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1.
J Nurs Adm ; 50(12): 616-617, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181597

RESUMO

The COVID-19 pandemic has left frontline staff burned out and exhausted. Meanwhile, executives need to ask more of their staff to ensure organizational viability. In this article, the authors propose that executives commit to taking specific actions to create a more supportive work environment and form an executive-clinician compact. This article outlines the 5 actions executives should take to bolster staff engagement and resilience long-term.


Assuntos
Esgotamento Profissional/prevenção & controle , Infecções por Coronavirus , Enfermeiras Administradoras/organização & administração , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral , Resiliência Psicológica , Adulto , Humanos , Local de Trabalho/psicologia
2.
J Nurs Adm ; 50(12): 629-634, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33181599

RESUMO

OBJECTIVE: This study examines nurses' perceptions of communication and engagement in the workplace. BACKGROUND: Work engagement and communication are both important concepts in the healthcare environment. METHODS: Inferential analyses were conducted using the Utrecht Work Engagement Scale and Farley's Communication Assessment Questionnaire, along with descriptive and bivariate analyses. RESULTS: Job vigor was negatively associated with the level of informed communication and indirect communication, whereas greater job dedication was found to be associated with more informed communication. Additionally, a statistically significant correlation between years of experience and vigor and absorption was noted, although age did not demonstrate the same relationship. Ultimately, nurse characteristics played an important role in the perception of communication in the work environment and in job enthusiasm. CONCLUSIONS: Nurse administrators must create a culture that values communication and communicate skillfully using various methods to meet the needs of different employees.


Assuntos
Comunicação , Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Local de Trabalho/psicologia , Atitude do Pessoal de Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/organização & administração , Inquéritos e Questionários
3.
Invest Educ Enferm ; 38(2)2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-33047546

RESUMO

OBJECTIVES: To assess burnout level during an outbreak of COVID-19 and to identify influencing factors between frontline nurses and nurses from other wards. METHODS: This cross-sectional study makes comparison between two groups of nurses including frontline (exposure group) and other nurses working in usual wards (non-exposure group) in Torbat Heydariyeh city, Iran. Oldenburg Burnout Inventory (OLBI), Job stress questionnaire (JSQ), and questionnaires of hospital resources, family support, and measuring the fear of COVID-19 were used as research instruments. RESULTS: The scores of job stress and burnout in the exposure group with COVID-19 infection were significantly higher than in the non-exposure group (p=0.006 and p=0.002, respectively). Although, in univariate linear regression, employment status (p=0.047), experience in taking care of patient confirmed or suspected with COVID-19 infection (p=0.006), hospital resources (p=0.047), and job stress (p < 0.001) were considered as significant risk factors for COVID-19-related burnout. In multivariate regression analysis, job stress (p=0.031, ß=0.308) was considered as an only factor that has a significant relationship with COVID-19-related burnout. CONCLUSIONS: The burnout level in frontline nurses was higher than other nurses, the most important influencing factor was the job stress. Regarding to negative effects of burnout on both physical and mental health nurses, it is suggested that a strong strategy be considered to reduce nurses' burnout to be able to control ongoing and future outbreaks successfully.


Assuntos
Esgotamento Profissional/epidemiologia , Infecções por Coronavirus/epidemiologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Pneumonia Viral/epidemiologia , Adulto , Infecções por Coronavirus/terapia , Estudos Transversais , Surtos de Doenças , Feminino , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/terapia , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
4.
Medicine (Baltimore) ; 99(42): e22765, 2020 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-33080744

RESUMO

Nursing services is a high stress job. To improve the life quality of nursing staffs, we explored the relationships among psychological capital, job immersion, and life quality in nursing staffs, and verified that the psychological capital plays an intermediary role between the job immersion and life quality in nursing staffs.General data questionnaire, job immersion scale, psychological capital scale, and life quality scale were performed in nursing staffs who were from 6 third-class hospitals including 2 hospitals in Jinzhou city, 2 hospitals in Chaoyang city, and 2 hospitals in Huludao city. The relationships among psychological capital, job immersion, and life quality, and psychological capital as an intermediary role between the job immersion and life quality were analyzed using SPSS20.0 and AMOS19.0 softwares.In these nursing staffs, the total scores of the job immersion, psychological capital, and life quality were 47.45 ±â€Š9.41, 65.63 ±â€Š10.35, and 72.35 ±â€Š11.24, respectively. The psychological capital was positively correlated with the job immersion (r = 0.452, P < 0.001), the job immersion was positively correlated with the life quality (r = 0.344, P < 0.001) and the psychological capital was positively correlated with the life quality (r = 0.314, P < 0.001). Structural equation models showed that the job immersion could indirectly influence the life quality through the psychological capital. The mediating effect of psychological capital was 0.156 which accounted for 33.19% of the total effects.The psychological capital should be improved, and the psychological capital combined with the job immersion together improves the life quality of nursing staffs.


