νοσηλευτές, εργασιακή ικανοποίηση, στρες, φόβος, Ελλάδα
Ασφαλιστικοί φορείς-Δομές υποστήριξης-ΓΧΝ32
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Περίληψη vi Abstract vii Περιεχόμενα viii Κατάλογος Γραφημάτων x Κατάλογος Πινάκων xii Συντομογραφίες & Ακρωνύμια xiii Α. ΘΕΩΡΗΤΙΚΟ ΜΕΡΟΣ 14 ΕΙΣΑΓΩΓΗ 14 1. ΚΕΦΑΛΑΙΟ: Η ικανοποίηση του νοσηλευτικού προσωπικού από την εργασία 18 2. ΚΕΦΑΛΑΙΟ: Νοσηλευτές εν καιρώ πανδημίας 26 3. ΚΕΦΑΛΑΙΟ: Η διεύρυνση των καθηκόντων του νοσηλευτή και η επίδραση στο σύστημα υγείας 32 4. ΚΕΦΑΛΑΙΟ: Βιβλιογραφική ανασκόπηση σημαντικότερων ερευνών 36 4.1. Εργασιακή ικανοποίηση 36 4.2. Φόβος και στρες για COVID-19 41 Β. ΕΡΕΥΝΗΤΙΚΟ ΜΕΡΟΣ 50 5. ΚΕΦΑΛΑΙΟ: ΜΕΘΟΔΟΛΟΓΙΑ ΕΡΕΥΝΑΣ 50 5.1. Σκοπός και ερευνητικά ερωτήματα 50 5.2. Σχεδιασμός έρευνας 50 5.3. Εργαλείο έρευνας 51 5.4. Δείγμα έρευνας 52 5.5. Ανάλυση δεδομένων 53 5.6. Ηθική και δεοντολογία 54 6. ΚΕΦΑΛΑΙΟ: ΑΠΟΤΕΛΕΣΜΑΤΑ 55 6.1. Περιγραφική Στατιστική 55 6.1.1. Δημογραφικά και εργασιακά στοιχεία 55 6.1.2. Εργασιακή Ικανοποίηση 58 6.1.3. Στρες 59 6.1.3.1. Συνθήκες εργασίας 59 6.1.3.2. Λειτουργικότητα – επίπεδο εργασίας 61 6.1.3.3. Περιβάλλον εργασίας – σχέσεις με τη διοίκηση και τους συναδέλφους 63 6.1.3.4. Οικονομική κρίση 64 6.1.3.5. Προσωπικά χαρακτηριστικά 65 6.1.3.6. Εξωτερικοί παράγοντες 67 6.1.4. Φόβος για τον Covid-19 68 6.1.4.1. Στιγματισμός 68 6.1.4.2. Κοινωνική απόσταση 70 6.1.4.3. Φόβος μόλυνσης 72 6.2. Επαγωγική Στατιστική 73 6.2.1. Έλεγχος διαφορών ως προς τα δημογραφικά χαρακτηριστικά 73 6.2.2. Συσχέτιση μεταξύ εργασιακής ικανοποίησης και στρες 95 6.2.3. Συσχέτιση μεταξύ εργασιακής ικανοποίησης και φόβου έναντι του Covid-19 98 6.2.4. Συσχέτιση μεταξύ στρες και φόβου έναντι του Covid-19 99 7. ΚΕΦΑΛΑΙΟ: ΣΥΖΗΤΗΣΗ-ΣΥΜΠΕΡΑΣΜΑΤΑ 101 7.1. Συζήτηση 101 7.2. Συμπεράσματα 103 7.3. Περιορισμοί 104 7.4. Προτάσεις για μελλοντική έρευνα 105 ΒΙΒΛΙΟΓΡΑΦΙΑ 106 ΠΑΡΑΡΤΗΜΑ Α 118 Ερωτηματολόγιο 118 ΠΑΡΑΡΤΗΜΑ B 124
ΒΙΒΛΙΟΓΡΑΦΙΑ Abad-Jorge, A., & Butcher, M. F. (2016). Job satisfaction and professional characteristics of registered dietitians. Topics in Clinical Nutrition, 31(2), 134-146. Abdoli, N., Farnia, V., Jahangiri, S., Radmehr, F., Alikhani, M., Abdoli, P., ... & Brand, S. (2021). Sources of Sleep Disturbances and Psychological Strain for Hospital Staff Working during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18, 6289. Adler, N. R., Adler, K. A., & Grant-Kels, J. M. (2017). Doctors' mental health, burnout, and suicidality: professional and ethical issues in the workplace. Journal of the American Academy of Dermatology, 77(6), 1191-1193. Akhtar, N., Awan, A. W. A., Anwar, M. A., Saeed, S., Ali, S., & Qurban, M. (2016). Impact of job satisfaction and remuneration on turnover intention: A survey of private schools of Okara, Pakistan. International Review of Management and Business Research, 5(2), 653-675. Al, Z. L. G., Lim, A. K., Chan, C. M., & Piaw, C. Y. (2020). Factors influencing nurses’ intention to leave and intention to stay: an integrative review. Home Health Care Management and Practice, 32, 218–228 Al‐Hamdan, Z., Manojlovich, M., & Tanima, B. (2017). Jordanian nursing work environments, intent to stay, and job satisfaction. Journal of Nursing Scholarship, 49(1), 103-110. Al Maqbali, M. A. (2015). Factors That Influence Nurses' Job Satisfaction: A Literature Review. Nursing Management, 22(2), 30-37. https://doi.org/10.7748/nm.22.2.30.e1297 Al-Mhasnah, A., Salleh, F., Afthanorhan, A., & Ghazali, P. J. M. S. L. (2018). The relationship between services quality and customer satisfaction among Jordanian healthcare sector. Management Science Letters, 8(12), 1413-1420. Al-Tammemi, A. A. B. (2020). The battle against COVID-19 in Jordan: an early overview of the Jordanian experience. Frontiers in public health, 8, 188. Allen, N. J., & Meyer, J. P. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1, 61-89. https://doi.org/10.1016/1053-4822(91)90011-Z Alshmemri, M., Shahwan-Akl, L., & Maude, P. (2017). Herzberg’s two-factor theory. Life Science Journal, 14(5), 12-16. Asegid, A., Belachew, T., & Yimam, E. (2014). Factors influencing job satisfaction and anticipated turnover among nurses in Sidama Zone public health facilities, South Ethiopia. Nursing Research and Practice, 909768. https://doi.org/10.1155/2014/909768 Bagcchi, S. (2020). Stigma during the COVID-19 pandemic. The Lancet Infectious Diseases, 20(7), 782. Bahram, H., Hasan, G., Mohammad, H., Hasan, C., & Alireza, G. (2015). A Survey of nurses' perceptions of the causes of medication errors and barriers to reporting in hospitals affiliated to Neyshabur University of Medical Sciences, Iran. Journal of Kerman University of Medical Sciences, 21(1), 105-111. Bakewell, F., Pauls, M. A., & Migneault, D. (2020). Ethical considerations of the duty to care and physician safety in the COVID-19 pandemic. CJEM, 22(4), 407–410. Barello, S., Falcó-Pegueroles, A., Rosa, D., Tolotti, A., Graffigna, G., & Bonetti, L. (2020). The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review. International journal of public health, 65(7), 1205-1216. Broetje, S., Jenny, G. J., & Bauer, G. F. (2020). The key job demands and resources of nursing staff: An integrative review of reviews. Frontiers in psychology, 11. