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1.
Nurs Leadersh (Tor Ont) ; 34(2): 39-44, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197293

RESUMO

The rapid cadence of change and the fear of acquiring and spreading COVID-19 - coupled with moral distress exacerbated by fulfilling one's duty to care under extremely challenging conditions - continue to impact nurses' coping ability, resilience and psychological safety globally (McDougall et al. 2020). This paper provides an overview of how an academic health sciences centre (AHSC) has responded to the evolving waves of the COVID-19 pandemic. Specifically, we share our context and the strategies we used to build and enhance nurse resilience and psychological safety at the organizational, clinical team and individual levels. This is followed by a description of our nurses' achievements amid the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/organização & administração , Resiliência Psicológica , Centros Médicos Acadêmicos/organização & administração , COVID-19/epidemiologia , Humanos , Liderança , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Equipe de Assistência ao Paciente/organização & administração , SARS-CoV-2
2.
Nurs Leadersh (Tor Ont) ; 34(2): 45-53, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197294

RESUMO

Absenteeism rates among nurses have increased across Canada over the last several years, with work environment challenges and staffing shortages being possible contributors. With the onset of the COVID-19 pandemic, nurses have worked under increasingly stressful conditions. Unsurprisingly, many nurses are facing mental health challenges. Digital tools to support and enhance access to mental health services are one strategy to support the mental health of nurses. This paper outlines the digital tools and virtual programs available to support the mental health of nurses, recognizing that there is no single solution to address the mental health challenges faced by Canadian nurses during these difficult times.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Grupos de Autoajuda , Rede Social , COVID-19/epidemiologia , COVID-19/enfermagem , Canadá , Humanos , Serviços de Saúde Mental/organização & administração , Aplicativos Móveis , Pandemias , SARS-CoV-2 , Tecnologia
3.
Nurs Leadersh (Tor Ont) ; 34(2): 54-61, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197295

RESUMO

The Public Health Branch of the Regional Municipality of York created a specialized team to ensure a people-centred approach for the deployment of the workforce during COVID-19. Due to increasing stress and staff burnout, there was an apparent need for enhanced leadership supports that would expand the skills of managers to apply participative management competencies and resiliency strategies within their teams. A range of leadership development activities were designed that included ready-to-use actionable tools, best practice interventions for resiliency development and comprehensive initiatives, such as mentorship and debriefing. Benefits include manager capacity development resulting in improvements in organizational resilience and psychological safety.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde/psicologia , Liderança , Resiliência Psicológica , COVID-19/epidemiologia , COVID-19/enfermagem , Humanos , Pandemias , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2
4.
Nurs Leadersh (Tor Ont) ; 34(2): 75-85, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-34197297

RESUMO

Street nurses who serve people experiencing homelessness and substance abuse are at risk of vicarious trauma and long-term mental health challenges. These risks have increased during the COVID-19 pandemic due to a concomitant spike in opioid overdoses and deaths in Canada, fewer available support services and worsening social challenges. This article describes innovative interdisciplinary and participatory research currently being undertaken to develop and evaluate a multifaceted support program to promote the holistic well-being of street nurses and their front-line colleagues.


Assuntos
COVID-19/enfermagem , Enfermagem Holística/métodos , Pessoas em Situação de Rua , Epidemia de Opioides , Atitude do Pessoal de Saúde , COVID-19/epidemiologia , Humanos , Ontário , Pandemias , Pesquisa Qualitativa , SARS-CoV-2
5.
Nurs Leadersh (Tor Ont) ; 34(2): 45-53, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1291839

RESUMO

Absenteeism rates among nurses have increased across Canada over the last several years, with work environment challenges and staffing shortages being possible contributors. With the onset of the COVID-19 pandemic, nurses have worked under increasingly stressful conditions. Unsurprisingly, many nurses are facing mental health challenges. Digital tools to support and enhance access to mental health services are one strategy to support the mental health of nurses. This paper outlines the digital tools and virtual programs available to support the mental health of nurses, recognizing that there is no single solution to address the mental health challenges faced by Canadian nurses during these difficult times.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Grupos de Autoajuda , Rede Social , COVID-19/epidemiologia , COVID-19/enfermagem , Canadá , Humanos , Serviços de Saúde Mental/organização & administração , Aplicativos Móveis , Pandemias , SARS-CoV-2 , Tecnologia
6.
Nurs Leadersh (Tor Ont) ; 34(2): 75-85, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1291136

RESUMO

Street nurses who serve people experiencing homelessness and substance abuse are at risk of vicarious trauma and long-term mental health challenges. These risks have increased during the COVID-19 pandemic due to a concomitant spike in opioid overdoses and deaths in Canada, fewer available support services and worsening social challenges. This article describes innovative interdisciplinary and participatory research currently being undertaken to develop and evaluate a multifaceted support program to promote the holistic well-being of street nurses and their front-line colleagues.


