Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea

Namhee Oh, NamSoo Hong, Dong Hee Ryu, Sang Geun Bae, Sin Kam, Keon-Yeop Kim, Namhee Oh, NamSoo Hong, Dong Hee Ryu, Sang Geun Bae, Sin Kam, Keon-Yeop Kim

Abstract

Purpose: This study aimed to examine levels of stress and professionalism of nurses who provided nursing care during the 2015 Middle East respiratory syndrome outbreak based on their experience, to investigate the nurses' intention to respond to possible future outbreaks in relation to their experience during the outbreak, and to determine the relationship between the outbreak experience and nursing intention considering stress and professionalism.

Methods: A self-administered questionnaire was designed based on modifications of related questionnaires, and used to assess levels of stress, professionalism, and nursing intention according to participants' experiences during the outbreak. Multiple regression analysis was used to examine the relationship between the outbreak nursing experience and nursing intention considering stress and nursing professionalism.

Results: The overall stress, professionalism, and nursing intention scores for the firsthand experience group were 33.72, 103.00, and 16.92, respectively, whereas those of the secondhand experience group were 32.25, 98.99, and 15.60, respectively. There were significant differences in professionalism and nursing intention scores between the groups (p = .001 and p < .001, respectively). The regression analysis revealed that the regression estimate between stress and nursing intention was B(SE) = -0.08(0.02), beta = -0.21, p < .001 and the regression estimate between professionalism in nursing and nursing intention was B(SE) = 0.05(0.01), beta = 0.23, p < .001.

Conclusion: Prior outbreak nursing experience was importantly associated with intention to provide care for patients with a newly emerging infectious disease in the future considering stress and professionalism. Gathering information about nurses' experience of epidemics and regular assessment of job stress and professionalism are required.

Keywords: Middle East respiratory syndrome Coronavirus; emotional stress; intention; nurse; professionalism.

Copyright © 2017. Published by Elsevier B.V.

References

    1. Fauci A.S., Morens D.M. The perpetual challenge of infectious diseases. N Engl J Med. 2012;366:454–461. doi: 10.1056/NEJMra1108296.
    1. Chun B.C. Definition and management of the close contacts with Middle East respiratory syndrome cases: reflection and lessons in 2015 Korean outbreak. J Korean Med Assoc. 2015;58(8):692–699. doi: 10.5124/jkma.2015.58.8.692.
    1. Leong H., Earnest A., Lim H., Chin C., Tan C., Puhaindran M. SARS in Singapore – predictors of disease severity. Ann Acad Med Singap. 2006;35:326–331.
    1. European Centre for Disease Prevention and Control (ECDC) European Centre for Disease Prevention and Control; Stockholm: 2015. Severe respiratory disease associated with Middle East respiratory syndrome coronavirus [Internet] [cited 2016 Oct 27]. 16p. Available from: .
    1. Ki M. MERS outbreak in Korea: hospital-to-hospital transmission. Epidemiol Health. 2015;37 doi: 10.4178/epih/e2015033.
    1. Cowling B.J., Park M., Fang V.J., Wu P., Leung G.M., Wu J.T. Preliminary epidemiologic assessment of MERS-CoV outbreak in South Korea, May–June 2015. Euro Surveill. 2015;20(25):1–13. doi: 10.2807/1560-7917.es2015.20.25.21163.
    1. Wheeler H.H. A review of nurse occupational stress reasearch:1. BJN. 1997;6(11):642–645. doi: 10.12968/bjon.1997.6.11.642.
    1. Chen C.S., Wu H.Y., Yang P., Yen C.F. Psychological distress of nurses in Taiwan who worked during the outbreak of SARS. Psychiatr Serv. 2005;56:76–79. doi: 10.1176/appi.ps.56.1.76.
    1. Nour M.O., Babilghith A.O., Natto H.A., Al-Amin F.O., Alawneh S.M. Knowledge, attitude and practices of healthcare providers towards MERS-CoV infection at Makkah hospitals, KSA. Int Res J Med Med Sci. 2015;3(4):103–112. doi: 10.5455/ijmsph.2016.24012016345.
    1. Stone P., Mooney-Kane C., Larson E., Horan T., Glance L., Zwanziger J. Nurse working conditions and patient safety outcomes. Med Care. 2007;45(6):571–578. doi: 10.1097/mlr.0b013e3180383667.
    1. Medical Professionalism Project Medical professionalism in the new millennium: a physicians' charter. Lancet. 2002;359:520–522. doi: 10.1016/S0140-6736(02)07684-5.
    1. Vahey D.C., Aiken L.H., Sloane D.M., Clarke S.P., Vargas D. Nurse burnout and patient satisfaction. Med Care. 2004;42(Suppl. 2):II57–II66. doi: 10.1097/01.mlr.0000109126.50398.5a.
    1. DePrince A.P., Zurbriggen E.L., Chu A.T., Smart L. Development of the trauma appraisal questionnaire. J Aggress Maltreat Trauma. 2010;19(3):275–299. doi: 10.1080/10926771003705072.
    1. Korean Neuro-Psychiatric Association . Korean Neuro-Psychiatric Association; Seoul: 2015. Stress questionnaire for medical workers treated patients with MERS; 2015 [Internet] [cited 2016 Oct 27]. Available from: .
    1. Yeun E.J., Kwon Y.M., Ahn O.H. Development of nursing professional values scale. J Korean Acad Nurs. 2005;35(6):1091–1100. doi: 10.4040/jkan.2005.35.6.1091.
    1. Yoo H.R., Kwon B.E., Jang Y.S., Yoon H.K. Validity and reliability of an instrument for predictive nursing intention for SARS patient care. J Korean Acad Nurs. 2005;35(6):1063–1071. doi: 10.4040/jkan.2005.35.6.1063.
    1. Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50:179–211. doi: 10.1016/0749-5978(91)90020-T.
    1. Suwantarat N., Apisarnthanarack A. Risks to healthcare workers with emerging diseases: lessons from MERS-CoV, Ebola, SARS, and avian flu. Curr Opin Infect Dis. 2015;28(4):349–361. doi: 10.1097/QCO.0000000000000183.
    1. Wynd C.A. Current factors contributing to professionalism in nursing. J Prof Nurs. 2006;19(5):251–261. doi: 10.1016/S8755-7223(03)00104-2.
    1. Alexxander G.C., Wynia M.K. Ready and willing? Physicians' sense of preparedness for bioterrorism. Health Aff. 2003;22:189–197. doi: 10.1377/hlthaff.22.5.189.
    1. Choi S.P., Chung K., Pang S.M. Attributes of nursing work environment as predictors of registered nurses' job satisfaction and intention to leave. J Nurs Manag. 2013;21:429–439. doi: 10.1111/j.1365-2834.2012.01415.x.
    1. Grimes D.E., Mendias E.P. Nurses intentions to respond to bioterrorism and other infectious disease emergencies. Nurs Outlook. 2010;58(1):10–16. doi: 10.1016/j.outlook.2009.07.002.
    1. Celik S., Hisar F. The influence of the professionalism behavior of nurses working in health institutions on job satisfaction. Int J Nurs Pract. 2012;18:180–187. doi: 10.1111/j.1440-172X.2012.02019.x.
    1. Lambert V.A., Lambert C.E., Ito M. Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses. Int J Nurs Stud. 2004;41:85–97. doi: 10.1016/s0020-7489(03)00080-4.
    1. Stelfox H.T., Bates D.W., Redelmeier D.A. Safety of patients isolated for infection control. JAMA. 2003;290(14):1899–1905. doi: 10.1001/jama.290.14.1899.

Source: PubMed

3
購読する