Managing during the COVID‐19 pandemic: A cross‐sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention

Aim The aim of this study is to evaluate health care professionals' perceived organizational support and its effect on their compassion, resilience and turnover intention in the United Arab Emirates. Background The COVID‐19 pandemic exerted unprecedented pressure on health care systems, profess...

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Veröffentlicht in:Journal of nursing management 2022-10, Vol.30 (7), p.2642-2652
Hauptverfasser: Ahmed, Fatma Refaat, Bani‐Issa, Wegdan, Timmins, Fionna, Dias, Jacqueline Maria, Al‐Yateem, Nabeel, Subu, Muhammad Arsyad, Alzahmi, Shaikhah Mohamed, Saqan, Roba, Abdul Rahman, Hanif, AbuRuz, Mohannad Eid
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container_issue 7
container_start_page 2642
container_title Journal of nursing management
container_volume 30
creator Ahmed, Fatma Refaat
Bani‐Issa, Wegdan
Timmins, Fionna
Dias, Jacqueline Maria
Al‐Yateem, Nabeel
Subu, Muhammad Arsyad
Alzahmi, Shaikhah Mohamed
Saqan, Roba
Abdul Rahman, Hanif
AbuRuz, Mohannad Eid
description Aim The aim of this study is to evaluate health care professionals' perceived organizational support and its effect on their compassion, resilience and turnover intention in the United Arab Emirates. Background The COVID‐19 pandemic exerted unprecedented pressure on health care systems, professionals and management systems. Health care organizations begin to explore their roles and function in relation to risks and resilience, in addition to ascertain what level of organization support they are providing to their workers. Methods A cross‐sectional study was conducted with a questionnaire administered to 538 health care workers, to examine their personal resources and organizational support during the pandemic. Results A total of 37.7% of nurses were found to have a moderate level of resilience, logistic regression showed that being married is a protective factor against resigning from the profession (OR = 0.462, P = .012, 95% CI: 0.254–0.842), and health care workers who perceived higher organizational support were approximately 50% less likely to have a turnover intention (OR = 0.506, P = .009, 95% CI: 0.303–0.845). Multiple linear regression model indicated significantly higher resilience among physicians (β = 0.12, P 
doi_str_mv 10.1111/jonm.13824
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Background The COVID‐19 pandemic exerted unprecedented pressure on health care systems, professionals and management systems. Health care organizations begin to explore their roles and function in relation to risks and resilience, in addition to ascertain what level of organization support they are providing to their workers. Methods A cross‐sectional study was conducted with a questionnaire administered to 538 health care workers, to examine their personal resources and organizational support during the pandemic. Results A total of 37.7% of nurses were found to have a moderate level of resilience, logistic regression showed that being married is a protective factor against resigning from the profession (OR = 0.462, P = .012, 95% CI: 0.254–0.842), and health care workers who perceived higher organizational support were approximately 50% less likely to have a turnover intention (OR = 0.506, P = .009, 95% CI: 0.303–0.845). Multiple linear regression model indicated significantly higher resilience among physicians (β = 0.12, P &lt; .05) and allied health care practitioners (β = 0.12, P = .022). Organizational support had a significant positive relationship with resilience scores (β = 0.20, P &lt; .001); adequate training was significantly related to higher compassion levels (β = 0.11, P &lt; .05) and high organizational support scores were associated with increased compassion scores (β = 0.27, P &lt; .001). Conclusions Front‐line health care workers reported moderate organizational support during the pandemic, commensurately reflected in moderate levels of personal resilience and self‐compassion. Continued and better support is vital for employee sustainability and the increased health system performance, including quality of care and patient outcomes. Implications