The experience of Critical Care Area Nurses during the COVID-19 pandemic: a qualitative study

Submitted: 17 February 2022
Accepted: 17 February 2022
Published: 17 February 2022
Abstract Views: 587
PDF (Italiano): 205
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Introduction: The COVID-19 pandemic has resulted in a major impact on healthcare systems around the world. Healthcare workers, and nurses in particular, have faced significant clinical and organizational challenges, putting their own safety at risk.
It is therefore of interest to understand the experience of health workers working on the front lines of emergency health management.
Objectives: The objective of the study was to explore the experience of critical care area nurses employed in caring for patients with COVID-19.
Materials and Methods: A qualitative phenomenological descriptive study was conducted. Emergency Department and ICU nurses from a Level 2 DEA involved in caring for patients with SARS-CoV2 were enrolled during April-May 2020. Data collection was through unstructured, audio-recorded, face-to-face interviews. The interviews were transcribed and analyzed.
Results: 12 interviews were conducted in which 6 themes and 17 subcategories emerged. The thematic areas highlighted were: emotional impact, relationship with patients, work environment, Personal Protective Equipment, family environment, and adaptation.
Discussion: The themes that emerged highlighted the nurses' lived experience, suggesting that the pandemic resulted in a strong impact on both the work and personal spheres of professionals, in line with the international literature.
Conclusions: The study provided important insights into the emotional and work-related impact the pandemic had on nurses. Understanding the experience of frontline workers is essential to implement effective strategies to reduce stress, burnout, and improve quality of care.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019.New England Journal of Medicine 2020;727–733.doi:10.1056/NEJMoa2001017.
Fernandez R, Lord H, Halcomb E, Moxham L, Middleton R, Alananzeh I, Ellwood L. Implications for COVID-19: A systematic review of nurses' experiences of working in acute care hospital settings during a respiratory pandemic. International journal of nursing studies 2020; 111:103637. doi:10.1016/j.ijnurstu.2020.103637.
Aliakbari F, Hammad K, Bahrami M, Aein F. Ethical and legal challenges associated with disaster nursing. Nursing Ethics 2015; 22(4):493-503. Doi:10.1177/0969733014534877.
Liu C, Wang H, Zhou L, Xie H, Yang H, Yu Y, et al. Sources and symptoms of stress among nurses in the first Chinese anti-Ebola medical team during the Sierra Leone aid mission: A qualitative study. International journal of nursing sciences 2019; 6(2):187-191. doi:10.1016/j.ijnss.2019.03.007.
Bai Y, Lin CC, Lin CY, Chen JY, Chue CM, Chou P. Survey of stress reactions among health care workers involved with the SARS outbreak. Psychiatric Services 2004; 55(9):1055-7. doi:10.1176/appi.ps.55.9.1055.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020; 3(3): e203976. doi:10.1001/jamanetworkopen.2020.3976.
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P. Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, behavior, and immunity 2020;88:901-907. doi:10.1016/j.bbi.2020.05.026
Galehdar N, Kamran A, Toulabi T, Heydari H. Exploring nurses' experiences of psychological distress during care of patients with COVID-19: a qualitative study. BMC Psychiatry 2020; 20(1):489. doi:10.1186/s12888-020-02898-1.
Neto MLR, Almeida HG, Esmeraldo JD, Nobre CB, Pinheiro WR, de Oliveira CRT, et al. When health professionals look death in the eye: the mental health of professionals who deal daily with the 2019 coronavirus outbreak. Psychiatry research 2020;288:112972. doi:10.1016/j.psychres.2020.112972.
Wu PE, Styra R, Gold WL. Mitigating the psychological effects of COVID-19 on health care workers. Canadian Medical Association Journal 2020; 192(17):E459-E460. doi:10.1503/cmaj.200519.
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.
Barello S, Palamenghi L, Graffigna G. Stressors and Resources for Healthcare Professionals During the Covid-19 Pandemic: Lesson Learned From Italy. Frontiers in psychology 2020; 11:2179. doi:10.3389/fpsyg.2020.02179.
