The Effect of the Web-Based Communication between a Nurse and a Family Member on the Perceived Stress of the Family Member of Patients with Suspected or Confirmed COVID-19: A Parallel Randomized Clinical Trial

Shariati, Esmail; Dadgari, Ali; Talebi, Seyedeh Solmaz; Shan, Gholam Reza Mahmoodi; Ebrahimi, Hossein

doi:10.1177/10547738211017688

Cited by 12 publications

(6 citation statements)

References 30 publications

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“…In a large French multicentre study (Azoulay et al, 2022), the family members of COVID‐19 patients reported more intense feelings of isolation during the ICU stay and compared to family caregivers of other patients, the risk of developing stress symptoms in the months after ICU admission was twice as high. Web‐based communication has been found in other studies to be associated with reduced post‐traumatic stress symptoms experienced by family members (Shariati et al, 2021), improved patient recovery and increased healthcare professional morale during the COVID‐19 pandemic (Rose et al, 2021). Even though personal contacts were preferred by the family members in the current study, the telephone or video calls were highly valued.…”

Section: Discussionmentioning

confidence: 90%

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Forsberg¹,

Isaksson²,

Schelin³

et al. 2023

Journal of Clinical Nursing

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ObjectiveTo describe how family members of critically ill patients experienced the COVID‐19 visiting restrictions in Sweden.BackgroundIn Sweden, the response to COVID‐19 was less invasive than in many other countries. However, some visiting restrictions were introduced for intensive care units, with local variations. Although there is a growing body of literature regarding healthcare professionals' and family caregivers' perspectives on visiting restriction policies, there may be inter‐country differences, which remain to be elucidated.DesignThis study has a qualitative descriptive design. Focus group interviews with 14 family members of patients treated for severe COVID‐19 infection were conducted. The interviews took place via digital meetings during the months after the patients' hospital discharge. Qualitative content analysis was used to interpret the interview transcripts. Reporting of the study followed the COREQ checklist.ResultsTwo categories—dealing with uncertainty and being involved at a distance—described family members' experiences of coping with visiting restrictions during the COVID‐19 pandemic. These restrictions were found to reduce family members' ability to cope with the situation. Communication via telephone or video calls to maintain contact was appreciated but could not replace the importance of personal contact.ConclusionsFamily members perceived that the visiting restriction routines in place during the COVID‐19 pandemic negatively influenced their ability to cope with the situation and to achieve realistic expectations of the patients' needs when they returned home.Relevance to Clinical PracticeThis study suggests that, during the COVID‐19 pandemic, the visiting restrictions were experienced negatively by family members and specific family‐centred care guidelines need to be developed for use during crises, including the possibility of regular family visits to the ICU.Patient and Public ContributionNone in the conceptualisation or design of the study.

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Section: Discussionmentioning

confidence: 90%

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Forsberg¹,

Isaksson²,

Schelin³

et al. 2023

Journal of Clinical Nursing

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“…In a study by Cohen et al, Cronbach's alpha of the PSS-14 version was reported as 0.86 (19). In studies conducted in Iran, Cronbach's alpha coefficient obtained from this questionnaire has been reported as 0.89 (21). Maroufizadeh et al indicated that the Persian version of the PSS-10 was positively correlated with the Depression Anxiety Stress Scales (DASS-21) and its subscales and an acceptable convergent validity in adults with asthma (22).…”

Section: Methodsmentioning

confidence: 88%

“…Items 4, 5, 6, 7, 9, 10, and 13 were reverse-coded before analysis (never = 4 and very often = 0). A higher score indicates more perceived stress (19)(20)(21). In a study by Cohen et al, Cronbach's alpha of the PSS-14 version was reported as 0.86 (19).…”

Section: Methodsmentioning

confidence: 99%

Perceived Stress, Moral Distress, and Spiritual Intelligence of Clinical Nurses in the Coronavirus Disease 2019 Pandemic

