Beyond Burnout: Nurses' Perspectives on Chronic Suffering During and After the COVID-19 Pandemic.

IF 2.2 Q1 NURSING Global Qualitative Nursing Research Pub Date : 2024-09-02 eCollection Date: 2024-01-01 DOI:10.1177/23333936241271271

Melissa A Powell, Tolu O Oyesanya, Susan D Scott, Deborah H Allen, AnnMarie Walton

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Abstract

Nurses around the globe have been impacted psychologically and emotionally during and after the COVID-19 pandemic. The purpose of this study was to describe nurses' perspectives on the concepts of compassion fatigue, second victimhood, burnout, and moral injury. Eight nurses were interviewed either individually or in groups of two. Data were analyzed using conventional content analysis. The following themes were identified: waves of compassion fatigue, traumatization within second victimhood, never the same after chronic burnout, moral injury: nurses couldn't do their best, and connections across concepts. Results showed nurses were most familiar with burnout and compassion fatigue, which remain chronic struggles. Second victimhood and moral injury were more distinct experiences related to traumatic or morally distressing events and likely contributed to experiencing burnout or compassion fatigue. Nurses' suffering heightened during the COVID-19 pandemic and remains prominent three years later. Future research and interventions are urgently needed globally to reduce workplace stressors and promote nurse well-being.

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超越职业倦怠：护士对 COVID-19 大流行期间和之后长期痛苦的看法。

在 COVID-19 大流行期间和之后，全球护士在心理和情感上都受到了影响。本研究的目的是描述护士对 "同情疲劳"、"第二受害者"、"职业倦怠 "和 "道德伤害 "等概念的看法。八名护士接受了单独或两人一组的访谈。采用传统的内容分析法对数据进行了分析。确定了以下主题：同情疲劳的浪潮、第二受害者身份中的创伤、长期职业倦怠后的面目全非、道德伤害：护士无法尽其所能，以及各概念之间的联系。结果显示，护士们最熟悉的是职业倦怠和同情疲劳，它们仍然是长期的挣扎。其次，受害者身份和道德伤害是与创伤或道德痛苦事件相关的更为独特的体验，很可能会导致体验倦怠或同情疲劳。在 COVID-19 大流行期间，护士的痛苦加剧，三年后仍很突出。全球急需未来的研究和干预措施，以减少工作场所的压力并促进护士的福祉。

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来源期刊

Global Qualitative Nursing Research NURSING-

CiteScore

2.90

自引率

5.90%

发文量

审稿时长

12 weeks

期刊介绍： Global Qualitative Nursing Research (GQNR) is a ground breaking, international, peer-reviewed, open-access journal focusing on qualitative research in fields relevant to nursing and other health professionals world-wide. The journal specializes in topics related to nursing practice, responses to health and illness, health promotion, and health care delivery. GQNR will publish research articles using qualitative methods and qualitatively-driven mixed-method designs as well as meta-syntheses and articles focused on methodological development. Special sections include Ethics, Methodological Development, Advancing Theory/Metasynthesis, Establishing Evidence, and Application to Practice.