Abstract

Purpose: To investigate nursing professionalism as a mediating factor in the relationship between resilience and job stress levels for nurses working in long-term care hospitals during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted from January to March 2021 in seven long-term care hospitals in the Seoul metropolitan area to measure resilience, nursing professionalism, and job stress among nurses. Simple and multiple regression analyses along with the Sobel test were performed to verify the mediating effect of nursing professionalism. Results: Data from 200 nurses were included in the final analysis. Results showed that individual and occupational characteristics could lead to differences in nurses’ resilience, job stress levels, and nursing professionalism. Nursing professionalism had a significant mediating effect on the relationship between resilience and job stress levels. The effect of resilience on job stress levels was significant (β = −0.16, p = 0.024). After controlling for nursing professionalism, the effect declined and was not statistically significant (β = −0.09, p = 0.251). Conclusion: There is a need to increase individual resilience and nursing professionalism through intervention programs and policy proposals to manage job stress among long-term care hospital nurses during the COVID-19 pandemic.

Highlights

  • Introduction and Annina ZyssetCOVID-19, a severe acute infectious respiratory disease, has been rapidly spreading worldwide [1]

  • The analysis revealed that nursing professionalism had a significant effect on job stress levels (β = −0.17, p = 0.026)

  • This study examined the relationship between resilience, nursing professionalism, and job stress in nurses working in long-term care (LTC) hospitals during the COVID-19 pandemic

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Summary

Introduction

Introduction and Annina ZyssetCOVID-19, a severe acute infectious respiratory disease, has been rapidly spreading worldwide [1]. The number of COVID-19 patients in long-term care (LTC) facilities for the elderly, including LTC hospitals, has rapidly increased in Korea [2]. This situation indicates the lack of infection monitoring systems [3] and reveals insufficient human resources for infection control in LTC facilities [2,4]. In this context, nurses in LTC facilities have reported fear of infection, the burden of duty, and emotional exhaustion [5]. There is an urgent need to develop strategies for overcoming excessive workload, fear, and stress in pandemic [1]

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