Author Affiliations: Professor (Dr Kim) and Associate Professor (Dr Sloan), School of Nursing, Point Loma Nazarene University, San Diego, California; Nurse Manager (Ms Chechel) and Nurse Manager (Mr Redila), University of California San Diego Health; and Associate Professor (Ms Ferguson), School of Nursing, MidAmerica Nazarene University, Olathe, Kansas.
J Nurs Adm. 2021 Nov 1;51(11):554-560. doi: 10.1097/NNA.0000000000001063.
The aim of this study was to examine the predictors associated with severe burnout and poor mental health among healthcare workers during the COVID-19 pandemic as a learning opportunity for future emergent situations.
Modifiable predictors of mental health need to be further examined and quantified to prioritize human resource support in organizations as healthcare workers confront stressful situations.
A cross-sectional survey was conducted among 271 healthcare workers from September 8 to October 10, 2020.
Approximately one-third reported severe burnout, as well as moderate/severe anxiety and depression. Feeling protected working with COVID-19 patients, high family functioning, and spirituality were associated with 2- to 4-fold lower odds of severe burnout. Satisfaction with the organization's communications predicted 2-fold lower odds of anxiety, whereas high resilience was associated with almost 4-fold lower odds of stress and depression.
Healthcare organizations may consider adopting programs to foster resilience, family and spiritual support, and effective communication strategies to reduce burnout and poor mental health among healthcare workers during pandemics and other situations of high stress.
本研究旨在探讨与 COVID-19 大流行期间医护人员严重倦怠和心理健康不良相关的预测因素,以期为未来的紧急情况提供经验教训。
需要进一步检查和量化心理健康的可改变预测因素,以便在医护人员面临压力情况时为组织中的人力资源提供支持。
2020 年 9 月 8 日至 10 月 10 日,对 271 名医护人员进行了横断面调查。
约三分之一的人报告有严重的倦怠,以及中度/重度焦虑和抑郁。与严重倦怠的几率降低 2-4 倍相关的因素包括:与 COVID-19 患者一起工作时感到受保护、家庭功能良好和有精神信仰。对组织沟通的满意度预测焦虑的几率降低 2 倍,而高弹性与压力和抑郁的几率降低近 4 倍相关。
医疗保健组织可以考虑采用培养韧性、家庭和精神支持以及有效的沟通策略的方案,以减少大流行期间和其他高压力情况下医护人员的倦怠和心理健康不良。