Reconstruction of nursing health well-being in the COVID-19 pandemic: Mid-range theory.
DOI:
https://doi.org/10.56935/hij.v1i2.10Keywords:
Well-being, Nursing, Systems Theory, Betty Neuman, COVID-19Abstract
Introduction: There are documented biopsychosocial factors that generate instability in the health well-being of nursing personnel, where the work, political and social environments are inherent. Such is the case of the COVID-19 pandemic that caused stress and job dissatisfaction as a consequence of the profession's working conditions. Given the multifactorial nature of this problem, the development of a situation-specific Middle Range Theory is necessary to understand the phenomenon. Objective: To build a situation-specific Middle Range Theory with a clear development, theoretical and methodological foundations for the benefit of the study population, which allows to contribute to the solution of a global problem such as the instability of health welfare in nursing professionals. Development: A Middle Range Theory was developed, applying the method proposed by Fawcett under the theoretical basis of Neuman's Systems Model and the published scientific evidence regarding stressors associated with the instability of well-being in health considering working conditions, stress and work dissatisfaction during the first wave of COVID-19. Conclusion: The Neuman's Systems Theory allowed to explain and expand the phenomenon of interest; it was observed that this method was useful to build a situation-specific theory with a clear development, theoretical and methodological foundations for the benefit of the study population, which will serve as support for the design and implementation of different preventive strategies to contribute to the management of stress and well-being of the nursing staff.
References
Agren, D. (2020). Understanding Mexican health worker COVID-19 deaths. The Lancet, 396(10254), 807. https://doi.org/10.1016/S0140-6736(20)31955-3 DOI: https://doi.org/10.1016/S0140-6736(20)31955-3
Ahmadi, Z., & Sadeghi, T. (2017). Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis. In Multiple Sclerosis Journal - Experimental, Translational and Clinical (Vol. 3, Issue 3). https://doi.org/10.1177/2055217317726798 DOI: https://doi.org/10.1177/2055217317726798
Akhlaghi, E., Babaei, S., & Abolhassani, S. (2020). Modifying Stressors Using Betty Neuman System Modeling in Coronary Artery Bypass Graft: a Randomized Clinical Trial. Journal of Caring Sciences, 9(1), 13–19. https://doi.org/10.34172/jcs.2020.003 DOI: https://doi.org/10.34172/jcs.2020.003
Alarcón Cienfuegos, O., Álvarez Aguirre, A., Bañuelos Barrera, Y., Sánchez Perales, M., & Hernández Rodríguez, V. M. (2018). Calidad de vida y obesidad en el personal de enfermería de una institución de salud de segundo nivel de atención / Quality of life and obesity in nursing staff of a second-level health institution of attention. RICS Revista Iberoamericana de Las Ciencias de La Salud, 7(13), 68–84. https://doi.org/10.23913/rics.v7i13.63 DOI: https://doi.org/10.23913/rics.v7i13.63
Alfaro Madrigal, M., Arburola Castillo, V., Carrillo Medina, A., Espinoza Guerrero, M., Franco Chacón, N., Gómez Rojas, M., Rojas Posada, R., & Meza Benavides, M. (2007). SISTEMATIZACIÓN DE EXPERIENCIAS DE ENFERMERÍA CON PERSONAS QUE PADECEN TRASTORNOS MENTALES Y SUS FAMILIAS. Enfermería Actual En Costa Rica, 13, 1–20. https://doi.org/10.15517/revenf.v0i13.3601 DOI: https://doi.org/10.15517/revenf.v0i13.3601
Barquera, S., Hernández-Barrera, L., Trejo-Valdivia, B., Shamah, T., Campos-Nonato, I., & Rivera-Dommarco, J. (2020). Obesidad en México, prevalencia y tendencias en adultos. Ensanut 2018-19. Salud Publica de Mexico, 62(6), 682–692. https://doi.org/10.21149/11630 DOI: https://doi.org/10.21149/11630
