Intensive care nurses' well-being: A systematic review

Jarden, Rebecca; Sandham, Margaret; Siegert, Richard J.; Koziol‐McLain, Jane

doi:10.1016/j.aucc.2018.11.068

Cited by 40 publications

(28 citation statements)

References 34 publications

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“…Compassion satisfaction is the pleasure that a nurse derives from being able to implement quality nursing care and caring for patients (Dunn & Rivas, 2014; Stamm, 2005). However, patients' and families' demanding caring from nurses may result in negative effects on nurses' health and practice such as compassion fatigue and burnout (Jarden et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

The relationships among alarm fatigue, compassion fatigue, burnout and compassion satisfaction in critical care and step‐down nurses

Storm

Chen

2020

Journal of Clinical Nursing

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Aims and Objectives The study purpose was to investigate if compassion fatigue, burnout, compassion satisfaction and personal characteristics are associated with alarm fatigue and predict alarm fatigue in critical care nurses. Background The phenomena of alarm fatigue, compassion fatigue and burnout place nurses, patients and the healthcare environment in potentially harmful situations and represent the opposite of the foundation of caring and compassion satisfaction in nursing. It has been noted that healthcare organisations should address alarm fatigue as mandated by the Joint Commission based on the higher number of alarms sounding in the critical care environment and based on factors influencing nurses to respond to the alarm. Design This was a correlational and predictive quantitative study. Methods The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for research reporting of observational studies was followed in this study. Nurses working in the step‐down and intensive care units from three hospitals in a selected healthcare network in Pennsylvania were recruited using convenience sampling (n = 52). Observation, the ProQOL and demographic surveys were used to collect data on alarm fatigue, compassion fatigue, burnout, compassion satisfaction and personal characteristics of critical care nurses. Methods of data analyses included descriptive statistics, chi‐square, Spearman's ρ and binary logistic regression. Results The study results revealed that the participating critical care nurses showed alarm fatigue, were at risk for compassion fatigue and were near risk for burnout. Conclusions This study illuminated the significant relationships among alarm fatigue and the characteristics of gender, nursing unit, nurse‐to‐patient ratio and age in critical care nurses. Relevance to clinical practice The study results can help critical care nurses take the initiative to not only help themselves prevent or overcome alarm fatigue, compassion fatigue and burnout, but also help their coworkers in this area.

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Section: Introductionmentioning

confidence: 99%

The relationships among alarm fatigue, compassion fatigue, burnout and compassion satisfaction in critical care and step‐down nurses

Storm

Chen

2020

Journal of Clinical Nursing

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“…This lack of reflection can often lead to states of anxiety and stress that may jeopardize the full development of the profession. 28 –30 Reflection on these issues facilitates the organic exercise of the nursing profession, giving it a deeper meaning beyond the purely pragmatic view. 31,32 At present, the implementation of the General Anthropology and Ethics-Bioethics curriculum in two semesters has provided encouraging aspects together with a variety of difficulties.…”

Section: Discussion and Limitationsmentioning

confidence: 99%

Moral dilemmas involving anthropological and ethical dimensions in healthcare curriculum

Macpherson¹,

Roqué

Segarra

2020

Nurs Ethics

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Background: Currently a variety of novel scenarios have appeared within nursing practice such as confidentiality of a patient victim of abuse, justice in insolvent patients, poorly informed consent delivery, non-satisfactory medicine outputs, or the possibility to reject a recommended treatment. These scenarios presuppose skills that are not usually acquired during the degree. Thus, the implementation of teaching approaches that promote the acquisition of these skills in the nursing curriculum is increasingly relevant. Objective: The article analyzes an academic model which integrates in the curriculum a series of specific theoretical concepts together with practical skills to acquire the basic ethic assessment competency. Research design: The project includes designing two subjects, General Anthropology and Ethics-Bioethics, with an applied approach in the nursing curriculum. The sequential structure of the curriculum in both subjects is constituted by three learning domains (theoretical, practical, and communicative) with different educational strategies. Ethical considerations: No significant ethical considerations as this is a discussion paper. Findings: The model was structured from the anthropology’s concepts and decision-making process, applied to real situations. The structure of the three domains theoretical–practical–communicative is present in each session. Discussion: It is observed that theoretical domain fosters the capacity for critical analysis and subsequent ability to judge diverse situations. The practical domain reflected two significant difficulties: students’ resistance to internalizing moral problems and the tendency to superficial criticism. The communicative domain has frequently shown that the conflicting points are in the principles to be applied. Conclusion: We conclude that this design achieves its objectives and may provide future nursing professionals with ethical competences especially useful in healthcare practice. The three domains of the presented scheme are associated with the same process used in decision making at individual levels, where the exercise of clinical prudence acquires particular relevance.

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“…Stress is a well-known aspect of occupational health, but the predominance of focus on ill-being in research has also been challenged ( Myers, 2000 ; Schaufeli and Salanova, 2011 ; Jarden et al, 2018 ); attending to other aspects of health could improve interventions within occupational health. This has partly been illustrated during the last decades by research on work engagement ( Bakker and Demerouti, 2008 ), defined as a “positive, fulfilling, work-related state characterized by vigor, dedication, and absorption.” ( Schaufeli et al, 2002 , p. 74).…”

Section: Introductionmentioning

confidence: 99%

Psychological Flexibility and Its Relationship to Distress and Work Engagement Among Intensive Care Medical Staff

et al. 2020

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Intensive care settings place specific work-related demands on health care professionals that may elicit stress and negatively influence occupational health and work engagement. Psychological flexibility has emerged as a promising construct that could help explain variation in reported health. Understanding the role of psychological flexibility in occupational psychological health among intensive care medical staff may potentially guide the development of effective interventions. Thus, the present study evaluated the relationships between psychological flexibility (Work-related Acceptance and Action Questionnaire), distress (Perceived Stress Scale, General Health Questionnaire) and work engagement (Utrecht Work Engagement Scale) in a sample of 144 health care professionals from one adult (ICU, N = 98) and one pediatric (PICU, N = 46) intensive care unit. In addition to cross-sectional analyses, a subset of data (PICU, N = 46) was analyzed using a longitudinal design. Results illustrated that higher levels of distress were associated with lower levels of work engagement. Furthermore, psychological flexibility was related to greater work engagement, and psychological flexibility had a significant indirect effect on the relationship between distress and work engagement. Lastly, increased psychological flexibility over time corresponded with increased work engagement. Although tentative, the results suggest the importance of psychological flexibility for work engagement in health care professionals within intensive care settings.

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Intensive care nurses' well-being: A systematic review

Cited by 40 publications

References 34 publications

The relationships among alarm fatigue, compassion fatigue, burnout and compassion satisfaction in critical care and step‐down nurses

The relationships among alarm fatigue, compassion fatigue, burnout and compassion satisfaction in critical care and step‐down nurses

Moral dilemmas involving anthropological and ethical dimensions in healthcare curriculum

Psychological Flexibility and Its Relationship to Distress and Work Engagement Among Intensive Care Medical Staff

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