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Nurses At-Risk for Mental Health Distress and Suicidality Describe Stressors and Strategies for Healthcare System
Andreanna Pavan Hsieh1, Andrea Cooper, Cora Mayfield
1Author Affiliations: Co-Investigator, Science Writer (Hsieh), Nurse Scientist (Cooper), Senior Clinical Therapist (Mayfield), Faculty Emeritus (Dr Melnyk), Clinical Assistant Professor of Practice (Dr Davidson), The Ohio State University College of Nursing, Columbus, OH; Pediatric Clinical Nurse Specialist, Department of Education, Development and Research, UC San Diego Health, San Diego, CA (Bauernsmith); Registered Nurse, University of California San Diego, Sulpizio Cardiovascular Center, La Jolla, CA (Brown); Professor and Chair, Department of Nursing Practice, College of Nursing University of Central Florida, Orlando, FL (Dr Tucker); Nurse Scientist, Department of Education, Development and Research, UC San Diego Health, San Diego, CA (Dr Davidson).
Objective:
Analyze qualitative baseline data from a randomized controlled trial to identify factors that drive stressors among at-risk nurses and identify their desired actions to improve health/well-being.
Background:
Reducing nurse suicide is a national imperative.
Methods:
Prospective nurse cohort deemed at-risk of adverse mental health outcomes, including suicidality. Inductive reflexive thematic analysis (n = 466) of survey responses regarding stressors and solutions for positive change.
Results:
The nurses' caring identity can cross work/life boundaries and become all-consuming with health consequences. Themes driving stressors include suboptimal work environments, mental/physical health issues, financial insecurity, and unmet relationship and familial obligations. Participant suggestions include transforming workplace culture/resources and providing resources for holistic mental health support and practices, financial planning, and career transitions.
Conclusion:
When obligations and expectations exceed capacity, the price of caring results in a deterioration in mental and physical health. Leaders must holistically address these concerns within suicide prevention/well-being programs.
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