The Caring Process in Patients with Covid 19: A Grounded Theory Study

Leila Sayadi, Fatemeh Karami, Ali Karimi Rozveh, Sara Pakzad Karamad

Abstract


Background: The care process involves essential tasks of assisting, supporting, and facilitating nursing activities to meet the comprehensive needs of patients. Coronavirus disease 2019 (COVID‑19) is a global infectious disease that has caused a pandemic. Nurses play a crucial role in caring for and treating patients with COVID‑19. This study aims to explain the care process in patients with COVID‑19.

Materials and Methods: A qualitative study using the grounded theory method was conducted from 2021 to 2022. Eleven nurses providing care to hospitalized patients with COVID‑19 were purposively selected from the COVID wards of Shariati Hospital in Tehran, Iran. Data were collected through in‑depth semistructured interviews and observation. Data analysis was conducted using the approach developed by Corbin and Strauss (2008).

Results: The data analysis phase identified a main theme of “protection and support in the shadow of uncertainty” along with five main categories and ten subcategories. The main categories included “encountering life‑threatening crisis”, “maintaining safety”, “improving the patient’s physical health”, “encouraging”, and “feeling satisfied despite the burden of care”.

Conclusions: Nurses aimed to improve the physical and psychological conditions of patients with COVID‑19 by implementing a comprehensive care plan. The five main categories identified can be considered the primary approach to nursing care in the COVID‑19 crisis. Additionally, the nurses’ experiences can help establish the necessary infrastructure for care and education during other potential health crises.



Keywords


COVID‑19, grounded theory, nursing, patient care, patients

Full Text:

PDF

References


Morse JM, Bottorff J, Neander W, Solberg S. Comparative analysis of conceptualizations and theories of caring. Image J Nurs Sch 1991;23:119 26.

Driscoll A, Currey J, George M, Davidson PM. Changes in health service delivery for cardiac patients: implications for workforce planning and patient outcomes. Aust Crit Care 2013;26:55 7.

Dalpezzo NK. Nursing care: A concept analysis. Nurs Forum 2009;44:256 64.

Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open 2018;8:e019189. doi: 10.1136/bmjopen 2017 019189.

Østervang C, Geisler Johansen L, Friis Brixen A, Myhre Jensen C. Experiences of nursing care for patients who self harm and suggestions for future practices: The perspectives of emergency care nurses. Int J Ment Health Nurs 2022;31:70 82.

Castellan C, Sluga S, Spina E, Sanson G. Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit. J Adv Nurs 2016;72:1273 86.

Available from: https://covid19.who.int/. [Last accessed on 2023 Jun 15].

Tanlaka EF, McIntyre A, Connelly D, Guitar N, Nguyen A, Snobelen N. The Role and Contributions of Nurses in Stroke Rehabilitation Units: An Integrative Review. West J Nurs Res. 2023;45:764-776.

Bambi S, Iozzo P, Lucchini A. New issues in nursing management during the COVID 19 pandemic in Italy. Am J Crit Care 2020;29:e92 3.

Strauss A, Corbin JM. Basics of qualitative research: Grounded theory procedures and techniques. Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Thousand Oaks, CA, US: Sage Publications, Inc.; 1990.

Mwita K. Factors influencing data saturation in qualitative studies. Int J Res Business Soc Sci (2147 4478) 2022;11:414 20.

Drageset J, Taasen SE, Espehaug B, Kuven BM, Eide WM, André B, et al. Associations between nurse patient interaction and sense of coherence among cognitively intact nursing home residents. J Holist Nurs 2021;39:16 28.

Mohajan D, Mohajan HK. Glaserian Grounded Theory and Straussian Grounded Theory: Two standard qualitative research approaches in social science. J Econom Dev Env People 2023;12:72 81.

Johnson JL, Adkins D, Chauvin S. A review of the quality indicators of rigor in qualitative research. Am J Pharm Educ 2020;84:7120.

Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring nurses’ perception of taking care of patients with coronavirus disease (COVID-19): A qualitative study. Nurs Open 2021;8:171 9.

Bergman L, Falk AC, Wolf A, Larsson IM. Registered nurses’ experiences of working in the intensive care unit during the COVID 19 pandemic. Nurs Crit Care 2021;26:467 75.

Yousefi M, Fazaeli S, Ebrahimi Z, Shahidi NA, Vakilzadeh AK, Salehi F. Self-assessment of clinical skills of nurses caring for covid-19 patients:comparison of nurses with a history of infectious disease care with other nurses. Q J Nurs Manage 2021;9:44-52.

Jansson M, Liao X, Rello J. Strengthening ICU health security for a coronavirus epidemic. Intensive Crit Care Nurs 2020;57:102812.

Umeda A, Sugiki Y. Nursing care for patients with COVID 19 on extracorporeal membrane oxygenation (ECMO) support. Glob Health Med 2020;2:127 30.

Méndez R, Balanzá Martínez V, Luperdi SC, Estrada I, Latorre A, González Jiménez P, et al. Short term neuropsychiatric outcomes and quality of life in COVID 19 survivors. J Intern Med 2021;290:621 31.

Ismael F, Bizario JCS, Battagin T, Zaramella B, Leal FE, Torales J, et al. Post infection depressive, anxiety and post traumatic stress symptoms: A prospective cohort study in patients with mild COVID 19. Prog Neuropsychopharmacol Biol Psychiatry 2021;111:110341.

Wang H, Zeng T, Wu X, Sun H. Holistic care for patients with severe coronavirus disease 2019: An expert consensus. Int J Nurs Sci 2020;7:128 34.

Sun N, Wei L, Shi S, Jiao D, Song R, Ma L, et al. A qualitative study on the psychological experience of caregivers of COVID 19 patients. Am J Infect Control 2020;48:592 8.

Lee N, Lee HJ. South Korean nurses’ experiences with patient care at a COVID 19 designated hospital: Growth after the frontline battle against an infectious disease pandemic. Int J Environ Res Public Health 2020;17:9015.


Refbacks

  • There are currently no refbacks.