The insomnia, fatigue, and psychological well-being of hospital nurses 18 months after the COVID-19 pandemic began: A cross-sectional study.
COVID-19 patients
burnout
distress
fatigue
insomnia
nurses
well-being
Journal
Journal of clinical nursing
ISSN: 1365-2702
Titre abrégé: J Clin Nurs
Pays: England
ID NLM: 9207302
Informations de publication
Date de publication:
22 Jul 2022
22 Jul 2022
Historique:
revised:
22
04
2022
received:
13
03
2022
accepted:
27
06
2022
entrez:
22
7
2022
pubmed:
23
7
2022
medline:
23
7
2022
Statut:
aheadofprint
Résumé
Research has shown sleep problems, elevated fatigue, and high cases of burnout, as well as signs of post-traumatic stress and psychological distress among nurses during the COVID-19 pandemic. Many US hospitals attempted to minimise its impact on staff by providing basic resources, mental health services, and wellness programs. Therefore, it is critical to re-evaluate these well-being indices and guide future administrative efforts. To determine the long-term impact of the COVID-19 pandemic after 18 months on hospital nurses' insomnia, fatigue, burnout, post-traumatic stress, and psychological distress. Cross-sectional. Data were collected online mainly through state board and nursing association listservs between July-September 2021 (N = 2488). The survey had psychometrically tested instruments (Insomnia Severity Index, Occupational Fatigue Exhaustion Recovery Scale, Maslach Burnout Inventory, Short Post-Traumatic Stress Disorder, and Patient Health Questionnaire-4) and sections on demographics, health, and work. The STrengthening the Reporting of Observational studies in Epidemiology checklist was followed for reporting. Nurses had subthreshold insomnia, moderate-to-high chronic fatigue, high acute fatigue, and low-to-moderate intershift recovery. Regarding burnout, they experienced increased emotional exhaustion and personal accomplishment, and some depersonalisation. Nurses had mild psychological distress but scored high on post-traumatic stress. Nurses who frequently cared for patients with COVID-19 in the past months scored significantly worse in all measures than their co-workers. Factors such as nursing experience, shift length, and frequency of rest breaks were significantly related to all well-being indices. Nurses' experiences were similar to findings from the early pandemic but with minor improvements in psychological distress. Nurses who frequently provided COVID-19 patient care, worked ≥12 h per shift, and skipped rest breaks scored worse on almost all well-being indices. Administration can help nurses' recovery by providing psychological support, mental health services, and treatment options for insomnia, as well as re-structure current work schedules and ensure that rest breaks are taken.
Sections du résumé
BACKGROUND
BACKGROUND
Research has shown sleep problems, elevated fatigue, and high cases of burnout, as well as signs of post-traumatic stress and psychological distress among nurses during the COVID-19 pandemic. Many US hospitals attempted to minimise its impact on staff by providing basic resources, mental health services, and wellness programs. Therefore, it is critical to re-evaluate these well-being indices and guide future administrative efforts.
PURPOSE
OBJECTIVE
To determine the long-term impact of the COVID-19 pandemic after 18 months on hospital nurses' insomnia, fatigue, burnout, post-traumatic stress, and psychological distress.
DESIGN
METHODS
Cross-sectional.
METHODS
METHODS
Data were collected online mainly through state board and nursing association listservs between July-September 2021 (N = 2488). The survey had psychometrically tested instruments (Insomnia Severity Index, Occupational Fatigue Exhaustion Recovery Scale, Maslach Burnout Inventory, Short Post-Traumatic Stress Disorder, and Patient Health Questionnaire-4) and sections on demographics, health, and work. The STrengthening the Reporting of Observational studies in Epidemiology checklist was followed for reporting.
RESULTS
RESULTS
Nurses had subthreshold insomnia, moderate-to-high chronic fatigue, high acute fatigue, and low-to-moderate intershift recovery. Regarding burnout, they experienced increased emotional exhaustion and personal accomplishment, and some depersonalisation. Nurses had mild psychological distress but scored high on post-traumatic stress. Nurses who frequently cared for patients with COVID-19 in the past months scored significantly worse in all measures than their co-workers. Factors such as nursing experience, shift length, and frequency of rest breaks were significantly related to all well-being indices.
CONCLUSION
CONCLUSIONS
Nurses' experiences were similar to findings from the early pandemic but with minor improvements in psychological distress. Nurses who frequently provided COVID-19 patient care, worked ≥12 h per shift, and skipped rest breaks scored worse on almost all well-being indices.
RELEVANCE TO CLINICAL PRACTICE
CONCLUSIONS
Administration can help nurses' recovery by providing psychological support, mental health services, and treatment options for insomnia, as well as re-structure current work schedules and ensure that rest breaks are taken.
Identifiants
pubmed: 35869416
doi: 10.1111/jocn.16451
pmc: PMC9349539
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : American Nurses Foundation
ID : no grant number
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2022 The Authors. Journal of Clinical Nursing published by John Wiley & Sons Ltd.
