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Budisavljevic A, Dedic Plavetic N, Klaric K, Kelemenic-Drazin R, Letica-Crepulja M. The Impact of Newly Diagnosed Early Breast Cancer on Psychological Resilience, Distress Levels, and the Perception of Health. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:677. [PMID: 38928924 PMCID: PMC11203282 DOI: 10.3390/ijerph21060677] [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: 02/27/2024] [Revised: 05/05/2024] [Accepted: 05/22/2024] [Indexed: 06/28/2024]
Abstract
Confronting a breast cancer diagnosis, along with complex and challenging treatment procedures, is an extremely stressful experience. Psychological resilience is the ability to maintain or restore normal functioning while facing adversity. We aimed to explore the impact of an early breast cancer diagnosis on psychological resilience, distress, and perception of health. A cross-sectional study was conducted, including 50 patients newly diagnosed with early breast cancer and 67 healthy women with screening mammograms graded 1 or 2 using a Breast Imaging Reporting and Data System. The levels of distress, perception of health, and psychological resilience were assessed using the depression, anxiety, and stress scale, the SF 36-Item Health Survey 1.0, and the Connor-Davidson RISC-25 scale. Differences between variables were examined using the t-test and chi-square test for interval and categorial variables. The surveys were conducted within four weeks of a breast cancer diagnosis. Patients with breast cancer reported a deterioration of their health relative to the previous year and significantly higher levels of psychological resilience, while there was no significant difference between the groups in levels of stress, anxiety, or depression. The process of diagnosis with early breast cancer may activate psychological dynamic processes which are involved in the effective adaptation to acute stress, leading to higher resilience levels in breast cancer patients compared to healthy controls.
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Affiliation(s)
- Anuska Budisavljevic
- Department of Medical Oncology and Hematology, General Hospital Pula, 52100 Pula, Croatia
| | - Natalija Dedic Plavetic
- Department of Oncology, University Hospital Centre Zagreb, School of Medicine, University of Zagreb, 10000 Zagreb, Croatia;
| | - Kristina Klaric
- Department of Radiology, General Hospital Pula, 52100 Pula, Croatia;
| | - Renata Kelemenic-Drazin
- Department of Hematology, Oncology and Clinical Immunology, General Hospital Varazdin, 42000 Varazdin, Croatia;
| | - Marina Letica-Crepulja
- Department of Psychiatry and Psychological Medicine, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia;
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Kayalar A, Hiçdurmaz D. Effects of metacognitions, self-compassion, and difficulties in emotion regulation on psychological resilience in oncology nurses. Eur J Oncol Nurs 2024; 70:102568. [PMID: 38574418 DOI: 10.1016/j.ejon.2024.102568] [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: 07/06/2023] [Revised: 02/18/2024] [Accepted: 03/16/2024] [Indexed: 04/06/2024]
Abstract
PURPOSE Providing care to individuals with cancer requires oncology nurses to have superior skills related to physical care and adaptation to the changing healthcare system, as well as witnessing and supporting the psychosocial difficulties experienced by patients and families in this process. It requires oncology nurses to be psychologically resilient. Therefore, it is crucial to determine the factors affecting the psychological resilience of oncology nurses. This study aimed to determine the effect of self-compassion, metacognitions, and difficulties in emotion regulation on psychological resilience in oncology nurses. METHODS This is a cross-sectional correlational study. The study was conducted with 121 oncology nurses providing active oncologic care and who volunteered to participate. The Difficulties in Emotion Regulation Scale-Short Form, the Self-Compassion Scale, and the Metacognitions Questionnaire-30 were used to collect data. Data were analyzed using descriptive statistics, Pearson correlation coefficient, and multiple linear regression analysis. RESULTS The regression model established to determine the effect of self-compassion, metacognitions, and difficulties in emotion regulation on psychological resilience was statistically significant (F(3,117) = 24.086 p < 0.001) and explained 36.6% of the change in resilience. Among the independent variables, only self-compassion had a significant contribution to the model (p = 0.001). According to the model, 1-unit change in self-compassion caused 0.571-unit change in psychological resilience. CONCLUSION Self-compassion, metacognitions, and difficulties in emotion regulation were significantly related to psychological resilience, but only self-compassion significantly affected psychological resilience.
