscience Center, Universidad de San Andrés, Buenos Aires, Argentina
- Facultad de Psicología, Universidad Nacional de Córdoba, Córdoba, Argentina
| | - David Huepe
- Center for Social and Cognitive Neuroscience (CSCN), School of Psychology, Universidad Adolfo Ibáñez, Diagonal Las Torres 2640, Peñalolén, Santiago de Chile, Chile.
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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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Prudenzi A, Jadhakhan F, Gill K, MacArthur M, Patel K, Moukhtarian T, Kershaw C, Norton-Brown E, Johnston N, Daly G, Russell S, Thomson L, Munir F, Blake H, Meyer C, Marwaha S. Supporting employers and their employees with Mental hEalth problems to remain eNgaged and producTive at wORk (MENTOR): A feasibility randomised controlled trial protocol. PLoS One 2023; 18:e0283598. [PMID: 37079506 PMCID: PMC10118171 DOI: 10.1371/journal.pone.0283598] [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: 12/23/2021] [Accepted: 03/02/2023] [Indexed: 04/21/2023] Open
Abstract
Employees with mental health problems often struggle to remain in employment. During the COVID-19 pandemic, these employees face multiple additional stressors, which are likely to worsen their mental health and work productivity. Currently, it is unclear how to best support employees with mental health problems (and their managers) to improve wellbeing and productivity. We aim to develop a new intervention (MENTOR) that will jointly involve employees, managers, and a new professional (mental health employment liaison worker, MHELW), to help employees who are still at work with a mental health condition and currently receiving professional support for their mental health. A feasibility pilot study will then be undertaken to examine the feasibility and acceptability of the intervention from the perspective of employees and line managers. The study involves a feasibility randomised controlled study comparing outcomes of participants randomised to receive the intervention (MENTOR) with wait-list controls. Participants allocated to the waitlist control group will receive the intervention after three months. We aim to randomise 56 employee-manager pairs recruited from multiple organisations in the Midlands region of England. An intervention including 10 sessions for employees and managers (3 individual sessions and 4 joint sessions) will be delivered over 12 weeks by trained MHELWs. Primary outcomes include measures of feasibility and acceptability of the intervention and work productivity. Secondary outcomes include mental health outcomes. Qualitative interviews will be undertaken with a purposively selected sub-sample of employees and line managers at three-month post-intervention assessment. To our knowledge, this will be the first trial with a joint employee-manager intervention delivered by MHELWs. Anticipated challenges are dual-level consent (employees and managers), participants' attrition, and recruitment strategies. If the intervention and trial processes are shown to be feasible and acceptable, the outcomes from this study will inform future randomised controlled trials. Trial registration: This trial is pre-registered with the ISRCTN registry, registration number: ISRCTN79256498. Protocol version: 3.0_March_2023. https://www.isrctn.com/ISRCTN79256498.
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Affiliation(s)
- Arianna Prudenzi
- Institute for Mental Health, School of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom
| | - Feroz Jadhakhan
- Institute for Mental Health, School of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom
| | - Kiranpreet Gill
- Institute for Mental Health, School of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom
| | - Michael MacArthur
- Institute for Mental Health, School of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom
| | - Krishane Patel
- Warwick Manufacturing Group (WMG), School of Engineering, University of Warwick, Coventry, West Midlands, United Kingdom
| | - Talar Moukhtarian
- Warwick Medical School, Mental Health and Wellbeing Unit, University of Warwick, Coventry, West Midlands, United Kingdom
| | - Charlotte Kershaw
- Warwick Medical School, Mental Health and Wellbeing Unit, University of Warwick, Coventry, West Midlands, United Kingdom
| | | | | | - Guy Daly
- Faculty of Health and Life Sciences, Coventry University, Coventry, West Midlands, United Kingdom
| | - Sean Russell
- Faculty of Health and Life Sciences, Coventry University, Coventry, West Midlands, United Kingdom
- West Midlands Combined Authority, Birmingham, West Midlands, United Kingdom
| | - Louise Thomson
- Centre for Organisational Health and Development, School of Medicine, University of Nottingham, Nottingham, West Midlands, United Kingdom
| | - Fehmidah Munir
- School of Sport, Exercise and Health Sciences, Loughborough University, Loughborough, West Midlands, United Kingdom
| | - Holly Blake
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
- NIHR Nottingham Biomedical Research Centre, Nottingham, United Kingdom
| | - Caroline Meyer