for nursing management Nurse managers should help health care workers improve self‐care strategies by strengthening personal resources, including shortened duty hours, offering adequate break time, providing a safe work climate and purveying adequate personal protective equipment and supplies to combat infections. They should build an empathetic work environment through understanding the needs of staff, helping tackle their work stress and sustaining cultures of compassion through promoting rewarding and flexibility strategies. Moreover, policymakers and nurse mangers should create a rewarding culture for nurses and other health care workers to increase their commitment to their jobs.</description><identifier>ISSN: 0966-0429</identifier><identifier>EISSN: 1365-2834</identifier><identifier>DOI: 10.1111/jonm.13824</identifier><language>eng</language><publisher>Oxford: Hindawi Limited</publisher><subject>Adequacy ; Climate ; Clinical outcomes ; Compassion ; COVID-19 ; Cross-sectional studies ; Flexibility ; Health care ; health care workers ; Medical personnel ; Nurse managers ; Nurses ; Nursing administration ; Occupational stress ; Organizational support ; pandemic ; Pandemics ; Patients ; Policy making ; Protective equipment ; Quality of care ; Resilience ; Self care ; Self compassion ; Social support ; Sympathy ; United Arab Emirates ; Work environment ; Workers ; Working conditions</subject><ispartof>Journal of nursing management, 2022-10, Vol.30 (7), p.2642-2652</ispartof><rights>2022 John Wiley &amp; Sons Ltd.</rights><rights>2022 John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3704-1838eb0f186a3958fa1cde12a1e424c4e4b3065d5e04718c7938dc799c118f193</citedby><cites>FETCH-LOGICAL-c3704-1838eb0f186a3958fa1cde12a1e424c4e4b3065d5e04718c7938dc799c118f193</cites><orcidid>0000-0002-1008-8216 ; 0000-0001-8873-505X ; 0000-0003-3022-8690 ; 0000-0002-7233-9412 ; 0000-0001-5355-8639</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjonm.13824$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjonm.13824$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids></links><search><creatorcontrib>Ahmed, Fatma Refaat</creatorcontrib><creatorcontrib>Bani‐Issa, Wegdan</creatorcontrib><creatorcontrib>Timmins, Fionna</creatorcontrib><creatorcontrib>Dias, Jacqueline Maria</creatorcontrib><creatorcontrib>Al‐Yateem, Nabeel</creatorcontrib><creatorcontrib>Subu, Muhammad Arsyad</creatorcontrib><creatorcontrib>Alzahmi, Shaikhah Mohamed</creatorcontrib><creatorcontrib>Saqan, Roba</creatorcontrib><creatorcontrib>Abdul Rahman, Hanif</creatorcontrib><creatorcontrib>AbuRuz, Mohannad Eid</creatorcontrib><title>Managing during the COVID‐19 pandemic: A cross‐sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention</title><title>Journal of nursing management</title><description>Aim The aim of this study is to evaluate health care professionals' perceived organizational support and its effect on their compassion, resilience and turnover intention in the United Arab Emirates. Background The COVID‐19 pandemic exerted unprecedented pressure on health care systems, professionals and management systems. Health care organizations begin to explore their roles and function in relation to risks and resilience, in addition to ascertain what level of organization support they are providing to their workers. Methods A cross‐sectional study was conducted with a questionnaire administered to 538 health care workers, to examine their personal resources and organizational support during the pandemic. Results A total of 37.7% of nurses were found to have a moderate level of resilience, logistic regression showed that being married is a protective factor against resigning from the profession (OR = 0.462, P = .012, 95% CI: 0.254–0.842), and health care workers who perceived higher organizational support were approximately 50% less likely to have a turnover intention (OR = 0.506, P = .009, 95% CI: 0.303–0.845). Multiple linear regression model indicated significantly higher resilience among physicians (β = 0.12, P &lt; .05) and allied health care practitioners (β = 0.12, P = .022). Organizational support had a significant positive relationship with resilience scores (β = 0.20, P &lt; .001); adequate