■在COVID-19大流行期间在前线工作的注册护士遇到了重大挑战,包括暴露于严重事件。关键事件是指突发的意外临床事件,超过个人的应对能力,导致相当大的心理困扰,这可能会导致创伤后应激障碍症状的发展。研究表明,医护人员中创伤后应激障碍症状的患病率很高,特别是与COVID-19患者密切接触的患者。
为了评估注册护士在COVID-19大流行期间与工作条件有关的创伤后应激症状的水平,例如他们的工作受到大流行的影响,重新部署,工作时间阻碍了轮班和重大事件之间的充分恢复。
■横断面研究。
■在覆盖瑞典所有21个地理区域的多种医疗保健服务中工作的注册护士。
■共有1,923名注册护士,他们是瑞典国家队列的一部分,自接受护理教育以来一直受到关注,被邀请参加2021年9月下旬的一项调查(毕业后15至19年)。
■使用描述性统计分析数据,不成对t检验,和单向方差分析。科恩的d被用来量化亚组之间平均水平的差异。
■反应率为56.5%。超过50%的有经验的注册护士报告他们的工作环境受到重大破坏。总的来说,85%的注册护士在大流行期间在工作中至少接触过一次危重事件,60%的人面临着组织变革,近50%的人经历着情感上的痛苦。与未暴露的情况相比,暴露于涉及重大事件的工作情况始终显示出与更高水平的创伤后应激障碍症状密切相关。效果大小从中等到高。
■这项研究强调了工作条件的深远影响,例如重新部署和暴露于重大事件,注册护士的心理健康。我们提供有关注册护士与大流行相关挑战的宝贵见解,强调需要支持和干预措施来预防和管理重大事件,最终促进他们的福祉。我们还强调了对未来流行病和其他具有挑战性的医疗保健情景进行全面的劳动力准备计划的重要性,比如员工短缺。
UNASSIGNED: Registered nurses working on the frontline during the COVID-19 pandemic encountered significant challenges, including exposure to critical incidents. Critical incidents refer to sudden unexpected clinical events that surpass an individual\'s ability to cope, leading to considerable psychological distress, which could potentially result in the development of post-traumatic stress disorder symptoms. Research has shown a high prevalence of post-traumatic stress disorder symptoms among healthcare workers, particularly those in close contact with COVID-19 patients.
UNASSIGNED: To assess the levels of post-traumatic stress symptoms among registered nurses in relation to exposure to working conditions during the COVID-19 pandemic, such as how much their work was affected by the pandemic, re-deployment, working hours hindering sufficient recovery between shifts and critical incidents.
UNASSIGNED: Cross sectional study.
UNASSIGNED: The registered nurses working in multiple health care services covering all 21 geographic regions in Sweden.
UNASSIGNED: A total of 1,923 registered nurses, who are part of a Swedish national cohort and have been followed since their nursing education, were invited to participate in a survey in late September 2021 (15 to 19 years post graduation).
UNASSIGNED: The data were analyzed using descriptive statistics, unpaired t-tests, and one-way analysis of variance. Cohen\'s d was employed to quantify differences in mean levels between subgroups.
UNASSIGNED: The response rate were 56.5 %. Over 50 % of experienced registered nurses reported significant disruptions to their work environments. In total, 85 % of registered nurses were exposed to at least one critical incident in their work during the pandemic, with 60 % facing organisational changes and nearly 50 % experiencing emotionally distressing situations. The exposure to work situations involving critical incidents consistently demonstrated strong associations with higher levels of post-traumatic stress disorder symptoms compared to those not exposed, with effect sizes ranging from moderate to high.
UNASSIGNED: This study underscores the profound impact that working conditions, such as redeployment and exposure to critical incidents, have on the mental health of registered nurses. We offer valuable insights into registered nurses\' pandemic-related challenges, highlighting the need for support and interventions to prevent and manage critical incidents, ultimately promoting their well-being. We also highlight the significance of thorough workforce readiness planning for future pandemics and other challenging health care scenarios, such as staff shortage.