Dealing with Emotional Vulnerability and Anxiety in Nurses from High-Risk Units—A Multicenter Study
Abstract
:1. Introduction
2. Methods
2.1. Hypothesis and Aims
2.2. Design
2.3. Setting and Participants
2.4. Data Collection
2.5. Variables and Instruments
2.5.1. Professional Quality of Life Scale (ProQOL)
2.5.2. State-Trait Anxiety Inventory (STAI)
2.5.3. Participant’s Characteristics
2.6. Data Analysis
2.7. Rigor and Validity
2.8. Ethical Considerations
3. Results
3.1. Participants’ Characteristics
3.2. Compassion Satisfaction, Burnout, Compassion Fatigue and Anxiety
3.3. Analysis of the Outcome Variable: Multivariable Logistic Regression
4. Discussion
5. Limitations and Future Directions
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Variable | % (n/N) or Mean ± SD |
---|---|
Age (years) | 37.7 ± 10.3 |
Women | 87.1% (1133/1301) |
Dependents | 49.6% (637/1285) |
Working unit | |
Emergency department | 24.1% (314/1302) |
ICU | 30.4% (396/1302) |
Oncology | 22.7% (296/1302) |
Pediatrics | 22.7% (296/1302) |
Work shift | |
Morning | 20.8% (270/1300) |
Afternoon | 20.2% (263/1300) |
Night | 35.8% (466/1300) |
Rotating | 23.2% (301/1300) |
Specialized training | 20.8% (269/1291) |
Professional work experience (years) | 14.3 ± 9.9 |
Experience in current unit (years) | 8.1 ± 10.0 |
Weekly workload | |
<20 h | 8.6% (111/1286) |
20–40 h | 80.0% (1029/1286) |
>40 h | 11.4% (146/1286) |
Prior training in emotional management | 35.8% (463/1295) |
Perceived need for emotional management training | 97.1% (1260/1298) |
Has considered changing units | 49.8% (639/1283) |
Has considered changing professions | 25.5% (318/1247) |
Would choose the nursing profession again | 79.3% (1007/1270) |
Scale and Subscale | n | Prevalence (%) | 95% CI |
---|---|---|---|
Professional Quality of Life questionnaire | |||
Compassion Satisfaction | |||
Low | 242 | 18.6 | 16.5–20.7 |
Moderate | 685 | 52.6 | 48.9–55.3 |
High | 375 | 28.8 | 26.3–31.3 |
Burnout | |||
Low | 211 | 16.2 | 14.2–18.2 |
Moderate | 835 | 64.1 | 61.5–66.7 |
High | 256 | 19.7 | 17.5–21.7 |
Secondary traumatic stress | |||
Low | 156 | 12.0 | 10.2–13.8 |
Moderate | 672 | 51.6 | 48.9–54.3 |
High | 474 | 36.4 | 33.8–39.0 |
State-Trait Anxiety Inventory | |||
Trait anxiety | |||
Low | 683 | 52.9 | 50.2–55.6 |
Moderate | 515 | 39.9 | 37.2–42.6 |
High | 93 | 7.2 | 5.8–8.6 |
State anxiety | |||
Low | 544 | 42.0 | 39.3–44.7 |
Moderate | 597 | 46.1 | 43.4–48.8 |
High | 153 | 11.8 | 10.1–13.6 |
Characteristics | Low Compassion Satisfaction | High Burnout | High STS | |||
---|---|---|---|---|---|---|
Prevalence % (n/N) | ORa (95% CI) | Prevalence % (n/N) | ORa (95% CI) | Prevalence % (n/N) | ORa (95% CI) | |
Sex | ||||||
Women | 37.4% (424/1133) | 1 | ||||
Men | 29.8% (50/168) | 0.68 (0.47–0.8) | ||||
Work shift | ||||||
Morning | 22.6% (61/270) | 1 | 24.1% (65/270) | 1 | ||
Afternoon | 16.3% (43/263) | 0.67 (0.41–1.10) | 17.9% (47/263) | 0.58 (0.37–0.83) | ||
Night | 23.8% (111/466) | 1.08 (0.72–1.62) | 21.9% (102/466) | 0.80 (0.54–1.19) | ||