Assuntos
Satisfação no Emprego , Recursos Humanos de Enfermagem no Hospital/psicologia , Qualidade de Vida , Autoeficácia , Adulto , China , Feminino , Esperança , Humanos , Masculino , Otimismo , Inquéritos e Questionários , Adulto Jovem
5.
J Contin Educ Nurs ; 51(11): 496-497, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-33104807

RESUMO

The impact of long shifts, the puzzling illnesses and manifestations of COVID-19, its personal and family impacts, and the sustained grief of many losses in the past 6 months requires consideration of interventions to lift caregivers' spirits. Burnout has long been a challenge for nurses working in intense acute environments. Today, the risk and effects are even greater. Animal-assisted support is one intervention that shows some promise in supporting employee well-being. [J Contin Educ Nurs. 2020;51(11):496-497].


Assuntos
Terapia Assistida com Animais/métodos , Esgotamento Profissional/psicologia , Esgotamento Profissional/terapia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/enfermagem , Pneumonia Viral/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
6.
BMC Psychiatry ; 20(1): 489, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-33023535

RESUMO

BACKGROUND: COVID-19 infection is a new disease that infects a large number of people, killing a ratio of whom every day in the world. Healthcare staff, especially nurses, experience a great deal of psychological distress during care of COVID-19 patients. Detecting factors that disturb nurses' mental health during care of these patients can help to reduce their psychological distress. Therefore, this study aimed to explore nurses' experiences of psychological distress during care of patients with COVID-19. METHODS: The present qualitative research was performed using the conventional content analysis method in Iran from March to May 2020. Participants in this study included the nurses caring for patients with COVID-19, and they were selected based on the purposeful sampling method. The data was collected through 20 phone call interviews and analyzed based on the method proposed by Lundman and Graneheim. RESULTS: Qualitative data analysis revealed 11 categories including death anxiety, anxiety due to the nature of the disease, anxiety caused by corpse burial, fear of infecting the family, distress about time wasting, emotional distress of delivering bad news, fear of being contaminated, the emergence of obsessive thoughts, the bad feeling of wearing personal protective equipment, conflict between fear and conscience, and the public ignorance of preventive measures. CONCLUSION: The data showed that the nurses experienced a variety of psychological distress during care of patients with COVID-19. Through proper planning by authorities, it is possible to manage the risk factors of mental health distress in nurses and improve their mental health status.


Assuntos
Betacoronavirus , Esgotamento Profissional , Infecções por Coronavirus , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral , Angústia Psicológica , Adulto , Feminino , Humanos , Entrevistas como Assunto , Irã (Geográfico) , Masculino
7.
PLoS One ; 15(9): e0238699, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32911512

RESUMO

BACKGROUND: There is literature scarcity relating to burnout and other work stresses in relation to Chinese nursing-workforce performance. OBJECTIVES: To assess the relationship between self-esteem versus burnout; and effort-reward ratio versus favorability to the work environment, among Chinese nurses. METHODS: We employed four validated questionnaires in the assessment burnout, self-esteem, effort-reward ratio, and favorability of nursing workplace; Maslach-Burnout Inventory (MBI), Rosenberg's self-esteem (RS), Effort-Reward imbalance (ERI) and Work-Environment Scale questionnaires (WES). Linear and ordinal regression models were utilized to assess the relationships between the variables. Analyses were conducted by using SPSS at a 95% level of significance. RESULTS: We assessed 487 (Mean age: 38.8±7.1 years) nurses from three hospitals. Higher self-esteem was associated with a lower level of emotional exhaustion (Unstandardized coefficient: -0.579, p-Value<0.001); and a lower level of depersonalization (Unstandardized coefficient: -0.212, p-Value = 0.001). The relationship between self-esteem and personal achievement did not reach statistical significance. A higher effort-reward ratio was associated with less likelihood that nurses would consider their work environment favorable (Logit estimate of -0.832, p-Value = 0.014). CONCLUSION: Lower self-esteem is associated with increased burnout. A higher effort-reward ratio is associated with an enhanced perception work environment as unfavorable. We recommend psychosocial intervention programs and amendments in nursing policies to improve effort-reward imbalance among Chinese nurses.


