Factors affecting nurses' professional commitment during the COVID‐19 pandemic: A cross‐sectional study

Duran, Seçil; Çelik, İsa; Ertugrul, Bekir; Ok, Şerife; Albayrak, Sevil

doi:10.1111/jonm.13327

Cited by 60 publications

(67 citation statements)

References 42 publications

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“…Along these lines, more than 50% of the nursing personnel felt low or not satisfaction with the health management of COVID-19, and 72% perceived a lack of resources and restrictions, mainly in the beginning of pandemic. In agreement with our data, previous studies in other demographic regions have confirmed the nurses’ perceptions of organizational barriers related to heavier workloads ( Manzano García & Ayala Calvo, 2021 ), more working hours, lack of resources ( Barello et al, 2021 ) and more risky and stressful environment, which were related to professional commitment ( Duran et al, 2021 ) and burnout syndrome ( Galanis et al, 2021 ; Giménez-Espert et al, 2020 ). Although the lack of protective resources and professional training in the management of COVID-19 patients seems to have been resolved, job demands continue to be overwhelming.…”

Section: Discussionsupporting

confidence: 92%

The emotional impact of COVID-19 on Spanish nurses and potential strategies to reduce it

et al. 2022

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Background Although the emotional and psychological impact of nurses’ work had been identified before the COVID-19 pandemic, the pandemic aggravating risk indicators for their mental health. Aim The objective of this study was to analyze the levels of anxiety, depression, posttraumatic stress and burnout of nurses in the Balearic Islands (Spain) during the pandemic to identify possible sociodemographic and related occupational factors. Design A cross-sectional study of 892 nurses was conducted during four weeks from February to March 2021. Methods Sociodemographic data related to the pandemic were collected and anxiety, depression, burnout and post-traumatic stress were measured with validated scales. A multivariate and predictive analysis was carried out with risk estimates. Findings 75.6% of the nurses had experience in COVID-19 units, and 49.1% had worked for more than 10 months in a COVID-19 unit. Nurses in COVID-19 units (hospital ward or ICU) were more likely to report emotional fatigue (OR 1.9, p < 0.001) and anxiety (OR 1.5, p = 0.021). In general, moderate posttraumatic stress was evident in general nurses (p = 0.027), and severe posttraumatic stress was evident in ICU nurses (p = 0.027). A 1.24-month reduction in COVID-19 patient care predicted reduced levels of emotional fatigue (5.45 points), depersonalization (1.87 points) and posttraumatic stress (4.65 points) in nurses. Conclusion Given the occurrence of new waves of COVID-19, the need to establish preventive strategies that focus on the personal and occupational characteristics related to these indicators and to implement urgent psychological support strategies is demonstrated. Impact Given these findings, it is imperative solutions are urgently applied in order to prevent compounding risk to the health system.

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Section: Discussionsupporting

confidence: 92%

The emotional impact of COVID-19 on Spanish nurses and potential strategies to reduce it

et al. 2022

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“…a research found that psychological problems related to nurses’ work might negatively affect their strength and their intention to leave the profession. 36 However, dissimilarly to our results, another mixed methods study with 105 nurses found that the vast majority had no wish of leaving the COVID-19 unit, described their working environment as great. This may have resulted from adequate education, clear and accountable leadership, responsibilities during the transition in the COVID-19 unit, thus, helping to cope with devastating anxiety.…”

Section: Discussioncontrasting

confidence: 99%

“Fighting for life and losing”: Intensive Care Unit Nursing Staff’s Experience With COVID-19 Patient Deaths During the First Two Waves: A Qualitative Study

Green

Gendler

Sharon

2022

INQUIRY

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The study explored the experiences of intensive care unit nursing staff caring for COVID-19 patients who eventually died during the two first pandemic waves. We used - descriptive-qualitative-phenomenological. The findings included four main themes—the first vs the second COVID-19 waves, fighting for life and being unable to win, a chronicle of pre-determined death, and nurse’s emotional coping with patient death. Based on these findings, we have concluded that in order to enhance nurses’ mental health, policy makers and governments need to create an appropriate support system for them.

