1
|
Reyes PhD Msn Rn AT, Fudolig PhD M, Sharma Mbbs PhD McHes M, S Evangelista PhD Rn Faan L. Testing the Effectiveness of a Mindfulness- and Acceptance-Based Smartphone App for Nurses Traumatized by the COVID-19 Pandemic: A Pilot Study. Issues Ment Health Nurs 2024; 45:1034-1045. [PMID: 39173125 DOI: 10.1080/01612840.2024.2385571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/24/2024]
Abstract
A significant proportion of frontline nurses developed post-traumatic stress disorder (PTSD) symptoms as a result of working during the COVID-19 pandemic. This study aimed to determine the efficacy of a mindfulness- and acceptance-based smartphone app intervention among nurses traumatized by the COVID-19 pandemic. This was a two-arm, randomized controlled trial. We randomly assigned 60 frontline nurses working in various clinical settings in the United States during the pandemic to either the intervention group (i.e. participants used the mindfulness app for 6 wk) or the wait-list control group. We assessed the app's efficacy through outcome measures of PTSD symptom severity, experiential avoidance, rumination, mindfulness, and resilience, measured at pre-, mid-, and post-intervention periods and a 1-month follow-up. Intervention satisfaction and perceived usability of the app were assessed within the intervention group. There was strong evidence of within-between interaction for PTSD, experiential avoidance, and rumination, implying significant improvement of these outcomes for the intervention group as compared to the control group. We only found a within-group interaction effect for mindfulness, indicating significant improvement of mindfulness within the intervention group only. Participants in the intervention group reported high satisfaction levels and perceived usability with the app. Findings highlight that mindfulness- and acceptance-based smartphone apps can improve PTSD symptoms of nurses traumatized by the pandemic. Healthcare organizations should provide nurses with accessible interventions (e.g. mindfulness apps) to treat and prevent secondary behavioral consequences of the pandemic, such as PTSD.
Collapse
Affiliation(s)
| | - Miguel Fudolig PhD
- School of Public Health, University of Nevada Las Vegas, Las Vegas, Nevada, USA
| | | | | |
Collapse
|
2
|
Salimi S, Özel S. Insights for enhancing resilience in prolonged crises: impact of COVID-19 pandemic on nurses' quality of life. BMJ LEADER 2024; 8:240-244. [PMID: 38071578 DOI: 10.1136/leader-2023-000886] [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: 07/31/2023] [Accepted: 11/23/2023] [Indexed: 01/24/2024]
Abstract
AIMS AND BACKGROUND The COVID-19 pandemic has had adverse effects on nurses, impacting them physically, mentally and psychosocially. These effects stem from heightened workloads, fears of contracting a life-threatening illness due to inadequate protective equipment and concerns about transmitting the disease to their families. This study assessed the impact of COVID-19 on the quality of life of nurses working on the frontlines, aiming to provide insights for future crisis responses. METHODS A descriptive-analytic study included 288 nurses from hospitals affiliated with Çukurova University, Southern Turkey using a stratified sampling method. Data on quality of life and demographics were collected using the WHO Quality of Life-BREF scale and a questionnaire. Data analysis was conducted using SPSS V.25, employing descriptive and analytic measures at a significance level of p<0.05. RESULTS Overall perceived quality of life was moderate (mean score: 3.31; SD: 0.56), with the highest scores in social relationships, psychological well-being and environmental factors. Positive correlations were found with gender, education, salary, vaccination status and living alone. Negative correlations were observed with alcohol consumption and longer working hours. CONCLUSIONS To strengthen future crisis responses, health authorities should prioritise workload reduction, gender diversity promotion, support for nurses residing with family, better income opportunities, alcohol abstinence encouragement and ensuring vaccination for frontline nurses.
Collapse
Affiliation(s)
| | - Selman Özel
- Çukurova Üniversitesi Tıp Fakültesi, Adana, Turkey
| |
Collapse
|
3
|
Mcizana T, Adams S, Khan S, Ntatamala I. Sociodemographic and work-related factors associated with psychological resilience in South African healthcare workers: a cross-sectional study. BMC Health Serv Res 2024; 24:979. [PMID: 39182095 PMCID: PMC11344366 DOI: 10.1186/s12913-024-11430-0] [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: 05/13/2024] [Accepted: 08/12/2024] [Indexed: 08/27/2024] Open
Abstract
BACKGROUND Psychological resilience facilitates adaptation in stressful environments and is an important personal characteristic that enables workers to navigate occupational challenges. Few studies have evaluated the factors associated with psychological resilience in healthcare workers. OBJECTIVES To determine the prevalence and factors associated with psychological resilience in a group of South African medical doctors and ambulance personnel. MATERIALS AND METHODS This analytical cross-sectional study used secondary data obtained from two studies conducted among healthcare workers in 2019 and 2022. Self-reported factors associated with resilience, as measured by the Connor-Davidson Resilience Scale-10 (CD-RISC-10), were evaluated. R statistical software was used for analysing the data and performing statistical tests. RESULTS A total of 647 healthcare workers were included in the study, of which 259 were doctors and 388 were ambulance personnel. Resilience scores were low overall (27.6 ± 6.6) but higher for ambulance personnel (28.0 ± 6.9) than for doctors (27.1 ± 6.0) (p = 0.006). Female gender (OR 1.94, 95%CI 1.03-3.72, p = 0.043), job category (OR 6.94 95%CI 1.22-60.50, p = 0.044) and overtime work (OR 13.88, 95%CI 1.61-368.00, p = 0.044) significantly increased the odds of low resilience for doctors. Conversely, salary (OR 0.13, 95%CI 0.02-0.64, p = 0.024) and current smoking status (OR 0.16, 95%CI 0.02-0.66, p = 0.027) significantly reduced the odds of low resilience amongst doctors. In addition, only previous alcohol use significantly reduced the odds of low resilience for ambulance personnel (OR 0.44, 95%CI 0.20-0.94, p = 0.038) and overall sample (OR 0.52, 95%CI 0.29-0.91, p = 0.024). CONCLUSIONS Resilience was relatively low in this group of South African healthcare workers. The strong association between low resilience and individual and workplace factors provides avenues for early intervention and building resilience among healthcare workers.
Collapse
Affiliation(s)
- Thandokazi Mcizana
- Division of Actuarial Science, School of Management Studies, University of Cape Town, Cape Town, South Africa.
| | - Shahieda Adams
- Division of Occupational Medicine and Centre for Environmental and Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa
| | - Saajida Khan
- Division of Occupational Medicine and Centre for Environmental and Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa
- Livingstone Tertiary Hospital, Department of Health, Gqeberha, South Africa
- Faculty of Health Science, Nelson Mandela University, Gqeberha, South Africa
| | - Itumeleng Ntatamala
- Division of Occupational Medicine and Centre for Environmental and Occupational Health Research, School of Public Health, University of Cape Town, Cape Town, South Africa
| |
Collapse
|
4
|
Hamaideh SH, Abu Khait A, Al-Modallal H, Masa'deh R, Hamdan-Mansour A, ALBashtawy M. Perceived Stress and Resilience Among Psychiatric Nurses Working in Inpatients Units. Hosp Top 2024:1-9. [PMID: 39076024 DOI: 10.1080/00185868.2024.2383912] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/31/2024]
Abstract
The aim of this study is to assess the levels, relationships, and predictors of resilience and perceived stress among psychiatric nurses working in inpatient units. A descriptive, cross-sectional, predictive design was employed to collect data from 140 psychiatric nurses through a self-reported questionnaire. The questionnaire consisted of sociodemographic and work-related variables, Connor-Davidson Resilience Scale (CD-RISC-25), and perceived stress scale (PSS-10). The total mean score of the perceived stress was 22.73 (SD = 3.54) indicating a moderate level. The total mean score of the resilience was 49.49 (SD = 15.31) indicating a low level. Resilience correlated positively with educational level and job satisfaction; and negatively with intention to leave psychiatric settings. Significant differences were found in resilience with educational level, intention to leave psychiatric settings, and job satisfaction. Three independent variables predicted resilience: educational level, ward/unit, and job satisfaction; and only one variable (intention to leave psychiatric settings) predicted the perceived stress.
Collapse
Affiliation(s)
- Shaher H Hamaideh
- Community and Mental Health Nursing Department, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Abdallah Abu Khait
- Community and Mental Health Nursing Department, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
| | - Hanan Al-Modallal
- Community and Mental Health Nursing Department, Faculty of Nursing, The Hashemite University, Zarqa, Jordan
- Nursing Department, Fakeeh College for Medical Sciences, Jeddah, Saudi Arabia
| | - Rami Masa'deh
- School of Nursing, Applied Science Private University, Amman, Jordan
| | - Ayman Hamdan-Mansour
- Community Health Department, School of Nursing, The University of Jordan, Amman, Jordan
| | - Mohammed ALBashtawy
- Nursing and Community Health, Princess Salma Faculty of Nursing, Al al-Bayt University, Mafraq, Jordan
| |
Collapse
|
5
|
Cadorin L, Mazzega-Fabbro C, Cedrone S. Cancer nurses' experience during the COVID-19 pandemic: Multicenter mixed-methods study on coping and resilience strategies. BMC Nurs 2024; 23:502. [PMID: 39039595 PMCID: PMC11264387 DOI: 10.1186/s12912-024-02085-7] [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: 03/11/2023] [Accepted: 06/10/2024] [Indexed: 07/24/2024] Open
Abstract
BACKGROUND In early 2020, the COVID-19 pandemic created severe difficulties in clinical and organizational fields. Healthcare workers needed to protect their health and avoid infecting their family members, but also limit the virus's spread among vulnerable oncology patients undergoing hospital treatment. OBJECTIVE To evaluate the resilience and coping strategies of nurses working in the oncology setting. METHODS A mixed-methods study was conducted. First, two questionnaires (CD-RISK and COPE- NVI-25) were used to assess nurses' resilience strategies and coping mechanisms quantitatively. Second, qualitative semi-structured interviews were conducted to explore the personal experiences of nurses who cared for patients during the pandemic, and Colaizzi's framework was used for content analysis. RESULTS The 164 participants, the majority of whom were women (88.4%), reported high resilience. The CD-RISK score varied according to education. With respect to COPE-NIV-25, transcendent orientation and avoidance strategies had the lowest mean scores, while problem orientation was higher in nurses aged ≥ 40. Five themes emerged: (1) changes in work and personal areas; (2) feelings/emotions, such as fear of infection of themselves or their loved ones, difficulty in using the face mask, relational repercussions with patients or their families; (3) personal and working group strategies used to counteract the suffering attributable to COVID-19; (4) professionalism/nursing responsibilities in developing new rules and protocols, and (5) metaphors to describe their experiences. CONCLUSIONS The COVID-19 pandemic led to major changes in the nurses' roles, but they showed resilience and generated a positive working climate. IMPLICATION FOR PRACTICE Even in emergency situations, nursing administrations and policymakers ought to ensure that nurses receive adequate training and support to develop resilience and coping strategies.
Collapse
Affiliation(s)
- Lucia Cadorin
- Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Via F. Gallini, 2, Aviano, 33081, Italy.
| | - Cristina Mazzega-Fabbro
- Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Via F. Gallini, 2, Aviano, 33081, Italy
- University of Udine, Viale Ungheria, 49, Udine, 33100, Italy
| | - Sonja Cedrone
- Centro di Riferimento Oncologico di Aviano (CRO) IRCCS, Via F. Gallini, 2, Aviano, 33081, Italy
| |
Collapse
|
6
|
Kuo JC, Liao HY, Chen SP, Pai HC. Workplace Resilience and Stress Among Certified Nursing Assistants in Long-Term Care Institutions During the COVID-19 Pandemic. J Gerontol Nurs 2024; 50:19-26. [PMID: 38959510 DOI: 10.3928/00989134-20240618-04] [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: 07/05/2024]
Abstract
PURPOSE To explore the relationship among resilience, stress, and demographic factors in certified nursing assistants (CNAs) who worked in long-term care institutions during the coronavirus disease 2019 pandemic. METHOD A cross-sectional correlation-based research design was used. Data were collected using a demographic questionnaire, Connor-Davidson Resilience Scale, and Occupational Stress Scale. CNAs from 21 long-term care institutions in Taiwan were recruited. RESULTS This study included 118 female and 26 male CNAs (response rate = 80%). Mean age was 46.8 years. A moderately negative correlation was found between workplace resilience and stress. Overall, being a woman and parent were found to be significantly correlated with CNAs' resilience. Furthermore, resilience and shift work were important predictors of stress. CONCLUSION We suggest that leadership and management pay more attention to CNAs' basic demographic background information. Furthermore, timely, relevant strategies can be provided to enhance resilience and reduce workplace stress. [Journal of Gerontological Nursing, 50(7), 19-26.].
