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Stewart C, Bench S, Malone M. Interventions to support critical care nurse wellbeing: A scoping review. Intensive Crit Care Nurs 2024; 81:103613. [PMID: 38199182 DOI: 10.1016/j.iccn.2023.103613] [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: 04/12/2023] [Revised: 12/11/2023] [Accepted: 12/18/2023] [Indexed: 01/12/2024]
Abstract
INTRODUCTION Recruitment and retention of qualified nurses in critical care is challenging and has been further exacerbated by the COVID-19 pandemic. Poor staff wellbeing, including sickness absence and burnout contribute to a high staff turnover and staff shortages. This scoping review charts wellbeing interventions targeting nurses who work in adult critical care. METHODS Following the Joanna Briggs Institute scoping review methodology, five databases were searched: Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Ovid Embase, Ovid PsycINFO, and the Cochrane Library alongside a search for grey literature targeting national and international critical care nurse organisations. Primary research studies (qualitative, quantitative and mixed methods), as well as quality improvement studies and policy frameworks published from January 1997 to September 2022 were included. Studies conducted outside an adult critical care setting or not including adult critical nurses were excluded. Extracted data were charted using a series of tables. RESULTS 26 studies met the inclusion criteria. Most of the interventions targeted personal rather than organisational strategies, focusing on resilience training, mindfulness-based interventions, and other psychological approaches. One intervention was not evaluated. Most of the rest of the studies reported their interventions to improve wellbeing. However, only one study evaluated the intervention for longer than six months. CONCLUSION Current evidence identified that critical care nurse wellbeing is an international concern affecting recruitment and retention. Most available wellbeing interventions take a psychological, personal approach. However, these may not address the complex interaction of organisational factors which impact adult critical care nurses. IMPLICATIONS FOR CLINICAL PRACTICE Further work is needed to identify and evaluate organisational approaches to improving wellbeing and to evaluate wellbeing interventions over a longer period of time. Critical care nurses should be included in the design of future wellbeing interventions.
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Affiliation(s)
- Carolyne Stewart
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK.
| | - Suzanne Bench
- Nurse and Midwife Led Research and Academic Leadership, ACORN -A Centre Of Research for Nurses & Midwives, St Thomas Hospital, UK; Director of Nurse and Midwife led Research: Guys and St Thomas NHS Foundation Trust and Professor of critical care nursing, London South Bank University, UK.
| | - Mary Malone
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, UK.
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Chen JY, Chen HF, Wang XH, Zong QZ, Yao ZZ. Moral sensitivity and caring behavior in nursing interns: the mediating role of empathy. Front Public Health 2024; 12:1360940. [PMID: 38532977 PMCID: PMC10963389 DOI: 10.3389/fpubh.2024.1360940] [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: 12/24/2023] [Accepted: 02/22/2024] [Indexed: 03/28/2024] Open
Abstract
Background The main purpose of this study is to analyze the relationship between moral sensitivity, empathy, and caring behaviors and to explore the mediating effect of empathy on moral sensitivity and caring behaviors of nursing interns. Methods A cross-sectional survey was conducted from August to September 2022 in which 261 nursing interns from two Grade 3A Hospitals in Xi'an participated. The questionnaires used in the survey include the General Information Questionnaire (GIQ), the Moral Sensitivity Questionnaire-Revised Version translated into Chinese (MSQ R-CV), the Chinese version of the Jefferson Empathy Scale (JSE), and the Chinese version of the Caring Behavior Inventory (C-CBI). The obtained data were analyzed through descriptive statistics, a one-way analysis of variance (ANOVA), and Pearson's correlation coefficient, and the mediating effect of empathy was tested through structural equations. Results The overall mean of moral sensitivity of nursing interns in two Grade 3A Hospitals in Xi'an is 40.84 ± 8.73, the overall mean of empathy is 100.51 ± 21.56, and the overall mean of caring behavior is (113.81 ± 21.05). Statistical analysis showed that there is a positive correlation between moral sensitivity and caring behavior of nursing interns (r = 0.376, p < 0.01), between their empathy and moral sensitivity (r = 0.336, p < 0.01), and between their empathy and caring behavior (r = 0.394, p < 0.01). The empathy of nursing interns has a mediated effect on the relationship between moral sensitivity and caring behavior. The mediated effect value was 0.14, accounting for 31.82% of the total effect. Conclusion The moral sensitivity of nursing interns can have a direct impact on predicting the caring behavior and indirect influences their caring behaviors mediated by empathy, with the latter effect being mediated by empathy. Therefore, nursing educators and hospital administrators should adopt targeted interventions to improve the moral sensitivity and empathy of nursing interns, which can further prove to be beneficial in improving their caring behaviors, leading to enhanced quality of nursing care and reduced nurse-patient conflicts and finally to a stabilized nursing team.
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Affiliation(s)
- Jin yan Chen
- School of Nursing, Shaanxi University of Traditional Chinese Medicine, Xianyang, China
| | - Hong fang Chen
- Personnel Department, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi’an, China
| | - Xing huan Wang
- School of Nursing, Shaanxi University of Traditional Chinese Medicine, Xianyang, China
| | - Qing zhen Zong
- School of Nursing, Shaanxi University of Traditional Chinese Medicine, Xianyang, China
| | - Zhen zhen Yao
- Department of Nursing, Shaanxi Provincial Hospital of Traditional Chinese Medicine, Xi’an, China
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Patole S, Pawale D, Rath C. Interventions for Compassion Fatigue in Healthcare Providers-A Systematic Review of Randomised Controlled Trials. Healthcare (Basel) 2024; 12:171. [PMID: 38255060 PMCID: PMC10815881 DOI: 10.3390/healthcare12020171] [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: 11/29/2023] [Revised: 01/04/2024] [Accepted: 01/09/2024] [Indexed: 01/24/2024] Open
Abstract
BACKGROUND Compassion fatigue is a significant issue considering its consequences including negative feelings, impaired cognition, and increased risk of long-term morbidities. We aimed to assess current evidence on the effects of interventions for compassion fatigue in healthcare providers (HCP). METHODS We used the Cochrane methodology for Systematic Reviews and Meta-Analyses (PRISMA) for conducting and reporting this review. RESULTS Fifteen RCTs (n = 1740) were included. The sample size of individual studies was small ranging from 23 to 605. There was significant heterogeneity in participant, intervention, control, and outcome characteristics. The tools for assessing intervention effects on compassion fatigue included ProQOL, compassion fatigue scale, and nurses compassion fatigue inventory. Thirteen out of the fifteen included RCTs had overall high risk of bias (ROB). Meta-analysis could not be performed given the significant heterogeneity. CONCLUSIONS Current evidence on interventions for reducing compassion fatigue in HCPs is inadequate. Given the benefits reported in some of the included studies, well-designed and adequately powered RCTs are urgently needed.
