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Roney LN, Rankin G, Robertson B, Budd T, Zaino K, Sylvestre V, Brown J, Parkosewich J. Caring through crisis: The professional quality of pediatric nurses during the COVID-19 pandemic. J Pediatr Nurs 2024:S0882-5963(24)00281-1. [PMID: 39129084 DOI: 10.1016/j.pedn.2024.07.019] [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: 03/29/2024] [Revised: 07/20/2024] [Accepted: 07/21/2024] [Indexed: 08/13/2024]
Abstract
PURPOSE This study described pediatric nurses' professional quality of life during COVID-19 and explored demographic/clinical practice factors independently associated with compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS). DESIGN AND METHODS The Relational Caring Complexity Theory was used. This study employed a cross-sectional, descriptive, correlational design to describe professional quality of life of pediatric nurses (demographic questionnaire and ProQOL 5 measure) working during the COVID-19 pandemic. RESULTS From 150 pediatric nurses, the mean scores were CS 40.8 (± 4.8), BO 22.6 (± 4.7), and STS 22.8 (± 5.8). Results of the multiple regression revealed that two variables, deployed to the same unit versus not deployed (β = 2.424, p = .02) and currently practicing in perioperative/ambulation settings versus intensive care (β = -0.272, p = .03), were independently associated with CS. Deployed to the same unit versus not deployed was found to be independently and significantly associated with BO (β = -0.28, p = .005). The number of patients cared for with COVID-19 (β = 0.196, p = .03) was significantly associated with STS. CONCLUSIONS While the overall response was positive, these nurses were more likely to experience BO when deployed to the same area (likely a COVID-19 adult unit) and STS as they cared for more patients with COVID-19. PRACTICE IMPLICATIONS Leaders should be aware of the impact of caring in times of crisis. Decentralized staffing may help meet emergent needs on a particular shift, but ensuring deployed nurses are well-supported is vital.
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Affiliation(s)
- Linda Nancy Roney
- Fairfield University/ Yale New Haven Children's Hospital, Department- Egan School of Nursing and Health Studies, 1073 N Benson Rd, Fairfield, CT 06824, United States of America.
| | - Grace Rankin
- Boston Medical Center, Department: Meninio 5 Medical ICU A, 1 Boston Medical Center Pl, Boston, MA 02118, United States of America.
| | - Bianca Robertson
- Yale New Haven Children's Hospital, Department- 7-W Pediatric Hematology/Oncology/Bone Marrow Transplant, 20 York Street, New Haven, CT, United States of America.
| | - Tina Budd
- Yale New Haven Children's Hospital, Department- 7-2 pediatric surgery/7-Medicine/cardiac, 20 York Street, New Haven, CT, United States of America.
| | - Katie Zaino
- Yale New Haven Children's Hospital, Department- Pediatric Medicine/Surgery, 267 Grant Street, Bridgeport, CT, United States of America.
| | - Victoria Sylvestre
- Yale New Haven Children's Hospital, Department: Neonatal ICU, 20 York Street, New Haven, CT, United States of America.
| | - Julie Brown
- Yale New Haven Children's Hospital, Department- Neonatal ICU/Pediatrics, 267 Grant Street, Bridgeport, CT, United States of America.
| | - Janet Parkosewich
- Yale New Haven Hospital, Department- Nursing Research, 20 York Street, New Haven, CT, United States of America
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Zhang Q, Pan R, Pan Q, Qian Y, Zhou X, Chen Q. Psychological status and related factors of resident physicians during the release of COVID-19 pandemic restrictions in China. Front Public Health 2024; 12:1322742. [PMID: 38694979 PMCID: PMC11061888 DOI: 10.3389/fpubh.2024.1322742] [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: 10/16/2023] [Accepted: 03/11/2024] [Indexed: 05/04/2024] Open
Abstract
Background Resident physicians at the standardized training stage had undergone significant physical and mental stress during the release of the COVID-19 pandemic restrictions at the end of 2022 in China. This study aimed to investigate the psychological status (including anxiety, depression, somatic symptoms, job burnout, and vicarious trauma) of resident physicians and identify its influencing factors under these special periods. Methods Survey was conducted one month after the release of the COVID-19 pandemic restrictions on resident training physicians from a tertiary first-class hospital in Zhejiang, China. Resident physicians completed the psychological status questionnaire. Chi-square tests, Mann-Whitney U tests, and logistic regression analyses were used to estimate the group differences and variable associations. Results The prevalence of anxiety, depression, and somatic discomfort in this study was 20.88, 28.53, and 41.47%, respectively. Female resident physicians were more likely to experience somatic symptoms [adjusted odds ratio (OR) = 2.36, 95% confidence interval (CI): 1.33-4.18]. Resident physicians with problem-focused coping styles were less prone to psychological health issues [depression (adjusted OR = 0.92, 95% CI: 0.88-0.96), anxiety (adjusted OR = 0.94, 95% CI: 0.90-0.98), somatic symptoms (adjusted OR = 0.93, 95% CI: 0.89-0.97), job burnout (adjusted OR = 0.91, 95% CI: 0.87-0.96) and vicarious trauma (adjusted OR = 0.94, 95% CI: 0.90-0.98)]. Inversely, resident physicians with emotion-focused coping styles and experienced negative life events were more prone to psychological health issues. Conclusion Resident training physicians had a high risk of anxiety, depression, and somatic symptoms under the special COVID-19 pandemic restriction release period. Females, with lower training stages, degrees, negative life events, and emotion-focused coping styles had a disadvantaged effect on psychological status. The medical teaching management department needs to monitor and reduce the workload and working hours of resident physicians, ensure sufficient sleep time, and pay attention to the psychological status of resident physicians. By strengthening regular communication and mental health education or intervention, which can help them improve their ability to cope with complex tasks.
