Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study

Subjective mental workload profile and its relationship with quality of work life among nurses: The mediating role of general health

BACKGROUND

 Nursing is widely recognized as a high-stress profession that encompasses a variety of cognitive, emotional, and physical demands.

OBJECTIVE

 This study seeks to provide a comprehensive understanding of the interactions between subjective mental workload (SMWL), general health (GH), and quality of work life (QWL).

METHODS

 This descriptive-analytical, cross-sectional study examines the relationship between SMWL, GH, and QWL among nurses working in several public hospitals in Iran. The study involved 283 nurses, with data collected through self-administered questionnaires and face-to-face interviews. SMWL was assessed using the SURG-TLX questionnaire, QWL was evaluated with Walton's 35-item tool, and GH was measured using the Goldberg General Health Questionnaire (GHQ-28). Structural equation modeling (SEM) was employed for data analysis.

RESULTS

 The findings revealed a significant negative effect of SMWL on both GH (β = -0.283; p = 0.038) and QWL (β = -0.211; p = 0.041). In contrast, better GH was positively associated with higher QWL (β = 0.747; p < 0.001). GH was found to mediate the relationship between SMWL and QWL, explaining 43% of the total effect.

CONCLUSION

 These results highlight the importance of improving GH to enhance QWL and job satisfaction among nurses by alleviating the adverse effects of high SMWL. The study emphasizes the need for targeted interventions to boost GH, thereby creating a more supportive work environment. Future research should delve deeper into these dynamics through longitudinal studies to validate these findings over time.

Canadian Nurses' Psychological Health Assessment and Its Determinants During the Uncertain Context of the Early COVID-19 Pandemic: A Cross-Sectional Study

Quebec's (Canada) nurses experienced a major reorganization of care during the first wave of the COVID-19 pandemic. This study aimed at investigating nurses' psychological health and its determinants during this highly uncertain time, with a particular focus on posttraumatic stress disorder (PTSD), anxiety, and depression. In 2020, a web-based cross-sectional survey was completed by a large sample of Quebec nurses (n = 1,773). High prevalence of PTSD (14.3%), anxiety (39.4%), and depression (46.7%) was observed. Overcommitment at work was associated with higher prevalence of PTSD, anxiety, and depression. More years since licensure, feeling safe with protective measures and increased social support were associated with lower prevalence of PTSD, anxiety, and/or depression. Our study identified modifiable personal and workplace factors that could be targeted by healthcare organizations and policymakers to promote nurses' well-being and enhance the resilience of healthcare systems to resist future global health crises or pandemics. Future research is needed to better understand the potential long-term consequences of the COVID-19 pandemic on nurses' psychological health.

Analyzing the correlation between psychological capital in community nurses and their stress management and job satisfaction

BACKGROUND

Community nursing is marked by high stress due to direct patient interactions and varied work environments. Research highlights the significant role of psychological capital (PsyCap), which includes self-efficacy, hope, optimism, and resilience, in managing occupational stress and enhancing job satisfaction among health professionals.

OBJECTIVE

This study examines the associations between Psychological Capital, stress management, and job satisfaction among community nurses, exploring their collective impact on professional well-being.

METHODS

We employed a cross-sectional, correlational design with a convenience sampling method, recruiting 148 community nurses from Tanta University Educational Hospitals. The Compound Psychological Capital Scale (CPC-12), the Coping Orientation to Problems Experienced Inventory (Brief-COPE), and the Generic Job Satisfaction Scale (GJSS) were used for data collection. Pearson's correlation and multiple regression analyses assessed the relationships and predictive values among the variables.

RESULTS

The study demonstrated significant positive correlations between PsyCap and job satisfaction (r = .44, p < .001) and between PsyCap and stress management (r = .39, p < .01). Multiple regression analysis showed that PsyCap accounted for 29% of the variance in job satisfaction and 26% in stress management effectiveness. Self-efficacy, hope, and optimism were significant predictors of job satisfaction, with self-efficacy showing the strongest association (β = 0.33, p = .007).

CONCLUSION

Psychological Capital is associated with stress management and job satisfaction among community nurses, underscoring its importance in enhancing nurse coping mechanisms, reducing occupational stress, and improving job satisfaction. Practical implications include implementing training programs, resilience workshops, and mentorship initiatives to strengthen Psychological Capital among nurses, thereby improving workforce well-being and retention.

CLINICAL TRIAL NUMBER

Not applicable.

Psychological distress among nurses: Exploring the role of support in the work-place in Morocco

AIM

This study aimed to assess the psychological distress, specifically anxiety and depression, among nurses employed at University Hospital Center of Rabat in Morocco and tested the associations between support in the workplace and nurses' psychological well-being.

METHODS

A cross-sectional observational study was conducted at University Hospital Center of Rabat in Morocco, based on a prospective data collection employing an ad-hoc self-report questionnaire. 223 nurses were enrolled with a minimum of 1 year of practice in any care unit. Socio-demographic and professional characteristics of each participant were included. A validated tool was utilized to measure the support from superiors and colleagues in the workplace, while the Hospital Anxiety and Depression Scale (HADS) was employed to evaluate anxiety and depression. Univariate and multivariate analyses were conducted to explore the relationships between different independent and dependent variables.

RESULTS

Significant socio-demographic and professional factors associated with increased anxiety included female gender, age over 41 years old, Baccalaureate level of education, intention to leave the hospital, and less support from superiors. Regarding the levels of depression, the Baccalaureate level of education was significantly associated with higher levels of depressive symptoms (β 2.444; CI [1.203, 3.686]).

CONCLUSIONS

Our findings suggested that ensuring support from superiors was crucial for safeguarding the psychological well-being of nurses. Therefore, hospital managers should prioritize addressing the workplace support for professionals, and the organizational enhancement.

Relationships between nurses' perceived social support, emotional labor, presenteeism, and psychiatric distress during the COVID-19 pandemic: a cross-sectional study

BACKGROUND

Nurses play a significant role in providing care and support to patients in the healthcare system. However, their role can often lead to high stress levels and psychiatric distress. This study aimed to examine the impact of socio-demographic, and work-related characteristics, perceived social support, emotional labor, and presenteeism on psychiatric distress among Iranian nurses during the COVID-19 pandemic. This study examined nurses' knowledge, attitudes, use, and acceptance of the use of artificial intelligence in nursing care.

METHODS

This was a cross-sectional survey study. A total of 296 nurses were recruited via stratified random sampling from 9 teaching hospitals in a province in the northwestern region of Iran in 2020. The survey package included socio-demographic and work-related questions, the General Health Questionnaire (GHQ-28), the Dutch Questionnaire for Emotional Labor, the Multidimensional Scale of Perceived Social Support, and the Stanford Presenteeism Scale. Descriptive and multiple regression analyses were performed to examine the associations between nurses' psychiatric distress and potential factors.

RESULTS

The mean age of the participants was 29.3 ± 7.6 years, and they were mostly female (50.3%). Psychiatric distress was reported by more than half of the participants (53.8%). Multiple regression analysis revealed that female sex, rotating shift work, contract employment status, less work experience, lower social support, higher emotional labor, and presenteeism were positively related to nurses' psychiatric distress and explained 28.2% of the variance in psychiatric distress among nurses.

CONCLUSION

This study highlights the significant prevalence of psychiatric distress among nursing staff during the COVID-19 pandemic. Targeted interventions are necessary to improve mental health outcomes in this population. To protect nurses against the negative effects of health crises, healthcare organizations must provide a supportive work environment that prioritizes nurses' psychological well-being. Providing nurses with basic support, especially for their preferred shift schedules, and offering contract employees the same benefits as permanent employees, including health insurance, retirement plans, and paid leave, can create a sense of stability and support. Additionally, healthcare organizations should invest in workplace initiatives that promote positive mental health, such as stress management programs and team-building activities.

Factors Associated with Intent to Leave and Burnout among Canadian Nurses Amidst the COVID-19 Pandemic: A Quantitative Analysis of the Survey on Health Care Workers' Experiences During the Pandemic

BackgroundThe increased demands and stressors from the COVID-19 pandemic led to widespread burnout and job stress, prompting concerns about retention rates. This study identifies demographic and occupational predictors of Canadian nurses' intent to leave their jobs due to burnout and job stress during the COVID-19 pandemic.MethodsData was utilized from the Survey on Health Care Workers' Experiences During the Pandemic conducted by Statistics Canada. Multivariate logistic regression models were generated to analyze the associations between demographic and occupational factors and nurses' intent to leave.ResultsA total of 12,246 eligible participants responded to the survey (54.9% response); however, the analysis was restricted to 1138 nurses after excluding participants of other healthcare occupations. Younger nurses were significantly more likely to consider leaving their jobs [OR = 9.95, 95% CI: (5.92-16.73)], as well as nurses living in Alberta [OR = 3.16, 95% CI: (1.58-6.32)] and British Columbia [OR = 3.16, 95% CI: (1.66-6.03)]. Moreover, nurses with less work experience [OR = 3.91, 95 CI = (2.53-6.05)], work in acute care [(OR = 3.31, 95 CI = (1.69-6.51)], experienced changes in workload [OR = 2.69, 95% CI: (1.58-4.57)], had increased work hours [OR = 1.92, 95% CI: (1.27-2.92)], and lacked emotional support [OR = 3.43, 95 CI = (2.31-5.09)] had greater odds of intending to leave.ConclusionThe findings underscore the need for strategies to mitigate stress and burnout among nurses, particularly during public health crises. Implementing measures to address these factors could help improve retention rates and ensure a stable nursing workforce during future pandemics.