training was significantly related to higher compassion levels (β = 0.11, P &lt; .05) and high organizational support scores were associated with increased compassion scores (β = 0.27, P &lt; .001). Conclusions Front‐line health care workers reported moderate organizational support during the pandemic, commensurately reflected in moderate levels of personal resilience and self‐compassion. Continued and better support is vital for employee sustainability and the increased health system performance, including quality of care and patient outcomes. Implications for nursing management Nurse managers should help health care workers improve self‐care strategies by strengthening personal resources, including shortened duty hours, offering adequate break time, providing a safe work climate and purveying adequate personal protective equipment and supplies to combat infections. They should build an empathetic work environment through understanding the needs of staff, helping tackle their work stress and sustaining cultures of compassion through promoting rewarding and flexibility strategies. Moreover, policymakers and nurse mangers should create a rewarding culture for nurses and other health care workers to increase their commitment to their jobs.</description><subject>Adequacy</subject><subject>Climate</subject><subject>Clinical outcomes</subject><subject>Compassion</subject><subject>COVID-19</subject><subject>Cross-sectional studies</subject><subject>Flexibility</subject><subject>Health care</subject><subject>health care workers</subject><subject>Medical personnel</subject><subject>Nurse managers</subject><subject>Nurses</subject><subject>Nursing administration</subject><subject>Occupational stress</subject><subject>Organizational support</subject><subject>pandemic</subject><subject>Pandemics</subject><subject>Patients</subject><subject>Policy making</subject><subject>Protective equipment</subject><subject>Quality of care</subject><subject>Resilience</subject><subject>Self care</subject><subject>Self compassion</subject><subject>Social support</subject><subject>Sympathy</subject><subject>United Arab Emirates</subject><subject>Work environment</subject><subject>Workers</subject><subject>Working conditions</subject><issn>0966-0429</issn><issn>1365-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kU2O1DAQhS0EEs3AhhOUxAKEyOC_pB12o-Zv0Ay9AbaRx6l0u0nsjO3MqFlxBG7FPTgJTjdsWOCFSyp97-mpHiGPGT1l-b3ceTecMqG4vEMWTFRlwZWQd8mC1lVVUMnr--RBjDtKmeCiXJCfl9rpjXUbaKcwj7RFWK2_nL_-9f0Hq2HUrsXBmldwBib4GPM6oknWO91DTFO7B9_BFnWftmB0QLj14SuG-BRGDAbtDbbgw0Y7-03_lU3j6EOC7A02RTDeRbye0BmM4N2cwYa8HUYdY5a8gIDR9nYGDqI0BedvMIB1Cd3s-pDc63Qf8dGfeUI-v33zafW-uFi_O1-dXRRGLKksmBIKr2jHVKVFXapOM9Mi45qh5NJIlFeCVmVbIpVLpsyyFqrNf20YUx2rxQl5dvQdg8-JY2oGGw32vXbop9jwJacyW9Ayo0_-QXc-587pMiXLquS5lEw9P1KH6wbsmjHYQYd9w2gzd9rMnTaHTjPMjvCt7XH_H7L5sP54edT8BmZZqa0</recordid><startdate>202210</startdate><enddate>202210</enddate><creator>Ahmed, Fatma Refaat</creator><creator>Bani‐Issa, Wegdan</creator><creator>Timmins, Fionna</creator><creator>Dias, Jacqueline Maria</creator><creator>Al‐Yateem, Nabeel</creator><creator>Subu, Muhammad Arsyad</creator><creator>Alzahmi, Shaikhah Mohamed</creator><creator>Saqan, Roba</creator><creator>Abdul Rahman, Hanif</creator><creator>AbuRuz, Mohannad Eid</creator><general>Hindawi Limited</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1008-8216</orcidid><orcidid>https://orcid.org/0000-0001-8873-505X</orcidid><orcidid>https://orcid.org/0000-0003-3022-8690</orcidid><orcidid>https://orcid.org/0000-0002-7233-9412</orcidid><orcidid>https://orcid.org/0000-0001-5355-8639</orcidid></search><sort><creationdate>202210</creationdate><title>Managing during the COVID‐19 pandemic: A cross‐sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention</title><author>Ahmed, Fatma Refaat ; 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Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of nursing management</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmed, Fatma Refaat</au><au>Bani‐Issa, Wegdan</au><au>Timmins, Fionna</au><au>Dias, Jacqueline Maria</au><au>Al‐Yateem, Nabeel</au><au>Subu, Muhammad Arsyad</au><au>Alzahmi, Shaikhah Mohamed</au><au>Saqan, Roba</au><au>Abdul Rahman, Hanif</au><au>AbuRuz, Mohannad