Rotating | 8.6% (26/301) | 0.36 (0.21–0.62) | 13.3% (10/301) | 0.50 (0.31–0.81) | ||
Weekly workload | ||||||
<20 h | 9.0% (10/111) | 1 | ||||
20–40 h | 21.1% (217/1029) | 0.81 (0.52–1.23) | ||||
>40 h | 17.8% (26/146) | 0.51 (0.29–0.89) | ||||
Emotional management training | ||||||
No | 21.8% (181/832) | 1 | ||||
Yes | 16.6% (74/463) | 0.66 (0.47–0.92) | ||||
Has considered transferring to another unit | ||||||
No | 12.0% (77/644) | 1 | 29.0% (187/644) | 1 | ||
Yes | 27.5% (175/639) | 1.99 (1.43–2.77) | 44.0% (281/639) | 1.46 (1.12–1.90) | ||
Has considered changing professions | ||||||
No | 12.8% (119/929) | 1 | 15.1% (140/929) | 1 | 31.0% (288/929) | 1 |
Yes | 36.8% (117/318) | 2.22 (1.56–3.18) | 34.0% (108/318) | 1.88 (1.31–2.69) | 51.9% (165/318) | 1.75 (1.28–2.40) |
Would choose the nursing profession again | ||||||
Yes | 11.0% (111/1007) | 1 | 15.5% (156/1007) | 1 | 32.1% (323/1007) | 1 |
No | 45.2% (119/236) | 0.22 (0.15–0.31) | 33.8% (89/263) | 0.59 (0.41–0.85) | 51.3% (135/263) | 0.58 (0.42–0.80) |
Characteristics | High State Anxiety | High Trait Anxiety | ||
---|---|---|---|---|
Prevalence % (n/N) | ORa (95% CI) | Prevalence % (n/N) | ORa (95% CI) | |
Working unit | ||||
Emergency department | 11.9% (37/311) | 1 | ||
Intensive care | 6.1% (24/392) | 0.43 (0.24–0.77) | ||
Oncology | 5.4% (16/297) | 0.50 (0.26–0.96) | ||
Pediatrics | 5.5% (93/1291) | 0.50 (0.26–0.97) | ||
Has considered transferring to another unit | ||||
No | 6.7% (43/640) | 1 | 4.2% (27/640) | 1 |
Yes | 16.4% (104/636) | 1.56 (1.02–2.38) | 10.3% (65/633) | 1.78 (1.04–3.05) |
Has considered changing professions | ||||
No | 7.5% (69/924) | 1 | 4.1% (41/921) | 1 |
Yes | 24.4% (77/315) | 2.20 (1.42–3.42) | 14.2% (45/316) | 2.10 (1.23–3.58) |
Would choose the nursing profession again | ||||
Yes | 7.5% (75/1001) | 1 | 5.1% (51/998) | 1 |
No | 26.8% (70/261) | 0.36 (0.23–0.55) | 15.3% (40/261) | 0.45 (0.27–0.77) |
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Arimon-Pagès, E.; Fernández-Ortega, P.; Fabrellas-Padrés, N.; Castro-García, A.M.; Canela-Soler, J. Dealing with Emotional Vulnerability and Anxiety in Nurses from High-Risk Units—A Multicenter Study. Int. J. Environ. Res. Public Health 2022, 19, 5569. https://doi.org/10.3390/ijerph19095569
Arimon-Pagès E, Fernández-Ortega P, Fabrellas-Padrés N, Castro-García AM, Canela-Soler J. Dealing with Emotional Vulnerability and Anxiety in Nurses from High-Risk Units—A Multicenter Study. International Journal of Environmental Research and Public Health. 2022; 19(9):5569. https://doi.org/10.3390/ijerph19095569
Chicago/Turabian StyleArimon-Pagès, Esther, Paz Fernández-Ortega, Núria Fabrellas-Padrés, Ana María Castro-García, and Jaume Canela-Soler. 2022. "Dealing with Emotional Vulnerability and Anxiety in Nurses from High-Risk Units—A Multicenter Study" International Journal of Environmental Research and Public Health 19, no. 9: 5569. https://doi.org/10.3390/ijerph19095569