Assuntos
COVID-19/enfermagem , Enfermagem Holística/métodos , Pessoas em Situação de Rua , Epidemia de Opioides , Atitude do Pessoal de Saúde , COVID-19/epidemiologia , Humanos , Ontário , Pandemias , Pesquisa Qualitativa , SARS-CoV-2
7.
Nurs Leadersh (Tor Ont) ; 34(2): 39-44, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1290742

RESUMO

The rapid cadence of change and the fear of acquiring and spreading COVID-19 - coupled with moral distress exacerbated by fulfilling one's duty to care under extremely challenging conditions - continue to impact nurses' coping ability, resilience and psychological safety globally (McDougall et al. 2020). This paper provides an overview of how an academic health sciences centre (AHSC) has responded to the evolving waves of the COVID-19 pandemic. Specifically, we share our context and the strategies we used to build and enhance nurse resilience and psychological safety at the organizational, clinical team and individual levels. This is followed by a description of our nurses' achievements amid the pandemic.


Assuntos
Adaptação Psicológica , COVID-19/enfermagem , Recursos Humanos de Enfermagem no Hospital/organização & administração , Resiliência Psicológica , Centros Médicos Acadêmicos/organização & administração , COVID-19/epidemiologia , Humanos , Liderança , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Equipe de Assistência ao Paciente/organização & administração , SARS-CoV-2
8.
Nurs Leadersh (Tor Ont) ; 34(2): 54-61, 2021 Jun.
Artigo em Inglês | MEDLINE | ID: covidwho-1289988

RESUMO

The Public Health Branch of the Regional Municipality of York created a specialized team to ensure a people-centred approach for the deployment of the workforce during COVID-19. Due to increasing stress and staff burnout, there was an apparent need for enhanced leadership supports that would expand the skills of managers to apply participative management competencies and resiliency strategies within their teams. A range of leadership development activities were designed that included ready-to-use actionable tools, best practice interventions for resiliency development and comprehensive initiatives, such as mentorship and debriefing. Benefits include manager capacity development resulting in improvements in organizational resilience and psychological safety.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde/psicologia , Liderança , Resiliência Psicológica , COVID-19/epidemiologia , COVID-19/enfermagem , Humanos , Pandemias , Avaliação de Programas e Projetos de Saúde , SARS-CoV-2
9.
Ann Glob Health ; 87(1): 51, 2021 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-34221904

RESUMO

Background: Nurses working in treating patients with COVID-19 are exposed to various stressors, such as fear of COVID-19, stress, and high workload, leading to burnout. Objectives: This study aimed to identify the level of burnout and its predictors in nurses working in hospitals for COVID-19 patients. Methods: Participants in this study were nurses working in 11 hospitals for COVID-19 patients in the Fars province of Iran. The Maslach burnout and the UK Health and Safety stress questionnaires were used to assess burnout and stress, respectively. Analysis, using multiple regression in the SPSS21 software, aimed to identify the factors affecting burnout. Findings: The mean level of burnout in the nurses at the COVID-19 hospitals was 57 out of 120, and burnout was affected by workload (ß = 0.69, p < 0.001), job stress (ß = 0.25, p < 0.001) and inadequate hospital resources for the prevention of COVID-19 (ß = -0.16, p < 0.001). These three variables explained 87% of the variance in burnout. Conclusions: The burnout of nurses directly exposed to COVID-19 patients is more than nurses in other wards, and workload is the most significant cause of burnout in them. Therefore, necessary measures such as hiring more nurses, reducing working hours and increasing rest periods are necessary to reduce workload. In addition, the job stress of these nurses should be managed and controlled, and the hospital resources needed to prevent this disease should be provided.


Assuntos
Esgotamento Profissional , COVID-19 , Enfermeiras e Enfermeiros , Estresse Ocupacional , Tolerância ao Trabalho Programado/psicologia , Carga de Trabalho , Adulto , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , COVID-19/epidemiologia , COVID-19/enfermagem , COVID-19/psicologia , Medo/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Controle de Infecções/métodos , Irã (Geográfico)/epidemiologia , Masculino , Enfermeiras e Enfermeiros/psicologia , Enfermeiras e Enfermeiros/provisão & distribuição , Estresse Ocupacional/complicações , Estresse Ocupacional/prevenção & controle , SARS-CoV-2 , Carga de Trabalho/psicologia , Carga de Trabalho/normas , Carga de Trabalho/estatística & dados numéricos
10.
J Correct Health Care ; 27(2): 89-102, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34232781

