During the COVID-19 pandemic, nurses were exposed to many stressors, which may have been associated with some mental health problems. However, most of the studies carried out on nurses’ quality of life and workplace wellbeing during the COVID-19 pandemic took a pathogenic approach. Given that current scientific knowledge in this field presented too many gaps to properly inform preventive and therapeutic action, the aim of this study was to explore whether protective factors (resilience, perceived social support, and professional identification) and stressors (perceived stress and psychosocial risks in the workplace) influenced the quality of life and workplace wellbeing perceived by Portuguese nurses during the COVID-19 pandemic. Data for this cross-sectional study was collected through online self-administered questionnaires. Linear regression models were used to analyze the relationships between variables. Results showed that perceived stress, resilience and job satisfaction were associated with quality of life and workplace wellbeing among Portuguese nurses. The study’s findings could serve to inform health policy and should draw the attention of nursing managers to the needs and difficulties reported by nurses, to the importance of providing them with emotional support, and to the relevance of promoting a good work environment.

Aims and Objectives: Identify and compare learning needs, levels of self‐efficacy and their association among inpatients and outpatients of a cardiac care unit with coronary heart disease who have undergone percutaneous coronary intervention (PCI) in a Swiss university hospital.Background: After primary PCI, 42% of patients will suffer a recurrent ischemic cardiovascular event. Although adherence to therapeutic regimen contributes to prevent recurrence, patient adherence remains low. To strengthen it, learning needs and self‐efficacy must be considered when developing effective therapeutic patient education (TPE).Methods: Learning needs and self‐efficacy were assessed using the Cardiac Patient Learning Needs Inventory (CPLNI) and the Cardiac Self‐Efficacy Scale among inpatients and outpatients. The STROBE checklist for cross‐sectional studies was used in reporting this study.Results: Ninety‐three patients participated in the study with a participation rate of 73.9%. The CPLNI median total score was significantly higher in inpatients than in outpatients: 4.23 (3.82, 4.64) versus 3.67 (3.33, 4.09), p < .001. In both units, participants declared that the most important need was related to ‘anatomy and physiology’ of the heart. Despite the high score, the least important need was about ‘physical activity’ for inpatients and ‘miscellaneous information’ for outpatients. No statistically significant differences were found among patients from both units regarding their self‐efficacy level.Conclusions: This study shows that after PCI, patients have high learning needs and moderate levels of self‐efficacy that require addressing.Relevance to Clinical Practice: Patient's individual learning needs and self‐efficacy level must be assessed prior/after PCI. A tailored TPE that considers individual learning needs and self‐efficacy is recommended as a preventative measure to reduce recurrent ischemic cardiovascular events. Nurses can play a key role in this process.No Patient or Public Contribution: For feasibility reasons, patients and public were not involved in the design, conduct, reporting or dissemination plans of this research.

Objective: This aim of this umbrella review is to assess the effectiveness of self-management digital interventions for improving health-related outcomes in patients with chronic obstructive pulmonary disease (COPD). Introduction: Respiratory rehabilitation programs that promote self-management are crucial for patients with COPD. However, current face-to-face strategies involve challenges, such as low participation, high dropout rates, and short-lived post-intervention benefits. Digital self-management interventions may address these issues by improving access to support and enhancing health-related outcomes. Several systematic reviews have examined the effectiveness of these interventions for improving health-related outcomes, prompting the need for an umbrella review to summarize the existing evidence. Inclusion criteria: This review will consider systematic reviews that examine the effectiveness of self-management digital interventions for improving health-related outcomes in patients with COPD. It will not be restricted by COPD stage, phase, comorbidity, sex or gender, setting, or context. Methods: The JBI methodology for umbrella reviews will be followed. A comprehensive search will be conducted in PubMed, Embase, Cochrane Database of Systematic Reviews, CINAHL Ultimate (EBSCOhost), PEDro, the International Network of Agencies for Health Technology Assessment, Epistemonikos, Web of Science, ProQuest Dissertations and Theses, and COPD-related websites to identify reviews published in any language, from database inception to the present. Titles and abstracts, and then full texts, will be screened independently by 2 reviewers against the inclusion criteria. Methodological quality will be assessed using the JBI critical appraisal checklist for systematic reviews and research syntheses. Data will be extracted using an adapted and piloted JBI data extraction tool. The findings will be presented in tabular format, along with narrative descriptions and visual support. A citation matrix will be produced to assess study overlap. Review registration: PROSPERO CRD42024517476

Chronic obstructive pulmonary disease (COPD) is a non-communicable disease that affects an estimated 390 million people worldwide.1 This makes it the fourth leading cause of mortality globally, acc...

Several studies have indicated that the COVID-19 pandemic has had an impact on nurses’ psychological and physical quality of life (QoL), as well as on their professional well-being. The literature also indicates that perceived stress, resilience, social support, the psychosocial work environment and professional identification may be determinants of these variables. However, no studies have examined how these determinants may influence nurses’ psychological and physical QoL or professional well-being throughout the COVID-19 pandemic. Thus, this study aimed to investigate the influence the influence of perceived stress, resilience, perceived social support, the psychosocial work environment and professional identification on Portuguese nurses’ professional well-being and physical and psychological QoL throughout the COVID-19 pandemic. For this longitudinal study, data were collected through self-administered questionnaires focused on QoL, professional well-being, and sociodemographic characteristics. The data collection spanned three distinct time points, from November 2021 to June 2023. Data Analysis was conducted by utilizing random-intercept linear regression models. A total of 555 responses were analyzed at all of the measurement points (340 responses at T0, 122 at T1, and 93 at T2), and compared to those at T0, physical and psychological QoL increased at T2. Perceived stress and support from colleagues diminished at T2 compared to T0. During the COVID-19 pandemic, participants who reported low perceived stress, high resilience, high social support from supervisors, high social support from colleagues, and/or high job satisfaction tended to report greater professional well-being and physical and psychological QoL. Throughout the COVID-19 pandemic, perceived stress consistently negatively influenced nurses’ professional well-being and physical and psychological QoL; moreover, resilience and job satisfaction were consistently significant positive determinants of all outcomes. These insights highlight the need for targeted interventions to reduce stress, enhance resilience, and foster job satisfaction among nurses, thus ultimately improving their QoL, professional well-being and effectiveness in health care delivery, particularly during high-stress periods such as pandemics. Future research should explore how these stressors and protective factors influence nurses’ QoL and professional well-being.