The influence of anxiety and depression on critical care nurses' performance: A multicenter correlational study.

IF 2.6 3区 医学 Q2 CRITICAL CARE MEDICINE
Australian Critical Care Pub Date : 2025-01-01 Epub Date: 2024-05-25 DOI:10.1016/j.aucc.2024.04.008
Sameer A Alkubati, Salman H Alsaqri, Gamil G Alrubaiee, Mokhtar A Almoliky, Talal Al-Qalah, Eddieson Pasay-An, Habib Almeaibed, Shimmaa M Elsayed
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引用次数: 0

Abstract

Background: Anxiety and depression among critical care nurses (CCNs) negatively affect performance because of association with clinical medical errors, ineffective communication, absenteeism from work, and burnout.

Objectives: The aim of this study was to investigate the prevalence of anxiety and depression and their associated factors as well as their impact on the CCNs' performance in Hail city, Saudi Arabia.

Methods: A cross-sectional correlational study was conducted among 262 CCNs from April to June 2023.

Results: The mean scores of anxiety and depression were significantly higher among male and Saudi CCNs than among their counterparts (p < 0.05). CCNs caring for patients in a ratio of 1:5 or more had significantly higher anxiety scores than those with lower nurse-to-patient ratios (p = 0.004). CCNs who were working night shifts had significantly higher mean scores of anxiety (p = 0.005) and lower mean scores of performance (p = 0.041) than their counterparts. Borderline anxiety and depression were prevalent among 43.1% and 38.5% of CCNs, respectively. In contrast, abnormal anxiety and depression were prevalent among 8.8% and 5.7% of CCNs, respectively. CCNs' mental, general, and total performance showed a significant negative correlation with both anxiety ([r = -0.247, p <0.001], [r = -0.183, p = 0.003], and [r = -0.172, p = 0.005], respectively) and depression (r = -0.287, p <0.001), (r = -0.207, p <0.001), and (r = -0.180, p = 0.003), respectively.

Conclusions: Anxiety and depression levels are significantly higher among male, Saudi CCNs, higher nurse-to-patient ratios, those who work night shifts than among their counterparts. Less than half of CCNs experience borderline anxiety and/or depression that had significantly negative correlation with their performance. Anxiety and depression in shift nurses may be treated by reducing workload, causes of stress during night shifts, and giving practical coping mechanisms for typical nurse job pressures.

焦虑和抑郁对重症监护护士工作表现的影响:一项多中心相关研究。
背景:危重症护理护士(CCNs)的焦虑和抑郁与临床医疗失误、无效沟通、旷工和职业倦怠有关,会对工作表现产生负面影响:本研究旨在调查沙特阿拉伯海尔市重症监护护士焦虑和抑郁的发生率及其相关因素,以及它们对重症监护护士工作表现的影响:方法:在 2023 年 4 月至 6 月期间对 262 名社区护士进行了一项横断面相关研究:结果:男性和沙特籍社区护士的焦虑和抑郁平均得分明显高于同龄人(P < 0.05)。护理患者比例为 1:5 或以上的社区护士的焦虑得分明显高于护理患者比例较低的护士(p = 0.004)。与夜班护士相比,夜班护士的焦虑平均得分明显更高(p = 0.005),工作表现平均得分更低(p = 0.041)。分别有 43.1%和 38.5%的社区护士患有边缘焦虑症和抑郁症。相比之下,异常焦虑和抑郁在 CCN 中分别占 8.8%和 5.7%。CCN的精神、综合和总体表现与焦虑([r = -0.247,p 结论:[r = -0.247,p 结论:[r = -0.247,p 结论:[r = -0.247,p 结论:[r = -0.247,p男性、沙特籍、护士与病人比例较高、上夜班的护理人员的焦虑和抑郁水平明显高于其他护理人员。不到一半的轮班护士有边缘焦虑和/或抑郁,这与他们的工作表现呈显著负相关。轮班护士的焦虑和抑郁可通过减少工作量、夜班压力的原因以及针对典型的护士工作压力提供实用的应对机制来治疗。
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来源期刊
Australian Critical Care
Australian Critical Care NURSING-NURSING
CiteScore
4.90
自引率
9.10%
发文量
148
审稿时长
>12 weeks
期刊介绍: Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.
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