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence. The lancet, 395(10227), 912-920. Buchan, J., & Catton, H. (2020). COVID-19 and the international supply of nurses: Report for the international council of nurses. I. C. O. Nurses. Available at: https://www.icn.ch/system/files/documents/2020-07/COVID19_internationalsupplyofnurses_Report_FINAL.pdf Cabarkapa, S., Nadjidai, S. E., Murgier, J., & Ng, C. H. (2020). The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain, behavior, & immunity-health, 8, 100144. Çamveren, H., Arslan Yürümezoglu, H. & Kocaman, G. (2020). Why doyoung nurses leave their organization? A qualitative descriptive study. International Nursing Review,67,519–52. Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Canadas, G. R., & Emilia, I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240–249 Caricati, L., Sala, R. L., Marletta, G., Pelosi, G., Ampollini, M., Fabbri, A., ... & Mancini, T. (2014). Work climate, work values and professional commitment as predictors of job satisfaction in nurses. Journal of nursing management, 22(8), 984-994. Chakravorty, I., Daga, S., Dave, S., Chakravorty, S., Menon, G., Bhala, N., ... & Bamrah, J. S. (2020). An online survey of healthcare professionals in the COVID-19 Pandemic in the UK. Sushruta Journal of Health Policy & Opinion, 13(2). Chan, A. O., & Huak, C. Y. (2004). Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium size regional general hospital in Singapore. Occupational medicine, 54(3), 190-196. Chan, M. F., Leong, S. M., Luk, A. L., Yeung, S. M., & Van, I. K. (2010). Exploring the profiles of nurses' job satisfaction in Macau: Results of a cluster analysis. Journal of Clinical Nursing, 19(3-4), 470-478. Chang, D. E., Xu, H., Rebaza, A., Sharma, L., & Dela Cruz, C. S. (2020). Protecting health-care workers from subclinical coronavirus infection. The Lancet Respiratory Medicine, 8(3), e13. Chen, Q., Liang, M., Li, Y., Guo, J., Fei, D., Wang, L., He, L., Sheng, C., Cai, Y., Li, X., Wang, J., & Zhang, Z. (2020). Mental health care for medical staff in China during the COVID-19 outbreak. The Lancet Psychiatry, 7(4), e15–e16. Chen, X., Huang, C., Wang, H., Wang, W., Ni, X., & Li, Y. (2021). Negative emotion arousal and altruism promoting of online public stigmatization on COVID-19 pandemic. Frontiers in Psychology, 1848. Chevalier, S., Fouquereau, E., Bénichoux, F., & Colombat, P. (2019). Beyond working conditions, psychosocial predictors of job satisfaction, and work engagement among French dentists and dental assistants. Journal of Applied Biobehavior Research, 24, e12152. https://doi.org/10.1111/jabr.12152 Chew, N. W., Lee, G. K., Tan, B. Y., Jing, M., Goh, Y., Ngiam, N. J., ... & Sharma, V. K. (2020). A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, behavior, and immunity, 88, 559-565. Chien, W., & Yick, S. (2016). An investigation of nurses' job satisfaction in a private hospital and its correlates. The Open Nursing Journal, 10, 99-112. https://doi.org/10.2174/1874434601610010099 Choi, S. P. P., Cheung, K. I. N., & Pang, S. M. C. (2013). Attributes of nursing work environment as predictors of registered nurses’ job satisfaction and intention to leave. Journal of nursing management, 21(3), 429-439. Chou, R., Dana, T., Buckley, D. I., Selph, S., Fu, R., & Totten, A. M. (2020). Epidemiology of and risk factors for coronavirus infection in health care workers: a living rapid review. Annals of internal medicine, 173(2), 120-136. Christodoulou-Fella, M., Middleton, N., Papathanassoglou, E. D., & Karanikola, M. N. (2017). Exploration of the association between nurses' moral distress and secondary traumatic stress syndrome: Implications for patient safety in mental health services. BioMed Research International, 2017, 1–19 Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2013). Nurse staffing, burnout, and healthcare-associated