Analyzing the nexus between burnout and psychological distress in pediatric oncology nurses: a descriptive correlational investigation

BACKGROUND

Burnout and psychological distress are significant concerns among healthcare professionals, particularly pediatric oncology nurses, who face emotional and physical challenges due to their demanding roles. Continuous exposure to life-threatening illnesses, high patient mortality rates, and emotionally taxing interactions contribute to severe occupational stress, potentially affecting both nurse well-being and patient care quality. This study aimed to analyze the relationship between burnout and psychological distress among pediatric oncology nurses at the Children's Cancer Hospital Foundation (CCHE 57357) in Egypt.

METHODS

A descriptive correlational research design was employed, involving a purposive sample of 188 nurses working in inpatient and intensive care units. Data were collected using three validated tools: (1) a Sociodemographic Data Sheet, (2) the Copenhagen Burnout Inventory (CBI) to assess personal, work-related, and client-related burnout, and (3) the Kessler Psychological Distress Scale (K10) to measure levels of psychological distress. The instruments underwent translation and validation for use in Arabic. Data collection occurred over six months, with statistical analysis conducted using SPSS (version 25). Descriptive statistics, Pearson correlation, and linear regression models examined relationships between burnout and psychological distress.

RESULTS

The findings revealed that 55.8% of nurses had low burnout levels, 31.4% had moderate burnout, and 12.8% exhibited high burnout. In addition, psychological distress levels varied, with 34% experiencing moderate distress, 25% showing very high psychological distress, and 22% reporting high distress. A statistically significant positive correlation (r = 0.59, p = 0.00) was identified between total burnout and psychological distress, indicating that higher burnout levels were associated with increased psychological distress. Regression analysis further confirmed the significant impact of psychological distress on burnout (R² = 0.35, Beta = 0.59, p = 0.00).

CONCLUSION

This study highlights the significant correlation between burnout and psychological distress among pediatric oncology nurses, emphasizing the critical need for specialized interventions to promote mental well-being. The findings stress the importance of implementing stress reduction programs, fostering better work-life balance strategies, and providing comprehensive mental health support to alleviate burnout and distress. Effectively addressing these issues will not only improve nurses' overall well-being but also contribute to enhancing the quality of care in pediatric oncology settings.

CLINICAL TRIAL REGISTRATION

Not applicable.

Lebanese nurses' perceptions of care during wartime: a qualitative study

BACKGROUND

Lebanon is a country that regularly faces wars and arms conflicts. The magnitude of the most recent war this year was unprecedented since 1982, posing implications on many sectors in Lebanon including nursing.

AIM

The aim of this research was to explore the perceptions of Lebanese nurses on the delivery of nursing care during the most recent war in Lebanon.

METHODS

A qualitative descriptive research design informed by descriptive phenomenology was employed. Semi-structured interviews were carried out among 19 nurse's working at both governmental and private hospitals in Beirut. Inductive thematic analysis was conducted over the period of 2 and a half months.

FINDINGS

The inductive thematic analysis generated fours themes: "Unique working circumstances", "Patriotism and faith shaping wartime care", "Evolving concept of care", and "Professional and personal lessons".

CONCLUSION

The study underscores the need for specialized war-related educational programs to train highly skilled nursing staff for effective care during emergencies in conflict zones like Lebanon, with potential implications for nursing academia and policy makers.

Workplace stressors and mental health outcomes among personal support workers: A systematic review

BACKGROUND

Although there is a growing focus on the mental well-being of licensed clinicians, there remains a scarcity of comprehensive evidence concerning the mental well-being of personal support workers (broadly defined as direct care workers), a vital segment of the healthcare workforce, particularly for aging populations. This review aims to identify, summarize, and synthesize the literature on work-related stressors associated with mental health problems among personal support workers, while also examining the potential influence of gender or sex differences in this relationship.

METHODS

This systematic review searched the EMBASE, PsycINFO, PubMed/Medline, and Web of Science databases for relevant studies. Studies published between 1 January 2003 and 30 June 2024 were included in the review. A quality assessment of each study was conducted using the Joanna Briggs Institute Checklist for Analytical Cross-Sectional Studies and the Joanna Briggs Institute Critical Appraisal Checklist for Cohort Studies. Meta-analysis was not performed due to the heterogeneity of the studies' characteristics.

RESULTS

Fourteen (14) articles met the inclusion criteria. They assessed burnout, depression, and/or anxiety among personal support workers who were exposed to various work-related stressors including high workload, aggressive client behavior, insufficient resources (e.g., physical and staffing), role ambiguity, conflict, personal growth, job satisfaction, discrimination, lack of co-workers or supervisors support, emotional suppression, extended working hours, complicated grief, and organizational support or respect. Aggressive client behavior, role ambiguity, resource inadequacy, and high workload emerged as the most frequently reported stressors. Burnout was the most frequently observed outcome. These relationships persisted in many multivariable analyses, even after adjusting for potential confounders. Also, females who experienced work-related stressors were more likely than males to report burnout, depression, or anxiety.

LIMITATIONS

The considerable heterogeneity of various work-related stressors and measurements among selected studies prevented a meta-analysis.

CONCLUSIONS

Collectively, this review's results suggest a significant association between major work-related stressors and mental disorders among personal support workers, while also emphasizing notable gender/sex differences in this relationship. These findings not only guide future research into the mental well-being of personal support workers but also underscore the importance for healthcare institutions of implementing organizational interventions to mitigate stressors and cultivate a more supportive work environment.

Limited Moderating Effect of Podcast Listening on Work Stress and Emotional Exhaustion Among Nurses During the COVID-19 Pandemic: Cross-Sectional Study

BACKGROUND

The COVID-19 pandemic placed unprecedented pressure on health care systems worldwide, significantly impacting frontline health care workers, especially nurses. These professionals faced considerable psychological stress from caring for patients with COVID-19 and the fear of spreading the virus to their families. Studies report that more than 60% (132/220) of nurses experience anxiety, depression, and emotional exhaustion, which adversely affect their mental health and the quality of care they provide.

OBJECTIVE

This study aimed to investigate the relationship between work-related stress and emotional exhaustion among nurses and to assess whether listening to podcasts moderates this association.

METHODS

A cross-sectional online survey was conducted between March 1, 2023, and March 31, 2023. A total of 271 clinical nurses, aged 20 years to 65 years, were recruited for the study. Participants were divided into 2 groups: experimental group consisting of regular podcast listeners (n=173) and control group comprising nonlisteners (n=98). Ethical approval for this study was obtained from the local ethics committee (IRB number YGHIRB20230421B). Validated scales were used to measure work stress, emotional dissonance, and emotional exhaustion. Data analysis included descriptive statistics, independent t tests, and structural equation modeling to examine the relationships between variables.

RESULTS

No statistically significant differences were found between the experimental and control groups in terms of overall work stress (mean difference=-0.09, 95% CI -0.31 to 0.13; P=.42) or emotional exhaustion (mean difference=0.07, 95% CI -0.15 to 0.29; P=.53). Emotional dissonance emerged as a significant predictor of emotional exhaustion in both the experimental (β=0.476, P<.001) and control (β=0.321, P=.01) groups. Nurses reporting higher workloads had significantly higher emotional exhaustion levels (experimental group: β=0.302, P<.001; control group: β=0.327, P=.002). Podcast listening demonstrated only a slight, nonsignificant moderating effect.

CONCLUSIONS

Although podcasts alone may not significantly reduce work stress or emotional exhaustion among nurses, there was a potential, albeit limited, moderating effect of podcasts on emotional well-being. They could serve as a supplementary tool for emotional support. However, broader and more comprehensive interventions are required to address the underlying causes of stress and emotional exhaustion in this population. More in-depth exploration and recommendations are possible by analyzing the content and patterns of listening. Further research is needed to examine the long-term benefits of integrating podcasts with other digital tools for holistic stress management in health care settings.

Effectiveness of mental health first aid as a supportive tactic on resilience and organisational environment-related factors among hospital nurses in the wake of COVID-19: the search continues

Background

The implementation of Mental Health First Aid (MHFA) has been shown to effectively prevent long-term psychological effects of trauma. Additionally, it aids nurses in stabilising their emotional state and facilitates their practical recovery.

Aim

To investigate the effect of MHFA on resilience capacity, organisational commitment, job insecurity and turnover among nurses working in the COVID-19 isolation units.

Methods

Sixty nurses in COVID-19 isolation units participated in a quasi-experimental two-group, pre-post-test research. Nurses with low resilience capacity due to the COVID-19 crisis in Egypt completed a baseline survey. The study group employed MHFA strategies using the RAPID model. At the same time, standard psychological care was provided to the control group.

Results

A statistically significant improvement in resilience and organisational commitments mean scores among the study group (62.50 ± 19.33, 21.67 ± 9.66, respectively) post-intervention. Besides, a significant decline in the study group's job insecurity and turnover intention mean scores (8.90 ± 2.32, 8.70 ± 2.34, respectively) after the MHFA intervention.

Conclusion

Implementing MHFA enhances nurses' ability to withstand the challenges of COVID-19, significantly boosting their resilience. Additionally, it positively impacts their organisational commitment, reducing both job insecurity and turnover intention.