Collapse
|
7
|
Atasayar S, Dinç L. Psychosocial consequences of the COVID-19 pandemic and its effects on professional resilience and self-care on nurses: an example of Ankara. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2024:1-17. [PMID: 38919144 DOI: 10.1080/09603123.2024.2370389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 06/17/2024] [Indexed: 06/27/2024]
Abstract
The COVID-19 pandemic has significantly impacted nurses, who are frontline care providers, with high infection risk, disease transmission to relatives, and adverse psychosocial effects. This descriptive and correlational study examines the psychosocial impact of COVID-19 on 224 nurses, focusing on their professional resilience and self-care during active care of COVID-19 patients from December 2022 to August 2023. Data was collected through demographic information forms, questionnaires, and scales. Structural equation modeling was used for the relational dimension of the study. The mean score of the nurses' COVID-19 Pandemic Psychosocial Impact Scale was 85.43 (SD = 22.08), while the Skovholt Practitioner Professional Resiliency and Self-Care Inventory had a mean score of 135.64 (SD = 19.73). A statistically significant low-level negative relationship between the scale scores (r = -0.220). The COVID-19 pandemic's psychosocial impact scores significantly impact personal vitality and stress, indicating a direct negative effect on these factors, according to structural equation modeling results.
Collapse
Affiliation(s)
- Semra Atasayar
- Nursing Department, Faculty of Health Sciences, Afyonkarahisar Health Sciences University, Afyonkarahisar, Türkiye
| | - Leyla Dinç
- Fundamentals of Nursing Department, Faculty of Nursing, Hacettepe University, Ankara, Türkiye
| |
Collapse
|
8
|
Rasheed SM, Bakhsh LS, Alhameedi RS, Mohidin S. Perceived Stress Among Nurses at a Tertiary Care Teaching Hospital in Saudi Arabia During the COVID-19 Pandemic. Cureus 2024; 16:e55433. [PMID: 38567217 PMCID: PMC10986449 DOI: 10.7759/cureus.55433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/03/2024] [Indexed: 04/04/2024] Open
Abstract
BACKGROUND The stress level of nurses, especially frontline staff, directly impacts their physical and mental health as well as work efficiency. However, few studies have been conducted to understand the stress level of nurses related to the coronavirus disease 2019 (COVID-19) pandemic. AIM The aim of this study is to assess the level of perceived stress among nurses at a tertiary care teaching hospital (King Abdulaziz University Hospital, Jeddah) in Saudi Arabia during the COVID-19 pandemic. METHODS A cross-sectional survey-based descriptive study involved 1044 nurses working at a tertiary care/teaching hospital in Saudi Arabia. The Perceived Stress Scale (PSS) was used to assess nurses' stress levels. The study was conducted in July 2021 by selecting clinical nurses from different nursing units. Considering the current situation of social isolation, an online cross-sectional survey using Google Forms was used. Data analysis was performed using IBM SPSS Statistics for Windows, Version 21 (Released 2012; IBM Corp., Armonk, New York, United States). RESULTS Out of 1044 nursing professionals, 93 (8.9%) reported experiencing low levels of stress, 915 (87.6%) reported moderate levels of stress, and 36 (3.4%) reported high perceived stress during the COVID-19 pandemic. The study found that gender (p=0.001) and nationality (p=0.016) had significant effects on stress levels. The three major causes of stress identified by the nurses were workload, lack of resources, and fear of contracting COVID-19. CONCLUSION Job-related stress continues to be an issue in the nursing workforce. The effects of stress experienced by nurses impact job satisfaction and retention, which, in turn, can affect the quality of patient care. This study highlights that nurses in a tertiary care (COVID care) teaching hospital in our setting often experience stress and anxiety during the pandemic. It is worth noting that this is the first study conducted to understand the level of stress perceived by nursing staff during the COVID-19 pandemic in our current study setting. The findings indicate that a considerable number of nurses experienced moderate levels of stress during COVID-19, which can have implications for patient care. Recognizing and understanding the job-related stressors of nurses can help nurse leaders implement more effective strategies aimed at reducing nurses' stress and subsequently improving patient outcomes.
Collapse
Affiliation(s)
- Sabeena M Rasheed
- Department of Nursing, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU
| | - Lamees S Bakhsh
- Department of Nursing, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU
| | - Reem S Alhameedi
- Department of Nursing, Faculty of Medicine, King Abdulaziz University, Jeddah, SAU
| | | |
Collapse
|
9
|
Hsu CY, Syue JC. Working dilemmas in care for breastfed newborns: An exploratory study in a single center in Taiwan. Work 2024; 78:727-734. [PMID: 38277329 PMCID: PMC11307054 DOI: 10.3233/wor-230249] [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: 05/12/2023] [Accepted: 11/06/2023] [Indexed: 01/28/2024] Open
Abstract
BACKGROUND Clinical medical staff should be aware of and examine the correlation between breastfeeding and neonatal hospitalization. Additional attention should be paid to work dilemmas experienced by the nursing staff caring for newborns to avoid exposing newborns to hospitalization risk. OBJECTIVE The present study investigated the working dilemmas by neonatal nurses caring for breastfed newborns and risk of newborn hospitalization. METHODS This hospital-based study in Taiwan surveyed 84 neonatal nurses using a structured questionnaire entitled "Working Dilemmas in Clinical Care for Breastfed Newborns." RESULTS Collected data were analyzed statistically (descriptive analysis, chi-square test, and t test) using Statistical Package for the Social Sciences (SPSS) software. Neonatal intensive care unit (NICU) staff noted that breastfed newborns showed a high risk of hospitalization and nursery staff highlighted a lack of manpower and time. NICU staff experienced more working dilemmas (117.460±12.260) than nursery staff (87.410±15.820) when caring for breastfed newborns (t = 1.080, P < 0.001). NICU staff reported a higher risk of hospitalization in breastfed newborns and experienced more working dilemmas caring for these patients compared with nursery staff, who reported a lack of manpower and time. CONCLUSION Our findings highlight the working dilemmas by neonatal nurses and can serve as a foundation for further critical studies.
Collapse
Affiliation(s)
- Chen-Yuan Hsu
- Department of Nursing, College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan
| | - Jia-Ci Syue
- Department of Nursing, College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan
| |
Collapse
|
10
|
Garnett A, Hui L, Oleynikov C, Boamah S. Compassion fatigue in healthcare providers: a scoping review. BMC Health Serv Res 2023; 23:1336. [PMID: 38041097 PMCID: PMC10693134 DOI: 10.1186/s12913-023-10356-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 11/20/2023] [Indexed: 12/03/2023] Open
Abstract
The detrimental impacts of COVID-19 on healthcare providers' psychological health and well-being continue to affect their professional roles and activities, leading to compassion fatigue. The purpose of this review was to identify and summarize published literature on compassion fatigue among healthcare providers and its impact on patient care. Six databases were searched: MEDLINE (Ovid), PsycINFO (Ovid), Embase (Ovid), CINAHL, Scopus, Web of Science, for studies on compassion fatigue in healthcare providers, published in English from the peak of the pandemic in 2020 to 2023. To expand the search, reference lists of included studies were hand searched to locate additional relevant studies. The studies primarily focused on nurses, physicians, and other allied health professionals. This scoping review was registered on Open Science Framework (OSF), using the Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) extension to scoping review. From 11,715 search results, 24 met the inclusion criteria. Findings are presented using four themes: prevalence of compassion fatigue; antecedents of compassion fatigue; consequences of compassion fatigue; and interventions to address compassion fatigue. The potential antecedents of compassion fatigue are grouped under individual-, organization-, and systems-level factors. Our findings suggest that healthcare providers differ in risk for developing compassion fatigue in a country-dependent manner. Interventions such as increasing available personnel helped to minimize the occurrence of compassion fatigue. This scoping review offers important insight on the common causes and potential risks for compassion fatigue among healthcare providers and identifies potential strategies to support healthcare providers' psychological health and well-being.
Collapse
Affiliation(s)
- Anna Garnett
- Arthur Labatt Family School of Nursing, Western University, London, ON, Canada.
| | - Lucy Hui
- Medical Sciences, Western University, London, ON, Canada
| | - Christina Oleynikov
- Arthur Labatt Family School of Nursing, Western University, London, ON, Canada
| | - Sheila Boamah
- School of Nursing, McMaster University, Hamilton, ON, Canada
| |
Collapse
|
11
|
Asadi Y, Molazem Z, Mohebbi Z, Ghaemmaghami P. Investigating the relationship between resilience and professional ethics in nurses: a cross-sectional study in southern Iran. BMC Nurs 2023; 22:409. [PMID: 37904119 PMCID: PMC10614398 DOI: 10.1186/s12912-023-01578-1] [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: 08/17/2023] [Accepted: 10/24/2023] [Indexed: 11/01/2023] Open
Abstract
INTRODUCTION All businesses that deal directly with clients need to observe ethics, but in the nursing profession due to its nature, compliance with professional ethics becomes more necessary. On the other hand, nurses face tensions and difficult conditions in their daily work environment. Resilience is one of the most important abilities of human beings, which in difficult conditions causes effective adaptation to stress-causing factors. Therefore, the relationship between resilience and professional ethics becomes important. THE AIM OF THE STUDY The present study was conducted to investigate the relationship between resilience and professional ethics in nurses of Shahid Ganji Hospital, Borazjan 2022-2023. METHODS The current study is a cross-sectional descriptive-analytical study. The study environment was Shahid Ganji Hospital in Borazjan, Bushehr, Iran. The research method of the current study was census, so all 400 nurses of this hospital were invited to participate in the study. Finally, 340 of them were included in the study based on the inclusion criteria. Data collection tools included a demographic information form, Connor-Davidson questionnaire, and Cadozier professional ethics questionnaire. Data analysis was done using SPSS version 22 software. RESULTS Most of the participants were between 25 and 30 years old. The average overall score of resilience and professional ethics of nurses participating in the study was 64.1 ± 16.3 and 34.3 ± 9.4, respectively. No significant difference was observed between the demographic characteristics of nurses with resilience and professional ethics. The Spearman correlation coefficient indicated a statistically significant and inverse relationship between professional ethics and resilience levels (r = -0.265, P < 0.001). CONCLUSION The present study demonstrated a significant and inverse relationship between professional ethics and resilience among nurses. Furthermore, professional ethics were at a moderate level, while resilience was at a good level. Therefore, it is recommended that enhancing professional ethics skills through the organization of educational workshops for nurses should be considered by nursing managers.
Collapse
Affiliation(s)
- Yasaman Asadi
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Molazem
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
| | - Zinat Mohebbi
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Parvin Ghaemmaghami
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
12
|
Atan G. Examination of the level of tolerance of uncertainty and psychological wellness of patients with epilepsy. Epilepsy Behav 2023; 147:109401. [PMID: 37677906 DOI: 10.1016/j.yebeh.2023.109401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 08/07/2023] [Accepted: 08/19/2023] [Indexed: 09/09/2023]
Abstract
AIM This study was conducted to examine the level of intolerance of uncertainty and the psychological well-being of patients with epilepsy (PWE). METHODS This descriptive and cross-sectional study was conducted with 201 patients in a university hospital in Van, which is a province in eastern Turkey. Personal information form, intolerance of uncertainty scale, and the psychological well-being scale were prepared by the researcher in line with the literature and used to collect data. An independent sample t-test, one-way analysis of variance (ANOVA), post hoc (Tukey, LSD), correlation, and regression analyses were used to analyze the data. RESULTS In this study, the mean total score of PWE for the intolerance to uncertainty scale was found as 37.144 ± 9.202. Among the sub-dimensions, the mean prospective anxiety score was found as 21.821 ± 5.416 and the mean inhibitory anxiety score was 15.323 ± 4.695. The mean total score of the psychological well-being scale was found as 28.975 ± 6.622. It was determined that there was a significant relationship between the total score of the intolerance of uncertainty scale and the total score of the psychological well-being scale of the PWE who participated in the study (F = 14.314; p = 0.000 < 0.05). It was observed that the total score of intolerance of uncertainty was decreased as the total level of psychological well-being was increased (ß = -0.186). CONCLUSION It was found that PWE had higher levels of intolerance of uncertainty and lower levels of psychological well-being. It was also determined that the total score of psychological well-being was decreased as the total score of intolerance of uncertainty was increased. RECOMMENDATIONS For preventing the negative consequences of intolerance of uncertainty in PWE, it is recommended to inform nurses to increase the level of psychological well-being as a result of raising awareness about their concerns by conducting studies to increase the level of intolerance to uncertainty. It is also recommended to carry out studies on intolerance of uncertainty and psychological well-being in advanced and larger sample groups.
Collapse
Affiliation(s)
- Gülden Atan
- School of Health, Van Yüzüncü Yıl University, Department of Internal Medicine Nursing, 65000 Van, Turkey.
| |
Collapse
|
13
|
Galanis P, Psomiadi ME, Karagkounis C, Liamopoulou P, Manomenidis G, Panayiotou G, Bellali T. Psychometric Properties of the Greek Version of the Connor-Davidson Resilience Scale (CD-RISC-10) in a Sample of Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6752. [PMID: 37754611 PMCID: PMC10531141 DOI: 10.3390/ijerph20186752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Revised: 08/24/2023] [Accepted: 09/10/2023] [Indexed: 09/28/2023]
Abstract
Resilience has been defined as one's ability to maintain a mental health state and overall well-being when undergoing grave stress or facing significant adversity. Numerous resilience-investigating research tools have been developed over the years, with the Connor-Davidson Resilience Scale (CD-RISC), a self-rated tool presenting valuable psychometric properties, remaining one of the most prominent. We aimed to translate and validate the brief CD-RISC-10 in a convenience sample of 584 nurses in Greece's secondary and tertiary health care system. We conducted a confirmatory factor analysis and known-groups validity test and estimated the reliability of the CD-RISC-10. Our confirmatory factor analysis revealed that the scale had a unifactorial structure since all the model fit indices were very good. Moreover, the reliability of the CD-RISC-10 was very good since the acquired Cronbach's alpha and McDonald's omega were 0.924 and 0.925, respectively. Therefore, the Greek version of the CD-RISC-10 confirmed the factor structure of the original scale and had very good validity and reliability.