infection. American Journal of Infection Control, 40, 486-490. https://doi.org/10.1016/j.ajic.2012.02.029 CIPD (2021, November). Employee turunover and retention - Learn how to measure turnover and retention, and understand why people leave organisations. Retrieved from https://www.cipd.co.uk/knowledge/strategy/resourcing/turnover-retention-factsheet#gref Cohen, G., Blake, R. S., & Goodman, D. (2015). Does turnover intention matter? Evaluating the usefulness of turnover intention rate as a predictor of actual turnover rate. Review of Public Personnel Administration, 36(3), 240-263. https://doi.org/10.1177/0734371X15581850 Coşkun Şimşek, D., & Günay, U. (2021). Experiences of nurses who have children when caring for COVID‐19 patients. International nursing review, 68(2), 219-227. Cronie, D., Perdok, H., Verhoeven, C., Jans, S., Hermus, M., de Vries, R., & Rijnders, M. (2019). Are midwives in the Netherlands satisfied with their jobs? A systematic examination of satisfaction levels among hospital and primary-care midwives in the Netherlands. BMC Health Services Research, 19, 832. https://doi.org/10.1186/s12913-019-4454-x Curtis, K. (2013). 21st Century challenges faced by nursing faculty in educating for compassionate practice: Embodied interpretation of phenomenological data. Nurse Education Today, 33, 746-750. Curtis, K., Horton, K., & Smith, P. (2012). Student nurse socialisation in compassionate practice: A grounded theory study. Nurse Education Today, 32, 790-795 Dahinten, V. S., Lee, S. E., & MacPhee, M. (2016). Disentangling the relationships between staff nurses’ workplace empowerment and job satisfaction. Journal of nursing management, 24(8), 1060-1070. Dall'Ora, C., Griffiths, P., Ball, J., Simon, M., & Aiken, L. H. (2015). Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ open, 5(9), e008331. Davidson, PM. & Szanton, SL (2020). Nursing homes and COVID-19: we can and should do better. Journal of Clinical Nursing ,29, 2758–2759. De Brier, N., Stroobants, S., Vandekerckhove, P., & De Buck, E. (2020). Factors affecting mental health of health care workers during coronavirus disease outbreaks (SARS, MERS & COVID-19): A rapid systematic review. PloS one, 15(12), e0244052. Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC Nursing, 17(2), 52. https://doi.org/10.1186/s12912-018-0317-8 Dewar, B. (2013). Cultivating compassionate care. Nursing Standard, 27(34), 48-55 Dibua, E. C., Nosike, C. J., & Oburoh, P. O. T. (2021). Work-Life Balance and Employee Performance. Work, 5(5). Donley, R. (2005). Challenges for nursing in the 21st century. Nursing Economics, 23(6), 312. Drapeau, A., Marchand, A., & Beaulieu-Prévost, D. (2012). Epidemiology of psychological distress. Mental illnesses-understanding, prediction and control, 69(2), 105-106. Duffield, C. M., Roche, M. A., Homer, C., Buchan, J., & Dimitrelis, S. (2014). A comparative review of nurse turnover rates and costs across countries. Journal of Advanced Nursing, 70(12), 2703–2712. Edwards, N., Webber, J., Mill, J., Kahwa, E., & Roelofs, S. (2009). Building capacity for nurse‐led research. International nursing review, 56(1), 88-94. Elsahoryi, N. A., Alathamneh, A., Mahmoud, I., & Hammad, F. (2022). Association of salary and intention to stay with the job satisfaction of the dietitians in Jordan: A cross-sectional study. Health Policy Open, 3, 100058. Faragher, E. B., Cass, M., & Cooper, C. L. (2013). The relationship between job satisfaction and health: a meta-analysis. From stress to wellbeing Volume 1, 254-271. Frawley, T., Meehan, A., & De Brún, A. (2018). Impact of organizational change for leaders in mental health. Journal of health organization and management, 32(8), 980-1001. Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., & Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The lancet, 376(9756), 1923-1958. Frasquilho, D., Matos, M. G., Salonna, F., Guerreiro, D., Storti, C. C., Gaspar, T., & Caldas-de-Almeida, J. M. (2015). Mental health outcomes in times of economic recession: a systematic literature review. BMC public health, 16(1), 1-40. Gatti, P., Pepe, E., Caputo, A., Clari, M., Dimonte, V., Hall, R. J., & Cortese, C. G. (2020). Job satisfaction in a sample of nurses: A multilevel focus on work team variability about the head nurse's transformational leadership. Electronic Journal of Applied Statistical Analysis, 13, 713-738. Gatti, P., Ghislieri, C., & Cortese, C. G. (2017). Relationships between followers’ behaviors and job satisfaction in a sample of nurses. PloS one, 