Protective Factors against Morally Injurious Memories from the COVID-19 Pandemic on Nurses' Occupational Wellbeing: A Cross-Sectional Experimental Study

Int J Environ Res Public Health. 2022 Sep 19;19(18):11817. doi: 10.3390/ijerph191811817.

Abstract

The COVID-19 pandemic was a fertile ground for nurses' exposure to self- and other-Potentially Morally Injurious Events (PMIEs). Our study explored the effects of nurses' memories of self- and other-PMIEs on occupational wellbeing and turnover intentions. Using an experimental design on a convenience sample of 634 Romanian nurses, we tested a conceptual model with PLS-SEM, finding adequate explanatory and predictive power. Memories of self- and other-PMIEs were uniquely associated with work engagement, burnout, and turnover intentions, compared to a control group. These relationships were mediated by the three basic psychological needs. Relatedness was more thwarted for memories of other-PMIEs, while competence and autonomy were more thwarted for memories of self-PMIEs. Perceived supervisor support weakened the indirect effect between type of PMIE and turnover intentions, through autonomy satisfaction, but not through burnout. Self-disclosure weakened the indirect effect between type of PMIE and turnover intentions, through autonomy satisfaction, and both burnout and work engagement. Our findings emphasize the need for different strategies in addressing the negative long-term effects of nurses' exposure to self- and other-PMIEs, according to the basic psychological need satisfaction and type of wellbeing indicator.

Keywords: COVID-19 pandemic; basic psychological need satisfaction; burnout; episodic memories; nurses; perceived autonomy support; potentially morally injurious event (PMIE); self-determination theory; self-disclosure; turnover intentions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Burnout, Professional* / epidemiology
  • Burnout, Professional* / psychology
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Job Satisfaction
  • Nurses*
  • Nursing Staff, Hospital* / psychology
  • Pandemics
  • Protective Factors
  • Surveys and Questionnaires

Grants and funding

This work was supported by a grant of the Romanian Ministry of Education and Research, CNCS—UEFISCDI, project number PN-III-P1-1.1-PD-2019-0982, within PNCDI III. The sponsor did not have any involvement in study design, collection, analysis and interpretation of data, writing of the report or decision to submit the article for publication. Authors are also thankful to the Romanian Ministry of Research, Innovation and Digitization, within Program 1—Development of the national RD system, Subprogram 1.2—Institutional Performance—RDI excellence funding projects, Contract no.11PFE/30.12.2021, for financial support.