How is COVID nursing different? A phenomenological analysis of the nurses’ experience from a tertiary care COVID units
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20233485Keywords:
COVID-19, Pandemic, Nurses experiences, Lived experiences, IndiaAbstract
Healthcare workers face specific challenges during infectious disease outbreak. Along with fear of getting infection, performing new, unfamiliar tasks in unfamiliar setting with new outfit (PPE) complicates their working. We explore perceptions and lived experiences of front-line nurses who cared for COVI9-19 confirmed patients in a tertiary hospital of North India eighteen in-depth, telephonic, semi structured interviews were conducted. Interviews were transcribed and analysed using Colaizzi’s phenomenological method. Nurses were challenged by risk of infection or fear of transmission, working in a new setting, unfamiliar clinical roles, heavy workloads, ineffective communication and discomforts of protective gear. Despite facing various challenges, nurses showed great strength and resilience. Good administrative support, PPE surveillance, developing nurses’ task force with distinct responsibilities, orientation, training and empowerment are suggested strategies to overcome the challenges and enhance the resilience. Nurses lived experiences will be helpful to healthcare organizations preparing for or responding to outbreaks or disaster.
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References
Paremoer L, Nandi S, Serag H, Baum F. COVID-19 pandemic and the social determinants of health. BMJ. 2021;372(1):1-5.
Shaukat N, Ali DM, Razzak J. Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. Int J Emerg Med. 2020;13(1):40.
Chen SC, Lai YH, Tsay SL. Nursing Perspectives on the Impacts of COVID-19. J Nurs Res. 2020;28(3):32398577.
Abdullelah AT, Alshammari F. Nurses on the Frontline against the COVID-19 Pandemic : An Integrative Review. 2020;(3):87-92.
Shreffler J, Petrey J, Huecker M. The Impact of COVID-19 on Healthcare Worker Wellness: A Scoping Review. West J Emerg Med. 2020;21(5):1059-66.
Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Res. 2020;288:112936.
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 Heal. 2020;8(6):e790-8.
Sandelowski M. Focus on Research Methods Whatever Happened to Qualitative Description? Res Nurs Health. 2000;23(4):334-40.
Dhandapani M, Dhandapani S. Challenges posed by COVID-19 and neurosurgical nursing strategies in developing countries. Surg Neurol Int. 2021;11(441):4-6.
Jose S, Cyriac MC, Dhandapani M. Health Problems and Skin Damages Caused by Personal Protective Equipment: Experience of Frontline Nurses Caring for Critical COVID-19 Patients in Intensive Care Units. Indian J Crit Care Med. 2021;25(2):134.
Dhandapani M, Kaur S, Das K, Guru RR, Biswal M, Mahajan P et al. Enhancing the safety of frontline healthcare workers during coronavirus disease: a novel real-time remote audiovisual aided doffing approach. Res Nurs Health. 2020;53(2):145-7.
Hu K, Fan J, Li X, Gou X, Li X, Zhou X. The adverse skin reactions of health care workers using personal protective equipment for COVID-19. Medicine (Baltimore). 2020;99(24):e20603.
Galanis P, Vraka I, Bilali Phd A, Kaitelidou Phd D. Impact of personal protective equipment use on health care workers’ physical health during the COVID-19 pandemic: A systematic review and meta-analysis. AJIC Am J Infect Control. 2021;49:1085-8.
Gao C, Kuklane K, Wang F, Holmér I. Personal cooling with phase change materials to improve thermal comfort from a heat wave perspective. Indoor Air. 2012;22(6):523-30.
Xia W, Fu L, Liao H, Yang C, Guo H, Bian Z. The physical and psychological effects of personal protective equipment on health care workers in Wuhan, China: a cross-sectional survey study. J Emerg Nurs. 2020;46(6):791-801.e7.
Molina‐mula J, Gallo‐estrada J. Impact of nurse‐patient relationship on quality of care and patient autonomy in decision‐making. Int J Environ Res Public Health. 2020;17(3).
Brooks SK, Webster RK, Smith LE, Woodland L, Wessely S, Greenberg N et al. The psychological impact of quarantine and how to reduce it: rapid review of the evidence. Lancet. 2020;395(10227):912-20.
Kar SK, Yasir Arafat SM, Kabir R, Sharma P, Saxena SK. Coping with Mental Health Challenges During COVID-19. 2020;2019:199-213.
Tomlin J, Dalgleish-Warburton B, Lamph G. Psychosocial Support for Healthcare Workers During the COVID-19 Pandemic. Front Psychol. 2020;11(8):1-7.
Gupta S, Sahoo S. Pandemic and mental health of the front-line healthcare workers: a review and implications in the Indian context amidst COVID-19. Gen Psychiatry. 2020;33(5):e100284.
Dhandapani M, Yadav D, Yadav D, Thakur M, Pratap P, Rani S et al. Asian Nursing Research The professional values and professionalism among nurses : A cross-sectional study .
Thakur D, Dhandapani M, Ghai S, Mohanty M. Assessment of behavioral symptoms of post-operative patients with intracranial tumor and distress among their caregiver. Nurs Midwifery Res J. 2019;(4).
