Dysfunctional psychological responses among Intensive Care Unit nurses: a systematic review of the literature

Karanikola, Maria; Giannakopoulou, Margarita; Mpouzika, Meropi; Kaite, Charis P.; Tsiaousis, Georgios; Papathanassoglou, Elizabeth

doi:10.1590/s0080-623420150000500020

Cited by 65 publications

(65 citation statements)

References 21 publications

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“…Another study reported that critical care clinicians, including ICU nurses, had higher anxiety levels and identified performing painful procedures (along with patient death) as a work‐related factor associated with emotional health disturbances (Kerasiotis & Motta, ). Karanikola et al., conducted a systematic review to synthesize dysfunctional responses among ICU nurses and the main finding was that 20% (1 in 5) of critical care nurses experienced emotional distress including prevalence rates of anxiety ranging from 10–32% and depressive symptoms reported from 11–31%. Further, in a recent study by Tawfik et al.…”

Section: Discussionmentioning

confidence: 99%

Empathy in paediatric intensive care nurses part 1: Behavioural and psychological correlates

Latimer

Jackson

Eugène

et al. 2017

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 99%

Empathy in paediatric intensive care nurses part 1: Behavioural and psychological correlates

Latimer

Jackson

Eugène

et al. 2017

Journal of Advanced Nursing

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“…Heavy workload concerns in the ICU are well known and evidence indicates that nurse burnout is a common problem in the ICU [34, 35]. With burnout due to heavy workload, it is difficult for staff to accomplish many of their tasks, patient bathing being one of them.…”

Section: Discussionmentioning

confidence: 99%

Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences

et al. 2017

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BackgroundDaily bathing with chlorhexidine gluconate (CHG) of intensive care unit (ICU) patients has been shown to reduce healthcare-associated infections and colonization by multidrug resistant organisms. The objective of this project was to describe the process of daily CHG bathing and identify the barriers and facilitators that can influence its successful adoption and sustainability in an ICU of a Veterans Administration Hospital.MethodsWe conducted 26 semi-structured interviews with a convenience sample of 4 nurse managers (NMs), 13 registered nurses (RNs) and 9 health care technicians (HCTs) working in the ICU. We used qualitative content analysis to code and analyze the data. Dedoose software was used to facilitate data management and coding. Trustworthiness and scientific integrity of the data were ensured by having two authors corroborate the coding process, conducting member checks and keeping an audit trail of all the decisions made.ResultsDuration of the interviews was 15 to 39 min (average = 26 min). Five steps of bathing were identified: 1) decision to give a bath; 2) ability to give a bath; 3) decision about which soap to use; 4) delegation of a bath; and 5) getting assistance to do a bath. The bathing process resulted in one of the following three outcomes: 1) complete bath; 2) interrupted bath; and 3) bath not done. The outcome was influenced by a combination of barriers and facilitators at each step. Most barriers were related to perceived workload, patient factors, and scheduling. Facilitators were mainly organizational factors such as the policy of daily CHG bathing, the consistent supply of CHG soap, and support such as reminders to conduct CHG baths by nurse managers.ConclusionsPatient bathing in ICUs is a complex process that can be hindered and interrupted by numerous factors. The decision to use CHG soap for bathing was only one of 5 steps of bathing and was largely influenced by scheduling/workload and patient factors such as clinical stability, hypersensitivity to CHG, patient refusal, presence of IV lines and general hygiene. Interventions that address the organizational, provider, and patient barriers to bathing could improve adherence to a daily CHG bathing protocol.Electronic supplementary materialThe online version of this article (doi:10.1186/s12879-017-2180-8) contains supplementary material, which is available to authorized users.

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“…It was developed and validated based on contemporary Brazilian culture and had its foundation on the classic theoretical models of QWL. 17 The TQWL-42 is composed of 42 questions, using a Likert-type response scale (1)(2)(3)(4)(5). Forty of them are equally divided into five spheres, which are composed of branches, named aspects, which the questions are grouped in.…”

Section: Methodsmentioning

confidence: 99%

Occupational Stress and Dissatisfaction With Quality of Work Life in Nursing

Azevedo¹,

Nery

Cardoso

2017

Texto contexto - enferm.

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Objective: to analyze the association between occupational stress, quality of work life and associated factors among nursing workers.Method: 309 nursing workers of a public general hospital participated in this cross-sectional study. The Total Quality of Work Life and the Job Stress Scale instruments were used to evaluate the quality of work life and occupational stress, respectively.Results: associations were estimated using Poisson regression analysis combined with robust variance. We found association between dissatisfaction with quality of work life and smoking (PR=1.53; 95%CI: 1.02-2.31), work at the care units for highly dependent or critically ill patients (PR=2.47; 95%CI: 1.18-5.19), low social support at work (PR=1.76; 95%CI: 1.29-2.40) and the quadrants of the demand-control model "active job" (PR=1.74; 95%CI: 1.04-2.92) and "high-strain job" (PR=2.54; 95%CI: 1.51-4.27).Conclusion: these results may help the hospital and nursing managers to develop and implement strategies in order to reduce excessive demands and work overload and increase social support among the nursing staff. Resultados: la regresión de Poisson con varianza robusta mostró asociación entre insatisfacción con la calidad de vida laboral y tabaquismo (RP=1,53; IC95%: 1,02-2,31), trabajo en los sectores para pacientes altamente dependientes o en estado crítico (RP=2,47; IC95%: 1,18-5,19), bajo apoyo social (RP=1,76; IC95%: 1,29-2,40) y los cuadrantes del modelo demanda-control "trabajo activo" (RP=1,74; IC95%: 1,04-2,92) y "alta exigencia" (RP=2,54; IC95%: 1,51-4,27). DESCRIPTORS:Conclusión: estos resultados pueden ayudar a la gestión de los hospitales y de enfermería en el desarrollo e implementación de estrategias para reducir las demandas excesivas y la sobrecarga de trabajo y aumentar el apoyo social entre el equipo de enfermería. DESCRIPTORES:Calidad de vida. Trabajo. Estrés laboral. Grupo de enfermería. Salud laboral.

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Dysfunctional psychological responses among Intensive Care Unit nurses: a systematic review of the literature

Cited by 65 publications

References 21 publications

Empathy in paediatric intensive care nurses part 1: Behavioural and psychological correlates

Empathy in paediatric intensive care nurses part 1: Behavioural and psychological correlates

Assessing the sustainability of daily chlorhexidine bathing in the intensive care unit of a Veteran’s Hospital by examining nurses’ perspectives and experiences

Occupational Stress and Dissatisfaction With Quality of Work Life in Nursing

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