Analysis of the Management Strategies in Caring for Patients with COVID 19: Chinese Nurses’ Experience
Abstract
Background: In order to improve the quality of nursing care and patient outcomes during the future pandemics, understanding the details of strategies used for the management of patients with COVID‑19 and its outcomes are crucial. The present study was conducted to reveal the management strategies that Chinese nurses utilized for COVID‑19 patients. Materials and Methods: Graneheim and Lundman’s approach of conventional content analysis was used in this study and participants included nine nurses caring the patients with COVID‑19 along with supervisors or matrons. Data were collected by semi‑structured interviews and were analyzed via MAXQDA 10. Results: Six main categories emerged in this study including “overcoming challenges of COVID‑19 pandemic”, “continuous online training of nurses”, “psychological support”, “ cooperative behavior of the public and government based on the previous pandemic experience”, “protecting medical staff from infection” and “application of smartphone technology”. Conclusions: The optimal management of emerging diseases depends on the cooperation of the people, the efforts of the healthcare team, and the measures of the managers. Hospital managers could create equipped units to be designated for probable health care emergencies, preparing educated team for quick training of staff, streamlining the expansion of standard work, and providing the necessary infrastructure for possible future pandemics.
Keywords
Full Text:
PDFReferences
World Health Organization. Director-General’s remarks at the media briefing on 2019-nCoV on 11 February 2020. Available from: https://www.who.int/dg/speeches/detail/who-director-general-sremarks-at-the-media-briefing-on-2019-ncov-on-11- february-2020. [Last accessed on 2020 Feb 12].
Takian A, Raoofi A, Kazempour-Ardebili S. COVID-19 battle during the toughest sanctions against Iran. Lancet 2020;395:1035-6.
Viscusi WK. The global COVID-19 mortality cost report card: 2020, 2021, and 2022. PLoS One 2023;18:e0284273.
Jernigan DB, COVID C, Team R. Update: Public health response to the coronavirus disease 2019 outbreak—United States, February 24, 2020. MMWR Morb Mortal Wkly Rep 2020;69:216.
Liao X, Wang B, Kang Y. Novel coronavirus infection during the 2019–2020 epidemic: Preparing intensive care units—the experience in Sichuan Province, China. Intensive Care Med 2020;46:357-60.
Jansson M, Liao X, Rello J. Strengthening ICU Health Security for a Coronavirus Epidemic. Elsevier; Intensive and Critical Care Nursing; 2020,1;57:102812.
Chang D, Lin M, Wei L, Xie L, Zhu G, Cruz CSD, et al. Epidemiologic and clinical characteristics of novel coronavirus infections involving 13 patients outside Wuhan, China. JAMA 2020;323:1092-3.
Xiang Y-T, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The lancet psychiatry 2020;7:228-9.
Siyu C, Xia M, Wen W, Cui L, Yang W, Liu S, et al. Mental health status and coping strategy of medical workers in China during The COVID-19 outbreak. MedRxiv 2020. doi: 10.1101/2020.02.23.20026872.
Torda A. Ethical issue in pandemic planning. Med J Aust 2006;185:73-6.
Chen C-S, Wu H-Y, Yang P, Yen C-F. Psychological distress of nurses in Taiwan who worked during the outbreak of SARS. Psychiatr Serv 2005;56:76-9.
Khalid I, Khalid TJ, Qabajah MR, Barnard AG, Qushmaq IA. Healthcare workers emotions, perceived stressors and coping strategies during a MERS-CoV outbreak. Clin Med Res 2016;14:7-14.
Colaizzi PF. Psychological research as the phenomenologist views it. In: Valle RS, King M, editor. Existential-Phenomenological Alternatives for Psychology. New York: Oxford University Press; 1978. p. 6.
Bengtsson M. How to plan and perform a qualitative study using content analysis. NursingPlus Open 2016;2:8-14.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105-12.
Guba EG, Lincoln YS. Fourth Generation Evaluation. Sage; Newbury Park, CA: 1989.
Aristizabal P, Martínez-Abascal A, Macías-Romero JC, Nigenda G. Recruitment of nursing students in the context of the COVID-19 pandemic in Mexico. A rapid response to the health emergency. Ciên Saúde Colet 2023;28:3003-13.
Perez GIP, Abadi ATB. Ongoing challenges faced in the global control of COVID-19 pandemic. Arch Med Res 2020;51:574-6.
Qian X, Ren R, Wang Y, Guo Y, Fang J, Wu Z-D, et al. Fighting against the common enemy of COVID-19: A practice of building a community with a shared future for mankind. Infect Dis Poverty 2020;9:8-13.
Pérez-Rodríguez V, Topa G, Beléndez M. Organizational justice and work stress: The mediating role of negative, but not positive, emotions. Pers Individ Dif 2019;151:109392. doi: 10.1016/j.paid. 2019.04.047.
Tune SNBK, Islam BZ, Islam MR, Tasnim Z, Ahmed SM. Exploring the knowledge, attitudes, practices and lived experiences of frontline health workers in the times of COVID-19: A qualitative study from Bangladesh. BMJ Open 2022;12:e051893. doi: 10.1136/bmjopen-2021-051893.
Mokhtari R, Yaghoobzadeh A, Abdi K, Sajadi M, Jaras M, Golitaleb M. The experiences of nurses in care provision to COVID-19 patients: A qualitative study. Front Public Health 2022;10:766880. doi: 10.3389/fpubh. 2022.766880.
Aronson L. Age, complexity, and crisis — A prescription for progress in pandemic. N Engl J Med 2020;383:4-6.
World Health Organization. Guidelines for the screening, care and treatment of persons with hepatitis C infection: World Health Organization; 2014. Dargahi A, Zamani Z, Vosoughi Niri M, Zandian H, Hamidzadeh Arbabi Y. Explaining the reasons for the general public’s non-compliance with the policies of the national anti-coronavirus headquarters: A qualitative study. Health in Emergencies and Disasters Quarterly (HDQ) is Journal abbreviation., 2022;7:145-60.
Balouch SK. Challenges and Strategies to deal with COVID-19 from the perspective of physicians and nurses in southern of Sistan and Baluchestan, Iran. J Mil Med 2020;22:599-606.
d’Ettorre G, Gentilini Cacciola E, Santinelli L, De Girolamo G, Spagnolello O, Russo A, et al. Covid-19 sequelae in working age patients: A systematic review. J Med Virol 2022;94:858-68.
Refbacks
- There are currently no refbacks.

