Evidence map›Paper›PMID 41693311›Full record

ArticleNursing in critical care2026

Workplace Adversity Among Critical Care Nurses: Associations With Key Organisational Factors.

Candice Bowers, Dalena Van Rooyen, David Morton

Abstract read
In one paragraph

Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Candice BowersDepartment of Nursing Science, Nelson Mandela University, Gqeberha, South Africa.ORCID https://orcid.org/0000-0002-3878-7393
Dalena Van RooyenDepartment of Nursing Science, Nelson Mandela University, Gqeberha, South Africa.ORCID https://orcid.org/0000-0002-6019-6602
David MortonDepartment of Nursing Science, Nelson Mandela University, Gqeberha, South Africa.

Funding

National Research Foundation BAAP210416595442
6 · The paper itself

Abstract

backgroundWorkplace adversity in intensive care units (ICUs) is a multifaceted phenomenon resulting from a combination of organisational, discipline-specific and external influences. Guided by the Job Demands-Resources (JD-R) model, this study explored the organisational factors associated with workplace adversity among critical care nurses in ICUs. Currently, there is a paucity of research that explicitly analyses workplace adversity as a central concept.

aimTo determine organisational factors associated with workplace adversity from the perspective of critical care nurses working in adult, paediatric and neonatal ICUs in public and private hospitals in the Eastern Cape Province, South Africa. STUDY

designThe study employed a quantitative, cross-sectional correlational survey design. The target population consisted of critical care nurses. A census sampling method was employed, and data were collected using a structured self-report questionnaire. Descriptive and inferential statistics were used to conduct the data analyses using Statistica Version 13.5.

resultsThree hundred and fifty-three (353) questionnaires were completed. Respondents highlighted the following organisational factors as the primary contributors to workplace adversity: 90% (n = 312) staff shortages, 70% (n = 243) insufficient nurse-to-critically ill patient ratios, 57% (n = 197) limited access to professional development and 50% (n = 171) unsuitable leadership style of direct line managers.

conclusionsUnaddressed organisational factors causing workplace adversity have the potential to destabilise ICU environments, undermine staff well-being, patient care and overall healthcare system performance. Identifying and mitigating these factors is, therefore, essential to sustaining effective and resilient ICU settings. RELEVANCE TO CLINICAL PRACTICE: Direct line managers working in ICUs should proactively identify and address the organisational factors that contribute to workplace adversity in their respective units.

Indexed as

Critical Care NursingIntensive Care UnitsNursing Staff, HospitalWorkplaceAdultBurnout, ProfessionalCross-Sectional StudiesFemaleHumansJob SatisfactionMaleOrganizational CultureSouth AfricaSurveys and QuestionnairesWorking Conditionscritical care nursesintensive care unitjob demands‐resources modelorganisational factorsworkplace adversity

Identifiers

PMID41693311
PMCPMC12907743

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.