Alanna Bergman is a PhD candidate, Johns Hopkins University School of Nursing, 525 N Wolf St, Baltimore, MD 21205 (
Cynda Hylton Rushton is the Anne and George Bunting Professor of Clinical Ethics, Johns Hopkins University Berman Institute of Bioethics & School of Nursing, Baltimore, Maryland.
AACN Adv Crit Care. 2023 Mar 15;34(1):67-71. doi: 10.4037/aacnacc2023684.
The COVID-19 pandemic has taken a significant mental and emotional toll on critical care nurses. High patient acuity, staffing shortages, and increased care needs both in the hospital and in the community are contributing to increases in depression, anxiety, and overall burnout. Nurses who perceive, internalize, anticipate, and experience stigma may be hesitant to engage in mental health care and self-stewardship. Resultingly, stigma is a detriment to the mental health and overall well-being of critical care nurses. The American Nurses Association recognizes this stigma and is committed to dismantling stigma as a barrier to mental health care. Nurses may fear social and professional consequences associated with receiving mental health care. Nursing leaders and organizations can take steps to reduce stigma related to mental health care and support self-stewardship among critical care nurses.
COVID-19 大流行给重症监护护士的精神和情绪带来了巨大影响。患者病情严重、人员短缺以及医院和社区护理需求增加,这些都导致抑郁、焦虑和整体倦怠感增加。那些感知到、内化、预料到和经历污名的护士可能会不愿意接受心理健康护理和自我保健。因此,污名将损害重症监护护士的心理健康和整体幸福感。美国护士协会认识到这种污名,并致力于消除心理健康护理障碍。护士可能会担心与接受心理健康护理相关的社会和职业后果。护理领导者和组织可以采取措施减少与心理健康护理相关的污名,并支持重症监护护士的自我保健。