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1.
Nursing ; 51(2): 55-58, 2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33953101

RESUMEN

ABSTRACT: Nurses and other healthcare professionals across the US have experienced and are still experiencing different types of moral anguish during the COVID-19 pandemic. This article discusses moral distress and the other forms of moral anguish that nurses experience, how the COVID-19 pandemic has exacerbated moral distress among nurses, and coping strategies.


Asunto(s)
Adaptación Psicológica , Principios Morales , Enfermeras y Enfermeros/psicología , Distrés Psicológico , /epidemiología , Humanos
2.
Int Nurs Rev ; 68(1): 12-14, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33891772

RESUMEN

Around the world, nurses are working under enormous pressure providing care to sick and dying patients during the pandemic. Many are faced with increased stress, and other negative effects on their mental health. They are also faced with the possibility of infection and death from COVID-19. Before the pandemic there was a global shortage of nurses, but this is likely to be exacerbated by the increased demands of caring during COVID-19 as well as the usual care of non-COVID patients. One serious concern is that the pandemic and multitudinous effects on the nursing profession will exacerbate nursing attrition and their poor mental health into the future. Another serious concern is whether the profession will be able to attract sufficient numbers of nurses to care for populations into the future. Governments and health policymakers everywhere need to invest in nursing and health care and pay attention to the needs of health systems to ensure a healthy population. It is argued that without this, economies will not recover and prosper, and health systems will not be able to provide quality care.


Asunto(s)
/epidemiología , Salud Mental , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/provisión & distribución , Humanos , Pandemias
3.
J Prof Nurs ; 37(2): 255-260, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33867077

RESUMEN

Unprecedented financial and logistical barriers in educating nurses during COVID-19 have threatened nursing education. The purpose of this article is to provide a template to facilitate the maintenance and stability of teaching and learning in a pandemic environment for nursing school administration and faculty leaders. The National Incident Management System (NIMS), previously used in training nurses for emergency preparation and response, has been applied as a guiding framework. The framework consists of five elements: Preparedness, Communication/Information Management, Resource Management, Command and Ongoing Management/Maintenance. This paper addresses how schools of nursing may apply each of these elements to address both the needs of the institution and community. The Comprehensive Vulnerability Management paradigm is further offered as a lens for professional development. Free preparedness education is showcased from leading nursing and healthcare professional and government organizations. Finally, the Quality and Safety Education for Nurses competencies are used for integrating NIMS and social dimensions of disaster. Such tools may equip academic leaders at schools of nursing to surmount challenges posed by the pandemic, and to ensure educational readiness to respond to global health crisis through use of the NIMS framework.


Asunto(s)
Competencia Clínica , Educación Continua/métodos , Educación en Enfermería/métodos , Educación Profesional/métodos , Enfermeras y Enfermeros/psicología , Facultades de Enfermería/organización & administración , Docentes de Enfermería , Humanos , Pandemias
4.
Nurs Leadersh (Tor Ont) ; 34(1): 1-3, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33837684

RESUMEN

After a year of living a masked, isolated, virtual existence, there is much reflection among healthcare decision makers and providers around the world. What have we done well? What could we have done better? And more importantly, how will we ensure that our learnings inform decisions and actions the next time? In this latest installment of crisis leadership papers, authors address the toll exacted upon our profession thus far. Although profound, the psychological sequelae of the COVID-19 pandemic are directly related to a number of pre-existing conditions that have been festering below the surface for several years. In particular, blame for the state of health inequities, ageism, staff shortages and workplace violence cannot be ascribed to the pandemic. Rather, each has been exacerbated because of it.


Asunto(s)
/epidemiología , Toma de Decisiones , Liderazgo , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/provisión & distribución , Humanos , Pandemias
5.
Nurs Leadersh (Tor Ont) ; 34(1): 7-19, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-33837685

RESUMEN

Background: The COVID-19 pandemic is placing unprecedented pressure on a nursing workforce that is already under considerable mental strain due to an overloaded system. Convergent evidence from the current and previous pandemics indicates that nurses experience the highest levels of psychological distress compared with other health professionals. Nurse leaders face particular challenges in mitigating risk and supporting nursing staff to negotiate moral distress and fatigue during large-scale, sustained crises. Synthesizing the burgeoning literature on COVID-19-related burnout and moral distress faced by nurses and identifying effective interventions to reduce poor mental health outcomes will enable nurse leaders to support the resilience of their teams. Aim: This paper aims to (1) synthesize existing literature on COVID-19-related burnout and moral distress among nurses and (2) identify recommendations for nurse leaders to support the psychological needs of nursing staff. Methods: Comprehensive searches were conducted in Medline, Embase and PsycINFO (via Ovid); CINAHL (via EBSCOHost); and ERIC (via ProQUEST). The rapid review was completed in accordance with the World Health Organization Rapid Review Guide. Key Findings: Thematic analysis of selected studies suggests that nurses are at an increased risk for stress, burnout and depression during the ongoing COVID-19 pandemic. Younger female nurses with less clinical experience are more vulnerable to adverse mental health outcomes.


