While the COVID-19 pandemic continues to evolve, America’s nursing work force continue to work in the most challenging of circumstances. While expected to hold the fort and continue on, deep inside, they bury an unprecedented level of acute stress, anxiety and depression. Peer support groups have been posed as a possible coping behavior. This cross-sectional designed project was developed to assess the worth and feasibility of a virtual peer support group with a focus on healthcare provider wellness during a period of surge of the COVID-19 pandemic. Overwhelmed staff, technology/documentation changes and challenges, competing clinical demands, short-staffing and Zoom fatigue were identified as the limiting factors for this project’s completion within its given timeframe. These findings informed of current barriers, providing a basis for future program development to mitigate the impact of psychological distress among healthcare providers. Evolving literature on this topic supports recommendations for further study and action by individual health care providers, organizations and at the state and national levels.
In the first essay, findings from statistical modeling using instrumental variables suggest that academic researchers who receive administrative support for grant writing and management obtain fewer grants and have a lower success rate. However, the findings also suggest that the grants these researchers do receive are much larger in terms of dollars. The results indicate that administrative support is particularly beneficial in academic grant situations of high-risk, high-reward. In the second essay, ordered logit models reveal a statistically significant and stronger relationship between staff intensity (i.e., the ratio of faculty to staff workers) and faculty stress than the relationship between executive intensity (i.e., the ratio faculty to executive and managerial workers) and faculty job stress. These findings confirm theory that the work of faculty is more loosely coupled with the work of executives than it is with staff workers. A possible explanation is the increase in administrative work faculty must take on as there are fewer staff workers to take on administrative tasks. And finally, in the third essay results from multi-level modeling confirm that both role clarity and institutional support positively affect both a global measure of faculty job satisfaction and faculty satisfaction with how their work time is allocated. Understanding the effects that administrative structure has on faculty outcomes will aid universities as faculty administrative burdens ebb and flow in reaction to macro trends in higher education, such as unbundling of faculty roles, unbundling of services, neoliberalism, liberal arts decline, and administrative bloat.