Determining the Relationship Between Work Stress and Job Performance: A Cross-Sectional Study Among Healthcare Workers

Background: Work stress and job performance are critical factors for increasing productivity and ensuring sustainability in healthcare institutions. Aim: This study investigates the work stress and job performance levels of healthcare workers in Türkiye and the relationship between them. Methods: The study included healthcare workers of a private hospital in Ankara, Türkiye. Data were collected using the General Work Stress Scale and the Job Performance Scale. Results: In the study where 47.3% of the participants were nurses, it was observed that healthcare workers had low work stress levels and high job performance levels. Nurses had higher work stress than others but lower job performance. It was determined that there was a negative, weak and statistically significant relationship between work stress and job performance. Conclusion: In order to reduce work stress and increase job performance, it is important to develop managerial intervention programs by considering variables such as healthcare workers' age, marital status, years employed in the profession and their occupations. This study provides evidence-based clues for actions that will help hospital and nursing service managers control job stress and increase clinical services' and hospitals' performance.

Enhancing Occupational Well-Being Among Chinese Nurses: Exploring the Mediation of Job Stress in the Relationship Between Social Support and Occupational Well-Being

Background: The occupational well-being of nurses is important for nurses' human resource management and the sustainable development of hospitals. Several studies have demonstrated a positive association between social support and occupational well-being. However, the underlying mechanism behind this mechanism remains unclear. This study explored how social support influenced occupational well-being through the mediating roles of job stress. Methods: This study utilized the stratified random sampling method and conducted a questionnaire survey among 450 nurses from a tertiary general hospital from July 2022 to September 2022. The surveys included the Social Support Rating Scale, Job Stress Scale, and Occupational Well-Being Scale. We also collected data on participants' sociodemographic characteristics and job-related factors. Structural equation modeling was applied to examine the associations between variables. Results: The results revealed that the nurses had a moderate level of occupational well-being. Social support is positively associated with occupational well-being (γ = 0.600, p < 0.001), while job stress is negatively associated with occupational well-being (γ = -0.300, p < 0.001). Social support had a significant negative association with job stress (γ = -0.318, p < 0.001). The mediation effect shows that job stress mediated the association between social support and occupational well-being (indirect effect = 0.096, 95%CI: 0.061∼0.142), and the mediating effect of job stress can explain the 16% of the total effect of social support on occupational well-being. Conclusion: This study provides evidence that the effect of social support on occupational well-being is partially mediated by job stress among nurses in China. Social support can improve nurses' occupational well-being by relieving job stress. Medical administration departments and hospital administrators should give nurses more support in their work and take targeted interventions to enhance the occupational well-being of nurses.

Unravelling the ideal roster: A cross-sectional study of nurse shift preferences using multivariate analysis: Unravelling the ideal roster: An analysis of nurse shift preferences

AIM

Our study aims to explore nurses' shift preferences in relation to their personal characteristics and examine how these preferences align with the rosters imposed in Belgian healthcare settings. Additionally, the study seeks to identify patterns in shift preferences across different days of the week and investigate the existence of distinct groups of nurses with similar preferences, further examining the link between these groups and their personal characteristics.

DESIGN

Cross-sectional.

METHODS

Questionnaires were distributed to 778 nurses across 11 general hospitals in Belgium, collecting data on demographics, chronotype, shift preferences, and roster alignment. Statistical analyses included logistic regression, principal component analysis, and k-means clustering.

RESULTS

Age and chronotype significantly influence nurses' shift preferences. Preferences were consistent across the days within the week. The study revealed two groups of preferences: 'early birds' (preferring morning/day shifts) and 'night owls' (preferring evening/night shifts). Night owls were often neutral or evening-type chronotypes and had a higher alignment between imposed and ideal rosters.

CONCLUSIONS

This study reinforces the importance of considering individual differences in nurses' shift preferences, linked to age and chronotype, and advocates for the adoption of flexible, personalized rostering systems.

IMPLICATIONS

Personalized scheduling has the potential to improve workforce management, suggesting that healthcare administrators should consider individual preferences in rostering to mitigate the challenges of nurse understaffing.

IMPACT

Tackles the pressing problem of nurse understaffing. Proposes that tailored rosters based on individual preferences could improve work conditions for nurses. Relevant to policymakers aiming to enhance nursing workforce management.

REPORTING METHOD

STROBE Statement (for cross-sectional studies).

PATIENT OR PUBLIC CONTRIBUTION

None.

Weathering in Psychiatric Nursing: A Concept Analysis

The weathering phenomenon has been defined in diverse fields, including nursing, sociology, and public health. Throughout its development, the concept of weathering has undergone significant expansion in meaning and evolution. Furthermore, a substantial gap in the literature exists, as no concept papers have specifically explored weathering in psychiatric nursing. This paper used the Walker and Avant concept analysis method to examine the concept of weathering in psychiatric nursing and establish a clear theoretical definition. This includes identifying the defining attributes, antecedents, consequences, and empirical referents of weathering. This comprehensive analysis also includes illustrative cases that demonstrate the effects of weathering on nurses' health outcomes. A deeper understanding of this concept may enable the development of practical assessment tools to address weathering's underlying causes. Ultimately, this knowledge may empower us to enhance nurses' overall health outcomes, ensuring their well-being and success. Further research is recommended to gain a comprehensive understanding and define weathering in psychiatric nursing, informing evidence-based strategies that address its challenges and promote nurses' well-being.

The effect of the intensive care unit nurse manpower on care behaviours and stress level on the nurses

BACKGROUND

Nurses working in the intensive care units (ICU) regarding the work-index-nursing work environment, the effect level ICU environment has on the nurses' care behaviors and stress levels of the nurses should be determined.

OBJECTIVE

The study aimed to investigate the effect of the nurse manpower on care behaviours and stress level of the nurses working in the ICU.

METHODS

This was a cross-sectional and correlational study. The sample of the study consisted of 123 nurses working in the ICUs. The data were collected using the survey form, Distress Thermometer (DT), The Practice Work Environment Scale of the Nursing Work Index (PES-NWI), and Caring Behaviors Scale-24 (CBS-24).

RESULTS

The mean age of nurses in the ICU was 30.2±5.6 and the mean of working time in the intensive care unit of nurses in the ICU was 3.7 ± 3.1 years. The mean of the DT was 4.8 ± 3.4, and the mean score of PES-NWI was 2.6 ± 1.0 and the mean score of CBS-24 was 4.7 ± 1.1 in nurses in the ICU. The regression model which was studied to investigate the relationship between caring behaviors and stress and nurse manpower of nurses working in intensive care unit was significant.

CONCLUSION

Care behaviors and stress levels of nurses working in intensive care units are negatively affected by insufficient nurse manpower.

Sources of Distress for Secure Mental Healthcare Staff: A Cross-Sectional Study of the Impact of Personal and Occupational Problems on Psychological Wellbeing and Functioning

Despite a global drive to improve staff well-being in healthcare, distress and absenteeism continue to persist, posing consequences for patient care and organisational functioning. Current research and subsequent strategies implemented to remediate such problems have primarily focused on occupational experiences, disregarding the contribution of problems occurring outside of the workplace. The current study sought to establish the prevalence of work and non-work problems, and their respective impacts on several well-being outcomes, in this occupational group. Secondary analysis of data from a cross-sectional survey of 323 staff in a secure UK mental healthcare organisation was conducted. Exposure to non-work problems was pervasive across the sample (79.3%). Demographic discrepancies in exposure to types of problems were apparent, though number of problems reported was comparable across the sample. Number of non-work problems was a significant predictor of depression, anxiety, functional impairment, and complex post-traumatic stress disorder symptoms, when controlling for exposure to work problems. The findings implicate the need for a broader conceptualisation of distress in secure mental healthcare staff, who typically report exposure to several non-work problems, in the context of occupational challenges. Policy, practice and service implications are discussed, with consideration for the availability and modality of support offered to staff.

The relationship between job stress and the perception of patient safety culture among Palestinian hospital nurses

BACKGROUND

Patient safety is a global concern, with high rates of medical errors reported annually. Understanding the relationship between nurses' job stress and patient safety culture (PSC) is crucial. Despite their pivotal role in healthcare, nurses face stress due to demanding job roles and the challenging healthcare system in Palestine. This study aims to explore the relationship between nurses' job stress and PSC in Palestinian hospitals, identifying predictors that impact PSC to enhance healthcare outcomes and support healthcare professionals.

METHODS

This study employed a quantitative cross-sectional approach. Data collection took place from June to September 2023. The study utilized self-report surveys, including the Hospital Survey of Patient Safety Culture (HSOPSC) and the Nursing Stress Scale (NSS), administered to 355 nurses working in 16 North West Bank hospitals in Palestine. The data collected were analyzed via descriptive and inferential analysis.

RESULTS

Overall, 47% of the nurses reported having positive PSC. The areas with the most positive perception were "teamwork" and "organizational learning-continuous improvement", with mean percentages of positive responses of 63.1% and 55.8%, respectively. Conversely, the composites with the lowest positive response scores included "Response to Error" and "Staffing and Work Pace", with mean percentages of positive responses of 30.9% and 34.8%, respectively. Furthermore, the most common sources of job stress perceived by nurses were "workload" and "death and dying", with mean scores of 1.42 and 1.20, respectively. However, the lowest-scoring sources of stress were in the subscales "Uncertainty concerning treatment" and "Inadequate preparation", with mean scores of 1.02 and 1.06, respectively. Statistical tests revealed that six factors were significantly associated with the perception of PSC. Among these factors, income, hospital type, activities to improve PSC, patient safety ratings of work areas, and weekly night shifts emerged as predictors of PSC. Additional tests revealed nine factors significantly associated with job stress. Among these factors, gender, educational level, engagement in stress relief activities, participation in PSC improvement activities, and patient safety ratings emerged as predictors of job stress. Moreover, the study revealed negative correlations between job stress and PSC.