Caci, G., Albini, A., Malerba, M., Noonan, D. M., Pochetti, P., & Polosa, R. (2020). COVID-19 and Obesity: Dangerous Liaisons. Journal of Clinical Medicine, 9(8), 1–12. https://doi.org/10.3390/jcm9082511 DOI: https://doi.org/10.3390/jcm9082511
Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Medical Science Monitor, 26, 1–16. https://doi.org/10.12659/MSM.924171 DOI: https://doi.org/10.12659/MSM.924171
Castro, M., & Simian, D. (2018). LA ENFERMERÍA Y LA INVESTIGACIÓN. Revista Médica Clínica Las Condes, 29(3), 301–310. https://doi.org/10.1016/j.rmclc.2018.04.007 DOI: https://doi.org/10.1016/j.rmclc.2018.04.007
da Silva Papi Diniz, J., de Melo Batista, K., do Santos Luciano, L., Fioresi, M., Amorim, M. H. C., & de Oliveira Bringuente, M. E. (2019). Nursing intervention based on Neuman’s theory and mediated by an educational game. ACTA Paulista de Enfermagem, 32(6), 600–607. https://doi.org/10.1590/1982-0194201900084 DOI: https://doi.org/10.1590/1982-0194201900084
Diana, Eliyana, A., Susita, D., Aditya, V., & Anwar, A. (2021). Determining the effect of job satisfaction, work motivation, and work commitment on nurse performance amidst COVID-19 pandemic. Problems and Perspectives in Management, 19(4), 89–96. https://doi.org/10.21511/ppm.19(4).2021.08 DOI: https://doi.org/10.21511/ppm.19(4).2021.08
Elizarrarás-Rivas, J., Cruz-Ruiz, N. G., Elizarrarás-Cruz, J. D., Robles-Rodríguez, P. V., Vásquez-Garzón, V. R., Herrera-Lugo, K. G., & Guevara-López, U. M. (2020). Measures for the protection of health personnel in the coronavirus pandemic (COVID-19). Revista Mexicana de Anestesiologia, 43(4), 315–324. https://doi.org/10.35366/94945 DOI: https://doi.org/10.35366/94945
Escudero, X., Guarner, J., Galindo-Fraga, A., Escudero-Salamanca, M., Alcocer-Gamba, M. A., & Del-Río, C. (2020). The SARS-CoV-2 (COVID-19) coronavirus pandemic: Current situation and implications for Mexico. Archivos de Cardiologia de Mexico, 90, 7–14. https://doi.org/10.24875/ACM.M20000064 DOI: https://doi.org/10.24875/ACM.M20000064
Fawcett, J., & Desanto-Madeya, S. (2013). Contemporary Nursing Knowledge: Analysis and Evaluation of Nursing Models and Theories. F. A. Davis Company.
Friedman, J., Calderón-Villarreal, A., Bojorquez, I., Vera Hernández, C., Schriger, D. L., & Tovar Hirashima, E. (2020). Excess Out-of-Hospital Mortality and Declining Oxygen Saturation: The Sentinel Role of Emergency Medical Services Data in the COVID-19 Crisis in Tijuana, Mexico. Annals of Emergency Medicine, 76(4), 413–426. https://doi.org/10.1016/j.annemergmed.2020.07.035 DOI: https://doi.org/10.1016/j.annemergmed.2020.07.035
García Izquierdo, M., Castellón Caicedo, M., & Albaladejo Monreal, B. (1995). Relaciones entre Burnout, ambigüedad de rol y satisfacción laboral en el personal de Banca. Journal of Work and Organizational Psychology, 9(24). https://journals.copmadrid.org/jwop/files/1993/vol1/arti2.htm
Goodarzi, A., Borzou, S. R., Cheraghi, F., Khatiban, M., & Vardanjani, M. M. (2021). Implementation of the nursing process based on betty neuman model in kidney transplant patients: A study in the field. Nephro-Urology Monthly, 13(1), 1–7. https://doi.org/10.5812/numonthly.100373 DOI: https://doi.org/10.5812/numonthly.100373
Graham, M. M. B., Lindo, J., Bryan, V. D., & Weaver, S. (2016). Factors Associated With Stress Among Second Year Student Nurses During Clinical Training in Jamaica. Journal of Professional Nursing, 32(5), 383–391. https://doi.org/10.1016/j.profnurs.2016.01.004 DOI: https://doi.org/10.1016/j.profnurs.2016.01.004
Gupta, S., Hayek, S. S., Wang, W., Chan, L., Mathews, K. S., Melamed, M. L., Brenner, S. K., Leonberg-Yoo, A., Schenck, E. J., Radbel, J., Reiser, J., Bansal, A., Srivastava, A., Zhou, Y., Sutherland, A., Green, A., Shehata, A. M., Goyal, N., Vijayan, A., … Leaf, D. E. (2020). Factors Associated with Death in Critically Ill Patients with Coronavirus Disease 2019 in the US. JAMA Internal Medicine, 180(11), 1436–1447. https://doi.org/10.1001/jamainternmed.2020.3596 DOI: https://doi.org/10.1001/jamainternmed.2020.3596