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Affiliation(s)
- Aycan Kayalar
- Gazi University Health Practice and Research Center Consultation-Liasion Psychiatry Unit, Hacettepe University Institute of Health Sciences Psychiatric Nursing PhD Programme Ankara, Turkey.
| | - Duygu Hiçdurmaz
- Hacettepe University Faculty of Nursing, Psychiatric Nursing Department, Ankara, Turkey
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Martin C. Strengthening your resiliency muscle to promote your relationship with yourself. Nurs Manag (Harrow) 2024; 55:12-14. [PMID: 38314991 DOI: 10.1097/nmg.0000000000000096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2024]
Affiliation(s)
- Christina Martin
- Christina Martin is a consultant and director, relationship-based care service line for Creative Health Care Management in Bloomington, Minn. She is also the coordinator of the Nursing Management Relationships Matter department
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Wentzel DL, Collins A, Brysiewicz P. An intervention to manage compassion fatigue in oncology nurses in Durban, South Africa. Health SA 2023; 28:2376. [PMID: 38223212 PMCID: PMC10784258 DOI: 10.4102/hsag.v28i0.2376] [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] [Received: 03/02/2023] [Accepted: 09/26/2023] [Indexed: 01/16/2024] Open
Abstract
Background Oncology nurses are involved through the often protracted and potentially traumatic continuum of diagnosis and treatment of their patients, which places them at high risk of developing compassion fatigue. Aim The aim of the study was to develop and implement an in-facility intervention to manage compassion fatigue among oncology nurses in Durban, South Africa. Setting The study was conducted with oncology nurses at state, private (private health insurance) and non-governmental oncology facilities (Hospice). Methods The Self-Care Intervention for Oncology Nurses was developed and implemented using action research with a mixed methods sequential explanatory design. It involved an integrative review, Professional Quality of Life (ProQOL) v 5 questionnaires (n = 83) and in-depth individual interviews (n = 8). Results Developed from the findings of the integrative review, quantitative and qualitative data, the Self-Care Intervention for Oncology Nurses comprised three components, namely psycho-education on risks (booklet), practices of remembrance (remembrance tree) and support structures (support group and follow-up family call). Overall, the participants enjoyed reading the booklet and engaging in the support group. There were varied responses to the remembrance tree and hesitancy to partaking in the follow-up phone call. Conclusion The developed intervention could encourage awareness of compassion fatigue amongst oncology nurses' engagement in self-care practices such as symbolic remembrance of patients and recognition of the value of support structures. Contribution The intervention may assist oncology nurses in the provision of compassionate caring for their patients and potentially minimise compassion fatigue.
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Affiliation(s)
- Dorien L Wentzel
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
| | - Anthony Collins
- Department of Social Inquiry, Faculty of Humanities and Social Sciences, La Trobe University, Melbourne, Australia
- Department of Psychology, Faculty of Arts, Rhodes University, Makhanda, South Africa
| | - Petra Brysiewicz
- School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa
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Burke E. I am Seen: Processing Grief as a Pediatric Oncology Nurse Practitioner. J Christ Nurs 2023; 40:162-165. [PMID: 37271908 DOI: 10.1097/cnj.0000000000001066] [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: 06/06/2023] Open
Abstract
ABSTRACT Nurses and advanced practice providers are encouraged to embrace resilience skills to deal with compassion fatigue and prevent burnout. As a Christian nurse, I learned the importance of daily staying close to Jesus when a beloved pediatric oncology patient died and I experienced overwhelming grief. Through prayers, Bible reading, and honoring the patient with coworkers, I found hope in Jesus' presence. God sees me as his beloved child and gives me strength to continue my work.