- Warwick Medical School, Mental Health and Wellbeing Unit, University of Warwick, Coventry, West Midlands, United Kingdom
| | - Steven Marwaha
- Institute for Mental Health, School of Psychology, College of Life and Environmental Sciences, University of Birmingham, Birmingham, West Midlands, United Kingdom
- Specialist Mood Disorders Clinic, The Zinnia Centre, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, West Midlands, United Kingdom
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12
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Wang Z, Liang Q, Yan Z, Liu J, Liu M, Wang X, Wang J, Huang J, Luan X. The association between team resilience and team performance in nurses during COVID-19 pandemic: a network analysis. BMC Nurs 2023; 22:54. [PMID: 36841817 PMCID: PMC9959955 DOI: 10.1186/s12912-023-01216-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Accepted: 02/20/2023] [Indexed: 02/27/2023] Open
Abstract
BACKGROUND Compared to other healthcare workers, nurses are more vulnerable to the potentially devastating effects of pandemic-related stressors. Studies have not yet investigated the deeper characteristics of the relationship between team resilience and team performance among nurses during the COVID-19 pandemic. This study aimed to elucidate the characteristics of team resilience and performance networks among nurses during the pandemic. METHODS A cross-sectional study involving 118 nursing teams comprising 1627 practice nurses from four tertiary-A and secondary-A hospitals in Shandong Province, China, was conducted. Analyzing and Developing Adaptability and Performance in Teams to Enhance Resilience Scale and the Team Effectiveness Scale were used to measure team resilience and performance, respectively. The estimation of the network model and calculation of related metrics, network stability and accuracy, and network comparison tests were performed using R 4.0.2. RESULTS Node monitoring had the highest centralities in the team resilience and performance network model, followed by node anticipation, cooperation satisfaction, and cooperation with other departments. Moreover, node cooperation satisfaction and learning had the highest levels of bridge centrality in the entire network. CONCLUSION Monitoring, anticipation, cooperation satisfaction, cooperation with other departments, and learning constituted core variables maintaining the team resilience-performance network structure of nurses during the pandemic. Clinical interventions targeting core variables may be effective in maintaining or promoting both team resilience and performance in this population.
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Affiliation(s)
- Zhiwei Wang
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Qian Liang
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Zeping Yan
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China ,University of Health and Rehabilitation Sciences, Shandong, China
| | - Jian Liu
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Mengqi Liu
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Xiaoli Wang
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Jiurui Wang
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China
| | - Junting Huang
- grid.452402.50000 0004 1808 3430School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China ,grid.7886.10000 0001 0768 2743School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland
| | - Xiaorong Luan
- School of Nursing and Rehabilitation, Qilu Hospital, Shandong University, Shandong, China.
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13
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Cerbin-Koczorowska M, Przymuszała P, Kłos M, Bazan D, Żebryk P, Uruski P, Marciniak R. Potential of Volunteering in Formal and Informal Medical Education-A Theory-Driven Cross-Sectional Study with Example of the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16955. [PMID: 36554834 PMCID: PMC9779563 DOI: 10.3390/ijerph192416955] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 12/11/2022] [Accepted: 12/14/2022] [Indexed: 06/17/2023]
Abstract
Students' volunteering is an effective way to manage health crises, including pandemics. Due to the limited capacity of the healthcare system at the time of the COVID-19 outbreak, the engagement of students in volunteering services seemed invaluable. Based on different teaching-learning theories, in this survey study, we aimed to evaluate the potential of the volunteering service project launched by the Poznan University of Medical Sciences during the COVID-19 pandemic as a learning opportunity for undergraduate healthcare students. The results indicate the potential of involving students in volunteering activities for educational purposes, as well as other values, including attitudes and professional identity development, which could be difficult to realize using traditional teaching methods. However, stimulating students' reflectiveness seems necessary to reach its full educational effectiveness. Medical teachers should provide students with more opportunities for volunteering and service learning and consider making these a constant element of the curriculum beyond the COVID-19 pandemic.
