Huken Christopher, Kutschar Patrick, Schnell Martin W, Dunger Christine
Chair of Social Philosophy and Ethics in Health Care, Witten/Herdecke University, Germany.
Institute of Nursing Science and Practice, Paracelsus Medical University, Salzburg, Austria.
Int J Nurs Stud Adv. 2025 Jul 19;9:100386. doi: 10.1016/j.ijnsa.2025.100386. eCollection 2025 Dec.
Geriatric care nurses used different strategies to cope with the various burdens they faced during the COVID-19 pandemic, affecting care interactions and reflecting their professional identity.
To explore the burdens and coping strategies of German geriatric care nurses, using professional identity as a conceptual framework.
Cross-sectional factorial survey using vignettes (i.e., hypothetical descriptions of care situations).
SETTING & PARTICIPANTS: Stratified sampling was applied at the facility level, based on the distribution of nursing homes across German federal states. A total of 188 geriatric care nurses participated.
The factorial online survey included socio-demographic variables, COVID-19-specific questions, vignettes, and feedback items. Descriptive statistics and multilevel regression analysis were conducted.
Participants reported higher stress during the pandemic than before. Burden characteristics described in the vignettes had no significant effect on participants' judgement behaviour. A random-intercept level 2 model showed that a higher workload and caring for residents significantly influenced participants' judgement. Closeness to family and friends, and seeking support from colleagues were effective coping strategies, while bending guidelines and harmful consumption behaviour were less effective.
Coping strategies focused on social interaction were particularly beneficial despite contact restrictions. The type of burden appeared less important than the ability to cope with it. The subordinate role of professional identity may reflect a shift towards functional care. We have highlighted the possible need to address stress management and working conditions of geriatric care nurses, especially in the light of potential future crises.
None.
A factorial survey exploring relevant burden and coping strategies German geriatric care nurses experienced during the COVID-19 pandemic.
老年护理护士采用不同策略应对新冠疫情期间面临的各种负担，这些负担影响了护理互动并反映了他们的职业身份。
以职业身份为概念框架，探讨德国老年护理护士的负担及应对策略。
使用 vignettes（即护理情境的假设描述）进行横断面析因调查。
根据德国联邦各州养老院的分布情况，在机构层面采用分层抽样。共有188名老年护理护士参与。
析因在线调查包括社会人口统计学变量、新冠疫情相关问题、vignettes 和反馈项目。进行了描述性统计和多水平回归分析。
参与者报告疫情期间的压力比之前更大。vignettes 中描述的负担特征对参与者的判断行为没有显著影响。随机截距二级模型显示，更高的工作量和照顾居民显著影响参与者的判断。与家人和朋友亲近以及向同事寻求支持是有效的应对策略，而违反准则和有害消费行为效果较差。
尽管有接触限制，但侧重于社交互动的应对策略特别有益。负担的类型似乎不如应对负担的能力重要。职业身份的从属作用可能反映了向功能性护理的转变。我们强调了可能需要解决老年护理护士的压力管理和工作条件问题，特别是鉴于未来可能出现的危机。
无。
一项析因调查，探讨德国老年护理护士在新冠疫情期间经历的相关负担及应对策略。