Collapse
Affiliation(s)
- Petros Galanis
- Clinical Epidemiology Laboratory, Faculty of Nursing, National and Kapodistrian University of Athens, 11527 Athens, Greece
| | - Maria Elissavet Psomiadi
- Directorate of Operational Preparedness for Public Health Emergencies, Greek Ministry of Health, 10433 Athens, Greece
| | | | - Polyxeni Liamopoulou
- Department of Nursing, School of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece
| | - Georgios Manomenidis
- Nursing Department (Didimoteicho Branch), International Hellenic University, 57400 Thessaloniki, Greece
| | - Georgios Panayiotou
- Laboratory of Exercise, Health and Human Performance, Applied Sport Science Postgraduate Program, Department of Life Sciences, School of Sciences, European University Cyprus, Nicosia P.O. Box 22006, Cyprus;
| | - Thalia Bellali
- Department of Nursing, School of Health Sciences, International Hellenic University, 57001 Thessaloniki, Greece
- Department of Health Sciences, School of Sciences, European University Cyprus, 6, Diogenes Str. Engomi, CY-2404, Nicosia P.O. Box 22006, Cyprus
| |
Collapse
|
14
|
Marair SA, Slater N. Middle Eastern nurses' views/experiences of work and well-being with the support measures during past disease outbreaks and COVID-19: a qualitative systematic review. BMC Nurs 2023; 22:230. [PMID: 37400825 PMCID: PMC10316637 DOI: 10.1186/s12912-023-01343-4] [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: 02/04/2023] [Accepted: 05/17/2023] [Indexed: 07/05/2023] Open
Abstract
BACKGROUND The potential psychological health impact of pandemics on nurses has been increasingly widely recognised, as have recommendations to establish support measures for nurses' well-being. Despite the availability of support measures significant number of nurses still experienced burnout and mental distress during Covid-19. Few efforts have been made in the wider literature to understand how nurses experience well-being support or how they perceive it affects their well-being during pandemics. In the Middle East, understanding and exploring well-being support measures during pandemics from nurses' perspectives has not received significant attention. OBJECTIVE To investigate nurses' perspectives and experiences of well-being support measures during prior pandemics and the Covid-19 pandemic in the Middle East. METHODS A systematic qualitative review was undertaken utilising the JBI model as a framework. Searches were carried out in databases comprised CINAHL, MEDLINE, NUsearch Library of Nottingham University and Google Scholar. Moreover, a manual search through reference lists for relevant studies were carried out. DATA EXTRACTION AND SYNTHESIS Eleven studies were included in the review. The findings from the included qualitative studies were extracted using the JBI-QARI data extraction tool for qualitative research. The results were synthesised using a meta-synthesis in line with the JBI approach. RESULTS The included studies yielded an aggregate of 111 findings and were categorised into 14 categories, followed by four synthesised findings. These were: [1] nurses experienced challenges during MERS, yet different strategies were implemented by leaders and nurses to manage these challenges; [2] some well-being support measures were unfulfilled during Covid-19; [3] additional aspects compounded negatively on nurses' well- being; and [4] nurses showed maturity during Covid-19. CONCLUSION In comparison to prior health emergencies, well-being support measures during Covid-19 were not sufficiently adopted. Nurse policymakers and managers should consider these support measures to correspond with nurses' needs and explore the contextual factors that affect their implementation. TRIAL REGISTRATION PROSPERO (CRD42022344005).
Collapse
Affiliation(s)
- Sara Ahmed Marair
- King Saud Medical City, Riyadh, Saudi Arabia.
- University of Nottingham, Nottingham, NG1 5NT, UK.
| | - Nigel Slater
- University of Nottingham, Nottingham, NG1 5NT, UK
| |
Collapse
|
15
|
Soto-Castellón MB, Leal-Costa C, Pujalte-Jesús MJ, Soto-Espinosa JA, Díaz-Agea JL. Subjective mental workload in Spanish emergency nurses. A study on predictive factors. Int Emerg Nurs 2023; 69:101315. [PMID: 37348237 DOI: 10.1016/j.ienj.2023.101315] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 05/13/2023] [Accepted: 05/25/2023] [Indexed: 06/24/2023]
Abstract
INTRODUCTION Mental workload refers to the cognitive or intellectual requirements that a worker is subjected to in a workday. The objective of the present work was to discover the subjective mental workload of nursing staff at Hospital Emergency Units, and its relationship with sociodemographic, work, environmental factors at the workplace, and personality variables. METHOD A quantitative, descriptive, observational, and crosssectional study was conducted with 201 emergency nurses from 13 different provinces in Spain. Each participant completed 5 questionnaires (sociodemographic, work conditions, environmental conditions, personality, and subjective mental workload). Descriptive statistics were obtained, and Pearson's correlations and multivariate models (multiple linear regression) were performed. RESULTS The nurses had medium to high levels of mental workload. The environmental conditions had a direct relationship with the mental workload, especially with respect to noise and lighting. The participants obtained high scores in kindness, responsibility, openness/intellect, and extraversion. Positive and statistically significant relations were found between neuroticism and mental workload. Being female, older, and having stable employment or a permanent contract were associated with a greater mental workload of emergency nurses. CONCLUSION The domain of neuroticism personality, and the hygienic conditions in the workplace were the predictors with the most weight in the model. This study could be useful for defining aspects that need to be considered for the well-being of emergency nurses, such as lighting conditions or environmental noise in the workplace. It also invites reflection on the influence of personal factors (age, gender, personality) and work factors (type of contract, professional experience) on the mental workload of emergency nurses.
Collapse
Affiliation(s)
- María Belén Soto-Castellón
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - César Leal-Costa
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain.
| | - María José Pujalte-Jesús
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - Jesús Antonio Soto-Espinosa
- Faculty of Nursing, Universidad Católica de Murcia (UCAM), Av. de los Jerónimos, 135, Guadalupe 30107, Murcia, Spain
| | - José Luis Díaz-Agea
- Faculty of Nursing, Universidad de Murcia (UM), Campus de Espinardo, 30100 Murcia, Spain
| |
Collapse
|
16
|
Rahmat I, Pawestri F, Saputro RA, Widianingrum S, Hanifah T. Psychosocial Problems among Psychiatric Nurses for Caring Patients with Mental Disorders during the COVID-19 Pandemic. Nurs Res Pract 2023; 2023:3689759. [PMID: 37441199 PMCID: PMC10335755 DOI: 10.1155/2023/3689759] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 06/17/2023] [Accepted: 06/21/2023] [Indexed: 07/15/2023] Open
Abstract
COVID-19 has a negative effect on the psychological well-being of psychiatric nurses. Thus, examining the psychosocial response of nurses is important for preventing more serious mental health problems and disruption of the quality of nursing care. This study aimed to evaluate the psychosocial problems of nurses who provided nursing care to patients with mental health disorders during the COVID-19 pandemic. A quantitative study with a cross-sectional design was conducted. The 101 nurses at Central Mental Health Hospital who provide nursing care to patients with mental health disorders were recruited through consecutive sampling. The instruments used were the demographic questionnaire, the Expanded Nursing Stress Scale, Zung Self-Rating Anxiety Scale, and The Connor-Davidson Resilience Scale 25. Univariate and bivariate analyses were used to process the data. The mean score of 45.1 (±24.3) was obtained for the ENSS; around 97% of nurses have a work stress score below the average, 4.95% have mild-moderate anxiety, and 28.7% have a low level of resilience. Work stress and contact frequency, work stress and gender, anxiety and contact frequency, as well as resilience and contact frequency all correlated significantly (p value <0.05). The Pearson test showed a significant positive correlation between work stress and anxiety (p: 0.002, r: 0.299). However, there was no significant correlation between anxiety and resilience (p: 0.643, r: 0.47), nor between work stress and resilience (p: 0.643; r: 0.47). Psychosocial disorders that psychiatric nurses face include occupational stress, mild-moderate anxiety, and low resilience. The government can create specific infection control guidelines for the mental health setting, and hospital management or ward leaders can also provide support to psychiatric nurses to increase resilience in reducing psychosocial problems.
Collapse
Affiliation(s)
- Ibrahim Rahmat
- Department of Mental Health and Community, School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Fajar Pawestri
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Ragil Aji Saputro
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Setiyati Widianingrum
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| | - Triana Hanifah
- School of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
| |
Collapse
|
17
|
Gelaw YM, Hanoch K, Adini B. Burnout and resilience at work among health professionals serving in tertiary hospitals, in Ethiopia. Front Public Health 2023; 11:1118450. [PMID: 37346106 PMCID: PMC10279861 DOI: 10.3389/fpubh.2023.1118450] [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: 12/07/2022] [Accepted: 05/16/2023] [Indexed: 06/23/2023] Open
Abstract
Background The quality of healthcare service is strongly affected by the health professionals' levels of burnout and resilience at work (RaW). Developing resilience is a key component of medical professionalism. Although burnout and resilience are indicators used to assess the level of workplace hardship, there is a dearth of information in most developing countries, including Ethiopia. Objective To assess the levels of burnout and 'resilience at work' among health professionals who work in the surgical care departments in teaching Ethiopian hospitals. Methods A cross-sectional study design was applied among health professionals employed in surgical, gynecologic, and obstetric (Gyn/Obs) departments of two acute-care hospitals (n = 388). A structured self-administered English version questionnaire, consisting of validated scales to measure RaW and burnout, was used to collect the data;22 items of Maslach's burnout inventory human service survey tool and 20 items of Win wood's resilience at work' measuring tool" was employed to assess the health professionals' burnout level and Resilience at work, respectively. Linear logistics regression was employed for inferential statistical analysis to identify factors that predict RaW and burnout. Results Burnout syndrome was shown among 101 (26.0%) study participants. Furthermore, 205 (52.8%), 150 (38.7%), and 125 (32.2%) participants presented high emotional exhaustion, high depersonalization, and low personal accomplishment, respectively. Emotional exhaustion was predicted by the participants' profession, the hope of promotion, professional recognition, and workload. Depersonalization was predicted by age, profession, and perceived workload of the participants. The predictors for personal accomplishment were profession, relationship at work, professional recognition, and having a managerial position in addition to clinical duty. The participants' mean RaW score was 78.36 (Standard deviation ±17.78). A negative association was found between RaW and emotional exhaustion and depersonalization. In contrast, a positive association was identified between RaW and personal accomplishment. The type of profession and marital status were positive predictors of RaW. Conclusion A substantial amount of health professionals experience high burnout in one or more burnout dimensions. Level of RaW is more affected by burnout syndrome. Therefore, promoting activities that increase the level of professional RaW and recognition in their professional practice is needed to reduce job burnout. These findings are especially important concerning low socio-economic countries, as resilience is a vital component of the development of healthcare systems.
Collapse
Affiliation(s)
- Yared Mulu Gelaw
- Department of Emergency and Disaster Management, Sackler Faculty of Medicine, School of Public Health, Tel-Aviv University, Tel Aviv, Israel
- Department of Health Service Management, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Kashtan Hanoch
- Department of Health Service Management, School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Bruria Adini
- Department of Surgery, Rabin Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| |
Collapse
|
18
|
Asiri FK, Al Harbi NS, Alanazi MA, Aljuaid MM, Fahlevi M, Heidler P. A cross-sectional study factors associated with resilience among medical staff in radiology departments during COVID-19, Riyadh, Kingdom of Saudi Arabia. BMJ Open 2023; 13:e068650. [PMID: 37202141 DOI: 10.1136/bmjopen-2022-068650] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/20/2023] Open
Abstract
OBJECTIVES This study aims to assess the level of resilience of medical workers in radiology departments in Riyadh, Kingdom of Saudi Arabia, during the COVID-19 outbreak and to explore associated factors. SETTING Medical staff, including nurses, technicians, radiology specialists and physicians, working in radiology departments at government hospitals in Riyadh, Saudi Arabia during the COVID-19 outbreak. DESIGN A cross-sectional study. PARTICIPANTS The study was conducted among 375 medical workers in radiology departments in Riyadh, Kingdom of Saudi Arabia. The data collection took place from 15 February 2022 to 31 March 2022. RESULTS The total resilience score was 29.37±6.760 and the scores of each dimension showed that the higher mean score was observed in the domain of 'flexibility', while the lowest was observed in 'maintaining attention under stress'. Pearson's correlation analysis showed that there was a significant negative correlation between resilience and perceived stress (r=-0.498, p<0.001). Finally, based on multiple linear regression analysis, factors affecting resilience among participants are the availability of psychological hotline (available, B=2.604, p<0.050), knowledge of COVID-19 protective measures (part of understanding, B=-5.283, p<0.001), availability of adequate protective materials (partial shortage, B=-2.237, p<0.050), stress (B=-0.837, p<0.001) and education (postgraduate, B=-1.812, p<0.050). CONCLUSIONS This study sheds light on the level of resilience and the factors that contribute to resilience in radiology medical staff. Moderate levels of resilience call for health administrators to focus on developing strategies that can effectively help cope with workplace adversities.
