Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

González-Gil, M.T.; González-Blázquez, Cristina; Moreno, A. Capote; Pedraz‐Marcos, Azucena; Santos, Ana María Palmar; Otero‐García, Laura; Navarta‐Sánchez, María Victoria; Alcolea-Cosín, María Teresa; Argüello-López, María Teresa; Canalejas-Pérez, C.; Carrillo-Camacho, María Elena; Casillas-Santana, María Lourdes; Díaz-Martínez, María Luisa; García-González, Asunción; García-Perea, Eva; Martínez-Marcos, Mercedes; Martínez-Martín, M.L.; Palazuelos-Puerta, María del Pilar; Sellán-Soto, Carmen; Oter‐Quintana, Cristina

doi:10.1016/j.iccn.2020.102966

Cited by 196 publications

(279 citation statements)

References 31 publications

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“…Consistent with our findings, most HCWs in previous studies indicated that the way that their work was organized during the COVID-19 epidemic did not allow them to get enough rest, leaving them feeling exhausted. 20 As pointed out by other authors, 21 22 medical centers need to provide breaks to meet basic needs and allow the venting of emotions.…”

Section: Discussionmentioning

confidence: 99%

The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study

Lee

et al. 2021

J Korean Med Sci

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Background During the coronavirus disease 2019 (COVID-19) pandemic, health care workers (HCWs) have faced multiple physical and psychological challenges while carrying out their duties. In this study, we examined the experiences of specific groups of HCWs during the pandemic. Methods From 18 November to 30 December 2020, we conducted a qualitative study using semi-structured, face-to-face interviews with four groups of 14 HCWs in three cities (Seoul, Daegu, and Gwangju) in South Korea. The HCWs who participated in the focus groups included physicians, nurses, medical practitioners, and cleaning staff who directly or indirectly cared for patients during the COVID-19 epidemic. Interviews were transcribed verbatim and analyzed using the consensual qualitative research approach. Results Our qualitative data analysis revealed four main domains: work-related struggles, personal life-related struggles, psychological stress, and health-related struggles. Health care providers were challenged by working in critical situations and were overwhelmed by heavy workloads, fear of infection, lifestyle changes, and psychological and physical struggles. Conclusion Our findings could serve as a foundation for establishing health care systems and policies that help HCWs cope with occupational stress, thus increasing their ability to adapt to the ongoing COVID-19 pandemic.

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Section: Discussionmentioning

confidence: 99%

The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study

Lee

et al. 2021

J Korean Med Sci

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“… 1 , 2 Accordingly, international studies indicate higher risks of mental and physical health burdens among health care workers during the SARS-CoV-2 pandemic. 3 , 4 These demands are accompanied by a number of other challenges affecting German long-term care facilities in general such as the discrepancy between the availability and need for nursing specialist or individual performance and remuneration. 5 , 6 This results in a continuously high sense of stress and occupational illnesses, and an early exit from the job among the nursing workforce.…”

Section: Introductionmentioning

confidence: 99%

Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany

Pförtner

Pfaff

Hower

2021

Journal of Public Health

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The Corona pandemic poses major demands for long-term care, which might have impacted the intention to quit the profession among managers of long-term care facilities. We used cross-sectional data of an online survey of long-term care managers from outpatient and inpatient nursing and palliative care facilities surveyed in April 2020 (survey cycle one; n = 532) and between December 2020 and January 2021 (survey cycle two; n = 301). The results show a significant association between the perceived pandemic-specific and general demands and the intention to leave the profession. This association was significantly stronger for general demands in survey cycle two compared with survey cycle one. The results highlight the pandemic’s immediate impact on long-term care. In view of the increasing number of people in need of care and the already existing scarcity of specialized nursing staff, the results highlight the need for initiatives to ensure the provision of long-term care, also and especially in such times of crisis.

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“…Nurses should take care of the patients and monitor their families visiting the hospital at all times. However, many nurses felt heavy workloads and physical and mental burdens during this pandemic [ 11 , 12 , 13 ]. As a result, many nurses might move out or quit their job, inevitably resulting in a shortage of nurses [ 14 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

Changes in Nurse Staffing Grades of Korean Hospitals during COVID-19 Pandemic

Park

Jeon

et al. 2021

IJERPH

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The global COVID-19 pandemic is creating challenges to manage staff ratios in clinical units. Nurse staffing level is an important indicator of the quality of care. This study aimed to identify any changes in the nurse staffing levels in the general wards of hospitals in Korea during the COVID-19 pandemic. The unit of analysis was the hospitals. This longitudinal study observed the quarterly change of the nurse staffing grades in 969 hospitals in 2020. The nurse staffing grades ranged from 1 to 7 according to the nurse–patient ratio measured by the number of patients (or beds) per nurse. The major dependent and independent variables were the change of nurse staffing grades and three quarterly observation points being compared with those during the 1st quarter (1Q) of 2020, respectively. A generalized linear model was used. Unexpectedly, the nurse staffing grades significantly improved (2Q: RR, 27.2%; 95% confidence interval (CI), 15.1–27.6; p < 0.001; 3Q: RR, 95% CI, 20.2%; 16.9–21.6; p < 0.001; 4Q: RR, 26.6%; 95% CI, 17.8–39.6; p < 0.001) quarterly, indicating that the nurse staffing levels increased. In the comparison of grades at 2Q, 3Q, and 4Q with those at 1Q, most figures improved in tertiary, general, and small hospitals (p < 0.05), except at 3Q and 4Q of general hospitals. In conclusion, the nurse staffing levels did not decrease, but nursing shortage might occur.

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Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

Cited by 196 publications

References 31 publications

The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study

The Experiences of Health Care Workers during the COVID-19 Pandemic in Korea: a Qualitative Study

Will the demands by the covid-19 pandemic increase the intent to quit the profession of long-term care managers? A repeated cross-sectional study in Germany

Changes in Nurse Staffing Grades of Korean Hospitals during COVID-19 Pandemic

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