CONCLUSION

This study identified the need for tailored policies and interventions that address nurses' specific stressors to enhance PSC within hospital settings. Moreover, the study shed light on the unique challenges faced by nurses in Palestine, such as limited resources, unemployment concerns, staffing, and transportation issues, which further exacerbated job stress levels and potentially compromised patient safety. Understanding these contextual factors is crucial for developing targeted interventions and support systems that prioritize the holistic well-being of nurses and the quality of patient care delivery.

Transformational Nurse Leaders and Nurse Well-Being: Examining Mediating Influences of Organizational Justice and Quality of Work Life Mixed Methods Study

Background: Transformational leadership is recognized as a crucial factor influencing nurses' work experiences and well-being. However, the mechanisms through which transformational leadership affects nurse well-being, especially concerning organizational justice and quality of work life, are not fully understood. Aim: This study investigates the direct and indirect effects of transformational leadership on nurse well-being, focusing on the mediating roles of organizational justice and quality of work life. Methods: Using a sequential explanatory mixed methods design, quantitative data were collected from 580 nurses across five hospitals in Saudi Arabia with validated tools: the Global Transformational Leadership Scale, Organizational Justice Scale, Quality of Nursing Work-Life Scale, Emotional Exhaustion Subscale of the Maslach Burnout Inventory, Job Satisfaction Scale, and Perceived Stress Scale. Qualitative data were obtained from 25 focus group discussions using a validated semistructured discussion guide. Quantitative analyses included hierarchical multiple regression and mediation analyses, while qualitative data wereanalyzed thematically. Results: Transformational leadership significantly reduced emotional exhaustion (β = -0.48, p < 0.001), increased job satisfaction (β = 0.53, p < 0.001), and lowered perceived stress (β = -0.46, p < 0.001). Mediation analyses showed significant indirect effects through organizational justice and quality of work life (indirect effects: -0.34 to 0.38, p < 0.001). Qualitative findings highlighted the importance of inspirational motivation, individualized consideration, intellectual stimulation, and idealized influence. Conclusions: Transformational leadership directly and indirectly enhances nurses' well-being through improved organizational justice and quality of work life. These findings emphasize the need for healthcare organizations to foster transformational leadership and promote fair, supportive work environments to enhance nurse well-being.

The silent strain: a systematic review and meta-analysis on the prevalence of occupational stress among Pakistani nurses

BACKGROUND

Occupational stress in the nursing profession is higher than in many other occupations, significantly impacting nurses' physical and mental health, job satisfaction, and the quality of patient care. It often leads to burnout and the decision to leave the profession. Various studies conducted in Pakistan have reported different findings. Therefore, this systematic review and meta-analysis aimed to estimate the pooled prevalence of occupational stress among nurses in Pakistan.

METHODS

Databases such as Scopus, Medline, Web of Science, EMBASE, and CINAHL were searched, including studies published from 2000 to September 2024. The screening process, article selection, data extraction, and quality assessment were all conducted independently by two authors. Any disagreements were resolved through consultation. Heterogeneity among studies was assessed using the I² statistic and Cochran's Q test. Subgroup analysis based on the study location (city) was performed. The relationship between occupational stress prevalence and publication year and sample size was evaluated using meta-regression. Publication bias was assessed using funnel plots and the Egger test. All analyses were conducted using a random-effects model with Stata software version 17.

RESULTS

Eleven studies with a sample size of 1636 participants were included. The prevalence of mild, moderate, and severe occupational stress was 16% (95% CI: 10-21), 48% (95% CI: 36-61), and 30% (95% CI: 20-41) respectively. The prevalence of mild occupational stress was highest in other cities, moderate stress was most common in Lahore, and severe stress was more prevalent in Karachi. No significant relationship was found between occupational stress prevalence and publication year or sample size. Publication bias for mild and severe occupational stress was significant, but the trim-and-fill analysis showed no impact on the results. Sensitivity analysis confirmed the stability of the findings.

CONCLUSION

This meta-analysis estimates the high prevalence of occupational stress among nurses in Pakistan, with moderate stress being most common. Differences in stress levels between cities may be influenced by local factors. Despite publication bias, the results remain stable and reliable, emphasizing the need for addressing occupational stress to enhance nurse well-being and patient care quality.

Occupational Health Hazards and Control Measures in Government Hospitals: A Cross-Sectional Survey of Nurses' and Nurse Managers' Perspectives

Background: Healthcare environments expose workers and patients to hazardous substances, leading to sickness and death. Nurses play a critical role in maintaining patient health and managing occupational risks, including biological, physical, chemical, and psychological hazards, highlighting the need for significant commitment. This study aims to explore the occupational health hazards and control measures among nurses and nurse managers in Saudi Arabia. Methods: A descriptive, cross-sectional study was conducted using a convenience sample of 222 nurses and nurse managers in Northern Border Hospitals. A Google survey questionnaire was utilized for capturing data, including demographic information, occupational health hazards, and control measures. Results: Of the 222 nurses surveyed, 20.3% experienced high ergonomic hazards, 14.4% experienced physical hazards, 14.9% experienced chemical hazards, 17.1% experienced biological hazards, and 34.2% experienced moderate psychological hazards. Regarding safety measures, 86.0% of participants reported high levels of control, 80.6% took proactive safety precautions, and 87.8% adhered to comprehensive control measures. There was little correlation between demographic characteristics, occupational hazards, and control measures. A significant negative association was found between control measures and occupational hazards (p value ≤ 0.001). Conclusion: Nurses face a range of occupational hazards, including ergonomic, physical, chemical, biological, and psychological risks. Addressing these hazards is essential for the well-being of nurses, the quality of patient care, and the creation of a healthier work environment. While control measures are generally effective, some healthcare workers lack access to adequate safety protocols. The results indicated a negative correlation between exposure to occupational health hazards and the implementation of control measures.

Job stress and patient safety culture: a qualitative study among hospital nurses in Palestine

BACKGROUND

In recent years, the healthcare industry has witnessed growing concern over patient safety culture, with a specific focus on the role of nursing professionals. This research explores the intricate dynamics between job-related stress and patient safety culture perceptions among hospital nurses in Palestine.

METHODS

This study employed a qualitative, interpretative phenomenological approach to explore the lived experiences of nurses. A purposive sampling strategy was used to select seven registered nurses from multiple hospital units across the North West Bank, Palestine. The participants were selected based on criteria including a minimum of one year of clinical experience, experience in diverse hospital units, and willingness to share their experiences. Special emphasis was placed on including nurses with a Master's degree in nursing because of their potential for advanced insights and the high percentage of nurses with this degree in Palestine. In-depth semi-structured interviews, lasting approximately 28-40 min each, were conducted in September 2023. Three interviews were conducted via Zoom, and four were conducted face-to-face. Thematic analysis was used to identify key themes and patterns. The small sample size was justified by the study's focus on in-depth exploration of individual experiences and the achievement of thematic saturation.

RESULTS

The study findings revealed six main themes: five related to patient safety culture and three related to job stress. Factors such as teamwork, workload, staffing, communication, conflict with colleagues, lack of support, and error reporting significantly influence job stress and patient safety culture. The study suggested that job stress has a negative effect on the perception of patient safety culture. Notably, support for nurses in managing job stress was primarily at the individual level, with limited hospital-based initiatives.

CONCLUSION

This study emphasized the importance of customized policies and interventions to address nurses' specific stressors and improve hospital patient safety culture. Additionally, it highlighted the distinct challenges encountered by Palestinian nurses, including resource limitations and staffing issues. These factors intensify job stress and could increase job stress and impact patient safety. Recognizing these contextual nuances is essential for designing focused interventions and support systems that prioritize nurses' overall well-being and enhance the quality of patient care. Hospital administrations should also focus on implementing coping mechanisms to help nurses manage stress and mitigate its effects on their well-being and patient outcomes.

Influence of Sociodemographic Factors on Level Stress and Coping Strategies of Nurses and Midwives Caring for Newborns with Lethal Defects

Introduction: Nurses and midwives caring for newborns with lethal defects experience significant emotional stress. Understanding coping strategies and the factors influencing stress is crucial for improving their well-being and ensuring high-quality care. Objectives: The aim of this study was to identify the coping strategies used by nurses and midwives in stressful situations and to analyse the relationship between stress levels and selected sociodemographic and professional factors. Methods: A cross-sectional study was conducted in the second quarter of 2023 among 307 nurses and midwives working in neonatal and obstetric wards in the Silesian metropolitan area, Poland. A diagnostic survey method was applied using a standardised questionnaire. The Perceived Stress Scale (PSS-10) and the MINI-COPE Inventory were used to assess stress levels and coping mechanisms. A stratified random sampling method was employed to ensure representation from various professional backgrounds. Data analysis was conducted using descriptive statistics, chi-square tests, Spearman's correlation, and Cohen's d coefficient, with statistical significance set at p < 0.05. Results: High stress levels were associated with shorter professional experience, frequent exposure to lethal defects, and emotional discomfort in interactions with grieving families. The most commonly used coping strategies were active coping (M = 2.06, SD = 0.635) and planning (M = 1.95, SD = 0.590), whereas self-blame (M = 1.20, SD = 0.714, p < 0.001) and denial (M = 0.88, SD = 0.751, p < 0.001) were linked to higher stress levels. Positive reinterpretation (r = -0.211, p < 0.001) and seeking emotional support (r = -0.129, p = 0.024) correlated with lower stress levels. Nurses and midwives with secondary education reported higher stress levels compared to those with higher education (χ2(10) = 30.651, p = 0.001). Work experience played a role, with moderate stress levels most frequently observed among those with 2-5 years of professional experience (χ2(14) = 24.023, p = 0.046). Emotional involvement, particularly supporting parents during their farewell to the child (69.1%), was identified as the most stressful aspect of their work. Conclusions: Promoting adaptive coping strategies, such as positive reinterpretation and emotional support, can help reduce stress and improve the well-being of nurses and midwives. Implementing psychological support programmes and stress management training is essential for maintaining high-quality neonatal care.

