Volume 23, Issue 6 (November - December 2024)
Payesh 2024, 23(6): 829-838 |
Back to browse issues page
Ethics code: IR. TUMS. VCR. REC. 1399. 014
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Shahmari M, Nikbakht Nasrabadi A, Ghobadi A, Nasiri E. The lived experience of intensive care unit nurses caring for patients with COVID-19: A phenomenological study. Payesh 2024; 23 (6) :829-838
URL: http://payeshjournal.ir/article-1-2392-en.html
URL: http://payeshjournal.ir/article-1-2392-en.html
1- Department of Medical-Surgical, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
2- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
3- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Intensive care and operating room, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
2- School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
3- School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
4- Department of Intensive care and operating room, School of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract: (774 Views)
Objective(s): The COVID-19 pandemic, with its sudden widespread shocked the whole world, especially the health care systems. Considering the vital role that nurses in the intensive care units played for COVID-19 patients, a deep understanding of nurses' lived experiences can help to improve their skills in dealing with stressful situations and the quality of patient care. Therefore, the present study was conducted to explore nurses' experiences in the intensive care units caring for patients with COVID-19.
Methods: This was a qualitative study. Fifteen intensive care unit nurses were purposively selected. In-depth and semi-structured interviews and field notes were used to collect data. The text of the interviews was recorded and analyzed using the hermeneutic approach and the Diekelmann method.
Results: Ten participants were women and five were men. The mean age of the participants was 32 years and the mean work experience in the critical department was six years. The three main themes that emerged from the data analysis in this study included conflicting emotions, the emergence of a new image of nursing, and the crystallization of professional nursing.
Conclusion: Working in difficult and unknown conditions with countless challenges has resulted in mental and physical health decline in intensive care unit nurses. However, nurses who demonstrated a spirit of sacrifice did not abandon their diligent efforts to combat this unknown enemy and fulfilled their professional responsibilities to provide paramount care to patients. In doing so, the nurses showed society a new image of nursing. The results can be applied to management policies when planning for the future.
Methods: This was a qualitative study. Fifteen intensive care unit nurses were purposively selected. In-depth and semi-structured interviews and field notes were used to collect data. The text of the interviews was recorded and analyzed using the hermeneutic approach and the Diekelmann method.
Results: Ten participants were women and five were men. The mean age of the participants was 32 years and the mean work experience in the critical department was six years. The three main themes that emerged from the data analysis in this study included conflicting emotions, the emergence of a new image of nursing, and the crystallization of professional nursing.
Conclusion: Working in difficult and unknown conditions with countless challenges has resulted in mental and physical health decline in intensive care unit nurses. However, nurses who demonstrated a spirit of sacrifice did not abandon their diligent efforts to combat this unknown enemy and fulfilled their professional responsibilities to provide paramount care to patients. In doing so, the nurses showed society a new image of nursing. The results can be applied to management policies when planning for the future.
type of study: Qualitative Study |
Subject:
Public Health
Received: 2023/12/25 | Accepted: 2024/05/6 | ePublished ahead of print: 2024/12/10 | Published: 2024/12/14
Received: 2023/12/25 | Accepted: 2024/05/6 | ePublished ahead of print: 2024/12/10 | Published: 2024/12/14
References
1. Weber DJ, Rutala WA, Fischer WA, Kanamori H, Sickbert-Bennett EE. Emerging infectious diseases: Focus on infection control issues for novel coronaviruses (Severe Acute Respiratory Syndrome-CoV and Middle East Respiratory Syndrome-CoV), hemorrhagic fever viruses (Lassa and Ebola), and highly pathogenic avian influenza viruses, A (H5N1) and A (H7N9). American Journal of Infection Control 2016;44:e91-100 [DOI:10.1016/j.ajic.2015.11.018]
