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Powell MA, Walton AL, Scott SD. Depicting occupational trauma concepts impacting nurse well-being during the COVID-19 pandemic. Int J Qual Stud Health Well-being 2024; 19:2355711. [PMID: 38758981 DOI: 10.1080/17482631.2024.2355711] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2024] [Accepted: 05/13/2024] [Indexed: 05/19/2024] Open
Abstract
PURPOSE The purpose of this concept delineation was to differentiate similar concepts impacting nurse well-being during the COVID-19 pandemic, including: compassion fatigue, burnout, moral injury, secondary traumatic stress, and second victim. METHODS A total of 63 articles were reviewed for concept delineation. Morse's (1995) approach to concept delineation was utilized to analyse the articles. RESULTS Concepts were described interchangeably but were found to present themselves in a sequence. A nurse may experience moral injury, leading to a second victim experience, synonymous with secondary traumatic stress, then compassion fatigue and/or burnout that can be acute or chronic in nature. An Occupational Trauma Conceptual Model was created to depict how these concepts interact based on concept delineation findings. CONCLUSION Nurses are experiencing long-lasting occupational trauma and future intervention research should centre on optimizing nurse well-being to ensure the sustainability of nursing profession.
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Affiliation(s)
- Melissa A Powell
- School of Nursing, Duke University School of Nursing, Durham, NC, USA
| | - AnnMarie L Walton
- School of Nursing, Duke University School of Nursing, Durham, NC, USA
| | - Susan D Scott
- MU Health Care, University of Missouri Healthcare, Columbia, MO, USA
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Iddrisu M, Poku CA, Mensah E, Attafuah PYA, Dzansi G, Adjorlolo S. Work-related psychosocial challenges and coping strategies among nursing workforce during the COVID-19 pandemic: a scoping review. BMC Nurs 2023; 22:210. [PMID: 37337228 DOI: 10.1186/s12912-023-01368-9] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2022] [Accepted: 06/02/2023] [Indexed: 06/21/2023] Open
Abstract
BACKGROUND Nurses and midwives have been stretched by the COVID-19 pandemic amidst the heroic roles they have played during the peak of the COVID-19 pandemic. Nurses stood tall among their peers in the healthcare industry saving lives. The pandemic has had a toll on nurses physically, psychologically, and socio-economically. The numerous deaths have traumatized nurses coupled with the fear of possible infection. Nurses have seen their colleagues and loved ones lose their lives to the pandemic, nevertheless, they still render care to patients no matter the circumstances. Due to that, it is imperative to ascertain the extent to which nurses who are much needed in healthcare delivery have been affected by this pandemic. This scoping review used Arksey and O'Malley's review methodology to investigate the nature of work-related psychosocial challenges nurses encountered during the peak of the pandemic, noting the major contributors to the challenges and the coping strategies used to address them. METHODS We performed a scoping review and searched for articles from five databases including PUBMED, CINAHL, SCOPUS, Google Scholar, and Grey literature from December 2019 to December 2021. A total of 7,334 articles were retrieved for the study but 45 met the inclusion criteria. RESULTS Work-related psychosocial challenges identified included stress, burnout (emotional exhaustion and depersonalization), Post-Traumatic Stress Disorder, depression, sleeplessness, and anxiety. Factors that accounted for the challenges were inadequate personal protective equipment (PPEs), discomfort using the PPEs, extreme workload, and fatigue. Nurses experienced job insecurity, business closure, and separation from family and loved ones, and these contributed to their challenges. Strategies used to deal with the challenges centred on emotion-focused and problem-focused coping. CONCLUSIONS The study recommends regular counselling and support for all nurses working at the frontline to help them better cope with the devastating effects of the pandemic so that they could build resilience towards future pandemics.
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Affiliation(s)
- Merri Iddrisu
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | - Collins Atta Poku
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
- Department of Nursing, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
| | - Eva Mensah
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | | | - Gladys Dzansi
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
| | - Samuel Adjorlolo
- School of Nursing and Midwifery, University of Ghana, Accra, Ghana
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Wu Z, Tian H, Xu D, Chen J, Hu Y, Wang X, Zhou S. Influencing Factors and Symbiotic Mechanism of the Integration of Medical Care and Disease Prevention during the COVID-19 Pandemic: A Cross-Sectional Survey of Public Hospital Employees. Int J Environ Res Public Health 2022; 20:241. [PMID: 36612563 PMCID: PMC9819979 DOI: 10.3390/ijerph20010241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Revised: 12/16/2022] [Accepted: 12/21/2022] [Indexed: 06/17/2023]
Abstract
Background: The COVID-19 outbreak has accelerated the huge difference between medical care and disease prevention in Chinese medical institutions. This study aimed to investigate the relationship between the symbiotic units, environments, models, and effects of the integration of medical care and disease prevention. Methods: This cross-sectional study involved 762 employees of public hospitals in 11 cities in Zhejiang Province by random stratified sampling. We analyzed the influence paths of elements in the mechanism of integration of medical care and disease prevention and the mediating effect of symbiotic models among symbiotic units, symbiotic environments, and effects on this integration. Results: The path coefficient of the symbiotic unit on the symbiosis model was 0.46 (p < 0.001), the path coefficient of the symbiotic environment on the symbiosis model was 0.52 (p < 0.001). The path coefficient of the symbiotic unit and the environment was 0.91 (p < 0.001). The symbiotic models exhibited a partial mediation effect between symbiotic units and the effect of this integration. Sobel test = 3.27, β = 0.152, and the mediating effect accounted for 34.6%. Conclusions: It is suggested that health policymakers and public hospital managers should provide sufficient symbiotic units, establish collaborative symbiotic models, and improve the effects of integration of medical care and disease prevention in public hospitals.