12(10), e0185905. Ghahramanian, A., Rassouli, M., Zamanzadeh, V., Valizadeh, L., & Asghari, E. (2020). Good nursing care: Rodgers' evolutionary concept anal-ysis. Nursing Practice Today, 7(1), 21– 29. Giannis, D., Geropoulos, G., Matenoglou, E., & Moris, D. (2021). Impact of coronavirus disease 2019 on healthcare workers: beyond the risk of exposure. Postgraduate Medical Journal, 97(1147), 326-328. Greenberg, N., Docherty, M., Gnanapragasam, S., & Wessely, S. (2020). Managing mental health challenges faced by healthcare workers during covid-19 pandemic. bmj, 368. Gross, J. V., Mohren, J., & Erren, T. C. (2021). COVID-19 and healthcare workers: a rapid systematic review into risks and preventive measures. BMJ open, 11(1), e042270. Guntur, R. M. Y., Haerani, S., & Hasan, M. (2012). The influence of affective, continuance and normative commitment on the turnover intentions of nurses at Makassar's private hospitals in Indonesia. African Journal of Business Management, 6(38), 10303-10311. https://doi.org/10.5897/AJBM11.1715 Gutman, P. (2023). Tackling trends in turnover. Mercer Webcast Series. Mercer, Frankfurt: Germany. Retrieved from https://www.mercer.com/ Heo, Y.-M., Lee, M. & Jang, S.J. (2021). Intentions of frontline nurses regarding COVID-19 patient care: a cross-sectional study in Korea. Journal of Nursing Management, 1–9. Horwitz, A. V. (2007). Distinguishing distress from disorder as psychological outcomes of stressful social arrangements. Health:11(3), 273-289. Huang, L., Lin, G., Tang, L., Yu, L., & Zhou, Z. (2020). Special attention to nurses' protection during the covid-19 epidemic. Critical Care (London, England), 24(1), 120– 120. Hulin, C. L., & Judge, T. A. (2003). Job attitudes. In W. C. Borman, D. R. Ilgen, & R. J. Klimoski (Eds.), Handbook of Psychology: Industrial and organizational psychology (Vol. 12, pp. 255-276). John Wiley & Sons Inc. Hunt, D. (2014). Does value congruence between nurses and supervisors effect job satisfaction and turnover?. Journal of Nursing Management, 22(5), 572-582. International Council of Nurses (ICN). (2021). Policy brief: The global nursing shortage and nurse International Council of Nurses (ICN). (2021). Policy brief: The global nursing shortage and nurse retention. Available at: retention. https://www.icn.ch/sites/default/files/inlinefiles/ICN%20Policy%20Brief_Nurse%20Shortage%20and%20Retention.pdf Iqbal, S., Guohao, L., & Akhtar, S. (2017). Effects of job organizational culture, benefits, salary on job satisfaction ultimately affecting employee retention. Review of Public Administration and Management, 5, 229. https://doi.org/10.4172/2315-7844.1000229 Isaac, C. L., Cushway, D., & Jones, G. V. (2006). Is posttraumatic stress disorder associated with specific deficits in episodic memory? Clinical psychology review, 26(8), 939-955. Jackson, D., Bradbury‐Jones, C., Baptiste, D., Gelling, L., Morin, K., Neville, S., & Smith, G. D. (2020). Life in the pandemic: Some reflections on nursing in the context of COVID‐19. Journal of clinical nursing. Jung, H., Jung, S.Y., Lee, M.H. & Kim, M.S. (2020). Assessing the presence ofpost-traumatic stress and turnover intention among nurses’ post–middleeast respiratory syndrome outbreak: the importance of supervisor support.Workplace Health & Safety, 68(7), 337–345 Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., ... & Liu, Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, behavior, and immunity, 87, 11-17. Kianto, A., Vanhala, M., & Heilmann, P. (2016). The impact of knowledge management on job satisfaction. Journal of knowledge management, 20(4), 621–636 Labrague, L.J. & Santos, J.A.A. (2021). Fear of Covid-19, psychological distress, work satisfaction and turnover intention among frontline nurses. Journalof Nursing Management, 29, 395–403 Labrague, L. J., De los Santos, J. A. A., Falguera, C. C., Nwafor, C. E., Galabay, J. R., Rosales, R. A., & Firmo, C. N. (2020). Predictors of nurses' turnover intention at one and five years' time. International Nursing Review, 67, 191–198. Lacobucci, G. (2020). Covid-19: NHS bosses told to assess risk to ethnic minority staff who may be at greater risk. British Medical Journal 369, 1820. Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., & Hu, S. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open, 3(3), e203976-e203976. Laukhuf, R. L., & Laukhuf, G. A. (2016). Stress in radiology nursing. Journal of Radiology Nursing, 35, 205–210. LeGal, P., Rhéaume, A., & Mullen, J. (2019). The long‐term effects of psychological demands on chronic fatigue. Journal of nursing management, 27, 1673-1681. Li, J., Li, P., Chen, J., Ruan, L., Zeng, Q., & Gong, Y. (2020). Intention to response, emergency preparedness and intention to leave among nurses during COVID‐19. Nursing open, 7(6), 1867-1875. Lin, Y., Hu, Z., Danaee, M., Alias, H., & Wong, L. P. (2021). The impact of the COVID-19 pandemic on future nursing career turnover in-tention among nursing students. Risk Management and Healthcare Policy, 14, 3605–3615. Liu, Y., Aungsuroch, Y., & Yunibhand, J. (2016). Job satisfaction in nursing: A concept analysis study. International Nursing Review, 63(1), 84– 91. Liu, M., Cheng, S. Z., Xu, K. W., Yang, Y., Zhu, Q. T., Zhang, H., ... & Xiao, H. P. (2020). Use of personal protective equipment against coronavirus disease 2019 by healthcare professionals in Wuhan, China: cross sectional study. Bmj, 369. Liu, C. Y., Yang, Y. Z., Zhang, X. M., Xu, X., Dou, Q. L., Zhang, W. W., & Cheng, A. S. (2020b). The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiology & Infection, 148. Lu, H., Barriball, K. L., Zhang, X., & While, A. E. (2012). Job satis-faction among hospital nurses revisited: A systematic review. International Journal of Nursing Studies, 49(8), 1017–1038. Lu, M., Ruan, H., Xing, W., & Hu, Y. (2015). Nurse burnout in C hina: a questionnaire survey on staffing, job satisfaction, and quality of care. Journal of nursing management, 23(4), 440-447. Lu, H., Zhao, Y., & While, A. (2019). Job satisfaction among hospital nurses: A literature review. International Journal of Nursing Studies, 94, 21–31. Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public–A systematic review and meta-analysis. Psychiatry research, 291, 113190. Lo, W. Y., Chien, L. Y., Hwang, F. M., Huang, N., & Chiou, S. T. (2018). From job stress to intention to leave among hospital nurses: A structural equation modelling approach. Journal of advanced nursing, 74(3), 677-688. Maben, J., & Bridges, J. (2020). Covid-19: supporting nurses' psychological and mental health. Journal of Clinical Nursing, 29, 2742–2750 Mak, Y. W., Kao, A. H., Tam, L. W., Virginia, W. C., Don, T. H., & Leung, D. Y. (2018). Health-promoting lifestyle and quality of life among Chinese nursing students. Primary health care research & development, 19(6), 629-636. Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage – A prospect of global and local policies. International Nursing Review, 66(1), 9– 16. Martaperdana, R. M. (2019). Pengaruh Worklife Balance terhadap Loyalitas Melalui Komitmen Organisasi sebagai Variabel Intervening. Prosiding Manajemen, 990-994. Maunder, R. G., Lancee, W. J., Balderson, K. E., Bennett, J. P., Borgundvaag, B., Evans, S., & Wasylenki, D. A. (2006). Long-term psychological and occupational effects of providing hospital healthcare during SARS outbreak. Emerging infectious diseases, 12(12), 1924. McAlonan, G. M., Lee, A. M., Cheung, V., Cheung, C., Tsang, K. W., Sham, P. C., ... & Wong, J. G. (2007). Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. The Canadian Journal of Psychiatry, 52(4), 241-247. McGlynn, K. A. R. E. N., Griffin, M. Q., Donahue, M., & Fitzpatrick, J. J. (2012). Registered nurse job satisfaction and satisfaction with the professional practice model. Journal of nursing management, 20(2), 260-265. McKivergin, M. J., & Daubenmire, M. J. (1994). The healing process of presence. Journal of Holistic Nursing, 12, 65-81. Mei, Q., & Zhao, M. (2015). The effect of psychological capital on nurses′ job performance and satisfaction: the mediating role of positive emotion. Chinese Journal of Practical Nursing, 2011-2015. Mercurio, Z. A. (2015). Affective commitment as a core essence of organizational commitment: An integrative literature review. Human Resource Development Review, 14(4), 389-414. https://doi.org/10.1177/1534484315603612 Mirzaei, A., Rezakhani Moghaddam, H., & Habibi Soola, A. (2021). Identifying the predictors of turnover intention based on psychosocial factors of nurses during the COVID‐19 outbreak. Nursing Open Misener, T. R., & Cox, D. L. (2001). Development of the Misener nurse practitioner job satisfaction scale. Journal of Nursing Measurement, 9(1), 91– 108. Moradi, Y., Baghaei, R., Hosseingholipour, K., & Mollazadeh, F. (2021). Challenges experienced by ICU nurses throughout the provision of care for COVID‐19 patients: A qualitative study. Journal of nursing management, 29(5), 1159-1168. Muindi, F. K. (2011). The relationship between participation in decision making and job satisfaction among academic staff in the school of business, university of Nairobi. Available at: http://erepository.uonbi.ac.ke/handle/11295/92096 Naser, A. Y., Dahmash, E. Z., Al‐Rousan, R., Alwafi, H., Alrawashdeh, H. M., Ghoul, I., ... & Alyami, H. S. (2020). Mental health status of the general population, healthcare professionals, and university students during 2019 coronavirus disease outbreak in Jordan: A cross‐sectional study. Brain and behavior, 10(8), e01730. Nguyen, L.H., Drew, D.A., Graham, M.S., Joshi, A.D., Guo, C.