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Affiliation(s)
- Sanjay Patole
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
- School of Medicine, University of Western Australia, Perth, WA 6009, Australia
| | - Dinesh Pawale
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
| | - Chandra Rath
- Neonatal Directorate, KEM Hospital for Women, Perth, WA 6008, Australia; (D.P.); (C.R.)
- School of Medicine, University of Western Australia, Perth, WA 6009, Australia
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Lee M, Cha C. Interventions to reduce burnout among clinical nurses: systematic review and meta-analysis. Sci Rep 2023; 13:10971. [PMID: 37414811 PMCID: PMC10325963 DOI: 10.1038/s41598-023-38169-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Accepted: 07/04/2023] [Indexed: 07/08/2023] Open
Abstract
Sporadic evidence exists for burnout interventions in terms of types, dosage, duration, and assessment of burnout among clinical nurses. This study aimed to evaluate burnout interventions for clinical nurses. Seven English databases and two Korean databases were searched to retrieve intervention studies on burnout and its dimensions between 2011 and 2020.check Thirty articles were included in the systematic review, 24 of them for meta-analysis. Face-to-face mindfulness group intervention was the most common intervention approach. When burnout was measured as a single concept, interventions were found to alleviate burnout when measured by the ProQoL (n = 8, standardized mean difference [SMD] = - 0.654, confidence interval [CI] = - 1.584, 0.277, p < 0.01, I2 = 94.8%) and the MBI (n = 5, SMD = - 0.707, CI = - 1.829, 0.414, p < 0.01, I2 = 87.5%). The meta-analysis of 11 articles that viewed burnout as three dimensions revealed that interventions could reduce emotional exhaustion (SMD = - 0.752, CI = - 1.044, - 0.460, p < 0.01, I2 = 68.3%) and depersonalization (SMD = - 0.822, CI = - 1.088, - 0.557, p < 0.01, I2 = 60.0%) but could not improve low personal accomplishment. Clinical nurses' burnout can be alleviated through interventions. Evidence supported reducing emotional exhaustion and depersonalization but did not support low personal accomplishment.
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Affiliation(s)
- Miran Lee
- Department of Nursing, Kwangju Women's University, Gwangju, South Korea
| | - Chiyoung Cha
- College of Nursing, Ewha Research Institute of Nursing Science, System Health & Engineering Major in Graduate School, Ewha Womans University, #202 Helen Building, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, South Korea.
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Tamminga SJ, Emal LM, Boschman JS, Levasseur A, Thota A, Ruotsalainen JH, Schelvis RM, Nieuwenhuijsen K, van der Molen HF. Individual-level interventions for reducing occupational stress in healthcare workers. Cochrane Database Syst Rev 2023; 5:CD002892. [PMID: 37169364 PMCID: PMC10175042 DOI: 10.1002/14651858.cd002892.pub6] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/13/2023]
Abstract
BACKGROUND Healthcare workers can suffer from work-related stress as a result of an imbalance of demands, skills and social support at work. This may lead to stress, burnout and psychosomatic problems, and deterioration of service provision. This is an update of a Cochrane Review that was last updated in 2015, which has been split into this review and a review on organisational-level interventions. OBJECTIVES: To evaluate the effectiveness of stress-reduction interventions targeting individual healthcare workers compared to no intervention, wait list, placebo, no stress-reduction intervention or another type of stress-reduction intervention in reducing stress symptoms. SEARCH METHODS: We used the previous version of the review as one source of studies (search date: November 2013). We searched the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, PsycINFO, CINAHL, Web of Science and a trials register from 2013 up to February 2022. SELECTION CRITERIA We included randomised controlled trials (RCT) evaluating the effectiveness of stress interventions directed at healthcare workers. We included only interventions targeted at individual healthcare workers aimed at reducing stress symptoms. DATA COLLECTION AND ANALYSIS: Review authors independently selected trials for inclusion, assessed risk of bias and extracted data. We used standard methodological procedures expected by Cochrane. We categorised interventions into ones that: 1. focus one's attention on the (modification of the) experience of stress (thoughts, feelings, behaviour); 2. focus one's attention away from the experience of stress by various means of psychological disengagement (e.g. relaxing, exercise); 3. alter work-related risk factors on an individual level; and ones that 4. combine two or more of the above. The crucial outcome measure was stress symptoms measured with various self-reported questionnaires such as the Maslach Burnout Inventory (MBI), measured at short term (up to and including three months after the intervention ended), medium term (> 3 to 12 months after the intervention ended), and long term follow-up (> 12 months after the intervention ended). MAIN RESULTS: This is the second update of the original Cochrane Review published in 2006, Issue 4. This review update includes 89 new studies, bringing the total number of studies in the current review to 117 with a total of 11,119 participants randomised. The number of participants per study arm was ≥ 50 in 32 studies. The most important risk of bias was the lack of blinding of participants. Focus on the experience of stress versus no intervention/wait list/placebo/no stress-reduction intervention Fifty-two studies studied an intervention in which one's focus is on the experience of stress. Overall, such interventions may result in a reduction in stress symptoms in the short term (standardised mean difference (SMD) -0.37, 95% confidence interval (CI) -0.52 to -0.23; 41 RCTs; 3645 participants; low-certainty evidence) and medium term (SMD -0.43, 95% CI -0.71 to -0.14; 19 RCTs; 1851 participants; low-certainty evidence). The SMD of the short-term result translates back to 4.6 points fewer on the MBI-emotional exhaustion scale (MBI-EE, a scale from 0 to 54). The evidence is very uncertain (one RCT; 68 participants, very low-certainty evidence) about the long-term effect on stress symptoms of focusing one's attention on the experience of stress. Focus away from the experience of stress versus no intervention/wait list/placebo/no stress-reduction intervention Forty-two