Investigating the relationship between the depression levels of midwives and nurses and their emotional labor and secondary traumatic stress levels in the COVID-19 pandemic period with structural equation modelling

Yılmaz, Ayşe Nur; Derya, Yeşim Aksoy; Altıparmak, Sümeyye; CİHAN, Emel GÜÇLÜ; ÖZTAŞ, Hatice Gül

doi:10.1016/j.apnu.2022.04.002

Cited by 7 publications

(7 citation statements)

References 46 publications

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“…The COVID-19 pandemic—characterized by increasing workplace stress and decreasing social support—created the perfect storm to exacerbate the negative effects on health worker wellbeing. Globally, the pandemic has been associated with depression among midwives (Yilmaz et al, 2022) and emotional exhaustion, anxiety, and poor physical and mental health among several cadres of hospital-based clinicians (Chen et al, 2023). CHWs, including the CHNs in this study, develop relationships where they are intimately aware of patients’ medical conditions and concerns as they culturally mediate care and navigate patients through the health system (Rosenthal et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“If You Don’t Have the Heart to Help, You Cannot Do This Job”: The Multidimensional Wellbeing of Community Health Workers Serving Refugees During the COVID-19 Pandemic

Schuster,

Wachter,

McRae

et al. 2023

Qual Health Res

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Community health workers are members of two groups whose short- and long-term health has been uniquely shaped by the COVID-19 pandemic: health workers and the oft-marginalized populations that they serve. Yet, their wellbeing, particularly of those serving resettled refugees, before and during the pandemic has been largely overlooked. Drawing from a holistic conceptualization of wellness, this study examined the effects of the COVID-19 pandemic on a group of cultural health navigators (CHNs), who serve resettled refugees. We conducted semi-structured individual interviews with CHNs at a southwestern U.S. hospital system between July and August 2020, a critical time in the pandemic. Our analysis produced four themes that encapsulate the effects of the pandemic on CHN wellbeing: (1) “You fear for your life”: Chronic risk of COVID-19 exposure takes a toll on physical, emotional, and environmental wellbeing; (2) “It is stressful because it is completely new”: Uncertainty diminishes occupational, financial, and emotional wellbeing; (3) “If you don’t have the heart to help, you cannot do this job”: CHNs remain committed while facing challenges to their occupational wellbeing on multiple fronts; and (4) “Now, you cannot release your stress”: Loss of and shifts in outlets integral to social and spiritual wellbeing. The findings deepen empirical understanding of how the pandemic affected the holistic wellbeing of CHNs, as they continued to serve their communities in a time of crisis. We discuss the implications for addressing the multidimensionality of community health worker wellbeing in research, policy, and practice.

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Section: Discussionmentioning

confidence: 99%

“If You Don’t Have the Heart to Help, You Cannot Do This Job”: The Multidimensional Wellbeing of Community Health Workers Serving Refugees During the COVID-19 Pandemic

Schuster,

Wachter,

McRae

et al. 2023

Qual Health Res

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“…Emotional labor refers to eforts to control one's actual emotions for efective job performance and to express specifc emotions required by organizational norms [7]. Given that nurses constantly communicate with patients, they have to manage their own actual feelings [8]. Te levels of nurses' emotional labor were above the average during this pandemic [8].…”

Section: Introductionmentioning

confidence: 99%

“…Given that nurses constantly communicate with patients, they have to manage their own actual feelings [8]. Te levels of nurses' emotional labor were above the average during this pandemic [8]. Higher levels of emotional labor were associated with higher levels of nurses' turnover intention, and emotional labor was the strongest impact factor on turnover intention [9].…”

Section: Introductionmentioning

confidence: 99%

Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study

Kwon,

Song

2024

Journal of Nursing Management

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Nurses’ turnover intention has increased since the COVID-19 pandemic. Emotional labor is reportedly high among nurses in Korea, and a positive psychological capital can help reduce turnover intention. This cross-sectional study investigated the factors influencing turnover intention in nurses during the COVID-19 pandemic. Survey data were collected from 155 nurses caring for patients with COVID-19 at a university hospital in South Korea in March 2022. Self-reported and paper-based questionnaires on emotional labor, positive psychological capital, and turnover intention were employed. The mean values for emotional labor, positive psychological capital, and turnover intention were 54.52/80, 58.03/90, and 38.92/50, respectively, and 77.8% of nurses reported planning to quit working. Turnover intention correlated with emotional labor (r = 0.17; p=0.041) and had no significant relationship with positive psychological capital. Sex (β = 0.24; p=0.003) and emotional labor (β = 0.18; p=0.019) affected turnover intention, with 9% explanatory power. Female nurses caring for patients with COVID-19 had a higher turnover intention than male nurses. Finally, the higher the emotional labor of nurses caring for patients with COVID-19, the higher the turnover intention. To reduce the turnover intention of nurses, hospitals need to help them enhance their emotional labor and positive psychological capital by establishing measures such as emotional coaching programs or psychological capital interventions.

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“…Traumatic birth experience is the woman's perception of the birth as a serious threat of dead or injury for the baby or for herself and her defining the moment of delivery as fear, desperate and horror. Traumatic birth experience affects not only the woman, the baby and the family negatively but also the midwives providing the closest and permament care to the women in delivery process that causes secondary traumatic stress for them (3,4).…”

mentioning

confidence: 99%

“…Secondary trauma is defined as indirect exposure to trauma through a firsthand account or narrative of a traumatic event (3). The symptoms of secondary traumatic stress are as well as Post Traumatic Stress Disorder (PTSD) symptoms, excessive agitation, loss of concentration, insomnia, fatigue, nightmares, startle response, feeling deja vu and avoidance behaviours (4).…”

mentioning

confidence: 99%

The Effect of Secondary Traumatic Stress Level on Psychological Resilience of Midwives

YALÇIN

Bingöl

2023

Acibadem Univ Saglik Bilim Derg

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Purpose: Case load in working setting, excessive working hours, encountering with traumatic incidents frequently, concern of being sued might increase the level of stress for midwives and affect their psychological resilience negatively. The present study was conducted to identify the effect of secondary traumatic stress level of midwives on psychological resilience. Methods: The study was a descriptive study conducted in 2020 with midwives assigned at delivery rooms of State hospitals in Türkiye. Results: Every one out of three midwives was identified to meet all the criteria regarding Post-Traumatic Stress Disorder. It was also identified that those midwives who are young, single, experiencing dissatisfaction in their profession, having more working hours and shifts monthly had higher secondary traumatic stress scores (p

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Investigating the relationship between the depression levels of midwives and nurses and their emotional labor and secondary traumatic stress levels in the COVID-19 pandemic period with structural equation modelling

Cited by 7 publications

References 46 publications

“If You Don’t Have the Heart to Help, You Cannot Do This Job”: The Multidimensional Wellbeing of Community Health Workers Serving Refugees During the COVID-19 Pandemic

“If You Don’t Have the Heart to Help, You Cannot Do This Job”: The Multidimensional Wellbeing of Community Health Workers Serving Refugees During the COVID-19 Pandemic

Impact of Emotional Labor and Positive Psychological Capital on the Turnover Intention of Nurses Caring for Patients with COVID-19: A Descriptive Survey Study

The Effect of Secondary Traumatic Stress Level on Psychological Resilience of Midwives

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