Intenção em deixar a Enfermagem durante a pandemia de COVID-19

Kantorski, Luciane Prado; Oliveira, Michele Mandagará de; Alves, Poliana Farias; Treichel, Carlos Alberto dos Santos; Santos, Luiza Hences dos; Pinheiro, Guilherme Emanuel Weiss

doi:10.1590/1518-8345.5815.3613

Cited by 3 publications

(2 citation statements)

References 23 publications

(21 reference statements)

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“…This number of deaths worldwide and an overload of work among nursing professionals, who in various countries suffer from a shortage of personnel and dissatisfaction in their jobs, can influence the abandonment of their profession, affecting the service provided to the population. A recent study in Brazil found that 29.1% of nurses, 22.9% of nursing technicians, and 15.7% of nursing assistants intended to leave their professions due to a lack of institutional support, a high workload, and skin injuries from the use of personal protective equipment [ 16 ]. This scenario must be quantified in each hospital, and each reality is always necessary to establish a link between BS and epidemiological outbreaks and adverse events among nursing professionals in order to establish better work support guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, some factors could exacerbate the development of complications derived from work overload and BS; these could be linked to the age group of frontline nursing professionals, the time they work in quarantine areas or are specialized in COVID-19, fewer resources available in health centers, and less specialized training against COVID-19 [ 7 ]. The COVID-19 pandemic has meant an overload of work for nursing professionals and may lead them to have the intention of leaving their profession, which harms the health system and patient care [ 16 ]. SB could be the trigger for this situation, which until now has not been well described in Latin America [ 6 , 7 ], especially in Peru, a country that has been hit hard by the pandemic.…”

Section: Introductionmentioning

confidence: 99%

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The Age of Young Nurses Is a Predictor of Burnout Syndrome during the Care of Patients with COVID-19

et al. 2023

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Background: Burnout Syndrome (BS) is a work fatigue phenomenon that leads to physical exhaustion during care work, and there could be an increase in the proportion of nurses affected during the COVID-19 pandemic, especially in those caring for infected patients. We aimed to determine BS in nurses during the COVID-19 pandemic. Methods: An observational study was conducted on 100 nurses over the age of 18 and working in COVID-19 medical units in 2021. The 22-item Maslach Burnout Inventory questionnaire was used to estimate BS, and differences between age groups, gender, work time, and previous infection were estimated. Results: The majority of nurses (mean 30 ± 5.5 years) were women (78%), and the most frequent working time was from 1 to 10 years (58%). A total of 88% of the nurses had moderate BS, affecting more males, aged between 20 and 30 years, and without previous infection. The youngest age group, 20–30 years, presented the highest mean BS with 53.8 (SD 4.18) points (95% CI: 52.79 to 54.8), showing differences with older nurses (p < 0.05). Prediction analysis showed that only age was a significant predictor for the development of SB (p < 0.001). Conclusions: BS negatively impacts young nurses during the care of COVID-19 patients, so strategies should be promoted to ensure a better working environment. Improving the workspace can include self-care strategies, changes in the system and work organization, an improvement of interpersonal relationships, and risk prevention.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Age of Young Nurses Is a Predictor of Burnout Syndrome during the Care of Patients with COVID-19

et al. 2023

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Relationship between Transition Shock, Professional Stressors, and Intent to Leave the Nursing Profession during the COVID-19 Pandemic

