Unit:
Faculty of MedicineLibrary of the School of Health Sciences
Author:
Mantzanas Michael
Dissertation committee:
Ιωάννης Καραβοκυρός, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Γεώργιος Ζωγράφος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Εμμανουήλ Πικουλής, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αθηνά Καλοκαιρινού, Καθηγήτρια, Τμήμα Νοσηλευτικής, ΕΚΠΑ
Σπυρίδων Στεργιόπουλος, Αναπληρωτής Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Κωνσταντίνος Τούτουζας, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος Θεοδώρου, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Παράγοντες που επηρεάζουν την ποιότητα του νοσηλευτικού έργου στο χειρουργικό ασθενή
Translated title:
Factors influencing the quality of nursing health care provided to the surgical patient
Summary:
Introduction: Nursing staff in hospitals work under increased pressure that can lead to health strain and physical and mental health disorders, thus affecting the health care they can provide to hospitalized patients.
Aim: The assessment of factors that can potentially affect the quality of nursing work. In particular, we assessed quality of life, fatigue, physical symptoms of stress, generalized anxiety disorder, depression, sleep quality and sleepiness in nursing staff. In addition, we investigated demographic characteristics, occupational characteristics and hospital characteristics that may influence these parameters.
Methods: We conducted a cross-sectional study with 755 employees of nursing staff in 11 hospitals in the first regional unit. Response rate was 83.9% (=755/900). A convenience sample was obtained and data collection was performed from July 2018 to June 2020. Study population included nursing staff in surgery rooms, surgery wards and emergency rooms. Data collection was performed with self-administrated questionnaires.
Results: The physical health of nursing staff was at the same level as the physical health of the general population, while the mental health of nursing staff was slightly better than the mental health of the general population. 30.3% were at a moderate level of fatigue and 23.4% were at a high level of fatigue. 24.2% had moderate symptoms of stress and 8.5% had severe symptoms of stress. 15.1% had a moderate likelihood of generalized anxiety disorder and 5% had a high likelihood. 11.4% had a moderate likelihood of depression and 6.4% had a high likelihood. 80.7% of the nursing staff had poor sleep quality and 25.4% had a high level of sleepiness. Female participants, participants with dependent elderly and unemployed in the family, participants with lower educational level, participants with more days of evening work in a month and more overtime hours in a week, and participants with a position of responsibility had worse quality of life, felt more fatigue, had more anxiety and depression, and had worse sleep quality. Nursing staff in hospitals with more emergency surgeries, more surgical beds and more regular surgeries had worse physical health and more stress.
Conclusions: Nursing staff experience moderate to high levels of fatigue, anxiety, depression, poor sleep quality and sleepiness. Therefore, there is a need to develop an appropriate framework of support for nursing staff in hospitals, so that they can meet the ever-increasing demands of the health care system.
Main subject category:
Health Sciences
Keywords:
Nursing staff, Quality of life, Fatigue, Anxiety, Depression,
Number of references:
165