RESUMO

During a pandemic, basic public health precautions must be taken across settings and populations. However, confinement conditions change what can be done in correctional settings. Correctional nursing (CN) care, like all nursing care, needs to be named and encoded to be recognized and used to generate data that will advance the discipline and maintain standards of care. The Omaha System is a standardized interprofessional terminology that has been used since 1992 to guide and document care. In 2019, a collaboration between the newly formed American Correctional Nurses Association and the Omaha System Community of Practice began a joint effort with other stakeholders aimed at encoding evidence-based pandemic response interventions used in CN. The resulting guidelines are included and illustrated with examples from CN practice.


Assuntos
COVID-19/enfermagem , Estabelecimentos Correcionais/normas , Documentação/normas , Enfermeiras e Enfermeiros/normas , COVID-19/epidemiologia , Humanos , Enfermeiras e Enfermeiros/organização & administração , Cuidados de Enfermagem/normas , Guias de Prática Clínica como Assunto , SARS-CoV-2 , Estados Unidos/epidemiologia
11.
PLoS One ; 16(7): e0254077, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34214122

RESUMO

BACKGROUND: Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. METHODS: In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. RESULTS: Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. CONCLUSIONS: Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants' experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.


Assuntos
COVID-19/enfermagem , Tomada de Decisão Clínica , Enfermeiras e Enfermeiros/psicologia , Cuidados de Enfermagem/psicologia , Pandemias , SARS-CoV-2 , Adulto , Idoso , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Relações Profissional-Família , Pesquisa Qualitativa , Avaliação de Sintomas , Carga de Trabalho
13.
J Am Assoc Nurse Pract ; 33(6): 416-418, 2021 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-34081655

RESUMO

COVID-19 has had a significant impact on the lives of nurses. To capture these experiences, the AANP history committee sponsored a writing contest. The stories, essays, and poems were heartfelt and ranged from personal experiences to future implications. One essay entitled "The Five Stages of COVID Grief: One Nurse Practitioner's Coronavirus Story," captured the essence of the time and is applicable to all nurses as we continue our journey and document our legacy. Using the framework of COVID Grief, this article seeks to outline the shared experience and range of emotions represented in the writing contest submissions. Through this lens, the Year of the Nurse and the toll of coronavirus can be framed by the emotions of disbelief, bitterness, guilt, fear and anxiety, and resilience.


Assuntos
COVID-19/psicologia , Medo/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Adaptação Psicológica , Anedotas como Assunto , Ansiedade/psicologia , COVID-19/enfermagem , Humanos , Enfermeiras e Enfermeiros/psicologia , Resiliência Psicológica , Redação
14.
J Christ Nurs ; 38(3): E25-E27, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34085664

RESUMO

ABSTRACT: Compassion fatigue has become a more significant concern as nurses have cared for patients during the COVID-19 pandemic. The results of compassion fatigue are detrimental for both nurses and their patients. Both administrative and individual actions can be taken to assess, prevent, and deal with compassion fatigue. Spiritual facets of recognizing the potential for and managing the problem are presented.


Assuntos
Esgotamento Profissional/psicologia , COVID-19/psicologia , Fadiga por Compaixão/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Adaptação Psicológica , Adulto , COVID-19/enfermagem , Empatia , Humanos , Satisfação no Emprego , Qualidade de Vida
15.
J Christ Nurs ; 38(3): E28-E31, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34085665

RESUMO

ABSTRACT: Nurses who provided care to patients with coronavirus (COVID-19) and supported patients in their transition from life to death in the absence of patients' families have been especially needful of spiritual self-care. A spiritual first aid kit can help nurses cope with these difficult times. Spiritual self-care is vital for all nurses to renew and preserve the psychological, spiritual, and physical self.


Assuntos
COVID-19/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Autocuidado/psicologia , Autoeficácia , Adaptação Psicológica , COVID-19/enfermagem , Cuidados Críticos/psicologia , Primeiros Socorros , Humanos , Espiritualidade
16.
Nursing ; 51(7): 43-46, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34157001

RESUMO

ABSTRACT: For more than a year, the COVID-19 pandemic has caused unprecedented stress, anxiety, sadness, and fear, but it has also allowed people to reflect, learn, self-improve, and change. In this article, the author demonstrates how reflective practice enabled her to improve in two distinctly different leadership roles.