Références
Int Clin Psychopharmacol. 1997 Jan;12(1):41-5
pubmed: 9179633
J Radiol Nurs. 2020 Sep;39(3):176-178
pubmed: 32837392
Int J Nurs Stud. 2020 Jul;107:103579
pubmed: 32446016
Am J Nurs. 2021 Dec 1;121(12):18-28
pubmed: 34743129
J Clin Nurs. 2022 Jul 22;:
pubmed: 35869416
Nurs Health Sci. 2006 Dec;8(4):201-7
pubmed: 17081145
Sleep. 2011 May 01;34(5):601-8
pubmed: 21532953
Appl Nurs Res. 2021 Jun;59:151418
pubmed: 33947512
West J Nurs Res. 2021 Dec;43(12):1157-1168
pubmed: 33554767
Health Promot Perspect. 2018 Jul 07;8(3):195-199
pubmed: 30087842
Ann Intern Med. 2015 Aug 4;163(3):191-204
pubmed: 26054060
Workplace Health Saf. 2017 Jul;65(7):304-312
pubmed: 27872407
J Adv Nurs. 2021 Aug;77(8):3286-3302
pubmed: 33764561
J Psychosom Res. 2021 Feb;141:110343
pubmed: 33360329
Restor Dent Endod. 2013 Feb;38(1):52-4
pubmed: 23495371
J Occup Environ Med. 2005 Jun;47(6):594-606
pubmed: 15951720
BMC Psychiatry. 2017 May 5;17(1):167
pubmed: 28476149
Jt Comm J Qual Patient Saf. 2020 Sep 30;:
pubmed: 33153914
Front Psychol. 2021 Jul 08;12:626547
pubmed: 34305703
Nurs Adm Q. 2022 Jan-Mar 01;46(1):5-18
pubmed: 34551423
Hum Resour Health. 2020 Jun 5;18(1):41
pubmed: 32503559
Sleep. 2011 Sep 01;34(9):1161-71
pubmed: 21886353
Psychosomatics. 2009 Nov-Dec;50(6):613-21
pubmed: 19996233
Aust J Gen Pract. 2020 Dec;49(12):785-789
pubmed: 33254204
Int J Environ Res Public Health. 2021 Aug 26;18(17):
pubmed: 34501560
Res Nurs Health. 2003 Dec;26(6):434-44
pubmed: 14689460
Int J Environ Res Public Health. 2021 Dec 27;19(1):
pubmed: 35010524
J Clin Nurs. 2022 Mar;31(5-6):601-611
pubmed: 34121260
J Occup Environ Med. 2006 Apr;48(4):381-9
pubmed: 16607192
J Clin Nurs. 2020 Nov 20;:
pubmed: 33219569
Int J Nurs Stud. 2009 Jul;46(7):894-902
pubmed: 19362309
J Nurs Adm. 2018 Jun;48(6):335-341
pubmed: 29799816
Gen Hosp Psychiatry. 2020 Sep - Oct;66:1-8
pubmed: 32590254
Appl Nurs Res. 2022 Feb;63:151517
pubmed: 35034708
Workplace Health Saf. 2021 Apr;69(4):174-181
pubmed: 33514301
Int Clin Psychopharmacol. 2001 Sep;16(5):279-84
pubmed: 11552771
Int J Nurs Stud. 2021 Jul;119:103933
pubmed: 33901940
J Affect Disord. 2022 Feb 1;298(Pt A):618-624
pubmed: 34695497
J Clin Nurs. 2020 Aug;29(15-16):2769-2787
pubmed: 32372541
PLoS One. 2014 Dec 12;9(12):e114987
pubmed: 25501716
J Affect Disord. 2021 Nov 1;294:279-285
pubmed: 34304082
Lancet Psychiatry. 2021 Feb;8(2):141-149
pubmed: 33308420
Int Nurs Rev. 2020 Jun;67(2):164-167
pubmed: 32578249
J Affect Disord. 2010 Apr;122(1-2):86-95
pubmed: 19616305
J Occup Environ Med. 2007 Aug;49(8):862-71
pubmed: 17693784
Curr Psychol. 2022 Feb 04;:1-18
pubmed: 35153456
Sleep Med. 2021 Nov;87:38-45
pubmed: 34508986
Curr Psychiatry Rep. 2018 Oct 26;20(12):116
pubmed: 30367276
AIMS Public Health. 2021 Nov 23;9(1):94-105
pubmed: 35071671
J Adv Nurs. 2021 Dec;77(12):4711-4721
pubmed: 34227132
J Trauma Stress. 2020 Aug;33(4):371-379
pubmed: 32400911
J Nurs Adm. 2018 Dec;48(12):642-648
pubmed: 30431518
J Adv Nurs. 2017 Dec;73(12):2933-2941
pubmed: 28586543
Chronobiol Int. 2012 Mar;29(2):211-9
pubmed: 22324559