Nilsson Ulrica, Odom-Forren Jan, Ring Mette, van Kooten Hanneke, Brady Joni M
Department of Neurobiology, Care Sciences, and Society, Karolinska Institute, and Perioperative Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden.
College of Nursing, University of Kentucky, Lexington, KY, USA.
BMC Nurs. 2022 Apr 7;21(1):82. doi: 10.1186/s12912-022-00862-w.
Several studies have reported that working in a COVID-ICU impacted nurses' mental well-being. Yet little is known about how perianaesthesia nurses who have been working in a COVID-ICU perceived their stress of conscience. The aim of this study was to: (1) describe and compare stress related to troubled conscience among perianaesthesia nurses in three countries who have been working in a COVID-ICU during the pandemic, (2) compare their levels of troubled conscience between working in a COVID-ICU and their usual workplace, and (3) compare nurses that usually work in an ICU department with nurses who usually work outside of the ICU.
A descriptive, international cross-sectional online survey including the Stress of Conscience Questionnaire (SCQ) was distributed between organizational member countries of the International Collaboration of PeriAnaesthesia Nurses.
A total of 246 nurses from three countries participated. Significant differences were found in stress of conscience when working in the Covid-ICU between Sweden 31.8 (8.6), Denmark 23.1 (8.6), and Netherlands 16.4 (6.5) p < 0.001. Significant differences were also found between nurses working in a COVID-ICU in contrast with their usual workplace: 23.1(5.6) versus 17.7(5.3), p < 0.001. The most stressful aspect of conscience reported was that work in the COVID-ICU was so demanding, nurses did not have sufficient energy to be involved with their family as much as they desired. No statistical differences were found between nurses that usually work in an ICU department with nurses who usually work outside of the ICU.
The COVID-19 pandemic has negatively impacted stress of conscience among nurses working in the COVID-ICU. Swedish nurses were found to be more significantly impacted. This could be related to low numbers of existing ICU beds and ICU nurses prior to the pandemic necessitating a longer time required for working in a COVID-ICU. Stress of conscience also increased when working in the Covid-ICU compared to working in the usual workplace, and the most stressing aspect reported was that COVID-ICU work was so demanding that nurses did not have the energy to devote themselves to their family as they would have liked.
多项研究报告称，在新冠重症监护病房工作会影响护士的心理健康。然而，对于在新冠重症监护病房工作的围麻醉期护士如何看待自己的良心压力却知之甚少。本研究的目的是：（1）描述和比较在疫情期间于新冠重症监护病房工作的三个国家的围麻醉期护士与良心困扰相关的压力，（2）比较她们在新冠重症监护病房工作和在其日常工作场所时良心困扰的程度，以及（3）比较通常在重症监护病房工作的护士和通常在重症监护病房以外工作的护士。
一项描述性的国际横断面在线调查，包括良心压力问卷（SCQ），在围麻醉期护士国际协作组织的成员国之间进行了分发。
来自三个国家的246名护士参与了调查。在新冠重症监护病房工作时，瑞典护士的良心压力为31.8（8.6），丹麦护士为23.1（8.6），荷兰护士为16.4（6.5），差异有统计学意义（p<0.001）。与日常工作场所相比，在新冠重症监护病房工作的护士之间也存在显著差异：分别为23.1（5.6）和17.7（5.），p<0.001。报告的良心压力最大的方面是，在新冠重症监护病房的工作要求极高，护士没有足够的精力像他们希望的那样陪伴家人。通常在重症监护病房工作的护士与通常在重症监护病房以外工作的护士之间未发现统计学差异。
新冠疫情对在新冠重症监护病房工作的护士的良心压力产生了负面影响。发现瑞典护士受到的影响更为显著。这可能与疫情前现有的重症监护病床和重症监护病房护士数量较少，导致在新冠重症监护病房工作需要更长时间有关。与在日常工作场所工作相比，在新冠重症监护病房工作时良心压力也会增加，报告的最有压力的方面是，新冠重症监护病房的工作要求极高，以至于护士没有精力像他们希望的那样全身心投入家庭。