Holshue, M. L., DeBolt, C., Lindquist, S., Lofy, K. H., Wiesman, J., Bruce, H., Spitters, C., Ericson, K., Wilkerson, S., Tural, A., Diaz, G., Cohn, A., Fox, L., Patel, A., Gerber, S. I., Kim, L., Tong, S., Lu, X., Lindstrom, S., … Pillai, S. K. (2020). First Case of 2019 Novel Coronavirus in the United States. New England Journal of Medicine, 382(10), 929–936. https://doi.org/10.1056/nejmoa2001191 DOI: https://doi.org/10.1056/NEJMoa2001191
Llop-Gironés, A., Vračar, A., Llop-Gironés, G., Benach, J., Angeli-Silva, L., Jaimez, L., Thapa, P., Bhatta, R., Mahindrakar, S., Bontempo Scavo, S., Nar Devi, S., Barria, S., Marcos Alonso, S., & Julià, M. (2021). Employment and working conditions of nurses: where and how health inequalities have increased during the COVID-19 pandemic? Human Resources for Health, 19(1), 112. https://doi.org/10.1186/s12960-021-00651-7 DOI: https://doi.org/10.1186/s12960-021-00651-7
Manrique-Abril, F. G., Herrera Amaya, G. M., & Méndez Fandiño, Y. R. (2019). Validez y fiabilidad en Colombia del Font Roja job satisfaction questionnaire in Colombia. Hacia La Promoción de La Salud, 24(2), 46–59. https://doi.org/10.17151/hpsal.2019.24.2.5 DOI: https://doi.org/10.17151/hpsal.2019.24.2.5
Monterrosa-Castro, A., Dávila-Ruiz, R., Mejía-Mantilla, A., Contreras-Saldarriaga, J., Mercado-Lara, M., & Florez-Monterrosa, C. (2020). Estrés laboral, ansiedad y miedo al COVID-19 en médicos generales colombianos. MedUNAB, 23(2), 195–213. https://doi.org/10.29375/01237047.3890 DOI: https://doi.org/10.29375/01237047.3890
Muñoz Fernández, S. I., Molina Valdespino, D., Ochoa Palacios, R., Sánchez Guerrero, O., & Esquivel Acevedo, J. A. (2020). Estrés, respuestas emocionales, factores de riesgo, psicopatología y manejo del personal de salud durante la pandemia por COVID-19. Acta Pediátrica de México, 41(4S1), 127. https://doi.org/10.18233/apm41no4s1pps127-s1362104 DOI: https://doi.org/10.18233/APM41No4S1ppS127-S1362104
Neuman, B. (1996). The neuman systems model in research and practice. Nursing Science Quarterly, 9(2), 67–70. https://doi.org/10.1177/089431849600900207 DOI: https://doi.org/10.1177/089431849600900207
Noguera Mena, H. (2020). Fortalecimiento de las estrategias de afrontamiento en relación al estrés laboral: una experiencia de sistematización. Enfermería Actual En Costa Rica, 2118(40). https://doi.org/10.15517/revenf.v0i40.43713 DOI: https://doi.org/10.15517/revenf.v0i40.43713
Oliveira, K. K. D. de, Freitas, R. J. M. de, Araújo, J. L. de, & Gomes, J. G. N. (2020). Nursing Now and the role of nursing in the context of pandemic and current work. Revista Gaucha de Enfermagem, 42(spe), e20200120. https://doi.org/10.1590/1983-1447.2021.20200120 DOI: https://doi.org/10.1590/1983-1447.2021.20200120
Raile Alligood, M., & Marriner Tomey, A. (2011). Modelos y teorías en enfermería (Séptima ed). Elsevier España.
Ramírez-Ortiz, J., Castro-Quintero, D., Lerma-Córdoba, C., Yela-Ceballos, F., & Escobar-Córdoba, F. (2020). Consecuencias De La Pandemia Covid 19 En La Salud Mental Asociadas Al Aislamiento Social. Revista Scielo Preprints, 21. DOI: https://doi.org/10.1590/SciELOPreprints.303
Ramírez Girón, N., Gallegos Cabriales, E., Salazar Gonzalez, B. C., Ramírez Girón, N., Gallegos Cabriales, E., & Salazar Gonzalez, B. C. (2019). Riesgo ecológico para desarrollar Diabetes Mellitus tipo 2: derivación de una teoría de rango medio. Index de Enfermería, 28(4), 199–203. DOI: https://doi.org/10.30681/252610103600
Ribera, A. P., Chimenis, Ò. P., Bosch, R., Duran Bellido, E., Heras Tebar, A., Gonfaus, S., Sarmiento Cruz, M., & Cantarero, A. C. (2012). Atención Primaria Cómo identificar la inactividad física en atención primaria: validación de las versiones catalana y española de 2 cuestionarios breves. Aten Primaria, 44(8), 485–493. https://doi.org/10.1016/j.aprim.2012.01.005 DOI: https://doi.org/10.1016/j.aprim.2012.01.005
