Z 世代护士报告与压力、创伤和工作场所暴力作斗争

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On Tuesday, the ANA American Nurses Foundation (the Foundation) released new survey findings from nearly 12,000 nurses nationwide, revealing that younger nurses are struggling more with mental health challenges and that nurses are experiencing an increase in workplace violence as the nation enters year three of the COVID-19 pandemic.

Mental Health and Workplace Violence

Nurses’ mental health and well-being has been and remains a pressing issue, with the ongoing stressors of the pandemic taking a significant toll on younger nurses. Nearly half of nurses surveyed under age 35 said they have sought professional mental health support since March 2020. Of the survey respondents under age 25, 69% say they have been suffering from burnout, which is more than double than those older than 25 (30%). Additionally, nurses under age 25 (47%) and nurses between 25- 34 (46%) consider themselves as being not or not at all emotionally healthy compared to nurses over the age of 55 (19%) and were more likely to have experienced an extremely traumatic, disturbing, or stressful event due to COVID-19. The number of workplace violence incidences against nurses are on the rise, according to the survey. Specifically, 2/3 of nurses surveyed said they have experienced increased bullying at work while 1/3 of nurses report increased incidents of physical violence at work.

“Mental health challenges endured by nurses is a serious ongoing dilemma that will have long-term impacts on the profession as this younger generation of nurses have been hit the hardest, as noted in the survey. As we think about the future of nursing, this is particularly disturbing because nurses are our most valuable resource in health care, remaining a constant force in the recovery efforts to end this relentless pandemic by administering COVID-19 vaccines, educating communities, and providing safe and quality patient care to millions. The key to ending this pandemic is having and sustaining a robust nursing workforce operating at peak health and wellness,” said Foundation Board of Trustees President, Wilhelmina M. Manzano, MA, RN, NEA-BC, FAAN. “The Foundation continues to be committed to providing resources and the necessary support to all nurses through the Well-Being Initiative and the Coronavirus Response Fund for Nurses. We need to ensure nurses are consistently and completely protected and supported. There is too much on the line.”

Lack of robust support systems feeds staffing crisis

Among respondents who say that their organization is experiencing a staffing shortage (89%), more than half (53%) say that it is a serious problem. Younger nurses are leaving their current positions and roles in increasing numbers. According to the survey findings, nurses ages 25-34 and 35-44 were more likely to change positions than nurses over age 55. Similarly, 60% of nurses under age 25 and 57% of nurses 25-34 do not believe their organization cares about their well-being and generally feel unsupported. The lack of support and work negatively affecting their mental health and well-being were major contributing factors to this sentiment of younger nurses who were more likely to experience negative and unhealthy emotions.

“As we enter the third year of this incessant pandemic, the survey findings are even more alarming than what we found in the survey done last year.  It’s extremely disheartening that we are still seeing and hearing about the same issues nurses have been burdened with since the start of the pandemic in 2020,” said Foundation Executive Director, Kate Judge. “Nurses are still struggling with mental health issues, feeling unsupported, and suffering from severe burnout and post-traumatic stress because of their sustained response to the COVID-19 pandemic. The nurse staffing shortage has had a domino effect on the profession and it’s only going to worsen if we don’t address the chronic, underlying work environment issues. The Foundation continues to work tirelessly on behalf of the nation’s nurses who deserve our full support and respect for their efforts in improving public health and pulling our nation out of the grip of this pandemic.”

Nurses cannot solve the longstanding challenges facing the profession alone. It is imperative that the Administration and all other stakeholders utilize all available authorities to address these issues and collaborate with nurses to forge a path forward to ensure a strong nursing workforce now and in the future.

全文翻译（仅供参考）

周二，全日空美国护士基金会 (the Foundation) 发布 了来自全国近 12,000 名护士的新调查结果，显示年轻护士在应对心理健康挑战方面更加困难，并且随着美国进入第三年，护士的工作场所暴力事件有所增加。COVID-19 大流行。

心理健康和工作场所暴力

护士的心理健康和福祉一直是并且仍然是一个紧迫的问题，大流行的持续压力对年轻护士造成了重大损失。近一半接受调查的 35 岁以下护士表示，自 2020 年 3 月以来，他们一直在寻求专业的心理健康支持。在 25 岁以下的调查受访者中，69% 的人表示他们有倦怠，这是 25 岁以上（30 %）。此外，与 55 岁以上的护士 (19%) 相比，25 岁以下的护士 (47%) 和 25-34 岁的护士 (46%) 认为自己的情绪不健康或根本不健康，并且更有可能经历过由于 COVID-19 造成的极度创伤、令人不安或压力大的事件。调查显示，针对护士的工作场所暴力事件数量正在上升。具体来说，

“正如调查中指出的那样，护士所承受的心理健康挑战是一个严重的持续困境，这将对这一职业产生长期影响，因为年轻一代的护士受到的打击最为严重。当我们思考护理的未来时，这尤其令人不安，因为护士是我们在医疗保健中最宝贵的资源，通过管理 COVID-19 疫苗、教育社区和提供安全并为数百万人提供优质的患者护理。结束这一流行病的关键是拥有并维持一支强大的护理队伍，在健康和保健方面处于巅峰状态，”基金会董事会主席 Wilhelmina M. Manzano 说，MA、RN、NEA-BC、FAAN。 福利倡议 和 护士冠状病毒应对基金。我们需要确保护士始终得到完全的保护和支持。线上的东西太多了。”

缺乏强大的支持系统导致人员配备危机

在表示其组织正在经历人员短缺的受访者 (89%) 中，超过一半 (53%) 表示这是一个严重的问题。越来越多的年轻护士离开他们目前的职位和角色。根据调查结果，25-34 岁和 35-44 岁的护士比 55 岁以上的护士更容易更换职位。同样，60% 的 25-34 岁的护士和 57% 的 25-34 岁的护士不相信他们的组织关心关于他们的福祉，并且通常感到不受支持。缺乏支持和工作对他们的心理健康和幸福产生负面影响是造成年轻护士这种情绪的主要因素，他们更有可能经历负面和不健康的情绪。

“随着我们进入这场持续不断的大流行的第三个年头，调查结果比我们在去年所做的调查中发现的更令人震惊。自 2020 年大流行开始以来，我们仍然看到和听到护士所面临的同样问题，这非常令人沮丧，”基金会执行董事 Kate Judge 说。“由于对 COVID-19 大流行的持续反应，护士们仍在与心理健康问题作斗争，感到没有支持，并遭受严重的倦怠和创伤后压力。护士人员短缺对这个职业产生了多米诺骨牌效应，如果我们不解决长期的、潜在的工作环境问题，情况只会变得更糟。

护士无法单独解决该行业面临的长期挑战。政府和所有其他利益相关者必须利用所有可用的权力来解决这些问题，并与护士合作，开辟一条前进的道路，以确保现在和未来拥有一支强大的护理队伍。

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