Eid</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Managing during the COVID‐19 pandemic: A cross‐sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention</atitle><jtitle>Journal of nursing management</jtitle><date>2022-10</date><risdate>2022</risdate><volume>30</volume><issue>7</issue><spage>2642</spage><epage>2652</epage><pages>2642-2652</pages><issn>0966-0429</issn><eissn>1365-2834</eissn><abstract>Aim The aim of this study is to evaluate health care professionals' perceived organizational support and its effect on their compassion, resilience and turnover intention in the United Arab Emirates. Background The COVID‐19 pandemic exerted unprecedented pressure on health care systems, professionals and management systems. Health care organizations begin to explore their roles and function in relation to risks and resilience, in addition to ascertain what level of organization support they are providing to their workers. Methods A cross‐sectional study was conducted with a questionnaire administered to 538 health care workers, to examine their personal resources and organizational support during the pandemic. Results A total of 37.7% of nurses were found to have a moderate level of resilience, logistic regression showed that being married is a protective factor against resigning from the profession (OR = 0.462, P = .012, 95% CI: 0.254–0.842), and health care workers who perceived higher organizational support were approximately 50% less likely to have a turnover intention (OR = 0.506, P = .009, 95% CI: 0.303–0.845). Multiple linear regression model indicated significantly higher resilience among physicians (β = 0.12, P &lt; .05) and allied health care practitioners (β = 0.12, P = .022). Organizational support had a significant positive relationship with resilience scores (β = 0.20, P &lt; .001); adequate training was significantly related to higher compassion levels (β = 0.11, P &lt; .05) and high organizational support scores were associated with increased compassion scores (β = 0.27, P &lt; .001). Conclusions Front‐line health care workers reported moderate organizational support during the pandemic, commensurately reflected in moderate levels of personal resilience and self‐compassion. Continued and better support is vital for employee sustainability and the increased health system performance, including quality of care and patient outcomes. Implications for nursing management Nurse managers should help health care workers improve self‐care strategies by strengthening personal resources, including shortened duty hours, offering adequate break time, providing a safe work climate and purveying adequate personal protective equipment and supplies to combat infections. They should build an empathetic work environment through understanding the needs of staff, helping tackle their work stress and sustaining cultures of compassion through promoting rewarding and flexibility strategies. Moreover, policymakers and nurse mangers should create a rewarding culture for nurses and other health care workers to increase their commitment to their jobs.</abstract><cop>Oxford</cop><pub>Hindawi Limited</pub><doi>10.1111/jonm.13824</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1008-8216</orcidid><orcidid>https://orcid.org/0000-0001-8873-505X</orcidid><orcidid>https://orcid.org/0000-0003-3022-8690</orcidid><orcidid>https://orcid.org/0000-0002-7233-9412</orcidid><orcidid>https://orcid.org/0000-0001-5355-8639</orcidid><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete
subjects Adequacy
Climate
Clinical outcomes
Compassion
COVID-19
Cross-sectional studies
Flexibility
Health care
health care workers
Medical personnel
Nurse managers
Nurses
Nursing administration
Occupational stress
Organizational support
pandemic
Pandemics
Patients
Policy making
Protective equipment
Quality of care
Resilience
Self care
Self compassion
Social support
Sympathy
United Arab Emirates
Work environment
Workers
Working conditions
title Managing during the COVID‐19 pandemic: A cross‐sectional study of health care workers' perceived organizational support and its consequences on their compassion, resilience and turnover intention
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