Collapse
Affiliation(s)
| | - Nouf Sahal Al Harbi
- Department of Health Administration, King Saud University, Riyadh, Saudi Arabia
| | - Manal Abdullah Alanazi
- Department of Diagnostic Radiology, Prince Sultan Military Hospital, Riyadh, Saudi Arabia
| | - Mohammed M Aljuaid
- Department of Health Administration, King Saud University, Riyadh, Saudi Arabia
| | - Mochammad Fahlevi
- Management Department, BINUS Online Learning, Bina Nusantara University, Jakarta, 11480, Indonesia
| | - Petra Heidler
- Institute of International Trade and Sustainable Economy, IMC University of Applied Sciences Krems, Krems, Austria
| |
Collapse
|
19
|
Sun T, Huang XH, Zhang SE, Yin HY, Li QL, Gao L, Li Y, Li L, Cao B, Yang JH, Liu B. Fatigue as a Cause of Professional Dissatisfaction Among Chinese Nurses in Intensive Care Unit During COVID-19 Pandemic. Risk Manag Healthc Policy 2023; 16:817-831. [PMID: 37187922 PMCID: PMC10178901 DOI: 10.2147/rmhp.s391336] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 04/13/2023] [Indexed: 05/17/2023] Open
Abstract
Aim To clarify the mediating role of burnout and the moderating role of turnover intention in the association between fatigue and job satisfaction among Chinese nurses in intensive care units (ICU) during the COVID-19 pandemic. Methods A cross-sectional survey of fifteen provinces in China was conducted, using an online questionnaire, from December 2020 to January 2021, during the COVID-19 pandemic. A total of 374 ICU nurses (effective response rate: 71.37%) provided sufficient responses. Sociodemographic factors, job demographic factors, fatigue, burnout, job satisfaction, and turnover intention were assessed using questionnaires. General linear modeling (GLM), hierarchical linear regression (HLR) analysis, and generalized additive modeling (GAM) were performed to examine all the considered research hypotheses. Results Fatigue was found to be negatively and significantly associated with job satisfaction. Moreover, burnout played a partial mediating role and turnover intention played a moderating role in the relationship between fatigue and job satisfaction. Conclusion Over time, a state of physical and mental exhaustion and work weariness among Chinese ICU nurses potentially results in job burnout and consequently promotes the level of job dissatisfaction. The results also found that turnover intention played a moderating role in the relationship between burnout and job satisfaction. Specific policies could be considered to eliminate nurses' fatigue and negative attitudes during times of public health emergencies.
Collapse
Affiliation(s)
- Tao Sun
- Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Xian-Hong Huang
- Department of Health Policy and Management, School of Public Health, Hangzhou Normal University, Hangzhou, 311121, People’s Republic of China
| | - Shu-E Zhang
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China
| | - Hong-Yan Yin
- Department of Humanities and Social Sciences, Harbin Medical University (Daqing), Daqing, 163319, People’s Republic of China
| | - Qing-Lin Li
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China
| | - Lei Gao
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China
| | - Ye Li
- Department of Health Management, School of Health Management, Harbin Medical University, Harbin, 150081, People’s Republic of China
| | - Li Li
- Department of Administration, School of Law, Zhejiang University City College, Hangzhou, 310015, People’s Republic of China
| | - Bing Cao
- Department of Oncology, Weifang People’s Hospital, Weifang, 261000, People’s Republic of China
| | - Jin-Hong Yang
- Key Laboratory of Cognition and Personality, Faculty of Psychology, Ministry of Education, Southwest University, Chongqing, 400715, People’s Republic of China
| | - Bei Liu
- Global Center for Infectious Disease and Policy Research, Peking University, Beijing, 100191, People’s Republic of China
| |
Collapse
|
20
|
Emirza S, Yılmaz Kozcu G. Protecting healthcare workers' mental health against COVID-19-related stress: The effects of stress mindset and psychological resilience. Nurs Health Sci 2023. [PMID: 37098413 DOI: 10.1111/nhs.13018] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2022] [Revised: 02/20/2023] [Accepted: 03/28/2023] [Indexed: 04/27/2023]
Abstract
Healthcare workers have been on the frontline of the battle against COVID-19 disease. However, this has taken a toll on them, resulting in elevated stress and poor mental health. We argue that healthcare workers' stress mindset and resilience could mitigate negative outcomes of COVID-19-related stress by helping them view this stressful situation in a more positive light and appraise it as a challenge rather than a threat. Accordingly, we hypothesized that both a stress-is-enhancing mindset about COVID-19-related stress and resilience would improve healthcare workers' appraisal of their personal resources and increase their challenge appraisals, positively contributing to their mental health. We collected data from 160 healthcare workers and performed structural equation modeling for hypothesis testing. The results indicate that both a stress-is-enhancing mindset about COVID-19-related stress and psychological resilience are indirectly related to better mental well-being and lower health-related anxiety through challenge appraisals. This study contributes to research in mental health by suggesting that protecting and promoting healthcare workers' mental health is possible by empowering them through increasing personal resources such as a positive mindset about stressful situations and resilience.
Collapse
Affiliation(s)
- Sevgi Emirza
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
| | - Gizem Yılmaz Kozcu
- Department of Business Administration, Dokuz Eylül University, İzmir, Turkey
| |
Collapse
|
21
|
Shahrbabaki PM, Abolghaseminejad P, Lari LA, Zeidabadinejad S, Dehghan M. The relationship between nurses' psychological resilience and job satisfaction during the COVID-19 pandemic: a descriptive-analytical cross-sectional study in Iran. BMC Nurs 2023; 22:137. [PMID: 37098504 PMCID: PMC10126562 DOI: 10.1186/s12912-023-01310-z] [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: 01/22/2023] [Accepted: 04/17/2023] [Indexed: 04/27/2023] Open
Abstract
BACKGROUND Job satisfaction and factors affecting them are among the most important social issues. Resilience has a moderating role in the relationship between stress and diseases, so it can affect a person's job satisfaction because it enables a person to deal with adverse conditions. This study aimed to investigate the relationship between nurses' psychological resilience and job satisfaction during the COVID-19 outbreak. METHODS This descriptive-analytical cross-sectional study (2022) used convenience sampling to select 300 nurses. The Connor and Davidson Resilience Scale and Minnesota Satisfaction Questionnaire were used to collect data. The data were then analyzed with SPSS 22 and statistical methods (Independent t-test, Analysis of Variance, Pearson correlation coefficient, and Multiple linear regression). RESULTS The study results showed a positive and poor relationship between resilience, some of its dimensions (trust in individual instincts, tolerance of negative affect (p = 0.006), positive acceptance of change and secure relationships (p = 0.01), spiritual influences (p = 0.04)) and job satisfaction (p < 0.001). In other words, nurses' high level of resilience increased their job satisfaction and vice versa. CONCLUSIONS Enhancing the resilience of frontline nurses during the COVID-19 pandemic improved their job satisfaction and affected care provided by them. Nurse managers can control nurses' resilience and offer interventions that would strengthen it, especially at crises.
Collapse
Affiliation(s)
| | | | - Leyla Ahmadi Lari
- Department of Nursing, School of Nursing, Larestan University of Medical Sciences, Larestan, Iran
| | | | - Mahlagha Dehghan
- Nursing Research Center, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
22
|
Sacgaca L, Gonzales A, Alkubati S, Alrashidi N, Alreshidi MS, Pasay-an E, Hernandez JP, Alboliteeh M, Ramadan MY, Al Onezei AK, Lim-Lagura GA, Mostoles R, Saguban R. The Impact of Mental Well-Being, Stress, and Coping Strategies on Resilience among Staff Nurses during COVID-19 in Saudi Arabia: A Structural Equational Model. Healthcare (Basel) 2023; 11:healthcare11030368. [PMID: 36766943 PMCID: PMC9913963 DOI: 10.3390/healthcare11030368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 01/22/2023] [Accepted: 01/24/2023] [Indexed: 01/31/2023] Open
Abstract
Previous studies have revealed various factors related to nurses' resilience and predictors of resilience. However, there are no studies analysing the association of three variables-mental well-being, coping strategies, and stress-with resilience. This study aims to assess the impact of mental well-being, levels of stress, and coping strategies on resilience using path analysis. This study used a cross-sectional approach that involved 763 nurses from 16 major hospitals in the eastern and northern regions of Saudi Arabia during the COVID-19 pandemic. The data gathering was conducted from August to November 2022. The staff nurses possessed positive mental wellness (3.75 ± 1.08), moderate stress levels (3.06 ± 1.21), adequate coping skills (3.33 ± 1.23), and a low level of resilience (2.90 ± 1.040). Age had a small effect on resilience (β = 0.040; p < 0.001) but work experience (β = -0.019; p > 0.139) and marital status (β = 0.019; p > 0.072) were not significant. Conversely, mental well-being (β = 0.043; p < 0.001) and stress (β = -0.089; p < 0.001) had a small effect on resilience, but coping strategies (β = 0.561; p < 0.001) had a large effect on resilience. Therefore, coping strategies must be reinforced at all times to assist nurses and other healthcare professionals in identifying contributing elements that maintain these workers' resilience in the face of unforeseen and protracted pandemics and other life events.
Collapse
Affiliation(s)
- Lailani Sacgaca
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | - Analita Gonzales
- Department of Nursing, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk 71491, Saudi Arabia
| | - Sameer Alkubati
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
- Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Al-Hudaydah P.O. Box 3114, Yemen
| | - Nojoud Alrashidi
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
| | | | | | | | | | - Magda Yousif Ramadan
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | - Ameera Khaled Al Onezei
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | | | - Romeo Mostoles
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
- Correspondence:
| | - Reynita Saguban
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
| |
Collapse
|
23
|
Krommer E, Ablöscher M, Klemm V, Gatterer C, Rösner H, Strametz R, Huf W, Ettl B. Second Victim Phenomenon in an Austrian Hospital before the Implementation of the Systematic Collegial Help Program KoHi: A Descriptive Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1913. [PMID: 36767279 PMCID: PMC9915153 DOI: 10.3390/ijerph20031913] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 01/17/2023] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: The Second Victim Phenomenon (SVP) is widespread throughout health care institutions worldwide. Second Victims not only suffer emotional stress themselves; the SVP can also have a great financial and reputational impact on health care institutions. Therefore, we conducted a study (Kollegiale Hilfe I/KoHi I) in the Hietzing Clinic (KHI), located in Vienna, Austria, to find out how widespread the SVP was there. (2) Methods: The SeViD (Second Victims in Deutschland) questionnaire was used and given to 2800 employees of KHI, of which 966 filled it in anonymously. (3) Results: The SVP is prevalent at KHI (43% of the participants stated they at least once suffered from SVP), although less prevalent and pronounced than expected when compared to other studies conducted in German-speaking countries. There is still a need for action, however, to ensure a psychologically safer workspace and to further prevent health care workers at KHI from becoming psychologically traumatized.
Collapse
Affiliation(s)
- Elisabeth Krommer
- Karl Landsteiner Institute for Clinical Risk Management, Wolkersbergenstraße 1, 1130 Vienna, Austria
| | - Miriam Ablöscher
- Karl Landsteiner Institute for Clinical Risk Management, Wolkersbergenstraße 1, 1130 Vienna, Austria
| | - Victoria Klemm
- Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden Business School, RheinMain UAS, Bleichstr. 44, 65183 Wiesbaden, Germany
| | - Christian Gatterer
- Karl Landsteiner Institute for Clinical Risk Management, Wolkersbergenstraße 1, 1130 Vienna, Austria
| | - Hannah Rösner
- Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden Business School, RheinMain UAS, Bleichstr. 44, 65183 Wiesbaden, Germany
| | - Reinhard Strametz
- Wiesbaden Institute for Healthcare Economics and Patient Safety (WiHelP), Wiesbaden Business School, RheinMain UAS, Bleichstr. 44, 65183 Wiesbaden, Germany
| | - Wolfgang Huf
- Karl Landsteiner Institute for Clinical Risk Management, Wolkersbergenstraße 1, 1130 Vienna, Austria
| | - Brigitte Ettl
- Karl Landsteiner Institute for Clinical Risk Management, Wolkersbergenstraße 1, 1130 Vienna, Austria
| |
Collapse
|
24
|
Lin H, Li Z, Yan M. Burn-out, emotional labour and psychological resilience among gastroenterology nurses during COVID-19: a cross-sectional study. BMJ Open 2022; 12:e064909. [PMID: 36585132 PMCID: PMC9808751 DOI: 10.1136/bmjopen-2022-064909] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVES To investigate the relationship between burn-out, emotional labour and psychological resilience of gastroenterology nurses during the COVID-19 pandemic and explore the factors associated with these specific variables. DESIGN A multicentre cross-sectional study with anonymous self-reporting was conducted from 24 November 2021 to 26 December 2021. SETTING The study was conducted in Fujian Province, China. PARTICIPANTS The participants were 345 gastroenterology nurses from 7 tertiary hospitals. PRIMARY AND SECONDARY OUTCOME MEASURES Burn-out, emotional labour and psychological resilience were the primary outcome measures. Using a convenience sampling method, the data were collected using Questionnaire Star (a tool for questionnaire surveys) via WeChat. The Chinese version of the Maslach Burnout Inventory, the Chinese version of the Emotional Labour Scale and the Chinese version of the Psychological Resilience Scale were used to evaluate burn-out, emotional labour and psychological resilience, respectively. RESULTS The total scores for burn-out, emotional labour and psychological resilience in gastroenterology nurses were 53.07±19.63, 38.79±12.22 and 69.97±22.38, respectively, with less use of deep acting and more use of surface acting. Pearson correlation analysis showed that burn-out was positively correlated with two dimensions of emotional labour; surface acting and emotional expression, and negatively correlated with deep acting. There was a negative correlation between emotional labour and all three dimensions of psychological resilience. CONCLUSIONS Greater adoption of deep acting by nurses can be promoted by improving their psychological resilience during events such as the COVID-19 pandemic, which can help improve emotional labour, thereby reducing burn-out and decreasing turnover rates. Senior management in hospitals must pay attention to nurses' psychological status. Further interventional studies could be conducted in the future to explore relevant measures.
