Kontakt X:X | DOI: 10.32725/kont.2025.020

Czech doctors' views on the prestige and workload of nurses during the COVID-19 pandemicNursing - Original article

Aleš Chrdle1, 2, 3, *, Sylva Bártlová1, Ivana Chloubová1
1 University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, České Budějovice, Czech Republic
2 Hospital České Budějovice, Infectious Diseases Department, České Budějovice, Czech Republic
3 Royal Liverpool University Hospital, Liverpool, United Kingdom

Introduction: To assess the impact of the COVID-19 pandemic on nurses, we asked doctors how the pandemic affected the prestige of the nursing profession, what impact it had on nurses in their workplace, and how nurses are prepared for a possible future pandemic.

Methods: A descriptive cross-sectional survey was conducted using a non-standardized questionnaire with 1,203 physicians. The sample of physicians in the Czech Republic was representative regarding gender, age, and region.

Results: According to doctors, the prestige of the nursing profession increased significantly during the pandemic from 6.65 +/- 1.99 SD to 8.08 +/- 1.78 SD on a ten-point scale. An overall increased burden on nurses was reported by 89.1% of doctors, with an adverse effect on social (71.8%), personal (65.9%), and family life (66.2%), but also on the physical (60.8%) and mental (68.6%) health of nurses. Nurses leaving the workplace were reported by 21.4% of doctors. According to the doctors, in the event of a future pandemic, nurses will be a support for the patients (96.1%), the patients's families (95.1%), and their own families (91.4%). Nurses will be able to acquire new competencies (89.6%) and cope with increased physical (92.2%) and emotional (89.7%) demands. Doctors, however, believe that nurses are less prepared to participate in the reprofiling of the operation of a healthcare facility (84.9%), create new teams (82.2%), train new colleagues (88.4%), and take care of their own physical (84.8%) and mental (83.5%) health.

Conclusion: The increased prestige of the nursing profession during the pandemic contrasts with the negative impacts on nurses' health and quality of life. Some of the riskiest areas in preparing for a future pandemic include nurses' self-care - both mental and physical - and their support for fellow nurses, such as forming new teams, adapting workplaces, and training new colleagues.

Keywords: COVID-19; Nurse; Pandemic preparedness; Professional burden; Professional prestige
Grants and funding:

This research was supported by a program project of the Ministry of Health of the Czech Republic with reg. No. AZV NU21-09-00300. All rights are reserved under applicable intellectual property protection regulations.

Conflicts of interest:

The authors have no conflict of interest to declare.

Received: February 10, 2025; Revised: March 18, 2025; Accepted: April 15, 2025; Prepublished online: April 24, 2025 

