ArticleBMJ open quality2023
Fear of making a mistake: a prominent cause of stress for COVID-19 ICU staff-a mixed-methods study.
Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Beyond the ICU: family resilience and emotional turmoil after intensive care - a qualitative study.International journal of qualitative studies on health and well-being · 2026Article
- Perfectionism Profiles Among Hospital Nurses: A Cross-Sectional Validation Study of a Multidimensional Scale.International nursing review · 2026Article
- First Line Managers' Experiences of Shaping Organisational and Relational Preconditions for Patient Safety in Swedish Intensive Care Units During the COVID-19 Pandemic: A Qualitative Study.Journal of nursing management · 2026Article
- Beyond Capacity: Resilience of Intensive Care Staff During the COVID-19-Related Near-Disaster in Sweden.Nursing in critical care · 2025Article
- Trying to create order in chaos-healthcare workers' perspective of COVID-19 intensive care (a qualitative study).BMJ open quality · 2025Article
- Under pressure - Nursing staff's perspectives on working hours and recovery during the COVID-19 pandemic: A qualitative study.International journal of nursing studies advances · 2024Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe COVID-19 pandemic has had a profound effect on many domains of healthcare. Even in high-income countries such as Sweden, the number of patients has vastly outnumbered the resources in affected areas, in particular during the first wave. Staff caring for patients with COVID-19 in intensive care units (ICUs) faced a very challenging situation that continued for months. This study aimed to describe burnout, safety climate and causes of stress among staff working in COVID-19 ICUs.
methodA survey was distributed to all staff working in ICUs treating patients with COVID-19 in five Swedish hospitals during 2020 and 2021. The numbers of respondents were 104 and 603, respectively. Prepandemic data including 172 respondents from 2018 served as baseline.
resultsStaff exhaustion increased during the pandemic, but disengagement decreased compared with prepandemic levels (p<0.001). Background factors such as profession and work experience had no significant impact, but women scored higher in exhaustion. Total workload and working during both the first and second waves correlated positively to exhaustion, as did being regular ICU staff compared with temporary staff. Teamwork and safety climate remained unchanged compared with prepandemic levels.Respondents reported '
conclusionDespite large workloads, disengagement at work was low in our sample, even compared with prepandemic levels. High levels of exhaustion were reported by the ICU staff who carried the largest workload. Multiple significant causes of stress were identified, with fear of making a mistake the most significant stressor.
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