studies studied an intervention in which one's focus is away from the experience of stress. Overall, such interventions may result in a reduction in stress symptoms in the short term (SMD -0.55, 95 CI -0.70 to -0.40; 35 RCTs; 2366 participants; low-certainty evidence) and medium term (SMD -0.41 95% CI -0.79 to -0.03; 6 RCTs; 427 participants; low-certainty evidence). The SMD on the short term translates back to 6.8 fewer points on the MBI-EE. No studies reported the long-term effect. Focus on work-related, individual-level factors versus no intervention/no stress-reduction intervention Seven studies studied an intervention in which the focus is on altering work-related factors. The evidence is very uncertain about the short-term effects (no pooled effect estimate; three RCTs; 87 participants; very low-certainty evidence) and medium-term effects and long-term effects (no pooled effect estimate; two RCTs; 152 participants, and one RCT; 161 participants, very low-certainty evidence) of this type of stress management intervention. A combination of individual-level interventions versus no intervention/wait list/no stress-reduction intervention Seventeen studies studied a combination of interventions. In the short-term, this type of intervention may result in a reduction in stress symptoms (SMD -0.67 95%, CI -0.95 to -0.39; 15 RCTs; 1003 participants; low-certainty evidence). The SMD translates back to 8.2 fewer points on the MBI-EE. On the medium term, a combination of individual-level interventions may result in a reduction in stress symptoms, but the evidence does not exclude no effect (SMD -0.48, 95% CI -0.95 to 0.00; 6 RCTs; 574 participants; low-certainty evidence). The evidence is very uncertain about the long term effects of a combination of interventions on stress symptoms (one RCT, 88 participants; very low-certainty evidence). Focus on stress versus other intervention type Three studies compared focusing on stress versus focusing away from stress and one study a combination of interventions versus focusing on stress. The evidence is very uncertain about which type of intervention is better or if their effect is similar. AUTHORS' CONCLUSIONS Our review shows that there may be an effect on stress reduction in healthcare workers from individual-level stress interventions, whether they focus one's attention on or away from the experience of stress. This effect may last up to a year after the end of the intervention. A combination of interventions may be beneficial as well, at least in the short term. Long-term effects of individual-level stress management interventions remain unknown. The same applies for interventions on (individual-level) work-related risk factors. The bias assessment of the studies in this review showed the need for methodologically better-designed and executed studies, as nearly all studies suffered from poor reporting of the randomisation procedures, lack of blinding of participants and lack of trial registration. Better-designed trials with larger sample sizes are required to increase the certainty of the evidence. Last, there is a need for more studies on interventions which focus on work-related risk factors.
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Affiliation(s)
- Sietske J Tamminga
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Lima M Emal
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Julitta S Boschman
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Alice Levasseur
- Faculté des sciences de l'éducation, Université Laval, Québec, Canada
| | | | - Jani H Ruotsalainen
- Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
| | - Roosmarijn Mc Schelvis
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
- Body@Work, Research Center on Work, Health and Technology, TNO/VUmc, Amsterdam, Netherlands
| | - Karen Nieuwenhuijsen
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
| | - Henk F van der Molen
- Public and Occupational Health, Amsterdam UMC location University of Amsterdam, Amsterdam, Netherlands
- Societal Participation & Health, Amsterdam Public Health Research Institute, Amsterdam, Netherlands
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Nakić D, Gusar I, Franov I, Sarić MM, Ljubičić M. Relationship between Transition Shock, Professional Stressors, and Intent to Leave the Nursing Profession during the COVID-19 Pandemic. Medicina (B Aires) 2023; 59:medicina59030468. [PMID: 36984469 PMCID: PMC10051272 DOI: 10.3390/medicina59030468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Revised: 02/19/2023] [Accepted: 02/25/2023] [Indexed: 03/03/2023] Open
Abstract
Background and Objectives: Moving nurses to a COVID-19 department may cause the phenomenon of transition shock, which occurs when already employed nurses change jobs. A set of confusing and uncertain feelings arise due to the unfamiliar work environment, which may lead to their intention to leave the nursing profession. The aim of this study was to examine transition shock and the contribution of both the respondents’ characteristics and the presence of stressors to the occurrence of transition shock in nurses assigned to work in COVID-19 departments. Materials and Methods: A cross-sectional study with 120 nurses employed in COVID-19 departments was conducted. Several linear regression models were used to assess the association between transition shock, personal and professional COVID-19 stressors, and the intention to leave the nursing profession. Results: Nurses who intended to leave the profession showed higher transition shock and higher personal and professional stressors (p < 0.001). Female nurses had lower transition shock (β = −0.16; p = 0.036) and higher personal COVID-19 stressors (β = 0.27; p < 0.001). University education contributes to the lowering of nurses’ transition shock (β = −0.16; p = 0.038). Nurses who did not intend to leave the nursing profession had lower personal COVID-19 stressors (β = −0.15; p = 0.044). Transition shock was associated with personal COVID-19 stressors (β = 0.39; p < 0.001) and professional COVID-19 stressors (β = 0.29; p < 0.001), and vice versa. Conclusions: The phenomenon of transition shock was present after nurses transitioned to working in COVID-19 departments. Transition shock may cause more nurses to leave the profession, which may have a strong impact on the health system in many countries that are already facing a shortage of nurses. Additional education on and preparation for adapting to new working conditions with psychological support could have an influence by lowering the level of nurses’ transition shock.
