Perception of working environment, psychological distress and affecting factors in nurses working intensive care units

Altınöz, Ümran

doi:10.14744/phd.2017.03016

Cited by 7 publications

(1 citation statement)

References 17 publications

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“…The findings of this study indicated that, among the ICU nurses, 25.6% experienced moderate or high levels of depression, while 46.3% experienced moderate or severe anxiety. Data obtained from similar studies reported that nurses’ prevalence of anxiety was between 10.2% and 32%, while their depressive symptoms were between 11% and 31% (Altınöz & Demir, 2017; de Boer et al, 2014; Karanikola et al, 2015). The findings showed that the depression rates of the ICU nurses were similar to those reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

Yıldız

2021

J Am Psychiatr Nurses Assoc

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BACKGROUND: Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS: To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHOD: A cross-sectional study was conducted with ICU nurses ( N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS: The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS: While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.

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Section: Discussionmentioning

confidence: 99%

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

Yıldız

2021

J Am Psychiatr Nurses Assoc

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Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID‐19 pandemic

Goktas

Aktuğ

Gezginci

2022

Nursing in Critical Care

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Background During the COVID‐19 pandemic, intensive care nurses may experience ethical issues related to fear of transmission, limited resources, and increased workload. Nurses' moral sensitivity and courage may have a role in dealing with these problems. Aim and Objective The purpose of this study was to assess intensive care nurses' moral sensitivity and moral courage during the COVID‐19 pandemic. Design Descriptive cross‐sectional survey. Methods A total of 362 nurses working in the intensive care units of pandemic hospitals in Turkey participated in the study between January and March 2021. Data were obtained using a personal information form, the Moral Sensitivity Questionnaire, and the Nurses' Moral Courage Scale. A link to the online data collection tools was sent to the management of participating institutions, who forwarded it to nurses. Reporting followed the CHERRIES guidelines. Results In this study, the response rate of nurses was 89%. The nurses' total mean moral sensitivity score was 90.70 ± 28.89 and their mean moral courage score was 82.08 ± 13.51. A weak inverse correlation was found between the nurses' moral sensitivity and moral courage scores (r = −.176, p = .001). Total moral sensitivity score differed significantly according to years of Intensive care unit (ICU) experience ( p = .007). Total moral courage scores increased significantly with education level ( p = .012), years of nursing experience ( p = .016), and willingness to work in the ICU ( p < .001). Conclusion The study suggests that nurses working in the intensive care unit during the pandemic had moderate moral sensitivity and high levels of moral courage. Nurses' sociodemographic characteristics and ICU work conditions may affect their moral sensitivity and moral courage. Relevance to Clinical Practice The results of this study can help guide efforts to improve moral courage and sensitivity and address ethical issues among ICU nurses.

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Live music in the ICU: A qualitative study of music students’ perspectives

Bro,

Smilde,

Thorn

et al. 2024

Musicae Scientiae

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The aim of this hermeneutic-phenomenological study was to explore how 26 music students experienced their artistic practice in and adapted to the intensive care environment. The students participated in a standardized training and performance program, offering patient-tailored music interventions for patients in the intensive care unit (ICU) at two hospitals in Denmark. Each intervention comprised three components: (1) briefing on the patients’ physical and mental condition, (2) intervention, (3) debriefing by the primary investigator, the participant(s), and a nurse. A total of 33 semistructured one-to-one interviews and 135 in vivo observations were conducted during the study, and two semistructured focus-group interviews were carried out afterwards. The analysis revealed five themes concerning artistic practice: (1) Openness to the unknown setting; (2) Heartfelt music with a simple and intimate expression; (3) Sensitivity to the room, bringing artistic awareness to the forefront; (4) Human connectedness through music; and (5) Expanding one’s musical identity. Overall, the participants’ personal, professional, and artistic awareness was further developed, and a nuanced and sensitive attention emerged, achieving artistic flow in the patient’s room. The participants’ values and attitudes entailed trust, honesty, commitment, openness, compassion, and situational awareness while maintaining artistic integrity. A deepened meaning of musical identity arose, discussed here in relation to George Herbert Mead’s theories of the social self. Higher music education (HME) institutions may consider further developing programs for music students that reflect these values and attitudes along with artistic and reflective practices to enhance the role of music in healthcare, thereby contributing to enhanced wellbeing and a sense of cohesion.

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Perception of working environment, psychological distress and affecting factors in nurses working intensive care units

Cited by 7 publications

References 17 publications

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study

Evaluation of moral sensitivity and moral courage in intensive care nurses in Turkey during the COVID‐19 pandemic

Live music in the ICU: A qualitative study of music students’ perspectives

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