Collapse
Affiliation(s)
- Huayan Lin
- Department of Gastrointestinal Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
- Department of Gastrointestinal Surgery, National Regional Medical Center, Binhai Campus of the First Afiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
| | - Zhangjie Li
- The School of Nursing, Fujian Medical University, Fuzhou, Fujian, China
| | - Mengting Yan
- Department of Gastrointestinal Surgery, the First Affiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
- Department of Gastrointestinal Surgery, National Regional Medical Center, Binhai Campus of the First Afiliated Hospital, Fujian Medical University, Fuzhou, Fujian, China
| |
Collapse
|
25
|
Wong ELY, Qiu H, Chien WT, Wong CL, Chalise HN, Hoang HTX, Nguyen HT, Wang SF, Lee JT, Chen YN, Chan PKS, Wong MCS, Cheung AWL, Yeoh EK. Comparison of Resilience Among Healthcare Workers During the COVID-19 Pandemics: A Multinational Cross-Sectional Survey in Southeast Asian Jurisdictions. Int J Public Health 2022; 67:1605505. [PMID: 36618431 PMCID: PMC9811508 DOI: 10.3389/ijph.2022.1605505] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2022] [Accepted: 12/05/2022] [Indexed: 12/24/2022] Open
Abstract
Objectives: To examine the level of resilience among the frontline healthcare workers (HCWs) in four different Southeast Asian jurisdictions and identify the potential factors that may enhance healthcare workers resilience. Methods: An online cross-sectional survey was carried out among 3,048 eligible healthcare workers in Hong Kong, Nepal, Vietnam, and Taiwan from May 2021 to July 2022, and information on individual resilience, socio-demographic characteristics, organizational supports, and personal exposures were collected. A binary logistic regression model was used to identify the factors that were associated with a high resilience level. Results: The resilience score was the highest among healthcare workers of Vietnam, followed by Taiwan and Hong Kong, with Nepal scoring the lowest. Participants with old age, part-time work, higher education level, more satisfaction with workplace policy, better organizational supports, and fewer COVID-specific worries were associated with higher resilience. Healthcare workers who were satisfied with the overall organizational policy support had an OR of 1.48 (95% CI: 1.25-1.76) for a high resilience level. Conclusion: Implementing satisfying organizational policies and establishing supportive work environments for frontline healthcare workers can increase individual resilience and organizational stability.
Collapse
Affiliation(s)
- Eliza Lai-yi Wong
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,*Correspondence: Eliza Lai-yi Wong,
| | - Hong Qiu
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Wai Tong Chien
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Cho Lee Wong
- The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Hom Nath Chalise
- Department of Public Health, Nobel College, Affiliated to Pokhara University, Kathmandu, Nepal
| | | | | | - Shu-Fang Wang
- Department of Nursing, Tzu Chi University of Science and Technology, Hualien city, Taiwan
| | - Jian Tao Lee
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan,Nursing Department, Chang Gung Memorial Hospital, Linkou Branch, Tao-Yuan, Taiwan
| | - Yu-Nu Chen
- School of Nursing, College of Medicine, Chang Gung University, Tao-Yuan, Taiwan
| | - Paul Kay-sheung Chan
- Department of Microbiology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Stanley Ho Centre for Emerging Infectious Diseases, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Martin Chi-sang Wong
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Centre for Health Education and Health Promotion, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Annie Wai-ling Cheung
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| | - Eng-kiong Yeoh
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China,Centre for Health Systems and Policy Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, China
| |
Collapse
|
26
|
Chen Y, Zeng X, Tao L, Chen J, Wang Y. The influence of arts engagement on the mental health of isolated college students during the COVID-19 outbreak in China. Front Public Health 2022; 10:1021642. [PMID: 36457314 PMCID: PMC9706106 DOI: 10.3389/fpubh.2022.1021642] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2022] [Accepted: 10/20/2022] [Indexed: 11/16/2022] Open
Abstract
Objectives The COVID-19 pandemic significantly impacted the mental health of college students. This study aimed to investigate the buffering effect of arts engagement on anxiety and resilience in college students during the COVID-19 pandemic. Study design A cross-sectional study. Methods The data were collected via an online survey during a wave of SARS-CoV-2 infections in Shanghai (March 15 to April 15, 2022). In total, 2,453 college students throughout China reported general anxiety symptom levels (according to the GAD-7), resilience (according to the Connor-Davidson Resilience Scale), frequency of receptive arts engagement in the previous year, exposure to risk situations, and behavioral changes due to the pandemic. Results During the current stage of the pandemic, 43.7% of college students suffered from varying degrees of anxiety, and 2.6% showed severe anxiety. Gender and learning stage were not associated with anxiety. Hierarchical regression analysis showed that the decision to return to academic institution, the degree of exposure to COVID-19, and the frequency of accepting art participation and resilience could significantly predict the anxiety level of college students. Gender, study stage, behavioral changes arising from COVID-19, and exposure to COVID-19 significantly predict the resilience level of college students. There was an association between high frequency music activities, reading activities and low anxiety level (p < 0.001). There was an association between high frequency digital art, music activities, reading and high resilience (p < 0.01). Conclusions Arts engagement appears to help students cope with mental health problems and those at risk. Policymakers should encourage college students to participate in art activities, especially in the context of social distancing.
Collapse
Affiliation(s)
- Yanying Chen
- Department of Industrial Design, School of Architecture and Art, Central South University, Changsha, China
| | - Xue Zeng
- Department of Industrial Design, School of Architecture and Art, Central South University, Changsha, China
| | - Lijian Tao
- Department of Nephrology, Xiangya Hospital, Central South University, Changsha, China
| | - Junxiang Chen
- Department of Nephrology, Hunan Key Laboratory of Kidney Disease and Blood Purification, The Second Xiangya Hospital, Central South University, Changsha, China
- Xiangya Medical College, Central South University, Changsha, China
| | - Yuhui Wang
- Department of Industrial Design, School of Architecture and Art, Central South University, Changsha, China
| |
Collapse
|
27
|
Ghahramani S, Bagheri Lankarani K, Ahmadi Marzaleh M, Sayari M, Moradi H. Resilient Nurses in the COVID-19 Compared With Non-COVID-19 Wards. Disaster Med Public Health Prep 2022; 17:e351. [PMID: 36325879 PMCID: PMC10019928 DOI: 10.1017/dmp.2022.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
INTRODUCTION Owing to daily exposure to high job stress, nurses need to use coping techniques. One of the coping strategies helping a person to cope with stressful situations effectively is resiliency skills. The aim of this cross-sectional study was to examine the factors related to nurses' resiliency during the coronavirus disease 2019 (COVID-19) epidemic. METHODS The resiliency of 288 nurses, 145 nurses from the COVID-19 wards , and 143 nurses from other wards were compared using 25-item Connor & Davidson Resilience Questionnaire. This study was conducted in 2021 in four referral hospitals at Shiraz. RESULTS The mean age of participants was 32 y. The average resilience score in the in the participants worked in COVID-19 wards was 95.30 for men and 87.72 for women, and in the non-COVID-19 wards was 85.82 for men and 88.48 for women. The mean resiliency scores of nurses working in COVID-19 and non-COVID-19 wards did not show a statistically significant difference. Factors affecting resilience included age, employment status, gender, and job expectancy. CONCLUSIONS In this study, the resiliency of nurses working in COVID-19 wards did not differed from that of working in non-COVID-19 ones. This result should be further investigated and elaborated. Health policymakers should consider job expectation, gender, age, and employment status of nurses when making plans for future pandemics.
Collapse
Affiliation(s)
- Sulmaz Ghahramani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Kamran Bagheri Lankarani
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Milad Ahmadi Marzaleh
- Department of Health in Disasters and Emergencies, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Sayari
- Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Hekmatollah Moradi
- Department of Health in Disasters and Emergencies, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran
- Corresponding author: Hekmatollah Moradi,
| |
Collapse
|
28
|
Corbaz-Kurth S, Juvet TM, Benzakour L, Cereghetti S, Fournier CA, Moullec G, Nguyen A, Suard JC, Vieux L, Wozniak H, Pralong JA, Weissbrodt R, Roos P. How things changed during the COVID-19 pandemic's first year: A longitudinal, mixed-methods study of organisational resilience processes among healthcare workers. SAFETY SCIENCE 2022; 155:105879. [PMID: 35891964 PMCID: PMC9304155 DOI: 10.1016/j.ssci.2022.105879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 07/18/2022] [Indexed: 05/14/2023]
Abstract
COVID-19 had a huge impact on healthcare systems globally. Institutions, care teams and individuals made considerable efforts to adapt their practices. The present longitudinal, mixed-methods study examined a large sample of healthcare institution employees in Switzerland. Organisational resilience processes were assessed by identifying problematic real-world situations and evaluating how they were managed during three phases of the pandemic's first year. Results highlighted differences between resilience processes across the different types of problematic situations encountered by healthcare workers. Four configurations of organisational resilience were identified depending on teams' performance and ability to adapt over time: "learning from mistakes", "effective development", "new standards" and "hindered resilience". Resilience trajectories differed depending on professional categories, hierarchical status and the problematic situation's perceived severity. Factors promoting or impairing organisational resilience are discussed. Findings highlighted the importance of individuals', teams' and institutions' meso- and micro-level adaptations and macro-level actors' structural actions.
Collapse
Affiliation(s)
- Sandrine Corbaz-Kurth
- Haute École Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Delémont and Neuchâtel, Switzerland
- Geneva University Hospitals, Geneva, Switzerland
| | - Typhaine M Juvet
- Haute École Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Delémont and Neuchâtel, Switzerland
| | | | | | | | - Gregory Moullec
- School of Public Health, University of Montréal, Quebec, Canada
| | - Alice Nguyen
- School of Public Health, University of Montréal, Quebec, Canada
| | | | - Laure Vieux
- Geneva University Hospitals, Geneva, Switzerland
| | | | | | | | - Pauline Roos
- Haute École Arc Santé, University of Applied Sciences and Arts Western Switzerland (HES-SO), Delémont and Neuchâtel, Switzerland
| |
Collapse
|
29
|
Emerging Nurse Manager’s Resilience and Their Empowering Behavior during COVID-19. PSYCH 2022. [DOI: 10.3390/psych4040058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Background: The COVID-19 pandemic exacerbated tensions and tested the resiliency of many nursing leaders. Resilience enables head nurses to cope with their work environment challenges, and maintain healthy psychological activity. Moreover, their empowering behavior represents the vehicle to transform traumatic events such as the COVID-19 pandemic to create a high-quality work environment. Aim: To explore the relationship between nurse manager resilience and empowering leader behavior during COVID-19. Method: This is a descriptive correlational study. The study subjects consisted of two groups: head nurses (44) and staff nurses (284). The study was conducted at Benisuef University Hospital. Two tools were used for collecting data; nurse managers’ resilience scale, and staff nurses’ perceived empowering behavior during the COVID-19 pandemic via questionnaire. Results: In total, 50% of nurse managers had high resilience skills levels, about one-third of them (34.1%) had moderate levels and only 15.9% had low resilience skills levels. Furthermore, with regard to empowering leadership behavior levels as perceived by staff nurses during COVID-19; 66.9% of them perceived it high, 29.2% reported a moderate level of empowering behavior, and only 3.9% perceived low levels. Finally, there was a highly statistically significant positive correlation between nurse manager’s resilience skills levels and staff nurses’ perception of empowering behavior during COVID-19. Conclusions: Half of the nurse managers had high resilience skills, and only 15.9% had low levels. Two-thirds of staff nurses perceived high levels of their nurse manager’s empowering behavior during COVID-19, in comparison to only 3.9% who perceived low levels. There was a highly statistically significant positive correlation between nurse manager’s resilience skills levels and perceived empowering behavior during COVID-19.