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Affiliation(s)
- Dario Nakić
- General Hospital Zadar, Bože Peričića 5, 23000 Zadar, Croatia
- Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia
| | - Ivana Gusar
- Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia
- Correspondence: ; Tel.: +385-91-315-6785
| | - Ivana Franov
- Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia
- Department of Surgery, University Hospital Centre Split, Spinčićeva 1, 21000 Split, Croatia
| | - Marijana Matek Sarić
- Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia
| | - Marija Ljubičić
- Department of Health Studies, University of Zadar, Splitska 1, 23000 Zadar, Croatia
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Dal Santo L, Longhini J, Andela M, Battistelli A, Galletta M. Emotional labor as emotional regulation: Italian adaptation and longitudinal validation of the scale among undergraduate nursing students. Nurse Educ Pract 2023; 66:103516. [PMID: 36459875 DOI: 10.1016/j.nepr.2022.103516] [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: 05/03/2022] [Revised: 08/05/2022] [Accepted: 11/18/2022] [Indexed: 11/27/2022]
Abstract
AIM The aim of the present study is to perform a longitudinal Italian validation of the scale and to adapt it to the nursing education contest. BACKGROUND Research on emotional labor has shown that the roles played by surface acting and deep acting are still uncertain. To overcome this gap, scholars suggest observing emotional labor through the lens of the emotional regulation theory. Andela and her colleagues developed a fine grained instrument, which differentiates attentional deployment, cognitive re-evaluation and expressive suppression, emotional amplification and emotional dissonance. DESIGN To fulfill our aim, a longitudinal study was performed in an Italian University. METHOD The adapted scale was administered to 168 nursing students across the three years of attendance in the course. RESULTS Our results confirm the five-factor structure, and the instrument shows good psychometrical properties. CONCLUSION Having shown satisfactory psychometric properties, this scale can be considered a useful instrument to assess those emotional elements of clinical practice, which are important for the assurance of education quality to the under graduated nursing students.
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Affiliation(s)
- Letizia Dal Santo
- Department of Diagnostics and Public Health, University of Verona, Italy
| | | | - Marie Andela
- Laboratoire de psychologie, Université de Franche-Comté, Besançon Cedex, France
| | | | - Maura Galletta
- Department of Medical Sciences and Public Health, University of Cagliari, Italy
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Kadović M, Mikšić Š, Lovrić R. Ability of Emotional Regulation and Control as a Stress Predictor in Healthcare Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:ijerph20010541. [PMID: 36612863 PMCID: PMC9819563 DOI: 10.3390/ijerph20010541] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 12/26/2022] [Accepted: 12/27/2022] [Indexed: 05/27/2023]
Abstract
Emotional Regulation and Control implies a person’s ability to respond to stressful demands and emotional experiences in a socially acceptable and adaptive way. The aim of this cross-sectional study was to examine the contribution of the ability of emotional regulation and control in the prediction of workplace stress in healthcare professionals. The study included 203 healthcare professionals employed at a hospital in the Republic of Croatia. Data were collected using two validated questionnaires: Questionnaire on Workplace Stressors for Hospital Professionals and Emotional Regulation and Control Questionnaire (ERC). Most respondents (64%) experienced stress in Workplace Organization and Financial Issues factor, while 52.7% experienced stress in Public Criticism factor. The respondents assessed their ability of emotional regulation and control to be low (mean = 55; range = 20−100). The level of experienced stress was significantly higher if the ability of emotional regulation and control was low (Spearman’s Rho = 0.308; p < 0.001). The multivariate regression model (11.2% explained variances; p = 0.001) indicated a greater possibility of severe stress in respondents who have stronger Memory of Emotionally Saturated Content (odds ratio = 1.18; 95% CI = 1.07−1.30). The results of this study signify the need to establish effective institutional support aimed at objectifying stress and strengthening emotional intelligence and empathy in healthcare professionals.
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Affiliation(s)
- Marija Kadović
- Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
| | - Štefica Mikšić
- Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
| | - Robert Lovrić
- Nursing Institute “Professor Radivoje Radić”, Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, 31000 Osijek, Croatia
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Han P, Duan X, Jiang J, Zeng L, Zhang P, Zhao S. Experience in the development of nurses' personal resilience: A meta‐synthesis. Nurs Open 2022; 10:2780-2792. [PMID: 36524529 PMCID: PMC10077349 DOI: 10.1002/nop2.1556] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 06/02/2022] [Accepted: 12/04/2022] [Indexed: 12/23/2022] Open
Abstract
AIM Nurses play roles in hospitals, families, society and other aspects and often face stress sources, such as heavy workload, doctor-patient conflict and medical accidents. Resilience can help the nurses to avoid or reduce various adverse consequences caused by stress sources; however, this phenomenon remains ill-defined and under-researched. The aim of this review was to summarize the experiences of development of nurses' resilience and explore the reasons for the formation of resilience by examining the findings of the existing qualitative studies. DESIGN The review is a systematic review and meta-synthesis of qualitative studies. DATA SOURCES PubMed, Cochrane Library, CINAHL, Web of Science, Embase, and Ovid and Chinese databases include the following: Chinese National Knowledge Infrastructure (CNKI), Wanfang Database (CECDB), VIP Database and China Biomedical Database (CBM). REVIEW METHODS Relevant publications were identified by systematic searches across 11 databases in June 2021. All qualitative and mixed-method studies in English and Chinese that explored the experiences of development of nurses' resilience were included. The qualitative meta-synthesis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. Two independent reviewers selected the studies and assessed the quality of each study. Meta-synthesis was performed to integrate the results. RESULTS A total of nine studies revealed 10 sub-themes and three descriptive themes: being psychologically strong, physical positive coping and adoption of external support. CONCLUSION Several factors contributed to the development of nurses' resilience, and various supporting strategies in the nursing management and education are helpful to their adaption ability. However, it is necessary to focus on the cultivation of nurses' resilience to improve the quality of clinical nursing. Leaders or organizations are required to establish and sustain multifaceted strategies to improve nurse' resilience through scientific resilience training programmes and improved organizational support.