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Affiliation(s)
- Qing Zhang
- Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Ruibo Pan
- Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Qi Pan
- Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Yandan Qian
- Department of Psychiatry, The Third People's Hospital of Jiashan County, Jiaxing, China
| | - Xiao Zhou
- Department of Psychology and Behavioral Science, Zhejiang University, Hangzhou, China
| | - Qiaozhen Chen
- Department of Psychiatry, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
- Key Laboratory of Medical Molecular Imaging of Zhejiang Province, Hangzhou, China
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Oh E, Moon S, Chung D, Choi R, Hong GRS. The moderating effect of care time on care-related characteristics and caregiver burden: differences between formal and informal caregivers of dependent older adults. Front Public Health 2024; 12:1354263. [PMID: 38638476 PMCID: PMC11024244 DOI: 10.3389/fpubh.2024.1354263] [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: 12/12/2023] [Accepted: 03/12/2024] [Indexed: 04/20/2024] Open
Abstract
Objective This study examined differences in care burden between formal and informal caregivers of dependent older adults according to care-related characteristics, and whether care time had a moderating effect on the relationship between care-related characteristics and caregiver burden. Methods Participants were formal (n = 520) and informal caregivers (n = 142) of dependent older adults in South Korea. Caregiver burden was measured using the Korean version of the Zarit Burden Interview. Data were analyzed using hierarchical regression with interaction terms and moderation analysis. Results Caregiver burden was higher for informal caregivers than formal caregivers. Factors associated with an increased risk of caregiver burden in both formal and informal caregiver of dependent older adults were caregivers' stress, physical strain, and care time. Care time significantly moderated the relationship between care attitude and care burden only among formal caregivers. When formal caregivers' care time was 1 standard deviation higher than the mean value, care attitude was significantly associated with care burden (bsimple = -0.903, SE = 0.106, p < 0.001). Conclusion The caregiver burden of dependent older adults can be reduced by providing interventions to attenuate the effects of modifiable risk factors that were identified in this study. And to weaken the relationship between care attitude and burden of formal caregivers who have long care hours, a positive social atmosphere for care should be provided in addition to education. To realize sustainable care, policy considerations that reflect the results of this study will help solve the problem of formal and informal caregiver burden of dependent older adults.
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Affiliation(s)
- Eunmi Oh
- Research Institute of Nursing Science, Hanyang University, Seoul, Republic of Korea
| | - SeolHwa Moon
- Department of Nursing, Hoseo University, Cheonan-si, Republic of Korea
| | - Daum Chung
- College of Nursing, Hanyang University, Seoul, Republic of Korea
| | - Rina Choi
- College of Nursing, Hanyang University, Seoul, Republic of Korea
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Parvin MR, Sharmi PD, Kayesh I, Rony MKK. "Patient dignity can be ensured by providing adequate health care": A phenomenological analysis on survival strategies of military nurses. Heliyon 2024; 10:e25893. [PMID: 38379966 PMCID: PMC10877287 DOI: 10.1016/j.heliyon.2024.e25893] [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: 06/01/2023] [Revised: 01/23/2024] [Accepted: 02/05/2024] [Indexed: 02/22/2024] Open
Abstract
Background The devastating COVID-19 outbreak has considerably influenced basic human healthcare needs. Due to healthcare organizational limitations, workload, and a shortage of healthcare professionals, particularly military nurses in developing countries, faced critical situations in dealing with COVID-19 patients. However, little is known about the survival strategies military nurses used while caring for coronavirus-infected patients. Aims This study aimed to investigate the survival strategies that inspired military nurses to manage COVID-19 patients in Bangladesh. Methods This study employed the phenomenology of practice framework developed by Max van Manen. Fourteen military nurses were purposefully selected to participate in this study. Semi-structured online interviews were conducted individually from January to February 2023 in three divisional (Dhaka, Chittagong, and Sylhet) COVID-19 dedicated military hospitals in Bangladesh. The study was reported using the COREQ checklist. Audio-video sessions of discussions were recorded, analyzed, and transcribed verbatim. Dataset analysis was performed using thematic analysis. Results Eight themes were developed: (i) Nurses' self-strategies; (ii) colleagues' strategies; (iii) Nurse managers' strategies; (iv) Feelings about nursing ethical values; (v) Employers' strategies; (vi) Government strategies; (vii) Family members' strategies; (viii) Strategies of social people. Conclusions The study's findings would inspire healthcare professionals to use various survival strategies when facing critical clinical situations. Additionally, this study encourages nurses to develop survival skills to avoid depression, fear, and anxiety and to learn how to deal with work-related stress situations.
