Global emotional and spiritual well‐being and resilience of Advanced Practice Nurses during the COVID‐19 pandemic: A cross‐sectional study (original) (raw)
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International Journal of ADVANCED AND APPLIED SCIENCES
This study was conducted in determining the factors that affect nurses’ resiliency while working in public hospitals during the COVID-19 pandemic. A cross-sectional design was used and self-administered surveys were completed by 420 nurses. Nurses working in public hospitals have had high levels of resilience and mental well-being during the outbreak of the COVID-19 pandemic, with their ProQOL found to be average. Higher levels of mental well-being and ProQOL contributed to developing better resiliency. The study poses the significance of taking preemptive measures on the parts of both the government and the healthcare institutions themselves to assist nursing professionals in enduring disasters such as the pandemic.
2021
Covid-19 pandemic hurts the physical and psychological health of health workers, especially nurses. Problems experienced during work are anxiety, fear of being infected for themselves and their families, mood disorders, and disruption of psychological well-being. Many factors affect psychological well-being including psychological stress, coping strategies, religiosity, and social support. This research purpose to describe the factors that affect the psychological well-being of nurses in the COVID-19 team in Indonesia. Analytical research is designed with a cross-sectional approach. This research was conducted on 268 nurses of the Covid 19 Team in Indonesia using accidental sampling technique, data was collected using the Psychological Well-Being Scale questionnaire, psychological distress questionnaire-5, Ways of Coping Questionnaire, The Dimensions of Religiosity Scale and The Social Support Rating Scale. Data were analyzed descriptively using univariate analysis, bivariate with C...
Stress and Resilient Coping among Nurses: Lessons Learned from the COVID-19 Pandemic
psych, 2022
(1) Background: the COVID-19 pandemic is still taking over the world, and with new virus strains, the burden on the health systems and healthcare teams is yet to end. The study explored stress and employed resilient coping measures among nurses working with COVID-19 patients. (2) Methods: the current study used a convergent triangulation design using a qualitative and quantitative approach, with a sample of 113 nurses working at Beni-Suef University Hospital between November 2021 and April 2022 using an online form. Data were collected using a sociodemographic characteristics questionnaire, the Nursing Stress Scale, Brief Resilient Coping Scale, and a qualitative interview. (3) Results: the studied nurses experienced severe stress, with moderate-to-low resilient coping in total. There was a strong negative highly statistically significant correlation between stress and coping. Qualitative data analysis showed that attention to the spiritual side, communicating with friends and family, accepting the current situation, and helping others in need were key themes that emerged to moderate studied nurses’ stress. (4) Conclusions: nurses who work with COVID-19 patients experience high levels of stress regardless of their characteristics; spiritual coping strategies, communication with family, and helping others were the dominant resilient coping approaches employed by nurses to moderate stress. Keywords: stress; resilient coping; nurses; COVID-19; pandemic
Resilience of Nursing During the Pandemic Covid-19
International Applied Science
In carrying out their duties, nurses are at the forefront of handling, preventing and caring for Covid-19 patients. Several psychological health problems in nurses emerged as a response to maladaptive coping. This research was conducted to determine the resilience of nurses and the factors that influence it. This quantitative research used a cross-sectional design, carried out on nurses in the Jember Regency area from July-August 2020. The sampling technique used was incidental sampling with a total sample of 117 respondents. From the results of the analysis of the characteristics of respondents based on the place of work that affect the resilience of nurses. Meanwhile, the resilience of most nurses in Jember is at a sufficient level
The psychological well‐being of primary healthcare nurses during COVID‐19: A qualitative study
Journal of Advanced Nursing, 2021
Aim: To explore primary healthcare nurses' psychological well-being related to the COVID-19 pandemic. Design: Qualitative descriptive study. Methods: Semi-structured interviews were conducted with 25 participants between June and August 2020 who indicated their willingness to participate in an interview following a national survey. Interviews were audio-recorded and transcribed verbatim by professional transcribers. Data were analysed using thematic analysis. Results: The importance of professional and public support and acknowledgement of the nurses' role during the pandemic positively influenced feelings of being valued. The psychological impact of negative experiences increased anxiety and stress levels. Participants reported a range of self-care strategies, including increased vigilance with infection control at home and work and attention to physical exercise and diet. Most participants remained positive about their roles and career decisions, although some indicated that the negative psychological impacts prompted re-evaluation of their career. Conclusions: Primary healthcare nurses have been exposed to a range of personal and professional stressors during the pandemic that have impacted their psychological well-being. Awareness of stressors and an understanding of what has helped and what has impacted well-being are important in guiding future workplace support systems. Further work to explore the long-term impact of these stressors and the effectiveness of coping strategies employed by primary healthcare nurses is warranted. Impact: Managers and professional organisations need to consider the personal and professional stressors that have impacted on primary healthcare nurses' psychological well-being to promote health and well-being among nurses following COVID-19.
Coping with COVID-19: Strategies of Frontline Nurses
Babali Nursing Research, 2022
Nurses are the largest workforce within healthcare systems. They are integral to managing pandemics, but due to pandemics, Nurses encounter various traumatic situations, mainly due to distressing and stressful work life. Therefore, nurses must strengthen their resilience in coping with difficulties, adapting to new strategies, and protecting their work and daily life. If nurses have sufficient resilience strategies, burnout and the rate of leaving a job or resigning decrease, posttraumatic growth develops, and work satisfaction increases. The results showed that psychological resilience is an essential predictor of perceived stress in nurses. Protecting the mental health of nursing staff is essential for nurses to combat COVID-19 effectively. Community mental health and psychiatric nurses should develop, implement, and evaluate interventions designed to enhance psychological resilience in clinical nurses.
