CONSORTIUM PUBLICATIONS
Listed by Year of Publication
A Descriptive Analysis of Nurses’ Self-Reported Mental Health Symptoms During the COVID-19 Pandemic: An International Study
Global Consortium of Nursing & Midwifery Studies. (2025). A descriptive analysis of nurses' self-reported mental health symptoms during the COVID-19 pandemic: An international study. International Nursing Review.
https://doi.org/10.1111/inr.13099
Aim
To describe the self-reported mental health of nurses from 35 countries who worked during the COVID-19 pandemic.
Background
There is little occupationally specific data about nurses' mental health worldwide. Studies have documented the impact on nurses’ mental health of the COVID-19 pandemic, but few have baseline referents.
Methods
A descriptive, cross-sectional design structured the study. Data reflect a convenience sample of 9,387 participants who completed the opt-in survey between July 31, 2022, and October 31, 2023. Descriptive statistics were run to analyze the following variables associated with mental health: Self-reports of mental health symptoms, burnout, personal losses during the pandemic, access to mental health services, and self-care practices used to cope with pandemic-related stressors. Reporting of this study was steered by the STROBE guideline for quantitative studies.
Results
Anxiety or depression occurred at rates ranging from 23%–61%, with country-specific trends in reporting observed. Approximately 18% of the sample reported experiencing some symptoms of burnout. The majority of nurses’ employers did not provide mental health support in the workplace. Most reported more frequently engaging with self-care practices compared with before the pandemic. Notably, 20% of nurses suffered the loss of a family member, 35% lost a friend, and 34% a coworker due to COVID-19. Nearly half (48%) reported experiencing public aggression due to their identity as a nurse.
Conclusions
The data obtained establish a basis for understanding the specific mental health needs of the nursing workforce globally, highlighting key areas for service development.
Implications for nursing policy
Healthcare organizations and governmental bodies need to develop targeted mental health support programs that are readily accessible to nurses to foster a resilient nursing workforce.
Moral Distress, Burnout, Turnover Intention, and Coping Strategies among Korean Nurses during the Late Stage of the COVID-19 Pandemic: A Mixed-Method Study
Lee, J.J., Ji, H., Lee, S., Lee, S.E., & Squires, A. (2024). Moral distress, burnout, turnover intention, and coping strategies among Korean nurses during the late stage of the COVID-19 pandemic: A mixed-methods study. Journal of Nursing Management.
The COVID-19 pandemic has exacerbated the difficulties nurses face, resulting in higher turnover rates and workforce shortages. This study investigated the relationships between nurses’ moral distress, burnout, and turnover intention during the last stage of the COVID-19 pandemic. It also explored the coping strategies nurses use to mitigate moral distress. Utilizing a mixed-method approach, this study analyzed data from 307 nurses caring for patients with COVID-19 in acute care hospitals through an online survey conducted in November 2022. Our data analysis encompassed quantitative methods, including descriptive statistics and path analysis, using a generalized structural equation model. For the qualitative aspect, we examined open-ended responses from 246 nurses using inductive content analysis. The quantitative findings revealed that nurses’ moral distress had a significant direct effect on turnover intention. In addition, burnout significantly mediated the relationship between moral distress and turnover intention. Qualitative analyses contextualized the relationships uncovered in the quantitative analyses. The qualitative analysis identified various positive and negative coping strategies. Positive strategies included a commitment to minimize COVID-19 transmission risks, adopting a holistic approach amidst the challenges posed by the pandemic, voicing concerns for patient safety, engaging in continuous learning, and prioritizing self-care. Conversely, negative strategies involved adopting avoidance behaviors stemming from feelings of powerlessness and adopting a passive approach to one’s role. Notably, some participants shifted from positive to negative coping strategies because of institutional barriers and challenges. The findings underscore the importance for hospital administrators and nurse managers to acknowledge the impact of the pandemic-related challenges encountered by nurses and recognize the link among moral distress, burnout, and turnover intention. It highlights the essential role of organizational and managerial support in fostering effective coping strategies among nurses to address moral distress.
Global Nursing & Midwifery Perspectives of Working During the COVID-19 Pandemic: Preliminary Findings.
Global Consortium of Nursing & Midwifery Studies. (2024). Global nursing & midwifery perspectives of working during the COVID-19 pandemic: Preliminary findings.
This report was generated for the PEPFAR Nursing Leadership Initiative Resource Fair in Geneva, Switzerland. It presents preliminary findings from our study on the experiences of frontline nurses and midwives during the intra- and post-pandemic phases of the COVID-19 pandemic. To access the report, please click here.
Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
Lee, S., Lee, T., Lee, E.S. (2023). Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis. J Korean Academic Nursing, 53(6): 584. https://doi.org/10.4040/jkan.23048
Purpose: This study aimed to explore the perspectives of frontline nurses working during the novel coronavirus disease 2019 (COVID-19) pandemic. Methods: An online qualitative study was conducted using a pragmatic approach. The data were collected in August 2021. Registered Korean nurses who provided direct nursing care to patients with confirmed COVID-19 were eligible for this study. An online survey was used to gather free-text data, which were then analyzed using machine-based network analysis and summative content analysis. Results: The analysis examined the responses of 126 participants and led to the identification of six prominent themes. These themes were further classified into three distinct levels: personal, task, and organizational. The identified themes are as follows: “collapse of personal life,” “being overwhelmed by the numerous roles required,” “personal protective equipment was sufficiently provided, but that is not enough,” “changes in interprofessional collaboration,” “inappropriate workforce management,” and “diverted allocation of healthcare services and resources.” Conclusion: Our findings highlight areas for improvement in resources, systems, and policies to enhance preparedness for future pandemics.
Experience of the U-Nursing LatAm Team in the Research Entitled “Nurses Working During the COVID-19 Pandemic" (ENTRADUP)
Casales-Hernández, M. G., Jiménez-Sánchez, J., Dixon, P. A., Rodríguez-López, J. I., & Squires, A.. (2023). EXPERIENCE OF THE U-NURSING LATAM TEAM IN THE RESEARCH ENTITLED “NURSES WORKING DURING THE COVID-19 PANDEMIC (ENTRADUP)”. Texto & Contexto - Enfermagem, 32, e2023E002. https://doi.org/10.1590/1980-265X-TCE-2023-E002
In nearly all of Latin America, preparation for the COVID-19 pandemic was late and insufficient. As front-line health care workers caring for COVID-19 patients, nurses in Latin America are able to identify critical changes following the pandemic. The LatAm research team of the GCNMS is bridging an important gap in research to study nursing during the pandemic in Latin America, with wide-reaching implications for low- and middle-income countries.
“Should I stay or should I go?” Nurses' perspectives about working during the Covid-19 pandemic's first wave in the United States: A summative content analysis combined with topic modeling
International Journal of Nursing Studies, 2022; 131: 104256
https://doi.org/10.1016/j.ijnurstu.2022.104256
Commissioned initially by the US National Academy of Medicine as part of the Future of Nursing 2020-2030 Consensus Study to document the early effects of the pandemic on the nursing workforce, the study also tested the methods the consortium would use for future research. Co-authors included nurses practicing on the frontlines during 2020, health services researchers, and a computational linguist.
GCNMS CONFERENCE PRESENTATIONS
Listed by Year of Conference
2024
Health for All: Nurses and Midwives Meeting the Challenge – Showing the Way, St. Julian’s, Malta (September)
The Pandemic's Impact on Nursing and Midwifery Workforces Globally: An International Comparative Study
Oxford Global Health and Bioethics International Conference, Oxford, United Kingdom (July)
COVID-19 Pandemic Consequences to the Global Nursing Workforce: Implications for Workforce Sustainability
Academy Health Annual Research Meeting, Baltimore, Maryland, United States (July)
A Multi-Country Comparative Study of Structural Factors Influencing Nurses’ Roles in Pandemic Response Implementation
A Multi-Country Study Exploring Economic Well-Being as a Way to Gauge Adequacy of Nurses’ Salaries
Mental Health and Well-Being Following the COVID-19 Pandemic: Findings from a Global Sample of Sexual Minority Nurses
Topic Modeling & Qualitative Research: Methodological Insights
Understanding the Post-Pandemic Mental Health of Nurses Globally: Findings from a Multi-Country Study
Understanding Violence Against Nurses and Midwives During the COVID-19 Pandemic
Eastern Nursing Research Society 36th Annual Scientific Sessions, Boston, Massachusetts, United States (April)
Improving Pandemic Response Implementation: Global Perspectives from Nurses
Mental Health and Well-Being Following the COVID-19 Pandemic: Findings from a Global Sample of Sexual Minority Nurses
2023
Sigma Theta Tau 34th Annual International Nursing Research Congress, Abu Dhabi, United Arab Emirates (July)
Snapshot 2022: Evaluating the Ongoing Impact of the Pandemic of the Global Nursing Workforce
Academy Health Annual Research Meeting, Seattle, Washington, United States (June)
An International Comparative Study of Nurses’ and Midwives’ Experiences with Pandemic Response Implementation: Preliminary Analysis of 5000 Providers Around the Globe
2022
XVII Pan American Nursing Research Colloquium, Miami, Florida, United States (November)
Experiences with Pandemic Response Implementation in 2021 from Latin American Nursing and Midwifery Perspectives
Academy Health Annual Research Meeting, Washington, DC, United States (June)
Understanding Global Pandemic Response Implementation from the Nursing & Midwifery Perspectives
2022
Academy Health's Annual Research Meeting, Washington, DC (June)
XVII Pan American Nursing Research Colloquium, Miami, FL (November)
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