Exploring the Impacts of Caring for Hospitalized COVID 19 Patients on Nurses: A Qualitative Descriptive Study

Meimanat Hosseini, Saeed Ghasemi, Sima Hejazi

Abstract


Background: The impacts of caring for hospitalized COVID‑19 patients on nurses are wide and varied and have not been comprehensively explained in the existing literature. The aim of this study was to explore the nurses’ perception of the impacts of caring for hospitalized COVID‑19 patients.

Materials and Methods: In this qualitative descriptive study, data were collected via semi‑structured interviews with 20 nurses and head nurses of emergency/internal wards and Intensive Care Units (ICUs) of 2 hospitals in Tehran, Iran. The purposive sampling method was used, and data analysis was performed using a conventional content analysis approach.

Results: After data analysis, 12 subcategories, 3 main categories, and 1 theme (professional resilience) were extracted. The three main categories included “complex care,” “professional development,” and “caring self‑efficacy.” Caring for hospitalized COVID‑19 patients was complex for nurses; however, the care provided to these patients could also lead to the nurses’ professional development and caring self‑efficacy.

Conclusions: Health organizations and nursing managers can better manage the COVID‑19 pandemic and other similar future crises through strategies such as providing nurses with adequate and diverse resources and facilities, encouraging and supporting nurses in various dimensions, providing positive media advertisements for the nursing profession and nurses, and providing nurses with necessary and applicable knowledge and skills.


Keywords


COVID‑19, Iran, nurses, patient care, qualitative research, resilience

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References


Cho KH, Kim B. The psychological responses of nurses caring for COVID 19 patients: A Q methodological approach. Int J Environ Res Public Health 2021;18:3605.

Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, 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 Stud 2020;111:103637.

Asghari E, Archibald M, Roshangar F. Nursing interventions for patients with COVID 19: A medical record review and nursing interventions classification study. Int J NursKnowl 2022;33:57 63.

Weiss RL, Kennell J, Lakdawala L, Anzio N, Klamut KA, Lucas W, et al. Nursing professional development specialist’s role in adapting education, onboarding, and just in time education during the COVID 19 pandemic. J Nurses Prof Dev 2021;37:143 6.

Alshamrani MM, El Saed A, Al Zunitan M, Almulhem R, Almohrij S. Risk of COVID 19 morbidity and mortality among healthcare workers working in a large tertiary care hospital. Int J Infect Dis 2021;109:238 43.

Batra K, Singh TP, Sharma M, Batra R, Schvaneveldt N. Investigating the psychological impact of COVID 19 among healthcare workers: A meta analysis. Int J Environ Res Public Health 2020;17:9096.

Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses’ experiences of psychological distress during care of patients with COVID 19: A qualitative study. BMC Psychiatry 2020;20:489.

Ahmadidarrehsima S, Salari N, Dastyar N, Rafati F. Exploring the experiences of nurses caring for patients with COVID 19: A qualitative study in Iran. BMC Nurs 2022;21;16.

Das S, Singh T, Varma R, Arya YK. Death and mourning process in frontline health care professionals and their families during COVID 19. front Psychiatry 2021;12:624428.

Pazokian M, Mehralian Q, Khalandi F. Experiences of nurses caring of patients during the COVID 19 pandemic: A qualitative study. Evidence Based Care 2021;10:17 24.

Rathnayake S, Dasanayake D, Maithreepala SD, Ekanayake R, Basnayake PL. Nurses’ perspectives of taking care of patients with Coronavirus disease 2019: A phenomenological study. PLoS One 2021;16:e0257064.

Giménez Espert MDC, Prado Gascó V, Soto Rubio A. Psychosocial risks, work engagement, and job satisfaction of nurses during COVID 19 pandemic. Front Public Health 2020;8:566896.

Akkermans J, Richardson J, Kraimer ML. The Covid 19 crisis as a career shock: Implications for careers and vocational behavior. J VocatBehav2020;119:103434.

FormanJ, DamschroderL. Qualitative content analysis.In: JacobyL, SiminoffLA, editors. Empirical Methods for Bioethics: A Primer, Advances in Bioethics. Vol. 11.Elsevier Ltd; 2008. p. 39 62.

Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today2004;24:105 12.

Streubert HJ, Carpenter R. Qualitative research in nursing: Advancing the humanistic imperative. 5thed.Wolters Kluwer Health | Lippincott Williams & Wilkins; 2011. p. 47 9.

Cusack L, Smith M, Hegney D, Rees CS, Breen LJ, Witt RR, et al. Exploring environmental factors in nursing workplaces that promote psychological resilience: Constructing a unified theoretical model. Front Psychol 2016;7:600.

Ren Y, Zhou Y, Wang S, Luo T, Huang M, Zeng Y. Exploratory study on resilience and its influencing factors among hospital nurses in Guangzhou, China. Int J Nurs Sci 2017;5:57 62.

Yılmaz EB. Resilience as a strategy for struggling against challenges related to the nursing profession. Chin Nurs Res 2017;4:9 13.

Chau JPC, Lo SHS, Saran R, Leung CHY, Lam SKY, Thompson DR. Nurses’ experiences of caring for people with COVID 19 in Hong Kong: A qualitative enquiry. BMJ Open 2021;11:e052683.

Unoki T, Sakuramoto H, Sato R, Ouchi A, Kuribara T, Furumaya T, et al. Adverse effects of personal protective equipment among intensive care unit healthcare professionals during the COVID 19 pandemic: A scoping review. SAGE Open Nurs2021;7:23779608211026164.

Toghanian R, Ghasemi S, Hosseini M, Nasiri M. Protection behaviors and related factors against COVID 19 in the healthcare workers of the hospitals in Iran: A cross sectional study. Iran J Nurs Midwifery Res 2022;27:587 92.

Ghasemi S, Karimi L, Nehrir B. Professional responsibility acquiring process among bachelor degree nursing students: A grounded theory study. J Educ Health Promot 2020;9:341.

Ghasemi S, Nehrir B, Karimi L. Professional responsibility and its related factors among bachelor degree nursing students in Iran: A cross sectional study. Iran J Nurs Midwifery Res 2020;25:376 81.

Alameddine M, Bou Karroum K, Ghalayini W, Abiad F. Resilience of nurses at the epicenter of the COVID 19 pandemic in Lebanon. Int J Nurs Sci 2021;8:432 8.

Leskovic L, Erjavec K, Leskovar R, Vukovič G. Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID 19 pandemic. Ann Agric Environ Med 2020;27:664 71.

Sharif Nia H, Arslan G, Naghavi N, SivarajanFroelicher E, Kaveh O, Pahlevan Sharif S, et al. A model of nurses’ intention to care of patients with COVID 19: Mediating roles of job satisfaction and organisational commitment. J Clin Nurs2021;30:1684 93.

Harper MG, Dougherty D, Price MG. Nursing professional development practice during a pandemic [published correction appears in J Contin Educ Nurs 2020 Oct 1;51:446]. J Contin Educ Nurs2020;51:349 51.


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