Professional Role Transition in Nursing: Leveraging Transition Theory to Mitigate the Current Human Resource Crises

New graduate nurse (NGN) turnover is emerging as one of the foremost issues in healthcare systems, primarily due to the implications for patient care and the need to secure the human resource future of the nursing profession. The initial months of transitioning into the professional role are crucial for cultivating and developing clinical practice patterns, professional values and a connection to the profession. However, the initial transition period for new nurses is associated with numerous challenges that can interrupt a healthy introduction into practice, justifying the critical prioritization of these issues. In light of these challenges to NGN entry to practice, this paper aims to conceptualize the contemporary professional role transition experiences of new graduate nurses and highlight the potential leverage that transition theories offer in managing this experience. Eleven transition theories relevant to this discourse were identified to enhance the understanding and comprehension of the new graduate nurses to inform future initiatives, directives, interventions and policies.

Cancer nursing research priorities: findings from a cancer nurses' consultation in Europe

BACKGROUND

Nurses are well positioned to identify the most critical issues in patient care and to determine priorities for investigation. Involving nurses in developing research priorities may increase their engagement in research and enhance the development high-quality nursing practice.

AIM

This study aimed to scope the potential topics for future cancer nursing research in Europe from the perspective of cancer nurses.

METHODS

It was the second phase of a three-phase mixed methods study comprising: a rapid review; a consultation with European cancer nurses; and a subsequent Delphi study incorporating the findings from the first two phases. The consultation involved 73 cancer nurses from the European Oncology Nursing Society.

FINDINGS

The analysis identified 73 research priority topics, which were developed into eight main themes.

CONCLUSION

The study's findings show that the research priorities identified by cancer nurses are in accord with many of the topics highlighted by the European Union Commission, the World Health Organization, and cancer and nursing organisations with regard to cancer care and nursing practice.

Relationship between work productivity and patient safety attitudes among intensive and critical care nurses: A structural equation modelling approach

BACKGROUND

Intensive care units present various challenges that can affect the productivity of nurses who play a critical role in ensuring patient safety; however, the relationship between these nurses' work productivity and patient safety attitudes has not been sufficiently explored.

AIM

To investigate the relationship between work productivity and patient safety attitudes among intensive and critical care nurses (ICCNs) using structural equation modelling (SEM).

STUDY DESIGN

This cross-sectional study involved 372 ICCNs who were members of the Turkish Society of Critical Care Nurses. Data were collected via an online survey using the Nurse Information Form, the Attitudes Toward Productivity Scale (ATPS) and the Patient Safety Attitude Questionnaire (PSAQ).

RESULTS

A significant positive correlation was found between the total ATPS and the PSAQ score (r = .704, p < .01). The SEM analysis revealed that teamwork climate (β = .192, p = .001), perceptions of management (β = .141, p = .001) and job satisfaction (β = .482, p = .001) positively predicted attitudes towards productivity, while stress recognition had a negative impact (β = -.219, p = .001). The model accounted for 62.2% of the variance in attitudes towards productivity and demonstrated good fit indices (χ2/df = 3.566; GFI = 0.989; CFI = 0.991; RMSEA = 0.078).

CONCLUSIONS

Teamwork climate, perceptions of management, job satisfaction and stress recognition significantly influence work productivity among ICCNs. Enhancing these factors can improve ICCNs' productivity and foster positive patient safety attitudes, ultimately leading to better patient care outcomes in intensive care settings.

RELEVANCE TO CLINICAL PRACTICE

Health care institutions need to adopt strategies to increase ICCNs' work productivity and patient safety attitudes, such as teamwork support initiatives, leadership development programmes for managers, professional development opportunities and stress reduction interventions. Positive working environment and favourable working conditions can improve ICCNs' well-being and performance, leading to better patient care outcomes in intensive care settings.

Mediating Role of Resilience in the Relationships Between Objective Physical Activity With Depression and Stress Among Nurses in Türkiye

OBJECTIVE

Nurses belong to a professional cohort that frequently experiences depression and stress. The objective of this research was to examine the correlation between objective physical activity (PA) with depression and stress among nurses, with a specific focus on the mediating role of resilience.

METHODS

This study employed the descriptive-correlation method. One-hundred twenty-seven nurses (76 women) working in hospitals in Bitlis province, Türkiye in 2023 were selected using a convenience sampling. To measure PA, depression, stress, and resilience, ActiGraph GT3X-BT accelerometer, Beck Depression Inventory, Perceived Stress Scale, and Connor-Davidson Resilience Scale were utilized, respectively. Data analysis was conducted using Pearson correlation test and structural equation modeling.

RESULTS

Nurses, particularly women, experienced a moderate level of depression and stress. Moreover, the number of step counts was significantly higher in day vs. night shift. Overall, the nurses in this study, especially women, engaged in PA levels that were significantly below the international guidelines for adults (p<0.001). Additionally, higher intensity levels of PA (i.e., moderate PA [MPA] and vigorous PA [VPA]) were found to be linked with reduced levels of depression (β=-0.528, β=-0.410, respectively) and stress (β=-0.605, β=-0.531, respectively). Lastly, resilience was identified as a significant mediator in the correlation between MPA and VPA with depression and stress (p<0.05).

CONCLUSION

These findings hold great significance as they demonstrate the positive impact of both resilience and PA on the mental well-being of nurses. It is advisable for healthcare authorities to formulate policies and strategies aimed at enhancing the overall stability and performance of the healthcare sector.

The Lifestyle and Quality of Life Among Nursing Students

Nursing students will graduate as professional nurses and serve as community health role models. They need to start living a healthy lifestyle and having a good quality of life as soon as feasible. However, their attitudes and actions often reflect the opposite, as if their learning has little bearing on their lives. This study examines nursing students' lifestyle and quality of life, as well as the relationship between lifestyle and quality of life at a private university in Tangerang, Indonesia. This study is cross-sectional. The population comprised up to 220 third-year nursing students from one of Tangerang's private universities. The sample size was 147 students, drawn from convenience sampling. Data were collected online using the WHOQOL-BREF questionnaire and a lifestyle questionnaire that has been validated and reliable. The findings revealed that most students had a healthy lifestyle (72.1%) but a low quality of life (62.6%). Furthermore, there was a significant association between lifestyle and quality of life in nursing students (p-value 0.003). Nursing students must maintain a healthy lifestyle to have a good quality of life. Building quality of life in nursing students is crucial since it can improve their overall well-being and future care quality.

Validation of the Russian version of the Copenhagen Burnout Inventory among nurses in Kazakhstan and Kyrgyzstan

Objectives

This study aimed to validate the Russian version of the Copenhagen Burnout Inventory (R-CBI) among nurses in Kazakhstan and Kyrgyzstan and explored factors contributing to burnout.

Methods

The original Copenhagen Burnout Inventory (CBI) was translated into the R-CBI using a rigorous forward-backward method and reviewed by experts. Between July and November 2022, 1,530 nurses were recruited through convenience sampling method from various nursing settings in Kazakhstan and Kyrgyzstan to test the scale's reliability and validity, including confirmatory factor analysis (CFA), internal consistency reliability, and concurrent validity. A linear regression analysis was conducted to identify influencing factors of burnout.

Results

The content of the R-CBI is consistent with the original CBI, consisting of 19 items with three dimensions. The Cronbach's α coefficient is 0.926 in Kazakhstan and 0.922 in Kyrgyzstan, ranging from 0.830 to 0.898 for three dimensions. The CFA results among nurses in Kazakhstan and Kyrgyzstan supported the three-factor structure of R-CBI with good fit indices. Concurrent validity was established through significant correlations (P < 0.001) with job satisfaction questionnaire (r = -0.457), Depression Anxiety Stress Scales (r = 0.506 in depression, r = 0.485 in anxiety, r = 0.564 in stress), and WHO-5 Well-Being Index (r = -0.528). The overall burnout level was 36.1 ± 17.6 and 37.5 ± 17.4 in Kazakhstani and Kyrgyzstani nurses, respectively. Significant influencing factors of burnout included gender, age, educational level, and COVID-19 infection history.

Conclusions

The R-CBI was proved to be a reliable and valid tool for assessing nurses' burnout in Kazakhstan and Kyrgyzstan.

Mindfulness Bundle Toolkit's Impact on Nurse Burnout

BACKGROUND

Nurse burnout is a widespread problem affecting nurses' physical and mental health and patients' satisfaction. Nurses in intensive care units designated for patients with COVID-19 during the pandemic reported experiencing higher levels of emotional exhaustion, depersonalization, and stress and exhaustion and lower levels of personal accomplishment. The current literature does not have a solution to combat burnout.

OBJECTIVE

To test the effectiveness of a mindfulness bundle toolkit on burnout for nurses caring for patients with COVID-19.

METHODS

A quantitative quasi-experimental design was used. Participants were 52 frontline registered nurses caring for patients with COVID-19. A mindfulness bundle toolkit was provided with the goal of decreasing burnout in a 6-week period. Data were collected before intervention, immediately after intervention, and 6 weeks after intervention using the Maslach Burnout Inventory-Human Services Survey for Medical Personnel, the Nursing Work Index-Revised, and the Stress/Arousal Adjective Checklist. Results The analysis indicated a statistically significant effect from the mindfulness bundle toolkit in 3 areas pertaining to burnout: emotional exhaustion (Wilks Λ = .66; F1,41 = 19.02; P = .001; η2 = .31), depersonalization (Wilks Λ = .70; F1,41 = 7.93; P = .007; η2 = .16), and stress (Wilks Λ = .81; F1,41 = 8.81; P = .005; η2 = .17).