Assuntos
Esgotamento Profissional/psicologia , Hospitais , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/psicologia , Adulto , China , Estudos Transversais , Emoções/fisiologia , Feminino , Humanos , Masculino , Recompensa , Autoimagem , Inquéritos e Questionários , Local de Trabalho/psicologia
10.
Psychiatry Res ; 291: 113272, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32886958

RESUMO

Nurses are acknowledged for their care and expertise on the front line of pandemics over the last century. The recent global impact of COVID-19 has been unprecedented and a parallel battle has also been fought by increasing numbers of nurses for their workplace mental health. Factors associated with nurses mental stress and consequence of suicide were identified from a retrospective analysis of six non-representative media case-reports in high and low resource countries. The need for a structured model of nursing workforce mental health preparation, monitoring, support and health care is essential to inform advocacy and timely intervention in pandemic response.


Assuntos
Infecções por Coronavirus/psicologia , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/mortalidade , Pneumonia Viral/psicologia , Estresse Psicológico/mortalidade , Suicídio/estatística & dados numéricos , Local de Trabalho/psicologia , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Humanos , Saúde Mental , Pandemias , Pneumonia Viral/epidemiologia , Estudos Retrospectivos , Estresse Psicológico/etiologia , Estresse Psicológico/psicologia , Suicídio/psicologia
11.
Hu Li Za Zhi ; 67(5): 33-43, 2020 Oct.
Artigo em Chinês | MEDLINE | ID: mdl-32978764

RESUMO

BACKGROUND: Critical care nurses must often care for patients who are dying and their families. Thus, understanding the self-efficacy and life attitudes of nursing staff in the ICU in response to death is important to the development and provision of relevant education and training. PURPOSE: This study was designed to explore the self-efficacy of ICU nurses in response to death and related predictive factors. METHODS: This was a cross-sectional research study. The subjects were 216 nurses in the adult ICU of a medical center in northern Taiwan. The research tools used included the death coping self-efficacy scale and the life attitude scale. Data were analyzed using Pearson's correlation, t-test, one-way ANOVA, and multiple regression. RESULTS: The results showed: 1. In terms of death coping self-efficacy, the mean score was 112.0 ± 14.3, with the highest scoring subscale, hospice care, earning a mean score of 51.1 ± 6.3. In terms of life attitude, the mean score was 128.9 ± 13.8, with the highest scoring subscale, life autonomy, earning a mean score of 24.0 ± 3.2. 2. Nurses with experiences of withdrawal of life support had better coping efficacy (t = 1.94, p = .05) and those with a graduate degree or above earned a better average life attitude score than those educated to the university / junior college level. 3. Age and ICU seniority were found to correlate positively with grief-related coping skills (r = .241- .315), with the life-attitude subscales of aspiring, life-autonomy, love, and caring showing positive correlations with death coping self-efficacy (r = .138- .482). 4. The predictors found in this study for death coping self-efficacy were age, aspiring, life-autonomy, love, and caring, with a total explained variance of 30.1% (F = 12.78, p < .001). CONCLUSIONS: The results of this study indicate that education level and having hospice care experience are both significant predictors of life attitude in ICU nurses, which is a factor that is known to affect self-efficacy in response to death. Life attitude and hospice care training programs for ICU nurses should be promoted to foster positive life attitudes and thereby enhance self-efficacy in response to death to improve the quality of intensive clinical care.


Assuntos
Adaptação Psicológica , Atitude do Pessoal de Saúde , Morte , Recursos Humanos de Enfermagem no Hospital/psicologia , Autoeficácia , Adulto , Enfermagem de Cuidados Críticos , Estudos Transversais , Humanos , Taiwan
12.
Int J Nurs Stud ; 111: 103637, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32919358

