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. 2024 Mar 15;28(1):124-134.
doi: 10.7812/TPP/23.117. Epub 2023 Nov 23.

Nurses' Experience After First Wave of COVID-19: Implications for a Trauma-Informed Workforce

Annie Lewis-O'Connor  1   2 , Pamela Brown Linzer  3 , Ellen Goldstein  4
Affiliations

Nurses' Experience After First Wave of COVID-19: Implications for a Trauma-Informed Workforce

Annie Lewis-O'Connor et al. Perm J. .

Abstract

Background: The COVID-19 pandemic impacted nurses worldwide, increasing their risk of burnout and compassion fatigue. Although the literature on nurse deployment has been limited, this study describes nurses' experience and assesses their professional quality of life after the first phase of the pandemic and redeployment efforts.

Methods: In 2020, nurses returning from their deployment to COVID-19 treatment units were invited to complete the Professional Quality of Life Survey and gather for debrief sessions, referred to as campfires, in which semistructured questions about their experiences were administered among clinical nurses and nurse leaders. Employing a mixed methods design, the authors conducted descriptive statistics for survey responses and inductive thematic analysis to identify emergent themes from open-ended questions.

Results: A total of 19 campfires were held with 278 nurse participants. Of the 278 participants, 220 completed surveys. Of these, 194 (88%) represented 30 nurse leaders and 164 staff nurses. The majority of surveyed nurses in both groups reported compassion satisfaction despite reporting moderate levels of burnout and secondary traumatic stress. Qualitative themes from campfires with clinical nurses and nurse leaders revealed similarities, such as concern for safety and lack of choices and transparency, although each group faced unique challenges.

Conclusions: Findings related to post deployment and adverse psychological health suggest that a trauma-informed approach (ie, staff autonomy, physical and psychological safety, transparency, offering choices, leveraging voices, and collaboration) by leaders could enhance a culture of wellness, build resilience, and mitigate empathic burnout and also proactively and strategically thinking about preventive measures for future catastrophic events.

Keywords: Covid-19; nurse; professional quality of life; staff wellness; trauma-informed care; workforce development.

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Conflict of interest statement

Conflict of InterestNone declared

References

    1. Mason DJ. 2020: The year of the nurse and midwife. J Urban Health. 2020;97(6):912–915. 10.1007/s11524-020-00470-6 - DOI - PMC - PubMed
    1. Cucinotta D, Vanelli M. WHO declares COVID-19 a pandemic. Acta Biomed. 2020;91(1):157–160. 10.23750/abm.v91i1.9397 - DOI - PMC - PubMed
    1. Centers for Disease Control and Prevention . Current Hospital Capacity Estimates – Snapshot: Centers for Disease Control and Prevention; [updated August 16, 2022]. 2021. Accessed 22 April 2021. Centers for Disease Control and Prevention
    1. Centers for Disease Control and Prevention . 1918 Pandemic (H1N1 virus): Centers for Disease Control and Prevention; [updated March 20, 2019]. 2019. Accessed 23 June 2023. https://www.cdc.gov/flu/pandemic-resources/1918-pandemic-h1n1.html
    1. World Health Organization . WHO Coronavirus (COVID-19) Dashboard: World Health Organization; [updated August 9, 2023]. 2023. Accessed 27 May 2023. https://covid19.who.int/

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