Collapse
|
30
|
Karimi Khordeh N, Dehvan F, Dalvand S, Repišti S, Ghanei Gheshlagh R. The COVID-19 fear, anxiety, and resilience among emergency nurses. Front Psychol 2022; 13:999111. [PMID: 36118421 PMCID: PMC9479324 DOI: 10.3389/fpsyg.2022.999111] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 08/15/2022] [Indexed: 11/21/2022] Open
Abstract
Background Besides physical complications, COVID-19 is associated with psychological issues such as fear and anxiety. High resilience in nurses enables them to adopt positive coping mechanisms and successfully operate in the stressful environment of COVID-19 wards. The present study aimed to evaluate the correlation between COVID-19 fear and anxiety with resilience in the emergency nurses of the hospital affiliated with Kurdistan University of Medical Sciences (west of Iran) in 2021. Materials and methods This cross-sectional study was conducted on 295 emergency nurses of selected hospitals in Kurdistan province, Iran, in 2021. Data were collected using a demographic questionnaire, Fear of COVID-19 Scale (FCV-19S), Corona Disease Anxiety Scale (CDAS), and Connor-Davidson Resilience Scale (CD-RISC). Data analysis was performed in R software version 3.6.3. Results The mean scores of resilience, COVID-19 fear, and COVID-19 anxiety were 55.07 ± 19.82 (ranging from 0 to 100), 20 ± 7.37 (ranging from 7 to 35) and 36.48 ± 13.21 (ranging from 18 to 54) respectively. There was a negative and significant correlation between resilience with COVID-19 fear (r = -0.449, p = 0.001), COVID-19 anxiety (r = 0.458, p = 0.001). A significant correlation was observed between COVID-19 fear and anxiety, which indicated that if the other demographic variables remained unchanged, a one-unit increase in COVID-19 fear and anxiety decreased the mean resilience score by -0.66 (P = 0.008) and -0.34 (P = 0.015), respectively. Conclusion COVID-19 fear and anxiety were significantly correlated. Therefore, providing training courses for promoting resilience could reduce the fear and anxiety of nurses during the COVID-19 pandemic.
Collapse
Affiliation(s)
- Negar Karimi Khordeh
- Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Fazel Dehvan
- Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| | - Sahar Dalvand
- Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Selman Repišti
- Psychiatric Clinic, Clinical Center of Montenegro, Podgorica, Montenegro
| | - Reza Ghanei Gheshlagh
- Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
| |
Collapse
|
31
|
da Silva RL, da Silva LB, Silva ANA. Relationship between mental workload and hospital infection in the ICU. Work 2022; 73:915-925. [DOI: 10.3233/wor-205266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Nursing is among the most stressful professions. Studies that examine possible factors that influence the mental workload (MWL) of nurses are of fundamental importance, because through these results, efforts can be concentrated on improving their working conditions more efficiently. OBJECTIVE: To investigate the influence of hospital infection on the MWL of nurses in an intensive care unit (ICU). METHOD: Cross-sectional and descriptive study, with a quantitative approach. Three research instruments were used: a sociodemographic questionnaire, the NASA Task Load Index (NASA-TLX) and the Nursing Work Index-Revised Brazilian version (B-NWI-R). The sample consisted of 30 nurses from the ICU of a public hospital in João Pessoa city, Brazil, during the daytime period, and the Spearman correlation test (α= 0,05) was applied to verify associations. RESULTS: There was a high MWL among nurses, with a NASA-TLX weighted average of 66.38 (SD±15.0). Correlations were found between the levels of hospital infection in the ICU and the MWL of the nurses (r = 0.654, p < 0.01); in the nurses’ care of patients with urinary tract infection, the correlation is 0.546, p < 0.01; if care is provided to patients with lung problems, the correlation is 0.563, p < 0.01 The ICU presented a favorable environment to nursing practices, with means lower than 2.5, according to the B-NWI-R. CONCLUSION: The MWL of the nurses was associated with the hospital infection levels of the intensive care sector studied. It was found that the MWL of nurses in relation to hospital infection in the ICU increased by 42.8% . This MWL is impacted by 29.8% when nurses’ care is linked to patients with urinary infection. But if care is provided to patients with lung problems, this percentage rises to 31.7%
Collapse
Affiliation(s)
- Ravenna Leite da Silva
- Postgraduate Program in Production Engineering, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Luiz Bueno da Silva
- Department of Production Engineering, Postgraduate Program in Civil and Environmental Engineering, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| | - Aryelle Nayra Azevedo Silva
- Postgraduate Program in Civil and Environmental Engineering, Federal University of Paraiba (UFPB), João Pessoa, Paraíba, Brazil
| |
Collapse
|
32
|
Jafarianamiri SR, Qalehsari MQ, Zabihi A. Investigating the professional identity and resilience in nursing students during the COVID-19 pandemic. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:151. [PMID: 35847152 PMCID: PMC9277752 DOI: 10.4103/jehp.jehp_388_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2021] [Accepted: 08/24/2021] [Indexed: 06/15/2023]
Abstract
BACKGROUND Professional identity includes the values and beliefs of a nurse that guide her thinking, action, and interaction with patients. The stressful conditions of the COVID-19 pandemic may have affected nursing students' resilience and attitudes toward their profession. Therefore, the aim of this study was to investigate the professional identity and resilience in nursing students during the COVID-19 pandemic. MATERIALS AND METHODS This cross-sectional descriptive study was performed in November and December 2020 with the participation of all nursing students of Babol University of Medical Sciences who spent at least one semester of internship in a hospital during the COVID-19 pandemic. Data were collected using demographic questionnaire, Connor-Davidson resilience scale, and nursing students' professional identity scale. Data analysis was performed using independent t-test, ANOVA, and correlation tests at a significance level of 0.05. RESULTS Nursing students in the 3rd, 5th, and 7th semesters have spent a minimum of 13 and a maximum of 151 days of internship during the pandemic period. The mean score of professional identity of nursing students was 61.86 ± 9.34 and their mean resilience score was 32.08 ± 13.54. The resilience score of 92% of students was below 50. Professional identity was significantly stronger, and resilience was considerably higher in students who were satisfied with their profession and lived with their families (P < 0.05). In other words, students with higher professional identity scores had higher resilience (r = 0.39, P = 0.000). CONCLUSION Despite a good professional identity score, the resilience of nursing students during the COVID-19 pandemic is low. Therefore, professors and the clinical education system should provide more support for students in such stressful times as the COVID-19 pandemic period.
Collapse
Affiliation(s)
- Seyedeh Roghayeh Jafarianamiri
- Department of Medical and Surgical Nursing, Nursing Care Research Center, Nursing and Midwifery School, Babol University of Medical Sciences, Babol, Iran
| | - Mojtaba Qanbari Qalehsari
- Department of Medical and Surgical Nursing, School of Nursing and Midwifery, Babol University of Medical Sciences, Babol, Iran
| | - Ali Zabihi
- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| |
Collapse
|
33
|
Loscalzo Y, Shamai O, Eshet Y. The assessment of heavy work investment: Psychometric properties of the WI-10 on a sample of Israeli workers. Work 2022; 72:171-180. [DOI: 10.3233/wor-205110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: Heavy Work Investment (HWI) is a construct that covers both positive and negative behaviors characterized by a high investment of time and energy in working (work engagement and workaholism, respectively). In the literature, it has been introduced, recently, the Work-related Inventory (WI-10) that allows evaluating four types of worker, three of which are HWIs: disengaged workaholics, engaged workaholics, engaged workers, and detached workers. OBJECTIVE: This study aims to validate the Hebrew WI-10 on Israeli workers. METHODS: We recruited a convenient sample of 459 workers (about half females and half males) with a mean age of 37.12±10.33. We performed Confirmatory Factor Analysis, convergent and divergent validity analyses. Finally, we calculated the cut-off scores corresponding to high and low workaholism and work engagement. RESULTS: We found support for the 10-item (2 filler) and 2-factor structure (Workaholism and Work Engagement) of the WI-10, as well as for its good psychometric properties. CONCLUSIONS: The WI-10 may be used in future research aimed at disentangling the question about the positive and adverse effects that might be associated with different types of HWI.
Collapse
Affiliation(s)
- Yura Loscalzo
- Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy
| | - Orit Shamai
- Faculty of Management, Business Administration Department, Center for the Study of Organizations & Human Resource Management, University of Haifa, Haifa, Israel
| | - Yovav Eshet
- Zefat Academic College, Faculty of Social Sciences, Department of Multidisciplinary Studies, Safed, Israel
| |
Collapse
|
34
|
Sierra-García E, Sosa-Palanca EM, Saus-Ortega C, Ruiz-Hontangas A, Juárez-Vela R, Gea-Caballero V. Modulating Elements of Nurse Resilience in Population Care during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4452. [PMID: 35457319 PMCID: PMC9029380 DOI: 10.3390/ijerph19084452] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 04/04/2022] [Accepted: 04/05/2022] [Indexed: 01/08/2023]
Abstract
COVID-19 has significantly affected the work environment of nurses. In the face of the challenges posed by stressors in clinical practice, some nurses adapt and prove to be resilient. In the face of the COVID-19 pandemic, the nature of care itself and the new ways of working are potentially very stressful. We aim to analyze the resilience of care nurses to the psychological impact of the COVID-19 pandemic. This study is a systematic review of nurse caregiver resilience to the COVID-19 pandemic in 2021. Our search was conducted in the WOS, Medline/PubMed, Cochrane, BVS/LILACS, and Cuiden databases. The inclusion criteria were: studies published in Spanish or English; carried out from March 2020 to May 2021 on nurses caring for patients with COVID-19; and investigating the factors influencing the psychological impact, resilience, strategies to develop it, and interventions to promote it during this pandemic and others, such as SARS, MERS, or ebola. The quality of the studies and the risk of bias were evaluated following ICROMS, STROBE and AMSTAR-2 criteria. Twenty-two studies were selected. Most of the studies highlighted the presence of stressors in nurses, emphasizing those of the environment, which converged in dysfunctional responses that hurt their resilience. The most persuasive factors were social and organizational support. Coping strategies developed by nurses and especially interventions by organizations were detected as instruments to foster resilience, but have not been well researched. Resilience has a key moderating role in mitigating the psychological impact of nurses in the face of the COVID-19 pandemic.
Collapse
Affiliation(s)
- Ester Sierra-García
- Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain; (E.S.-G.); (C.S.-O.)
| | - Eva María Sosa-Palanca
- Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain; (E.S.-G.); (C.S.-O.)
- Research Group GREIACC, Health Research Institute La Fe, Hospital La Fe, 46016 Valencia, Spain
| | - Carlos Saus-Ortega
- Nursing School La Fe, Adscript Center of Universidad de Valencia, 46026 Valencia, Spain; (E.S.-G.); (C.S.-O.)
- Research Group GREIACC, Health Research Institute La Fe, Hospital La Fe, 46016 Valencia, Spain
| | | | - Raúl Juárez-Vela
- Department of Nursing, University of La Rioja, 26006 Logroño, La Rioja, Spain;
| | - Vicente Gea-Caballero
- Faculty of Health Science, International University of Valencia, 46002 Valencia, Spain;
- Research Group Patient Blood Management PBM, Health Research Institute IdIPAZ, Hospital La Paz, 28046 Madrid, Spain
| |
Collapse
|
35
|
Liang H, Yang W, Liu T, Xia F. Demographic Influences on Perceived Stressors of Construction Workers during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4192. [PMID: 35409877 PMCID: PMC8998247 DOI: 10.3390/ijerph19074192] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Revised: 03/22/2022] [Accepted: 03/29/2022] [Indexed: 01/27/2023]
Abstract
Construction work is one of the most stressful occupations in the world, and the COVID-19 pandemic has only exacerbated this reality. This research conducted a detailed investigation on the perceived stressors of different demographic groups among construction workers. Empirical data were collected using a structured questionnaire in the Chinese construction industry. The empirical data were processed using both an independent sample t-test and an Analysis of Variance (ANOVA). The findings indicated that male workers reported greater workloads than did females. Married workers experienced more pandemic fear and job insecurity, and they were more sensitive to the poor working environment. Highly-educated workers were inclined to be more satisfied with organizational pandemic responses, and had lower job insecurity and role ambiguity, but they experienced heavier workloads. In addition, the differences in work experience and age were statistically significant with regards to job insecurity. This research contributes to the body of knowledge by giving a comprehensive understanding of demographic influences on perceived stressors among construction workers. It also provides valuable insights to identify sensitive demographic groups and promote their health and wellbeing during and after the pandemic.
Collapse
Affiliation(s)
- Huakang Liang
- School of Economics and Management, Beijing Jiaotong University, Beijing 100044, China; (W.Y.); (T.L.); (F.X.)
| | | | | | | |
Collapse
|
36
|
Currin-McCulloch J, Chen Q, Kaushik S, Sparks D, Jones B. The Courage to Continue: Healthcare Social Worker's Resilience During COVID-19. JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE 2022; 18:177-192. [PMID: 35507750 DOI: 10.1080/15524256.2022.2070330] [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] [Indexed: 05/27/2023]
Abstract
The COVID-19 pandemic has exacerbated disparities in access to healthcare and mental health, often forcing healthcare social workers into ethical and moral dilemmas as they endeavor to provide equitable, humanistic care to their patients and caregivers. The purpose of this mixed method study was to explore how COVID-19-related personal and professional grief and losses impacted healthcare social worker's distress and resilience. Participants were recruited through healthcare social work professional organizations from September-November 2020. Participants (N = 246) completed an online survey capturing sociodemographic variables, as well as mental distress, pandemic-related meaning-making, and resilience. Data analysis included correlations and regressions pertaining to meaning-making, emotional distress, and resilience, as well as thematic analysis of participants' open-ended survey responses. Approximately one-third of participants reported emotional distress and difficulty in finding meaning from their pandemic-related losses. Participants reported a lower level of resilience when compared with the United States general population. Three themes emerged from social workers' qualitative responses: the hardest year of my career; the collective loss of our normal; and we were built for this. Pandemic-related grief permeates social workers' daily lives; yet their training and resilience foster hope to positively impact their clients, communities, and families.