CONCLUSIONS

The results suggest that the use of a 6-week mindfulness bundle toolkit is an effective intervention to mitigate emotional exhaustion, depersonalization, and stress associated with burnout in critical care nurses caring for patients with COVID-19.

Occupational Role Stress and Associated Factors Among Nurses in Southeast Iran

Occupational role stress is one of the important factors affecting nurses' occupational stress and quality of life (QOL). This study aimed to explore occupational role stress and associated factors among nurses in Zahedan, Southeast Iran. This cross-sectional study was conducted from April to June 2023. The study sample consisted of 260 nurses from hospitals affiliated with Zahedan University of Medical Sciences selected through a multistage sampling method. Data on nurses' occupational role stress, sociodemographic characteristics, lifestyle, sleep quality, and work-related factors were collected. A general linear regression model was applied to determine the factors associated with occupational role stress. The findings revealed that the mean total occupational role stress score was 141.41. Among the occupational role stress subscales, nurses had higher mean scores in role overload, role inadequacy, and responsibility. Total occupational role stress score was significantly higher in university graduate nurses than in those holding a high school diploma (p=0.005). Moreover, occupational role stress was significantly higher in nurses who slept for 4-6 h (p=0.011) and more than 8 h (p=0.017) compared to those who slept for 7-8 h a day. In addition, occupational role stress was also significantly higher in nurses with poor sleep quality (p=0.03). In addition, nurses who worked more than 8 h a day reported significantly higher occupational role stress (p=0.008). There was no statistically significant association between occupational role stress with age, gender, marital status, BMI, exercise, having a second job, shift work, ward assignment, and work experience. The findings emphasize the necessity of tailored interventions for managing occupational role stress in nurses with higher education and longer work hours. Improving work conditions, along with promoting healthy sleep habits, is a crucial step in reducing occupational role stress.

Understanding burnout in nurses: identification and coping strategies

Burnout, a psychological syndrome caused by prolonged exposure to chronic workplace stressors, is a prevalent issue in nursing, characterised by emotional exhaustion, depersonalisation and a diminished sense of accomplishment. This article explores the widespread impact of burnout in nursing, identifying its key indicators and consequences for both nurses and patient care. Furthermore, it evaluates evidence-based management strategies, including organisational interventions, resilience training, and peer support programmes, aimed at mitigating burnout and improving outcomes.

Work stressors and intention to leave among nurses in isolation nursing units during COVID-19: a cross-sectional study

BACKGROUND

Work stressors are associated with physical and psychological health problems among workers and thus increase their intentions to leave work. Various factors, including fear of infection, workload, and inadequate support, caused nurses especially those on the front lines during the COVID-19 pandemic greater stress.

AIM

This study aims to identify Jordanian nurses' perceptions of work stressors and their intention to leave, and to investigate the relationship between these variables among nurses working in isolation units during the COVID-19 pandemic.

METHODS

A descriptive cross-sectional study was conducted. A convenience sample of 154 nurses who worked with COVID-19 patients participated in this study. Questionnaires were distributed online.

RESULTS

A total of 154 nurses participated in the study, with an average age of 29.59 years. A majority of nurses (61.1%) were employed in COVID-19 isolation units for a duration of 6 to 8 months. Of the work-related stresses, the mean score was 3.17; 85.7% of respondents reported a positive level of stress. Intent to leave had a mean score of 4.03; 57.8% of respondents showed a slightly positive intention. Work stresses and intention to leave showed a modest, positive significant correlation (r = 0.52, p = 0.001).

CONCLUSIONS

In COVID-19 isolation units, Jordanian nurses' work stresses were positively correlated with their intention to leave. Lower-educated and single nurses were more stressed and likely to leave. Based on the findings, targeted stress-reduction programs are needed. Nursing retention and healthcare system sustainability amid public health emergencies depend on supportive, well-resourced workplaces.

Assessment of occupational hazards in midwifery setting and impact of occupational stress and job satisfaction on midwives' quality of work-life: multicenter study in IRAN

BACKGROUND

Midwifery is one of the key professions in maintaining community health and is important in providing maternal and child healthcare. As a high-risk profession, it involves numerous occupational hazards and challenges that can affect the quality of work life. This study investigated the occupational hazards and factors related to midwives' quality of work life.

METHOD

This cross-sectional study was conducted in 2023 in Iran, involving midwives working in hospitals (teaching and non-teaching) and health centers. Sampling was done in multiple stages in two large cities, Tabriz and Ahvaz. All midwifery staff meeting the inclusion criteria participated in the study. Data were collected using demographic and social information, occupational stress, work-related quality of life, Minnesota job satisfaction, and occupational hazards questionnaires. The analysis was performed using an independent t-test, ANOVA, Pearson's correlation, and linear regression test by SPSS version 24. P-values < 0.05 were considered significant.

RESULTS

Finally, the information of 580 participants was analyzed. The mean (± SD) age was 39.21 (± 9.09), with 83% of participants holding a bachelor's degree in midwifery, and the majority were hospital employees. The mean (± SD) occupational hazard score was 3.76 (± 0.87), with ergonomic and biological hazards having the highest mean scores, 4.22 and 4.10, respectively, making them the most significant occupational hazards. The preliminary results showed that the mean scores for job stress, job satisfaction, and quality of work life were 232.35 (high), 41.09 (moderate), and 95.34, respectively. In the regression model, job satisfaction, age, and work experience were significantly associated with quality of work life, with job satisfaction having the strongest influence (β = 0.376, P < 0.0013). As job satisfaction increased, the quality of work life also improved. However, work experience had a negative impact, indicating that as work experience increased, the quality of work life decreased (β=-0.296, P < 0.001).

CONCLUSION

Regular assessment of working conditions and the quality of work life is essential, and special attention should be paid to reducing occupational hazards. Given the high levels of job stress and dissatisfaction, there is a need for planning and policy-making to provide psychological support to manage stress, increase professional support, optimize the work environment, and manage physical demands.

Factors correlating work engagement among Palestinian emergency nurses during Gaza war in the West Bank

PURPOSE

Work engagement among emergency nurses is a critical issue that adversely affects the quality of patient care and productivity. Psychological reactions (e.g., stress, anxiety, and depression) and resilience correlated with work engagement. This study addresses the gap in understanding the factors correlating work engagement among. emergency nurses in the West Bank during the Gaza War.

METHODS

A descriptive correlational design was used. The data were collected from 378 emergency nurses from governmental and private hospitals in the West Bank using a self-reported questionnaire from December 2023 to February 2024. Depression Anxiety Stress Scales-21 (DASS-21), the Connor-Davidson Resilience Scale (CD-RISC), and the Utrecht Work Engagement Scale (UWES) were used to assess the study variables.

RESULTS

The findings demonstrated that 71.7 %, 52.9 %, 42.5 %, 55.6 %, and 40.0 % of the emergency nurses reported severe to extremely severe stress, moderate to extremely severe levels of anxiety, severe to extremely severe levels of depression, low resilience, and low to extremely low levels of job engagement, respectively. A positive relationship existed between work engagement and age (r = 0.407, p < 0.01), years of experience (r = 0.385, p < 0.01), and resilience (r = 0.419, p < 0.01). While, work engagement negatively correlated with stress (r = -0.486, p < 0.01), anxiety (r = -0.616, p < 0.01), and depression (r = -0.632, p < 0.01).

CONCLUSIONS

The findings indicated that policymakers and healthcare professionals should promote initiatives that enhance nurses' resilience and mitigate psychological responses to improve work engagement. Therapeutic programs should consider the situational variations of Palestinian society, encompassing resilience, coping mechanisms, and psychological management approaches.

Subtypes of Job Satisfaction and Health-Related Quality of Life in Chinese Male Nurses: A Latent Profile Analysis

In this cross-sectional study, we aimed to identify subgroups of job satisfaction and health-related quality of life (HRQoL) in Chinese male nurses and examine the factors associated with subgroup profiles. A convenience sample of 626 Chinese male nurses were enrolled from January to October 2021. Latent profile analysis was performed to identify profiles based on self-esteem, psychological resilience, social support, neuroticism, perceived prejudice, occupational stress, job satisfaction, and HRQoL. Chi-squared tests were used to examine predictors of profiles. Results indicated that a three-profile model provided the best fit: low job satisfaction and health (9.90%), moderate job satisfaction and health (64.06%), and high job satisfaction and health (26.04%). The average number of monthly night shifts was negatively correlated with the male nurses' subgroups. Psychological resilience, social support, and neuroticism were the key factors associated with the HRQoL of male nurses, while perceived prejudice, occupational stress, and self-esteem were the key factors associated with job satisfaction. Nurse administrators could improve their job satisfaction and health by reducing perceived prejudice, and job stress, increasing organizational support and resilience.

