Carlson Judy, Davis Tymeeka, Citron Tracie, Garcia Amalia, Presser Kelly, Adem Saida, Perry Arlene, Farrell Anna, Exantus Shakalee, Mebane Brandy, Redding Kasey, Purcell Natalie
Veterans Affairs Pacific Islands Health Care System, Honolulu, Hawaii.
Veterans Affairs Southern Nevada Healthcare System, Las Vegas.
Fed Pract. 2025 Mar;42(3):120-128. doi: 10.12788/fp.0555. Epub 2025 Mar 17.
Nurses from Sierra Pacific Network Veterans Health Administration (VHA) facilities assembled a research team to chronicle the impact the COVID-19 pandemic had on VHA nurses within the network. This study sought to include nurses who worked in outpatient areas that were not captured in previous research and nurses who work in inpatient areas.
After reviewing current literature examining the initial effects of the COVID-19 pandemic on health care workers and possible measurement tools, the team adapted and formatted an electronic survey to measure nurses' experiences related to job satisfaction, burnout, moral distress, depression, and intent to stay in the workplace.
A total of 860 registered and licensed practical/vocational nurses completed the survey in March 2023. Survey results indicated that VHA nurses experienced loss of patients (58%) and colleagues (30%) from COVID-19, overwhelming workload (57%), stress from short staffing (81%), lack of supplies (51%), burnout (50%), and moral injury (30%).
A high percentage of VHA nurses reported they were satisfied with their jobs and the care they provided to veterans despite experiencing personal and professional challenges stemming from COVID-19. We have identified strategies for leaders to support nurses during and after pandemics as well as plan and prepare for future pandemics.
来自塞拉利昂太平洋网络退伍军人健康管理局（VHA）设施的护士组建了一个研究团队，以记录新冠疫情对该网络内VHA护士的影响。本研究旨在纳入此前研究未涉及的门诊区域工作的护士以及住院区域工作的护士。
在查阅了关于新冠疫情对医护人员的初步影响及可能的测量工具的现有文献后，该团队调整并设计了一份电子调查问卷，以衡量护士在工作满意度、职业倦怠、道德困扰、抑郁以及留在工作场所的意愿等方面的经历。
2023年3月，共有860名注册护士和持牌实用/职业护士完成了调查。调查结果显示，VHA护士经历了因新冠疫情导致的患者死亡（58%）和同事死亡（30%）、工作量过大（57%）、人员短缺带来的压力（81%）、物资短缺（51%）、职业倦怠（50%）以及道德伤害（30%）。
尽管经历了新冠疫情带来的个人和职业挑战，但仍有很高比例的VHA护士表示对自己的工作以及为退伍军人提供的护理感到满意。我们已经确定了领导者在疫情期间及之后支持护士的策略，以及为未来疫情做规划和准备的策略。