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Affiliation(s)
- Peng Han
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine Tongji University Shanghai China
- School of Medicine Tongji University Shanghai China
| | - Xia Duan
- School of Medicine Tongji University Shanghai China
- Nursing Department, Shanghai First Maternity and Infant Hospital, School of Medicine Tongji University Shanghai China
| | - Jinxia Jiang
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine Tongji University Shanghai China
- School of Medicine Tongji University Shanghai China
| | - Li Zeng
- School of Medicine Tongji University Shanghai China
- Department of Nursing, Tongji Hospital, School of Medicine Tongji University Shanghai China
| | - Pengjia Zhang
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine Tongji University Shanghai China
- School of Medicine Tongji University Shanghai China
| | - Sijia Zhao
- Emergency Department, Shanghai Tenth People's Hospital, School of Medicine Tongji University Shanghai China
- School of Medicine Tongji University Shanghai China
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Chen X, Chen M, Zheng H, Wang C, Chen H, Wu Q, Liao H, Zhu J, Lin J, Ou X, Zou Z, Wang Z, Zheng Z, Zhuang X, Chen R. Effects of psychological intervention on empathy fatigue in nurses: A meta-analysis. Front Public Health 2022; 10:952932. [PMID: 36311568 PMCID: PMC9614432 DOI: 10.3389/fpubh.2022.952932] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 09/14/2022] [Indexed: 01/24/2023] Open
Abstract
Objective The purpose of this meta-analysis is to systematically assess the effects of psychological intervention on empathy fatigue among nursing staff. Method Five electronic databases are searched separately from their establishment to April 8th, 2022. The research team independently performs paper selection, quality assessment, data extraction and analysis for all included studies. PRISMA guidelines are used to report this meta-analysis. Results A total of seven randomized controlled trials (RCTs) covering 513 nursing staff are included. The meta-analysis results show that the empathy fatigue score (SMD = -0.22, 95% CI: -0.42~-0.02, P = 0.03) and burnout (SMD = -0.37, 95% CI: -0.56~-0.19, P < 0.001) are lower than the control group. The empathy satisfaction score of the psychological intervention group is higher than that of the control group (SMD = 0.45, 95% CI: 0.27-0.63, P < 0.001). The differences are statistically significant (P < 0.05). Subgroup analysis finds significant heterogeneity in the impact of different departments on psychological intervention at ≥6 weeks (I 2 = 71%, P = 0.01) and <6 weeks (I 2 = 0%, P = 0.75) (P = 0.05). Different departments also show significant heterogeneity in the effects of psychological intervention: ICU (I 2 = 73%, P = 0.02), pediatric (I 2 = 53%, P = 0.14) and other departments (I 2 = 0%, P = 0.63). The differences are statistically significant (P = 0.0007). Besides, the results show that both mindfulness intervention (SMD = 0.50, 95% CI: 0.24-0.77, P = 0.0002) and other interventions (SMD = 0.41, 95% CI: 0.16-0.65, P = 0.001) are statistically significant difference in the level of empathy satisfaction between the psychological intervention group and the control group. Conclusion Psychological intervention has a coordinated improvement effect on empathy fatigue, empathy satisfaction and burnout, and can also improve the quality of life of nursing staff.
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Affiliation(s)
- Xiaojuan Chen
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China,Medical College of Jiaying University, Meizhou, China
| | - Mingdi Chen
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Huang Zheng
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Chaoyu Wang
- Taishan Hospital of Traditional Chinese Medicine, Jiangmen, China
| | - Huimin Chen
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Qinglan Wu
- Central People's Hospital of Zhanjiang, Zhanjiang, China
| | - Huizhao Liao
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China
| | - Jinru Zhu
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China
| | - Junyan Lin
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China
| | - Xudong Ou
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China
| | - Zhihong Zou
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China
| | - Zhiwei Wang
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China
| | - Zhenzhen Zheng
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China,*Correspondence: Zhenzhen Zheng
| | - Xianrui Zhuang
- The Second Affiliated Hospital of Guangdong Medical University, Zhanjiang, China,Xianrui Zhuang
| | - Riken Chen
- State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou Medical University, Guangzhou, China,Riken Chen
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11
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Ndirangu-Mugo E, Barros LM, Mutwiri BD, Shumba CS, Waweru B, Siika WW. Current State of Critical Care Nursing Worldwide: Current Training, Roles, Barriers, and Facilitators. Crit Care Clin 2022; 38:657-693. [PMID: 36162904 DOI: 10.1016/j.ccc.2022.06.014] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
This review provides insights on the current state of roles and responsibilities, on-the-job training, barriers, and facilitators of critical care nursing (CCN) practice. Some of the established roles and training of CCN were providing care for acutely ill patients, delivering expert and specialist care, working as a part of a multidisciplinary team, monitoring, and initiating timely treatment, and providing psychosocial support and advanced system treatment, especially in high-income countries. In low-resource settings, critical care nurses work as health care assistants, technical or ancillary staff, and clinical educators; manage medications; care for mechanically ventilated patients; and provide care to deteriorating patients.
