Related Experiment Video

Updated: May 23, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

85.7K

Wake-up call: paediatric cardiac intensive care nurse and advanced practice provider well-being and intent to vacate

Casey N Bor1, Gyasi Moscou-Jackson2, Christopher W Mastropietro3

  • 1Department of Pediatrics, Division of Critical Care, University of Maryland Medical Center, Baltimore, MD, USA.

Cardiology in the Young
|March 10, 2025
PubMed

Insights

Pediatric cardiac ICU nurses and advanced practice providers show high rates of at-risk well-being, with many considering leaving their jobs. Leadership support is crucial for mitigating distress, especially amid pandemic-related stress.

Area of Science:

  • Critical Care Medicine
  • Nursing Research
  • Occupational Health Psychology

Background:

  • Healthcare professionals in pediatric cardiac intensive care units (PCICUs) face unique stressors.
  • Assessing the well-being of PCICU registered nurses (RNs) and advanced practice providers (APPs) is critical for workforce stability.
  • The coronavirus disease 2019 (COVID-19) pandemic has potentially exacerbated existing well-being challenges.

Purpose of the Study:

  • To evaluate Well-Being Index scores among PCICU RNs and APPs.
  • To identify factors associated with at-risk well-being scores.
  • To explore predictors of well-being, considering the impact of the COVID-19 pandemic.

Main Methods:

  • A multicenter electronic survey was administered to PCICU RNs and APPs in US centers.
  • Participants completed the nine-item Well-Being Index and questions on demographics and well-being influences, including COVID-19.
  • Data were collected between October 2021 and January 2022 from the Collaborative Research from the Pediatric Cardiac Intensive Care Society network.

Main Results:

  • A significant majority of participants reported at-risk Well-Being Index scores: 76% of RNs and 39% of APPs.
  • High intent to leave was reported: 61% of RNs and 34% of APPs.
  • Lower well-being was linked to intent to leave in RNs (p=0.002). Leadership support reduced RN distress risk by 68% (p=0.04), while increased COVID-19 stress quadrupled RNs' risk of poor well-being (p=0.001).

Conclusions:

  • PCICU RNs and APPs exhibit substantial risk for poor well-being, a situation worsened by the COVID-19 pandemic.
  • Poor well-being is associated with an increased likelihood of healthcare professionals leaving their positions.
  • Enhancing leadership support is vital for improving nurses' well-being and retaining staff in PCICUs.

Keywords:
Psychological well-beingcritical carehealth workforcepatient safetyprofessional burnout

More Related Videos

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient07:16

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient

Published on: November 30, 2022

3.1K
Mechanical Ventilation Boot Camp Curriculum07:36

Mechanical Ventilation Boot Camp Curriculum

Published on: March 12, 2018

10.1K

Related Concept Videos

Ethical Issues01:27

Ethical Issues

Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
840
Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.2K
Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.0K
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
630
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
1.8K
Ethical Dilemmas I01:17

Ethical Dilemmas I

Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
788