Sato Kana, Ishii Keiko, Nagai Satoko, Ogata Yasuko
Faculty of Nursing, Mie Prefectural College of Nursing, 1-1-1, Yumegaoka, Tsu-shi, Mie 514-0116, Japan.
Home Health and Palliative Care Nursing, Graduate School of Health Care Sciences, Institute of Science Tokyo, Bunkyo-ku, Tokyo, Japan.
J Occup Health. 2025 Jan 7;67(1). doi: 10.1093/joccuh/uiaf030.
This study aimed to identify the factors influencing nurses' posttraumatic growth (PTG) during the early stages of the coronavirus disease 2019 (COVID-19) pandemic.
A literature search was conducted in February 2023 across databases, including Medline, CINAHL, APA PsycINFO, Web of Science, and Google Scholar, for articles published between January 2020 and February 2023 related to PTG in nurses during the COVID-19 pandemic. Inclusion criteria were English-language articles, original research on nurses' PTG, and studies conducted after January 2020. Of 1089 identified articles, 142 were screened, and 27 were selected for final analysis. Data extracted from the articles included the author(s) name(s), the study's geographic location, publication year, study purpose, study design, participants, methods, measurement scales, results, and notes. PTG factors were extracted and grouped into 4 broad categories: COVID-related factors, nursing-related factors, factors in Tedeschi's PTG conceptual model, and other factors. Smaller categories were then created by inductively categorizing the factors based on similarities and differences.
As factors of nurses' PTG during the early stage of the COVID-19 pandemic, 16 subcategories were organized under 4 categories. In addition to all factors from Tedeschi's PTG model, some COVID-related factors (eg, care context, organizational training), and some nursing-related factors (eg, work environment) were shown to be related to PTG. No significant relationships were found between almost all of the other factors, including sociodemographic attributes, and PTG.
Factors found in this study can help identify nurses' PTG facilitators and guide the development of interventions for future crises.
本研究旨在确定在2019冠状病毒病（COVID-19）大流行早期影响护士创伤后成长（PTG）的因素。
2023年2月在多个数据库中进行文献检索，包括Medline、CINAHL、APA PsycINFO、科学网和谷歌学术，检索2020年1月至2023年2月发表的与COVID-19大流行期间护士PTG相关的文章。纳入标准为英文文章、关于护士PTG的原创研究以及2020年1月以后进行的研究。在1089篇检索到的文章中，筛选出142篇，最终选取27篇进行分析。从文章中提取的数据包括作者姓名、研究地理位置、发表年份、研究目的、研究设计、参与者、方法、测量量表、结果和注释。提取PTG因素并将其分为4大类：与COVID相关的因素、与护理相关的因素、泰德eschi PTG概念模型中的因素以及其他因素。然后根据相似性和差异性对这些因素进行归纳分类，创建更小的类别。
作为COVID-19大流行早期护士PTG的因素，在4个类别下组织了16个子类别。除了泰德eschi PTG模型中的所有因素外，一些与COVID相关的因素（如护理环境、组织培训）和一些与护理相关的因素（如工作环境）被证明与PTG有关。几乎所有其他因素，包括社会人口学属性，与PTG之间均未发现显著关系。
本研究中发现的因素有助于确定护士PTG的促进因素，并指导未来危机干预措施的制定。