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Affiliation(s)
- Erin Burke
- Erin Burke, MSN, RN, PNP-BC , graduated from the Yale School of Nursing in 2014 with a master's degree. She began working as a pediatric oncology nurse practitioner at a children's hospital in 2015
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Mallon A, Mitchell G, Carter G, McLaughlin D, Wilson CB. A rapid review of evaluated interventions to inform the development of a resource to support the resilience of care home nurses. BMC Geriatr 2023; 23:275. [PMID: 37147594 PMCID: PMC10162002 DOI: 10.1186/s12877-023-03860-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2022] [Accepted: 02/28/2023] [Indexed: 05/07/2023] Open
Abstract
BACKGOUND Nurses working in care homes face significant challenges that are unique to that context. The importance of effective resilience building interventions as a strategy to enable recovery and growth in these times of uncertainty have been advocated. The aim of this rapid review was to inform the development of a resource to support the resilience of care home nurses. We explored existing empirical evidence as to the efficacy of resilience building interventions. undertaken with nurses. METHODS We undertook a rapid review using quantitative studies published in peer reviewed journals that reported resilience scores using a valid and reliable scale before and after an intervention aimed at supporting nurse resilience. The databases; Cumulative Index to Nursing and Allied Health Literature, Medline and PsychInfo. and the Cochrane Library were searched. The searches were restricted to studies published between January 2011 and October 2021 in the English language. Only studies that reported using a validated tool to measure resilience before and after the interventions were included. RESULTS Fifteen studies were included in this rapid review with over half of the studies taking place in the USA. No studies reported on an intervention to support resilience with care home nurses. The interventions focused primarily on hospital-based nurses in general and specialist contexts. The interventions varied in duration content and mode of delivery, with interventions incorporating mindfulness techniques, cognitive reframing and holistic approaches to building and sustaining resilience. Thirteen of the fifteen studies selected demonstrated an increase in resilience scores as measured by validated and reliable scales. Those studies incorporating 'on the job,' easily accessible practices that promote self-awareness and increase sense of control reported significant differences in pre and post intervention resilience scores. CONCLUSION Nurses continue to face significant challenges, their capacity to face these challenges can be nurtured through interventions focused on strengthening individual resources. The content, duration, and mode of delivery of interventions to support resilience should be tailored through co-design processes to ensure they are both meaningful and responsive to differing contexts and populations.
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Affiliation(s)
- Anita Mallon
- School of Nursing and Midwifery Queens University Belfast, University Rd, Belfast, BT7 1NN, Northern Ireland
| | - Gary Mitchell
- School of Nursing and Midwifery Queens University Belfast, University Rd, Belfast, BT7 1NN, Northern Ireland
| | - Gillian Carter
- School of Nursing and Midwifery Queens University Belfast, University Rd, Belfast, BT7 1NN, Northern Ireland
| | - Derek McLaughlin
- School of Nursing and Midwifery Queens University Belfast, University Rd, Belfast, BT7 1NN, Northern Ireland
| | - Christine Brown Wilson
- School of Nursing and Midwifery Queens University Belfast, University Rd, Belfast, BT7 1NN, Northern Ireland.
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Abstract
ABSTRACT With about one-third of nurses having expressed an intention to leave the profession or change jobs in 2022, the effects of nursing job stress are evident. For nurses to continue to provide care in high stress, they must practice self-compassion and build resilience. The importance of resilience education and self-compassion for nurses and in nursing education is discussed from a Christian perspective, along with self-care strategies using the R.E.S.T. (Relationship, Exercise, Self-Compassion, Transformative Thinking) framework. Strategies for building resilience for both individuals and organizations are offered.