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Affiliation(s)
| | - Piotr Przymuszała
- Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland
| | - Michał Kłos
- Students’ Scientific Club of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland
| | - Dominika Bazan
- Promotion and Careers Office, Poznan University of Medical Sciences, 61-701 Poznan, Poland
| | - Paweł Żebryk
- Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland
| | - Paweł Uruski
- Department of Hypertensiology, Angiology and Internal Medicine, Poznan University of Medical Sciences, 61-848 Poznan, Poland
| | - Ryszard Marciniak
- Department of Medical Education, Poznan University of Medical Sciences, 60-806 Poznan, Poland
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14
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Baldwin S, Coyne T, Kelly P. Supporting nursing, midwifery and allied health professional teams through restorative clinical supervision. BRITISH JOURNAL OF NURSING (MARK ALLEN PUBLISHING) 2022; 31:1058-1062. [PMID: 36370404 DOI: 10.12968/bjon.2022.31.20.1058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
The mental health and wellbeing of healthcare staff have been significantly affected by the demands resulting from the recent COVID-19 pandemic. Restorative supervision is a type of clinical supervision that supports reflective practice that can help build practitioners' resilience by focusing on the individual's experience, aiming to sustain their wellbeing and their motivation at work. This model has been shown to reduce stress and burnout and increase compassion satisfaction. This article discusses the implementation of a restorative clinical supervision programme used to support staff wellbeing in nursing, midwifery and allied health professional teams in a large London-based NHS trust.
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Affiliation(s)
- Sharin Baldwin
- Clinical Academic Lead (Nursing & Midwifery), London North West University Healthcare Trust
| | - Tracey Coyne
- Service & Practice Development Facilitator/Preceptorship & Restorative Supervision Lead, London North West University Healthcare Trust
| | - Patricia Kelly
- Service and Practice Development Facilitator, London North West University Healthcare Trust
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15
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Hong S, Kim H, Cha M. Comparing workplace violence among nurses and other professionals using online articles: A social network analysis. J Nurs Manag 2022; 30:1750-1758. [PMID: 35543033 DOI: 10.1111/jonm.13668] [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: 12/03/2021] [Revised: 05/05/2022] [Accepted: 05/09/2022] [Indexed: 11/30/2022]
Abstract
AIM To investigate workplace violence in online articles and compare workplace violence-related words characteristics of nurses and other professionals using social network analysis. BACKGROUND Workplace violence is a widespread problem across nursing practice. Online articles are useful for the timely identification and management of nurse violence problems. METHODS This descriptive exploratory study involved data extraction focused around the search term workplace violence from sources published during January 1990-December 2020 listed in the BIGKinds database, a Korean integrated news database system. The connections between the extracted terms were determined through social network analysis using the programs UCINET and NetDraw. RESULTS Our search found 675 articles for nurses and 5,797 articles for other professionals related to workplace violence. Work burden was found to be the primary cause of violence among both nurses and other professionals. Specifically, being a woman was closely related to violence among nurses, and abuse of power was closely related to violence among other professionals. CONCLUSION Nurses and other professionals have different vulnerabilities to violence, which require a different approach to addressing violence. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers should provide a healthy work environment, sufficient workforce, and flexible work schedules to protect nurses from workplace violence.
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Affiliation(s)
- Soyun Hong
- College of Nursing and Brain Korea 21 FOUR Project, Yonsei University, Seoul, Republic of Korea
| | - Heejung Kim
- College of Nursing and Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Republic of Korea
| | - Myeongseop Cha
- NCSOFT Corporation, 12 Daewangpangyo-ro 644 ben-gil, Gyeonggi-do, Republic of Korea
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16
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Workplace Factors, Burnout Signs, and Clinical Mental Health Symptoms among Mental Health Workers in Lombardy and Quebec during the First Wave of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19073806. [PMID: 35409493 PMCID: PMC8997415 DOI: 10.3390/ijerph19073806] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 03/13/2022] [Accepted: 03/17/2022] [Indexed: 02/05/2023]
Abstract
Several research contributions have depicted the impact of the pandemic environment on healthcare and social care personnel. Even though the high prevalence of burnout depression and anxiety in healthcare settings before COVID-19 has been well documented in the research, the recent increase in psychological distress and mental health issues in healthcare and mental health workers should be attributed to the effect of the COVID-19 pandemic. The aim of the present study is to develop, evaluate, and compare a model of COVID-19 workplace stressors between two different territories, the Italian region of Lombardy and the Canadian province of Quebec. Within this model, burnout is depicted as the strongest determinant of mental health symptoms for mental health workers. In turn, the main workplace determinants of burnout are the perception of a lack of support from the organization and the fear of contracting COVID-19 at work. Findings also provide insights for designing interventions to promote and protect mental health workers in the context of the pandemic. In conclusion, it is necessary to monitor burnout and carefully analyze elements of organizational culture, in addition to offering clinical and psychological care for those in need.
