Liu Xinyi, Cheng Fengmin, Jin Yanjun, Chien Ching-Wen, Chuang Yen-Ching, Yang Wei-Ying
Evidence-Based Medicine Center, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai, Zhejiang, 317000, China.
Institute for Hospital Management, International Graduate School (SIGS), Tsinghua University, Shenzhen, Guangdong, 518055, China.
BMC Nurs. 2024 Aug 15;23(1):566. doi: 10.1186/s12912-024-02229-9.
To analyze the key factors influencing the psychological resilience of intensive care unit (ICU) nurses during the COVID-19 pandemic and put forward suggestions promoting resilience based on key improvement factors and clinical experience.
Data were collected from 35 ICU nurses in a hospital in Zhejiang Province, China, through a questionnaire survey conducted between January and February 2023. The Decision-Making Trial and Evaluation Laboratory (DEMATEL) method was then used to construct and visualize the relationship structure between the factors. The DEMATEL-based Analytical Network Process (DANP) was applied to determine the influential weights of all factors. Finally, the key improvement factors were identified using importance-performance analysis (IPA).
Based on the cause-effect impact network diagram (CEIND), it was concluded that (C ), (C ), and (C ) are the key factors that promote the improvement of psychological resilience among ICU nurses. Additionally, these factors were the key factors that influence psychological resilience. The confidence levels of these results and the gap were 99.6% and 0.4%, respectively, which exceed the threshold value of 95%, indicating good stability. Finally, for the case hospitals, (C ) was identified as the key improvement factor.
Hospital administrators should support ICU nurses in enhancing their psychological resilience during major epidemics by: (i) Providing training on comprehensive protective measures and nursing skills; (ii) Effectively managing the human resources of nurses in the hospital to reduce their workload; (iii) Increasing social and organizational support for nurses to alleviate anxiety caused by large-scale public health events and improve their psychological resilience.
分析新型冠状病毒肺炎（COVID-19）大流行期间影响重症监护病房（ICU）护士心理弹性的关键因素，并基于关键改进因素和临床经验提出促进心理弹性的建议。
于2023年1月至2月期间，通过问卷调查收集了中国浙江省一家医院的35名ICU护士的数据。然后采用决策试验与评价实验室（DEMATEL）方法构建并可视化各因素之间的关系结构。运用基于DEMATEL的网络分析法（DANP）确定所有因素的影响权重。最后，采用重要性-绩效分析（IPA）确定关键改进因素。
基于因果影响网络图（CEIND）得出结论，（C）、（C）和（C）是促进ICU护士心理弹性提升的关键因素。此外，这些因素也是影响心理弹性的关键因素。这些结果的置信水平和差距分别为99.6%和0.4%，均超过了95%的阈值，表明稳定性良好。最后，对于案例医院，（C）被确定为关键改进因素。
医院管理者应通过以下方式支持ICU护士在重大疫情期间增强心理弹性：（i）提供全面防护措施和护理技能培训；（ii）有效管理医院护士人力资源，减轻其工作量；（iii）增加对护士的社会和组织支持，缓解大规模公共卫生事件引发的焦虑，提高其心理弹性。
