Aim: The COVID‐19 outbreak in Taiwan had a significant impact on medical services. These changes posed a threat to nurses' mental health. Resilience may protect nurses from the psychological impact of COVID‐19. This study aimed to understand nurses' resilience and its relationship with nurses' characteristics (life and work situations) and mental health (depression, anxiety and stress) during the outbreak.Design: A cross‐sectional study.Methods: This study surveyed the nurses at a hospital from 9 August 2021, to 20 August 2021. The content of the questionnaire included nurses' characteristics, resilience and mental health.Results: There was an association between higher resilience and lower mental health problems. We also found that some nurses' characteristics were positively correlated with mental health problems.Conclusion: Some nurses' life and work situations predicted high levels of mental health problems during the pandemic. Additionally, higher levels of resilience were associated with lower levels of mental health problems.

With the development of medical equipment and techniques in labor anesthesia, it is a major issue to investigate the risks and treatment effects among techniques such as continuous epidural infusion (CEI) and intermittent epidural bolus (IEB). However, there is a controversial result regarding two techniques. This study was conducted through meta-analysis of randomized controlled trials (RCTs) for labor analgesia between the CEI and IEB techniques. The pooled results were presented as weighted mean differences (WMDs) together with 95% confidence intervals (CIs) and odds ratios (ORs) together with 95% CIs, respectively. Eleven RCTs were included in this meta-analysis. Four hundred sixty-five parturients accepted CEI, whereas 473 parturients accepted IEB labor analgesia. Elven identified low- risk bias studies were recruited for meta-analysis. The results presented no statistical difference in cesarean delivery rate between IEB and CEI (OR, 0.96; 95% CI, 0.67–1.37) and duration of second stage of labor (WMD, −3.82 min; 95% CI, −8.28 to 0.64). IEB had statistically significant lessened risk of instrumental delivery (OR, 0.59; 95% CI, 0.39–0.90) and for the use in local anesthetic (WMD, −1.71 mg bupivacaine equivalents per hour; 95% CI, −1.88 and −1.55). Accepted IEB had a higher score of maternal satisfaction (WMD, −6.95 mm; 95% CI, −7.77 to −6.13). Based on evidence, IEB showed a greater benefit for slightly reducing the use in local anesthetic, reduced risk of instrumental delivery, and improved maternal satisfaction for the requirement of labor epidural analgesia for healthy women. In the future, more studies need to be conducted to practice the IEB regimen and explore its influence on labor analgesia.

Purpose This study aimed to investigate the factors associated with nurses’ intent to use physical restraint. Design and Methods This cross-sectional study used a questionnaire to survey 403 nurses from a hospital in northern Taiwan. Findings Nurses who participated in a simulation training program had better knowledge and behavioral intent toward physical restraint use. Seniority and workplace significantly influenced the knowledge of physical restraint use, whereas workplace and clinical ladder level significantly shaped nurses’ attitude toward it. Practice Implications The results showed that the simulated physical restraint training program was effective. The impact of nurses’ workplace, seniority, and clinical ladder level on an educational intervention should be considered before formulating a plan to reduce physical restraint use.

Aim: The first coronavirus disease 2019 (COVID-19) outbreak in Taiwan occurred in May 2021 and many individuals were infected. All COVID-19 patients were quarantined in designated facilities until they fully recovered to prevent the spread of the disease. Prolonged quarantine could adversely affect these patients. In this study, we focused on investigating changes in the quality of life and mental health of individuals discharged from hospital after recovering from COVID-19. Methods: This study employed a longitudinal design and surveyed individuals discharged from a teaching hospital in northern Taiwan in 2021 within one week of their discharge and again after one month. An online questionnaire comprising the participants’ background, respiratory function (COPD Assessment Test), quality of life (WHOQoL-BREF), and emotional problems (DASS-21) was administered to the participants. Results: A total of 56 participants actively took part in both surveys. We observed that participants with abnormal respiratory function had a lower physical and psychological quality of life, especially those with severe symptoms requiring endotracheal intubation during the treatment period of COVID-19. Additionally, approximately 30% of participants experienced anxiety problems throughout this study period. Finally, patients with COVID-19 symptoms exhibited a lower quality of life and higher levels of severe emotional problems. Conclusions: According to our findings, it is necessary to monitor and provide appropriate interventions for individuals who have recovered from COVID-19, especially those who experienced severe symptoms that required endotracheal intubation during COVID-19 treatment. These interventions, such as symptom management and psychological support, can help improve their quality of life and reduce emotional problems. Therefore, after the participants are discharged, hospitals should regularly track the patients’ status and provide appropriate support or referrals to help these individuals. Otherwise, future research could include more participants and follow up with them for longer to investigate the longitudinal impact of COVID-19.