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Affiliation(s)
- Zhen Wu
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Huiyi Tian
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Dongjian Xu
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Jiaying Chen
- School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Yaqi Hu
- School of Public Administration, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Xiaohe Wang
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
| | - Siyu Zhou
- School of Public Health, Hangzhou Normal University, Yuhangtang St., Yuhang, Hangzhou 311121, China
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Luo R, Guo P, Shang M, Cai Y, Huang J, He Y, Mo PK, Wu AM, Xu RD, Li J, Lau JT, Gu J. Psychological stress self-help interventions for healthcare workers in the context of COVID-19 in China: A randomized controlled trial protocol. Internet Interv 2022; 28:100541. [PMID: 35474759 PMCID: PMC9020502 DOI: 10.1016/j.invent.2022.100541] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 04/11/2022] [Accepted: 04/15/2022] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Public health emergencies may lead to severe psychological stress, especially for healthcare workers, including frontline healthcare workers and public health workers. However, few stress management interventions have been implemented for healthcare workers even though they require more comprehensive interventions than the general public. Self-Help Plus (SH+) is a novel psychological self-help intervention developed by the World Health Organization. It is accessible, scalable, and cost-effective and has the potential to be quickly applied to help people cope with stress and adversity. The major objective of this study is to evaluate the effectiveness of SH+ interventions on the alleviation of stress levels and mental health problems among healthcare workers. METHODS A randomized controlled trial of SH+ will be conducted to investigate the stress level and mental health status of Chinese healthcare workers and control subjects in Guangzhou. Assessments will be performed before (baseline), at the end of (1 month), and 2 months after (3 months) the intervention. After completing the baseline screening questionnaire, eligible participants will be randomly assigned to one of the two groups in a 1:1 ratio by block randomization. During the 1-month intervention period, the intervention group will receive the SH+ intervention and the control group will receive information about mental health promotion. The intervention will be delivered by the research assistant via social media platforms. The primary outcome is the level of stress, which will be measured by a 10-item Perceived Stress Scale. Secondary outcomes including mental health symptoms will also be collected. DISCUSSION Given the potential for multiple COVID-19 waves and other infectious disease pandemics in the future, we expect that SH+ will be an effective stress management intervention for healthcare workers. The findings from this study will facilitate the application of SH+, and the trial is expected to be extended to a larger population in the future.
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Affiliation(s)
- Rui Luo
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China
| | - Pengyue Guo
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China
| | - Menglin Shang
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China
| | - Yuqi Cai
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China
| | - Jinying Huang
- School of Public Health, Guangdong Pharmaceutical University, No.283 Jianghai Avenue, Guangzhou, China
| | - Yiling He
- Guangzhou Women and Children's Medical Center, No.9, Jinsui road, Guangzhou 510623, Guangdong, China
| | - Phoenix K.H. Mo
- Division of Behavioral Health and Health Promotion, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong,The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China
| | - Anise M.S. Wu
- Department of Psychology, Faculty of Social Sciences, University of Macau, Taipa, Macao, China
| | - Roman Dong Xu
- Acacia Lab for Health Systems Strengthening and Department of Health Management, School of Health Management, School of Health Management, Southern Medical University, 1023 South Shatai Road, Guangzhou 510515, China
| | - Jinghua Li
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China,Sun Yat-sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou 510080, China,Corresponding author at: School of Public Health, Sun Yat-sen University (North Campus), 74# Zhongshan 2nd Road, Guangzhou, China.
| | - Joseph T.F. Lau
- Division of Behavioral Health and Health Promotion, The School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong,The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China,Centre for Medical Anthropology and Behavioral Health, Sun Yat-sen University, Guangzhou, China
| | - Jing Gu
- School of Public Health, Sun Yat-Sen University, , No.74, Zhongshan second road, Guangzhou, China,Sun Yat-sen University Global Health Institute, School of Public Health and Institute of State Governance, Sun Yat-sen University, Guangzhou 510080, China
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Liu X, Zeng W, He W, Xu F. Spirituality Concern Toward Patients in Hospice Care during COVID-19 Pandemic in China. Am J Hosp Palliat Care 2022; 39:1505-1506. [PMID: 35258348 DOI: 10.1177/10499091221080453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Tension, anxiety, or fear spread all over the world during COVID-19 pandemic. How health professionals provide terminally ill patients with humanistic care to deal with fear is worth consideration. A more abundant spirituality concern in the body-mind-spirit care mode on patients in hospice care is appied in our practice.
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Affiliation(s)
- Xiufeng Liu
- Hospice Care Team, Fengxian Hospital, 70570Southern Medical University, Shanghai, China
| | - Weimin Zeng
- Hospice Care Team, Fengxian Hospital, 70570Southern Medical University, Shanghai, China
| | - Wanhong He
- Hospice Care Team, Fengxian Hospital, 70570Southern Medical University, Shanghai, China
| | - Feng Xu
- Hospice Care Team, Fengxian Hospital, 70570Southern Medical University, Shanghai, China
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