-G., Ma, W. (2020). Risk of COVID-19 among front-line health-care workers andthe general community: a prospective cohort study.The Lancet Public Health, 5, e475–e483. Available at: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(20)30164-X/fulltext Ortega, R., Gonzalez, M., Nozari, A., & Canelli, R. (2020). Personal Protective Equipment and Covid-19. N Engl J Med, e105-e105. Pagilagan, H. (2017). Factors that affect turnover intention of registered nurses in the acute hospital: A metaanalysis from 2006-2016. SJSU ScholarWorks, 71. https://doi.org/10.31979/etd.xxpf-skw3 Papadopoulos, I., Taylor, G., Ali, S., Aagard, M., Akman, O., Alpers, L. M., & Zorba, A. (2017). Exploring nurses’ meaning and experiences of compassion: an international online survey involving 15 countries. Journal of Transcultural Nursing, 28(3), 286-295. Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity, 88, 901-907. Park, S.-C., & Park, Y. C. (2020). Mental health care measures in response to the 2019 novel coronavirus outbreak in Korea. Psychiatry Investigation, 17(2), 85–86. Pelon, S. B. (2017). Compassion fatigue and compassion satisfaction in hospice social work. Journal of Social Work in End-of-Life & Palliative Care, 13(2–3), 134–150. Pogorelić, Z., Milanović, K., Veršić, A. B., Pasini, M., Divković, D., Pavlović, O., & Žufić, V. (2021). Is there an increased incidence of orchiectomy in pediatric patients with acute testicular torsion during COVID-19 pandemic?–A retrospective multicenter study. Journal of Pediatric Urology, 17(4), 479-e1. Price, J. L., & Mueller, C. W. (1981). A causal model of turnover for nurses. Academy of Management Journal, 24(3), 543-565. https://doi.org/10.2307/255574 Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian journal of psychiatry, 52, 102066. Ramaci, T., Barattucci, M., Ledda, C., & Rapisarda, V. (2020). Social stigma during COVID-19 and its impact on HCWs outcomes. Sustainability, 12(9), 3834. Raziq, A., & Maulabakhsh, R. (2015). Impact of working environment on job satisfaction. Procedia Economics and Finance, 23, 717-725. Rodríguez-Rey, R., Garrido-Hernansaiz, H., & Bueno-Guerra, N. (2020). Working in the Times of COVID-19. Psychological Impact of the Pandemic in Frontline Workers in Spain. International Journal of Environmental Research and Public Health, 17(21), 8149 Rodwell, J., & Munro, L. (2013). Well‐being, satisfaction and commitment: the substitutable nature of resources for maternity hospital nurses. Journal of Advanced Nursing, 69(10), 2218-2228. Rossi, R., Socci, V., Pacitti, F., Di Lorenzo, G., Di Marco, A., Siracusano, A., & Rossi, A. (2020). Mental health outcomes among frontline and second-line health care workers during the coronavirus disease 2019 (COVID-19) pandemic in Italy. JAMA network open, 3(5), e2010185-e2010185. Saeed, F., Mihan, R., Mousavi, S. Z., Reniers, R. L., Bateni, F. S., Alikhani, R., & Mousavi, S. B. (2020). A narrative review of stigma related to infectious disease outbreaks: What can be learned in the face of the Covid-19 pandemic?. Frontiers in psychiatry, 11, 565919. Sarafis, P., Rousaki, E., Tsounis, A., Malliarou, M., Lahana, L., Bamidis, P., Papastavrou, E. (2016). The impact of occupational stress on nurses' caring behaviours and their health related quality of life. BMC Nursing, 15, 56 Seager, M. (2014). Who cares for the carers? Keeping compassion alive in care systems, cultures and environments. In S. Shea, R. Wynward, & C. Lionis (Eds.), Providing compassionate healthcare: Challenges in policy and practice (pp. 40-53). London, England: Routledge. Shanafelt, T., Ripp, J., & Trockel, M. (2020). Understanding and addressing sources of anxiety among health care professionals during the COVID-19 pandemic. Jama, 323(21), 2133-2134. Sharif Nia, H., Arslan, G., Naghavi, N., Sivarajan Froelicher, E., Kaveh, O., PahlevanSharif, S. & Rahmatpour, P. (2021). Amodelofnurses’intention to care of patients with COVID-19: mediating roles of job satisfaction and organizational commitment. Journal of Clinical Nursing, 30, 