RESUMO

Background: Pandemics and epidemics are public health emergencies that can result in substantial deaths and socio-economic disruption. Nurses play a key role in the public health response to such crises, delivering direct patient care and reducing the risk of exposure to the infectious disease. The experience of providing nursing care in this context has the potential to have significant short and long term consequences for individual nurses, society and the nursing profession. Objectives: To synthesize and present the best available evidence on the experiences of nurses working in acute hospital settings during a pandemic. Design: This review was conducted using the Joanna Briggs Institute methodology for systematic reviews. Data sources: A structured search using CINAHL, MEDLINE, EMBASE, PubMed, Google Scholar, Cochrane Library, MedNar, ProQuest and Index to Theses was conducted. Review methods: All studies describing nurses' experiences were included regardless of methodology. Themes and narrative statements were extracted from included papers using the SUMARI data extraction tool from Joanna Briggs Institute. Results: Thirteen qualitative studies were included in the review. The experiences of 348 nurses generated a total of 116 findings, which formed seven categories based on similarity of meaning. Three synthesized findings were generated from the categories: (i) Supportive nursing teams providing quality care; (ii) Acknowledging the physical and emotional impact; and (iii) Responsiveness of systematised organizational reaction. Conclusions: Nurses are pivotal to the health care response to infectious disease pandemics and epidemics. This systematic review emphasises that nurses' require Governments, policy makers and nursing groups to actively engage in supporting nurses, both during and following a pandemic or epidemic. Without this, nurses are likely to experience substantial psychological issues that can lead to burnout and loss from the nursing workforce.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/enfermagem , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Humanos , Papel do Profissional de Enfermagem , Exposição Ocupacional , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão
13.
Nursing ; 50(10): 58-63, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32976304

RESUMO

Work-related stress is common within the nursing profession, especially in the ED. Studies have shown that interventions to improve hospital working environments positively impact retention and help prevent burnout. This nursing practice innovation project describes the development, implementation, and evaluation of a restorative space (the "Serenity Room") in a busy regional ED. The evaluation of this project focused on the effectiveness of the room at reducing stress and the value ED staff place on having access to a restorative space. Data were gathered through pre- and postimplementation surveys.


Assuntos
Serviço Hospitalar de Emergência , Arquitetura Hospitalar , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/prevenção & controle , Resiliência Psicológica , Difusão de Inovações , Humanos , Pesquisa em Avaliação de Enfermagem , Inquéritos e Questionários
14.
J Nurs Adm ; 50(10): 521-525, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32925663

RESUMO

OBJECTIVE: The purpose of this study was to describe hospital nurses' experiences with organizational support after an adverse event (AE). BACKGROUND: Most hospital staff nurses will experience an AE, being left and feeling traumatized. METHODS: Data collection and analysis followed a qualitative descriptive approach. RESULTS: Nurses yearn to feel valued and to receive timely support from nurse executives after an AE. CONCLUSIONS: To help lessen the suffering of the nurse after an AE, healthcare organizations and nurse executives must support the nurse in the aftermath.


Assuntos
Atitude do Pessoal de Saúde , Recursos Humanos de Enfermagem no Hospital/psicologia , Apoio Social , Adulto , Humanos , Erros Médicos , Pesquisa Qualitativa , Estresse Psicológico , Inquéritos e Questionários
15.
Psychiatr Danub ; 32(Suppl 2): 262-268, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32970645

RESUMO

BACKGROUND: Approximately 20% of the European labour force is involved in some type of shift work, with nurses being on the forefront. In Bosnia and Herzegovina, a specific work scheme is pervasive in the health care arena, where all nurses involved in shift work are committed to eight night shifts per month - unlike other European countries that restrict the number of night shifts. Accordingly, we aimed to investigate whether such shift work significantly affects psychosocial functioning and the quality of life of hospital nursing personnel in this country. SUBJECTS AND METHODS: A comparative cross-sectional study design was applied on a total of 157 hospital nursing professionals at the University Clinical Hospital Mostar during 2019. Subjects were divided into two groups: a total of 51% study subjects worked in specific shifts (12-hour day shift / 24 hours off / 12-hour night shift / 48 hours off), while 49% subjects worked in accordance with the regular 7-hour daily schedule. Standard Shiftwork Index (SSI) questionnaire was used, alongside comprehensive socio-demographic and quality of life appraisal. Descriptive and inferential statistical methods were applied, and statistical significance was set at p<0.05. RESULTS: This study demonstrated increased amounts of stress, reduced coping abilities and reduced levels of life enjoyment in shift work nurses in comparison to day work nurses. Furthermore, increased anxiety, stress, psychoorganic symptoms and sleep disturbances were significantly more common in shift work hospital nursing staff. In our study, nurses that worked in shifts have experienced negative externalities such as decreased social functioning, as well as reduced family and leisure time. Conversely, significantly higher satisfaction rates with shift work were only shown in regards to compensation. CONCLUSIONS: Our results reveal many detrimental effects of shift work and contribute to the field of research that is still laden with gaps in understanding its exact impact on the overall health of nursing personnel. Going forward, prospective (and even interventional) studies will be needed to disentangle the exact interplay between work-related factors in various health care systems and subsequent psychosocial disorders in health personnel.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Qualidade de Vida , Jornada de Trabalho em Turnos/psicologia , Tolerância ao Trabalho Programado/fisiologia , Tolerância ao Trabalho Programado/psicologia , Adulto , Bósnia e Herzegóvina/epidemiologia , Estudos Transversais , Emprego/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Transtornos do Sono-Vigília/epidemiologia , Inquéritos e Questionários , Adulto Jovem
16.
J Nurs Adm ; 50(10): 515-520, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32889973

