2017 年至 2021 年期间参与“健康护士，健康国家”的护士的心理健康指标趋势。
Trends in mental health indicators among nurses participating in healthy nurse, healthy nation from 2017 to 2021.
机构信息
Nursing Programs Department, American Nurses Association, Silver Spring, Maryland, USA.
Department of Prevention and Community Health, The George Washington University Milken Institute of Public Health, Washington, District of Columbia, USA.
出版信息
Worldviews Evid Based Nurs. 2022 Oct;19(5):352-358. doi: 10.1111/wvn.12601. Epub 2022 Aug 7.
BACKGROUND
American healthcare workers face unprecedented stress and trauma in the workplace during COVID-19, putting nurses at increased risk for poor mental health. Examining trends of mental health from before and during COVID-19 can illuminate the toll of the pandemic on nurses well-being.
METHODS
Nurses enrolled in Healthy Nurse, Healthy Nation receive a prompt to take an annual survey (n = 24,289). Mental health was assessed by active diagnoses of anxiety and depressive disorder, and feeling sad, down or depressed for two or more weeks in the past year. Logistic regression models were used to calculate predictive probabilities of health outcomes in year 4 (May 1, 2020 - April 30, 2021) compared to years 1-3 (each from May 1 to April 30), controlling for age, sex, race/ethnicity, and nurse type. Models were also stratified by work setting and nurse type.
RESULTS
In year 4, nurses had a 19.8% probability of anxiety disorder, significantly higher than year 3 (16.3%, p < .001), year 2 (13.7%, p < .001), and year 1 (14.0%, p < .001). Similarly, nurses had a 16.7% probability of depression disorder in year 4, significantly higher than year 2 (12.9%, p < .001) and year 1 (13.9%, p < .01). Year 4 nurses had a 34.4% probability of feeling sad, down or depressed for two weeks, significantly higher than previous years (year 1 = 26.8%, year 2 = 25.9%, year 3 = 29.7%, p < .001). Trends in probabilities of mental health indicators were similar among each nurse type and work setting. Nurses in medical/surgical work settings and those with licensed practical nurse and licensed vocational nurse titles consistently had the highest probability of poor mental health.
LINKING ACTION TO EVIDENCE
In 2020-2021, nurses faced challenges unlike any experienced in previous years. Unsurprisingly, nurses reported increased instances of poor mental health indicators. Positive disruptive strategies are needed to systemically change organizational culture and policy to prioritize and support nurses' well-being.
背景
在 COVID-19 期间，美国医护人员在工作场所面临前所未有的压力和创伤，使护士面临更大的心理健康风险。检查 COVID-19 前后心理健康趋势可以清楚地了解大流行对护士福祉的影响。
方法
参加“健康护士，健康国家”计划的护士每年都会收到一份调查提示（n=24289）。通过积极诊断焦虑和抑郁障碍以及过去一年中两周或两周以上感到悲伤、沮丧或沮丧来评估心理健康状况。使用逻辑回归模型计算 2020 年 5 月 1 日至 2021 年 4 月 30 日（第 4 年）与 1-3 年（每年 5 月 1 日至 4 月 30 日）相比的健康结果预测概率，同时控制年龄、性别、种族和护士类型。还按工作地点和护士类型对模型进行分层。
结果
在第 4 年，护士患焦虑症的概率为 19.8%，明显高于第 3 年（16.3%，p<.001）、第 2 年（13.7%，p<.001）和第 1 年（14.0%，p<.001）。同样，第 4 年护士患抑郁症的概率为 16.7%，明显高于第 2 年（12.9%，p<.001）和第 1 年（13.9%，p<.01）。第 4 年有 34.4%的护士感到悲伤、沮丧或沮丧两周，明显高于以往年份（第 1 年=26.8%，第 2 年=25.9%，第 3 年=29.7%，p<.001）。每种护士类型和工作地点的心理健康指标概率趋势相似。在医疗/外科工作环境中工作的护士以及具有执业护士和执业护士职称的护士始终具有较差心理健康的可能性最高。
将行动与证据联系起来
2020-2021 年，护士面临着与以往任何一年都不同的挑战。毫不奇怪，护士报告称心理健康指标的不良事件增加。需要积极的破坏性策略来系统地改变组织文化和政策，以优先考虑和支持护士的福祉。
Zotero 插件