Spirituality and Work-Related Outcomes Among Nurses During the COVID Pandemic: An Observational Study.

IF 3.2 3区 医学 Q1 NURSING Journal of Clinical Nursing Pub Date : 2024-12-17 DOI:10.1111/jocn.17632
Foroozan Atashzadeh-Shoorideh, Elizabeth Johnston Taylor, Fataneh Ghadirian
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Abstract

Objectives: This study aimed to identify the spiritual responses of nurses providing direct patient care during the COVID pandemic and explore how religious/spiritual struggles are associated with selected nurse outcomes.

Methods: A quantitative, cross-sectional observational study was conducted, based on the STROBE checklist, with 364 registered nurses recruited via convenience sampling between January 24 and March 12, 2022, in hospitals in Iran admitting COVID-19 patients. Data were collected through a self-report questionnaire, including the Moral Injury Symptom Scale-Health Professionals, Religious/Spiritual Struggles Scale-Short Form, Posttraumatic Growth Inventory, Job Satisfaction Scale, Copenhagen Burnout Inventory, Turnover Intention Scale, and Employee Engagement Scale.

Results: Nurses reported high levels of moral injury during the pandemic, with an average score of 43.79 ± 15.20. Religious/spiritual struggles were generally low, with demonic struggles scoring the lowest (0.36 ± 0.68) and ultimate meaning struggles the highest (1.54 ± 0.99). Posttraumatic growth scores for spiritual change were moderately high (26.17 ± 4.73). Work-related burnout was moderate (64.31 ± 100.00), intention to leave was low (8.84 ± 3.92), and job satisfaction was moderate (3.67 ± 1.75).

Conclusion: The study found that nurses experienced both positive and negative spiritual responses during the pandemic. While most nurses reported a high level of moral injury and moderate job satisfaction, they experienced low religious/spiritual struggles and some spiritual growth. Incorporating spirituality into nursing practice may enhance professional fulfilment and nurse outcomes.

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COVID大流行期间护士的精神和工作相关结果:一项观察性研究。
目的:本研究旨在确定COVID大流行期间直接护理患者的护士的精神反应,并探讨宗教/精神斗争与选定护士结果的关系。方法:基于STROBE检查表,采用方便抽样的方法,于2022年1月24日至3月12日在伊朗接收COVID-19患者的医院招募了364名注册护士,开展了一项定量、横断面观察研究。数据通过自我报告问卷收集,包括道德伤害症状量表-健康专业人员量表,宗教/精神斗争量表-简短表格,创伤后成长量表,工作满意度量表,哥本哈根倦怠量表,离职意向量表和员工敬业度量表。结果:大流行期间护士的道德伤害程度较高,平均得分为43.79±15.20分。宗教/精神斗争普遍较低,魔鬼斗争得分最低(0.36±0.68),终极意义斗争得分最高(1.54±0.99)。精神改变的创伤后成长得分中等高(26.17±4.73)。工作倦怠中度(64.31±100.00),离职意向低(8.84±3.92),工作满意度中等(3.67±1.75)。结论:研究发现,护士在大流行期间经历了积极和消极的精神反应。虽然大多数护士报告了高水平的道德伤害和中等程度的工作满意度,但他们经历了较低的宗教/精神斗争和一些精神成长。将灵性融入护理实践可以提高专业成就和护理成果。
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来源期刊
CiteScore
6.40
自引率
2.40%
发文量
0
审稿时长
2 months
期刊介绍: The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice. JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice. We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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