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Sist L, Savadori S, Grandi A, Martoni M, Baiocchi E, Lombardo C, Colombo L. Self-Care for Nurses and Midwives: Findings from a Scoping Review. Healthcare (Basel) 2022; 10:2473. [PMID: 36553999 PMCID: PMC9778446 DOI: 10.3390/healthcare10122473] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Revised: 12/02/2022] [Accepted: 12/04/2022] [Indexed: 12/13/2022] Open
Abstract
Self-care for health care professionals is essential in order to optimize the care they provide and to prevent serious consequences for their health. This scoping review aimed to identify (a) the concepts used in the literature to describe self-care; (b) interventions that influence self-care. The scoping review was conducted according to the criteria and methodology by Arksey and O'Malley, from November 2020 to January 2021, by consulting the following databases: Pubmed, CINAHL, Scopus, PsycInfo, Cochrane Library, Joanna Briggs Library. Various keywords and MesH terms were used for the search, including self-care, nurses, midwives, nursing, midwifery, self-compassion, and self-awareness. Eighteen studies were included. The concept of self-care is related to three constructs: (a) Mindfulness; (b) Compassion; and (c) Resilience. In the literature, self-care interventions can be distinguished as (a) mindfulness-based; (b) educational; (c) multimodal approach; and (d) mind-body interventions. In recent years, the concept of self-care is a topic of great interest in the literature; dealing with self-care from both a theoretical and a practical-personal and professional-perspective has become more important in order to promote practitioners' well-being. This scoping review helps to clarify the terms related to self-care and looks at tested interventions to improve the well-being of caregivers.
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Affiliation(s)
- Luisa Sist
- IRCCS Azienda Ospedaliero, Universitaria di Bologna, 40138 Bologna, Italy
| | - Sara Savadori
- Italy Midwife—Delivery Room, “M.Bufalini” Hospital, 47521 Cesena, Italy
| | - Annalisa Grandi
- Department of Psychology, University of Turin, 10124 Turin, Italy
| | - Monica Martoni
- Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, 40138 Bologna, Italy
| | - Elena Baiocchi
- Italy Midwife—Delivery Room, “Infermi” Hospital, 47923 Rimini, Italy
| | - Carlotta Lombardo
- IRCCS Azienda Ospedaliero, Universitaria di Bologna, 40138 Bologna, Italy
| | - Lara Colombo
- Department of Psychology, University of Turin, 10124 Turin, Italy
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O'Malley M, Happell B, O'Mahony J. A Phenomenological Understanding of Mental Health Nurses' Experiences of Self-Care: A Review of the Empirical Literature. Issues Ment Health Nurs 2022; 43:1121-1129. [PMID: 36099551 DOI: 10.1080/01612840.2022.2108528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
Nurses are central to health care as the largest professional workforce and the providers of constant, ongoing care. Difficulties retaining enough qualified and motivated nurses presents an ongoing problem that threatens the quality of healthcare delivery. Demands of nursing practice, often resulting in stress and burnout, is a major barrier to retaining nurses. Self-care approaches and techniques have proven effective in reducing stress and burnout, increasing job satisfaction and the likelihood of nurses remaining in the profession. Despite knowing the benefits, nurses frequently do not engage in self-care resulting in negative consequences both personally and professionally. To advance our knowledge in this important area, a review of the literature was conducted to explore nurses' experience of self-care and how they made sense of their experiences. The literature was analysed critically and synthesised through a phenomenological lens. The identified themes were structured according to phenomenological concerns: selfhood, mood and embodiment, sociality and relatedness, temporality, spatiality, and nursing culture. Understanding self-care from a phenomenological perspective is important to forming a deeper comprehension of nurses' relationship with self-care, including acceptance and resistance. This new knowledge can be used to develop strategies to encourage self-care. The implications for recruitment and retention within nursing, and ultimately to the quality of healthcare, are significant.
