Quality of life of critical care nurses and impact on anxiety, depression, stress, burnout and sleep quality: A cross-sectional study

Luciano Cecere; Salvatore de Novellis; Agostino Gravante; Giovanni Petrillo; Luigi Pisani; Irene Terrenato; Dhurata Ivziku; Roberto Latina; Francesco Gravante

doi:10.1016/j.iccn.2023.103494

Quality of life of critical care nurses and impact on anxiety, depression, stress, burnout and sleep quality: A cross-sectional study

Intensive Crit Care Nurs. 2023 Dec:79:103494. doi: 10.1016/j.iccn.2023.103494. Epub 2023 Aug 7.

Authors

Luciano Cecere¹, Salvatore de Novellis², Agostino Gravante³, Giovanni Petrillo⁴, Luigi Pisani⁵, Irene Terrenato⁶, Dhurata Ivziku⁷, Roberto Latina⁸, Francesco Gravante⁹

Affiliations

¹ Cardiology Unit and Coronary Intensive Care, Emergency Department, Antonio Cardarelli Hospital in Naples, Italy.
² Cardiology Unit and Coronary Intensive Care, Department of Clinical Medicine and Aging, Federico II University Hospital, Naples, Italy.
³ Intensive Care Unit, Emergency Department, Antonio Cardarelli Hospital in Naples, Italy.
⁴ Operating Theaters, Division of Anesthesia and Pain Medicine, "Fondazione G. Pascale" National Cancer Institute, Naples, Italy.
⁵ Mahidol Oxford Research Unit, Bangkok, Thailand; Intensive Care Unit, General Regional Hospital Miulli, Acquaviva delle Fonti, Italy.
⁶ Biostatistics and Bioinformatic Unit, Scientific Direction, IRCCS Regina Elena National Cancer Institute, Rome, Italy.
⁷ Department of Health Professions, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128 Rome, Italy.
⁸ Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Piazza delle Cliniche, 2, 90127 Palermo, Italy.
⁹ Department of Anesthesiology, Intensive Care Unit, Local Health Authority of Caserta Viale Unità Italiana, 28, 81100 Caserta, Italy. Electronic address: francesco.gravante@aslcaserta.it.

PMID: 37556987
DOI: 10.1016/j.iccn.2023.103494

Abstract

Objectives: To investigate how anxiety, depression, stress, burnout, and sleep quality impact on Quality of life of critical care nurses.

Background: Several studies reported that critical care nurses are exposed to a high risk of anxiety, depression, burnout, stress, and sleep quality, but we do not know the impact of critical care nurses.

Design: A cross-sectional study.

Methods: We have included all critical care nurses working in the intensive care unit for at least six months. Data were collected from December 1, 2021, to March 18, 2022. We evaluated the critical care nurses using the Depression Anxiety Stress Scale (DASS), Maslach Burnout Inventory scale, Pittsburgh Sleep Quality Index and Nurse Quality of Life. The primary endpoint is Quality of Life. Associations were tested using multivariate modelling.

Results: A total of 140 critical care nurses were included. Multivariate regression showed the relation between emotional QoL and emotional exhaustion and DASS total score [OR = 0.14; 95% CI (0.03-0.73); p = 0.019 and OR = 3.64; 95% CI (1.07-12.32); p = 0.038, respectively]. Personal accomplishment and DASS total score have a direct relationship on quality of work-life [OR = 0.21; 95% CI (0.05-0.82); p = 0.024 and OR = 4.18; 95% CI (1.01-17.33); p = 0.049, respectively].

Conclusions: The physical quality of life is not optimal in critical care nurses, while burnout and the DASS score directly impact the emotional and work-life quality of life.

Implications for clinical practice: Our research has highlighted the importance of detecting the quality of life of critical care nurses. The nurses should take proper care of their health by adopting the right health behaviours to create correct work conditions and increase the quality of care for critically ill patients.

Keywords: Anxiety; Burnout; Critical care nurse; Intensive care unit; Quality of life; Sleep quality; Well-being.

MeSH terms

Anxiety / complications
Burnout, Professional* / complications
Burnout, Professional* / psychology
Critical Care
Cross-Sectional Studies
Depression / complications
Depression / psychology
Humans
Nurses*
Nursing Staff, Hospital* / psychology
Quality of Life
Sleep Quality
Surveys and Questionnaires