Naldi A, Vallelonga F, Di Liberto A, Cavallo R, Agnesone M, Gonella M, et al. COVID-19 pandemic-related anxiety, distress and burnout: prevalence and associated factors in healthcare workers of North-West Italy. BJPsych open 2021; 7(1):e27. doi:10.1192/bjo.2020.161.
Rossi R, Socci V, Pacitti F, Di Lorenzo G, Di Marco A, Siracusano A, et al. Mental Health Outcomes Among Frontline and Second-Line Health Care Workers During the Coronavirus Disease 2019 (COVID-19) Pandemic in Italy. JAMA Netw Open 2020; 3(5):e2010185. doi:10.1001/jamanetworkopen.2020.10185.
Lasalvia A, Bonetto C, Porru S, Carta A, Tardivo S, Bovo C, et al. Psychological impact of COVID-19 pandemic on healthcare workers in a highly burdened area of north-east Italy. Epidemiology and psychiatric sciences 2020; 30:e1. doi:10.1017/S2045796020001158.
Ilczak T, Rak M, Ćwiertnia M, Mikulska M, Waksmańska W, Krakowiak A, et al. Predictors of stress among emergency medical personnel during the COVID-19 pandemic. International Journal of Occupational Medicine and Environmental Health 2021; 34(2):139-149. doi:10.13075/ijomeh.1896.01688.
Bergman L, Falk AC, Wolf A, Larsson IM. Registered nurses' experiences of working in the intensive care unit during the COVID-19 pandemic. Nursing in critical care 2021; doi:10.1111/nicc.12649.
Koh Y, Hegney DG, Drury V. Comprehensive systematic review of healthcare workers' perceptions of risk and use of coping strategies towards emerging respiratory infectious diseases. International journal of evidence-based healthcare 2011; 9(4):403-19. doi:10.1111/j.1744-1609.2011.00242.x.
Arcadi P, Simonetti V, Ambrosca R, Cicolini G, Simeone S, Pucciarelli G, et al. Nursing during the COVID-19 outbreak: A phenomenological study. Journal of nursing management 2021; 10.1111/jonm.13249. doi:10.1111/jonm.13249.
Arnetz JE, Goetz CM, Arnetz BB, Arble E. Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses. International journal of environmental research and public health 2020; 17(21):8126. doi:10.3390/ijerph17218126.
Puci MV, Nosari G, Loi F, Puci GV, Montomoli C, Ferraro OE. Risk Perception and Worries among Health Care Workers in the COVID-19 Pandemic: Findings from an Italian Survey. Healthcare 2020; 8(4):535. doi:10.3390/healthcare8040535.
Bellanti F, Lo Buglio A, Capuano E, Dobrakowski M, Kasperczyk A, Kasperczyk S, et al..Factors Related to Nurses' Burnout during the First Wave of Coronavirus Disease-19 in a University Hospital in Italy. International journal of environmental research and public health 2021; 18(10):5051. doi:10.3390/ijerph18105051.
Catania G, Zanini M, Hayter M, Timmins F, Dasso N, Ottonello G. et al. Lessons from Italian front-line nurses' experiences during the COVID-19 pandemic: A qualitative descriptive study. Journal of Nursing Management 2021; 29(3):404-411. doi:10.1111/jonm.13194.
Comelli I, Scioscioli F, Cervellin G. Impact of the COVID-19 epidemic on census, organization and activity of a large urban Emergency Department. Acta bio-medica :AteneiParmensis 2020; 91(2):45-49. doi:10.23750/abm.v91i2.9565.
EftekharArdebili M, Naserbakht M, Bernstein C, Alazmani-Noodeh F, Hakimi H, Ranjbar H. Healthcare providers experience of working during the COVID-19 pandemic: A qualitative study. American journal of infection control 2021; 49(5):547-554. doi:10.1016/j.ajic.2020.10.001.
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(6):592-598. doi:10.1016/j.ajic.2020.03.018.
KalatehSadati A, Zarei L, Shahabi S, Heydari ST, Taheri V, Jiriaei R, Ebrahimzade N, Lankarani KB. Nursing experiences of COVID-19 outbreak in Iran: A qualitative study. Nursing Open2020; 8(1):72–9. doi:10.1002/nop2.604.
Lucia Dignani, Dipartimento di Emergenza - AOU Ospedali Riuniti di Ancona

 

 

Milena Giovanna Guarinoni, Dipartimento di Specialità  Medico-Chirurgiche, Scienze Radiologiche e Sanità  Pubblica, Università degli studi di Brescia

 

 

Valentina Calisse, Pronto Soccorso, OBI - AOU Ospedali Riuniti di Ancona

 

 

Susi Girotti, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona

 

 

Andrea Toccaceli, Dipartimento di Medicina Interna, AOU Ospedali Riuniti di Ancona

 

 

 

How to Cite

Dignani, L., Guarinoni, M. G., Calisse, V., Girotti, S., & Toccaceli, A. (2022). The experience of Critical Care Area Nurses during the COVID-19 pandemic: a qualitative study. Scenario® - Il Nursing Nella Sopravvivenza, 38(4), 9–14. https://doi.org/10.4081/scenario.2021.497