Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study

The mental health of healthcare workers, especially the nursing staff in intensive care units, is crucial for the optimal functioning of healthcare systems during medical emergencies. This study implements a cross-sectional design to investigate the associations between nurses’ personal characterist...

Full description

Bibliographic Details
Main Authors: Milena Santric-Milicevic, Kristina Pavlekic, Zoran Bukumiric, Aleksandar Stevanovic, Dejan Nikolic, Bojana Matejic, Dragana Matanovic, Dusan Backovic, Goran Tulic, Relja Lukic, Dubravka Zivanovic, Sofija Radosavljevic, Vladimir Milovanovic, Marija Zdujic, Sanja Stankovic, Milika Asanin, Marija Zdravkovic, Ratko Tomasevic
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/12/6/663
_version_ 1797240851309527040
author Milena Santric-Milicevic
Kristina Pavlekic
Zoran Bukumiric
Aleksandar Stevanovic
Dejan Nikolic
Bojana Matejic
Dragana Matanovic
Dusan Backovic
Goran Tulic
Relja Lukic
Dubravka Zivanovic
Sofija Radosavljevic
Vladimir Milovanovic
Marija Zdujic
Sanja Stankovic
Milika Asanin
Marija Zdravkovic
Ratko Tomasevic
author_facet Milena Santric-Milicevic
Kristina Pavlekic
Zoran Bukumiric
Aleksandar Stevanovic
Dejan Nikolic
Bojana Matejic
Dragana Matanovic
Dusan Backovic
Goran Tulic
Relja Lukic
Dubravka Zivanovic
Sofija Radosavljevic
Vladimir Milovanovic
Marija Zdujic
Sanja Stankovic
Milika Asanin
Marija Zdravkovic
Ratko Tomasevic
author_sort Milena Santric-Milicevic
collection DOAJ
description The mental health of healthcare workers, especially the nursing staff in intensive care units, is crucial for the optimal functioning of healthcare systems during medical emergencies. This study implements a cross-sectional design to investigate the associations between nurses’ personal characteristics, workplace challenges, and job satisfaction with the increased perception of tension, stress, and pressure at the workplace (TSPW) before and during the COVID-19 pandemic. In 2021, we surveyed 4210 nurses from 19 intensive healthcare facilities in the capital of Serbia, Belgrade, and, at that time, collected data about their perceived TSPW before and during the COVID-19 pandemic. Our study identified six predictors of the increase in TSPW, as perceived by nurses: their work in COVID-19 infectious zones (OR = 1.446), exhaustion due to work under protective equipment (OR = 1.413), uncertainty and fear of infection (OR = 1.481), a high degree of superiors’ appreciation and respect (OR = 1.147), a high degree of patients’ attitudes (OR = 1.111), and a low degree of work autonomy (OR = 0.889). The study’s findings suggest that a solution to this issue is necessary to ensure that nurses are safe and able to alleviate the physical and mental strain that comes with prolonged use of protective equipment. Nurses on the frontline of the pandemic require better health protection, better conditions, and respect for their role. Strategies to promote mental health would help reduce nurses’ stress and increase job satisfaction.
first_indexed 2024-04-24T18:14:00Z
format Article
id doaj.art-d5671ed204c3479d9e75800764aabba2
institution Directory Open Access Journal
issn 2227-9032
language English
last_indexed 2024-04-24T18:14:00Z
publishDate 2024-03-01
publisher MDPI AG
record_format Article
series Healthcare
spelling doaj.art-d5671ed204c3479d9e75800764aabba22024-03-27T13:43:45ZengMDPI AGHealthcare2227-90322024-03-0112666310.3390/healthcare12060663Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian StudyMilena Santric-Milicevic0Kristina Pavlekic1Zoran Bukumiric2Aleksandar Stevanovic3Dejan Nikolic4Bojana Matejic5Dragana Matanovic6Dusan Backovic7Goran Tulic8Relja Lukic9Dubravka Zivanovic10Sofija Radosavljevic11Vladimir Milovanovic12Marija Zdujic13Sanja Stankovic14Milika Asanin15Marija Zdravkovic16Ratko Tomasevic17Institute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaCity Institute of Public Health in Belgrade, 11000 Belgrade, SerbiaInstitute for Medical Statistics and Informatics, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Physical Medicine and Rehabilitation, University Children’s Hospital, 11000 Belgrade, SerbiaInstitute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute for Hygiene and Medical Ecology, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaDepartment of Radiology, University Hospital Center “Dr Dragisa Misovic”, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaInstitute of Social Medicine, Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Medical Biochemistry, University Clinical Center of Serbia, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaThe mental health of healthcare workers, especially the nursing staff in intensive care units, is crucial for the optimal functioning of healthcare systems during medical emergencies. This study implements a cross-sectional design to investigate the associations between nurses’ personal characteristics, workplace challenges, and job satisfaction with the increased perception of tension, stress, and pressure at the workplace (TSPW) before and during the COVID-19 pandemic. In 2021, we surveyed 4210 nurses from 19 intensive healthcare facilities in the capital of Serbia, Belgrade, and, at that time, collected data about their perceived TSPW before and during the COVID-19 pandemic. Our study identified six predictors of the increase in TSPW, as perceived by nurses: their work in COVID-19 infectious zones (OR = 1.446), exhaustion due to work under protective equipment (OR = 1.413), uncertainty and fear of infection (OR = 1.481), a high degree of superiors’ appreciation and respect (OR = 1.147), a high degree of patients’ attitudes (OR = 1.111), and a low degree of work autonomy (OR = 0.889). The study’s findings suggest that a solution to this issue is necessary to ensure that nurses are safe and able to alleviate the physical and mental strain that comes with prolonged use of protective equipment. Nurses on the frontline of the pandemic require better health protection, better conditions, and respect for their role. Strategies to promote mental health would help reduce nurses’ stress and increase job satisfaction.https://www.mdpi.com/2227-9032/12/6/663COVID-19healthcare managementmental healthnursesintensive care units
spellingShingle Milena Santric-Milicevic
Kristina Pavlekic
Zoran Bukumiric
Aleksandar Stevanovic
Dejan Nikolic
Bojana Matejic
Dragana Matanovic
Dusan Backovic
Goran Tulic
Relja Lukic
Dubravka Zivanovic
Sofija Radosavljevic
Vladimir Milovanovic
Marija Zdujic
Sanja Stankovic
Milika Asanin
Marija Zdravkovic
Ratko Tomasevic
Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
Healthcare
COVID-19
healthcare management
mental health
nurses
intensive care units
title Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
title_full Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
title_fullStr Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
title_full_unstemmed Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
title_short Nurses’ Perception of Tension, Stress, and Pressure before and during the COVID-19 Pandemic: A Multicenter Serbian Study
title_sort nurses perception of tension stress and pressure before and during the covid 19 pandemic a multicenter serbian study
topic COVID-19
healthcare management
mental health
nurses
intensive care units
url https://www.mdpi.com/2227-9032/12/6/663
work_keys_str_mv AT milenasantricmilicevic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT kristinapavlekic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT zoranbukumiric nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT aleksandarstevanovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT dejannikolic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT bojanamatejic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT draganamatanovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT dusanbackovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT gorantulic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT reljalukic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT dubravkazivanovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT sofijaradosavljevic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT vladimirmilovanovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT marijazdujic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT sanjastankovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT milikaasanin nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT marijazdravkovic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy
AT ratkotomasevic nursesperceptionoftensionstressandpressurebeforeandduringthecovid19pandemicamulticenterserbianstudy