Powell Melissa A, Oyesanya Tolu O, Scott Susan D, Allen Deborah H, Walton AnnMarie
Duke University School of Nursing, Durham, NC, USA.
University of Missouri Healthcare, Sinclair School of Nursing, Columbia, MO, USA.
Glob Qual Nurs Res. 2024 Sep 2;11:23333936241271271. doi: 10.1177/23333936241271271. eCollection 2024 Jan-Dec.
Nurses around the globe have been impacted psychologically and emotionally during and after the COVID-19 pandemic. The purpose of this study was to describe nurses' perspectives on the concepts of compassion fatigue, second victimhood, burnout, and moral injury. Eight nurses were interviewed either individually or in groups of two. Data were analyzed using conventional content analysis. The following themes were identified: waves of compassion fatigue, traumatization within second victimhood, never the same after chronic burnout, moral injury: nurses couldn't do their best, and connections across concepts. Results showed nurses were most familiar with burnout and compassion fatigue, which remain chronic struggles. Second victimhood and moral injury were more distinct experiences related to traumatic or morally distressing events and likely contributed to experiencing burnout or compassion fatigue. Nurses' suffering heightened during the COVID-19 pandemic and remains prominent three years later. Future research and interventions are urgently needed globally to reduce workplace stressors and promote nurse well-being.
在新冠疫情期间及之后，全球护士在心理和情感上都受到了影响。本研究的目的是描述护士对同情疲劳、二次受害者身份、职业倦怠和道德伤害概念的看法。对八名护士进行了单独或两人一组的访谈。采用传统内容分析法对数据进行分析。确定了以下主题：同情疲劳的浪潮、二次受害者身份中的创伤、长期职业倦怠后判若两人、道德伤害：护士无法尽力而为以及各概念之间的联系。结果显示，护士对职业倦怠和同情疲劳最为熟悉，这仍是长期困扰。二次受害者身份和道德伤害是与创伤性或道德困扰事件相关的更为独特的经历，可能导致职业倦怠或同情疲劳。护士的痛苦在新冠疫情期间加剧，三年后仍然突出。全球迫切需要未来的研究和干预措施，以减少工作场所压力源，促进护士的福祉。
