Nurses’ work demands, including staffing levels and appropriate compensation, have sparked discussion everywhere in the world, Finland included. According to previous studies, work demands, such as excessive workloads, and weaker resilience, may affect nurses’ intentions to leave nursing. Previous studies have also shown that resilience is associated with job satisfaction, professional commitment and quality of life, and it protects against anxiety and burnout.
The survey was conducted in Finland in spring 2021, i.e., during the third wave of the COVID-19 pandemic, and it examined nurses’ assessments of their resilience, job satisfaction, quality of care and intentions to leave, and structural equation modelling was used to explore the relationships between these. A total of 437 Finnish registered nurses responded to an electronic survey. Their age ranged between 21 and 69 years, and 87% respondents were female.
Nurses’ Perspectives on Work Demands and Quality of Care During the Pandemic
The findings indicate that nurses had good resilience, but a significant proportion considered their work demands to be high, and their job satisfaction to be relatively low (5.8 out of 10). The quality of care in their own working unit as regarded as moderate (7.46 out of 10). During the pandemic, 16% of nurses had considered leaving nursing, compared to only 2% before the pandemic.
Older nurses estimated their job satisfaction to be better and had fewer intentions to leave both during and after the pandemic than younger nurses. Besides job satisfaction, intentions to leave nursing were also influenced by work demands, with lower demands associated with fewer intentions to leave. For instance, 72% of nurses estimated that their salary in relation to the demands of their work was not appropriate, and 28% felt that their work unit was generally understaffed.
Better job satisfaction, on the other hand, reduced intentions to leave nursing. However, no direct association was found between the level of resilience and intentions to leave.
According to the researchers, the results highlight the importance of nurses’ high resilience during a pandemic, when work demands may increase and job satisfaction may decrease.
“A number of nurses participating in our study had considered leaving nursing, which highlights a clear need to develop effective strategies to maintain quality healthcare while also supporting nurses’ resilience and professional commitment in times of crisis,” Saija Sihvola concludes.
The study was published in the esteemed BMC Health Services Research journal.
- Resilience, job satisfaction, intentions to leave nursing and quality of care among nurses during the COVID-19 pandemic – a questionnaire study – (https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-023-09648-5)