Properties of moral distress experienced by Canadian intensive care unit nurses during the COVID-19 pandemic: An interpretive descriptive study

Abstract

Background & Purpose: In response to the multitude of ethical issues that arise in the delivery of care provided in intensive care units (ICUs), nurses working in this setting frequently experience moral distress. The properties of moral distress have been well defined. However, within the context of the coronavirus-disease 2019 (COVID-19) pandemic, less is known about the properties of moral distress experienced by ICU nurses. This subsequently affects the advancement of our knowledge,

Antecedents of burnout and turnover intentions during the COVID-19 pandemic in critical care nurses: A mediation study

Abstract

Background: Nurses working in critical care environments have experienced a great deal of psychological stress during the successive waves of the COVID-19 pandemic. Identifying factors which contribute to burnout and turnover intentions are important to retain intensive care unit (ICU) nurses.

Purpose: The purpose of this study is to identify factors that are directly and indirectly associated with burnout and turnover intentions in ICU nurses.

Methods: A cross-sectional design was used with survey data during the peak of the second wave of the COVID-19 pandemic.

“We were treading water.” Experiences of healthcare providers in Canadian ICUs during COVID-19 visitor restrictions: A qualitative descriptive study.

ABSTRACT

Purpose: To explore and describe the impact of COVID-19 restrictive visitation policies on healthcare providers (HCPs) and to identify ongoing challenges and pragmatic solutions that could inform recommendations for patient and family-centered care (PFCC) in the ICU during pandemic conditions. 

Methods: We conducted a qualitative descriptive study within a constructivist paradigm. We used two sources of data collected simultaneously: semi-structured interviews conducted remotely via video or phone and written comments gathered through open-ended response boxes in a questionnaire to explore the perspectives of HCPs working in Canadian ICUs during visitor restrictions resulting from the first wave of COVID-19.

Canadian intensive care nurses’ infection prevention and control adherence and institutional trust: An update 1-year into the pandemic

ABSTRACT

BACKGROUND: Nurses are key healthcare workers whose adherence to infection prevention and control (IPC) measures is integral to the prevention of nosocomial spread of SARS-COV-2. Institutional trust is an important correlate of adherence. After initially surveying nurses early in 2020, we sought to evaluate how perceptions of IPC measures and institutional trust changed one year into the pandemic.

METHODS: We adapted an internationally distributed cross-sectional questionnaire, incorporating validated scales for items including institutional trust,

CJCCN, Volume 31, Number 3, Winter 2020

Editorial
To our Canadian Association of Critical Care Nurses Members and Canadian Journal of Critical Care Nursing™ Readership,

Over the past year, the editorial team in collaboration with the editorial review board and the national board of directors of the Canadian Association of Critical Care Nurses (CACCN), have had many conversations regarding the Canadian Journal of Critical Care Nursing™ (CJCCN). Our aim has been to ensure that the CJCCN continues to be a major vehicle for critical care nursing scholarship and knowledge dissemination in Canada and internationally.