RESUMO

OBJECTIVE: The aim of this study was to evaluate the impact of inpatient nursing specialties on the perceptions of workplace violence. BACKGROUND: The association between nursing specialty and the perception of workplace violence has not been identified. METHODS: An evaluation of inpatient nurses' perceptions of workplace violence at a single health system was conducted using a modified Survey of Violence Experienced by Staff instrument. RESULTS: Of the respondents, 87.2% experienced workplace violence, of which 96.3% was patient related. Patient-initiated verbal abuse, threats, and physical assault frequency differed significantly based on specialty. Post hoc comparisons further elucidate the differences in specialty populations. CONCLUSION: Workplace violence is a nursing concern; however, the frequency in which workplace violence occurs differs based on specialty. The frequency of threats and injuries to nursing staff was significantly higher in medical and trauma units.


Assuntos
Atitude do Pessoal de Saúde , Pacientes Internados , Recursos Humanos de Enfermagem no Hospital/psicologia , Especialidades de Enfermagem , Violência no Trabalho , Estudos Transversais , Feminino , Florida , Humanos , Masculino
17.
Inquiry ; 57: 46958020957114, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32900271

RESUMO

A novel coronavirus pneumonia broke out and gradually developed into a global public health problem. Health care workers, especially nurses, suffered from great occupational pressure and psychological distress during the outbreak of infectious diseases. We performed a cross-sectional survey to investigate the psychological status and self-efficacy of nurses in public hospital during COVID-19 outbreak between 16th and 25th February 2020. A total of 223 nurses participated in this study. The prevalence of anxiety and depression symptoms was 40.8% (CI 95%: 34.4%-47.2%) and 26.4% (CI 95%: 20.6%-42.2%), respectively. There was no difference in the prevalence of anxiety symptoms among demographic variables. There was significant differences in the prevalence of depression symptoms according to professional titles (P = .020). The mean score of self-efficacy was 25.90 ± 7.55. The self-efficacy was negatively correlated with anxiety (r = -0.161, P < .05). The psychological status of nurses in public hospital during COVID-19 outbreak needs our attention. Improving nurses' self-efficacy in dealing with emerging infectious diseases may be helpful to their psychology.


Assuntos
Ansiedade/psicologia , Infecções por Coronavirus/psicologia , Depressão/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/psicologia , Autoeficácia , Adulto , Betacoronavirus , Infecções por Coronavirus/enfermagem , Estudos Transversais , Feminino , Humanos , Masculino , Saúde Mental , Pandemias , Pneumonia Viral/enfermagem , Estresse Psicológico/psicologia , Inquéritos e Questionários , Adulto Jovem
18.
Med Arch ; 74(3): 210-215, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32801438

RESUMO

Introduction: Several research studies have started to investigate the health conditions of medical doctors and nurses in order to find a relationship if any between their work environment, their usually heavy duties and the result of these two parametric on patients' health. Aim: The present research study is an effort to investigate the relationship between the physical activity and sleep disorders among health care professionals, particularly among medical doctors and nurses. Methods: Participants of the study were asked to fill a questionnaire which was a mixture of other internationally accredited questionnaires regarding physical activity level as well as sleeping functions. Data were collected among 204 physicians and nurses. The statistical analysis revealed a correlation between physical activity and some aspects of sleep disorders. Results: A total number of 204 questionnaires have been distributed to medical doctors and nurses working in public hospitals in Athens Greece from the middle of February until the middle of April 2020. The hospitals were assigned by the health authorities to the fight of the pandemic of COVID 19. The majority of the participants were women 71,3% and 28,7% were men. From a total of 204 half of them were medical doctors and half of them were nurses. 43% were married, 49% were single and 8% were divorced and there were no widows. Regarding the participant nurses, 43% had a university degree and 38,4% had a technological education degree. The results of the statistical analysis showed that there are positive correlations between the level of physical activity during the daily work and the free time of the participants with parameters that are related to sleep disorders. Conclusion: The sample of the study was not a large one but nevertheless a stressful situation such as is the epidemic of COVID19 can provide useful information in order to better understand the relationship between physical activity and sleeping disorders in such working conditions.


