Intensive Care Unit, National Hospital for Tropical Diseases, Hanoi, Vietnam.
Microbiology-Molecular Biology Department, National Hospital for Tropical Diseases, Hanoi, Vietnam.
PLoS One. 2024 Aug 15;19(8):e0309028. doi: 10.1371/journal.pone.0309028. eCollection 2024.
Nursing professional is one of the most stressful jobs, particularly during the COVID-19 pandemic. When caring for COVID-19 patients, nurses face challenging conditions and limited resources, as well as the fear of infecting themselves and their families, putting them at risk for depression, anxiety, and insomnia. The purpose of this study was to determine the frequency, sources, and risk factors for occupational stress among clinical nurses caring for COVID-19 patients in a Vietnamese tertiary hospital.
A cross-sectional survey was conducted among all clinical nurses (184 nurses) at a tertiary hospital in Vietnam from March 15 to April 15, 2021. A questionnaire was used for collecting data. Data analysis was done by descriptive statistics, bivariate and multivariate logistic regressions. Risk factors were identified by adjusted odds ratio with 95% confidence interval and P values less than 0.05.
The survey was completed by 89.7% (165/184) of clinical nurses. Most participants were female (85.5%) and ≤ 40 years old (97.6%). Overall, participants reported a medium stress level with an Extended Nursing Stress Scale (ENSS) mean score of 1.79 points, and 32.1% had occupational stress. Prevalence of occupational stress among participants caring for COVID-19 patients (34.0%) was not statistically significant difference with that among those who did not (29.4%). Nurses' occupational stress in emergency and intensive care units (50.0%) was substantially higher than that in the other departments (11.7%). The most stressors for participants were difficulties connected to inadequate emotional preparedness, patients and families, and death and dying, with subscale mean scores of 1.97, 1.88, and 1.88 points, respectively. In multivariate analysis, working at an emergency and intensive care unit (OR 4.97), usually or more frequently feeling heavy duty for patients (OR 3.17), and income decrease (OR 3.03) were risk factors associated with occupational stress.
One-third of clinical nurses at a tertiary hospital experienced occupational stress, with highest rate occurred at emergency and intensive care units. Nurses' working conditions at emergency and intensive care units should be essentially addressed to improve nurses' occupational stress.
护理职业是压力最大的职业之一，尤其是在 COVID-19 大流行期间。在照顾 COVID-19 患者时，护士面临着挑战性的条件和有限的资源，以及担心自己和家人感染的风险，使他们面临抑郁、焦虑和失眠的风险。本研究的目的是确定在越南一家三级医院照顾 COVID-19 患者的临床护士职业压力的频率、来源和危险因素。
2021 年 3 月 15 日至 4 月 15 日，对越南一家三级医院的所有临床护士（184 名护士）进行了横断面调查。使用问卷收集数据。通过描述性统计、双变量和多变量逻辑回归进行数据分析。通过调整后的优势比和 95%置信区间以及 P 值小于 0.05 确定危险因素。
完成调查的临床护士占 89.7%（165/184）。大多数参与者为女性（85.5%）和≤40 岁（97.6%）。总体而言，参与者报告的压力水平处于中等水平，扩展护士压力量表（ENSS）平均得分为 1.79 分，32.1%的人存在职业压力。照顾 COVID-19 患者的参与者中职业压力的发生率（34.0%）与未照顾 COVID-19 患者的参与者（29.4%）没有统计学显著差异。急诊科和重症监护病房护士的职业压力（50.0%）明显高于其他科室（11.7%）。参与者的最大压力源是与准备不足的情绪相关的困难、患者和家属以及死亡和垂死，其分量表平均得分为 1.97、1.88 和 1.88 分。在多变量分析中，在急诊科和重症监护病房工作（OR 4.97）、通常或更频繁地感到对患者负担过重（OR 3.17）和收入减少（OR 3.03）是与职业压力相关的危险因素。
一家三级医院的三分之一临床护士经历职业压力，急诊科和重症监护病房的压力最大。应从根本上解决急诊科和重症监护病房护士的工作条件，以改善护士的职业压力。
