How the COVID-19 crisis affected the well-being of nurses working in paediatric critical care: A qualitative study

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-03-30 DOI:10.1111/bjhp.12661

Jackson Pountney, Isabelle Butcher, Peter Donnelly, Rachael Morrison, Rachel L. Shaw

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Abstract

Objectives

Evidence shows paediatric critical care (PCC) nurses display high rates of burnout, moral distress, symptoms associated with post-traumatic stress disorder (PTSD) and poor well-being. The COVID-19 pandemic magnified these pressures producing extremely challenging working conditions. The objective was to understand PCC nurses' lived experience of working during COVID-19 to determine the impact it had on their well-being.

Design

A qualitative design was used with individual, semi-structured online interviews analysed using thematic analysis.

Results

Ten nurses from six PCC units in England participated. Five themes were generated: (i) Challenges of working in Personal Protective Equipment (PPE), (ii) Adapting to redeployment to adult intensive care, (iii) Changes to staff working relationships, (iv) Being unable to attain work-life balance and (v) Unprocessed traumatic experiences of working in COVID-19. It was clear COVID-19 presented novel challenges to PCC nurses' well-being. With those came enforced changes in practice; some were temporary, for example use of PPE and redeployment, but others provided insight into the prerequisites for good staff well-being, for example strong professional relationships, work–life balance and managing one's psychological health.

Conclusions

Findings show authentic connections between peers, verbal and non-verbal communication and a sense of belonging were crucial to nurses' well-being. A dent in PCC nurses' perceived competence significantly affected their well-being. Finally, staff need a psychologically safe space to process distress and trauma experienced during COVID-19. Future research needs to test evidence-based, theoretically-informed well-being interventions to improve and maintain PCC nurses' well-being.

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新冠肺炎危机如何影响儿科重症监护护士的福祉：一项定性研究。

目的：有证据表明，儿科重症监护（PCC）护士表现出较高的倦怠率、道德痛苦率、创伤后应激障碍（PTSD）相关症状和不良幸福感。新冠肺炎大流行加剧了这些压力，产生了极具挑战性的工作条件。目的是了解PCC护士在新冠肺炎期间的工作经历，以确定其对其健康的影响。设计：采用定性设计，通过主题分析对个人、半结构化在线访谈进行分析。结果：来自英格兰6个PCC单位的10名护士参加了此次活动。产生了五个主题：（i）个人防护装备工作的挑战，（ii）适应重新部署到成人重症监护室，（iii）员工工作关系的变化，（iv）无法实现工作与生活的平衡，（v）在新冠肺炎工作的未经处理的创伤经历。很明显，新冠肺炎给PCC护士的健康带来了新的挑战。随之而来的是实践中的强制变革；有些是暂时的，例如使用个人防护装备和重新部署，但另一些则深入了解了员工良好健康的先决条件，例如牢固的职业关系、工作与生活的平衡以及管理自己的心理健康。结论：研究结果表明，同伴之间的真实联系、言语和非言语交流以及归属感对护士的幸福感至关重要。PCC护士感知能力的下降显著影响了他们的幸福感。最后，工作人员需要一个心理安全的空间来处理新冠肺炎期间经历的痛苦和创伤。未来的研究需要测试循证的、理论上知情的幸福干预措施，以改善和维持PCC护士的幸福感。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.