Bazghaleh

Abbasi

Bahonar

et al. 2023

Ann Mil Health Sci Res

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Background: The coronavirus disease 2019 (COVID-19) pandemic has increased the psychological problems of people all over the world. In this crisis, nurses experienced complex physical and psychological stress. Objectives: This study aimed to determine the relationship of perceived stress with moral distress and the spiritual intelligence of clinical nurses in the context of COVID-19. Methods: This cross-sectional study was conducted on 285 clinical nurses working in public hospitals in the city of Shahroud, Iran. Data collection instruments included a demographic data sheet, the Perceived Stress Scale (PSS), Corley’s Moral Distress Scale (MDS), and King’s Spiritual Intelligence Scale (SISRI-24). Descriptive (frequency, mean, and standard deviation) and inferential statistics (the independent t-test, Pearson correlation coefficient, and logistic regression analysis) were used to analyze the data. Results: The findings showed that nurses reported high levels of perceived stress (36.12 ± 5.14). Perceived stress was positively and significantly correlated with moral distress (P = 0.001, r = 0.09). Perceived stress was also significantly correlated with age (P < 0.01, r = 0.29) and work experience (P = 0.001, r = -0.85). Conclusions: According to the findings, nurses must strive to reduce moral distress during the COVID-19 pandemic. For this purpose, psychosocial support for clinical nurses, stress management courses, and providing welfare facilities for nurses are essential.

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“…The DASS-21 is a standard scale whose options are scored from 0 to 3. In this tool, seven items related to stress symptoms (2,6,8,11,12,14,18), seven items related to anxiety symptoms (1,4,7,7,15,19,20), and seven items related to depression symptoms (3,5,10,13,16,17,21). Scores 0-4 are mild, 5-11 are moderate, and more than 12 indicate severe psychological symptoms.…”

Section: Depression Anxiety and Stress Scale-21mentioning

confidence: 99%

“…Care is individualized because of the different severities of COVID-19 and the importance of factors such as safety, limit distance between clinical staff and family near the patient within the hospitals for example. On the other hand, even though about a long time has passed since the COVID-19 pandemic started, a limited number of studies have been conducted to evaluate the psychological and dimensions of care of family caregivers of patients with COVID-19 [18][19][20] and most studies have focused on caring problems in health workers like nurses and hospital caregivers. Therefore, the current study investigated the predictor factors of care burden in family caregivers of patients with COVID-19.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress as a predictor of the burden of care in family caregivers of COVID‐19 patients in Iran: A community‐based cross‐sectional study

Mirhosseini

Grimwood

Basirinezhad

et al. 2022

Health Science Reports

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Background and Aims Coronavirus disease 2019 (COVID‐19) has profoundly affected millions worldwide, including family caregivers of COVID‐19 patients, in terms of caregiver burden and psychological distress. The present study aimed to evaluate the care burden and psychological distress among family caregivers, caring for a family member with COVID‐19. Methods The present study was performed with a cross‐sectional design in the Shahroud community, northeast Iran using the convenience sampling method. A total of 297 family caregivers of COVID‐19 patients were assessed using self‐report scales including the depression, anxiety, and stress scale‐21 and the Zarit burden interview to assess the symptoms of psychological distress (depression, anxiety, and stress) and caregiver burden. Data were analyzed using descriptive and inferential statistics (multivariate regression analysis). Results Factors such as self‐reported symptoms of depression (β = 0.920, p < 0.001) and anxiety (β = 0.712, p < 0.02) were significantly predicted care burden. Variables such as lower levels of education of the family member and caregivers and also the relationship between the caregiver and family member were additional predictive factors that aggravated the care burden. Conclusion Caregivers of a family member with COVID‐19 suffer significant levels of care burden that also results from psychological distress such as depression and anxiety. Therefore, appropriate psychoeducational interventions are highly recommended.

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The Effect of the Web-Based Communication between a Nurse and a Family Member on the Perceived Stress of the Family Member of Patients with Suspected or Confirmed COVID-19: A Parallel Randomized Clinical Trial

Cited by 12 publications

References 30 publications

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Family members' experiences of COVID‐19 visiting restrictions in the intensive care unit—A qualitative study

Perceived Stress, Moral Distress, and Spiritual Intelligence of Clinical Nurses in the Coronavirus Disease 2019 Pandemic

Psychological distress as a predictor of the burden of care in family caregivers of COVID‐19 patients in Iran: A community‐based cross‐sectional study

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