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With 510.270.667 confirmed cases of Covid-19 and 6.233.526 Covid-19-related deaths globally up until April 29th 2022, this crisis challenges health systems all over the world.ĭue to the high infection rate, the increasing number of hospitalized patients with severe disease progression and the implementation of intensified hygiene measures, health care professionals’ workload and work-related strain increased during the pandemic. Since early 2020, the Covid-19 pandemic has been one of the most important public health topics worldwide. The perceived erosion of care, due to an overemphasis of the technical in relation to the social and emotional dimensions of care, seems to be especially burdensome to geriatric nurses. Pre-existing hardships seem to have further deteriorated and new stressors added to nurses’ strain. Results clearly illustrate an aggravation of geriatric nurses’ situation and psychosocial burden and only few positive changes due to the Covid-19 pandemic. ‘Enhanced community cohesion’ (interviews), ‘meaning of work’ and ‘quantity of social relations’ (COPSOQ III) were identified as positive effects of the pandemic. The interviews ( n = 15) revealed six main themes related to nurses’ psychosocial stress: ‘overall working conditions’, ‘concern for residents’, ‘management of relatives’, ‘inability to provide terminal care‘, ‘tensions between being infected and infecting others’ and ‘technicisation of care’. Our sample scored significantly worse regarding the scales ‘quantitative demands’, ‘hiding emotions’, ‘work-privacy conflicts’, ‘role conflicts’, ‘quality of leadership’, ‘support at work’, ‘recognition’, ‘physical demands’, ‘intention to leave profession’, ‘burnout’, ‘presenteeism’ and ‘inability to relax’. Almost all of these differences indicated negative changes. Our survey sample ( n = 177) differed significantly from the pre-pandemic reference group in 14 out of 31 COPSOQ scales. Data were analysed using thematic coding (Braun and Clarke). Additionally, we conducted semi-structured interviews with geriatric nurses with a special focus on psychosocial stress, to reach a deeper understanding of their experiences on work-related changes and burdens during the pandemic. Using Welch’s t-tests, we compared the COPSOQ results of our sample against a pre-pandemic reference group of geriatric nurses from Germany. The survey contained the third German version of the Copenhagen Psychosocial Questionnaire (COPSOQ III). We conducted a mixed-methods study among nurses and nursing assistants working in nursing homes in Germany.
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Therefore, we investigated which psychosocial burdens and potential positive aspects nurses working in long-term care facilities experience during the Covid-19 pandemic.
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Nevertheless, there are few findings indicating possible positive changes for health care workers. Nurses in long-term care facilities seem to be especially affected by the pandemic. The Covid-19 pandemic led to increased work-related strain and psychosocial burden in nurses worldwide, resulting in high prevalences of mental health problems.