Despite nurses receiving education on how to respond during crises, the stress and demands arising from unprecedented situations, such as the COVID-19 pandemic, may affect their work engagement.
Aim
To appraise and synthesize studies examining work engagement among nurses in the context of the COVID-19 pandemic.
Methods
It is a systematic review in which three databases were searched. Critical appraisal tools and PRISMA guidelines were used. Content analysis was performed.
Ethical considerations
Ethical approval was not required for this systematic review.
Findings
A total of 21 studies were included. The results were classified into three categories: (1) levels and meanings of work engagement, (2) the relationship of work engagement with various factors, and (3) measures to enhance work engagement.
Conclusion
The review revealed that nurses’ work engagement varied from moderate to high. Factors such as education level and work schedule flexibility influenced their engagement. Positive associations were found between work engagement and job satisfaction, intention to stay, and organizational support, while stress and workload showed negative relationships. The crucial role of health policymakers, hospital administrators, and nurse managers in acting ethically, creating favorable working conditions and fostering nurses’ work engagement was emphasized.
HoffmannRLBattagliaAPerpetuaZ. The clinical nurse leader and COVID-19: leadership and quality at the point of care. J Prof Nurs2020; 36: 178–180.
2.
LivorneseKVedderJ. The emotional well-being of nurses and nurse leaders in crisis. Nurs Adm Q2017; 41: 144–150.
3.
VeenemaTGGriffinAGableAR, et al.Nurses as leaders in disaster preparedness and response: a call to action. J Nurs Scholarsh2016; 48: 187–200.
4.
JungHJungSYLeeMH, et al.Assessing the presence of post-traumatic stress and turnover intention among nurses post–middle east respiratory syndrome outbreak: the importance of supervisor support. Work Health Saf2020; 68(7): 337–345.
5.
WongSYSWongELYChorJ, et al.Willingness to accept H1N1 pandemic influenza vaccine: a cross-sectional study of Hong Kong community nurses. BMC Infect Dis2010; 10(107): 316.
6.
Mavis MulaudziFMulaudziMAnokwuruRA, et al.Between a rock and a hard place: ethics, nurses’ safety, and the right to protest during the COVID-19 pandemic. Int Nurs Rev2021; 68: 270–278.
7.
Al ThobaityAAlshammariF. Nurses on the frontline against the COVID-19 pandemic: an integrative review. Dubai Med J2020; 3: 87–92.
8.
SampaioABOCirqueiraAPBritoFSL, et al.Burnout entre profissionais de enfermagem em época de coronavírus: o que dizem as evidências científicas? In: SiqueiraSMC (ed). COVID-19: O trabalho dos profissionais da saúde em tempos de pandemia. São Paulo: Editora Científica Digital, 2021, pp. 64–75. Portuguese.
9.
TuraleSNantsupawatA. Clinician mental health, nursing shortages and the COVID-19 pandemic: crises within crises. Int Nurs Rev2021; 68: 12–14.
10.
SunNWeiLShiS, et al.A qualitative study on the psychological experience of caregivers of COVID-19 patients. Am J Infect Control2020; 48(6): 592–598.
11.
FalatahR. The impact of the Coronavirus disease (COVID-19) pandemic on nurses’ turnover intention: an integrative review. Nurs Rep2021; 11: 787–810.
12.
BaccinAALúcia Dornelles de LimaAKuster de Lima MaliskaJ, et al.Coping e engajamento no trabalho de equipe de enfermagem hospitalar. Rev Bras em Promoção Saúde2021; 34: 1–8.
13.
LourençãoLGSilvaRASMorettiMDSR, et al.Career commitment and entrenchment among primary care nurses. Rev Esc Enferm USP2021; 55: e20210186.
14.
O’RourkeMW. Work engagement: passion–role clarity connection in a turbulent time. Nurse Leader2021; 19: 204–209.
15.
SayedSSAhmedABakrMM, et al.Work engagement in nursing: a concept analysis. MNJ2019; 4(2): 13–18.
16.
PageMJMcKenzieJEBossuytPM, et al.The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. J Clin Epidemiol2021; 134: 178–189.
Allande-CussóRGarcía-IglesiasJJRuiz-FrutosC, et al.Work engagement in nurses during the covid-19 pandemic: a cross-sectional study. Healthcare2021; 9(253): 253.
19.
BernburgMHetzmannMSMojtahedzadehN, et al.Stress perception, sleep quality and work engagement of German outpatient nurses during the COVID-19 pandemic. Int J Environ Res Publ Health2021; 19: 313.
