Zadi Omid, Tavani Fatemeh Molaei, Behshid Mozhgan, Sheikhalipour Zahra, Rahmani Parvin, KHodayari Mohammad Taghi
Department of Medical-Surgical Nursing & Operating Room, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Medical-Surgical Nursing, Nursing and Midwifery Faculty, Tabriz University of Medical Sciences, Tabriz, Iran.
BMC Health Serv Res. 2024 Dec 30;24(1):1664. doi: 10.1186/s12913-024-12180-9.
Futile care is a set of actions without creating a reasonable chance of benefiting critically ill patients. In the COVID-19 pandemic, there is a need to discuss futile care perception. This may cause unbearable pressure for nurses in terms of resilience and turnover intention.This study was designed to determine the ICU nurses' perception of futile care in COVID-19 patients and its relationship with resilience and turnover intention.
This cross-sectional descriptive study was conducted on 251 nurses working in COVID-19 ICUs, in 2021 who were recruited with the quota sampling method. The data collection tools included questionnaires for demographic information, futile care, resilience assessment, and turnover intention. Collected data were analyzed using SPSS v26 software.
A high mean level (64.78 ± 9.98) of futile care perception was found in the studied nurses, and their mean levels of turnover intention (36.4 ± 5.1) and resilience (65.5 ± 14.1) were evaluated at a moderate level. A significant and inverse relationship was observed between futile care perception and resilience (P = 0.047, r = -0.077). There was a significant and positive relationship between futile care perception and turnover intention (P = 0.026, r = 0.151). The resilience and turnover intention variables were correlated inversely and significantly (r = -0.158, P = 0.014).
The adoption of appropriate strategies by managers can direct the nursing care path from futile to useful care. Given the significant relationship between resilience and turnover intention, it is recommended to teach strategies in the teaching program of nurses to enhance their resilience.
无效护理是指一系列对重症患者没有产生合理受益机会的行为。在新冠疫情期间，有必要探讨对无效护理的认知。这可能会给护士带来难以承受的压力，影响其心理韧性和离职意愿。本研究旨在确定重症监护病房护士对新冠患者无效护理的认知及其与心理韧性和离职意愿的关系。
本横断面描述性研究于2021年对251名在新冠重症监护病房工作的护士进行，采用配额抽样法招募。数据收集工具包括人口统计学信息问卷、无效护理问卷、心理韧性评估问卷和离职意愿问卷。收集的数据使用SPSS v26软件进行分析。
研究发现护士对无效护理的认知平均水平较高（64.78±9.98），其离职意愿平均水平（36.4±5.1）和心理韧性平均水平（65.5±14.1）为中等水平。无效护理认知与心理韧性之间存在显著负相关（P = 0.047，r = -0.077）。无效护理认知与离职意愿之间存在显著正相关（P = 0.026，r = 0.151）。心理韧性和离职意愿变量呈显著负相关（r = -0.158，P = 0.014）。
管理者采取适当策略可将护理路径从无效护理导向有效护理。鉴于心理韧性与离职意愿之间的显著关系，建议在护士教学计划中教授增强心理韧性的策略。
