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. 2022 Nov 29:10:1066667.
doi: 10.3389/fpubh.2022.1066667. eCollection 2022.

The impact of caring for COVID-19 patients on nurse professional identity: A cross-sectional study using propensity score analysis

Lai Kun Tong  1 , Ming Xia Zhu  2 , Si Chen Wang  2 , Pak Leng Cheong  2 , Iat Kio Van  2
Affiliations

The impact of caring for COVID-19 patients on nurse professional identity: A cross-sectional study using propensity score analysis

Lai Kun Tong et al. Front Public Health. .

Abstract

Objective: To examine the impact of caring for COVID-19 patients on the professional identity of nurses.

Methods: An online survey was conducted between 19 May and 7 August 2020 in 11 Chinese cities, including Dongguan, Foshan, Guangzhou, Hong Kong, Huizhou, Jiangmen, Macao, Shenzhen, Zhaoqing, Zhongshan, and Zhuhai. Propensity score matching was used to adjust for confounding variables between nurses with and without experience caring for COVID-19 patients. To analyze the impact of caring for COVID-19 patients on nurses' professional identity, a nominal logistic regression model was used rather than an ordinal regression model because the parallel regression assumption was violated.

Results: After propensity score matching, the final sample contained 1,268 participants, including 634 nurses who cared for COVID-19 patients. During the COVID-19 outbreak, 88.6% of nurses had high levels of professional identity. Nurses who cared for COVID-19 patients had the lowest percentage of high score level on the professional identity subscale for "sense of organizational influence," as did nurses who did not care for COVID-19 patients. The findings indicated that nurses who cared for COVID-19 patients were 17.95 times more likely to have a high professional identity than a low professional identity (95% CI 2.38-135.39, p = 0.005), after completely controlling for the other factors. There were significant differences between nurses who cared for COVID-19 patients and those who did not in scores on the subscales of professional identity, except for the subscales "sense of self-decision-making" (χ2 = 4.85, p = 0.089) and "sense of organizational influence" (χ2 = 4.71, p = 0.095).

Conclusion: Nurses' professional identity is positively impacted by their experience caring for COVID-19 patients. Caring for COVID-19 patients should be highlighted as an opportunity to enhance nurses' professional identity. To further enhance the professional identity of nurses, we call for visible nursing leadership during the COVID-19 pandemic and improve their working environment.

Keywords: COVID-19 pandemic; COVID-19 patient; nurse; professional identity; propensity score matching.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Figures

Figure 1
Figure 1
Flowchart of nurses inclusion.
See this image and copyright information in PMC

References

    1. Al Maqbali M, Al Sinani M, Al-Lenjawi B. Prevalence of stress, depression, anxiety and sleep disturbance among nurses during the Covid-19 pandemic: a systematic review and meta-analysis. J Psychosom Res. (2021) 141:110343. 10.1016/j.jpsychores.2020.110343 - DOI - PMC - PubMed
    1. Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Nurses' burnout and associated risk factors during the Covid-19 pandemic: a systematic review and meta-analysis. J Adv Nurs. (2021) 77:3286–302. 10.1111/jan.14839 - DOI - PMC - PubMed
    1. International Council of Nurses . International Council of Nurses Covid-19 Update. Geneva: International Council of Nurses (2021). Available online at: https://www.icn.ch/sites/default/files/inline-files/ICN%20COVID19%20upda.... (accessed July 10, 2021).
    1. Nashwan AJ, Abujaber AA, Villar RC, Nazarene A, Al-Jabry MM, Fradelos EC. Comparing the impact of Covid-19 on nurses' turnover intentions before and during the pandemic in Qatar. J Personal Med. (2021) 11:456. 10.3390/jpm11060456 - DOI - PMC - PubMed
    1. Buchan J, Catton H. Covid-19 and the International Supply of Nurses: Report for the International Council of Nurses. Geneva: International Council of Nurses; (2020).

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