2. Correos, J.B. Lived Experience of Emerging Re-emerging Infectious Disease (ERID) Unit Nurses: The Untold Battle. Asia Pacific Journal of Multidisciplinary Research 2018; 6: 96-104
3. Mirzaei, Kh. Causes and impacts of the coronavirus Covid-19 pandemic. Social Impact Assessment 2020; 1: 13-14 [in Persian]
4. Blandenier E, Habibi Z, Kousi T, Sestito P, Flahault A, Rozanova L. Initial COVID-19 Outbreak: An Epidemiological and Socioeconomic Case Review of Iran. International Journal of Environmental Research and Public Health 2020; 17: 9593 [DOI:10.3390/ijerph17249593]
5. worldometers. COVID-19 Coronavirus Pandemic. Access date; 2020 09 March; Available from https: //www. worldometers. info/coronavirus
6. Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet 2020;395:497-506 [DOI:10.1016/S0140-6736(20)30183-5]
7. Piquette, D., S. Reeves, and V.R. LeBlanc. Stressful intensive care unit medical crises: How individual responses impact on team performance. Critical Care Medicine 2009; 37: 1251-5 [DOI:10.1097/CCM.0b013e31819c1496]
8. Shahmari M, Nayeri ND, Palese A, Manookian A. Nurses' safety‐related organizational challenges during the COVID‐19 pandemic: A qualitative study. International Nursing Review 2023;70:18-27 [DOI:10.1111/inr.12811]
9. Manookian A, Nayeri ND, Dashti S, Shahmari M. Ethical Challenges to the Self-care of Nurses during the Covid-19 Pandemic. Nursing Ethics 2023; p. 09697330231180753. [DOI:10.1177/09697330231180753]
10. Kuchaki Z, S.A.H. Pishgooie, and M. Jadid-Milani, Relationship between Job Burnout and Quality of Life in Nurses of Intensive Care Units during the COVID-19 Pandemic. Journal of Ilam University of Medical Sciences 2023; 31: 76-85
11. Shamsi A, Peyravi H. Nursing shortage, a different challenge in Iran: A systematic review. Medical Journal of the Islamic Republic of Iran 2020;34:8 [DOI:10.47176/mjiri.34.8]
12. Rassouli M, Ashrafizadeh H, Shirinabadi Farahani A, Akbari ME. COVID-19 management in Iran as one of the most affected countries in the world: advantages and weaknesses. Frontiers in Public Health 2020;8:510 [DOI:10.3389/fpubh.2020.00510]
13. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 2007;19:349-57 [DOI:10.1093/intqhc/mzm042]
14. Kang HS, Son YD, Chae SM, Corte C. Working experiences of nurses during the Middle East respiratory syndrome outbreak. International Journal of Nursing Practice 2018;24:e12664 [DOI:10.1111/ijn.12664]
15. 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. The Lancet Global Health 2020;8:e790-8 [DOI:10.1016/S2214-109X(20)30204-7]
16. Diekelmann N.L, D. Allen, and C.A. Tanner, The NLN criteria for appraisal of baccalaureate programs: A critical hermeneutic analysis. National League for Nursing Press 1989; 15
17. Polit, D. and C. Beck, Essentials of Nursing Research: Appraising Evidence for Nursing Practice. 9 Edition, Wolters Kluwer: Philadelphia, 2018
18. Kim Y. Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. American Journal of Infection Control 2018; 46: 781-787 [DOI:10.1016/j.ajic.2018.01.012]
19. Lee SM, Kang WS, Cho AR, Kim T, Park JK. The psychological impact of the 2015 MERS outbreak on hospital workers and quarantined hemodialysis patients. Comprehensive Psychiatry 2018; 87:123-7 [DOI:10.1016/j.comppsych.2018.10.003]
20. 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. American Journal of Infection Control 2020;48:592-8 [DOI:10.1016/j.ajic.2020.03.018]
21. Gordon JM, Magbee T, Yoder LH. The experiences of critical care nurses caring for patients with COVID-19 during the 2020 pandemic: A qualitative study. Applied Nursing Research 2021;59:151418 [DOI:10.1016/j.apnr.2021.151418]
22. World Health Organisation. World Health Day 2020, Support nurses and midwives. 2020 Access date; 2020 08 July; Available from: https://www.who.int/campaigns/world-health-day/world-health-day-2020
23. Hammad K. The lived experience of nursing in the emergency department during a disaster. Adelaide (SA): School of Nursing & Midwifery, (Doctoral dissertation, Flinders University), Flinders University, 2016
24. 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. The Lancet Global Health 2020;8 e790-8 [DOI:10.1016/S2214-109X(20)30204-7]
25. Wong EL, Wong SY, Lee N, Cheung A, Griffiths S. Healthcare workers' duty concerns of working in the isolation ward during the novel H1N1 pandemic. Journal of Clinical Nursing 2012; 21:1466-75 [DOI:10.1111/j.1365-2702.2011.03783.x]
26. Aliakbari F, Hammad K, Bahrami M, Aein F. Ethical and legal challenges associated with disaster nursing. Nursing Ethics 2015;22: 493-503 [DOI:10.1177/0969733014534877]
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |