Nursing Administration, Covenant Health, Lubbock, Texas, USA.
Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Nurs Forum. 2022 Nov;57(6):1321-1329. doi: 10.1111/nuf.12810. Epub 2022 Oct 12.
The coronavirus disease 2019 (COVID-19) pandemic globally impacted healthcare due to surges in infected patients and respiratory failure. The pandemic escalated nursing burnout syndrome (NBS) across the workforce, especially in critical care environments, potentially leading to long-term negative impact on nurse retention and patient care. To compare self-reported burnout scores of frontline nurses caring for COVID-19 infected patients with burnout scores captured before the pandemic and in non-COVID-19 units from two prior studies.
The descriptive study was conducted using frontline nurses working in eight critical care units based on exposure to COVID-19 infected patients. Nurses were surveyed in 2019 and in 2020 using Maslach Burnout Inventory (MBI), Well Being Instrument, and Stress-Arousal Adjective Checklist (SACL) instruments. Researchers explored relationships between survey scores and working in COVID-19 units.
Nurses working in COVID-19 units experienced more emotional exhaustion (EE) and depersonalization (DP) than nurses working in non-COVID units (p= .0001). Pre-COVID nurse burnout scores across six critical care units (EE mean = 15.41; p= .59) were lower than burnout scores in the COVID-19 intensive care units (EE mean = 10.29; p= .74). Clinical significance (p= .08) was noted by an EE subscale increase from low prepandemic to moderate during the pandemic.
Pinpointing associations between COVID-19 infection and nurse burnout may lead to innovative strategies to mitigate burnout in those caring for the most critically ill individuals during future pandemics. Further research is required to establish causal relationships between sociodemographic and work-related psychological predictors of NBS.
2019 年冠状病毒病(COVID-19)大流行在全球范围内对医疗保健造成了影响,原因是感染患者和呼吸衰竭人数的激增。大流行在整个劳动力中加剧了护理倦怠综合征(NBS),特别是在重症监护环境中,这可能对护士留用和患者护理产生长期的负面影响。本研究旨在比较照顾 COVID-19 感染患者的一线护士的自我报告倦怠评分与大流行前和非 COVID-19 单位的倦怠评分,并与之前的两项研究进行比较。
本描述性研究基于接触 COVID-19 感染患者的情况,对 8 个重症监护病房的一线护士进行了研究。护士在 2019 年和 2020 年使用 Maslach 倦怠量表(MBI)、健康量表和应激唤醒形容词检查表(SACL)进行了调查。研究人员探讨了调查评分与 COVID-19 病房工作之间的关系。
与在非 COVID-19 病房工作的护士相比,在 COVID-19 病房工作的护士经历了更多的情绪疲惫(EE)和去人格化(DP)(p=0.0001)。六个重症监护病房的护士在 COVID-19 大流行前的倦怠评分(EE 平均=15.41;p=0.59)低于 COVID-19 重症监护病房的倦怠评分(EE 平均=10.29;p=0.74)。EE 亚量表在大流行期间从低前期到中度的增加具有临床意义(p=0.08)。
确定 COVID-19 感染与护士倦怠之间的关联可能会为在未来大流行期间为照顾最危重患者的护士提供创新策略,以减轻倦怠。需要进一步研究以确定 NBS 的社会人口统计学和与工作相关的心理预测因素之间的因果关系。