Asunto(s)
Agotamiento Profesional , /psicología , Principios Morales , Enfermeras y Enfermeros/psicología , Humanos , Pandemias
6.
J Glob Health ; 11: 05009, 2021 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-33884193

RESUMEN

Background: Nurses represent the major proportion of frontline health care professionals delivering 24/7 services to patients with an increased vulnerability towards COVID-19 infection. Mental health issues among nurses during the COVID-19 pandemic are poorly reported across the globe. Henceforth, a systematic review and meta-analysis was performed to explore the prevalence and determinants of mental health outcomes (anxiety, stress, depression, PTSD, insomnia) among nurses across the globe due to the COVID-19. Methods: A PRISMA compliant systematic review (PROSPERO-CRD 42020204120) was carried out to identify articles from multiple databases reporting the prevalence of mental health outcomes among nurses. Proportion random effect analysis, I2 statistic, quality assessment, and sensitivity analysis were carried out. Results: Pooled data on mental health outcomes were generated from 25 cross-sectional studies: 32% anxiety (95% confidence interval (CI) = 21%-44%, n (number of studies) = 21, N (sample size) = 13 641), 40.6% stress (95% CI = 25.4%-56.8%, n = 10, N = 4204), 32% depression (95% CI = 21%-44%, n = 17, N = 12 294), 18.6% PTSD (95% CI = 4.8%-38%, n = 3, N = 638), 38.3% insomnia (95% CI = 5.8%-78.6%, n = 2, N = 261) and significant risk factors for mental ailments includes; caring for COVID-19 patients, being a female, low self-efficacy, resilience, social support and having physical symptoms (sore-throat, breathlessness, cough, lethargy, myalgia, fever). Conclusion: The study results highlighted a higher proportion of poor mental health outcomes namely, anxiety, stress, depression, PTSD and insomnia among nurses from different parts of the world. Poor mental health outcomes among nurses warrants the need to implement proactive psychological interventions to deter the collapse of health care systems in responding to the pandemic and in particular all possible efforts should be undertaken to mitigate the risk factors. Health care organizations should provide support to nurses with sufficient flexibility. The disaster preparedness plan envisaged by nations should have provisions to address the mental health of nurses. Greater investment in addressing the global shortage of nurses should be given priority in national health policies. Attractive salary packages should be offered to nurses to prevent their emigration from low- and middle-income countries (LMICs). Registration: PROSPERO (CRD42020204120).


Asunto(s)
/enfermería , Salud Global/estadística & datos numéricos , Trastornos Mentales/epidemiología , Enfermeras y Enfermeros/psicología , /epidemiología , Humanos
7.
Soins ; 66(853): 10-14, 2021 Mar.
Artículo en Francés | MEDLINE | ID: mdl-33775293

RESUMEN

In a healthcare facility, the way in which health professionals envisage quality can explain the different levels of investment observed. Documentary research into the representations of quality among caregivers identified the human and regulatory dimensions which influence their engagement. It opens up prospects for the involvement of lead nurses for quality, trained in encouraging a change of perspectives and the appropriation of a quality culture.


Asunto(s)
Enfermeras y Enfermeros , Calidad de la Atención de Salud , Humanos , Enfermeras y Enfermeros/psicología , Calidad de la Atención de Salud/organización & administración
9.
Arch Psychiatr Nurs ; 35(2): 189-194, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33781399

RESUMEN

BACKGROUND: Burnout rates among nurses have detrimental impact on job satisfaction, teamwork, and patient care. This costs millions of dollars in the healthcare system and challenges nurse leaders to address in order to keep up with the healthcare demands. Furthermore, burnout is especially relevant in our current healthcare climate, as frontline nurses have increased workload and multiple psychosocial stressors during the coronavirus disease (COVID-19) pandemic (Sultana, Sharma, Hossain, Bhattacharya, & Purohit, 2019). Literature also suggests that mindful self-care practices need to be reinforced in order to impact burnout long term (Chamorro-Premuzic & Lusk, 2017). Project7 Mindfulness Pledge© is an accessible and voluntary mindfulness tool that nurses can utilize in their individual practice to reduce burnout and does not require significant time commitment. OBJECTIVE: To evaluate the effectiveness of intentional self-care practices on nurse burnout and workplace environment by measuring job satisfaction and teamwork among nurses. METHODS: Comparisons between inpatient units on data from the National Database of Nursing Quality Indicators (NDNQI) with the Practice Environment Scale (PES), specifically on job enjoyment and teamwork, were done utilizing ANOVA. RESULTS: Results show that nurses in an inpatient unit that implemented Project7 has significantly higher job satisfaction as compared to units that did not implement Project7. CONCLUSIONS: This suggests that this tool provides an effective and accessible mindfulness framework managers and directors can utilize to improve job satisfaction, teamwork, and thereby reduce burnout to create healthier work environments.


