PERCEIVED RESILIENCE AND PATIENT SAFETY OF DUTCH NURSING STAFF DURING THE COVID-19 PANDEMIC

Wytske M A Meekes, C. Schlinkert, H. D. Van Tuyl, Anke J. E. de Veer, C. Wagner
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Abstract

Background: The COVID-19 pandemic imposed enormous challenges for healthcare professionals. Nursing staff had to work under psychological pressure to maintain patient safety. Resilience has proven to be a protective psychological health factor that can safeguard healthcare professionals’ mental health and well-being during healthcare crises. The state of resilience among Dutch healthcare professionals is not yet known. Objective: This study investigated perceived resilience and perception of patient safety during the COVID-19 pandemic among Dutch nursing staff. Additionally, individual differences in resilience were examined in relation to patient safety. Method: An online survey about resilience and patient safety was sent to 2,611 members of the Dutch Nursing Staff Panel in June 2021, after the third wave of the COVID-19 pandemic in the Netherlands. Results: 884 certified nursing staff professionals completed the survey (33% response rate). Nursing staff considered themselves resilient with a positive perception of patient safety within their organization. Factors that influenced resilience were education, age, part-time employment, experiences with treating patients with a COVID-19 infection, and having suffered from a COVID-19 infection. Nursing staff who perceived higher resilience reported to act more flexible during their work, to encounter more unexpected situations and they found that working according protocols and guidelines had improved during the pandemic. Discussion: The results show a more positive pattern compared to other European countries. In the Netherlands, nursing staff considered themselves as highly resilient. Conclusions: Resilient healthcare professionals report to be better able to handle crises such as the COVID-19 pandemic. Optimally, strengthening individual resilience for the healthcare organization may secure the patient safety of health care in the future.
2019冠状病毒病大流行期间荷兰护理人员的复原力和患者安全
背景:2019冠状病毒病大流行给医护人员带来了巨大挑战。护理人员不得不在心理压力下工作,以维护病人的安全。弹性已被证明是一种保护性的心理健康因素,可以在医疗危机期间保障医疗保健专业人员的心理健康和福祉。荷兰医疗保健专业人员的复原力状况尚不清楚。目的:研究荷兰护理人员在COVID-19大流行期间的感知弹性和患者安全感知。此外,恢复力的个体差异与患者安全的关系进行了检查。方法:在荷兰第三波COVID-19大流行之后,于2021年6月向荷兰护理人员小组的2611名成员发送了一份关于恢复力和患者安全的在线调查。结果:884名持证专业护理人员完成调查,回复率33%。护理人员认为自己具有弹性,对组织内的患者安全有积极的看法。影响复原力的因素包括教育程度、年龄、兼职工作、治疗COVID-19感染患者的经历以及是否感染过COVID-19。认为复原力较高的护理人员报告说,他们在工作中行动更加灵活,遇到更多意外情况,他们发现,在大流行期间,根据协议和准则开展工作的情况有所改善。讨论:与其他欧洲国家相比,结果显示出更积极的模式。在荷兰,护理人员认为自己具有很强的适应力。结论:有韧性的医疗保健专业人员报告说,他们能够更好地应对COVID-19大流行等危机。最理想的是,加强医疗保健组织的个人弹性可以确保未来医疗保健的患者安全。
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