The Safe Coping Strategy of Nurses Working in the Care Units of Patients with COVID 19: A Qualitative Study
Abstract
Background: Nurses are in direct contact with patients with COVID‑19 and have faced much tension with the rapid spread of coronavirus. This study aimed to explore the safe coping strategies of nurses when facing the COVID‑19 pandemic.
Materials and Methods: In this qualitative study, data were collected from September 20 to December 20, 2020, in Isfahan (Iran) through individual semi‑structured interviews with 12 nurses working in the five referral centers for patients with COVID‑19. Informants were selected via purposeful sampling and interviewed in one or several sessions at the appropriate time and place. The interviews continued until data saturation. All interviews continued until no new data were added to the continuous content analysis. Data analysis was performed using conventional content analysis based on Graneheim and Lundman’s approach. We used Guba and Lincoln’s criteria (including credibility, transferability, conformability, and dependability) to guarantee trustworthiness and rigor.
Results: Safe coping strategies for nurses were discovered in two categories of “wise liberation” and “care,” and six subcategories. “Wise liberation” consisted of four subcategories: “living in the moment,” “accepting the inner and outer world,” “life enrichment,” and “building opportunities.” “Care” contained two subcategories: “caring for others” and “caring for oneself.”
Conclusions: Discovering safe coping strategies for nurses could set the stage for special educational–therapeutic interventions so they can better understand their experiences and take advantage of the best coping strategies.
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Gorbalenya AE, Baker SC, Baric RS, de Groot RJ, Drosten C, Gulyaeva AA. Severe acute respiratory syndrome-related coronavirus: The species and its viruses–a statement of the coronavirus study group. bioRxiv 2020;7.
COVID-19 Coronavirus Pandemic. Coronavirus Cases. Worldometer website. https://www.worldometers.info. updated November 28, 2020. [Last accessed on 2020 Nov 28].
Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: Summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA 2020;323:1239-42.
Lan FY, Wei CF, Hsu YT, Christiani DC, Kales SN. Work-related COVID-19 transmission in six Asian countries/areas: A follow-up study. PLoS One 2020;15:e0233588.
Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. Lancet Psychiatry 2020;7:e14.
Liu Q, Luo D, Haase JE, Guo Q, Wang XQ, Liu S, et al. The experiences of health-care providers during the COVID-19 crisis in China: A qualitative study. Lancet Glob Health 2020;8:e790–8.
Chan JF, Yuan S, Kok KH, To KKW, Chu H, Yang J, et al. A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of a family cluster. Lancet 2020;395:514–23.
Ifdil I, Fadli RP, Suranata K, Zola N, Ardi Z. Online mental health services in Indonesia during the COVID-19 outbreak. Asian J Psychiatr 2020;51:102153.
Ran L, Chen X, Wang Y, Wu W, Zhang L, Tan X. Risk factors of healthcare workers with corona virus disease 2019: A retrospective cohort study in a designated hospital of Wuhan in China. Clin Infect Dis 2020;71:2218-21.
Fusaroli P, Balena S, Lisotti A. On the death of 100+Italian doctors from COVID-19. Infection 2020;48:803-4.
Huang L, Xu F, Liu H. Emotional responses and coping strategies of nurses and nursing college students during COVID-19 outbreak. MedRxiv 2020.
Van Houtven CH, DePasquale N, Coe NB. Essential long-term care workers commonly hold second jobs and double-or triple-duty caregiving roles. J Am Geriatr Soc 2020;68:1657-60.
Estalella GM, Zabalegui A, Guerra SS. Management and leadership of nursing services in the emergency plan for the pandemic COVID-19: The experience of the Clinic Hospital of Barcelona. Enferm Clín 2020;10:12-7. [Spanish].
Collado-Boira EJ, Ruiz-Palomino E, Salas-Media P, Folch-Ayora A, Muriach M, Baliño P. “The COVID-19 outbreak”—An empirical phenomenological study on perceptions and psychosocial considerations surrounding the immediate incorporation of final-year Spanish nursing and medical students into the health system. Nurse Educ Today 2020;92:104504.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105–12.
Kashdan TB, Disabato DJ, Goodman FR, Doorley JD, McKnight PE. Understanding psychological flexibility: A multimethod exploration of pursuing valued goals despite the presence of distress. Psychol Assess 2020;32:829-50.
Moitra E, Gaudiano BA. A psychological flexibility model of medication adherence in psychotic-spectrum disorders. J Contextual Behav Sci 2016;5:252–7.
Ching SSY, Cheung K, Hegney D, Rees CS. Stressors and coping of nursing students in clinical placement: A qualitative study contextualizing their resilience and burnout. Nurse Educ Pract 2020;42:102690.
Tavangar H, Alhani F, Vanaki Z. Coping with Work-Family Conflict in Nurses: A Qualitative Study. Avicenna J Nurs Midwifery Care 2012; 20:14-24.
Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychologycal experience of caregivers of COVID-19 patient. Am J infect control 2020;48:592-8.
Cai H, Tu B, Ma J, Chen L, Fu L, Jiang Y, et al. Psychological impact and coping strategies of frontline medical staff in Hunan between January and March 2020 during the outbreak of coronavirus disease 2019 (COVID) in Hubei, China. Med Sci Monit 2020;26:e924171.
Shechter A, Diaz F, Moise N, Anstey DE, Ye S, Agarwal S, et al. Psychological distress, coping behaviors, and preferences for support among New York healthcare workers during the COVID-19 pandemic. Gen Hosp Psychiatry 2020;66:1–8.
Babore A, Lombardi L, Viceconti ML, Pignataro S, Marino V, Crudele M, et al. Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry Res 2020;293:113366.
Windarwati HD, Ati NAL, Paraswati MD, Ilmy SK, Supianto AA, Rizzal AF, et al. Stressor, coping mechanism, and motivation among health care workers in dealing with stress due to the COVID-19 pandemic in Indonesia. Asian J Psychiatr 2021;56:102470.
Fernández Trinidad M, González Pascual JL, Rodríguez García M. Perception of caring among nursing students: Results from a cross-sectional survey. Nurse Educ Today 2019;83:104196.
Dewar B, Nolan M. Caring about caring: Developing a model to implement compassionate relationship centred care in an older people care setting. Int J Nurs Stud 2013;50:1247-58.
Bell L. Code of ethics for nurses with interpretive statements. Crit Care Nurse 2015;35:84–84.
Zhang MM, Niu N, Zhi XX, Zhu P, Wu B, Wu BN, et al. Nurses’ psychological changes and coping strategies during home isolation for the 2019 novel coronavirus in China: A qualitative study. J Adv Nurs 2021;77:308–17.
Germer CK, Neff KD. Self-compassion in clinical practice. J Clin Psychol 2013;69:856–67.
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