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“…Duran et al. ( 2021 ), in a study in Turkey, concluded that, during the COVID‐19 pandemic, certain factors, such as intention to leave the profession, choosing a profession voluntarily, family support, perceived organizational blockage, job satisfaction, and educational status, affect nurses’ professional commitment, respectively (Duran et al., 2021 ). Professional commitment is a concept that is related to culture, context, and time (García‐Moyano et al., 2017 ), and Iranian nurses work in a traditional and religious culture.…”

Section: Discussionmentioning

confidence: 99%

“…Good family support can lead to better nursing performance (Zhang et al. 2021 ), increased professional commitment (Duran et al., 2021 ), increased job satisfaction, and decreased intention to leave (Ganji & Johnson, 2020 ). However, due to the shortage of vaccines, vaccination in Iran has started with the priority of medical staff, older people and people with high‐risk conditions (Bagheri Sheykhangafshe, 2021 ), so the families of healthcare workers were left unvaccinated, which is a source of concern for the working nurses.…”

Section: Discussionmentioning

confidence: 99%

“…The study showed that one of the most important and main reasons for staying in the nursing profession, and even volunteering to work in the COVID wards, despite the fear of infection, was the nurses' sense of commitment and work conscience. Duran et al (2021), in a study in Turkey, concluded that, during the COVID-19 pandemic, certain factors, such as intention to leave the profession, choosing a profession voluntarily, family support, perceived organizational blockage, job satisfaction, and educational status, affect nurses' professional commitment, respectively (Duran et al, 2021). Professional commitment is a concept that is related to culture, context, and time (García-Moyano et al, 2017), and Iranian nurses work in a traditional and religious culture.…”

Section: Discussionmentioning

confidence: 99%

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Factors affecting Iranian nurses’ intention to leave or stay in the profession during the COVID‐19 pandemic

Varasteh

Mazaheri

2021

International Nursing Review

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Aim This study was conducted to explore the factors affecting nurses’ intentions to leave or stay in their profession during the coronavirus pandemic in Iran. Introduction Because the effectiveness of a healthcare response to a disaster depends on an available, skilled, and motivated healthcare workforce, it is essential to understand and address potential barriers to and reasons for the intentions of medical staff to leave or stay in their profession. Methods A qualitative study with a conventional content analysis approach was conducted. The participants included nurses working in hospitals during the COVID‐19 pandemic, and nurses who had previously left their job or had been absent from work for a period of time. The participants were selected using a purposeful sampling strategy. Data were collected through 19 in‐depth, individual semi‐structured interviews with 16 nurses. The COnsolidated criteria for REporting Qualitative research checklist was used to report the study. Findings Three categories; commitment and work conscience (with a subcategory of risk‐taking), fear (with two subcategories of fear of family infection and fear of protective equipment shortages), and organizational factors (with two subcategories of organizational atmosphere of the hospital and motivational factors), emerged from the analysis. Conclusion The reasons for quitting a nursing job or to keep working as a nurse during the pandemic include both personal and organizational factors. Commitment and work conscience in pandemic conditions is one of the main factors for keeping nurses in their profession. Implication for nursing practice and policy Gaining insight into nurses’ understanding of the situation and perspectives is the key to being able to provide appropriate support and keep them in the workforce. Peer support can play an important role in supporting novice nurses in facing challenges posed by a pandemic and should be improved. Also, programs and strategies need to be planned to improve resilience among nurses and to help them to manage their stress and fear.

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Factors affecting nurses' professional commitment during the COVID‐19 pandemic: A cross‐sectional study

Cited by 60 publications

References 42 publications

The emotional impact of COVID-19 on Spanish nurses and potential strategies to reduce it

The emotional impact of COVID-19 on Spanish nurses and potential strategies to reduce it

“Fighting for life and losing”: Intensive Care Unit Nursing Staff’s Experience With COVID-19 Patient Deaths During the First Two Waves: A Qualitative Study

Factors affecting Iranian nurses’ intention to leave or stay in the profession during the COVID‐19 pandemic

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