and because Sweden didn't have lockdown this also happened -
Yes, a significant number of Swedish nurses, particularly those in intensive care units (ICU), left their jobs during and after the COVID-19 pandemic due to immense pressure, exhaustion, and poor working conditions. This exodus worsened an existing nursing shortage in the country.
Reasons for Resignation
Nurses' decisions to leave were influenced by a "tangle of challenging paradoxes" and an accumulation of stress:
- Extreme Workload and Long Hours: Nurses faced months of 13-hour shifts, often working over 40 hours a week, which led to high rates of sickness and exhaustion symptoms.
- Moral and Ethical Distress: Many nurses experienced moral stress and guilt related to providing what they felt was inadequate or "substandard and inhumane" care due to a lack of staff and resources. This included situations of futile care (no one decided to withdraw ventilator support for hopelessly ill patients) and being unable to meet patients' and families' needs for closeness and security.
- Lack of Support and Inadequate Pay: Nurses reported a lack of administrative or managerial support and expressed frustration with their pay levels relative to the demanding conditions.
- Safety Concerns: Staff worried about their own risk of infection and transmitting the virus to their families, which was exacerbated by inadequate personal protective equipment (PPE) at times.
- Loss of Control: The implementation of crisis agreements meant nursing staff lost influence over their working hours and were subject to unpredictable scheduling changes and on-call demands during free time.
Consequences
The high rate of resignations created a severe staffing shortage, pushing the healthcare system, particularly in areas like Stockholm, to its limits with ICU capacity reaching 99%. The crisis was so severe that some regions requested assistance from the Swedish armed forces and neighboring Finland.
Surveys found that around 21% of critical care nurses reported an intention to leave their position due to the moral distress experienced. The decision to leave was often described as necessary and a relief, even if it came with sorrow over the loss of their professional identity and planned future in intensive care.
These challenges highlight the need for strong organizational support and leadership to prevent burnout and retain essential healthcare staff during a public health crisis.