A Qualitative Exploration of the Psychological Experience of Patients Hospitalized With COVID-19

Wang, Jing‐Yuan; Wei, Lili; Li, Huanting; Zhang, Yan; Li, Qianqian; Pan, Yueshuai; Wang, Gang; Wei, Holly

doi:10.1097/hnp.0000000000000491

Cited by 6 publications

(15 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Hospitalised COVID-19 patients have been reported to experience fear and stigma, with the major source of stress lying in the respiratory highly contagious viral nature of the disease, the isolation measures applied, and in concerns regarding the health of family relatives [8]. Moreover, they have been reported to experience extreme uncertainties during the initial stage of the diagnosis, complex negative feelings during the treatment stage, and then growth during the recovery [8,9].…”

Section: Introductionmentioning

confidence: 99%

One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study

Palese

Peghin

Bressan

et al. 2022

IJERPH

View full text Add to dashboard Cite

The COVID-19 pandemic emotionally affected the lives of patients cared for in different settings. However, a comprehensive view of the whole experience as lived by survived patients, from the onset of the disease and over time, is substantially unknown to date. A descriptive qualitative design was implemented according to the Standards for Reporting Qualitative Research. Adult patients (=1067) cared for during the first wave (March/April 2020) capable of answering an interview and willing to participate were interviewed (=397) by phone with an interview guide including open- and closed-ended questions. In this context, they were asked to summarise with a metaphor their entire COVID-19 experience at six months. Then, the emotional orientation (positive, neutral, or negative) of the metaphors expressed was identified. The participants were mainly female (206; 51.9%), with an average age of 52.6 years (CI 95% 50.4–53.6), reporting a mild severity of COVID-19 disease at the onset (261; 65.7%) and the perception of being completely healed (294; 70%) at six months. The patients summarised their experiences mainly using negative-oriented (248; 62.5%) metaphors; only 54 (13.6%) reported positive-oriented metaphors and a quarter (95; 23.95) neutral-oriented metaphors. Nearly all positive-oriented metaphors were reported by patients with symptoms at the onset (53; 98.1%), a significantly higher proportion compared to those reporting negative- (219; 88.3%) and neutral–oriented (78; 82.1%) metaphors (p = 0.014). While no other clinical features of the disease were associated, among females, significantly more negative-oriented metaphors emerged. Moreover, neutral-oriented metaphors were reported by younger patients (49.5 years, CI 95% 64.11–52.92) as compared to those negative and positive that were reported by more mature patients (53.9; CI 95% 52.04–55.93 and 54.8; CI 95% 50.53–59.24, respectively) (p = 0.044). Nurses and healthcare services require data to predict the long-term needs of patients. Our findings suggest that, for many patients, the COVID-19 lived experience was negative over time.

show abstract

Section: Introductionmentioning

confidence: 99%

One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study

Palese

Peghin

Bressan

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…Walker and Avant [ 30 ] introduced three basic approaches to theory building: derivation, synthesis, and analysis. This theory was synthesized through integrating the evidence, including empirical research and literature reviews, published by the theory-proposing author from 2015 to 2021 [ 3 , 9 , 10 , 13 , [18] , [19] , [20] , [21] , [22] , [25] , [26] , [27] , [28] , [29] , [31] , [32] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] ]. A summary of the theory-proposing author’s studies is listed in Table 1 .…”

Section: Methodsmentioning

confidence: 99%

“…This finding increases the precision of breastfeeding care. A Qualitative Exploration of the Psychological Experience of Patients Hospitalized with COVID-19 [ 36 ] Describe the psychological experience of patients hospitalized with COVID-19. Patients with COVID-19 went through three psychological stages while hospitalized for COVID-19 treatment: extremely uncertain during the initial diagnosis complicated feelings of negativity during treatment positive growth in the recovery stage Healthcare professionals need to provide patients with holistic care.…”

Section: Methodsmentioning

confidence: 99%

“…Studies on patients and families provide knowledge about parents’ and family members’ hospital experiences [ 10 , 25 , 27 , 28 , [31] , [32] , [33] , [34] , [35] , [36] ]. The research quest for the theory started with families of children hospitalized with acute conditions, such as critical congenital heart disease, undergoing heart surgery [ 10 , 35 , 37 ].…”

