Explore the experiences of nursing professionals during the COVID-19 pandemic and the impact these experiences continue to have on their personal and professional lives. This qualitative study utilized Interpretative Phenomenological Analysis with nine nursing professionals from southern Brazil. Two main themes and five subthemes were developed. The first theme, “Ongoing trauma response,” had three subthemes: (a) Fear of dying and family dying, (b) Loneliness and isolation, and (c) My emotions don’t matter. The second theme highlights the “Continued problems with the larger healthcare system” and is made up of two subthemes: (a) We are humans, not superheroes, and (b) We are still invisible. Symptoms of trauma response continued to be a significant challenge among nursing professionals even after the end of the pandemic. Recommendations for improving working conditions and making mental health services more readily available are discussed.
AkkuşYKaracanYGuneyR, et al. (2022) Experiences of nurses working with COVID-19 patients: A qualitative study. Journal of Clinical Nursing31(9–10): 1243–1257.
2.
AyanianJZ (2020) Mental health needs of health care workers providing frontline COVID-19 care. JAMA Health Forum1(4): e200397.
3.
CastroMCMassudaAAlmeidaG, et al. (2019) Brazil’s unified health system: The first 30 years and prospects for the future. Lancet394(10195): 345–356.
4.
CentenaroAPde AndradeAFrancoGP, et al. (2023) Pleasure and suffering of nursing in COVID-19 hospital units: Between disenchantment and formation of meanings. Revista Brasileira de Enfermagem76: 1–9.
5.
ChewNWSLeeGKTanBY, et al. (2020) A multinational, multicentre study on the psychological outcomes and associated physical symptoms amongst healthcare workers during COVID-19 outbreak. Brain, Behavior, and Immunity88: 559–565.
6.
Conselho Nacional de Saúde (2016) RESOLUÇÃO Nº 510, DE 07 DE ABRIL DE 2016. Diário Oficial da União98(1): 44–46.
7.
ConzCABragaVAVasconcelosR, et al. (2021) Experiences of intensive care unit nurses with COVID-19 patients. Revista Da Escola de Enfermagem Da USP55: e20210194.
8.
CreswellJWPothCN (2018) Qualitative Inquiry and Research Design. Choosing among Five Approaches. 4th Edition. Thousand Oaks. CA: Sage.
9.
Dal’BoscoEBFlorianoLSSkupienSV, et al. (2020) Mental health of nursing in coping with COVID-19 at a regional university hospital. Revista Brasileira de Enfermagem73: e20200434.
dos SantosIDMachadoCVPereiraAM, et al. (2023) COVID-19 in Latin America: Inequalities and response capacity of health systems to health emergencies. Pan American Journal of Public Health47: e88.
12.
Franco CoffréJALeví AguirreP (2020) Feelings, stress, and adaptation strategies of nurses against COVID-19 in Guayaquil. Investigación y Educación En Enfermería38(3): e07.
13.
GandraECSilaKLPassosHR, et al. (2021) Brazilian nursing and the COVID-19 pandemic: Inequalities in evidence. Escola Anna Nery25: e20210058.
14.
GhahramaniSKasraeiHHayatiR, et al. (2023) Health care workers’ mental health in the face of COVID-19: A systematic review and meta-analysis. International Journal of Psychiatry in Clinical Practice27(2): 208–217.
LiuYZhaiBDHanY, et al. (2020) Experiences of front-line nurses combating coronavirus disease-2019 in China: A qualitative analysis. Public Health Nursing37(5): 757–763.
21.
MachadoMHdos SantosMRWermelingerM, et al. (2016) Working conditions of nursing in Brazil: An approach from the research Nursing Profile in Brazil. Divulgaç ão em Saúde para Debate56: 70–78.
22.
MartinBKaminski-OzturkNO’HaraC, et al. (2023) Examining the impact of the COVID-19 pandemic on burnout and stress among U.S. nurses. Journal of Nursing Regulation14(1): 4–12.