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17
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Hahn-Schroeder H, Honig J, Smith C, Chin S, Frazier L. An Innovative Academic Practice Model for Clinical Nursing Education During the COVID-19 Pandemic. ACADEMIC MEDICINE : JOURNAL OF THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES 2022; 97:S19-S22. [PMID: 34817405 PMCID: PMC8855763 DOI: 10.1097/acm.0000000000004541] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
In March of 2020, Columbia University School of Nursing (CUSON) Masters Direct Entry (MDE) program and New York Presbyterian Hospital (NYPH) created an innovative academic partnership to address the clinical needs of students and to help alleviate the burden of surging COVID-19 cases on nurses and the health care system. Through this partnership, students were hired as nurse technicians to assist with patient care during the first wave of the COVID-19 pandemic. As a result of this enhanced relationship, a pipeline of well-qualified graduate nurses with unique skills to adapt to a rapidly changing practice environment was created. Student participants in this opportunity developed an understanding of the organizational and leadership structures of the health care institution. The understanding of organizational and leadership structures will help transform the delivery of care.
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Affiliation(s)
- Heidi Hahn-Schroeder
- H. Hahn-Schroeder is assistant dean of academic affairs and assistant professor of nursing, Masters Programs, Columbia University School of Nursing, New York, New York
| | - Judy Honig
- J. Honig is vice dean of academic affairs, dean of students, and Dorothy M. Rogers Professor of Nursing, Columbia University School of Nursing, New York, New York
| | - Candice Smith
- C. Smith is director of clinical placement, Masters Direct Entry Program, Columbia University School of Nursing, New York, New York
| | - Susan Chin
- S. Chin is program director school affiliations, Center for Professional Nursing Practice, New York Presbyterian Hospital, New York, New York
| | - Lorraine Frazier
- L. Frazier is dean and Mary O’Neil Mundinger Professor, and senior vice president, Columbia University Medical Center, Columbia University School of Nursing, New York, New York
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18
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Gee PM, Weston MJ, Harshman T, Kelly LA. Beyond Burnout and Resilience: The Disillusionment Phase of COVID-19. AACN Adv Crit Care 2022; 33:134-142. [PMID: 35179561 DOI: 10.4037/aacnacc2022248] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
In caring for patients during the COVID-19 pandemic, nurses are experiencing a crisis of emotional highs and lows that will have lasting implications for their professional and personal well-being. As a result, much attention has been focused on nurse burnout, but the range of nurses' experiences is more nuanced, complicated, and profound. With the recognition that the nursing workforce was already experiencing burnout before the pandemic, this article explores how individuals respond to disasters and the detrimental effects of the repeated surges of critically ill patients, which have led nurses to experience an extended period of disillusionment that includes secondary traumatic stress, cumulative grief, and moral distress. This article describes the range of psychological responses to the COVID-19 pandemic so that nurse leaders can better identify resources and interventions to support nurses.
