Harrington Jonathan, Ford Catherine, Cortis Elizabeth, Nicholson Kelly
Jonathan Harrington is a clinical nurse in the cardiothoracic intensive care unit, Yale New Haven Hospital, New Haven, Connecticut.
Catherine Ford is a clinical nurse in the cardiothoracic intensive care unit, Yale New Haven Hospital, New Haven, Connecticut.
Am J Crit Care. 2025 Jul 1;34(4):e32-e36. doi: 10.4037/ajcc2025123.
Critical care nurses are at high risk for anxiety, depression, and posttraumatic stress disorder, leading to poor professional quality of life.
To explore the current state of cardiothoracic critical care nurses' mental health and professional quality of life as restrictions related to the COVID-19 pandemic were lifted, specifically (1) to explore nurses' levels of posttraumatic stress disorder, anxiety and depression, and professional quality of life; and (2) to determine relationships between demographic characteristics, supportive factors, and intent to leave the profession and dependent variables.
A cross-sectional, descriptive survey was administered to cardiothoracic intensive care nurses in a tertiary care, Magnet-designated academic medical center in the northeastern United States. The survey incorporated established measures of mental health and perceptions of professional quality of life.
The sample consisted of 34 mostly female nurses with a bachelor's degree or higher. Participants had a mean (SD) of 10.7 (10.3) years of experience. Severity scores for mental health and professional quality of life ranged from mild to moderate. Significant relationships were found among mental health variables, intent to leave the profession, and evidence-based supportive factors. Supportive factors influenced scores on measures of mental health and burnout. Support from friends and family was related to anxiety and depression scores. Intent to leave the profession was significantly related to all mental health variables. The incidence of burnout was higher among younger nurses.
The findings point to the critical need to identify innovative strategies to increase support, particularly from peers and organizational leadership.
重症监护护士面临焦虑、抑郁和创伤后应激障碍的高风险,导致职业生活质量较差。
随着与2019冠状病毒病大流行相关的限制措施解除,探讨心胸重症监护护士的心理健康和职业生活质量现状,具体包括:(1)探讨护士的创伤后应激障碍、焦虑和抑郁水平以及职业生活质量;(2)确定人口统计学特征、支持因素、离职意向与因变量之间的关系。
在美国东北部一家三级护理、获得磁铁认证的学术医疗中心,对心胸重症监护护士进行了一项横断面描述性调查。该调查采用了既定的心理健康测量方法和职业生活质量认知测量方法。
样本包括34名主要为女性的护士,她们拥有学士学位或更高学历。参与者的平均(标准差)工作经验为10.7(10.3)年。心理健康和职业生活质量的严重程度评分范围为轻度至中度。在心理健康变量、离职意向和循证支持因素之间发现了显著关系。支持因素影响心理健康和职业倦怠测量指标的得分。朋友和家人的支持与焦虑和抑郁得分有关。离职意向与所有心理健康变量均显著相关。年轻护士的职业倦怠发生率更高。
研究结果表明迫切需要确定创新策略以增加支持,特别是来自同事和组织领导的支持。