Collapse
Affiliation(s)
| | - Qi Chen
- Steve Hicks School of Social Work, The University of Texas at Austin Steve Hicks School of Social Work, Austin, TX, USA
| | - Shivani Kaushik
- School of Social Work, Colorado State University, Fort Collins, CO, USA
| | - Dede Sparks
- Steve Hicks School of Social Work, The University of Texas at Austin Steve Hicks School of Social Work, Austin, TX, USA
| | - Barbara Jones
- Steve Hicks School of Social Work, The University of Texas at Austin Steve Hicks School of Social Work, Austin, TX, USA
| |
Collapse
|
37
|
Loscalzo Y, Giannini M. College students’ compliance with government measures for social isolation and quarantine during the COVID-19 outbreak: A focus on psychological predictors. Work 2022; 71:481-491. [DOI: 10.3233/wor-210697] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND: To contain the COVID-19 pandemic, government adopted several measures to restrict social contacts including isolation, quarantine, and limitations on movement from location to location around the country. OBJECTIVE: To analyze the degree to which Italian college students agreed and complied with these measures and to determine if psychological variables have influenced compliance. METHODS: We evaluated 6075 students concerning their agreement with the government’s restrictions, as well as their health anxiety, trait positive and negative affect, and current symptoms of anxiety, depression, and stress. We performed MANOVAs, ANOVAs, path analysis, and binary logistic regressions. RESULTS: We found some differences in compliance with government restrictions concerning gender, geographic location, and major of study. Psychological variables did not play a significant role in predicting compliance with restriction measures and making a call for medical help. However, health anxiety predicted higher levels of worries about having contracted the virus. CONCLUSIONS: Based on our results, university-based interventions should primarily focus on males to foster compliance with government restriction during a pandemic, or health crisis. College students –Social Sciences students in particular –could benefit from counseling interventions to avoid the development of psychological disorders fueled by pandemic worries.
Collapse
Affiliation(s)
- Yura Loscalzo
- Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy
| | - Marco Giannini
- Department of Health Sciences, School of Psychology, University of Florence, Florence, Italy
| |
Collapse
|
38
|
Rayani S, Rayani M, Najafi-Sharjabad F. Correlation between anxiety and resilience of healthcare workers during COVID-19 pandemic in the southwest of Iran. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:21528-21536. [PMID: 34762238 PMCID: PMC8581131 DOI: 10.1007/s11356-021-17284-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2021] [Accepted: 10/26/2021] [Indexed: 05/07/2023]
Abstract
The pandemic of COVID-19 has had a negative impact on healthcare providers. Resilience is thought to protect against mental illnesses and to help people cope with stress more effectively. The purpose of this research is to determine the relationship between resilience and anxiety in healthcare workers during the COVID-19 pandemic. A cross-sectional online survey was carried out on 184 eligible healthcare workers recruited from health centers in Bushehr and Borazjan cities. Data collection was performed using standard questionnaires that consist of sociodemographic and COVID-19-related information, the Corona Disease Anxiety Scale, and the Connor-Davidson Resilience Scale. The data were analyzed using SPSS software and descriptive statistics. The Mann-Whitney U test, Independet Sample t-test, Kruskal-Wallis , and Spearman correlation test were applied for analyzing data. Statistical significance was set at a P-value of < 0.05. The age mean of the participants was 35.54 ± 7.11, and 40% of them experienced moderate and high levels of anxiety. Significant negative relationship was found between anxiety and resilience (r = - 0.211, p = 0.032). Those who experienced death from COVID-19 in family or friends were more anxious than their counterparts (p = 0.004). This study showed more than one-third of the participants experienced moderate and high levels of anxiety in response to the COVID-19 pandemic. Anxiety was found to be related to resilience, and the greater the resilience, the lower the overall anxiety score. In policy development, this can be used to improve the resilience of healthcare workers and prevent mental health illnesses.
Collapse
Affiliation(s)
- Saba Rayani
- Department of Psychology, Faculty of Literature and Humanities, Persian Gulf University, Bushehr, Iran
| | - Mohammad Rayani
- Department of Public Health, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran
- The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, Iran
| | - Fatemeh Najafi-Sharjabad
- Department of Public Health, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
| |
Collapse
|
39
|
Mental health outcome and resilience among aiding Wuhan nurses: One year after the COVID-19 outbreak in China. J Affect Disord 2022; 297:348-352. [PMID: 34710499 PMCID: PMC8564215 DOI: 10.1016/j.jad.2021.10.050] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Revised: 10/02/2021] [Accepted: 10/23/2021] [Indexed: 12/25/2022]
Abstract
OBJECTIVE This study aimed to explore whether aiding Wuhan experience of nurses was associated with adverse mental health outcome one year after the COVID-19 outbreak in China. METHODS In this study, 100 nurses with and 100 nurses without aiding Wuhan experience a year ago were enrolled from February 1, 2021 to March 31, 2021 in Zhejiang Province, China. Depression, anxiety, insomnia, distress and psychological resilience of participants was assessed and analyzed. RESULTS A total of 100 participants from 112 aiding Wuhan nurses completed the survey, with a response rate of 89.3%. Another 100 nurses from the same hospitals without aiding Wuhan experience were enrolled as controls. In both groups, a considerable proportion of participants reported symptoms of depression (46.0% for the aiding Wuhan group vs. 49.0% for the controls, similarly hereinafter), anxiety (40.0% vs. 38.0%), and PTSD (61.0% vs. 56.0%). Aiding Wuhan nurses were more likely to suffer from insomnia (41.0% vs. 29.0%, P = 0.041). Multivariable logistic regression analysis showed that aiding Wuhan experience was not associated with depression (adjusted OR (AOR) 0.22; 95%CI, 0.05-1.01), anxiety (AOR 0.53; 95%CI, 0.12-2.43), insomnia (AOR 1.52; 95%CI, 0.76-3.02), PTSD (AOR 0.50; 95%CI, 0.19-1.34), or resilience (AOR 1.59; 95%CI, 0.78-3.26). Resilience was negatively correlated with depression, anxiety, insomnia, and PTSD. CONCLUSIONS This survey indicated that aiding Wuhan experience a year ago did not cause additional adverse mental health outcomes in nurses, expect for insomnia. The psychological status of nurses in general calls for more attention.
Collapse
|
40
|
Shirali GA, Amiri A, Chanani KT, Silavi M, Mohipoor S, Rashnuodi P. Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study. Work 2021; 70:1011-1020. [PMID: 34842214 DOI: 10.3233/wor-210476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND The COVID-19 pandemic has created a wide range of sociocultural pressures on nurses. Resilience is defined as one's ability to adapt to an unpredictable situation and it can be a factor in accepting an undesirable psychosocial situation. OBJECTIVE The aim of the present study was to examine resilience in nurses in the face of job stress during the COVID-19 pandemic. METHODS The study was carried out as a case-control study with participation of 400 nurses as the target group (nurses exposed to COVID-19 patients) and the control group (nurses not exposed to COVID-19 patients). To examine resilience and job stress, Conor and Davidson's questionnaire and OSIPOW questionnaire were used respectively. RESULTS The mean scores of job stress and resilience were significantly different between the target and control groups (p < 0.05). So that resilience in the target group was less than that in the control group. In addition, job stress in the target group was higher than that of the control group (p < 0.05). There was a significant and negative correlation between resilience and job stress and the correlation was stronger in the target group (p < 0.05). CONCLUSIONS Given the high job stress score in the participants and its negative correlation with resilience, there is need to provide the health personnel with efficient preventive and treatment approaches, improve and educate the principles of resilience, improve mental health services system, and introduce programs to control some of demographical factors in job stress such as physical activity, and employment status of nurses.
Collapse
Affiliation(s)
- Gholam-Abbas Shirali
- Department of Occupational Safety and Health Engineering, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Arman Amiri
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Khalil Taherzadeh Chanani
- Occupational Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Maryam Silavi
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Sanaz Mohipoor
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Payam Rashnuodi
- Student Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| |
Collapse
|
41
|
Çelikkalp Ü, Irmak AY, Ekuklu G. Working conditions and anxiety levels of employees who have to work during the COVID-19 pandemic. Work 2021; 70:1047-1055. [PMID: 34842219 DOI: 10.3233/wor-210643] [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] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND This study aims to evaluate the anxiety levels of employees by determining the working conditions and protective practices in the workplace of individuals who had to work during the COVID-19 pandemic. METHODS The cross-sectional study was carried out with 801 employees from different sectors who continued to work during the COVID-19 pandemic. RESULTS The mean age of the employees was 33.1±10.3 years, and 63.4%were male while 46.1%were workers. The GAD-7 anxiety level mean score of the participants was determined as 6.6±5.1. Per this, 25.2%of the participants showed a high tendency to anxiety and 38.5%showed a moderate tendency. A statistically significant difference was found between anxiety level and gender, sector and profession. Besides, there was a statistically significant difference between the perception of workplace risk, the way of transportation to the workplace, the social distance in the workplace, measures taken for COVID-19 in the workplace, and anxiety levels (p < 0.05). In the multiple regression analysis, age, gender, work sector, COVID-19 anxiety levels, infection status, knowledge level and life satisfaction levels were determined as effective predictors on common anxiety disorder and explained 23.2%of the developed model variance (R2 = 0.232, p≤0.001). CONCLUSION During the pandemic, it was determined that the anxiety susceptibility levels of the employees were very high and their protective practices against COVID-19 in the workplace were insufficient.
Collapse
Affiliation(s)
- Ülfiye Çelikkalp
- Department of Public Health, Trakya University School of Medicine, Edirne, Turkey
| | - Aylin Yalıçın Irmak
- Nursing Department, School of Health, Tekirdag Namik Kemal University, Tekirdag, Turkey
| | - Galip Ekuklu
- Department of Public Health, Trakya University School of Medicine, Edirne, Turkey
| |
Collapse
|
42
|
Bilgiç Ş, Çelikkalp Ü, Mısırlı C. Stress level and sleep quality of nurses during the COVID-19 pandemic. Work 2021; 70:1021-1029. [PMID: 34842216 DOI: 10.3233/wor-210538] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND COVID-19 infection is transmitted easily and quickly, and nurses constitute the riskiest group of healthcare workers. Therefore, they may experience high levels of stress and sleep problems. OBJECTIVE This study was conducted in order to evaluate the stress levels and sleep quality of nurses working during the COVID-19 pandemic. METHODS The cross-sectional study was conducted with 316 nurses working in a pandemic hospital in a city center. A descriptive form, the Pittsburgh Sleep Quality Index (PSQI), and the Perceived Stress Scale (PSS) were used to collect data. RESULTS A positive, moderately significant correlation was found between the average PSQI score of nurses and the average perceived stress score (p≤0.001). Multiple regressions determined that shift work, stress level, a coworker having COVID-19, being out of home due to the risk of transmission, and having a person older than 65 in the home were effective predictors of sleep quality (R2 = 33.5, p≤0.001). Age, years worked, fear of infecting the family with COVID-19, receiving COVID-19 education, regular nutrition, and sleep quality were effective predictors of stress level (R2 = 32.2, p≤0.001). CONCLUSION It was determined that nurses have low sleep quality and high stress levels during the pandemic process.
Collapse
Affiliation(s)
- Şebnem Bilgiç
- Faculty of Health Sciences, Fundamentals of Nursing Department, Trakya University, Edirne, Turkey
| | - Ülfiye Çelikkalp
- Department of Public Health, School of Medicine, Trakya University, Edirne, Turkey
| | - Cem Mısırlı
- Health Center for Medical Research and Practice, Trakya University, Edirne, Turkey
| |
Collapse
|
43
|
Alhawatmeh H, Alsholol R, Aldelky H, Al-Ali N, Albataineh R. Mediating role of resilience on the relationship between stress and quality of life among Jordanian registered nurses during COVID-19 pandemic. Heliyon 2021; 7:e08378. [PMID: 34805571 PMCID: PMC8592888 DOI: 10.1016/j.heliyon.2021.e08378] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 11/08/2021] [Accepted: 11/09/2021] [Indexed: 11/02/2022] Open
Abstract
Rationale Registered nurses are struggling on the front line to manage patients with COVID-19 and other illnesses, placing them at increased risks for severe perceived stress. Although perceived stress has often been considered a significant risk factor for impaired quality of life among registered nurses, having resilience has been generally shown to be associated with better quality of life. Purpose This study aimed to investigate the mediating effects of resilience on the relationship between perceived stress and quality of life in Jordanian clinical registered nurses during the COVID-19 pandemic. Methods The study used a cross-sectional correlational design with an online survey and adhered to the STROBE guideline for cross-sectional studies. A total of 550 registered nurses working in 6 hospitals were conveniently selected. Data were collected via a demographic questionnaire, the Perceived Stress Scale (PSS), the Connor-Davidson Resilience Scale (CD-RISC), and the WHOQOL scale. Descriptive, Pearson correlation, t-test, one-way ANOVA, and hierarchical linear regression analyses were used to analyze the data. Results The results indicated that resilience was negatively correlated with perceived stress and quality of life. Further, resilience was found to play a partial mediating role in the relationship between perceived stress and quality of life. Therefore, the results partially supported our study hypotheses. Conclusion Health policy makers and administrators in Jordan should be aware of the importance of assessing and improving nurses' resilience to decrease devastating effects of stress on quality of life.