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Affiliation(s)
- Perry M Gee
- Perry M. Gee is Nurse-Scientist, Intermountain Healthcare, 36 S State St, Salt Lake City, UT 84111
| | - Marla J Weston
- Marla J. Weston is Chief Executive Officer, Weston Consulting LLC, Washington, DC
| | - Tom Harshman
- Tom Harshman is System Vice President, Pastoral and Spiritual Care, CommonSpirit Health, San Francisco, California
| | - Lesly A Kelly
- Lesly A. Kelly is Nurse-Scientist, CommonSpirit Health, Phoenix, Arizona
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19
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Baldwin S. The iHV emotional wellbeing at work Champions Programme: Building capacity to protect and enhance the emotional wellbeing of the health visiting workforce in the UK. PUBLIC HEALTH IN PRACTICE 2022; 3:100230. [PMID: 36101764 PMCID: PMC9461519 DOI: 10.1016/j.puhip.2022.100230] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 01/13/2022] [Accepted: 01/17/2022] [Indexed: 11/19/2022] Open
Abstract
The Institute of Health Visiting (iHV) Emotional Wellbeing at Work Programme was developed during the COVID-19 pandemic to support the health visiting services to deal with the increased demands placed on them. This paper discusses the development of the iHV Emotional Wellbeing at Work (EWW) Champions Programme, which has built on the original model to enable the creation of EWW Champions. The iHV has a good track record of building leadership and capacity for rolling out training and development on a wider scale using the iHV Champions model of training. The portfolio currently includes a range of Perinatal and Infant Mental Health Champions (Baldwin and Kelly, 2016; Baldwin et al., 2018) [1,2], Research Champions (Mugweni et al., 2019) [3], Delivering Different News Champions, Healthy Weight and Healthy Nutrition Champions, Changing Conversations: Autism Ambassadors, and Neonatal Families Ambassadors. This paper discusses how the EWW programme was further developed to create this Champions’ model to enable other experienced and skilled health visitors to become EWW facilitators. Through this model, trained health visitors can support their colleagues in the workplace, protecting and enhancing their emotional wellbeing at work and broadening access to support services and resources.
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20
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Choflet A, Barnes A, Zisook S, Lee KC, Ayers C, Koivula D, Ye G, Davidson J. The Nurse Leader's Role in Nurse Substance Use, Mental Health, and Suicide in a Peripandemic World. Nurs Adm Q 2022; 46:19-28. [PMID: 34860798 DOI: 10.1097/naq.0000000000000510] [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: 11/26/2022]
Abstract
Nurses are known to be at an increased risk of death by suicide, and recent studies have found links between nurse suicide, substance use, mental health issues, and job problems. Because of stigma, inaccessibility of resources, and regulatory and legal issues, nurses are unlikely to seek help unless a crisis forces them into treatment. The purpose of this article is to review the current understanding of nurse suicide, the psychological impact of the novel coronavirus (COVID-19) pandemic, the strategic planning approach to identify the needs of nurses, and promising interventions and practices. Evidence-based strategies to intervene at the personal, institutional, and regulatory levels should be employed to reduce nurse suicide by focusing not only on suicide but also on treatment of substance and mental health issues, as well as a renewed focus on disciplinary procedures that may place nurses in immediate danger of death by suicide. Nurse leaders have a moral obligation to provide proactive, meaningful interventions to reduce the risk of death by suicide among nurses.
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Affiliation(s)
- Amanda Choflet
- San Diego State University, San Diego, California (Dr Choflet); University of California San Diego (Drs Zisook, Lee, and Davidson and Mr Ye); Department of Veterans Affairs, Washington, District of Columbia (Ms Ayers); Mission Hospital, Mission Viejo, California (Ms Barnes); and New York State Nurses Association, New York City, New York (Ms Koivula)
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21
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Identifying Psychosocial Risks and Protective Measures for Workers’ Mental Wellbeing at the Time of COVID-19: A Narrative Review. SUSTAINABILITY 2021. [DOI: 10.3390/su132413869] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The spread of the SARS-CoV-2 virus has caused crucial changes in the workplace. Almost two years after the start of the COVID-19 era, new and old psychosocial risks in the workplace threaten workers’ mental wellbeing and represent an occupational health challenge. The aim of this review is to identify the most relevant psychosocial factors, negative or protective, contributing to occupational stress during the current pandemic. A literature search was conducted in PubMed, EMBASE, Cochrane Library, Web of Science, Google Scholar and PsycINFO and a total of 51 articles were deemed suitable for inclusion in the review. Analysis of the retrieved articles revealed five main topics related to psychosocial wellbeing in the workplace: 1. Support from colleagues and organizations; 2. Home–work interface and balance; 3. Changes in workload and work demand; 4. Job competence and appropriate training; 5. Job insecurity and financial stress. All five themes were associated with occupational stress and poor mental outcomes, like anxiety, depression, and burnout symptoms. Peer and organizational support seem to have a major impact on workers’ mental wellbeing. Recognizing these factors and projecting interventions that mitigate their effects or boost their efficacy is a fundamental step towards dealing with COVID-19 in the workplace, or any such future emergencies.
