Understanding Patients with COVID in the Isolation Rooms from the Perspective of Care: A Qualitative Study (original) (raw)
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Jurnal Keperawatan
The Covid-19 outbreak is currently a global pandemic all over the world. Nurses are jobs that are most often exposed to disease and infection. The Covid-19 outbreak has made nurses experience changes in their work and lives. Objectives to Identifying the experience of nurses in treating Covid-19 patients in the ICU. This study uses a qualitative research design with a phenomenological approach. Data was collected by telephone interview and analyzed by thematic analysis method. Participants in this study amounted to 12 people who were selected by purposive sampling technique. The data obtained were analyzed using the Colaizzi approach. The results of the research analysis found 5 themes, namely: Experience while working to treat patients with COVID-19 in the Intensive Care Unit, Changes experienced in both positive and negative terms, Problems that occur related to the resources encountered, Constraints faced and how to overcome them and Expectations of nurses working in the Intensiv...
Infection, Disease & Health, 2022
Background: During the global pandemic, the increasing number of hospitalised patients affected by COVID-19 led to a shortage of nurses. This situation can cause nurses to focus their care on managing the acute aspects of the disease, neglecting interventions that can humanise their practices and improve quality of care. This review aims to identify nurses' interventions that can humanise care for patients affected by COVID-19 in isolation units. Methods: Whittemore and Knafl's integrative review methodology was used to structure and conduct the review. The literature search was conducted using CINAHL, MEDLINE, Nursing & Allied Health, MedicLatina, Sciencedirect, LILACS, and PubMed databases. Researchers performed the final search in January 2021. Results: A total of seven articles were included in this review. Interventions by nursing staff that may humanise care for patients affected by COVID-19 in isolation units fall within two themes: "expressive dimension interventions", related to the establishment of communication with patients and their families, providing psychological comfort, shared decision-making and patient education; and "instrumental dimension interventions", associated with providing patients physical comfort, and symptom management. Conclusion: This review provides insight into both "expressive dimension" and "instrumental dimension" of nursing interventions that may humanise care to patients affected by COVID
Nurses’ Experiences of Caring for Patients with COVID-19: A Qualitative Study
SAGE Open, 2022
The purpose of this study was to explore nurses’ experiences, abilities, and willingness to care for patients with Coronavirus Disease 2019 (COVID-19). A descriptive qualitative study was conducted among 12 nurses working with patients with COVID-19. Purposive sampling was used to recruit participants from two national hospitals in Jordan. Semi-structured interviews (45–90 minutes each) with open-ended questions were held via Zoom to collect data. Four major themes emerged from the data analysis. The first theme, uncertainty, consisted of two subthemes: new experience and lack of training. The second theme was related to social stigma by society and other staff members. The third theme of front-line fighters consisted of two subthemes: empowering the main health caregiver and community acknowledgment. The fourth theme was related to challenges and consisted of two subthemes: physical and psychological challenges. At the beginning of the outbreak of COVID-19, the nurses had experienced a lack of certainty, physical and psychological challenges, and social stigmatization, which had negatively affected their willingness and ability to fight the outbreak. However, the nurses reported growing professionally and psychologically with time and becoming more knowledgeable, skillful, powerful, and confident care providers during the pandemic. Being able to fulfill their responsibilities and being acknowledged by others gave the nurses a sense of achievement. Early education and training about COVID-19, clear infection control protocols and guidelines, psychological counseling, and adequate social support are essential steps for enhancing nurses’ mental well-being and willingness and ability to fight COVID-19.
Journal of the Intensive Care Society, 2023
Background: COVID-19 has fundamentally changed all fields of health care. Intensive care nurses have been at the forefront of the pandemic facing the massive impact of the disease, both professionally and personally. This study investigated nurses' experiences of caring for isolated COVID-19 positive patients in the intensive care department during the first wave of the COVID-19 pandemic. The study investigated how isolation affected the nurses themselves, how they related with their patients, and how isolation affected patient care in general. Methods: The study was performed at a 20-bed university hospital intensive care department in Copenhagen, Denmark. COVID-19 positive patients were isolated or cohort isolated. A dedicated nurse cared for each isolated patient and wore full personal protective equipment. The study is based on in-depth phenomenological interviews with intensive care nurses conducted in summer 2020. The interviews were structured according to the principles of "Phenomenologically Grounded Qualitative Research." The data included observations from within the isolated patient rooms. Findings: Six intensive care nurses participated in the study. The analysis documented following themes consistently reported by all nurses: (1) a general sense of uncanniness, (2) intense feelings of confinement and co-isolation, and (3) heightened senses of bodily objectification, including how nurses' experienced their patients and also themselves. Conclusion: This is the first Scandinavian phenomenological study to focus on mapping the experiences of intensive care nurses during the extreme circumstances of the first wave of the COVID-19 pandemic. Further studies may explore long-term effects, such as psychiatric morbidity or psychological functioning in these individuals.