Section: Theory Development Processmentioning

confidence: 99%

“…A significant phenomenon surfaced, which is self-care, including self-care for patients and healthcare professionals. These studies suggest that although organizations and work environments are essential for quality care and patients’ experiences in healthcare, self-care is the foundation for individuals’ health [ 36 , [49] , [50] , [51] , [52] ].…”

Section: Theory Development Processmentioning

confidence: 99%

See 2 more Smart Citations

The development of an evidence-informed Convergent Care Theory: Working together to achieve optimal health outcomes

Wei

2022

International Journal of Nursing Sciences

Self Cite

View full text Add to dashboard Cite

Background Healthcare is a complex and divergent system with uncertainty, unpredictability, and multi-layered stakeholders. The relationships among the stakeholders are multifaceted and dynamic, requiring continual interpersonal connections, networks, and co-evolution. It is pivotal to have an evidence-informed theory to explain the phenomenon, uniting the multifaceted stakeholders’ efforts. Purpose To describe the development of an evidence-informed theory, the Convergent Care Theory, assembling healthcare stakeholders to work together and achieve optimal health outcomes. Methods The Convergent Care Theory was developed using a theory synthesis approach based on empirical research and literature reviews published by the theory-proposing author. The empirical evidence was categorized into: patients and families, healthcare providers, healthcare organizations, and patients’ and healthcare providers’ self-care. Results The Convergent Care Theory includes four concepts: all-inclusive organizational care , healthcare professional collaborative care, person-centered precision care, and patients ’ and healthcare providers’ self-care . Achieving convergent care is a process requiring all stakeholders to work together. Six major facilitators emerged from the research evidence: competence, compassion, accountability, trusting, sharing, and engaging. Conclusion This article introduced the development process of the evidence-informed Convergent Care Theory. Healthcare systems are complex, with multiple stakeholders’ needs to meet. The Convergent Care Theory strives to unite healthcare stakeholders, bond resources, and join forces to achieve optimal healthcare outcomes. The underpinning of the theory is a caring culture, which is an underlying code for organizational and team behaviors and the foundation of optimal health outcomes.

show abstract

Longitudinal qualitative study on the psychological experiences of COVID-19 patients based on timing it right framework

Zhang,

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Timing it right framework was used as a framework to explore the illness experiences of patients infected with COVID-19 and to analyze the patients' perceptions of the disease and their true inner feelings to provide a reference for the control of infectious diseases. This research adopted a phenomenological research approach to develop a longitudinal qualitative study. A purposive sampling method was used to select participants and 37 patients were recruited. Depending on the principle that participants should have maximum variation and sampling should cease when interviews content saturation is achieved, 16 COVID-19 patients in an isolation ward in Ningbo City, Zhejiang Province were finally included. Data were collected using semi-structured interviews, and the content of the interviews was analyzed by Colaizzi’s 7-step method. The themes of COVID-19 patients’ experiences at various phase were presented as follows: multiple emotions intertwined at the time of diagnosis (anxiety, stressful panic, facing the diagnosis calmly), multiple pressures during the hospitalization period (concerns about the disease, unable to adapt to the ward environment, worrying about future hardship), growth of positive illness experience during the isolation and observation period (sublimated outlook on life, affirmation of the government's anti-epidemic policy, more concerned about their own health), adjustment after returning to society (stigma, loss of previous living environment, problems caused by nucleic acid testing), and adaptation to social life (return to normal life, avoidance of illness experience, post-covid-19 syndrome). The illness experience of COVID-19 patients changed dynamically with time, but a sense of shame and uncertainty about recovery was present throughout the process. Interventions should be developed according to the needs of the patients at different times to inform subsequent optimization of care and management of infectious diseases.

show abstract

A Qualitative Exploration of the Psychological Experience of Patients Hospitalized With COVID-19

Cited by 6 publications

References 21 publications

One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study

One Word to Describe My Experience as a COVID-19 Survivor Six Months after Its Onset: Findings of a Qualitative Study

The development of an evidence-informed Convergent Care Theory: Working together to achieve optimal health outcomes

Longitudinal qualitative study on the psychological experiences of COVID-19 patients based on timing it right framework

Contact Info

Product

Resources

About