Tingkat Kecemasan Perawat ICU Dimasa Pandemi COVID-19 : Literature Review

At the beginning of 2020, the whole world was shocked by the emergence of a new irus, namely the coronavirus (SARS-CoV-2). The high rate of transmission of COVID-19 has resulted in a psychological impact on ICU nurses, one of which is anxiety. They are faced with mental health risks such as fear or anxiety if they carry a virus that endangers family or friends and are afraid of being infected. To identify the anxiety of ICU nurses during the Covid-19 pandemic. It is a literature review. The process was by searching articles in two databases; PubMed and ScienceDirect. The searching used Critical Care Nurse, COVID-19 pandemic and anxiety as the keywords. There were 5 articles in inclusive and exclusive criteria and meet the critical review with the JBI (The Joanna Briggs Institute) instrument. The results stated from the total samples 1.353, there was 45,8 % of ICU nurse ere in anxiety during COVID-19 pandemic. This pandemic has an impact on nurses’ mental health, especially for ICU nurses. During the current COVID-19 pandemic, it is very important to pay attention to the mental health condition of nurses, especially ICU nurses. It suggested for them to see a psychiatrist or psychologist to recognizze their mental conditons so as to reduce anxiety levels.Keywords : Anxiety; COVID-19 Pandemic; ICU Nurse AbstrakPada awal tahun 2020, diseluruh dunia digemparkan dengan munculnya virus baru yaitu coronavirus (SARS-CoV-2). Tingginya tingkat penularan COVID-19 ini mengakibatkan dampak psikologis pada perawat ICU salah satunya adalah kecemasan. Perawat yang bekerja di ICU di saat pandemi ini dihadapkan dengan resiko kesehatan mental mereka seperti takut atau cemas membawa virus dan membahayakan keluarga atau teman sejawat serta takut terinfeksi. Untuk mengidentifikasi kecemasan perawat ICU dimasa pandemi Covid-19. Metode penelitian yang digunakan adalah literature review dengan mencari artikel dari dua data base yaitu PubMed dan ScienceDirect. Pencarian dilakukan dengan menggunakan kata kunci “Critical Care Nurse” AND “COVID-19 Pandemic” AND “anxiety”. Terdapat lima artikel yang memenuhi kriteria inklusi dan ekslusi penelitian, serta memenuhi telaah kritis dengan instrumen JBI (The Joanna Briggs Institute). Hasil dari penelitian ini menunjukan bahwa dari beberapa perawat dengan total sampel 1.353 terdapat 45,8% perawat ICU mengalami kecemasan selama pandemi COVID-19. Pandemi COVID – 19 ini memberikan dampak kesehatan mental perawat khususnya pada perawat ICU. Dimasa pandemi COVID-19 seperti saat ini, pentingnya memperhatikan kondisi kesehatan mental perawat khususnya perawat ICU. Seperti bertemu dengan psikater/ psikolog untuk mengenali kondisi mental perawat khususnya dengan gejala kecemasan dapat mengurangi tingkat kecemasan yang terjadi.Kata kunci : Kecemasan; Pandemi COVID-19; Perawat ICU

Critical Care Nurse Burnout in Veterans Health Administration: Relation to Clinician and Patient Outcomes

Background Critical care nurses have a burnout rate among the highest of any nursing field. Nurse burnout may impact care quality. Few studies have considered how temporal patterns may influence outcomes. Objective To test a longitudinal model of burnout clusters and associations with patient and clinician outcomes. Methods An observational study analyzed data from annual employee surveys and administrative data on patient outcomes at 111 Veterans Health Administration intensive care units from 2013 through 2017. Site-level burnout rates among critical care nurses were calculated from survey responses about emotional exhaustion and depersonalization. Latent trajectory analysis was applied to identify clusters of facilities with similar burnout patterns over 5 years. Regression analysis was used to analyze patient and employee outcomes by burnout cluster and organizational context measures. Outcomes of interest included patient outcomes (30-day standardized mortality rate and observed minus expected length of stay) for 2016 and 2017 and clinician outcomes (intention to leave and employee satisfaction) from 2013 through 2017. Results Longitudinal analysis revealed 3 burnout clusters among the 111 sites: low (n = 37), medium (n = 68), and high (n = 6) burnout. Compared with sites in the low-burnout cluster, those in the high-burnout cluster had longer patient stays, higher employee turnover intention, and lower employee satisfaction in bivariate models but not in multivariate models. Conclusions In this multiyear, multisite study, critical care nurse burnout was associated with key clinician and patient outcomes. Efforts to address burnout among nurses may improve patient and employee outcomes.

Integrating Palliative Care Into Heart Failure Management

Background The World Health Organization defines palliative care as an approach that improves the quality of life of patients and their families through the prevention and relief of suffering by assessment and treatment of physical, psychosocial, and spiritual problems. Any patient with chronic debilitating disease, including heart failure, is a candidate for interdisciplinary palliative care to manage their complex physical and psychosocial needs. Clinical Relevance The philosophy of palliative care has evolved to include a vision of holistic care extended to all individuals with serious illness and their families or caregivers that should be integrated throughout the continuum of care, including the acute phase. The critical care nurse will likely encounter patients with heart failure who are receiving or are eligible to receive palliative care at various time points during their illness. Critical care nurses therefore play a pivotal role in symptom palliation affecting the heart failure patient’s quality of life. Purpose To review the models of palliative care and the role that the critical care nurse plays in symptom palliation and preparation of the patient and their family for transition to other levels and settings of care. Content Covered This review addresses the principles and models of palliative care along with how to integrate these principles into all phases of the heart failure disease continuum. Also included are recommendations for palliation of symptoms specific to heart failure patients as well as a discussion of the role of the critical care nurse and the importance of shared decision-making.