1684–1693. Serrano-Ripoll, M. J., Meneses-Echavez, J. F., Ricci-Cabello, I., Fraile-Navarro, D., Fiol-deRoque, M. A., Pastor-Moreno, G., ... & Gonçalves-Bradley, D. C. (2020). Impact of viral epidemic outbreaks on mental health of healthcare workers: a rapid systematic review and meta-analysis. Journal of affective disorders, 277, 347-357. Singh, P., & Loncar, N. (2010). Pay satisfaction, job satisfaction and turnover intent. Industrial Relations, 65(3), 470. https://doi.org/10.7202/044892ar Sirois, F. M., & Owens, J. (2021). Factors associated with psychological distress in health-care workers during an infectious disease outbreak: a rapid systematic review of the evidence. Frontiers in psychiatry, 11, 589545. Slatyer, S., Craigie, M., Heritage, B., Davis, S., & Rees, C. (2018). Evaluating the effectiveness of a brief mindful self-care and resiliency (MSCR) intervention for nurses: a Controlled trial. Mindfulness, 9(2), 534–546. Sobeck, J., & Agius, E. (2007). Organizational capacity building: Addressing a research and practice gap. Evaluation and Program Planning, 30(3), 237-246. Spector, P. E. (1985). Measurement of human service staff satisfaction: Development of the Job Satisfaction Survey. American journal of community psychology, 13(6), 693-713. Taylor, S., Landry, C. A., Rachor, G. S., Paluszek, M. M., & Asmundson, G. J. (2020). Fear and avoidance of healthcare workers: An important, under-recognized form of stigmatization during the COVID-19 pandemic. Journal of anxiety disorders, 75, 102289. Taylor, C., Graham, J., Potts, H., Candy, J., Richards, M., & Ramirez, A. (2007). Impact of hospital consultants' poor mental health on patient care. The British Journal of Psychiatry, 190(3), 268-269. Tayyib, N. A., & Alsolami, F. J. (2020). Measuring the extent of stress and fear among Registered Nurses in KSA during the COVID-19 Outbreak. Journal of Taibah University Medical Sciences, 15(5), 410-416. Terera, S. R., & Ngirande, H. (2014). The impact of rewards on job satisfaction and employee retention. Mediterranean Journal of Social Sciences, 5(1), 481. https://doi.org/10.5901/mjss.2014.v5n1p481 Thungjaroenkul, P., Cummings, G. G., & Embleton, A. (2007). The impact of nurse staffing on hospital costs and patient length of stay: a systematic review. Nursing Economics, 25(5), 255. Tshitangano, T. G. (2013). Factors that contribute to public sector nurses' turnover in Limpopo province of South Africa. African Journal of Primary Health Care & Family Medicine, 5(1), 1-7. https://doi.org/10.4102/phcfm.v5i1.479 Turale, S. & Nantsupawat, A. (2021). Clinician mental health, nursing shortages and the COVID-19 pandemic: crises within crises.International Nurs-ing Review, 68, 12–14. Turale, S., Meechamnan, C., & Kunaviktikul, W. (2020). Challenging times: ethics, nursing and the COVID‐19 pandemic. International nursing review, 67(2), 164-167. Tzeng, H.-M. (2002). The influence of nurses' working motivation and job satisfaction on intention to quit: an empirical investigation in Taiwan. International Journal of Nursing Studies, 39(8), 867-878. https://doi.org/10.1016/S0020-7489(02)00027-5 van der Cingel, M. (2011). Compassion in care: A qualitative study of older people with a chronic disease and nurses. Nursing Ethics, 18, 672-685. Van der Heijden, B., Brown Mahoney, C., & Xu, Y. (2019). Impact of job demands and resources on Nurses’ burnout and occupational turnover intention towards an agemoderated mediation model for the Nursing profession. International journal of environmental research and public health, 16, 2011 Vandenberghe, C., & Tremblay, M. (2008). The role of pay satisfaction and organizational commitment in turnover intentions: A two-sample study. Journal of Business and Psychology, 22(3), 275-286. https://doi.org/10.1007/s10869-008-9063-3 Vanhaecht, K., Seys, D., Bruyneel, L., Cox, B., Kaesemans, G., Cloet, M., Van Den Broeck, K., Cools, O., De Witte, A., Lowet, K., Hellings, J., Bilsen, J., Lemmens, G., & Claes, S. (2021). COVID-19 is having a destructive impact on health-care workers’ mental well-being. International Journal for Quality in Health Care, 33(1), 158 Von Colln-Appling, C., & Giuliano, D. (2017). A concept analysis of critical thinking: a guide for nurse educators. Nurse education today, 49, 106-109. Wagner, C. M., & Huber, D. L. (2003). Catastrophe and nursing turnover: nonlinear models. JONA: The Journal of Nursing Administration, 33(9), 486-492. Wang, H., Liu, Y., Hu, K., Zhang, M., Du, M., Huang, H., & Yue, X. (2020). Healthcare workers' stress when caring for covid-19 patients: an altruistic