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22
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Halcomb E, Fernandez R, Mursa R, Stephen C, Calma K, Ashley C, McInnes S, Desborough J, James S, Williams A. Mental health, safety and support during COVID-19: A cross-sectional study of primary health care nurses. J Nurs Manag 2021; 30:393-402. [PMID: 34890472 DOI: 10.1111/jonm.13534] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2021] [Revised: 11/23/2021] [Accepted: 12/05/2021] [Indexed: 11/27/2022]
Abstract
AIM The aim of this study is to explore primary health care nurses' mental health, concerns and perceived safety and supports during COVID-19. BACKGROUND Respiratory pandemics have negative impacts on nurses' wellbeing. While literature is replete with hospital nurses' experiences, there is less exploration of COVID-19 impacts on primary health care nurses. Given the importance of primary health care nurses in the health system, understanding their experiences is vital. METHODS Three hundred and fifty nine primary health care nurses responded to an online cross-sectional survey. The Depression Anxiety Stress Scales (DASS-21) was used to measure emotional state. Data were analysed using descriptive and inferential statistics. RESULTS DASS-21 scores indicated that 39.6% of participants were experiencing symptoms of depression, anxiety or stress. Of those, 41.8% were experiencing symptoms on one scale, 26.9% were experiencing symptoms on two scales and 31.2% were experiencing symptoms across all three scales. Most participants identified that their feelings were related to COVID-19. CONCLUSIONS COVID-19 is having a significant impact on primary health care nurses' mental health. Nurse managers need to develop strategies to effectively address nurses' concerns and effectively support them to sustain the workforce during and after the pandemic. IMPLICATIONS FOR NURSING MANAGEMENT Findings from this study can inform the design of effective nurse support programmes to reduce mental health impacts and promote staff wellbeing during the pandemic.
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Affiliation(s)
- Elizabeth Halcomb
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Institute, Wollongong, New South Wales, Australia
| | - Ritin Fernandez
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Centre for Research in Nursing and Health, St George Hospital, Kogarah, New South Wales, Australia
| | - Ruth Mursa
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Institute, Wollongong, New South Wales, Australia
| | - Catherine Stephen
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Institute, Wollongong, New South Wales, Australia
| | - Kaara Calma
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Illawarra Health and Medical Institute, Wollongong, New South Wales, Australia
| | - Christine Ashley
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Susan McInnes
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Jane Desborough
- Research School of Population Health, College of Health and Medicine, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Sharon James
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia.,Department of General Practice, School of Public Health and Preventative Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, Notting Hill, Victoria, Australia
| | - Anna Williams
- School of Nursing and Midwifery, Health Sciences and Physiotherapy, University of Notre Dame Australia, Sydney, New South Wales, Australia
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23
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Wu L, Ren L, Wang Y, Zhang K, Fang P, Liu X, Yang Q, Wang X, Wu S, Peng J. The item network and domain network of burnout in Chinese nurses. BMC Nurs 2021; 20:147. [PMID: 34404401 PMCID: PMC8369754 DOI: 10.1186/s12912-021-00670-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2021] [Accepted: 08/07/2021] [Indexed: 12/01/2022] Open
Abstract
Background As a common social phenomenon, nurses’ occupational burnout has a high incidence rate, which seriously affects their mental health and nursing level. The current assessment mostly uses the total score model and explores the influence of external factors on burnout, while the correlation between burnout items or dimensions is less explored. Ignoring the correlation between the items or dimensions may result in a limited understanding of nurse occupational burnout. This paper explores the item and dimension network structure of the Maslach Burnout Inventory-General Survey (MBI-GS) in Chinese nurses, so as to gain a deeper understanding of this psychological construct and identify potential targets for clinical intervention. Methods A total of 493 Chinese nurses were recruited by cluster sampling. All participants were invited to complete the survey on symptoms of burnout. Network analysis was used to investigate the item network of MBI-GS. In addition, community detection was used to explore the communities of MBI-GS, and then network analysis was used to investigate the