20.
CoursonSBreenKSmithJ, et al.Impact of COVID-19 on the level of work engagement of nurses at a small, rural hospital. J Cont Educ Nurs2022; 53: 157–164.
21.
Giménez-EspertMDCPrado-GascóVSoto-RubioA. Psychosocial risks, work engagement, and job satisfaction of nurses during COVID-19 pandemic. Front Public Health2020; 8: 566896.
22.
Hui-RenZLi-LiMQinL, et al.Evaluation of the correlation between sleep quality and work engagement among nurses in Shanghai during the post-epidemic era. Nurs Open2023; 10: 4838–4848.
23.
KimY-JLeeS-YChoJ-H. A study on the job retention intention of nurses based on social support in the COVID-19 situation. Sustainability2020; 12: 7276.
24.
LyuHYaoMZhangD, et al.The relationship among organizational identity, psychological resilience and work engagement of the first-line nurses in the prevention and control of COVID-19 based on structural equation model. Risk Manag Healthc Pol2020; 13: 2379–2386.
25.
MohamedSAHendyAEzzat MahmoudO, et al.Mattering perception, work engagement and its relation to burnout amongst nurses during coronavirus outbreak. Nurs Open2022; 9: 377–384.
26.
MukhlisHIbraheem Shelash Al-HawarySVietLH, et al.Religious capital and job engagement among Malaysian Muslim nurses during the COVID-19 pandemic. HTS Teol Stud/Theol Stud2022; 78(1): a7830.
27.
MunyenyembeBChenYYSamboG. COVID-19 sources of primary care nurses’ work disengagement in Malawi. J Behav Sci2021; 16: 1–13.
28.
TangYDias MartinsLMWangS-B, et al.The impact of nurses’ sense of security on turnover intention during the normalization of COVID-19 epidemic: the mediating role of work engagement. Front Public Health2022; 10: 1051895.
29.
VachhrajaniMMishraSKRaiH, et al.The direct and indirect effect of neuroticism on work engagement of nurses during COVID-19: a temporal analysis. Front Psychol2022; 13: 947887.
30.
WuJLiHGengZ, et al.Subtypes of nurses’ mental workload and interaction patterns with fatigue and work engagement during coronavirus disease 2019 (COVID-19) outbreak: a latent class analysis. BMC Nurs2021; 20: 206.
31.
XuDZhangNBuX, et al.The effect of perceived organizational support on the work engagement of Chinese nurses during the COVID-19: the mediating role of psychological safety. Psychol Health Med2022; 27: 481–487.
32.
YinYLyuMZuoM, et al.Subtypes of work engagement in frontline supporting nurses during COVID-19 pandemic: a latent profile analysis. J Adv Nurs2022; 78: 4071–4081.
33.
ZhangHZhaoYZouP, et al.The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation. BMJ Open2020; 10: e039711.
34.
ZhangNXuDLiJ, et al.Effects of role overload, work engagement and perceived organisational support on nurses’ job performance during the COVID-19 pandemic. J Nurs Manag2022; 30: 901–912.
35.
ZhangMChenHWangN, et al.The mediating role of job satisfaction between psychological capital and work engagement among Chinese nurses during COVID-19 outbreak: a comparative study between nurse specialists and general nurses. Front Psychiatr2022; 13: 990216.
36.
ZhangHZhaoYZouP, et al.Explaining organizational citizenship behavior among Chinese nurses combating COVID-19. Risk Manag Healthc Pol2021; 14: 979–986.
37.
ZhangMZhangPLiuY, et al.Influence of perceived stress and workload on work engagement in front-line nurses during COVID-19 pandemic. J Clin Nurs2021; 30: 1584–1595.
38.
ZhouLTetgoum KachieADXuX, et al.COVID-19: the effects of perceived organizational justice, job engagement, and perceived job alternatives on turnover intention among frontline nurses. Front Psychol2022; 13: 920274.
39.
ChenHSunLDuZ, et al.A cross-sectional study of mental health status and self-psychological adjustment in nurses who supported Wuhan for fighting against the COVID-19. J Clin Nurs2020; 29: 4161–4170.
40.
OrgambídezABorregoYVázquez-AguadoO. Self-efficacy and organizational commitment among Spanish nurses: the role of work engagement. Int Nurs Rev2019; 66: 381–388.
41.
VarkeyB. Principles of clinical ethics and their application to practice. Med Princ Pract2021; 30: 17–28.
