Experiences of nurses providing care for patients with COVID‐19 in acute care settings in the early stages of the pandemic: A thematic meta‐synthesis study

Özkan, İlknur; Taylan, Seçil

doi:10.1111/ijn.13143

Cited by 3 publications

(3 citation statements)

References 90 publications

(256 reference statements)

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“…The pandemic added another layer of complexity and distress. Participants elucidated that they "could not apply normal delirium protocols to care for patients with COVID- 19…”

Section: Theme 4: Stressful Work Environmentsmentioning

confidence: 99%

“…The pandemic imposed a strain on many health care systems, increasing workload, patient complexity, and staff demands. [18][19][20] Furthermore, rapidly changing protocols and guidelines, along with emotional and physical exhaustion, contributed to heightened levels of stress for staff during this unprecedented time. [18][19][20] Such circumstances have resulted in an increase in staff burnout, affecting patient safety and quality of care.…”

Section: Increased Demands On Staff and Stressful Environmentsmentioning

confidence: 99%

“…[18][19][20] Furthermore, rapidly changing protocols and guidelines, along with emotional and physical exhaustion, contributed to heightened levels of stress for staff during this unprecedented time. [18][19][20] Such circumstances have resulted in an increase in staff burnout, affecting patient safety and quality of care. 21 High-risk work environments such as COVID-19 units, critical care units, and hospitals with inadequate resources also contributed to high levels of burnout.…”

Section: Increased Demands On Staff and Stressful Environmentsmentioning

confidence: 99%

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COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults

Byrnes,

Pate,

Belin

et al. 2024

Journal of Nursing Care Quality

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Background: Older adult patients with COVID-19 and delirium experience higher rates of adverse outcomes. Early recognition of at-risk patients and implementation of management strategies improve outcomes, though understanding barriers to acute care nurses implementing these strategies is limited. Purpose: This study's purpose was to understand the experiences of acute care nurses providing care to older adults with COVID-19 and delirium. Experiences explored included assessment, nursing management interventions, and barriers to care. Methods: Purposive sampling to recruit nurses for semistructured focus groups was performed, and thematic analysis was generated by 4 members of the research team. Results: Twenty-one nurses participated in focus groups. Thematic analysis revealed themes of increased patient social isolation, barriers to delirium assessment and prevention, increased staff demands, and stressful work environments. Conclusion: Rich findings reveal the profound impact of the pandemic on assessment for delirium and implementation of strategies for prevention and management in older adult patients.

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“…The pandemic added another layer of complexity and distress. Participants elucidated that they "could not apply normal delirium protocols to care for patients with COVID- 19…”

Section: Theme 4: Stressful Work Environmentsmentioning

confidence: 99%

Section: Increased Demands On Staff and Stressful Environmentsmentioning

confidence: 99%

Section: Increased Demands On Staff and Stressful Environmentsmentioning

confidence: 99%

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COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults

Byrnes,

Pate,

Belin

et al. 2024

Journal of Nursing Care Quality

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“Experiences of professional nurses regarding shortage in the advent of Covid -19 in a hospital in the Northwest Province:

Chomela,

Serapelwane,

Lethale

2024

Preprint

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Background: Covid-19 pandemic worsened the long-standing shortage of nurses worldwide and South Africa is not an exception. Professional nurses resigned in the advent of Covid-19 due to fear of contracting Covid-19, demonstrating that there was inadequate support of professional nurses in the times of the pandemic. Aims: The study explored and described experiences of professional nurses regarding shortages in the advent of Covid-19. The support required by professional nurses in the advent of Covid-19 pandemic was also described. Methods: This study used a qualitative, exploratory, descriptive and contextual approach. The population of the study were professional nurses employed at one hospital in the Northwest Province of South Africa during the Covid-19 pandemic. Purposive sampling was applied to select twelve professional nurses who participated in the study. Unstructured in-depth individual interviews were used to generate data and the analysis followed the thematic model. The study adhered to ethical principles of respect for persons, privacy, beneficence and justice. Results: The study findings show that the participants reported experiences of physical exhaustion, emotional pain, and mental health challenges due to Covid-19. These experiences confirm the negative impact on the health care system, and the organizational support required by professional nurses in the face of shortages in the advent of Covid 19. Conclusion: Covid-19 exacerbated the already existing shortage of staff. These shortages were compounded by nurses’ quarantine and self-isolation, in tandem with elderly nurses resigning for fear of Covid-19 infections.

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“Being There for Each Other”: Hospital Nurses’ Struggle during the COVID-19 Pandemic

Admi,

Inchi,

Bord

et al. 2024

COVID

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This study aims to explore the experiences of frontline hospital nurses over 18 months of struggle with the COVID-19 pandemic. The qualitative thematic analysis method was applied. Twenty-three nurses from nine tertiary hospitals in Israel were interviewed using semi-structured interviews via the ZOOM platform between August and September 2021. Interviews were video recorded and transcribed verbatim. Trustworthiness was assured by using qualitative criteria and the COREQ checklist. Results: Both negative and positive experiences were reported: threat and uncertainty along with awareness of their important mission; anxiety and helplessness alongside courage and heroism. Personal management strategies emerged: regulating overwhelming emotions and managing work–life balance. Team support emerged as the most meaningful source of nurses’ struggle with the pandemic. A sense of intimacy and solidarity enabled the processing of the shared traumatic experiences. Conclusions: A deeper understanding of nurses’ experiences through the pandemic was gained. Informal peer support has proven effective in struggling with the events. Formal interventions, such as affective–cognitive processing of traumatic events, need to be integrated into practice. Healthcare policymakers should promote better support for caregivers, which will contribute to their well-being and impact the quality of care they provide.

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Experiences of nurses providing care for patients with COVID‐19 in acute care settings in the early stages of the pandemic: A thematic meta‐synthesis study

Cited by 3 publications

References 90 publications

COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults

COVID-19 and the Impact on Delirium Care of Hospitalized Older Adults

“Experiences of professional nurses regarding shortage in the advent of Covid -19 in a hospital in the Northwest Province:

“Being There for Each Other”: Hospital Nurses’ Struggle during the COVID-19 Pandemic

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