{"title":"Stress among nursing staff and interventions in Austrian nursing homes: Results of a survey in the first and the second waves of COVID-19.","authors":"Silvia Bauer, Doris Eglseer, Manuela Hödl","doi":"10.1007/s16024-022-00395-x","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Most of the limited number of studies that have been carried out on COVID-19 in nursing homes have not included primarily nursing staff. Nevertheless, knowledge about staff experiences will help to provide recommendations for the future.</p><p><strong>Aim: </strong>The aim of this study was to describe stress experienced and interventions performed by nursing staff and to identify factors that are associated to the perceived stress among Austrian nursing home staff during the first and the second waves of COVID-19.</p><p><strong>Methods: </strong>A secondary data analysis of two cross-sectional surveys performed in 2020 and 2021 among nursing home staff was performed. We did descriptive analysis as well as univariate and multivariate logistic regression analyses.</p><p><strong>Results: </strong>A total of 449 nurses participated in the first survey and 300 in the second survey. 12.7% experienced high stress levels in the first wave, while 26.0% experienced high stress levels in the second wave (<i>p</i> < 0.001). The analysis showed that nursing staff in the second wave had a 2.195-fold higher relative chance of experiencing a high stress level compared to nursing staff in the first wave (<i>p</i> < 0.001). Caring for COVID-19 residents (odds ratio [OR] 1.827; <i>p</i> = 0.007) and being female (OR 1.992; <i>p</i> = 0.018) also significantly increased the relative chance of experiencing a high stress level. Some protective interventions, such as the use of FFP masks, increased between the two waves, while others decreased, such as the practice of airing the residents' rooms.</p><p><strong>Conclusion: </strong>Austrian nursing staff in nursing homes experienced more stress during the second wave, illustrating the heavy burden of the long pandemic on staff. Nursing management should plan appropriate supportive interventions such as psychological help, stress relief measures and financial incentives for nursing staff, especially for the identified high-risk groups.</p><p><strong>Supplementary information: </strong>The online version of this article (10.1007/s16024-022-00395-x) contains supplementary material, which is available to authorized users.</p>","PeriodicalId":73229,"journal":{"name":"HeilberufeSCIENCE","volume":"14 1-2","pages":"47-55"},"PeriodicalIF":0.0000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9893177/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HeilberufeSCIENCE","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s16024-022-00395-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Most of the limited number of studies that have been carried out on COVID-19 in nursing homes have not included primarily nursing staff. Nevertheless, knowledge about staff experiences will help to provide recommendations for the future.
Aim: The aim of this study was to describe stress experienced and interventions performed by nursing staff and to identify factors that are associated to the perceived stress among Austrian nursing home staff during the first and the second waves of COVID-19.
Methods: A secondary data analysis of two cross-sectional surveys performed in 2020 and 2021 among nursing home staff was performed. We did descriptive analysis as well as univariate and multivariate logistic regression analyses.
Results: A total of 449 nurses participated in the first survey and 300 in the second survey. 12.7% experienced high stress levels in the first wave, while 26.0% experienced high stress levels in the second wave (p < 0.001). The analysis showed that nursing staff in the second wave had a 2.195-fold higher relative chance of experiencing a high stress level compared to nursing staff in the first wave (p < 0.001). Caring for COVID-19 residents (odds ratio [OR] 1.827; p = 0.007) and being female (OR 1.992; p = 0.018) also significantly increased the relative chance of experiencing a high stress level. Some protective interventions, such as the use of FFP masks, increased between the two waves, while others decreased, such as the practice of airing the residents' rooms.
Conclusion: Austrian nursing staff in nursing homes experienced more stress during the second wave, illustrating the heavy burden of the long pandemic on staff. Nursing management should plan appropriate supportive interventions such as psychological help, stress relief measures and financial incentives for nursing staff, especially for the identified high-risk groups.
Supplementary information: The online version of this article (10.1007/s16024-022-00395-x) contains supplementary material, which is available to authorized users.
背景:在养老院开展的数量有限的COVID-19研究中，大多数主要不包括护理人员。然而，了解工作人员的经验将有助于为今后提供建议。目的:本研究的目的是描述护理人员所经历的压力和采取的干预措施，并确定与奥地利养老院工作人员在第一波和第二波COVID-19期间感知压力相关的因素。方法:对2020年和2021年对养老院工作人员进行的两次横断面调查进行二次数据分析。我们进行了描述性分析以及单变量和多变量逻辑回归分析。结果:共449名护士参加第一次调查，300名护士参加第二次调查。12.7%的人在第一波中经历了高压力水平，而26.0%的人在第二波中经历了高压力水平(p p p = 0.007)，并且是女性(OR 1.992;P = 0.018)也显著增加了经历高压力水平的相对机会。一些保护性干预措施，如使用FFP口罩，在两次浪潮之间增加了，而其他保护性干预措施，如给居民房间通风的做法，则减少了。结论:奥地利养老院的护理人员在第二波期间承受了更大的压力，说明了长期大流行给工作人员带来的沉重负担。护理管理应计划适当的支持性干预措施，如心理帮助、压力缓解措施和对护理人员的经济激励，特别是对确定的高危人群。补充信息:本文的在线版本(10.1007/s16024-022-00395-x)包含补充信息，请授权用户使用。
京公网安备 11010802042870号
京ICP备2023020795号-1
分享
求助内容：
应助结果提醒方式：
扫码关注我们