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Affiliation(s)
- Mst. Rina Parvin
- Afns Major at Bangladesh Army, Combined Military Hospital, Dhaka, Bangladesh
- School of Medical Sciences, Shahjalal University of Science and Technology, Sylhet, Bangladesh
| | - Priyanka Das Sharmi
- Assistant Professor, International University of Business Agriculture and Technology, Dhaka, Bangladesh
| | - Ibne Kayesh
- Institute of Social Welfare and Research, University of Dhaka, Dhaka, Bangladesh
| | - Moustaq Karim Khan Rony
- Institute of Social Welfare and Research, University of Dhaka, Dhaka, Bangladesh
- Master of Public Health, Bangladesh Open University, Dhaka, Bangladesh
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Lu L, Liu G, Xu Y, Jiang J, Wei Z. A systematic review of studies on stress during the COVID-19 pandemic by visualizing their structure through COOC, VOS viewer, and Cite Space software. Front Psychiatry 2024; 15:1297112. [PMID: 38333890 PMCID: PMC10850234 DOI: 10.3389/fpsyt.2024.1297112] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Accepted: 01/09/2024] [Indexed: 02/10/2024] Open
Abstract
Background The COVID-19 epidemic generated different forms of stress. From this period, there has been a remarkable increase in the quantity of studies on stress conducted by scholars. However, few used bibliometric analyses to focus on overall trends in the field. Purpose This study sought to understand the current status and trends in stress development during COVID-19, as well as the main research drives and themes in this field. Methods 2719 publications from the Web of Science(WOS) core repository on stress during COVID-19 were analyzed by utilizing Co-Occurrence (COOC), VOS viewer, and Cite Space bibliometric software. The overall features of research on stress during COVID-19 were concluded by analyzing the quantity of publications, keywords, countries, and institutions. Results The results indicated that the United States had the largest number of publications and collaborated closely with other countries with each other. University of Toronto was the most prolific institution worldwide. Visualization and analysis demonstrated that the influence of stress during COVID-19 on the work, life, mental and spiritual dimensions is a hot research topic. Among other things, the frequency of each keyword in research on stress during COVID-19 increased from 2021 to 2022, and the researchers expanded their scope and study population; the range of subjects included children, nurses, and college students, as well as studies focusing on different types of stress, and emphasizing the handling of stress. Conclusion Our findings reveal that the heat of stress research during COVID-19 has declined, and the main research forces come from the United States and China. Additionally, subsequent research should concern more on coping methods with stress, while using more quantitative and qualitative studies in the future.
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Affiliation(s)
- Liyun Lu
- College of Teacher Education, Nanjing Normal University, Nanjing, China
| | - Guiping Liu
- College of Teacher Education, Nanjing Normal University, Nanjing, China
| | - Yanhua Xu
- School of Geography and Environment, Jiangxi Normal University, Nanchang, China
| | - Jinxiu Jiang
- College of Teacher Education, East China Normal University, Shanghai, China
| | - Zizi Wei
- School of Geography and Environment, Jiangxi Normal University, Nanchang, China
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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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Sawyer AT, Tao H, Bailey AK. The Impact of a Psychoeducational Group Program on the Mental Well-Being of Unit-Based Nurse Leaders: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6035. [PMID: 37297639 PMCID: PMC10252280 DOI: 10.3390/ijerph20116035] [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: 04/07/2023] [Revised: 05/22/2023] [Accepted: 05/31/2023] [Indexed: 06/12/2023]
Abstract
This randomized controlled trial examined the impact of a psychoeducational group program on the mental well-being of unit-based nurse leaders, specifically nurse managers and assistant nurse managers. The program was developed around the themes of resilience, insight, self-compassion, and empowerment to fight burnout and enhance purposeful adaptive coping to reduce distress and improve mental wellbeing. The sample included 77 unit-based nurse leaders. Outcomes included post-traumatic growth, resilience, insight, self-compassion, empowerment, perceived stress, burnout, and job satisfaction. Paired samples t-tests and repeated measures ANOVA tests were conducted to compare outcomes at baseline to the follow-up timepoints of endpoint, one-month follow-up, three-month follow-up, and six-month follow-up. The intervention group participants showed significant improvement in post-traumatic growth between baseline and all follow-up timepoints compared to the waitlist control group. Among intervention group participants, there were also significant improvements in self-reflection and insight, self-compassion, psychological empowerment, and compassion satisfaction, as well as significant reductions in perceived stress, burnout, and secondary traumatic stress. This study extends existing evidence that this psychoeducational group program can be an effective intervention for improving and protecting mental wellbeing. Among nurse leaders, it can reduce stress and burnout and improve post-traumatic growth, self-reflection and insight, self-compassion, psychological empowerment, and compassion satisfaction.
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Affiliation(s)
- Amanda T. Sawyer
- AdventHealth Research Institute, Orlando, FL 32803, USA; (H.T.); (A.K.B.)
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