Beban Kerja Perawat Gawat Darurat Dimasa Pandemi Covid19 :Narrative Review

The workload of emergency nurses during the COVID-19 pandemic includes mental and physical stress. They must always be ready to deal with patients who come with uncertain symptoms. The workload of emergency nurses is important to study to minimize the negative impact of excessive workload. The impact include fatigue, stress, and anxiety. This study aimed to determine the workload of emergency nurses during the COVID-19 pandemic based on the available literature. This study used the Narrative review method. The databases used to search articles were PubMed, and Clinicalkey for Nursing. Articles were selected based on their suitability with the keywords “Workload” OR “Workloads” AND “Emergency Nurse” OR “Emergency room” AND “COVID-19” OR “SARS-CoV-19” and the inclusion and exclusion criteria that had been determined. The search results obtained 6 articles. The results of this study showed that the workload Emergency nurses during the COVID-19 pandemic was in the moderate category with results of 68.36 ± 15.86 obtained from 2 articles, and obtained a range of 20-43 from 1 article. There are the same findings from the 3 articles; fear of being infected with a virus, high pressure, and new challenges during the pandemic. These could be the main factors that affect the work of nurses. The findings of the workload of emergency nurses during the COVID-19 pandemic are obtained from valid scientific evidence. Therefore, this study can be used ass a reference in research. Keywords: Workload, COVID-19 Pandemic, IGD/ER/ Emergency Nurse, AbstrakBeban kerja perawat gawat darurat dimasa pandemi COVID-19 meliputi tekanan mental maupun tekanan fisik, perawat gawat darurat harus selalu siap berhadapan dengan pasien yang datang dengan gejala tidak pasti. Beban kerja perawat gawat darurat penting diteliti untuk meminimalisir dampak negatif dari beban kerja yang berlebih. Dampak beban kerja perawat gawat darurat dimasa pandemi COVID-19 meliputi kelelahan, stress dan kecemasan. Penelitian ini bertujuan untuk beban kerja pada perawat gawat darurat (emergency) dimasa pandemi COVID-19 berdasarkan literatur yang tersedia. Penelitian menggunakan metode Narrative review. Database yang digunakan untuk pencarian artikel adalah PubMed, dan Clinicalkey for Nursing. Artikel diseleksi berdasarkan kesesuaian dengan kata kunci “Workload” OR “Workloads” AND “Emergency Nurse” OR “Emergency room” AND “COVID-19” OR “SARS-CoV-19” serta kriteria inklusi dan eksklusi yang telah ditentukan. Hasil penelusuran didapatkan sebanyak 6 artikel. Hasil dari penelitian ini didapatkan beban kerja perawat gawat darurat dimasa pandemi COVID-19 ter masuk dalam kategori sedang dengan hasil 68,36 ± 15,86 yang didapatkan dari 2 artikel, dan didapatkan range 20-43 dari 1 artikel. Terdapat temuan yang sama dari ke-3 artikel ; takut terinfeksi virus, tekanan tinggi, dan tantangan baru dimasa pandemi yang dapat menjadi faktor pengaruh utama yang mempengaruhi kerja perawat. Temuan beban kerja perawat gawat darurat dimasa pandemi COVID-19 ini didapatkan dari bukti ilmiah yang valid sehingga dapat dijadikan referensi referensi dalam penelitian. Kata kunci : Beban kerja, Pandemi COVID-19, Perwat gawat darurat/IGD/UGD.

Disaster Preparedness and Associated Factors Among Emergency Nurses in Guangdong Province, China: A Descriptive Cross-Sectional Study

ABSTRACT Objective: The purpose of this study was to examine the prevalence of disaster preparedness and to explore associated factors among emergency nurses in Guangdong Province, China. Methods: In this descriptive, cross-sectional study, the mainland China version of the Disaster Preparedness Evaluation Tool was used to collect data from 633 nurses working in 26 emergency departments, in August 2018. Descriptive analyses were used to examine the disaster preparedness, and multiple linear regression analysis was used to investigate associated factors. Results: The perceived disaster preparedness of emergency nurses was at a moderate level. Among the 5 dimensions, the score for disaster management was lowest. Emergency nurses’ disaster training (r = .26; P < 0.001) and drill experiences (r = .22; P < 0.001) were significantly correlated with disaster preparedness. Six significant factors associated with disaster preparedness were identified in this study: age, gender, disaster training experience, disaster drill experience, willingness, and educational level (R2 = .14; F = 18.20; P < 0.001). Conclusions: Hospitals and nurse managers should carry out interdisciplinary and multidisciplinary cooperation to improve emergency nurses’ disaster preparedness, especially disaster management. Organizing disaster simulation exercises, providing psychological support and safety considerations, and formulating disaster nursing training programs may be beneficial for emergency nurses’ disaster preparedness.

Identifying Predictors of Patient Safety Competency Based on Teamwork and Psychological Safety among emergency nurses.

AimsTo identify factors that predict the patient safety competency of emergency nurses.BackgroundThe role of emergency nurses is to provide high-quality health care to patients and ensure their safety. The patient safety competency includes the absence of unnecessary or potential harm when providing health care to patients. In providing health care, effective teamwork can affect patient safety and outcome. Psychological safety is essential to effective teamwork. Psychological safety allows health care workers to accept the interpersonal risks needed to perform effective teamwork and maintain patient safety.MethodsThis descriptive correlation study included 254 emergency department nurses from five educational hospitals using convenience sampling. Patient Safety in Nursing Education Questionnaire was used to measure the patient safety competency, the teamwork questionnaire to examine the teamwork, and Edmondson psychological safety questionnaire was used to measure psychological safety. Descriptive statistics, t-Test, one-way ANOVA, Pearson's correlation, and Stepwise multiple regression were performed using SPSS 14.0.ResultsThe findings of the present study showed that the level of patient safety competency among emergency nurses is at a desirable level. Of the 18 independent variables evaluated in the multiple regression analysis, seven had a significant effect on the patient safety competency of emergency nurses (R2: 0.39, p < .001).ConclusionsThe patient safety competency of emergency department nurses was primarily related to the structure and leadership of the team and secondary to psychological safety and experience in patient safety activity. The results demonstrated that policymakers and hospital managers should improve and enhance team structure and leadership via supervision and cooperation with the nursing staff. The development of training programs in the field of patient safety activities, improvement, and increase of psychological safety at the levels of the nursing units is essential to increase patient safety competencies in the emergency nursing program.