42.
SchaufeliWBakkerA. Utrecht work engagement scale – UWES. Preliminary manual. Utrecht, Netherlands: Occupational Health Psychology Unit Utrecht University, 2004.
43.
EleyDEleyRBertelloM, et al.Why did I become a nurse? Personality traits and reasons for entering nursing: personality traits and reasons for entering nursing. J Adv Nurs2012; 68: 1546–1555.
44.
FernandezRLordHHalcombE, et al.Implications for COVID-19: a systematic review of nurses’ experiences of working in acute care hospital settings during a respiratory pandemic. Int J Nurs Stud2020; 111: 103637.
45.
LourençãoLGGomes da SilvaABorgesMA. Levels of engagement in primary health care professionals: a comparative study in two Brazilian municipalities. Esc Anna Nery2019; 23(3): e20190005.
46.
da SilvaAGCabreraEMSGazettaCE, et al.Engagement in primary health care nurses: a cross-sectional study in a Brazilian city. Publ Health Nurs2020; 37: 169–177.
47.
YağmaNMDonkorAGGöklerME. Management of hospitals during COVID-19 pandemic. Med Res Rep2020; 3(1): 155–161.
48.
MarkeyKVenturaCAADonnellCO, et al.Cultivating ethical leadership in the recovery of COVID-19. J Nurs Manag2021; 29(2): 351–355.
49.
GuoBMZhuAF. The relationship among psychological capital, psychological contract and work engagement in nurses. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi2018; 36: 614–617.
50.
MersinSİbrahimoğluÖÇağlarM, et al.Compassionate love, burnout and professional commitment in nurses. J Nurs Manag2020; 28: 72–81.
51.
AydogduALF. Ethical dilemmaerienced by nurses while caring for patients during the COVID-19 pandemic: an integrative review of qualitative studies. J Nurs Manag2022; 30(7): 2245–2258.
52.
WangCTangNZhenD, et al. Need for cognitive closure and trust towards government predicting pandemic behavior and mental health: comparing United States and China. Curr Psychol. 2022; 42(26): 22823–22836.
53.
BavelJJVBaickerKBoggioPS, et al.Using social and behavioural science to support COVID-19 pandemic response. Nat Human Behav2020; 4: 460–471.
54.
Ministry of Health. Directorate General of Administrative Services (Turkey), General resolution number: 60438742-929, October 27, 2020. Employee processes. 2020: article 1.
55.
AziriB. Job satisfaction: a literature review. Manag Res Pract2011; 3(4): 77–86.
56.
De SimoneSPlantaACicottoG. The role of job satisfaction, work engagement, self-efficacy and agentic capacities on nurses’ turnover intention and patient satisfaction. Appl Nurs Res2018; 39: 130–140.
57.
MahmoudFHassonaH. Relationship between structural empowerment, work engagement, and job satisfaction among nursing staff at Zagazig University Hospitals. Zagazig Nurs J2013; 9(1): 15–30.
58.
WalkerACampbellK. Work readiness of graduate nurses and the impact on job satisfaction, work engagement and intention to remain. Nurse Educ Today2013; 33: 1490–1495.
59.
OthmanNNasurdinAM. Social support and work engagement: a study of Malaysian nurses. J Nurs Manag2013; 21: 1083–1090.
60.
WangXLiuLZouF, et al.Associations of occupational stressors, perceived organizational support, and psychological capital with work engagement among Chinese female nurses. BioMed Res Int2017; 2017: 5284628.
61.
DiabGMEl NagarMA. Work engagement of staff nurses and its relation to psychological work stress. IOSR-JNHS2019; 8(2): 72–84.
62.
ZahrahNAzizAAbdul HamidSN. Workload and work engagement among nurses in public hospitals: moderating role of religious spirituality. Int J Manag Account Econ2019; 6(4): 297–312.
63.
García-SierraRFernández-CastroJMartínez-ZaragozaF. Work engagement in nursing: an integrative review of the literature. J Nurs Manag2016; 24: E101–E111.
64.
Barkhordari-SharifabadMAshktorabTAtashzadeh-ShooridehF. Ethical leadership outcomes in nursing: a qualitative study. Nurs Ethics2018; 25(8): 1051–1063.
65.
YildizBYildizT. A systematic review and meta-analytical synthesis of the relationship between work engagement and job satisfaction in nurses. Perspect Psychiatr Care2022; 58: 3062–3078.