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Affiliation(s)
- Maria O'Malley
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
| | - Brenda Happell
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland.,Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia
| | - James O'Mahony
- Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Cork, Ireland
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Yi LJ, Liu Y, Tang L, Cheng L, Wang GH, Hu SW, Liu XL, Tian X, Jiménez-Herrera MF. A Bibliometric Analysis of the Association Between Compassion Fatigue and Psychological Resilience From 2008 to 2021. Front Psychol 2022; 13:890327. [PMID: 35814110 PMCID: PMC9258720 DOI: 10.3389/fpsyg.2022.890327] [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: 03/05/2022] [Accepted: 04/22/2022] [Indexed: 11/13/2022] Open
Abstract
Aims A negative association between the lower level of psychological resilience (PR) and increased risk of compassion fatigue (CF) and higher Coronavirus disease 2019 (COVID-19) stress has been revealed. However, bibliometric studies have not been performed to comprehensively investigate this topic. This study aimed to identify the status and trends in the CF and PR field from 2008 to 2021 and during the COVID-19 pandemic. Methods We identified relevant literature from the Web of Science Core Collection® database using "resilience" and "compassion fatigue" on September 30, 2021. All search results were exported in plain text format for collaboration network analysis, reference-based co-citation analysis, analysis of journals, and keywords-based co-occurrence analysis, which were performed using Citespace® 5.8.R1. Results A total of 388 publications were identified finally, and there has been an increasing trend in the annual number of publications with light fluctuations. The analysis of journals and keywords indicated that nurses and social workers are the main research targets, and their mental problems are the main research topics. The turnover intention of health care providers has been a research focus, particularly during the COVID-19. Conclusion The results of the present study help us understand the status of the CF and PR field and its recent developments.
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Affiliation(s)
- Li-Juan Yi
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
- Department of Nursing, Universitat Rovira I Virgili, Tarragona, Spain
| | - Yi Liu
- Department of Physical Education, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Ling Tang
- Chongqing University Cancer Hospital, Chongqing, China
| | - Liang Cheng
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Guo-Hao Wang
- Department of Management Engineering, Tangshan Industrial Vocational & Technical College, Tangshan, China
| | - Su-Wen Hu
- Department of Nursing, Hunan Traditional Chinese Medical College, Zhuzhou, China
| | - Xiao-Ling Liu
- Chongqing Key Laboratory for Intelligent Oncology in Breast Cancer (iCQBC), Department of Ultrasound, Chongqing University Cancer Hospital, Chongqing, China
| | - Xu Tian
- Department of Nursing, Universitat Rovira I Virgili, Tarragona, Spain
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Serçe Yüksel Ö, Partlak Günüşen N, Çelik Ince S, Zeybekçi S. Experiences of oncology nurses regarding self-compassion and compassionate care: A qualitative study. Int Nurs Rev 2022; 69:432-441. [PMID: 35088426 DOI: 10.1111/inr.12747] [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: 09/02/2021] [Accepted: 12/27/2021] [Indexed: 11/28/2022]
Abstract
AIM The aim of this study was to explore the experiences of oncology nurses about self-compassion and compassionate care. BACKGROUND The concept of self-care is emphasized in detail in the literature, and not much is known about the concept of self-compassion among nurses. Beyond the definitions of self-compassion and compassion in the literature, there is a need to explore and express the meaning of self-compassion and compassion in the context of oncology nursing. METHODS This is a descriptive qualitative study. Semistructured interviews were conducted with 19 oncology nurses working in the oncology service of a university hospital. Interviews were analyzed using thematic analysis through an inductive approach. Consolidated criteria for reporting qualitative studies (COREQ) were used to ensure the comprehensive reporting of this qualitative study protocol. RESULTS Two themes emerged: (1) compassion through the eyes of oncology nurses and barriers to compassionate care fall under the theme of wounded healers, and (2) self-compassion through the eyes of oncology nurses, barriers to self-compassion, and self-care as a dimension of self-compassion fall under the theme of caring for our suffering: self-compassion. CONCLUSIONS Although nurses think that self-compassion is important, they do not show self-compassion. There are personal and organizational barriers to compassionate care and self-compassion for oncology nurses. IMPLICATIONS FOR NURSING POLICY These findings show that oncology nurses need personal and organizational resources for their self-compassion. The existence of programs to develop self-compassion can offset the effects of being in a caregiving position. Oncology nurses must request these services from organization, managers and even policymakers. The existence of policies that also consider the mental health of nurses can pave the way for compassionate care.
