2022
DOI: 10.1177/00469580221081059
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Intensive Care Units Healthcare Professionals’ Experiences and Negotiations at the Beginning of the COVID-19 Pandemic in Germany: A Grounded Theory Study

Abstract: Faced with the pandemic of the novel coronavirus (SARS-CoV-2), healthcare professionals (HCPs) in intensive care units (ICU) adjusted their organizational, operational, and personal procedures to ensure care for COVID-19 patients. We used grounded theory approach to explore ICU HCPs' perspectives on professional action at the beginning of the COVID-19 pandemic in Germany from March to July 2020. The study aimed to examine implicit principles on negotiating social practice and interaction of ICU HCPs in an exce… Show more

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Cited by 7 publications
(12 citation statements)
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References 27 publications
(34 reference statements)
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“…At the same time, working in a state of chaos led to an increase in negative outcomes such as anxiety, but with the increase of nurses' confidence in their abilities to adapt to the pandemic, they experienced working in a calmer state and acceptance (Nowell et al, 2021). Hörold et al (2022) also pointed to a complex context of disruption in habits and routines before the COVID‐19 pandemic and the reconstruction of processes to achieve a new normality among nurses. Confusion arises from a temporary or permanent unresolved situation that leads to contradictions in feeling, thinking, and acting.…”
Section: Discussionmentioning
confidence: 99%
“…At the same time, working in a state of chaos led to an increase in negative outcomes such as anxiety, but with the increase of nurses' confidence in their abilities to adapt to the pandemic, they experienced working in a calmer state and acceptance (Nowell et al, 2021). Hörold et al (2022) also pointed to a complex context of disruption in habits and routines before the COVID‐19 pandemic and the reconstruction of processes to achieve a new normality among nurses. Confusion arises from a temporary or permanent unresolved situation that leads to contradictions in feeling, thinking, and acting.…”
Section: Discussionmentioning
confidence: 99%
“…Studies emphasize the importance of negotiating work shifts in health services as a strategic protective factor for coping with stress during the COVID-19 pandemic. The results show that stress was significantly decreased, revealing that negotiations were a fundamental protective factor for health professionals’ job engagement [ 74 , 75 ]. Furthermore, other studies show that the support provided by the professional network and especially from the direct manager in reshuffling work shifts was a vital factor favoring commitment and job satisfaction, in addition to job involvement, as these contribute to an improvement in workers’ moods and the planning of work tasks [ 74 , 76 , 77 ].…”
Section: Discussionmentioning
confidence: 99%
“…Transcription may be even more important and beneficial for qualitative approaches which rely on making these conceptual links in order to develop theory, for example in grounded theory (Walker and Myrick, 2006 ). There is a paucity of rapid qualitative research involving such qualitative methodologies, and the studies published during the pandemic using grounded theory seem to rely on transcribed data to be able to create conceptual frameworks based on the results (e.g., Rees et al, 2021 ; Hörold et al, 2022 ). This is perhaps not surprising as conceptual analysis or drawing on theory takes time which may not be always compatible with rapid research timeframes (Vindrola et al, 2021a).…”
Section: Discussionmentioning
confidence: 99%