Aim: The coronavirus disease 2019 (COVID‐19) outbreak led to a massive influx of patients into hospitals, thus prompting the implementation of various response mechanisms to manage the surge in number of patients. During the mitigation period, hospital response mechanisms ceased and ensued a return to normal settings. However, changing hospital settings can affect nurses' work environments. Therefore, the primary objectives of this study were to investigate the impact of changes during disease outbreaks and the mitigation period on nurses' work environments, and to analyse the relationship between nurses' background variables and work environments.Study Design: A longitudinal research design is employed herein.Methods: Two surveys were conducted in a hospital: the first during the COVID‐19 outbreak period, when the hospital implemented response mechanisms, and the second during the COVID‐19 mitigation period, when the hospital returned to normalcy. The questionnaire covered the nurses' background variables and work environment.Results: When the COVID‐19 outbreak transitioned to the mitigation period, satisfaction with managerial (p < 0.05) and unit support (p < 0.05) in the workplace decreased. Regarding the relationship between nurses' backgrounds and work environment satisfaction, we found that nurses working in COVID‐19 dedicated units reported higher satisfaction with manager support (p < 0.001), peer support (p < 0.001), unit support (p < 0.05) and intent to stay (p < 0.05) than those in non‐COVID‐19 dedicated units. Additionally, factors such as age, nursing experience, sex, education, clinical teaching/mentoring roles, perceived COVID‐19 infection risk, work shifts, housing problems during the outbreak and experience of discrimination influenced work environment satisfaction.Patient or Public Contribution: Hospitals need to adjust the transformational steps of their COVID‐19 or emerging infectious disease response mechanisms, or provide sufficient support to these nurses to mitigate the impact on their work environment.

Background: Newly graduated registered nurses (NGRNs) are likely to leave their jobs because they cannot adapt to nursing work. In Taiwan, a two‐year on‐the‐job training program was implemented to help NGRNs meet the demands and adapt to nursing jobs. However, the effects of the program on NGRNs’ satisfaction with the work environment, individual resilience, and intention to stay, as well as the relationships among these factors, remain unclear. Aim: The aim of this study was to investigate the changes in NGRNs’ perceptions of the work environment, individual resilience, and intention to stay after they complete each stage of the on‐the‐job training program and to examine the mediating effect of resilience on the relationship between the work environment and nurses’ intention to stay. Methods: A repeated‐measures study was conducted at a medical center in Taiwan to survey NGRNs after they completed each stage of the training program. The survey questionnaire included the NGRNs’ background information, satisfaction with the work environment, individual resilience, and intention to stay. Changes across the training stages and the associated mediating effects were analyzed. Results: We observed that NGRNs’ satisfaction with the work environment ( p < 0.001) and intention to stay ( p < 0.001) decreased significantly across the three waves of the survey, whereas individual resilience increased significantly ( p < 0.05). Furthermore, we observed that individual resilience significantly mediated the impact of satisfaction with the work environment on nurses’ intention to stay ( p < 0.05). Conclusion: The training program can significantly improve NGRNs’ individual resilience. However, with respect to their satisfaction with the work environment and intention to stay, the training may require adjustment; alternatively, additional measures may be needed to mitigate the effects of job changes on NGRNs.