Bord Shiran, Shahrabani Shosh, Baruch Hagar, Admi Hanna
Department of Health Systems Management, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel.
Department of Economics, The Max Stern Yezreel Valley College, Yezreel Valley 1930600, Israel.
Healthcare (Basel). 2023 Feb 17;11(4):601. doi: 10.3390/healthcare11040601.
The COVID-19 pandemic has created a sustained state of emergency, causing uncertainty and risk taking. Israeli nurses were required to follow new regulations and safety measures issued by the Israeli Ministry of Health (MOH). This study aimed to examine nurses' compliance with MOH regulations and its association with their risk and threat perceptions and their positive and negative emotions. A cross-sectional online survey was conducted among 346 Israeli nurses. The study model was examined with path analysis. Most nurses reported complying with MOH regulations either fully (49%) or very often (30%). Negative emotions were positively associated with perceptions of both threat and risk, yet only risk perception was positively associated with nurses' compliance. A significant mediated relationship was found between negative emotions and nurses' compliance, with the possible mediator being risk perception. Hence, higher negative emotions were associated with a greater risk perception, which was associated with higher compliance. Health systems leaders must strategize to deal with the wave-like character of the pandemic. Solutions to nursing teams' negative emotions must be provided to keep the balance between feelings of complacency and a situation of high-level, intense negative feelings, which might lead to abstention, burnout, or emotional injury.
新冠疫情造成了持续的紧急状态，引发了不确定性和冒险行为。以色列护士被要求遵守以色列卫生部发布的新规定和安全措施。本研究旨在调查护士对卫生部规定的遵守情况及其与他们的风险和威胁认知以及正负性情绪的关联。对346名以色列护士进行了一项横断面在线调查。采用路径分析对研究模型进行检验。大多数护士报告称完全（49%）或非常频繁（30%）遵守卫生部规定。负性情绪与威胁和风险认知均呈正相关，但只有风险认知与护士的遵守情况呈正相关。发现负性情绪与护士的遵守情况之间存在显著的中介关系，可能的中介因素是风险认知。因此，更高的负性情绪与更高的风险认知相关，而更高的风险认知又与更高的遵守情况相关。卫生系统领导者必须制定策略来应对疫情的波浪式特征。必须提供解决护理团队负性情绪的办法，以保持自满情绪与可能导致旷工、倦怠或情感伤害的高度强烈负性情绪状态之间的平衡。