Collapse
Affiliation(s)
- Hossam Alhawatmeh
- College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Rahaf Alsholol
- College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Heyam Aldelky
- College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Nahla Al-Ali
- College of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Raya Albataineh
- College of Medicine, Department of Health Management and Policy, Jordan University of Science and Technology, Irbid, Jordan
| |
Collapse
|
44
|
Seluch M, Volchansky M, Safronov R. Dependence of emotional burnout on personality typology in the COVID-19 pandemic. Work 2021; 70:713-721. [PMID: 34719460 DOI: 10.3233/wor-210428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Under the conditions of the COVID-19 pandemic, the problem of emotional burnout syndrome among nurses working under extremely stressful conditions has become particularly acute. It is therefore necessary to examine the characteristics of emotional burnout syndrome in nurses during the COVID-19 pandemic to develop effective measures to prevent and enhance their mental health. OBJECTIVE The study aimed to establish the features of emotional burnout syndrome and its connection with typological characteristics of the personality in nurses working with COVID-19 patients. METHODS A total of 120 female nurses who worked with COVID-19 patients were surveyed, of whom 60 (50.0%) worked in outpatient settings along with general practitioners and 60 (50.0%) worked in the intensive care unit. The average age of the participants was 40.86±3.20 years, and the average length of medical service was 13.64±1.73 years. RESULTS A burnout syndrome of varying severity was present in 50.0%of outpatient nurses and 73.3%of intensive care nurses (OR = 2.44, 95%CI [1.16-5.16]; p < 0.05). The tension phase predominated in outpatient nurses (53.3%), and the resistance phase was more typical for intensive care nurses (63.3%). CONCLUSIONS The practice of nurses under COVID-19 pandemic conditions is characterized by the high prevalence of emotional burnout syndrome.
Collapse
Affiliation(s)
- Marina Seluch
- Amur State University, Blagoveshchensk, RussianFederation
| | | | - Roman Safronov
- I.M. Sechenov FirstMoscow State Medical University (Sechenov University), Moscow, Russian Federation
| |
Collapse
|
45
|
Yusefi AR, Daneshi S, Davarani ER, Nikmanesh P, Mehralian G, Bastani P. Resilience level and its relationship with hypochondriasis in nurses working in COVID-19 reference hospitals. BMC Nurs 2021; 20:219. [PMID: 34727947 PMCID: PMC8561347 DOI: 10.1186/s12912-021-00730-z] [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: 06/28/2021] [Accepted: 10/06/2021] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION A new coronavirus, called COVID-19, is an acute respiratory disease, which may arouse many psychological disorders since there is no specialized knowledge about it. The present study aimed to investigate the level of resilience and its relationship with hypochondriasis in nurses working in a COVID-19 reference hospital in south of Iran. METHODS This cross-sectional study was conducted in 2020, in which 312 nurses participated using the census method. Data collection tools were the Conker-Davidson standard resilience scale (CD-RISC) and the Evans Hypoglycaemia Awareness Questionnaire. Data were analyzed using t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression using SPSS software version 23. RESULTS The mean scores of resilience and hypochondriasis were 72.38 ± 7.11 and 49.75 ± 8.13, respectively, indicating the moderate level of these two variables among nurses. Hypochondriasis in 18.91, 61.22, and 1.28% of the nurses was mild, moderate, and severe, respectively. There was a significant negative correlation between resilience and hypochondriasis (r = - 0.214 and P < 0.001). In this regard, control (P < 0.001), positive acceptance of change (P < 0.001), spiritual effects (P = 0.001), trust in individual instincts (P = 0.001), and perception of competence (P = 0.002) were detected as the predictors of nurses' hypochondriasis. CONCLUSION The nurses had moderate levels of resilience and hypochondriasis. Promoting knowledge about COVID-19and increasing information on how to protect oneself and others against the disease along with supportive packages from their managers are thus recommended.
Collapse
Affiliation(s)
- Ali Reza Yusefi
- Department of Public Health, Healthcare Services Management, School of Health, Jiroft University of Medical Science, Jiroft, Iran
| | - Salman Daneshi
- Department of Public Health, Jiroft University of Medical Sciences, Jiroft, Iran
| | - Esmat Rezabeigi Davarani
- Health in Disasters and Emergencies Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| | - Parnian Nikmanesh
- Healthcare Services Management, School of Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Gholamhossein Mehralian
- Department of Pharmacoeconomics and Pharmacy Administration, School of Pharmacy, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
| | - Peivand Bastani
- Health Human Resources Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
| |
Collapse
|
46
|
AYDIN A, ERSOY ÖZCAN B. Covid-19 pandemi sürecinde sağlık çalışanlarında belirsizliğe tahammülsüzlük, ruminatif düşünme biçimi ve psikolojik sağlamlık düzeyleri. CUKUROVA MEDICAL JOURNAL 2021. [DOI: 10.17826/cumj.925771] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
47
|
Finstad GL, Giorgi G, Lulli LG, Pandolfi C, Foti G, León-Perez JM, Cantero-Sánchez FJ, Mucci N. Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9453. [PMID: 34574378 PMCID: PMC8468098 DOI: 10.3390/ijerph18189453] [Citation(s) in RCA: 99] [Impact Index Per Article: 33.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Revised: 09/01/2021] [Accepted: 09/04/2021] [Indexed: 12/14/2022]
Abstract
The COVID-19 pandemic represents a traumatic event that has profoundly changed working conditions with detrimental consequences for workers' health, in particular for the healthcare population directly involved in addressing the emergency. Nevertheless, previous research has demonstrated that traumatic experiences can also lead to positive reactions, stimulating resilience and feelings of growth. The aim of this narrative review is to investigate the positive aspects associated with the COVID-19 pandemic and the possible health prevention and promotion strategies by analyzing the available scientific evidence. In particular, we focus on the constructs of resilience, coping strategies and posttraumatic growth (PTG). A literature search was performed on the PubMed, EMBASE, Scopus, Web of Science, Google Scholar and Psycinfo databases. Forty-six articles were included in the literature synthesis. Psychological resilience is a fundamental variable for reducing and preventing the negative psychological effects of the pandemic and is associated with lower levels of depression, anxiety and burnout. At the individual and organizational level, resilience plays a crucial role in enhancing wellbeing in healthcare and non-healthcare workers. Connected to resilience, adaptive coping strategies are essential for managing the emergency and work-related stress. Several positive factors influencing resilience have been highlighted in the development of PTG. At the same time, high levels of resilience and positive coping strategies can enhance personal growth. Considering the possible long-term coexistence and consequences of COVID-19, organizational interventions should aim to improve workers' adaptive coping skills, resilience and PTG in order to promote wellbeing.
Collapse
Affiliation(s)
- Georgia Libera Finstad
- Department of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy;
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - Gabriele Giorgi
- Department of Human Sciences, European University of Rome, 00163 Rome, Italy;
| | | | - Caterina Pandolfi
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - Giulia Foti
- Business @ Health Laboratory, European University of Rome, 00163 Rome, Italy; (C.P.); (G.F.)
| | - José M. León-Perez
- Department of Social Psychology, Universidad de Sevilla, 41004 Sevilla, Spain; (J.M.L.-P.); (F.J.C.-S.)
| | | | - Nicola Mucci
- Department of Experimental and Clinical Medicine, University of Florence, 50139 Florence, Italy;
| |
Collapse
|
48
|
Al-Shannaq Y, Mohammad AA. Psychological impacts during the COVID-19 outbreak among adult population in Jordan: A cross-sectional study. Heliyon 2021; 7:e07826. [PMID: 34426796 PMCID: PMC8373850 DOI: 10.1016/j.heliyon.2021.e07826] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Revised: 08/03/2021] [Accepted: 08/16/2021] [Indexed: 11/29/2022] Open
Abstract
In response to the initial outbreak of the Coronavirus Disease 2019 (COVID-19) pandemic and the pandemic-related restraints and preventive measures implemented, the global population has been experiencing a wide range of immediate psychological reactions, such as fear and psychological distress. The present study aimed to assess the psychological impacts of the COVID-19 pandemic among a sample of adults during the national lockdown implemented in Jordan. A quantitative, descriptive, correlational, cross-sectional design was used. An anonymous online questionnaire was used to collect data on the participants' sociodemographic characteristics, the changes in daily life they had experienced, their fear of COVID-19, and their depression, anxiety, and stress levels. A total of 725 Jordanian adults aged 18-65 years (mean = 33.7, SD = 9.3) were included in this study, with most of the participants being female (n = 409, 56.4%). The majority of the participants reported changes in their daily routines and activities during the COVID-19 lockdown, with 62.8% of the participants reporting weight changes, 92% reporting increased social media use, and 86.5% reporting increased mobile phone use and checking. Further, 41.4% of the participants reported high levels of fear of COVID-19, while 41.8%, 24.5%, and 22.8% reported mild to extremely severe depression, anxiety, and stress symptoms, respectively. Female participants had significantly higher levels of fear of COVID-19 and stress than did males. Fear of COVID-19 was significantly positively correlated with depression, anxiety, and stress scores. Anxiety, stress, gender, having physical disorders, and having mental disorders were identified as being significant predictive factors of fear of COVID-19. The findings of this study highlight the urgent need to pay further attention towards maintaining the psychological well-being of the public during this global crisis. The findings may guide the development of appropriate public health strategies aimed at promoting healthy living, improving mental health, and reducing fear and other psychological problems among at-risk groups during the COVID-19 pandemic. Additionally, the findings may guide further qualitative, longitudinal, and experimental studies both during and after the lockdown.
Collapse
Affiliation(s)
- Yasmin Al-Shannaq
- Community and Mental Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| | - Anas A Mohammad
- Adult Health Nursing Department, Faculty of Nursing, Jordan University of Science and Technology, P.O. Box 3030, Irbid 22110, Jordan
| |
Collapse
|
49
|
Afshari D, Nourollahi-Darabad M, Chinisaz N. Psychosocial Factors Associated With Resilience Among Iranian Nurses During COVID-19 Outbreak. Front Public Health 2021; 9:714971. [PMID: 34422753 PMCID: PMC8373242 DOI: 10.3389/fpubh.2021.714971] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 07/05/2021] [Indexed: 12/17/2022] Open
Abstract
Background: In the face of COVID-19, healthcare workers need to cope with the ongoing stressors at play and keep psychological distress at a minimum level. This study examined the psychosocial and demographic factors associated with nurse's resilience in the hospitals of Ahvaz that is one of the top cities infected with COVID-19 in Iran. Methods: The present cross-sectional study was conducted on 387 Iranian nurses in Ahvaz city. For data collection purposes, three online questionnaires (including Copenhagen Psychosocial, Demographic, and Connor–Davidson Resilience Scale) were distributed among the participants. Results: The mean resilience score was equal to 61.8 ± 14.8 for 387 nurses. Resilience had a statistically significant negative correlation with quantitative demand (r = −0.273, P < 0.008), work pace (r = −0.262, P < 0.011), emotional demand (r = −0.226, P < 0.030), stress (r = −0.458, P < 0.000), and burnout (r = −0.287, P < 0.005). Multiple linear regression analysis indicated that stress, job satisfaction, burnout and age were the main predictors of nurses' resilience during the (COVID-19) pandemic (R2 = 0.45). Conclusions: We identified psychosocial and demographic predictive factors that may contribute to greater resilience among nurses during the COVID-19 outbreak. The findings of this study can be used to implement psychosocial interventions to amplify the resilience of medical staff during the COVID-19 outbreak.
Collapse
Affiliation(s)
- Davood Afshari
- Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Maryam Nourollahi-Darabad
- Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Niloofar Chinisaz
- Department of Occupational Health Engineering, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| |
Collapse
|
50
|
Baskin RG, Bartlett R. Healthcare worker resilience during the COVID-19 pandemic: An integrative review. J Nurs Manag 2021; 29:2329-2342. [PMID: 34182609 PMCID: PMC8420188 DOI: 10.1111/jonm.13395] [Citation(s) in RCA: 110] [Impact Index Per Article: 36.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2021] [Revised: 05/20/2021] [Accepted: 06/01/2021] [Indexed: 12/13/2022]
Abstract
AIM The purpose of this review was to examine resilience among healthcare workers during the coronavirus-disease-2019 (COVID-19) pandemic. BACKGROUND The COVID-19 pandemic has caused an unprecedented strain on healthcare workers internationally. Rising infection rates, inadequate personal protective equipment, and the lack of availability of hospital beds has resulted in further deterioration of the already-fragile mental health of healthcare workers. Resilient workers have lower rates of burnout and improved patient outcomes. EVALUATION PubMed and the Cumulative Index to Nursing and Allied Health Literature databases were searched using the terms resilience, nurse and COVID-19 to identify studies on resilience during the COVID-19 pandemic. Results were organized by outcome measures for comparison. KEY ISSUES Resilience scores among frontline healthcare workers worldwide during the COVID-19 pandemic in the studies reviewed were overall found to be in the moderate range. Data from the United States showed a decrease in nurse resilience, whereas participants from China had increased resilience compared with pre-pandemic levels. CONCLUSIONS Building resilience in nurses and other healthcare workers can serve as a protective factor against negative outcomes related to the job, including burnout, anxiety and depression, and can improve patient outcomes. IMPLICATIONS FOR NURSING MANAGEMENT Strategies for building resilience in healthcare workers are discussed.
Collapse
Affiliation(s)
- Rachel G Baskin
- M. Louise Fitzpatrick College of Nursing, Villanova University, Villanova, Pennsylvania, USA
| | - Robin Bartlett
- Capstone College of Nursing, University of Alabama, Tuscaloosa, Alabama, USA
| |
Collapse
|