Assuntos
Infecções por Coronavirus/epidemiologia , Exercício Físico , Médicos Hospitalares , Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional , Pneumonia Viral/epidemiologia , Transtornos do Sono-Vigília , Adulto , Atitude do Pessoal de Saúde , Betacoronavirus , Exercício Físico/fisiologia , Exercício Físico/psicologia , Feminino , Grécia/epidemiologia , Médicos Hospitalares/psicologia , Médicos Hospitalares/estatística & dados numéricos , Humanos , Masculino , Recursos Humanos de Enfermagem no Hospital/psicologia , Recursos Humanos de Enfermagem no Hospital/estatística & dados numéricos , Estresse Ocupacional/etiologia , Estresse Ocupacional/fisiopatologia , Pandemias , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Inquéritos e Questionários , Equilíbrio Trabalho-Vida , Carga de Trabalho
19.
Medicine (Baltimore) ; 99(32): e21052, 2020 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-32769865

RESUMO

Fatigue is a universal and challenging problem in a nurse's career, particularly for those working in the emergency department. Through analyzing the current status of emergency department nurses' fatigue, the purpose of this study is to provide guidance for occupational health promotion strategies making and fatigue relief.Cross-sectional study was conducted among nurses working in emergency department in 6 grade III A hospitals in Xi'an, China. Convenience sample of 346 nurses agreed to participate in this study. Data collection was based on the questionnaires. Descriptive statistics, hypothesis tests and correlation analysis were used to describe the samples' characteristics and identify associations amongst participants' characteristics.The fatigue score of those emergency nurses from grade III A hospitals in Xian was 8.71 ±â€Š3.01, a high fatigue level. Moreover, there were significant differences in fatigue scores of different age groups, sleep qualities, work stress levels and physical states (P < .01). Further, the dimension of physical fatigue in various age groups, job title, marital status, sleep qualities, work stress levels and physical states was significantly different (P < .05) and the dimension of mental fatigue with different sleep qualities, work stress levels and physical states was significantly different (P < .01). The results of correlation analysis showed that fatigue was positively correlated with perceived stress while negatively correlated with social support and self-efficacy (P < .01). The multiple stepwise linear regression analysis indicated that the independent variables in the fatigue regression equation were perceived stress, physical condition and work stress in turn (P < .01), and the independent variables in the the dimensions of physical fatigue regression equation were perceived stress, physical condition,work stress and job title in turn (P < .05); the independent variables in the the dimensions of mental fatigue regression equation were perceived stress,subjective support and physical condition in turn (P < .05).The current status of high fatigue level of emergency nurses should be taken seriously. It is imperative to take effective measures to help emergency nurses reduce stress, improve social support, promote the self-efficacy, and thus relieve fatigue.


Assuntos
Serviço Hospitalar de Emergência , Fadiga/epidemiologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/epidemiologia , Autoeficácia , Apoio Social , Adulto , China , Correlação de Dados , Estudos Transversais , Feminino , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Adulto Jovem
20.
Pflege ; 33(4): 229-236, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32811326

RESUMO

Perceptions of intensive care nurses during the COVID-19 pandemic - A qualitative survey Abstract. Background: While at the beginning of the COVID-19 pandemic the need for intensive care is increasing, the specific care needs of patients are still largely unknown. This is a challenge for the work of intensive care staff. AIM: The aim of the study is to understand how intensive care nurses perceive their working conditions and the consequences for patient care. METHODS: The study is a qualitative survey. Using a web-based questionnaire, narratives of n = 902 nurses were collected. This article reports the perceptions of n = 397 intensive care nurses. The evaluation is based on the qualitative content analysis according to 18-2Mayring (2015). RESULTS: The analysis of the data shows the following six categories: "The lack of staff is extremely noticeable" to "Waiting for something", "struggle for PPE (personal protective equipment)", "time to learn", "considerable discrepancy" in patient care, "attempts to compensate" and "constantly a bad feeling". The tension between the lack of knowledge and information on the one hand and the professional demand to do justice to the seriously ill and their relatives on the other hand, brings nurses to their professional limits. CONCLUSION: Conditions for ethical decision making have to be developed and concepts for a clear attribution of autonomy and responsibility for intensive care nurses must be introduced.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermagem de Cuidados Críticos , Recursos Humanos de Enfermagem no Hospital/psicologia , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia , Pesquisa Qualitativa
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