Fairfield University/ Yale New Haven Children's Hospital, Department- Egan School of Nursing and Health Studies, 1073 N Benson Rd, Fairfield, CT 06824, United States of America.
Boston Medical Center, Department: Meninio 5 Medical ICU A, 1 Boston Medical Center Pl, Boston, MA 02118, United States of America.
J Pediatr Nurs. 2024 Sep-Oct;78:e306-e313. doi: 10.1016/j.pedn.2024.07.019. Epub 2024 Aug 10.
This study described pediatric nurses' professional quality of life during COVID-19 and explored demographic/clinical practice factors independently associated with compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS).
The Relational Caring Complexity Theory was used. This study employed a cross-sectional, descriptive, correlational design to describe professional quality of life of pediatric nurses (demographic questionnaire and ProQOL 5 measure) working during the COVID-19 pandemic.
From 150 pediatric nurses, the mean scores were CS 40.8 (± 4.8), BO 22.6 (± 4.7), and STS 22.8 (± 5.8). Results of the multiple regression revealed that two variables, deployed to the same unit versus not deployed (β = 2.424, p = .02) and currently practicing in perioperative/ambulation settings versus intensive care (β = -0.272, p = .03), were independently associated with CS. Deployed to the same unit versus not deployed was found to be independently and significantly associated with BO (β = -0.28, p = .005). The number of patients cared for with COVID-19 (β = 0.196, p = .03) was significantly associated with STS.
While the overall response was positive, these nurses were more likely to experience BO when deployed to the same area (likely a COVID-19 adult unit) and STS as they cared for more patients with COVID-19.
Leaders should be aware of the impact of caring in times of crisis. Decentralized staffing may help meet emergent needs on a particular shift, but ensuring deployed nurses are well-supported is vital.
本研究描述了 COVID-19 期间儿科护士的专业生活质量，并探讨了与同情满足（CS）、倦怠（BO）和二次创伤压力（STS）独立相关的人口统计学/临床实践因素。
使用关系关怀复杂性理论。本研究采用横断面、描述性、相关性设计，描述了在 COVID-19 大流行期间工作的儿科护士的专业生活质量（人口统计学问卷和 ProQOL 5 量表）。
在 150 名儿科护士中，平均 CS 得分为 40.8（±4.8），BO 得分为 22.6（±4.7），STS 得分为 22.8（±5.8）。多元回归结果表明，两个变量，部署到同一单位与未部署（β=2.424，p=0.02）和目前在围手术期/活动设置中工作与重症监护（β=-0.272，p=0.03），与 CS 独立相关。部署到同一单位与未部署被发现与 BO 独立且显著相关（β=-0.28，p=0.005）。照顾 COVID-19 患者的人数（β=0.196，p=0.03）与 STS 显著相关。
尽管总体反应是积极的，但当部署到同一区域（可能是 COVID-19 成人病房）时，这些护士更有可能经历 BO，并且当他们照顾更多 COVID-19 患者时，他们更容易经历 STS。
领导者应该意识到在危机时期护理的影响。分散的人员配备可能有助于满足特定班次的紧急需求，但确保部署的护士得到充分支持至关重要。
