Stress in critical care nurses: a policy perspective

Papathanassoglou, Elizabeth; Karanikola, Maria

doi:10.1111/nicc.12352

Cited by 7 publications

(6 citation statements)

References 26 publications

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“…Working in critical care environments and caring for critically ill patients can lead to the decline of the wellbeing of nurses, making these nurses prone to higher levels of burnout than other areas of nursing (Moss et al, 2016;Poncet et al, 2007;Shorter & Stayt, 2009). When encountering the many stressors present in critical care environments, nurses may experience compassion fatigue, post-traumatic stress disorder (PTSD), and other harmful physical, psychological, emotional, and spiritual sequelae which may affect their ability to provide safe patient care (Imes & Chasens, 2019;Jarden et al, 2018;Moss et al, 2016;Papathanassoglou & Kranikola, 2018). Further, research demonstrates that when there is a deficit of nurse wellbeing there can be reduced quality of care, lower patient satisfaction, an increased number of medical errors, and higher rates of healthcare associated infections (Moss et al, 2016).…”

Section: Caccn Position Statementmentioning

confidence: 99%

Medication Safety Practice Corner Key learnings: Preventing errors with intravenous acetylcysteine

Hoffman,

Hyland,

Harber

et al. 2023

CJCCN

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ISMP Canada received three reports of death or severe harm involving intravenous acetylcysteine (also known as N-acetylcysteine) overdose related to one type of error—continuation of the loading dose IV infusion rate instead of reduction to a lower rate for the maintenance dose. All resulted in a 10-fold dosing error. An alert was published in 2022, and a follow-up safety bulletin in 2023 shared findings from a multi-incident analysis with recommendations (ISMP Canada, 2022 & 2023). There are many protocols/regimens in use across Canada for the preparation and administration of acetylcysteine, each with potential benefits and risks. This column shares key findings and several strategies to support the safe administration of acetylcysteine. Critical care nurses’ specialized expertise in patient monitoring and fluid management is vital for optimal care outcomes.

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Section: Caccn Position Statementmentioning

confidence: 99%

Medication Safety Practice Corner Key learnings: Preventing errors with intravenous acetylcysteine

Hoffman,

Hyland,

Harber

et al. 2023

CJCCN

View full text Add to dashboard Cite

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“…, 2017, p. 2,459). Researchers have called for more studies of PTSD in nurses (Papathanassoglou and Karanikola, 2018), a topic historically reserved for military personnel. In parallel, reporting on the plight of nurses during COVID-19 often conveys the crisis' gravitas by using imagery typically reversed for eidetic accounts of war events.…”

Section: Theoretical Foundations and Hypothesis Developmentmentioning

confidence: 99%

“…We extend prior studies by focusing on nurses' mental health during the current pandemic. This focus became warranted even before the COVID-19 crisis, as research documents nurses' susceptibility to mental health problems when exposed to extreme emotional conditions (Papathanassoglou and Karanikola, 2018). Moreover, most research has assessed the prevalence of physical and psychological symptoms (Carmassi et al.…”

mentioning

confidence: 99%

Losing compassion for patients? The implications of COVID-19 on compassion fatigue and event-related post-traumatic stress disorder in nurses

Hochwarter

Jordan

Kiewitz

et al. 2022

JMP

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PurposeThe authors investigated a psychological process that links characteristics of events related to the coronavirus disease (2019) COVID-19 pandemic (i.e. perceived novelty, disruptiveness and criticality) to compassion fatigue [(CF), a form of caregiver burnout] and subsequent post-traumatic stress disorder (PTSD) in nurses.Design/methodology/approachAdministering two online surveys (October and November 2020) resulted in matched data from 175 nurses responsible for patient care during the COVID-19 pandemic.FindingsPerceived disruptiveness and criticality of COVID-19 events were positively associated with nurses' CF, which also mediated those characteristics' effects on PTSD instigated by COVID-19. Contrary to the authors' hypothesis, the perceived novelty of COVID-19 events was not significantly associated with CF nor was the indirect effect of perceived novelty on PTSD mediated by CF.Originality/valueThe authors extend event system theory by investigating the psychological processes linking event features and resultant outcomes while providing practical implications on preparations for future unexpected and potentially life-altering events.

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“…Existing research describes multiple barriers nurses face when caring for families. Managing the medical needs of critically ill patients (Karanikola & Mpouzika, 2018;Papathanassoglou & Karanikola, 2018) as well as attention required to function within the technology-driven hospital setting (Cypress, 2011;Junior et al, 2018) leaves limited time for family care. Additional barriers may be organizational, perceptual, attitudinal, or competency related.…”

Section: Families' Nursing Practice Concerns and Implementation Sciencementioning

confidence: 99%

An Educational Intervention Incorporating Digital Storytelling to Implement Family Nursing Practice in Acute Care Settings

2020

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This project describes implementation of an educational intervention designed to initiate practice changes that support families and nurses during acute illness. An academic–practice partnership and digital storytelling methodology provided a foundation. A quasi-experimental research design included quantitative and qualitative measurement before and after the educational intervention. Themes identified in digital stories of nurse experiences caring for families provided direction for the educational intervention including the digital stories, empirical evidence, and proposed changes in nursing practice focused on families. Nurse participants ( n = 160) in the educational intervention reported positive responses on a qualitative questionnaire. Comparing pretest and posttest results of the Family Nurse Practice Scale reflected positive, though not significant change. Family members ( n = 49) reported significantly improved perceptions of support on 7 of the 14 items on the Iceland Perceived Family Support Questionnaire. This project highlighted digital storytelling’s power to promote family interventions and move family nursing knowledge into practice.

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Stress in critical care nurses: a policy perspective

Cited by 7 publications

References 26 publications

Medication Safety Practice Corner Key learnings: Preventing errors with intravenous acetylcysteine

Medication Safety Practice Corner Key learnings: Preventing errors with intravenous acetylcysteine

Losing compassion for patients? The implications of COVID-19 on compassion fatigue and event-related post-traumatic stress disorder in nurses

An Educational Intervention Incorporating Digital Storytelling to Implement Family Nursing Practice in Acute Care Settings

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