Aims and objectives:We explored dispatched nurses' experiences of wearing full gear personal protective equipment to care for patients with coronavirus disease-2019 in Wuhan, China.Background: Full gear personal protective equipment is the primary and foremost measure to prevent the contact and transmission of severe acute respiratory syndrome-coronavirus 2 (SARS-CoV2); however, working in full gear personal protective equipment may hinder nursing care activities and thus negatively affect patients' and nurses' health.Design: This descriptive qualitative inquiry followed the COREQ guidelines.Methods: Individual semi-structured telephone interviews were conducted in a purposive sample of 15 frontline nurses who were dispatched to the outbreak epicentre from March to April 2020. Verbatim transcripts were content analysed.Results: Four themes emerged from the data: inadequate preparedness for working with full gear personal protective equipment, full gear personal protective equipment stimulated stress responses, coping strategies and professional growth. Participants learned a great deal from problem-focussed and emotion-focussed strategies to tackle challenges related to the prolonged wearing of full gear personal protective equipment for quality nursing care and reduced risk of exposure. They became more vigilant to the adherence to evolving protocols and appropriate training concerning full gear personal protective equipment use. Conclusions:Frontline nurses confronted various but diminishing challenges related to the use of full gear personal protective equipment when caring for patients with COVID-19 across the approximate 40-day period. Consistent use of coverall personal protective equipment to protect from SARS-CoV-2 in high exposure settings would be feasible if nurses were better prepared; therefore, scenario-based skill training
Aims: To determine the effects of a hospital-based leisure activities programme on nurses' stress, self-perceived anxiety and depression.Background: Nursing work in clinical settings is highly stressful and may result in an increase in nurses' turnover rate, which threatens the quality of nursing care and patient safety.Methods: We used a mixed methods design and a three-month intervention (January to April, 2019) involving a convenience sample of 176 nurses working at a Chinese tertiary hospital. We conducted 12 semi-structured interviews and performed a content analysis. The pre-and post-intervention comparisons of nurses' stress, selfperceived anxiety and depression were performed using a paired t test.Results: The 3-month leisure activities programme significantly decreased nurses' job stress (t = 3.80, p < .01), perceived personal stress (t = 3.30, p < .01), self-perceived anxiety (t = 3.76, p < .01) and depression (t = 2.73, p < .01). The qualitative findings revealed five mechanisms linking leisure activities to subjective well-being: detachment recovery, autonomy, mastery, meaning and affiliation.Conclusions: A hospital-based leisure activities programme had a positive effect on job stress, self-perceived anxiety and depression, thus improving nurses' well-being.Implications for Nursing Management: A hospital-based leisure activities programme provides a beneficial strategy for ameliorating nurses' psychosocial issues. Interventions aimed at facilitating or increasing nurses' participation in leisure activities are greatly needed.
Aims To examine the perceived professional benefits (PPB) and associated factors among nurses during the coronavirus disease 2019 (COVID‐19) pandemic in China. Design Cross‐sectional study. Methods Using the snowball sampling method, 492 nurses (478 females, 14 males) were recruited. Data were collected using an online survey, including participants' socio‐demographic and working characteristics, psychological distress related to the COVID‐19 pandemic, dealing with professional frustration, professional self‐reflection and PPB from 1–30 April 2020. Results Nurses experienced high levels of PPB. In linear regression analysis, self‐perceived concerns about COVID‐19, emotional shock caused by it, risk perception towards their occupations, dealing with professional frustration and professional self‐reflection were positively associated with PPB among nurses. These factors explained 84% variance in PPB. Conclusions This study highlighted that although the nurses experienced psychological distress, they gained high PPB during the COVID‐19 pandemic. Additionally, to facilitate nurses' efforts to achieve professional growth, more educational resources and opportunities for engaging in reflective practices could be provided.
Aim: To analyse junior nurses ' transition shock status and its associated factors.Background: When nurses experience transition shock, turnover intentions followed by turnover behaviour are likely, which is unfavourable for the stable development of nursing teams.
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