Assuntos
COVID-19/enfermagem , Educação Técnica em Enfermagem/organização & administração , Liderança , Papel do Profissional de Enfermagem/psicologia , Supervisão de Enfermagem/organização & administração , Humanos
17.
Nursing ; 51(7): 52-56, 2021 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-34157003

RESUMO

ABSTRACT: Little is known about the psychological impact of trauma from pandemics such as the COVID-19 pandemic. This article explores a descriptive study on the impact of COVID-19 and the prevalence of posttraumatic stress disorder among RNs caring for patients with COVID-19.


Assuntos
COVID-19/enfermagem , Enfermeiras e Enfermeiros/psicologia , Pandemias , Transtornos de Estresse Pós-Traumáticos/epidemiologia , COVID-19/epidemiologia , COVID-19/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Enfermeiras e Enfermeiros/estatística & dados numéricos , Prevalência , Autorrelato
18.
Indian J Med Ethics ; VI(1): 1-6, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34081001

RESUMO

The Covid-19 pandemic has dominated people's lives since late 2019, for more than nine months now. Healthcare resources and medicine have been completely consumed by the Covid 19 illness globally. This is a particularly difficult time for health systems because of the onerous responsibility to care for large numbers of sick people, protecting populations from contracting the infection by effective quarantine, isolation, and containment measures. In addition to this burden of work, healthcare providers are also overcome by fear of contracting the infection and transmitting it to their loved ones. It is during such difficult times that the integrity of healthcare providers is challenged. In this paper I will describe some challenges that a healthcare provider in a typical low resource setting faces during this pandemic time, and will propose the idea of "flexible adamancy" to address these challenges to the health system's integrity.


Assuntos
COVID-19/enfermagem , COVID-19/psicologia , Pessoal de Saúde/psicologia , Pessoal de Saúde/normas , Obrigações Morais , Cuidados de Enfermagem/ética , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/normas , Adulto , Atitude do Pessoal de Saúde , Feminino , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Pandemias/ética , Pandemias/prevenção & controle , Guias de Prática Clínica como Assunto , Quarentena/ética , SARS-CoV-2
19.
Neonatal Netw ; 40(3): 146-154, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-34088860

RESUMO

Coronavirus disease 2019 (COVID-19), which is caused by SARS-CoV-2, has overwhelmed health care systems in 2020, affecting millions of lives worldwide. There have, however, been few reports of the effect this virus has on the newborn population. This case study presents an infant with a vertical transmission of COVID-19, including symptoms, diagnosis, and management, to help inform care for the COVID-19-positive infant.


Assuntos
COVID-19/diagnóstico , COVID-19/enfermagem , COVID-19/fisiopatologia , COVID-19/transmissão , Transmissão Vertical de Doenças Infecciosas , Enfermagem Neonatal/normas , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Recém-Nascido , Masculino , SARS-CoV-2
20.
Afr J Prim Health Care Fam Med ; 13(1): e1-e8, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34082553

RESUMO

INTRODUCTION: The novel coronavirus 2019 or COVID-19 pandemic has brought about a global public health crisis. Primary care (PC) nurses render first line care, or refer for more specialised services. AIM: To investigate the preparedness of PC nurses for COVID-19 in the Western Cape. SETTING: The Western Cape province of South Africa. METHODS: We administered an online survey, with closed and open-ended questions, to 83 Stellenbosch University postgraduate PC nursing students and alumni working in the Western Cape, between 03 July and 01 September 2020. RESULTS: The results indicated that 43.3% of participants were confident about the infection, prevention, and control (IPC) training they received and 56.7% felt prepared to provide direct care to suspected cases of COVID-19. Primary care nurses were more comfortable to triage (78.3%) than to manage persons with COVID-19 (42.2%), indicating that they may not be functioning to the full capacity of their education and training. Adequate infrastructure was reported by less than a third of the participants (30.1%) and 59.1% reported that personal protective equipment (PPE) was always available. Primary care nurses needed support in coping with stress (57.8%) although few (14.5%) reported access to mental health services. CONCLUSION: Primary care nurses were not prepared optimally for the COVID-19 pandemic. Challenges included adequate training, infrastructure, the availability of personal protective equipment, COVID-19 testing of health care workers and management support. Primary care nurses need comprehensive support to manage stress and anxiety.


Assuntos
Atitude do Pessoal de Saúde , COVID-19/enfermagem , Competência Clínica/estatística & dados numéricos , Enfermagem de Atenção Primária/métodos , Adulto , COVID-19/diagnóstico , COVID-19/prevenção & controle , Teste para COVID-19/métodos , Educação em Enfermagem , Feminino , Humanos , Masculino , Pandemias , Equipamento de Proteção Individual , SARS-CoV-2 , Inquéritos e Questionários
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