Download citation

References

  1. Al-Hunaishi W, Hoe VC, Chinna K (2019). Factors associated with healthcare workers willingness to participate in disasters: a cross-sectional study in Sana'a, Yemen. BMJ Open 9(10): e030547. DOI: 10.1136/bmjopen-2019-030547. Go to original source... Go to PubMed...
  2. Bártlová S (2010). Týmová spolupráce z pohledu lékaře. Vztah všeobecná sestra-lékař [The team cooperation between nurses and doctors.] Praha: Zdravotnictví v České republice. Asociace pro rozvoj sociálního lékařství a řízení péče o zdraví, 1998-2015. 13(1): 174-181.
  3. Bártlová S, Chloubová I, Chrdle A (2024b). The use of telemedicine technologies in the work of nurses from the perspective of doctors in the Czech Republic. Clin Soc Work Health 15(2): 19-26. DOI: 10.22359/cswhi_15_2_04. Go to original source...
  4. Bártlová S, Hellerová V, Dolák F, Chloubová I (2024a). Nurses' views and experiences during the COVID-19 pandemic. Pielegniarstwo XXI wieku 23(2): 106-110. DOI: 10.2478/pielxxiw-2024-0019. Go to original source...
  5. Boudreau HS, Singh N, Boyd CJ (2022). Understanding the Impact of Social Media Information and Misinformation Producers on Health Information Seeking. Comment on "Health Information Seeking Behaviors on Social Media During the COVID-19 Pandemic Among American Social Networking Site Users: Survey Study". J Med Internet Res 24(2): e31415. DOI: 10.2196/31415. Go to original source... Go to PubMed...
  6. Choi KR, Heilemann MV, Fauer A, Mead M (2020). A Second Pandemic: Mental Health Spillover from the Novel Coronavirus (COVID-19). J Am Psychiatr Nurses Assoc 26(4): 340-343. DOI: 10.1177/1078390320919803. Go to original source... Go to PubMed...
  7. Chrdle A, Bártlová S, Chloubová I (2024). The doctors' view of a nurse's role during the COVID-19 pandemic: Qualitative research. J Nurs Soc Stud Public Health Rehabil 15 (3-4): 89-98. DOI: 10.32725/jnss.2024.007. Go to original source...
  8. Cox CL (2020). 'Healthcare Heroes': problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. J Med Ethics 46: 510-513. DOI: 10.1136/medethics-2020-106398. Go to original source... Go to PubMed...
  9. De Benedictis A, Gualandi R, Saccoccia S, Pensieri C, Piredda M, De Micco F, et al. (2022). Back to the Roots of Nursing: Qualitative Study on the Experience of Nurses in the Front Line During the COVID-19 Pandemic. Front Med 9: 903517. DOI: 10.3389/fmed.2022.903517. Go to original source... Go to PubMed...
  10. Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, Ellwood L (2020) Implications for COVID-19: A systematic review of nurses' experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud 111: 103637. DOI: 10.1016/j.ijnurstu.2020.103637. Go to original source... Go to PubMed...
  11. Gustafsson T, Hemberg J (2022). Compassion fatigue as bruises in the soul: A qualitative study on nurses. Nurs Ethics 29(1): 157-170. DOI: 10.1177/09697330211003215. Go to original source... Go to PubMed...
  12. Halberg N, Jensen PS, Larsen TS (2021). We are not heroes - The flipside of the hero narrative amidst the COVID-19 pandemic: A Danish hospital ethnography. J Adv Nurs 77(5): 2429-2436. DOI: 10.1111/jan.14811. Go to original source... Go to PubMed...
  13. Hossain MM, Tasnim S, Sultana A, Faizah F, Mazumder H, Zou L, et al. (2020). Epidemiology of mental health problems in COVID-19: a review. F1000Res 9: 636. DOI: 10.12688/f1000research.24457.1. Go to original source... Go to PubMed...
  14. Karagöl A, Törenli Kaya Z (2022). Healthcare workers' burn-out, hopelessness, fear of COVID-19 and perceived social support levels. Eur J Psychiatry 36(3): 200-206. DOI: 10.1016/j.ejpsy.2022.01.001. Go to original source... Go to PubMed...
  15. Kisa S (2020). Burnout among Physicians and Nurses during COVID-19 Pandemic. Eur J Environ Public Health 4(2): em0055. DOI: 10.29333/ejeph/8447. Go to original source...
  16. Labrague LJ, Hammad K, Gloe DS, McEnroe-Petitte DM, Fronda DC, Obeidat AA, et al. (2018). Disaster preparedness among nurses: a systematic review of the literature. Int Nurs Rev 65(1): 41-53. DOI: 10.1111/inr.12369. Go to original source... Go to PubMed...
  17. Mohammed S, Peter E, Killackey T, Maciver J (2021). The "nurse as hero" discourse in the COVID-19 pandemic: A poststructural discourse analysis. Int J Nurs Stud 117: 103887. DOI: 10.1016/j.ijnurstu.2021.103887. Go to original source... Go to PubMed...
  18. Morgantini LA, Naha U, Wang H, Francavilla S, Acar Ö, Flores JM, et al. (2020). Factors contributing to healthcare professional burnout during the COVID-19 pandemic: A rapid turnaround global survey. PloS One 15(9): e0238217. DOI: 10.1371/journal.pone.0238217. Go to original source... Go to PubMed...
  19. Nemeth A, Papp K (2024). Depression and burnout among Hungarian health workers during the COVID-19 pandemic. Kontakt 26 (2): 120-125 DOI: 10.32725/kont.2024.021. Go to original source...
  20. Shivairová O, Bártlová S, Hellerová V, Chloubová I (2023). Nurses Mental Health during the Covid-19 Pandemic. Cent Eur J Nurs Midw 14(1): 795-804. DOI: 10.15452/cejnm.2022.13.0009. Go to original source...
  21. Snyder Sulmasy L, Burnett JR, Carney JK, DeCamp M; ACP Ethics, Professionalism and Human Rights Committee (2024). Ethics and Academic Discourse, Scientific Integrity, Uncertainty, and Disinformation in Medicine: An American College of Physicians Position Paper. Ann Intern Med 177(9): 1244-1250. DOI: 10.7326/M24-0648. Go to original source... Go to PubMed...
  22. Šupíková M, Jankovičová J, Jarabicová O, Rypicz L, Witzcak I (2022). Factors affecting nurses' mental health during the COVID-19 pandemic. Kontakt 24(3): 205-201. DOI: 10.32725/kont.2022.022. Go to original source...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.