护士职业倦怠与道德困境：与 COVID-19 相关的快速范围综述。
COVID-19-Related Occupational Burnout and Moral Distress among Nurses: A Rapid Scoping Review.
机构信息
Assistant Professor and Program Director Systems Leadership and Innovation, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.
PhD Candidate, Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON.
出版信息
Nurs Leadersh (Tor Ont). 2021 Mar;34(1):7-19. doi: 10.12927/cjnl.2021.26459.
BACKGROUND
The COVID-19 pandemic is placing unprecedented pressure on a nursing workforce that is already under considerable mental strain due to an overloaded system. Convergent evidence from the current and previous pandemics indicates that nurses experience the highest levels of psychological distress compared with other health professionals. Nurse leaders face particular challenges in mitigating risk and supporting nursing staff to negotiate moral distress and fatigue during large-scale, sustained crises. Synthesizing the burgeoning literature on COVID-19-related burnout and moral distress faced by nurses and identifying effective interventions to reduce poor mental health outcomes will enable nurse leaders to support the resilience of their teams.
AIM
This paper aims to (1) synthesize existing literature on COVID-19-related burnout and moral distress among nurses and (2) identify recommendations for nurse leaders to support the psychological needs of nursing staff.
METHODS
Comprehensive searches were conducted in Medline, Embase and PsycINFO (via Ovid); CINAHL (via EBSCOHost); and ERIC (via ProQUEST). The rapid review was completed in accordance with the World Health Organization Rapid Review Guide.
KEY FINDINGS
Thematic analysis of selected studies suggests that nurses are at an increased risk for stress, burnout and depression during the ongoing COVID-19 pandemic. Younger female nurses with less clinical experience are more vulnerable to adverse mental health outcomes.
背景
COVID-19 大流行给护理人员带来了前所未有的压力，由于系统超负荷，他们已经承受了相当大的精神压力。当前和以往大流行的综合证据表明，与其他卫生专业人员相比，护士经历的心理困扰水平最高。在大规模持续危机期间，护士领导者在减轻风险和支持护理人员应对道德困境和疲劳方面面临特殊挑战。综合有关 COVID-19 相关倦怠和护士面临的道德困境的大量文献，并确定减少不良心理健康结果的有效干预措施，将使护士领导者能够支持团队的适应力。
目的
本文旨在：(1) 综合现有关于 COVID-19 期间护士倦怠和道德困境的文献；(2) 为护士领导者确定支持护理人员心理需求的建议。
方法
在 Medline、Embase 和 PsycINFO（通过 Ovid）；CINAHL（通过 EBSCOHost）；和 ERIC（通过 ProQUEST）进行了全面搜索。快速审查是按照世界卫生组织快速审查指南进行的。
主要发现
对选定研究的主题分析表明，在持续的 COVID-19 大流行期间，护士面临更大的压力、倦怠和抑郁风险。临床经验较少的年轻女护士更容易出现不良心理健康结果。
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