A Pilot Randomized Controlled Study to Determine the Effect of Real-Time Videos With Smart Glass on the Performance of the Cardiopulmonary Resuscitation

The aim of this study was to determine the effect of real-time videos with smart glasses on the performance of cardiopulmonary resuscitation performed by nursing students. In this randomized controlled pilot study, the students were randomly assigned to the smart glass group (n = 12) or control group (n = 8). Each student's cardiopulmonary resuscitation performance was evaluated by determining sequential steps in the American Heart Association algorithm they applied and the accuracy and time of each step. A higher number of participants correctly checked response breathing, requested a defibrillator, activated the emergency response team, and provided appropriate chest compressions and breaths in the smart glass group than the control group. There were significant differences between groups. Furthermore, more participants significantly corrected chest compression rate and depth and hand location, used a defibrillator, and sustained cardiopulmonary resuscitation until the emergency response team arrived in the smart glass group than in the control group. Additionally, a significantly shorter time was observed in the smart glass group than in the control group in all variables except time to activate the emergency response team ( P < .05). Remote expert assistance with smart glass technology during cardiopulmonary resuscitation is promising. Smart glass led to a significantly better ABC (airway, breathing, circulation) approach, chest compression depth and rate, and hand position. Furthermore, remote expert assistance with smart glass has the potential to improve overall resuscitation performance because it enabled students to initiate resuscitation, use a defibrillator, and defibrillate patients earlier. Nurses may benefit from smart glass technology in real life to provide effective cardiopulmonary resuscitation.

Anaesthesia teams´ perception of mental wellbeing, the psychosocial work environment and patient safety culture

BACKGROUND

Mental health issues among healthcare professionals (HCPs) are rising, impacting individual wellbeing, healthcare systems, and patient safety. This exploratory study aimed to analyse the association between anaesthesia teams' perception of their mental wellbeing, psychosocial work environment, and patient safety culture in a university hospital's anaesthesiology department. Second, to identify types of stressors and strategies to overcome them. Third, to explore differences in perception by profession, gender, and years of experience. Finally, to evaluate the psychometric properties of the questionnaire.

METHODS

A questionnaire covering mental wellbeing, teamwork, psychosocial work environment, and patient safety culture was sent to all HCPs in the department in May 2021 via e-mail. The questionnaire consisted of 35 questions, 4 demographic questions, and 2 open text fields.

RESULTS

293 HCPs responded (73% response rate); 60% agreed their work is emotionally challenging, and 30% experienced weekly emotional strain. Significant differences were seen between professions in terms of stressors. Clinical situations contributed most to doctors' emotional strain, while nurses scored higher on making compromises and being busy. A strong relationship was seen between weekly/daily emotional strain and making compromises in standards, clinical situations, and busyness.

CONCLUSION

In conclusion, all HCPs experienced emotional strain, with different causes and coping strategies across professions. Support was primarily found among colleagues and networks. Interestingly, low emotional strain correlated positively with coping, teamwork, psychological safety, and patient safety culture, suggesting an interrelation between these dimensions and HCPs' mental health. These findings may inform future conceptualisations of mental health, psychological safety, and safety culture.

From exhaustion to insight: Uncovering the antecedents of work stress among healthcare professionals

BackgroundIn the post-COVID period, the work stress experienced by healthcare professionals has become a more questionable problem. Existing studies generally examine factors caused by work stress. Few studies and discussions are identifying the antecedents of work stress.ObjectiveThis study aims to uncover the underlying factors contributing to work stress among healthcare professionals. Among these antecedents, we examined the effect of innovative work behavior, contextual business performance and discussed the moderating role of ergonomics.MethodsThe study sample consisted of 177 health professionals over 18 working in hospitals operating in Istanbul. We collected data from healthcare professionals through sociodemographic information form, work stress scale, innovative work behavior scale, and contextual business performance scale. We analyzed the data by partial least squares structural equation modeling (PLS-SEM) using the Smart PLS 4.0 software package.ResultsAs a result, the research findings suggest contextual business performance, potentially affected by innovative work behaviour and moderated by ergonomics, can be a critical antecedent of work stress.ConclusionHealth administrators who desire to reduce employees' work stress need to develop a theoretical and practical understanding of innovative work behaviour, contextual business performance, and ergonomics. Hence, discovering the causal mechanism behind work stress fills an essential gap in the literature.

Relating Workaholism to Job Stress: Serial Mediating Role of Job Satisfaction and Psychological Capital of Nurses in Angola

Background/Objectives: Previous studies conducted in sub-Saharan African countries have concentrated on examining the challenges of nursing training and the organizational commitment of healthcare professionals, with little attention paid to exploring the mechanisms that contribute to reducing nurses' job stress. Consequently, the present study addresses a significant gap in the literature by offering an overview of the factors contributing to understanding job stress among nurses in Angola. This study aimed to analyze the direct and indirect relationship between workaholism and job stress with job satisfaction and psychological capital mediating this relationship. Methods: Using the quantitative methodology with a cross-sectional design, a questionnaire was administered to 340 nurses (172 men and 168 women). Results: The results confirmed that workaholism is positively related to job stress and that job satisfaction and psychological capital serially mediate the relationship between workaholism and job stress. Conclusions: These findings highlight the importance of fostering job satisfaction and psychological capital by establishing favorable work environments and promoting nurses' physical and emotional well-being. In addition, these results may encourage healthcare leaders to create well-designed break areas for nurses to take restorative breaks.

Nurses' health and work experiences during the COVID-19 pandemic in Swedish prehospital and hospital care: a deductive content analysis through the lens of the swAge model

Working as a nurse offers job security but also poses risks for mental health issues. This study aims to explore factors and processes that affected health and work experiences among nurses in Sweden during the COVID-19 pandemic. Semi-structured interviews were conducted with 14 nurses from high COVID-19 patient load areas (ambulance, emergency departments, ICU, infection wards, and specialized COVID-19 wards). A deductive content analysis using the SwAge model's nine determinant areas, was performed. The COREQ-checklist was adhered to. Nurses were prepared to sacrifice their health for the well-being of their patients, with many still facing the repercussions. They voiced their disappointment with healthcare organizations for providing insufficient support. The pandemic disrupted the social contract between healthcare organizations and the public, particularly in elder care. To perform effectively, nurses need adequate staffing, a safe work environment, fair compensation, manageable workloads, and recognition. Instances of deception and broken promises have undermined trust and professional well-being. During the pandemic, nurses leaned on their colleagues for support to manage stress and compensate for shortcomings. Nonetheless, nurses also reported experiencing resilience, adaptability, and flourishing. Nurses in Sweden face challenges such as undersized organizations and the need for primary care expansion to reduce hospital burdens. A better balance of resources is essential for effective performance. Improved working conditions and organizational support are crucial for retaining nurses. Identifying factors for a sustainable working life involves understanding key areas and their interactions. Healthcare organizations and managers should consider these areas to promote sustainability.

Levels and related factors of occupational stress among nurses: hospital-based evidence from China, 2023

Background

China's birth rate continues to decline, reaching only 6.39% in 2023. In light of this trend, hospitals may need to reassess their allocation of resources, including funding, staffing, and facilities. Nurses may face job insecurity and uncertainty regarding their roles, which could prompt some to consider transitioning to different specialties. This study aimed to investigate the levels of occupational stress among nurses in the context of low fertility in China in 2023 and to identify the factors contributing to this stress. In addition, the study sought to explore the relationship between family dysfunction, low fertility rates, and occupational stress levels.

Methods

This descriptive cross-sectional study involved 270 nurses working in hospitals, who were recruited between December 2023 and January 2024 through a Chinese free web-based platform (Sojump) to complete online questionnaires. In addition to demographic information, the Nursing Job Stressors Scale (NJSS) and the Family APGAR Index were utilized for data collection. The data were analyzed using descriptive and inferential statistics, including correlation and multiple linear regression analysis. For continuous variables, the mean, standard deviation (SD), median, and interquartile range were reported, while counts and percentages were used for categorical variables. The independent t-test and one-way analysis of variance were employed for univariate analysis. Multiple linear regression was utilized for multivariate analysis. A p-value of less than 0.05 was considered statistically significant.

Results

The participants' average scores for the NJSS and Family APGAR Index were 1.76 ± 0.58 and 6.35 ± 3.30 points, respectively. In addition, workload and time pressure were rated highest among the sub-scales of the NJSS. The top five job stressors for nurses were Q3 (Wages and other benefits are low), Q1 (The social status of nursing is too low), Q5 (Frequent shift work), Q12 (Too much useless paperwork), and Q16 (Fear of mistakes and accidents at work). The score of the Family APGAR Index demonstrated a negative correlation with occupational stress (r = -0.19, p < 0.001). The results of the multiple linear regression analysis showed that a high level of worry about losing one's job (SE = 0.044, β = 0.152, t = 2.567, p = 0.011) and poorer family APGAR scores (SE = 0.035, β = -0.202, t = -3.406, p < 0.001) were associated with higher NJSS scores.

Conclusion

The nurses reported experiencing a moderate level of occupational stress in the context of low fertility in China. The key predictors of occupational stress among the nurses included concerns about job security and the Family APGAR classification. Implementing fair compensation and providing more effective family-oriented support programs are essential for reducing occupational stress among nurses.

Psychological stress and depression symptoms in nursing undergraduates: the chain mediating effect of cognitive reappraisal and ruminate thinking

BACKGROUND

Nursing students exhibit a higher incidence of mental disorders. Studies have identified psychological stress contributes to elevated depression symptoms through reappraisal cognitive in nursing students. However, there is little research exploring the knowledge regarding the role of ruminative thinking in mediating the associations between psychological stress and depression symptoms. Guiding by the non-hemostatic model and cognitive control theory, the study aims to investigate the chained mediation of cognitive reappraisal and ruminate thinking between psychological stress and depression symptoms among nursing undergraduates.