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Affiliation(s)
- Eunice Ndirangu-Mugo
- School of Nursing and Midwifery, Aga Khan University, P O Box 39340-00623, Nairobi, Kenya.
| | - Lia M Barros
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington Medical Center, Campus Box 356522, Seattle 98195-6522, Washington
| | - Benard D Mutwiri
- School of Nursing and Midwifery, Aga Khan University, P O Box 39340-00623, Nairobi, Kenya
| | - Constance S Shumba
- School of Nursing and Midwifery, Aga Khan University, P O Box 39340-00623, Nairobi, Kenya
| | - Beth Waweru
- School of Nursing and Midwifery, Aga Khan University, P O Box 39340-00623, Nairobi, Kenya
| | - Wangari Waweru Siika
- Department of Anaesthesia, Aga Khan University Hospital, P.O Box 39340-00623, Nairobi, Kenya
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12
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Person-centred care among intensive care unit nurses: A cross-sectional study. Intensive Crit Care Nurs 2022; 73:103293. [PMID: 35871960 DOI: 10.1016/j.iccn.2022.103293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2022] [Revised: 05/02/2022] [Accepted: 06/20/2022] [Indexed: 11/22/2022]
Abstract
OBJECTIVE Practising person-centred care is crucial for nurses in the intensive care unit, as patients have high physical and psychological care needs. We aimed to identify the predictors of person-centred care among nurses working in intensive care settings. METHODS In this cross-sectional study, 188 intensive care unit nurses at four tertiary hospitals in two cities of South Korea were included. They completed self-reported questionnaires on emotional intelligence, compassion satisfaction, secondary traumatic stress, burnout, and person-centred care. Emotional intelligence was measured using the Korean version of the Wong and Law's emotional intelligence scale. Compassion satisfaction, secondary traumatic stress, and burnout were measured by the Professional Quality of Life questionnaire (version 5). Person-centred care was measured using the person-centred critical care nursing scale. RESULTS Multiple regression identified compassion satisfaction (β = 0.49, p <.001) as the most powerful predictor of person-centred care, followed by emotional intelligence (β = 0.21, p =.004) and intensive care unit career length (β = 0.17, p =.021). These three variables accounted for 31.0 % of the variance in person-centred care. CONCLUSIONS This study highlights the importance of career length, emotional intelligence, and compassion satisfaction in the promotion of person-centred care among intensive care unit nurses. Nursing management should contemplate specific measures to reduce turnover among experienced intensive care unit nurses and to enhance the factors that promote person-centred care, such as compassion satisfaction and emotional intelligence.
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13
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Unjai S, Forster EM, Mitchell AE, Creedy DK. Compassion satisfaction, resilience and passion for work among nurses and physicians working in intensive care units: A mixed method systematic review. Intensive Crit Care Nurs 2022; 71:103248. [PMID: 35396100 DOI: 10.1016/j.iccn.2022.103248] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Revised: 03/14/2022] [Accepted: 03/17/2022] [Indexed: 12/22/2022]
Abstract
OBJECTIVE To identify, appraise, and synthesise current evidence on prevalence, correlates, and interventions to enhance compassion satisfaction, resilience, and passion for work among nurses and physicians working in intensive care units. METHODS A mixed methods systematic review was conducted. The comprehensive search used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Seven databases (MEDLINE, EMBASE, CINAHL, JBI, ProQuest, PsycINFO, and Cochrane Library) were searched for literature published between January 2011 and June 2021. The Mixed Methods Appraisal Tool was used to assess methodological quality. Data from included studies were analysed using a convergent mixed methods design. The protocol was prospectively registered (PROSPERO 2021 CRD42021252051). RESULTS A total of 37 studies met the inclusion criteria. Most studies reported moderate levels of compassion satisfaction among intensive care health professionals, whereas levels of resilience varied. Compassion satisfaction and resilience were positively correlated, but relationships between compassion satisfaction and resilience and other correlates (personal factors, psychological factors, and work-related factors) were inconsistently reported. Only four interventions aimed to improve compassion satisfaction or resilience among intensive care health professionals. None of the included studies investigated passion for work. CONCLUSION Compassion satisfaction, resilience, and passion for work among staff in the intensive care unit are important in the current global COVID-19 pandemic. Health professionals report a moderate level of compassion satisfaction but findings in relation to resilience are mixed. No studies examined passion for work. Further research to determine ongoing psychological wellbeing and professional quality of life and evaluate tailored interventions to support intensive care staff well-being is recommended.
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Affiliation(s)
- Supan Unjai
- School of Nursing and Midwifery, Griffith University, Australia.
| | | | - Amy E Mitchell
- School of Nursing and Midwifery, Griffith University, Australia; Menzies Health Institute Queensland, Griffith University, Australia; Parenting and Family Support Centre, School of Psychology, The University of Queensland, Australia
| | - Debra K Creedy
- School of Nursing and Midwifery, Griffith University, Australia
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14
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Sambol S, Suleyman E, Scarfo J, Ball M. Distinguishing between trait emotional intelligence and the five-factor model of personality: additive predictive validity of emotional intelligence for negative emotional states. Heliyon 2022; 8:e08882. [PMID: 35265757 PMCID: PMC8899697 DOI: 10.1016/j.heliyon.2022.e08882] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Revised: 01/14/2022] [Accepted: 01/30/2022] [Indexed: 10/31/2022] Open
Abstract
There is ongoing debate on the utility of trait emotional intelligence and whether it is distinguishable from the five-factor model of personality. In study 1, we investigated the incremental validity of trait emotional intelligence in predicting negative emotional states, after controlling for the five-factor model personality traits. The TEIQue, Mini-IPIP, and DASS-21 were administered to a community based Australian sample. Three significant predictive models emerged: (1) wellbeing, and neuroticism predicting depression; (2) emotionality, and neuroticism predicting anxiety; and (3) self-control, and neuroticism predicting stress. In Study 2, we further explored the relationship between TEIQue domains, neuroticism, and negative emotional states. Three partial mediation models were found: (1) wellbeing mediated the relationship between neuroticism and depression; (2) emotionality mediated the relationship between neuroticism and anxiety; and (3) self-control mediated the relationship between neuroticism and stress. The findings highlight that trait emotional intelligence is related to, and yet distinct from extraversion, conscientiousness, agreeableness, neuroticism, and openness. They also provide support for the incremental validity of the TEIQue domains in predicting depression, anxiety, and stress, beyond the five-factor model personality traits in a community based Australian sample, with the domains of trait emotional intelligence potentially operating as protective factors from pervasive negative moods.