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Affiliation(s)
- Özgü Serçe Yüksel
- Faculty of Nursing, Psychiatric Nursing Department, Dokuz Eylul University, Izmir, 35340, Turkey.,Dokuz Eylul University, Institute of Health Sciences, Izmir, Turkey
| | - Neslihan Partlak Günüşen
- Faculty of Nursing, Psychiatric Nursing Department, Dokuz Eylul University, Izmir, 35340, Turkey
| | - Sevecen Çelik Ince
- Faculty of Health Science, Psychiatric Nursing Department, Zonguldak Bülent Ecevit University, Zonguldak, 67600, Turkey
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Lin LC, Huang YC, Carter P, Zuniga J. Resilience among nurses in long term care and rehabilitation settings. Appl Nurs Res 2021; 62:151518. [PMID: 34815010 DOI: 10.1016/j.apnr.2021.151518] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2021] [Revised: 08/27/2021] [Accepted: 10/21/2021] [Indexed: 10/20/2022]
Abstract
BACKGROUND Nurses practicing in long-term care or rehabilitation settings face unique challenges from prolonged or repeated exposure to stressors, given their extended time with patients. This puts them at risk for compassion fatigue, burnout, and secondary traumatic stress, which can lead to decreased resilience and sleep problems. AIM The aim of this study was to examine relationships among resilience, professional quality of life, sleep, and demographics in nurses working in long-term care or rehabilitation settings, and to investigate whether demographics, professional quality of life, and sleep quality are significant predictors of nurses' resilience. METHODS In this cross-sectional study, we used the following measures: demographics, the Connor-Davidson Resilience Questionnaire, the Pittsburgh Sleep Quality Index, and the Professional Quality of Life Scale (ProQOL). Data were analyzed with SPSS v25. Data analysis consisted of descriptive statistics, bivariate correlations, and multiple regression. RESULTS Participants (N = 120) were mostly female (85%) and registered nurses (90%). Mean scores were 52.13 for resilience and 7.53 for sleep quality. Mean ProQOL subscale scores were 41.78 for compassion satisfaction, 22.28 for compassion fatigue, and 23.92 for secondary traumatic stress. Multiple regression models showed that compassion satisfaction, burnout, and secondary traumatic stress significantly predicted resilience (β = 0.69, β = -0.61, and β = -0.34, respectively, all p < .05). CONCLUSIONS Resilience is important in nurses' personal and professional lives because it helps to protect nurses from the negative consequences of stressors. Strategies, resources, and workplace support can promote self-care and resilience.
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Affiliation(s)
- Li-Chen Lin
- The University of Texas at Austin School of Nursing, USA.
| | - Ya-Ching Huang
- Texas State University St. David's School of Nursing, USA
| | - Patricia Carter
- Graduate Programs, The University of Alabama Capstone College of Nursing, USA
| | - Julie Zuniga
- The University of Texas at Austin School of Nursing, USA
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Guerreiro MPP, Dalmolin GDL, Andolhe R, Stumm EMF, Frizzo MN, Lanes TC. Salivary cortisol concentrations in hematogy/oncology nurses on working days and days off. Rev Bras Enferm 2021; 74:e20200478. [PMID: 34076197 DOI: 10.1590/0034-7167-2020-0478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 09/16/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to assess salivary cortisol concentrations in hematology/oncology nurses on working days and days off. METHODS a cross-sectional study carried out with 28 nurses from a university hospital. A sociodemographic, employment and health profile questionnaire was applied. For saliva collection, Salivette® tubes were used. Descriptive and analytical analysis was used. RESULTS there was no significant difference in cortisol concentrations between working days and days off (p>0.05). The high cortisol concentration was associated with not having children (0.621±0.340; p=0.046), not using medication (0.623±0.133; p=0.017) and birth control pills (0.556 ± 0.228; p=0.047) and intention to leave work (0.951±0.154; p=0.001). A positive correlation was identified between cortisol and absence from work due to health issues (0.72; p=0.05) and weight gain (0.935; p=0.02). CONCLUSION in general, cortisol concentration is within the reference parameters, with no significant difference in its secretion on working days and days off.