METHODS

A total of 1,220 nursing undergraduates were carried out by stratified sampling from July to December of 2023 via online survey. The investigation adopted the Perceived Stress Scale (PSS-10), Emotion Regulation Questionnaire (ERQ), Ruminative Response Scale (RRS), and the Center for Epidemiologic Studies Depression Scale (CES-D) to measure the level of psychological stress, cognitive reappraisal, ruminative thinking and depression symptoms, respectively. Pearson's r was utilized to investigate the interrelationships, and the structural equation model (SEM) was used to clarify the mediation effects among the four variables.

RESULTS

The mean total score of CES-D was 21.57 ± 10.79. SEM analysis proved that psychological stress had a direct positive effect on depression symptoms (β = 0.388). accounting for a substantial 51.52% of the total effect. Cognitive reappraisal and ruminate thinking partially mediated the association between psychological stress and depression symptoms (95% CI: 0.094-0.210), and the mediating effect accounted for 48.48% of the total effect.

CONCLUSIONS

Nursing students exhibited a high prevalence of depression, and cognitive reappraisal and ruminate thinking partially mediated the correlations between psychological stress and depression symptoms. Interventions targeting at consolidating cognitive reappraisal and ruminate thinking are imperative for improving depression.

The influence of anxiety and depression on critical care nurses' performance: A multicenter correlational study

BACKGROUND

Anxiety and depression among critical care nurses (CCNs) negatively affect performance because of association with clinical medical errors, ineffective communication, absenteeism from work, and burnout.

OBJECTIVES

The aim of this study was to investigate the prevalence of anxiety and depression and their associated factors as well as their impact on the CCNs' performance in Hail city, Saudi Arabia.

METHODS

A cross-sectional correlational study was conducted among 262 CCNs from April to June 2023.

RESULTS

The mean scores of anxiety and depression were significantly higher among male and Saudi CCNs than among their counterparts (p < 0.05). CCNs caring for patients in a ratio of 1:5 or more had significantly higher anxiety scores than those with lower nurse-to-patient ratios (p = 0.004). CCNs who were working night shifts had significantly higher mean scores of anxiety (p = 0.005) and lower mean scores of performance (p = 0.041) than their counterparts. Borderline anxiety and depression were prevalent among 43.1% and 38.5% of CCNs, respectively. In contrast, abnormal anxiety and depression were prevalent among 8.8% and 5.7% of CCNs, respectively. CCNs' mental, general, and total performance showed a significant negative correlation with both anxiety ([r = -0.247, p <0.001], [r = -0.183, p = 0.003], and [r = -0.172, p = 0.005], respectively) and depression (r = -0.287, p <0.001), (r = -0.207, p <0.001), and (r = -0.180, p = 0.003), respectively.

CONCLUSIONS

Anxiety and depression levels are significantly higher among male, Saudi CCNs, higher nurse-to-patient ratios, those who work night shifts than among their counterparts. Less than half of CCNs experience borderline anxiety and/or depression that had significantly negative correlation with their performance. Anxiety and depression in shift nurses may be treated by reducing workload, causes of stress during night shifts, and giving practical coping mechanisms for typical nurse job pressures.

Nurse Well-Being and Patient-Specific Outcomes: A Scoping Review

BACKGROUND

The health and well-being of the nursing workforce has received recent attention due to nurse attrition and the critical nurse shortages projected across the country. A nurse's well-being may impact patient outcomes.

PURPOSE

The purpose of this scoping review was to assess the association between nurse well-being factors and specific patient outcomes.

METHODS

The preferred reporting items for systematic reviews and meta-analyses (PRISMA) PRISMA Scoping Review protocol and 2020 reporting guidelines were utilized in this review.

RESULTS

Staffing, environment, physical health, and mental health of nurses were correlated to specific adverse patient outcomes among the 97 articles included in the final review. The majority of the articles reported significant findings.

CONCLUSIONS

Patient outcomes were reviewed as discrete events in the articles examined. With mixed results found on key patient outcomes, future research requires more in-depth investigation into the role nurse well-being has on patient outcomes.

Caregiving During COVID and Beyond: The Experience of Workplace Stress and Chaplain Care Among Healthcare Workers

Healthcare workers (HCWs) experience occupational stressors that negatively impact emotional well-being and exacerbate turnover intentions. In the wake of the COVID-19 pandemic, the resultant acute care turnover rates have reached an all-time high. In addition, occupational stressors lead to psychological stress, including moral distress, defined as the dissonance between perceiving what the right course of action is and encountering an obstacle to acting accordingly. This qualitative descriptive study explored the perceptions of patient-facing HCWs in acute care hospital settings regarding the workplace stressors they encountered and the role of hospital-based chaplains in addressing emotional well-being and stress with 33 interviews. Findings suggest that HCW frequently experience work-related moral distress and seek relief by interacting with hospital chaplains. Chaplain care, common in American healthcare facilities for the spiritual care of patients, is an easily accessible resource to HCWs. Facilitating chaplain-HCW interactions may be an effective strategy for responding to moral distress and improving healthcare workers' well-being.

Comparison of the escape room and storytelling methods in learning the stress response: A randomized controlled pilot study

AIM

The purpose of this study was to evaluate the effect of the Escape Room and Storytelling methods on nursing students' learning about the topic of stress response.

BACKGROUND

It is recommended that new generations be trained using innovative teaching methods that differ from traditional teaching methods. The Escape Room and Storytelling methods are among the techniques that have been used and recommended for this purpose.

DESIGN

The study was conducted with a randomized, controlled design.

METHODS

Thirty-five (n = 35) second-year undergraduate nursing students were randomly divided into two groups, one group was trained on stress response using the Escape Room method, while the other group was trained using the Storytelling method. Focus-group interviews were conducted with the students after the interventions.

RESULTS

There was a significant difference between the groups in terms of the median post-intervention knowledge assessment score. It was determined that the students in the Escape Room group scored significantly higher than those in the Storytelling group (p < 0.05) CONCLUSIONS: The use of these methods, which ensure the active participation of students and increase their motivation, effectively contributes to meeting the educational needs of students and increases their level of satisfaction.

Elder abuse in Flanders, Belgium: perspectives from home care nurses

The present study focuses on elder abuse in the home care setting. The aim of this study was to explore home care nurses' definition, general perspectives and experiences of elder abuse, and the barriers they experience to avoid elder abuse. Individual qualitative interviews were held with Flemish home care nurses (N = 17), employed by a Dutch home nursing organization. Data analysis was performed using reflexive thematic analysis. Results showed that (1) participants' understanding of elder abuse was based on intuition and daily practice. (2) Participants highlighted several institutional barriers to avoid elder abuse. (3) The participating home care organizations did not have a standard protocol to report or handle elder abuse. Institutional structures, procedures and decisions should be critically reviewed as to how they lead to staff abusing older adults.

Influence of emergence delirium-related knowledge and nursing stress, practice, and confidence levels on the performance of recovery room nurses: A cross-sectional study

In this study, we aimed to explore the relationships between knowledge of emergence delirium (ED) and nursing stress, practice, confidence, and performance levels, as well as to identify factors influencing the performance of recovery room nurses. We conducted a cross-sectional study with 135 recovery room nurses at a general hospital in South Korea. The nurses completed a questionnaire from April 12 to April 25, 2023. Data were analyzed using multiple linear regression to examine factors associated with nursing performance in relation to ED. Nursing performance showed a significant negative correlation with nursing stress levels and a moderate positive correlation with nursing practice and confidence levels. Furthermore, ED education, nursing practice, and nursing confidence are factors influencing nursing performance. To enhance the performance of recovery room nurses in caring for patients with ED, we recommend developing a tailored educational program that focuses on increasing both the confidence levels and practical skills of nurses, thereby meeting the specific needs of the patients.

The Moderating Role of Emotional Intelligence on the Relationship Between Nurses' Preparedness to Care for COVID-19 Patients and Their Quality of Work Life

Emotional intelligence (EI) is increasingly recognized as a key factor in healthcare, where managing emotions is vital for job satisfaction, productivity, and interpersonal relationships. For nurses, particularly during the COVID-19 pandemic, EI plays a pivotal role in navigating emotional challenges and improving their quality of work life (QoWL). This study examined how EI moderates the relationship between nurses' preparedness to care for COVID-19 patients and their QoWL. A cross-sectional, correlational design was used, involving 267 nurses from various healthcare settings. Data were collected through the Emotional Intelligence Scale, the Quality of Nursing Work Life survey, and demographic questionnaires. The sample was predominantly female (94.4%), with a mean age of 37.47 years (SD = 8.09) and an average of 8.43 years of experience (SD = 6.33). Most nurses (87.3%) attended COVID-19-related workshops, with 76.4% feeling prepared to care for COVID-19 patients. Emotional intelligence levels were high, with 93.6% of nurses reporting good personal competence and 85.4% reporting good social competence. Descriptive results showed that 71% of nurses perceived their QoWL as good, while 29% rated it as fair. Pearson correlation analysis revealed significant positive correlations between both personal competence (r = 0.33, p < 0.001) and social competence (r = 0.34, p < 0.001) with QoWL, but preparedness to care for COVID-19 patients did not correlate significantly with either EI or QoWL. Hierarchical regression analysis demonstrated that, although nurses' preparedness alone did not predict QoWL (β = 0.034, p = 0.57), including emotional intelligence as a moderator explains 41% of the variance in QoWL. Both personal (β = 0.578, p < 0.001) and social competence (β = 0.665, p < 0.001) components of EI had significant buffering effects on the relationship between preparedness and QoWL. These findings suggest that fostering EI in nurses can enhance their resilience and improve their work life quality, particularly in high-stress healthcare environments like those experienced during the pandemic.