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Affiliation(s)
- Stjepan Sambol
- Institute for Health and Sport (IHES), Victoria University, Melbourne, Victoria, Australia
| | - Emra Suleyman
- Institute for Health and Sport (IHES), Victoria University, Melbourne, Victoria, Australia
| | - Jessica Scarfo
- Institute for Health and Sport (IHES), Victoria University, Melbourne, Victoria, Australia
| | - Michelle Ball
- Institute for Health and Sport (IHES), Victoria University, Melbourne, Victoria, Australia
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15
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Xue M, Yuan Y, Chen H, Liu Y, Dai M, Sun H, Qu J, Zhou T, Zhou J, Qu J, Bu Y, Ji S, Hu Y, Yao Z, Feng Y, Gu X. Perceived stress and symptoms of post-traumatic stress disorder in nurses: A moderated mediation model of maladaptive cognitive emotional regulation and psychological capital. Front Psychiatry 2022; 13:902558. [PMID: 36506450 PMCID: PMC9727242 DOI: 10.3389/fpsyt.2022.902558] [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: 03/23/2022] [Accepted: 10/31/2022] [Indexed: 11/24/2022] Open
Abstract
Nurses often face a variety of work-related and life-related stresses that make them more prone to symptoms of post-traumatic stress disorder (PTSD), yet the underlying mechanism of this association is poorly understood. To address this research gap, we investigated the mediating role of maladaptive cognitive emotion regulation strategies in the relationship between perceived stress and PTSD symptoms, and explored whether psychological capital could moderate the direct or indirect effects between perceived stress and PTSD symptoms. Nurses (N = 723) completed a questionnaire about perceived stress, PTSD symptoms, maladaptive cognitive emotion regulation strategies and psychological capital. After controlling for gender, age and work department, perceived stress was positively correlated with PTSD symptoms. Maladaptive cognitive emotion regulation strategies partially mediated this relationship. Psychological capital moderates the effects of perceived stress and maladaptive cognitive emotion regulation strategies on PTSD symptoms. Specifically, the positive correlation between perceived stress and PTSD symptoms was stronger among nurses with low levels of psychological capital than among nurses with high levels of psychological capital. At the same time, the positive correlation between maladaptive cognitive emotion regulation strategies and PTSD symptoms was stronger in nurses with a low level of psychological capital. Therefore, cognitive strategies and interventions oriented toward psychological capital may alleviate the PTSD symptoms of nurses in stressful situations.
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Affiliation(s)
- Mengxin Xue
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Yuan Yuan
- Affiliated Hospital of Yangzhou University, Yangzhou, China
| | - Hong Chen
- People's Hospital of Northern Jiangsu Province, Yangzhou, China
| | - Yongbing Liu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Minghui Dai
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Huiping Sun
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Jiling Qu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Ting Zhou
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Jingxin Zhou
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Junchao Qu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Yuan Bu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Siqi Ji
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Yicheng Hu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Zhenshuai Yao
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Yanbing Feng
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
| | - Xinyi Gu
- School of Nursing and Public Health, Yangzhou University, Yangzhou, China
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16
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Abstract
Background: Nurses who are constantly being exposed to patients’ suffering can lead to
compassion fatigue. There is a gap in the latest research regarding nurses’
experiences of compassion fatigue. Little is known about how compassion
fatigue affects the nurse as a person, and indications of how it affects the
profession are scarce. Aim: The aim of this study was to explore compassion fatigue experienced by nurses
and how it affects them as persons and professionals. Research design, participants, and research context: A qualitative explorative approach was used. The data consisted of texts from
interviews with seven nurses in various nursing contexts. Content analysis
was used. Ethical consideration: Ethical approval was sought and granted from an ethics committee at the
university where the researchers were based, and written, informed consent
was obtained from all the participants. Findings: Five themes were discovered: Compassion as an empathic gift and compassion
fatigue as a result of compassion overload, Compassion fatigue as exhausting
the nurse as a professional and private person, Compassion fatigue as a
crisis with potentially valuable insights, Compassion fatigue can be handled
by self-care and focus on self, and Compassion fatigue is affected by life
itself and multifaceted factors. Discussion: Compassion stress and overload can lead to compassion fatigue. Compassion
fatigue affects the nurse’s ability to compassion, and the caring is no
longer experienced in the same way; the nurses experienced it as being
deprived of the gift of compassion. Compassion fatigue implicates a crisis
with potentially valuable insights. Conclusion: Compassion fatigue can be symbolized as bruises in the soul, hurtful, but
with time it can fade away, although it leaves a sense of caution within the
nurse, which can affect the suffering patient.
