COVID-19 is an infectious disease caused by a novel Coronavirus which transmits from person to person throughout the world. This study aimed to explore the lived experiences of nurses’ caring for patients with COVID-2019 in the context of the healthcare system of Iran.
Methods
This is a phenomenological study with 13 participant nurses (6 men and 7 women) who were caring for COVID-19 patients in one of the university hospitals in Southeast of Iran. Qualitative data were analysed by the seven steps of Colaizzi’s method.
Results
Participants reported around a five-month history of caring for COVID-19 patients. After analysis, 597 codes, 16 categories, four sub-themes, and one theme were extracted. “Caring from self-sacrifice to avoidance” was the main theme of the study with sub-themes of “Anxiety Chain”, “Manifestation of Humanitarian Caring”, “Ethical Challenges”, and “Challenges of Overcoming Crisis”.
Conclusions
Nurses explained their caring experiences with patients on a continuum from humanitarian caring and self-sacrifice to caring avoidance. Because of the multi-sources of psychological stress and ethical challenges together with this infection, healthcare managers should plan for holistic regular psychological support services, prevention of job inequalities, and do strategic planning for access to enough resources in the healthcare system.
AlexandarSRavisankarMKumarRS, et al. (2021) A Comprehensive review on Covid-19 delta variant. International Journal of Pharmacology and Clinical Research5(2): 83–85.
2.
AnderssonEKWillmanASjöström-StrandA, et al. (2015) Registered nurses’ descriptions of caring: a phenomenographic interview study. BMC Nursing14: 16. DOI: 10.1186/s12912-015-0067-9.
3.
AnneyVN (2014) Ensuring the quality of the findings of qualitative research: Looking at trustworthiness criteria. Journal of Emerging Trends in Educational Research and Policy Studies5(2): 272–281.
4.
Arab-MazarZSahRRabaanAA, et al. (2020) Mapping the incidence of the COVID-19 hotspot in Iran–Implications for Travellers. Travel Medicine and Infectious Disease34: 101630. DOI: 10.1016/j.tmaid.2020.101630.
5.
AstutiIYsrafil (2020) Severe acute respiratory syndrome coronavirus 2 (SARS-COV-2): An overview of viral structure and host response. Diabetes and Metabolic Syndrome14(4): 407–412. DOI: 10.1016/j.dsx.2020.04.020.
6.
CasselsALeinonenJJärvinenTLN (2014) Infectious anxiety disorder. Canadian Medical Association Journal186(9): 720.
7.
CuiSJiangYShiQ, et al. (2021) Impact of COVID-19 on Anxiety, Stress, and Coping Styles in Nurses in Emergency Departments and Fever Clinics: A Cross-Sectional Survey. Risk Management and Healthcare Policy 14: 585–594. DOI: 10.2147/RMHP.S289782.
8.
EghbaliMNegarandehRFroutanR (2020) COVID-19 epidemic: hospital-level response. Nursing Practice Today7: 81–83.
9.
GhaffariMEMortezapourAHeidarimoghadamR (2020) Letter to editor: vicarious traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behavior Immunity87: 25–26.
10.
HuangLLinGTangL, et al. (2020) Special attention to nurses’ protection during the COVID-19 epidemic. Critical Care24: 120. DOI: 10.1186/s13054-020-2841-7.
11.
ImSBBaumannSLAhnM, et al. (2018) The experience of Korean nurses during the Middle East Respiratory Syndrome outbreak. Nursing Science Quarterly31(1): 72–76. DOI: 10.1177/0894318417741119.
12.
AstutiIYsraffil (2020) Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2): An overview of viral structure and host response. Diabetes & Metabolic Syndrome14(4): 407–412. DOI: 10.1016/j.dsx.2020.04.020.
13.
JavadiSMHArianMQorbani-VanajemiM (2020) The need for psychosocial interventions to manage the Coronavirus crisis. Iranian Journal of Psychiatry and Behavioral Sciences14(1): e102546. DOI: 10.5812/ijpbs.102546.
14.
KarlssonMPennbrantS (2020) Ideas of caring in nursing practice. Nursing Philosophy21(4): e12325. DOI: 10.1111/nup.12325.
15.
KimY (2018) Nurses’ experiences of care for patients with Middle East respiratory syndrome-Coronavirus in South Korea. American Journal of Infection Control46(7): 781–787. DOI: 10.1016/j.ajic.2018.01.012. Epub 2018 Mar 1.
16.
LiuQLuoDHaaseJE, et al. (2020) The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study. The Lancet Global Health8(6): e790–e798. DOI: 10.1016/S2214-109X(20)30204-7.