Lived Experiences of Hospitalized COVID-19 Patients: A Qualitative Study
International Journal of Environmental Research and Public Health, 2021
The COVID-19 pandemic has resulted in many hospitalized patients and deaths worldwide. Coronavirus patients were isolated from their relatives and visits were banned to prevent contagion. This has brought about a significant change in deeply rooted care habits in Mediterranean and Latin American countries where the family normally accompanies vulnerable hospitalized patients. The aim of this qualitative study was to examine the hospitalization experience of COVID-19 patients and their family members. A phenomenological qualitative approach was used. Data collection included inductive, in-depth interviews with 11 COVID-19 hospitalized patients. The mean age of patients was 55.4 years and 45% were female. Nearly 50% required Intensive Care Unit (ICU) admission. Ten meaningful statements were identified and grouped in three themes: Positive and negative aspects of the care provided, the patient’s perspective, and perception of the experience of the disease. In conclusion, COVID-19 pati...
Journal of Nursing Practices and Research, 2023
This study is a qualitative study carried out to determine the experiences and opinions of the relatives of patients treated in intensive care with the diagnosis of COVID-19 during the pandemic process. A qualitative study using inductive content analysis. The relatives of 14 patients testing COVID-19 positive and treated in the intensive care unit were included in the study. The data were collected through online interviews with patient relatives. After the interviews, the data were recorded and analyzed using Colaizzi's phenomenological method. After completing the interviews with the relatives, 4 main themes and sub-themes were determined. Relatives of the patients expressed the importance of the patient in the intensive care unit in their lives as "congenital companion", "family elders", and " My mom!. In our study, it was determined that the relatives of the patients experienced fear, uncertainty, and personal, pandemic-related anxiety due to the process since their patients were in the intensive care unit. In the study, the doctors of the patients who were treated with the diagnosis of COVID-19 in the general intensive care unit were interviewed and their phone numbers were obtained in order to talk to the relatives of the patients.
Journal of Patient Experience
The present study examined the experiences of nursing students in the care of patients diagnosed with coronavirus disease 2019 (COVID-19). This qualitative study was performed based on inductive qualitative content analysis in 2020. The samples were 10 nursing students who were selected purposively from the emergency and intensive care unit wards of hospitals affiliated with Mazandaran University of Medical Sciences in Iran. Data were collected through semistructured and individual interviews and analyzed simultaneously and continuously by Granheim and Landman inductive qualitative content analysis. Experiences of nursing students in the care for patients with COVID-19 include 3 main categories and 7 subcategories: (a) psychological stress (fear of ward and patients and mental conflict), (b) social isolation (rejection by the family and friends, isolation, and concealment of the workplace), and (c) coping strategies as an adaption strategy (a positive impact of spirituality and an e...
Jurnal Keperawatan Padjadjaran
COVID-19 transmission in the hospital environment can be catalized by a direct contact and droplets. Nurses are at the forefront of having the longest contact with the infected patient during the treatment. This research aims to dig on the deep meaning on the nurses’ practice during treating the COVID-19’s patients. This is a qualitative research design with a descriptive explorative approach. The sampling technique used in this research was a purposive side. The Data collection were carried out on five nurses who were in charge of caring the COVID-19 patients at two Semarang city’s hospitals. The research data were in the form of conversation transcripts which were analyzed using content analysis. This qualitative research analysis brought the results in three themes: first, the challenge of being a COVID-19 nurse in the emergency room, ICU and Covid care room, second, the resilience and resilience of nurses, third, the professionalism of nurses. This study indicate that the experi...
Being a health care professional in the ICU serving patients with covid-19: A qualitative study
Heart & Lung, 2023
Background: The COVID-19 pandemic has placed a great deal of strain on healthcare providers across the world. There has been no research into the experiences of health care providers in Turkey caring for hospitalized patients with COVID-19 in the ICU. Objectives: To explain the experiences of health care providers who provide services to patients with Covid-19 in an intensive care unit. Methods: This study used a phenomenological approach to recruit 15 participants (10 nurses and 5 physicians). The data was gathered through semi-structured in-depth interviews conducted face-to-face. Results: The four primary themes that came up in the results were COVID-19: the unidentified enemy, frontline struggle, psychological struggle, and invasion of social life. Conclusion: During the epidemic, health care providers encountered several psychological, physical, social, and professional difficulties. All health care personnel must receive information and skills training on what to do in crisis and risk circumstances such as infectious disease, decision-making, anxiety management, and problem-solving during pandemics.
Perceptions of COVID-19 Disease Among Patients in Isolation Ward
Annals of PIMS-Shaheed Zulfiqar Ali Bhutto Medical University, 2021
Objective: To explore the perceptions about COVID – 19 disease among patients admitted in Isolation ward and to improve management ideas. Methodology: This qualitative cross sectional interview based study was conducted at Isolation ward, Pakistan Institute of Medical Sciences Islamabad from April to June 2020. Patients who were reported positive for SARS COV-2 through nasopharyngeal or oropharyngeal swabs and were admitted for at least one day in isolation ward, were included in the study. Patients who were too ill to talk for the interview and those who could not survive the disease were excluded. After taking informed consent and following the standard operating procedures (SOPs) of Corona Isolation ward; data was obtained by conducting in depth interviews arranged as per patients’ convenience on mobile calls. Data was analyzed using Narrative Analysis. Themes were delineated and organized to groups for understanding. Results: Twenty two patients participated with the mean age of...