dimension network of MBI-GS based on the results of community detection. Regularized partial correlation and non-regularized partial correlation were used to describe the association between different nodes of the item network and dimension network, respectively. Expected influence and predictability were used to describe the relative importance and the controllability of nodes in both the item and dimension networks. Results In the item network, most of the strongly correlated edges were in the same dimension of emotional exhaustion (E), cynicism (C) and reduced professional efficacy (R), respectively. E5 (Item 5 of emotional exhaustion, the same below) “I feel burned out from my work”, C1 “I have become more callous toward work since I took this job”, and R3 “In my opinion, I am good at my job” had the highest expected influence (z-scores = 0.99, 0.81 and 0.94, respectively), indicating theirs highest importance in the network. E1 “I feel emotionally drained from my work” and E5 had the highest predictability (E1 = 0.74, E5 = 0.74). It shows that these two nodes can be interpreted by their internal neighbors to the greatest extent and have the highest controllability in the network. The spinglass algorithm and walktrap algorithm obtained exactly the same three communities, which are consistent with the original dimensions of MBI-GS. In the dimension network, the emotional exhaustion dimension was closely related to the cynicism dimension (weight = 0.65). Conclusions The network model is a useful tool to study burnout in Chinese nurses. This study explores the item and domain network structure of nurse burnout from the network perspective. By calculating the relevant indicators, we found that E5, C1, and R3 were the most central nodes in the item network and cynicism was the central node in the domain network, suggesting that interventions aimed at E5, C1, R3 and cynicism might decrease the overall burnout level of Chinese nurses to the greatest extent. This study provides potential targets and a new way of thinking for the intervention of nurse burnout, which can be explored and verified in clinical practice. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00670-8.
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Affiliation(s)
- Lin Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Lei Ren
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Yifei Wang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Kan Zhang
- Tangdu Hospital, Air Force Medical University, Xi'an, 710038, China
| | - Peng Fang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Xufeng Liu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Qun Yang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Xiuchao Wang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China
| | - Shengjun Wu
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, 710032, China.
| | - Jiaxi Peng
- College of Teachers, Chengdu University, Chengdu, 610106, China.
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Tokac U, Razon S. Nursing professionals' mental well-being and workplace impairment during the COVID-19 crisis: A Network analysis. J Nurs Manag 2021; 29:1653-1659. [PMID: 33604981 PMCID: PMC8014287 DOI: 10.1111/jonm.13285] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 02/05/2021] [Accepted: 02/11/2021] [Indexed: 01/22/2023]
Abstract
Aim To investigate the effects of years of nursing experience and mental health on work impairment among nurses during the COVID‐19 crisis. Background During the COVID‐19 crisis, nurses experience a greater psychological burden than other health care workers. Studies have not yet investigated the effects of years in nursing and mental health on potential work impairment during the COVID‐19 crisis in nurses. Methods A survey was administered to 83 nurses on active duty during the COVID‐19 crisis. The graphical LASSO and the DAG helped estimate the associations between years of nursing experience, mental health and work impairment. Results A moderate negative correlation emerged between years of nursing experience, avoidance and work impairment. A direct effect was observed between anxiety and work impairment. A moderate positive correlation emerged between anxiety, depression and work impairment. An indirect effect was observed between depression, burnout, insomnia, years of nursing experience and work impairment. Conclusions In the present sample, nurses' work impairment decreased with greater years of nursing experience and increased with higher anxiety, depression, burnout and avoidance levels. Implications for Nursing Management These findings can help design effective infectious disease management programmes for students and professionals in nursing to prevent breakdowns and avoid work impairment.
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Affiliation(s)
- Umit Tokac
- College of Nursing, University of Missouri St. Louis, St. Louis, MO, USA
| | - Selen Razon
- College of Health, West Chester University, West Chester, PA, USA
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