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17
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Lee H, Baek W, Lim A, Lee D, Pang Y, Kim O. Secondary traumatic stress and compassion satisfaction mediate the association between stress and burnout among Korean hospital nurses: a cross-sectional study. BMC Nurs 2021; 20:115. [PMID: 34193135 PMCID: PMC8243298 DOI: 10.1186/s12912-021-00636-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2020] [Accepted: 06/10/2021] [Indexed: 11/17/2022] Open
Abstract
Background Burnout among nurses is a worldwide public health epidemic that adversely affects nurses’ quality of life as well as the patient’s outcomes. The aim of this study was to evaluate the influence of stress on nurses’ burnout and to identify the mediating effects of secondary traumatic stress and compassion satisfaction among clinical nurses in South Korea. Methods A quantitative, cross-sectional study evaluated the survey data from 10,305 female registered hospital nurses who participated in the Korea Nurses’ Health Study (KNHS) Module 5. The survey included a demographic questionnaire and the Professional Quality of Life version 5 (ProQOL 5). Bootstrap analyses (using the PROCESS macro) were employed to evaluate the mediating effect between variables. Results Stress was significantly associated with burnout and mediated by secondary traumatic stress and compassion satisfaction (βindirect 1 = 0.185, Bootstrap confidence interval (BS CI) [0.175, 0.194]; βindirect 2 = 0.226, BS CI [0.212, 0.241], respectively). In addition, the magnitude of the indirect effects of compassion satisfaction was significantly greater than the magnitude of the indirect effects of secondary traumatic stress (βindirect 1-βindirect 2 = − 0.042, BS CI [− 0.058, − 0.026]). The findings of this study indicate that the positive aspect (compassion satisfaction) of work experiences can offset the negative aspects (secondary traumatic stress), consequently reducing burnout level. Conclusions Our study findings suggest that a multidimensional approach to assessing nurse burnout and implementation of proper management will improve quality of life for nurses and help maintain positive attitudes and quality of patient care.
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Affiliation(s)
- Hyangkyu Lee
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea.,Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul, Republic of Korea
| | - Wonhee Baek
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea. .,Department of Nursing, Kyungnam University College of Health Sciences, Changwon, 51767, Republic of Korea. .,Severance Hospital, Seoul, Republic of Korea.
| | - Arum Lim
- Department of Nursing, Graduate School of Yonsei Univeristy, Seoul, Republic of Korea
| | - Dajung Lee
- Severance Hospital, Seoul, Republic of Korea
| | - Yanghee Pang
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea
| | - Oksoo Kim
- College of Nursing, Ewha Womans University, Seoul, Republic of Korea.,Ewha Research Institute of Nursing Science, Seoul, Republic of Korea
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18
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Thapa DK, Levett-Jones T, West S, Cleary M. Burnout, compassion fatigue, and resilience among healthcare professionals. Nurs Health Sci 2021; 23:565-569. [PMID: 33860606 DOI: 10.1111/nhs.12843] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2021] [Revised: 03/12/2021] [Accepted: 04/08/2021] [Indexed: 11/27/2022]
Affiliation(s)
- Deependra K Thapa
- College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
| | - Tracy Levett-Jones
- School of Nursing & Midwifery, University of Technology Sydney, Faculty of Health, Ultimo, New South Wales, Australia
| | - Sancia West
- College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
| | - Michelle Cleary
- College of Health and Medicine, University of Tasmania, Sydney, New South Wales, Australia
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19
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Xu X, Chen L, Yuan Y, Xu M, Tian X, Lu F, Wang Z. Perceived Stress and Life Satisfaction Among Chinese Clinical Nursing Teachers: A Moderated Mediation Model of Burnout and Emotion Regulation. Front Psychiatry 2021; 12:548339. [PMID: 34305659 PMCID: PMC8295563 DOI: 10.3389/fpsyt.2021.548339] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/02/2020] [Accepted: 04/06/2021] [Indexed: 01/07/2023] Open
Abstract
Our previous study indicated that clinical teaching nurses in China suffered high levels of perceived stress and burnout, mainly because they were taking double responsibilities of nursing and teaching at the same time. The study aimed to investigate the underlying mechanisms of how and when perceived stress increased the risk of burnout and decreased life satisfaction among clinical teaching nurses. Questionnaires about perceived stress, burnout, emotion regulation, and life satisfaction were self-administered to 1,372 teaching nurses from eight tertiary military hospitals in China. Correlation and hierarchical multiple regressions were employed for data analysis. The results revealed that perceived stress had direct and indirect impacts on life satisfaction, with the principal element of burnout-emotional exhaustion-acting as a mediator. Moreover, the association between perceived stress and emotional exhaustion was moderated by emotion suppression-a key emotion regulation strategy. The negative impact of perceived stress on burnout was stronger among teaching nurses with high emotion suppression than among those with low emotion suppression. The present study contributed to a deeper understanding of the relationship between perceived stress and life satisfaction and also suggested further research into emotion regulation interventions to alleviate or eliminate the impact of perceived stress on burnout and eventually improve the life satisfaction for Chinese clinical nursing teachers.
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Affiliation(s)
- Xia Xu
- Department of Nursing, Daping Hospital, Chongqing, China
| | - Ling Chen
- Department of Emergency, The 958th Hospital of PLA, Chongqing, China
| | - Yuan Yuan
- Department of Clinical Nursing Research and Teaching, Southwest Hospital, Chongqing, China
| | - Ming Xu
- Department of Health Management, Daping Hospital, Chongqing, China
| | - Xiaocui Tian
- Department of Neurology, Daping Hospital, Chongqing, China
| | - Fang Lu
- Department of Nursing Management, School of Nursing, Army Medical University, Chongqing, China
| | - Zonghua Wang
- Department of Field Nursing, School of Nursing, Army Medical University, Chongqing, China.,Department of Clinical Nursing, School of Nursing, Army Medical University, Chongqing, China
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20
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West S, Visentin DC, Cleary M. Nursing Daily Routine Activities: A Considered Response or Coping Mechanism? Issues Ment Health Nurs 2020; 41:556-557. [PMID: 32369395 DOI: 10.1080/01612840.2020.1748488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Sancia West
- Faculty of Health and Medicine, University of Newcastle, Newcastle, Australia
| | - Denis C Visentin
- College of Health and Medicine, University of Tasmania, Sydney, Australia
| | - Michelle Cleary
- College of Health and Medicine, University of Tasmania, Sydney, Australia
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