Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea

Oh, RN Namhee; Hong, Nam-Soo; Ryu, Dong Hee; Bae, Sang Geun; Kam, Sang-Kyu; Kim, Keon-Yeop

doi:10.1016/j.anr.2017.08.005

Cited by 110 publications

(172 citation statements)

References 23 publications

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“…In addition, experts have also reported the risk for vicarious traumatization and compassion fatigue in nurses caring for patients with COVID-19 in CCUs and HESs ( Alharbi et al, 2020 ). Willingness to care was found to be positively associated with professionalism, safety, and self-confidence, and negatively associated with stress and negative experiences ( Oh et al, 2017 , Lee and Kang, 2020 ). Thus, it is recommended that initiatives to care for the mental health of clinicians during the crisis be maintained over time in the event of future outbreaks ( McAlonan et al, 2007 )…”

Section: Discussionmentioning

confidence: 95%

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

González-Gil

González-Blázquez

Moreno

et al. 2021

Intensive and Critical Care Nursing

203

226

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Highlights Critical care nurses have had to perform tasks for which they have not received proper training. Nurses have had to manage the fear of becoming infected and spreading it to their families. Moral suffering and emotional exhaustion are major consequences of front-line care. Heavy workloads, high patient-nurse ratios, and lack of rest are causing exhaustion among nurses.

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Section: Discussionmentioning

confidence: 95%

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

González-Gil

González-Blázquez

Moreno

et al. 2021

Intensive and Critical Care Nursing

203

226

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“…Levels of anxiety and depression are often related to one’s thinking and appraisal of COVID‐19. Nurses who were more worried that they may contract the virus had escalated psychological responses, as documented in a Middle East respiratory syndrome coronavirus (MERS‐CoV) study (AlNajjar, Attar, Faraha, & AlThaqafi, 2016; Kim & Choi, 2016; Oh et al, 2017), an influenza A(H1N1) study (Cowling et al, 2010), and SARS studies (Chen et al, 2006; Maunder et al, 2003). The current study found that over 50% of nurses felt that it was quite possible for them or others to contract COVID‐19.…”

Section: Discussionmentioning

confidence: 99%

Anxiety and Depression of Nurses in a North West Province in China During the Period of Novel Coronavirus Pneumonia Outbreak

Han

Wong

She

et al. 2020

J of Nursing Scholarship

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Purpose To investigate the anxiety and depression levels of frontline clinical nurses working in 14 hospitals in Gansu Province, China, during this period. Design A cross‐sectional survey was conducted online between February 7 and 10, 2020, with a convenience sample of 22,034 nurses working in 14 prefecture and city hospitals in Gansu Province, located in northwest China. Methods A self‐reported questionnaire with four parts (demographic characteristics, general questions related to novel coronavirus‐infected pneumonia, self‐rating anxiety scale, and self‐rating depression scale) was administered. Descriptive statistics including frequencies, means, and SDs were computed. The associations between anxiety and depression with sociodemographic characteristics, work‐related concerns, and impacts were analyzed, followed by multiple stepwise linear regression to identify factors that best predicted the nurses’ anxiety and depression levels. Findings A total of 21,199 questionnaires were checked to be valid, with an effective recovery rate of 96.21%. The mean ± SD age of the respondents was 31.89 ± 7.084 years, and the mean ± SD length of service was 9.40 ± 7.638 years. The majority of the respondents were female (98.6%) and married (73.1%). Some demographic characteristics, related concerns, and impacts of COVID‐19 were found to be significantly associated with both anxiety (p < .001) and depression (p < .001). Nurses who needed to take care of children or elderly relatives, took leave from work because they were worried about COVID‐19, avoided contact with family and friends, and wanted to obtain more COVID‐19‐related knowledge had higher levels of both anxiety and depression. Conclusions Results show that nurses faced with the COVID‐19 outbreak are at risk for experiencing anxiety and depression. Demographic background, psychosocial factors, and work‐related factors predicted the psychological responses. The family responsibilities and burdens of women may explain the higher levels of anxiety and depression among nurses with these obligations as compared to those without. On the other hand, nurses who chose not to take leave from work or who did not avoid going to work during this period were less anxious and depressed. Clinical Relevance Professional commitment might be a protective factor for adverse psychological responses. It is pertinent to provide emotional support for nurses and recognize their professional commitment in providing service to people in need.

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“…Prior to the COVID-19 pandemic, UK RNs intention to leave rates were reported to be between 30 and 50%. The evidence-base from studies on SARS and Middle Eastern Respiratory Syndrome (MERS) epidemic outbreaks in South Korea [35] suggests that this phenomenon is exacerbated in a deadly disease outbreak. Currently, in the UK, concerns over safety, reported lack of personal protective equipment and high fatality rate of health care professionals will further increase work-related stress during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 99%

Determinants of nurse job dissatisfaction - findings from a cross-sectional survey analysis in the UK

et al. 2020

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Background A lower recruitment and high turnover rate of registered nurses have resulted in a global shortage of nurses. In the UK, prior to the COVID-19 epidemic, nurses’ intention to leave rates were between 30 and 50% suggesting a high level of job dissatisfaction. Methods In this study, we analysed data from a cross-sectional mixed-methods survey developed by the Royal College of Nursing and administered to the nursing workforce across all four UK nations, to explore the levels of dissatisfaction and demoralisation- one of the predictors of nurses’ intention to leave. We carried out logistic regression analysis on available data in order to determine what impacts job dissatisfaction. Results In total, 1742 nurses responded to questions about working conditions on their last shift. We found that nearly two-thirds of respondents were demoralised. Nurses were five times more likely (OR 5.08, 95% CI: 3.82–6.60) to feel demoralised if they reported missed care. A perceived lack of support had nearly the same impact on the level of demoralisation (OR 4.8, 95% CI: 3.67–6.38). These findings were reflected in the qualitative findings where RNs reported how staffing issues and failures in leadership, left them feeling disempowered and demoralised. Conclusion A large proportion of nurses reported feeling dissatisfied and demoralised. In order to reduce the negative impact of dissatisfaction and improve retention, more research needs to investigate the relationship dynamics within healthcare teams and how the burden experienced by RNs when unsupported by managers impacts on their ability to provide safe, good-quality care. These findings predate the current Covid-19 pandemic outbreak which may have had a further detrimental effect on job satisfaction in the UK and other nation’s nursing workforce.

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Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea

Cited by 110 publications

References 23 publications

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

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

Anxiety and Depression of Nurses in a North West Province in China During the Period of Novel Coronavirus Pneumonia Outbreak

Determinants of nurse job dissatisfaction - findings from a cross-sectional survey analysis in the UK

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