Shamel Sands

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“I feel broken”: Chronicling burnout, mental health, and the limits of individual resilience in nursing

Nursing Inquiry

Healthcare systems and health professionals are facing a litany of stressors that have been compo... more Healthcare systems and health professionals are facing a litany of stressors that have been compounded by the pandemic, and consequently, this has further perpetuated suboptimal mental health and burnout in nursing. The purpose of this paper is to report select findings from a larger, national study exploring gendered experiences of mental health, leave of absence (LOA), and return to work from the perspectives of nurses and key stakeholders. Given the breadth of the data, this paper will focus exclusively on the qualitative results from 53 frontline Canadian nurses who were purposively recruited for their workplace insight. This paper focuses on the substantive theme of “Breaking Point,” in which nurses articulated a multiplicity of stress points at the individual, organizational, and societal levels that amplified burnout and accelerated mental health LOA from the workplace. These findings exemplify the complexities that underlie nurses' mental health and burnout and highlight...

Additional file 3 of Mapping the peer-reviewed literature on accommodating nurses' return to work after leaves of absence for mental health issues: a scoping review

Additional file 3.

Additional file 2 of Mapping the peer-reviewed literature on accommodating nurses' return to work after leaves of absence for mental health issues: a scoping review

Additional file 2.

Additional file 1 of Mapping the peer-reviewed literature on accommodating nurses' return to work after leaves of absence for mental health issues: a scoping review

Additional file 1.

Does Being a Visible Minority Matter? Predictors of Internationally Educated Nurses’ Workplace Integration

Canadian Journal of Nursing Research, 2020

Study Background Nurses continue to migrate to Canada. Majority are visible minorities. Once empl... more Study Background Nurses continue to migrate to Canada. Majority are visible minorities. Once employed, internationally educated nurses can struggle to integrate into their workplaces. A comprehensive understanding of factors that support internationally educated nurses’ workplace integration is lacking, limiting our ability to design appropriate policies and practices. Purpose The aim is to (1) examine internationally educated nurses’ perceptions of the extent to which they have integrated in their workplaces and the individual and contextual factors that supported their workplace integration, (2) explore whether internationally educated nurses’ perceptions differed by visible minority status, and (3) identify the key factors that predict internationally educated nurses’ workplace integration. Methods Cross-sectional survey of 1215 internationally educated nurses. All were immigrants, permanent residents, and employed as regulated nurses. Multiple linear regression was used to exami...

Mapping the peer-reviewed literature on accommodating nurses’ return to work after leaves of absence for mental health issues: a scoping review

Human Resources for Health, 2020

BackgroundThe complexity of nursing practice increases the risk of nurses suffering from mental h... more BackgroundThe complexity of nursing practice increases the risk of nurses suffering from mental health issues, such as substance use disorders, anxiety, burnout, depression, and posttraumatic stress disorder (PTSD). These mental health issues can potentially lead to nurses taking leaves of absence and may require accommodations for their return to work. The purpose of this review was to map key themes in the peer-reviewed literature about accommodations for nurses’ return to work following leaves of absence for mental health issues.MethodsA six-step methodological framework for scoping reviews was used to summarize the amount, types, sources, and distribution of the literature. The academic literature was searched through nine electronic databases. Electronic charts were used to extract code and collate the data. Findings were derived inductively and summarized thematically and numerically.ResultsAcademic literature is scarce regarding interventions for nurses’ return to work follow...

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Caribbean nurse migration—a scoping review

Human Resources for Health, 2020

Background The migration of Caribbean nurses, particularly to developed countries such as Canada,... more Background The migration of Caribbean nurses, particularly to developed countries such as Canada, the United States, and the United Kingdom, remains a matter of concern for most countries of the region. With nursing vacancy rates averaging 40%, individual countries and the region collectively are challenged to address this issue through the development and implementation of sustainable, feasible strategies. The aim of this scoping review is to examine the amount, type, sources, distribution, and focus of the conceptual and empirical literature on the migration of Caribbean nurses, and to identify gaps in the literature. Methods Identified records were selected and reviewed using Arksey and O’Malley’s scoping framework. A comprehensive search was conducted of eight electronic databases and the Google search engine. Findings were summarized numerically and thematically, with themes emerging through an iterative, inductive process. Results Much of the literature included in our study (...

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Using the Job Demands-Resources Model to Underpin the Pandemic Nurses’ Turnover Intention Model to Examine Nurse Turnover Intentions in The Bahamas During the COVID-19 Pandemic: A Theory Paper

International Journal of Bahamian Studies, Oct 24, 2022

Nurse turnover can affect the accessibility of healthcare services, quality of patient care, and ... more Nurse turnover can affect the accessibility of healthcare services, quality of patient care, and nurse well-being. Various individual and contextual factors have been found to predict nurse turnover. A growing body of evidence now suggests the emergence of another potential predictor─fear related to the novel coronavirus, SARS-CoV-2 also known as COVID-19. To limit consequences, stakeholders must collaboratively develop empirically supported interventions to reduce nurse turnover. The purpose of this paper is to explain the novel use of the Job Demands-Resources (JD-R) model as a theoretical underpinning of the empirically supported Pandemic Nurses' Turnover Intention (PNTI) model which is used to examine factors influencing nurses' turnover intentions in The Bahamas during the COVID-19 pandemic.

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