Work-related stress: the impact of COVID-19 on critical care and redeployed nurses: a mixed-methods study

Rattray, J., McCallum, L. , Hull, A., Ramsay, P., Salisbury, L., Scott, T., Cole, S., Miller, J. and Dixon, D. (2021) Work-related stress: the impact of COVID-19 on critical care and redeployed nurses: a mixed-methods study. BMJ Open, 11(7), e051326. (doi: 10.1136/bmjopen-2021-051326) (PMID:34226238) (PMCID:PMC8260305)

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Abstract

We need to understand the impact of COVID-19 on critical care nurses (CCNs) and redeployed nurses and National Health Service (NHS) organisations. This is a mixed-methods study (QUANT-QUAL), underpinned by a theoretical model of occupational stress, the Job Demand-Resources Model (JD-R). Participants are critical care and redeployed nurses from Scottish and three large English units.Phase 1 is a cross-sectional survey in part replicating a pre-COVID-19 study and results will be compared with this data. Linear and logistic regression analysis will examine the relationship between antecedent, demographic and professional variables on health impairment (burnout syndrome, mental health, post-traumatic stress symptoms), motivation (work engagement, commitment) and organisational outcomes (intention to remain in critical care nursing and quality of care). We will also assess the usefulness of a range of resources provided by the NHS and professional organisations.To allow in-depth exploration of individual experiences, phase 2 will be one-to-one semistructured interviews with 25 CCNs and 10 redeployed nurses. The JD-R model will provide the initial coding framework to which the interview data will be mapped. The remaining content will be analysed inductively to identify and chart content that is not captured by the model. In this way, the adequacy of the JD-R model is examined robustly and its expression in this context will be detailed. Ethics approval was granted from the University of Aberdeen CERB2020101993. We plan to disseminate findings at stakeholder events, publish in peer-reviewed journals and at present at national and international conferences. [Abstract copyright: © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.]

Item Type:Articles
Keywords:COVID-19, adult intensive and critical care, qualitative research.
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:McCallum, Dr Louise
Authors: Rattray, J., McCallum, L., Hull, A., Ramsay, P., Salisbury, L., Scott, T., Cole, S., Miller, J., and Dixon, D.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
Journal Name:BMJ Open
Publisher:BMJ Publishing Group
ISSN:2044-6055
ISSN (Online):2044-6055
Published Online:05 July 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in BMJ Open 11(7): e051326
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
312100Work-related stress: the impact of Covid-19 on Critical Care and Redeployed Nurses.Carol Louise McCallumNational Institute for Health Research (NIHR)NIHR132068Med - Nursing & Healthcare