17.
MaseratEKeikhaLDavoodiS, et al. (2021) E-health roadmap for COVID-19 vaccine coverage in Iran. BMC Public Health21(1): 1450. DOI: 10.1186/s12889-021-11419-y.
18.
MoradiNHeydariSTZareiL, et al. (2021) Public views on priority groups for COVID-19 vaccination: a survey from Iran. Shiraz E-Medical Journal22(7). Article e113359.
19.
MorrowRRodriguezAKingN (2015) Colizzi’s descriptive phenomenological method. The Psychologist28(8): 643–644.
20.
NeubauerBEWitkopCTVarpioL (2019) How phenomenology can help us learn from the experiences of others. Perspectives on Medical Education8(2): 90–97. DOI: 10.1007/s40037-019-0509-2.
21.
NourizadehMRasaeeMJMoinM (2020) COVID-19 pandemic: a big challenge in Iran and the world. Iranian Journal of Allergy, Asthma and Immunology19: 1–2. DOI: 10.18502/ijaai.v19i.(s1.r1).2846.
22.
PatelLElliottAStorlieE, et al. (2020) Ethical and legal challenges during the COVID‐19 pandemic–are we thinking about rural hospitals?The Journal of Rural Health37(1): 175–181. DOI: 10.1111/jrh.12447.
23.
PazokianMMehralianQKhalandiF (2021) Experiences of nurses caring of patients during the COVID-19 pandemic: a qualitative study. Evidence Based Care10(4): 17–24. DOI: 10.22038/EBCJ.2021.54131.2423.
24.
PereiraMR (2020) Nursing care, relevance in the context of the COVID-19 pandemic. Enfermería (Montevideo)9: 1–2. DOI: 10.22235/ech.v9i1.2184.
25.
Pérez-RodríguezVTopaGBeléndezM (2019) Organizational justice and work stress: the mediating role of negative, but not positive, emotions. Personality and Individual Differences151: 109392.
26.
PerezGIPAbadiATB (2020) Ongoing challenges faced in the global control of COVID-19 pandemic. Archives of Medical Research51(6): 574–576.
27.
PragholapatiA (2020) Self-Efficacy of Nurses during the Pandemic Covid-19. San Francisco, CA: Academia edu, 1–7.
28.
RachubinskaKCybulskaAMSolek-PastuszkaJ, et al. (2022) Assessment of psychological functioning of Polish nurses during COVID-19 pandemic. International Journal of Environmental Research and Public Health 19(3): 1435. DOI: 10.3390/ijerph19031435.
29.
QianXRenRWangY, et al. (2020) Fighting against the common enemy of COVID-19: a practice of building a community with a shared future for mankind. Infectious Diseases of Poverty9(34): 34. DOI: 10.1186/s40249-020-00650-1.
30.
SantaroneKMckenneyMElkbuliA (2020) Preserving mental health and resilience in frontline healthcare workers during COVID-19. The American Journal of Emergency Medicine38(7): 1530–1531. DOI: 10.1016/j.ajem.2020.04.030.
31.
Shapira-LishchinskyOEven-ZoharS (2011) Withdrawal behaviors syndrome: An ethical perspective. Journal of Business Ethics103(3): 429–451. DOI: 10.1007/s10551-011-0872-3.
32.
SmithGDNgFCheung LiWH (2020) COVID‐19: Emerging compassion, courage and resilience in the face of misinformation and adversity. Journal of Clinical Nursing29(9–10): 1425–1428.
33.
SunNWeiLShiS, et al. (2020) A qualitative study on the psychological experience of caregivers of COVID-19 patients. American Journal of Infection Control48(6): 592–598. DOI: 10.1016/j.ajic.2020.03.018.
34.
TamiolakiAKalaltzakiAE (2020) “That which does not kill us, makes us stronger”: COVID-19 and Posttraumatic Growth. Psychiatry Research289: 113044. DOI: 10.1016/j.psychres.2020.113044.
35.
TiwariAChanSWongA, et al. (2003) Severe acute respiratory syndrome (SARS) in Hong Kong: patients' experiences. Nursing Outlook51: 212–219.
WindTRRijkeboerMAnderssonG, et al. (2020) The COVID-19 pandemic: The 'black swan' for mental health care and a turning point for e-health. Internet Interventions20: Article 100317. DOI: 10.1016/j.invent.2020.100317.
41.
WirihanaLWelechAWilliamsonM, et al (2018) Using Colaizzi’s method of data analysis to explore the experiences of nurse academics teaching on satellite campuses. Nurse Researcher25(4): 30–34. DOI: 10.7748/nr.2018.e1516.
