Abstract
BACKGROUND: Nurses from Sierra Pacific Network Veterans Health Administration (VHA) facilities assembled a research team to chronicle the impact the COVID-19 pandemic had on VHA nurses within the network. This study sought to include nurses who worked in outpatient areas that were not captured in previous research and nurses who work in inpatient areas. METHODS: After reviewing current literature examining the initial effects of the COVID-19 pandemic on health care workers and possible measurement tools, the team adapted and formatted an electronic survey to measure nurses' experiences related to job satisfaction, burnout, moral distress, depression, and intent to stay in the workplace. RESULTS: A total of 860 registered and licensed practical/vocational nurses completed the survey in March 2023. Survey results indicated that VHA nurses experienced loss of patients (58%) and colleagues (30%) from COVID-19, overwhelming workload (57%), stress from short staffing (81%), lack of supplies (51%), burnout (50%), and moral injury (30%). CONCLUSIONS: A high percentage of VHA nurses reported they were satisfied with their jobs and the care they provided to veterans despite experiencing personal and professional challenges stemming from COVID-19. We have identified strategies for leaders to support nurses during and after pandemics as well as plan and prepare for future pandemics.