학술논문

Nurses' Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study.
Document Type
Academic Journal
Author
Santric-Milicevic M; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Pavlekic K; City Institute of Public Health in Belgrade, 11000 Belgrade, Serbia.; Bukumiric Z; Institute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Stevanovic A; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Nikolic D; Department of Physical Medicine and Rehabilitation, University Children's Hospital, 11000 Belgrade, Serbia.; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Matejic B; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Matanovic D; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Center for Physical Medicine and Rehabilitation, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Backovic D; Institute for Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Tulic G; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Institute for Orthopaedic Surgery and Traumatology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Lukic R; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic for Gynecology and Obstetrics, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Zivanovic D; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Clinic of Dermatology and Venerology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Radosavljevic S; Department of Radiology, University Hospital Center 'Dr Dragisa Misovic', 11000 Belgrade, Serbia.; Milovanovic V; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Department of Cardiac Surgery, University Children's Hospital, 11000 Belgrade, Serbia.; Zdujic M; Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Laboratory for Strengthening Capacity and Performance of Health System and Workforce for Health Equity, Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Stankovic S; Center for Medical Biochemistry, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Faculty of Medical Sciences, University of Kragujevac, 34000 Kragujevac, Serbia.; Asanin M; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Department of Cardiology, University Clinical Center of Serbia, 11000 Belgrade, Serbia.; Zdravkovic M; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Internal Medicine Clinic, University Clinical Hospital Center Bezanijska Kosa, 11000 Belgrade, Serbia.; Tomasevic R; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.; Internal Medicine Clinic, University Clinical Hospital Center Zemun, 11000 Belgrade, Serbia.
Source
Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101666525 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9032 (Print) Linking ISSN: 22279032 NLM ISO Abbreviation: Healthcare (Basel) Subsets: PubMed not MEDLINE
Subject
Language
English
ISSN
2227-9032
Abstract
The mental health of healthcare workers, especially the nursing staff in intensive care units, is crucial for the optimal functioning of healthcare systems during medical emergencies. This study implements a cross-sectional design to investigate the associations between nurses' personal characteristics, workplace challenges, and job satisfaction with the increased perception of tension, stress, and pressure at the workplace (TSPW) before and during the COVID-19 pandemic. In 2021, we surveyed 4210 nurses from 19 intensive healthcare facilities in the capital of Serbia, Belgrade, and, at that time, collected data about their perceived TSPW before and during the COVID-19 pandemic. Our study identified six predictors of the increase in TSPW, as perceived by nurses: their work in COVID-19 infectious zones (OR = 1.446), exhaustion due to work under protective equipment (OR = 1.413), uncertainty and fear of infection (OR = 1.481), a high degree of superiors' appreciation and respect (OR = 1.147), a high degree of patients' attitudes (OR = 1.111), and a low degree of work autonomy (OR = 0.889). The study's findings suggest that a solution to this issue is necessary to ensure that nurses are safe and able to alleviate the physical and mental strain that comes with prolonged use of protective equipment. Nurses on the frontline of the pandemic require better health protection, better conditions, and respect for their role. Strategies to promote mental health would help reduce nurses' stress and increase job satisfaction.