23.
MarchionattiLERochaKBBeckerN, et al. (2023) Mental health care delivery and quality of service provision in Brazil. SSM - Mental Health3: 100210.
24.
MeneguinSIgnácioIPolloCF, et al. (2023) Burnout and quality of life in nursing staff during the COVID-19 pandemic. BMC Nursing22(1): 14.
MohammedSPeterEKillackeyT, et al. (2021) The “nurse as hero” discourse in the COVID-19 pandemic: A poststructural discourse analysis. International Journal of Nursing Studies117: 103887.
27.
MullerAEHafstadEVHimmelsJPW, et al. (2020) The mental health impact of the Covid-19 pandemic on healthcare workers, and interventions to help them: A rapid systematic review. Psychiatry Research293: 113441.
28.
NaritaZOkuboRSasakiMA, et al. (2023) COVID-19-related discrimination, PTSD symptoms, and psychological distress in healthcare workers. International Journal of Mental Health Nursing32(1): 139–146.
29.
NovillaMLBMoxleyVBAHansonCL, et al. (2023) COVID-19 and psychosocial well-being: Did COVID-19 worsen U.S. frontline healthcare workers’ burnout, anxiety, and depression?International Journal of Environmental Research and Public Health20(5): 4414.
OliveiraAPCVenturaCAASilvaFVD, et al. (2020) State of nursing in Brazil. Revista Latino-Americana de Enfermagem28: e3404.
32.
PeresTGTramontinaMSMZhangL, et al. (2024) Anxiety and depression in healthcare workers during the COVID-19 pandemic. Estudos de Psicologia (Campinas)41: e210198.
33.
RaniaNCoppolaIBrucciM (2023) Mental health and quality of professional life of healthcare workers: One year after the outbreak of the COVID-19 pandemic. Sustainability15(4): 2977.
34.
SagherianKSteegeLMCobbSJ, et al. (2023) Insomnia, fatigue and psychosocial well-being during COVID-19 pandemic: A cross-sectional survey of hospital nursing staff in the United States. Journal of Clinical Nursing32(15–16): 5382–5395.
35.
SMHSA (2014) Trauma-informed care in behavioral health services. Center for Substance Abuse Treatment (US). Available at: https://www.ncbi.nlm.nih.gov/books/NBK207201/ (accessed 12 May 2024).
36.
SharifSPSheLLiuL, et al. (2023) Retaining nurses via organizational support and pay during COVID-19 pandemic: The moderating effect between intrinsic and extrinsic incentives. Nursing Open10(1): 123–134.
37.
SimonettiVDuranteAAmbroscaR, et al. (2021) Anxiety, sleep disorders and self-efficacy among nurses during COVID-19 pandemic: A large cross-sectional study. Journal of Clinical Nursing30(9–10): 1360–1371.
38.
SmithJA (1996) Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology. Psychology & Health11(2): 261–271.
SmithJAOsbornM (2003) Interpretative phenomenological analysis. In: SmithJA (ed.) Qualitative Psychology: A Practical Guide to Research Methods. London: Sage Publications, Inc, pp.51–80.
41.
TieteJGuatteriMLachauxA, et al. (2021) Mental health outcomes in healthcare workers in COVID-19 and non-COVID-19 care units: A cross-sectional survey in Belgium. Frontiers in Psychology11: 612241.
42.
UzunbacakHHYastıoğluSDikBJ, et al. (2023) Changes in nurses’ sense of calling during the COVID-19 pandemic: A qualitative study. Journal of Career Development50(3): 709–726.
XiongHYiSLinY (2020) The psychological status and self-efficacy of nurses during COVID-19 outbreak: A cross-sectional survey. INQUIRY: The Journal of Health Care Organization, Provision, and Financing57: 0046958020957114.
46.
XuXManzoorFJiangS, et al. (2021) Unpacking the mental health of nurses during COVID-19: Evidence from Pakistan. Journal of Clinical Medicine10(16): 3546.
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