ArticleApplied nursing research : ANR2023
Factors associated with changes in nurses' emotional distress during the COVID-19 pandemic.
Article in Applied nursing research : ANR, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 11 citations in OpenAlex.
- Nurses' experiences of change fatigue during healthcare reforms: a qualitative study of psychological distress, impacts, and adaptation.Frontiers in psychiatry · 2026Article
- Latent profile analysis of change fatigue among clinical nurses: a cross-sectional study.Frontiers in public health · 2026Article
- A multi methods study to explore the impact of the COVID-19 pandemic on the psychological well-being of cancer nurses across Cheshire and Mersey.BMC nursing · 2025Article
- Interpersonal sensitivity and its associated factors among nursing students during the COVID-19 pandemic: a network analysis.BMC nursing · 2025Article
- Associated factors of Nigerian Nurses' Emotion regulation, perceived stress, and coping mechanism during COVID-19 Pandamic: a cross-sectional study.African health sciences · 2025Article
- Change Fatigue Among Clinical Nurses and Related Factors: A Cross-sectional Study in Public Hospitals.Health services insights · 2025Article
- Psychosocial work environment in Swedish primary healthcare: a cross-sectional survey of physicians' job satisfaction, turnover intention, social support, leadership climate and change fatigue.Human resources for health · 2024Article
- Exploring the relationship between resilience, sense of coherence, and social support in a sample of nurses during the spread of COVID-19: a mediation analysis study.Frontiers in public health · 2024Article
- A Concept Analysis of Change Fatigue Among Nurses Based on Walker and Avant's Method.Journal of nursing management · 2024Article
- Frontline Nurses' Coping Practices and Career Impacts in Highly Infectious Environments: A Roy Adaptation Model Perspective.SAGE open nursingArticle
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was twofold: to assess if nurses experienced changes in emotional distress (stress, depression, and anxiety) as the number of patients infected with coronavirus disease 2019 (COVID-19) increased and if there were any sociodemographic, psychosocial, and work environmental influence on the change.
methodsUsing a repeated cross-sectional study design, we collected survey data among 198 South Dakota (SD) nurses. Data were collected in two waves, during the first 12 months of the COVID-19 pandemic in the United States (July and December 2020). Participants completed two online surveys: (a) The Depression, Anxiety, and Stress Scale (DASS-21); and (b) Change Fatigue Scale. Predictive factors were divided into three groups: sociodemographic, psychosocial, and work environment variables. Multiple linear regression models were run to estimate the factors associated with the change in DASS-21 subscale score.
resultsTotal DASS-21 score and scores for all subscales significantly increased from Survey 1 to Survey 2. Significant positive associations were found between change fatigue and workplace barriers with change in depression, anxiety, and stress scores. A linear relationship was identified between self-worry about COVID-19 risk and depression and stress and being male and young were associated with changes in depression.
conclusionsIncrease in emotional distress of nurses as the pandemic progresses is consistent with other studies. It is vital for healthcare organizations to recognize the factors associated with the changes in emotional distress and their role in decreasing the stress levels of nurses.
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