Romero Herrera, G., Flores Zamora, E., Cárdenas Sánchez, P. A., & Ostiguín Meléndez, R. M. (2018). Análisis de las bases teóricas del modelo de sistemas de Betty Neuman. Enfermería Universitaria, 4(1). https://doi.org/10.22201/eneo.23958421e.2007.1.470 DOI: https://doi.org/10.22201/eneo.23958421e.2007.1.470
Salazar-Maya, A. M., & Hoyos-Duque, T. N. (2017). En busca de la imagen corporal deseada después de la cirugía bariátrica. Enfermería Universitaria, 14(1), 28–38. https://doi.org/10.1016/j.reu.2016.12.002 DOI: https://doi.org/10.1016/j.reu.2016.12.002
Santos, B. da S., Rocha, F. L. R., Bortolini, J., Terra, F. de S., & Valim, M. D. (2022). Factors associated with presenteeism in nursing workers. Revista Brasileira de Enfermagem, 75(1), 1–10. https://doi.org/10.1590/0034-7167-2020-1290 DOI: https://doi.org/10.1590/0034-7167-2020-1290
Suzuki, T., Hayakawa, K., Ainai, A., Iwata-Yoshikawa, N., Sano, K., Nagata, N., Suzuki, T., Wakimoto, Y., Akiyama, Y., Miyazato, Y., Nakamura, K., Ide, S., Nomoto, H., Nakamoto, T., Ota, M., Moriyama, Y., Sugiki, Y., Saito, S., Morioka, S., … Ohmagari, N. (2021). Effectiveness of personal protective equipment in preventing severe acute respiratory syndrome coronavirus 2 infection among healthcare workers. Journal of Infection and Chemotherapy, 27(1), 120–122. https://doi.org/10.1016/j.jiac.2020.09.006 DOI: https://doi.org/10.1016/j.jiac.2020.09.006
Tenorio-Mucha, J., & Hurtado-Roca, Y. (2020). Obesidad Como Factor De Riesgo Para Mortalidad Por Covid-19. Revista Médica Panacea, 9(3), 184–188. https://doi.org/10.35563/rmp.v9i3.372 DOI: https://doi.org/10.35563/rmp.v9i3.372
Trilla, A. (2020). Un mundo, una salud: la epidemia por el nuevo coronavirus COVID-19. Medicina Clínica, 155(6), 272. https://doi.org/10.1016/j.medcli.2020.05.015 DOI: https://doi.org/10.1016/j.medcli.2020.05.015
Velasco-Reyna, R., Hernández-Ávila, M., Méndez-Santa Cruz, J. D., Ortega-Álvarez, M. C., Ramírez-Polanco, E. A., Real-Ornelas, G. A., Toral-Villanueva, R., Tinajero-Sánchez, J. C., López-Flores, H., & Flores-Rodríguez, D. (2020). Criterios de retorno al trabajo y determinación del valor de vulnerabilidad por Covid-19. Salud Pública de México, 63(1, ene-feb), 136–146. https://doi.org/10.21149/11984 DOI: https://doi.org/10.21149/11984
Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., Santed, R., Valderas, J. M., Ribera, A., Domingo-Salvany, A., & Alonso, J. (2005). The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments. Gaceta Sanitaria / S.E.S.P.A.S, 19(2), 135–150. https://doi.org/10.1157/13074369 DOI: https://doi.org/10.1157/13074369
Wilson, B., Woollands, A., & Barrett, D. (2021). The Neuman Systems Model. In Care Planning. https://doi.org/10.4324/9781315847047-12 DOI: https://doi.org/10.4324/9781315847047-12
Wu, P., Hao, X., Lau, E. H. Y., Wong, J. Y., Leung, K. S. M., Wu, J. T., Cowling, B. J., & Leung, G. M. (2020). Real-time tentative assessment of the epidemiological characteristics of novel coronavirus infections in Wuhan, China, as at 22 January 2020. Eurosurveillance, 25(3), 1–6. https://doi.org/10.2807/1560-7917.ES.2020.25.3.2000044 DOI: https://doi.org/10.2807/1560-7917.ES.2020.25.3.2000044
Xie, N., Qin, Y., Wang, T., Zeng, Y., Deng, X., & Guan, L. (2020). Prevalence of depressive symptoms among nurses in China: A systematic review and meta-analysis. PLoS ONE, 15(7 July), 1–15. https://doi.org/10.1371/journal.pone.0235448 DOI: https://doi.org/10.1371/journal.pone.0235448
Younas, A., & Quennell, S. (2019). Usefulness of nursing theory-guided practice: an integrative review. Scandinavian Journal of Caring Sciences, 33(3), 540–555. https://doi.org/10.1111/scs.12670 DOI: https://doi.org/10.1111/scs.12670
Zárate Grajales, R. A., Ostiguín Meléndez, R. M., Catro, A. R., & Valencia Castillo, F. B. (2020). ENFERMERÍA Y COVID -19 :la voz de sus protagonistas.
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