et al. 2023

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Background and Objectives: Moving nurses to a COVID-19 department may cause the phenomenon of transition shock, which occurs when already employed nurses change jobs. A set of confusing and uncertain feelings arise due to the unfamiliar work environment, which may lead to their intention to leave the nursing profession. The aim of this study was to examine transition shock and the contribution of both the respondents’ characteristics and the presence of stressors to the occurrence of transition shock in nurses assigned to work in COVID-19 departments. Materials and Methods: A cross-sectional study with 120 nurses employed in COVID-19 departments was conducted. Several linear regression models were used to assess the association between transition shock, personal and professional COVID-19 stressors, and the intention to leave the nursing profession. Results: Nurses who intended to leave the profession showed higher transition shock and higher personal and professional stressors (p < 0.001). Female nurses had lower transition shock (β = −0.16; p = 0.036) and higher personal COVID-19 stressors (β = 0.27; p < 0.001). University education contributes to the lowering of nurses’ transition shock (β = −0.16; p = 0.038). Nurses who did not intend to leave the nursing profession had lower personal COVID-19 stressors (β = −0.15; p = 0.044). Transition shock was associated with personal COVID-19 stressors (β = 0.39; p < 0.001) and professional COVID-19 stressors (β = 0.29; p < 0.001), and vice versa. Conclusions: The phenomenon of transition shock was present after nurses transitioned to working in COVID-19 departments. Transition shock may cause more nurses to leave the profession, which may have a strong impact on the health system in many countries that are already facing a shortage of nurses. Additional education on and preparation for adapting to new working conditions with psychological support could have an influence by lowering the level of nurses’ transition shock.

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Are They Aligned? An Analysis of Social Media-Based Nurse Well-Being Concerns and Well-Being Programs

Milicia,

Handley,

Boxley

et al. 2023

Patient Safety

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Background Nurse burnout and distress pose patient safety risks due to impaired nurse attention, increased likelihood of medical error, and increased nurse turnover leading to a reduction in the number of nurses available to deliver care. Some healthcare facilities have launched well-being programs in response to increasing rates of burnout. Many of these programs are based on survey data which may be incomplete, resulting in programs that are not as comprehensive as they should be. We sought to identify nurse concerns related to burnout and well-being through analysis of social media data. We aligned these concerns with well-being program leader perceptions of factors contributing to burnout and well-being program initiatives. Methods We conducted a qualitative study composed of two parts: social media analysis and semistructured interviews with well-being leaders. The social media analysis focused on 120 nurse comments on Reddit that were retrieved based on a keyword search using the terms “burnout,” “stress,” and “wellbeing.” The interviews were conducted with nine well-being leaders from seven different healthcare systems. Well-being program leaders were asked about factors contributing to burnout and lack of well-being, initiatives to address these factors, and metrics used to evaluate their programs. The social media comments and interview data were reviewed by two experts to identify topics, themes, and subthemes grounded in wellness models. Results Of the 120 social media comments analyzed, the most frequent topic was Lack of Meaningful Recognition, Compensation, and Influence (n=46 of 120, 38.3%), followed by Work Environment (n=43, 35.8%) and Uninformed or Misinformed Public (n=31, 25.8%). Several themes emerged and the most prevalent was Constrained Professional Agency with the most prevalent subtheme of health system or macrosystem policies or regulations that limit nurses’ ability to respond effectively to patient care needs. Of the seven healthcare systems interviewed, the most common topics that emerged from asking about the factors contributing to the lack of nurse well-being were the Work Environment (n=6 of 7, 85.7%), followed by Lack of Meaningful Recognition, Compensation, and Influence (n=4, 57.1%), and Inadequate or Inaccessible Well-Being Resources (n=3, 42.9%). Several novel initiatives were identified, and most healthcare systems relied on surveys as their key metric. Conclusions The social media analysis revealed nurse concerns that may not be identified as factors contributing to lack of well-being by well-being program leaders. There is an opportunity to optimize our understanding of nurse concerns around well-being through social media, and an opportunity to better align nurse concerns with the focus of well-being programs.

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Intenção em deixar a Enfermagem durante a pandemia de COVID-19

Cited by 3 publications

References 23 publications

The Age of Young Nurses Is a Predictor of Burnout Syndrome during the Care of Patients with COVID-19

The Age of Young Nurses Is a Predictor of Burnout Syndrome during the Care of Patients with COVID-19

Relationship between Transition Shock, Professional Stressors, and Intent to Leave the Nursing Profession during the COVID-19 Pandemic

Are They Aligned? An Analysis of Social Media-Based Nurse Well-Being Concerns and Well-Being Programs

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