Applied Nursing Research, 2021
Studies show decreased well-being during the COVID-19 pandemic, especially for healthcare providers from Asia. Less is known about the psychological responses of working during the pandemic on hospital-based registered nurses (RNs) in the United States (US). Therefore, the purpose of this paper is to report the wellbeing of U.S.-based hospital RNs working during the initial acute phase of COVID-19 and compare it with well-being among healthcare workers described in two global meta-analyses. We conducted a cross-sectional survey in May-June 2020 (N = 467). Well-being was measured using the following tools: Generalized Anxiety Disorder-7, Patient Health Questionnaire-2 for depressive symptoms, Impact of Events Scale-Revised for traumatic stress, and the Insomnia Severity Index. Compared with global rates from two meta-analyses, US-based RNs reported significantly more traumatic stress (54.6% vs. 11.4% and 21.5%; p < .001) and depressive symptoms (54.6% vs. 31.8% and 21.7%; p < .001). Rates of insomnia were also higher in U.S.-based RNs than in the meta-analysis that reported insomnia (32.4% vs 27.8%; p < .033). Rates of anxiety symptoms among USbased RNs did not differ from that reported in one meta-analysis (37.3% vs. 34.4%), while it was significantly higher in the other (37.3% vs. 22.1%; p < .001). Hospital-based RNs from the US exhibited over twice the rates of trauma and nearly double the rates of depressive symptoms than shown in reports from hospital workers globally during the acute phase of the COVID-19 pandemic. The lasting effects of this distress are unknown and warrant ongoing evaluation and solutions to better support emotional well-being and prevent burnout in the workplace. On March 11, 2020, the World Health Organization officially declared the outbreak of the novel coronavirus a global pandemic. Within days of the announcement, much of the world shut down their economies to only essential operations in an effort to reduce the threat of the SARS-CoV-2 virus. This rapidly spreading, highly contagious, and comparatively lethal coronavirus caused the now infamous disease known to the world as COVID-19. Emergence of COVID-19 dramatically increased workplace demands and stress among healthcare providers.
Factors Associated With the Resilience of Nurses During the COVID‐19 Pandemic
Worldviews on Evidence-Based Nursing, 2021
Background: The delivery of health care during the COVID-19 outbreak imposed significant challenges on the global nursing workforce and placed them at a higher risk of occupational burnout and turnover. In Lebanon, the pandemic hit when nurses were already struggling with an economic collapse caused by government failures. Resilience may play a protective factor against adversity and enable effective adaption to the burden of the pandemic. Aims: To determine the level of resilience in the nursing workforce and its relationship to burnout, intention to quit, and perceived COVID-19 risk. Methods: A cross-sectional study was employed among all registered nurses affiliated with the Order of Nurses in Lebanon and working in patient care positions in hospitals. The online survey questionnaire incorporated the Connor-Davidson Resilience Scale and the Copenhagen Burnout Inventory. Quartile scores were used to differentiate levels of resilience and burnout. Multiple logistic regression identified variables significantly associated with resilience. Results: Five-hundred and eleven nurses responded to the questionnaire. Nurses had a moderate level of resilience (M = 72 ± 13.5). In multivariate analyses, being male (OR = 3.67; 95% CI [1.46, 9.22]; p = .006) and having a master's degree (OR = 4.082; 95% CI [1.49, 11.20]; p = .006) were independently associated with higher resilience. Resilience levels decreased with higher personal burnout (OR = 0.12; 95% CI [0.03, 0.435]; p = .001), work-related burnout (OR = 0.14; 95% CI [0.04, 0.46]; p = .001), and client-related burnout rates (OR = 0.09; 95% CI [0.03, 0.34]; p < .001). Nurses reporting the intention to quit their job had lower resilience scores (OR = 0.20; 95% CI [0.04, 0.88]; p = .033). Linking Evidence to Action: Nursing stakeholders must introduce programs to regularly assess and enhance the resilience of nurses especially at time of crisis. Such programs would protect nurses from the perils of burnout and enhance their retention during times when they are most needed. Protecting nurses from burnout is an ethical imperative as well as an operational requirement.
Respiratory Medicine, 2021
Background: The delivery of healthcare during the COVID pandemic has had a significant impact on front line staff. Nurses who work with respiratory patients have been at the forefront of the pandemic response. Lessons can be learnt from these nurses' experiences in order to support these nurses during the existing pandemic and retain and mobilise this skilled workforce for future pandemics. Methods: This study explores UK nurses' experiences of working in a respiratory environment during the COVID-19 pandemic. An e-survey was distributed via professional respiratory societies; the survey included a resilience scale, the GAD7 (anxiety) and the PHQ9 (depression) tools. Demographic data was collected on age, gender, ethnicity, nursing experience and background, clinical role in the pandemic, and home-life and work balance. Results: Two hundred and fifty-five responses were received for the survey, predominately women (89%, 226/ 255), aged over 35 (79%, 202/255). Nearly 21% (40/191) experiencing moderate to severe or severe symptoms of anxiety. Similar levels are seen for depression (17.2%, 31/181). 18.9% (34/180) had a low or very low resilience score. Regression analysis showed that for both depression and anxiety variables, age and years of qualification provided the best model fit. Younger nurses with less experience have higher levels of anxiety and depression and had lower resilience. Conclusion: This cohort experienced significant levels of anxiety and depression, with moderate to high levels of resilience. Support mechanisms and interventions need to be put in place to support all nurses during pandemic outbreaks, particularly younger or less experienced staff.