Examination of the psychological changes in nurses due to workload in an intensive care unit: a mixed method study

Turan, Nazan; Ançel, Gülsüm

doi:10.1080/10376178.2020.1782762

Cited by 10 publications

(6 citation statements)

References 31 publications

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“…Role overload, although less frequently studied, also plays a significant role in contributing to psychological distress. Nurses that are overloaded with more work than they can handle with are more likely to suffer from psychological distress than nurses who are assigned with appropriate workloads ( 64 , 65 ).…”

Section: Discussionmentioning

confidence: 99%

Role Stress and Psychological Distress Among Chinese Nurses During the COVID-19 Pandemic: A Moderated Mediation Model of Social Support and Burnout

Xiao

Zhang

et al. 2022

Front. Psychiatry

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ObjectiveNurses are at high risk of psychological distress including stress, depression, and anxiety due to low personnel density and high work demand. Despite mounting evidence showing that role stress is a risk factor for nurses' psychological distress, the mediating and moderating mechanisms underlying this relationship are less known. This study tests the mediation effect of burnout in the association between role stress and psychological distress, and whether this mediation is moderated by social support.MethodsA sample of 623 Chinese nurses were recruited from all hepatological surgery departments in Hunan Province and filled out an online questionnaire to collect data on socio-demographics, role stress, burnout, psychological distress, and social support. Mediation and moderation analyses were carried out in SPSS macro-PROCESS.ResultsBurnout partially mediated the positive association between role stress and psychological distress. Social support moderated the indirect effect of role stress on psychological distress via burnout, with the effect being stronger for nurses with low social support than those with high social support.ConclusionsThese findings demonstrated how role stress contributed to nurses' psychological distress both directly and indirectly through burnout, and how this indirect effect was moderated by social support. The results provide important practical implications for future prevention and intervention programs to improve nurses' mental health from multiple aspects such as decreasing role stress and burnout while increasing social support.

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Section: Discussionmentioning

confidence: 99%

Role Stress and Psychological Distress Among Chinese Nurses During the COVID-19 Pandemic: A Moderated Mediation Model of Social Support and Burnout

Xiao

Zhang

et al. 2022

Front. Psychiatry

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“…The workload is affected by stress due to several interrelated factors, including the competence of the nurse, the allocated time and effort for the care of the patients, and the intensity and complexity of anticipated care services. A previous study reported that workload caused feelings of personal insufficiency, insensitivity, unhappiness, hopelessness and intolerance (Turan and Ançel, 2020). Therefore, it is observed that workload has increased the likelihood of developing mental health problems such as depressive symptoms (Gong et al, 2014), anxiety, sleep disturbance, emotional burnout and somatic complaints (Arrogante and Aparício-Zaldivar, 2017; Jaradat et al, 2016; Shen et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis

Zeng

Cai

Gao

et al. 2023

Journal of Research in Nursing

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Backgrounds: Nursing is the key group to provide healthcare services, and it is easy for nursing staff to develop mental health problems. Aims: The study aimed to evaluate prevalence of psychological symptoms in nurses working in an intensive care unit (ICU) and the inter-relationship of associations of psychological symptoms using network analysis. Methods: This study is a cross-sectional design study. The Chinese version of the Symptom Check List-90 (SCL-90) was used to measure the psychological status of ICU nurses. The network structure of psychological symptoms was characterised, and indices of ‘Expected influence’ were used to identify symptoms central to the network. Network stability was examined using a case-dropping bootstrap procedure. Results: Multiple logistic regression analysis found those who had worked more than 15 years were less likely to experience positive psychological symptoms, whereas nurses working in emergency ICU and other ICUs, nurses working in departments with over 16 beds were more likely to develop psychological symptoms. In addition, ‘Anxiety’, ‘Mental degeneration’ and ‘Depression’ were central symptoms in the network. Conclusions: ICU nurses reported a high level of psychological symptoms, which may affect the quality of their work and worsen public health problems.

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“…Nurses frequently make mistakes when they are overworked, posing a danger to themselves, patients, and other members of the healthcare team (Lal et al, 2020). Moreover, there is an association between a high workload and psychological changes, such as feelings of hopelessness, unhappiness, anger, intolerance, introversion, tension, distraction, and self-insufficiency (Turan & Ançel, 2020). A high workload ultimately compromises patient safety and the delivery of quality care to critically ill patients while negatively impacting nurses' well-being (Banda et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

Critical Care Nursing in a Resource-Constrained Setting: A Qualitative Study of Critical Care Nurses’ Experiences Caring for Patients on Mechanical Ventilation

Mukuve,

Nuuyoma

2023

SAGE Open Nursing

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Introduction Managing a patient on mechanical ventilation is a vital aspect of clinical scope in intensive and critical care units. In addition, it is a highly technical, intricate, dynamic task requiring extensive knowledge and skills. Little is known about critical care nurses’ experiences caring for patients on mechanical ventilation in contexts where resources are constrained, creating an empirical gap in the available body of knowledge. Objective This study explored critical care nurses’ experiences caring for patients on mechanical ventilators at an intermediate hospital in northeastern Namibia. Method The study followed qualitative descriptive and explorative designs. The purposive sample included 13 critical care nurses who had cared for patients on mechanical ventilation for more than 6 months. Data were collected via individual unstructured interviews and analyzed using a reflexive thematic analysis approach. Results Four themes and eight subthemes emerged. Varied personal feelings, such as feeling proud, competent, exhausted, traumatized, overwhelmed, and concerns for patients’ well-being were experienced by critical care nurses. Participants described learning from colleagues in the unit and expressed concerns about not having postbasic training in critical care nursing. Negative experiences included concerns about community members’ misconceptions about critical care units and mechanical ventilators, and challenges with resources, personnel, and admission procedures. Conclusion Critical care nurses in resource-constrained settings have positive and negative experiences caring for patients on mechanical ventilators. The findings have implications for the development of support systems for critical care nurses, including induction programs, competence enhancement, psychological support, the development of guiding documents for admission, patient preparation and sensitization of community members. There is a need for this study to be replicated in other resource-constrained contexts where specialized critical care nurses are available.

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Examination of the psychological changes in nurses due to workload in an intensive care unit: a mixed method study

Cited by 10 publications

References 31 publications

Role Stress and Psychological Distress Among Chinese Nurses During the COVID-19 Pandemic: A Moderated Mediation Model of Social Support and Burnout

Role Stress and Psychological Distress Among Chinese Nurses During the COVID-19 Pandemic: A Moderated Mediation Model of Social Support and Burnout

Assessment of mental health status among Chinese nursing staff in the intensive care unit: a network analysis

Critical Care Nursing in a Resource-Constrained Setting: A Qualitative Study of Critical Care Nurses’ Experiences Caring for Patients on Mechanical Ventilation

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