Asunto(s)
Agotamiento Profesional/prevención & control , Atención Plena/métodos , Enfermeras y Enfermeros/psicología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/prevención & control , Autocuidado/psicología , /psicología , Estudios Transversales , Femenino , Humanos , Análisis de Series de Tiempo Interrumpido , Satisfacción en el Trabajo , Masculino , Estudios Retrospectivos , Lugar de Trabajo
13.
Ann Agric Environ Med ; 28(1): 94-98, 2021 Mar 18.
Artículo en Inglés | MEDLINE | ID: mdl-33775073

RESUMEN

OBJECTIVE: The aim of the study was to perform translation and cultural adaptation, as well as to assess the validity and reliability of the Polish version of the Neonatal Extent of Work Rationing Instrument (NEWRI) questionnaire for evaluating care rationing in neonatal intensive care units (NICUs) in Poland. MATERIAL AND METHODS: Participants were prospectively recruited at the University Clinical Hospital in Wroclaw, Poland, and the study conducted from January 2018 - June 2018. The adaptation process involved translation of survey items following the guidelines for cross-cultural translation and evaluation of psychometric properties, as well as an assessment of construct validity, reliability, and internal consistency of the NEWRI using Cronbach's alpha. RESULTS: 113 professionally active nurses (n=90) and midwives (n=23) were enrolled in the study. Cronbach's alpha for the entire instrument was 0.982. Results for subscales: life support and technology-oriented nursing care - Cronbach's alpha - 0.95, parental support and teaching and infant comfort care - 0.95, patient surveillance - 0.92, care coordination and discharge planning - 0.79. All items of the questionnaire were found to have a positive discriminatory power. CONCLUSIONS: The present findings indicate a high level of reliability and validity of the translated questionnaire, fully comparable to that of the original. The questionnaire can be used for evaluating care rationing in NICUs.


Asunto(s)
Unidades de Cuidado Intensivo Neonatal , Enfermeras y Enfermeros/psicología , Adulto , Cultura , Femenino , Humanos , Masculino , Partería , Enfermeras y Enfermeros/estadística & datos numéricos , Polonia , Estudios Prospectivos , Psicometría , Encuestas y Cuestionarios , Traducción , Adulto Joven
16.
BMJ Open ; 11(3): e044139, 2021 03 16.
Artículo en Inglés | MEDLINE | ID: mdl-33727270

RESUMEN

OBJECTIVE: The aim of the study was to understand the experiences of advanced practice nurses (APNs) in the UK during the 2020 COVID-19 pandemic, particularly in relation to safety, shortages and retention. DESIGN: A cross-sectional, mixed-methods survey. SETTING: APNs in any UK setting. PARTICIPANTS: The survey was sent to an existing UK-wide cohort of APNs. 124 APNs responded (51%). RESULTS: UK-based APNs in this study reported shortages of staff (51%) and personal protective equipment (PPE) (68%) during the first 3 months of the coronavirus outbreak. Almost half (47%) had considered leaving their job over the same 3 months. Despite difficulties, there were reports of positive changes to working practice that have enhanced care. CONCLUSION: UK APNs report COVID-19-related shortages in staff and equipment across primary and secondary care and all regions of the UK. Shortages of PPE during a pandemic are known to be a factor in the development of mental health sequelae as well as a risk factor for increased turnover and retention issues. Half of APNs surveyed were considering a change in job. The UK risks a further crisis in staff morale and retention if this is not acknowledged and addressed. APNs also expressed concern about patients not receiving routine care as many specialties closed or reduced working during the crisis. However, there were also many examples of good practice, positive changes and innovation.


