Dysfunctional psychological responses among Intensive Care Unit nurses: a systematic review of the literature

Rev Esc Enferm USP. 2015 Oct;49(5):847-57. doi: 10.1590/S0080-623420150000500020.

Abstract

Objective: To systematically review evidence on dysfunctional psychological responses of Intensive Care Units nurses (ICUNs), with focus on anxiety and depressive symptoms and related factors.

Method: A literature search was performed in CINAHL, PubMed and Scopus databases, from 1999 to present, along with a critical appraisal and synthesis of all relevant data. The following key words, separately and in combination, were used: "mental status" "depressive symptoms" "anxiety" "ICU nurses" "PTSD" "burnout" "compassion fatigue" "psychological distress".

Results: Thirteen quantitative studies in English and Greek were included. The results suggested increased psychological burden in ICUNs compared to other nursing specialties, as well as to the general population.

Conclusions: Studies investigating psychological responses of ICUNs are limited, internationally. Future longitudinal and intervention studies will contribute to a better understanding of the phenomenon.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Anxiety / epidemiology*
  • Critical Care Nursing* / statistics & numerical data
  • Depression / epidemiology*
  • Humans
  • Intensive Care Units
  • Mental Disorders / epidemiology*
  • Occupational Diseases / epidemiology*