perspective. Nursing Ethics, 27, 1490–1500. Wang, L., Tao, H., Ellenbecker, C. H., & Liu, X. (2012). Job satisfaction, occupational commitment and intent to stay among Chinese nurses: a cross‐sectional questionnaire survey. Journal of advanced nursing, 68(3), 539-549. Wentzel, D., & Brysiewicz, P. (2018). A survey of compassion satisfaction, burnout and compassion fatigue in nurses practicing in three oncology departments in Durban, South Africa. International Journal of Africa Nursing Sciences. https://doi.org/10.1016/j.ijans.2018.03.004 WHO. (2020). State of the world's nursing 2020: Investing in educa-tion, jobs and leadership. Available at: https://www.who.int/publications/i/item/9789240003279 Williamson, V., Stevelink, S. A., & Greenberg, N. (2018). Occupational moral injury and mental health: systematic review and meta-analysis. The British Journal of Psychiatry, 212(6), 339-346. Worldometers (2020). COVID-19 coronavirus outbreak. Available at: https://www.worldometers.info/coronavirus/ Wu, P., Fang, Y., Guan, Z., Fan, B., Kong, J., Yao, Z., ... & Hoven, C. W. (2009). The psychological impact of the SARS epidemic on hospital employees in China: exposure, risk perception, and altruistic acceptance of risk. The Canadian Journal of Psychiatry, 54(5), 302-311. Xiang, Y. T., Yang, Y., Li, W., Zhang, L., Zhang, Q., Cheung, T., & Ng, C. H. (2020). Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The lancet psychiatry, 7(3), 228-229. Xiao, H., Zhang, Y., Kong, D., Li, S., & Yang, N. (2020). The effects of social support on sleep quality of medical staff treating patients with coronavirus disease 2019 (COVID-19) in January and February 2020 in China. Medical science monitor: international medical journal of experimental and clinical research, 26, e923549-1. Yáñez, J. A., Jahanshahi, A. A., Alvarez-Risco, A., Li, J., & Zhang, S. X. (2020). Anxiety, distress, and turnover intention of healthcare workers in Peru by their distance to the epicenter during the COVID-19 crisis. The American Journal of Tropical Medicine and Hygiene, 103(4), 1614. Yasin, Y. M., Kerr, M. S., Wong, C. A., & Bélanger, C. H. (2020a). Factors affecting job satisfaction among acute care nurses working in rural and urban settings. Journal of Advanced Nursing, 76(9), 2359–2368. Yasin, Y. M., Kerr, M. S., Wong, C. A., & Bélanger, C. H. (2020b). Factors affecting nurses' job satisfaction in rural and urban acute care set-tings: A PRISMA systematic review. Journal of Advanced Nursing, 76(4), 963–979. Zhang, L. F., You, L. M., Liu, K., Zheng, J., Fang, J. B., Lu, M. M., ... & Bu, X. Q. (2014). The association of Chinese hospital work environment with nurse burnout, job satisfaction, and inten
Στο σύστημα υγειονομικής περίθαλψης το νοσηλευτικό προσωπικό αποτελεί έναν από τους κύριους πόρους, διαδραματίζοντας σημαντικό ρόλο στις μονάδες φροντίδας υγείας. Στόχος της παρούσας εργασίας είναι η διερεύνηση του ρόλου του νοσηλευτή στο εθνικό σύστημα υγείας και συγκεκριμένα στην περιφέρεια της Κεντρικής Μακεδονίας. Φαίνεται πως οι νοσηλευτές/τριες είναι αρκετά ικανοποιημένοι από τη φύση της εργασίας τους, τον προϊστάμενο τους και τους συναδέλφους τους, ενώ είναι δυσαρεστημένοι από τις ανταμοιβές, τα προνόμια και οφέλη, τις πιθανότητες προαγωγής και το μισθό τους καθώς βιώνουν υψηλό επίπεδο στρες λόγω των συνθηκών εργασίας και της οικονομικής κρίσης. Η βαθιά κατανόηση του ρόλου του νοσηλευτικού προσωπικού μπορεί να βοηθήσει τις αρχές υγειονομικής περίθαλψης να υιοθετήσουν κατάλληλα μέτρα για να ξεπεράσουν τις προκλήσεις που αντιμετωπίζουν οι νοσηλευτές και να παρέχουν ποιοτική και ασφαλή περίθαλψη στους ασθενείς, βελτιώνοντας το επίπεδο υγείας του ελληνικού πληθυσμού.
In the health care system, nursing staff is one of the main resources, playing an important role in health care units. The aim of this paper is to investigate the role of the nurse in the national health system, specifically in the region of Central Macedonia. It appears that nurses are quite satisfied with the nature of their work, their supervisor and their colleagues, while they are dissatisfied with their rewards, benefits, promotion possibilities and salary as they experience a high level of stress due to working conditions and the economic crisis. A deep understanding of the role of nursing staff can help healthcare authorities adopt appropriate measures to overcome the challenges faced by nurses and provide quality and safe care to patients, improving the health level of the Greek population.
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