Asunto(s)
/epidemiología , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/provisión & distribución , Pandemias , Estudios Transversales , Humanos , Salud Mental , Equipo de Protección Personal/provisión & distribución , Reino Unido/epidemiología
17.
Invest Educ Enferm ; 39(1)2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33687809

RESUMEN

OBJECTIVES: The study sought to correlate fear, stress, knowledge regarding COVID-19 in Nursing students and recent graduates in Mexico. METHODS: Correlational design, sample comprising 912 nursing students and graduates during the last 18 months from public and private universities of Mexico. To measure the variables, the study applied the instrument Fear of COVID-19 Scale, knowledge subscale of the scale Knowledge, attitudes, and practices towards COVID-19, and the instrument COVID Stress Scale. RESULTS: Relationship was found of the age variable with fear, danger of contamination, traumatic stress, knowledge and minor socioeconomic consequences (p<0.05). Likewise, relationship was observed of fear with stress regarding COVID-19, danger of contamination, socioeconomic consequences, xenophobia, traumatic stress, and compulsive checking (p<0.05). Stress and knowledge explain the presence of fear regarding COVID-19 in 50.3%, and fear and knowledge explain stress regarding COVID-19 in 50.4%. CONCLUSIONS: Nursing students and recent graduates have high levels of stress and fear, besides low level of knowledge. The presence of high stress and low knowledge predict fear regarding COVID-19. Interventions are required on knowledge, stress, and fear regarding COVID-19 in the population studied.


Asunto(s)
Miedo/psicología , Conocimientos, Actitudes y Práctica en Salud , Estrés Psicológico/epidemiología , Estudiantes de Enfermería/psicología , Adolescente , Factores de Edad , Estudios Transversales , Femenino , Humanos , Masculino , México , Enfermeras y Enfermeros/psicología , Enfermeras y Enfermeros/estadística & datos numéricos , Estudiantes de Enfermería/estadística & datos numéricos , Encuestas y Cuestionarios , Adulto Joven
18.
Soins ; 66(852): 35-37, 2021.
Artículo en Francés | MEDLINE | ID: mdl-33750556

RESUMEN

The COVD-19 wave of spring 2020 had a major impact on French intensive care departments. The intense activity, the support of reinforcements in the acquisition of the necessary skills and their capacity to adapt made intensive care nurses key players in this crisis. Grouped together within the French National Federation of Intensive Care Nurses, they are campaigning to have the specificity of their practice to be recognised and for the creation of certified training in order to meet public healthcare needs not currently fulfilled.


Asunto(s)
/enfermería , Enfermería de Cuidados Críticos , Unidades de Cuidados Intensivos/estadística & datos numéricos , Enfermeras y Enfermeros/psicología , /epidemiología , Epidemias , Francia/epidemiología , Humanos , Pandemias/prevención & control
20.
J Psychiatr Ment Health Nurs ; 28(2): 126-137, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33608956

RESUMEN

WHAT IS KNOWN ON THE SUBJECT?: During the COVID-19 pandemic, there has been research considering the impact on medical healthcare professionals and the mental health needs of the general population. However, limited focus has been placed on mental health services or mental health staff providing care in the community and in hospitals. While nurses make up the largest section of the mental health workforce in the UK, the impact that this pandemic has had on their work has been largely ignored. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This paper provides a unique insight into the experiences and impact that the COVID-19 pandemic has had on mental health nurses across a range of community and inpatient settings to understand what has changed in their work and the care they can and do provide during this crisis. This includes exploring how services have changed, the move to remote working, the impact of the protective equipment crisis on nurses and the difficult working conditions facing those in inpatient settings where there is minimal guidance provided. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: By understanding the impact the pandemic has had on mental health nursing care, we can understand the gaps in guidance that exist, the challenges being faced and the impact the crisis has had on care for mental health service users. By doing so, we can plan for the ongoing nature of this pandemic and the aftermath that the crisis may leave for our service users and workforce alike. ABSTRACT: Introduction While evidence has emerged concerning the impact of COVID-19 on the general population and the challenges facing health services, much less is known regarding how the pandemic has directly affected the delivery of mental health nursing care. Aim This paper aimed to explore how COVID-19 has affected the ability of mental health nurses to deliver care in community and inpatient mental health services in the UK. Method We investigated staff reports regarding the impact of the COVID-19 pandemic on mental healthcare and mental health service users in the UK, using a mixed-methods online survey. A total of 897 nurses across a range of inpatient and community settings participated. Discussion Key themes within the data explore the following: new ways of working; remote working; risks of infection/infection control challenges; and the impact on service users. Targeted guidelines are required to support mental health nurses providing care and support during a pandemic to people in severe mental distress, often in unsuitable environments. Implications for Practice Service developments need to occur alongside tailored guidance and support for staff welfare supported by clear leadership. These findings identify areas requiring attention and investment to prepare for future crises and the consequences of the pandemic.


Asunto(s)
/psicología , Prestación de Atención de Salud/métodos , Servicios de Salud Mental , Enfermeras y Enfermeros/psicología , Enfermería Psiquiátrica/métodos , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Reino Unido , Adulto Joven
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