Table 2.
Two-level classification of problematic situations (percentage and number of respondents).
| Type of problematic situation: level 1 (L1) and level 2 (L2) | % | N = 1,292 |
|---|---|---|
| Organisational Change | 40.6 | 525 |
| Reorganisation of services, tasks or planning; material and human logistics | 17.3 | 223 |
| Unusual activities and adaptations (new services, novelties) | 15.6 | 201 |
| Lack of space, room reorganisation, new distribution of care units | 11.3 | 146 |
| Flow management and patient transferrals | 7.7 | 99 |
| Splitting and building of new teams | 7.0 | 90 |
| Working in an emergency and necessity to make quick changes | 5.2 | 67 |
| Workloads and work schedules (overloads and under-utilisation) | 27.6 | 356 |
| Work overload: quantity, duration or understaffing | 9.8 | 127 |
| Irregular or constantly modified schedules | 9.6 | 124 |
| Sick leave, absences or staff reassignments | 7.4 | 96 |
| Lack of work, closed wards or cancellation/deprogramming of activities | 7.3 | 94 |
| Lack of breaks, holidays or or rest; uncompensated overtime | 5.4 | 70 |
| Work–life balance tensions; childcare difficulties | 0.9 | 12 |
| Conflictual relationships | 23.5 | 303 |
| Hierarchical tensions, lack of support, lack of recognition | 8.4 | 109 |
| Tensions within teams | 7.5 | 97 |
| Tensions with patients and families: stress and emotion management | 6.0 | 78 |
| Managerial difficulties from team complaints and stress | 5.2 | 67 |
| Patient care practices and quality of care perceptions | 17.2 | 222 |
| Patients’ critical conditions, deaths, ethical issues | 8.4 | 109 |
| Disagreements, incoherencies or worries about patient care | 6.7 | 87 |
| Patients isolated from families | 5.2 | 67 |
| Emotional burden: fear, distress, loneliness, etc. | 16.8 | 217 |
| Fear of contamination by patients or peers | 9.2 | 119 |
| Feelings of inequality | 3.9 | 50 |
| Fear of contaminating relatives or them being infected by others | 3.8 | 49 |
| Stigmatisation, feelings of guilt (working with COVID-positive patients, absenteeism due to vulnerability or sickness, working from home), feelings of uselessness | 1.5 | 19 |
| Lack of information, communication or training | 15.6 | 201 |
| Unclear instructions and lack of information | 9.4 | 122 |
| Difficult communication and inter-/intra-professional cooperation | 6.3 | 81 |
| Lack of training and skills | 3.7 | 48 |
| Difficulties with COVID-19 guidelines and protection measures | 13.1 | 169 |
| Difficulties respecting the rules and protective measures due to lack of understanding, time, desire or differing interpretations | 10.7 | 138 |
| Constant changes to guidelines and ensuing adaptations | 4.6 | 59 |
| Access to COVID-19 PPE and equipment for patient care | 11.3 | 146 |
| Complexity of working from home (the setting and technical issues) | 1.2 | 93 |
| Others, non-codable or off-topic | 3.8 | 49 |