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Affiliation(s)
| | | | - Rafaela Andolhe
- Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil
| | | | - Matias Nunes Frizzo
- Universidade Regional do Noroeste do Estado do Rio Grande do Sul. Ijuí, Rio Grande do Sul, Brazil
| | - Taís Carpes Lanes
- Universidade Federal de Santa Maria. Santa Maria, Rio Grande do Sul, Brazil
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Nwanya M, Rowberry D. The importance of understanding burnout: an oncology nurse perspective. ACTA ACUST UNITED AC 2021; 30:S8-S14. [PMID: 34037439 DOI: 10.12968/bjon.2021.30.10.s8] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The challenges presented by the global COVID-19 pandemic have intensified the stressors placed on nurses, leading to burnout. Oncology nurse burnout is likely to be an increasingly significant issue for cancer services as the true cost of the pandemic is revealed. Delays in diagnosis and treatment of cancers are reported widely, inevitably leading to poor prognosis and more aggressive treatments for patients. Gaining a better understanding of oncology nurse burnout, its prevalence and causes as well as strategies to reduce or prevent it will help to improve patient care and support staff wellbeing during and after the pandemic. Methodology: A search of the literature related to oncology nurse burnout, covering North America and Europe over 5 years (August 2014-January 2020), resulted in 31 articles for review. None of the studies were carried out in the UK, suggesting a need for robust investigations into oncology nurse burnout in the British health service. Summary: The prevalence of burnout among oncology nurses before the COVID-19 outbreak appeared to be high and is likely to have increased as a result of the pandemic. However, the studies investigating oncology nurse burnout are small and cross-sectional, with low-quality methods. The literature suggests the major causes of burnout arise in the workplace, particularly aspects of the environment that prevent nurses from working according to their values. Although burnout is frequently attributed to workplace factors, interventions remain focused on individuals' coping mechanisms and rarely on the workplace factors that are known to cause it.
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Browning Callis AM. Application of the Roy Adaptation Theory to a care program for nurses. Appl Nurs Res 2020; 56:151340. [PMID: 32900581 PMCID: PMC7428709 DOI: 10.1016/j.apnr.2020.151340] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2020] [Revised: 08/01/2020] [Accepted: 08/04/2020] [Indexed: 12/13/2022]
Abstract
Theory-guided nursing practice is foundational in providing the framework for the development of excellent nursing care. There is a need for effective care programs for nurses, whereby they are adequately supported within their workplace infrastructures as a professional group whose work is essential to the provision of healthcare worldwide. Likewise, there is a need for care programs for nurses to be theory-guided. In the current global pandemic climate, the well-being of nurses continues to become compromised evidenced by increasing moral distress, compassion fatigue, and burnout. Theory-based supportive programs are vital to the overall wellbeing, morale, and retention of nurses. The Roy Adaptation Theory may serve as a guide in the development and evaluation of a hospital-based program designed to support the needs of the healthcare team. This discussion will explore the application of the Roy Adaptation Theory-Group Identity Mode to the Tea for the Soul Care Model for nurses.
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Affiliation(s)
- Annette M Browning Callis
- Professor, MSN Program Coodinator, Vanuguard University Nursing Program, 55 Fair Dr., Costa Mesa, CA 92626, United States of America.
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