The SARS crisis: reflections of Hong Kong nurses

Holroyd, Eleanor; McNaught, Carmel

doi:10.1111/j.1466-7657.2007.00586.x

Cited by 44 publications

(70 citation statements)

References 7 publications

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“…The fact that more than 30% of deaths due to SARS were related to the death of healthcare professionals [6] justi es this fear. Numerous studies in line with our study mentioned challenges such as nurses' fear of getting the infection and transmitting it to family members [13,[45][46][47][48][49], fear and helplessness due to the outbreak of the disease [7,8] and rapid change in recommendations and knowledge related to emerging and unknown diseases [50][51][52]. According to the results of the Cui et al, 2020 study, the most important predictor of anxiety and stress in nurses working in the COVID-19 ward was the fear of infecting family members [53].…”

Section: Discussionsupporting

confidence: 75%

Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

Irandoost

Lebni

Safari

et al. 2020

Preprint

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Background: Nurses as the main human resource in coping with COVID-19 face many challenges and problems. Therefore, the present study aimed to explain the experiences, challenges, and adaptation strategies of nurses in taking care of patients with COVID-19 with a qualitative approach.Methods: The present study was conducted with a qualitative conventional content analysis approach among 30 nurses working in wards for COVID-19 patients, in Tehran hospitals. Access to participants and data collection was done through purposive sampling, snowball sampling and semi-structured interviews. Data were analyzed using qualitative content analysis (conventional) and MAXQDA-18 software. Guba and Lincoln criteria were observed to evaluate the quality of research results.Results: From data analysis, 2 main categories and 16 subcategories were obtained, including (1) experiences and challenges (lack of protective equipment, high work pressure, marginalized physical health, problems related to the use of protective equipment, getting excluded, lack of supportive work environment, problems related to patients, psychological problems, fear, marginalized personal and family life and the challenge of communication with patients' families) (2) Strategies for adapting to working conditions (performing religious-spiritual activities, creating an empathetic atmosphere in the workplace, spiritualizing their work , trying to convince the family and gain their support, strengthening sense of self-worth and responsibility).Conclusion: The working conditions for nurses can be improved through providing adequate protective equipment, providing a suitable work environment and more social and financial support, more attention to the physical and mental health of nurses and considering appropriate mechanisms for nurses to communicate with their families and patients' families.

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Section: Discussionsupporting

confidence: 75%

Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

Irandoost

Lebni

Safari

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Findings revealed significant personal safety concerns driving many nurses to consider resigning from their place of employment. Heightened anxiety about the risks associated with acute care employment during pandemics has been previously reported (Holroyd & McNaught, 2008; Kang, Son, Chae, & Corte, 2018; Koh, Hegney, & Drury, 2012; Lam & Hung, 2013). Rapidly changing clinical practice, inadequate pandemic preparation, insufficient and limited resources, and potential disease exposure all contribute to perceived threats to personal safety (Holroyd & McNaught, 2008; Shiao, Koh, Lo, Lim, & Guo, 2007).…”

Section: Discussionmentioning

confidence: 83%

The Experiences of Primary Healthcare Nurses During the COVID‐19 Pandemic in Australia

Halcomb

McInnes

Williams

et al. 2020

J of Nursing Scholarship

221

287

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Purpose The COVID‐19 pandemic has presented an international health crisis of a scope not seen in our lifetime. While much attention has been paid to health workers in critical care and acute areas, nurses working outside of hospitals are also significantly affected. This study sought to investigate the experience of nurses working in Australian primary healthcare during the COVID‐19 pandemic. In particular, it sought to understand the implications on their employment status, role, and access to personal protective equipment. Design and Methods Nurses employed in primary healthcare across Australia were invited to participate in a cross‐sectional online survey through social media and professional organizations. The survey tool was composed of demographics, and of questions about the nurses’ employment, work role, and access to personal protective equipment. Findings Of the 637 responses received, nearly half (43.7%) reported a decrease in hours and threatened or actual loss of employment. While most respondents felt that they had sufficient knowledge about COVID‐19, they expressed concern about work‐related risks to themselves and their family. Most respondents described never or only sometimes having sufficient personal protective equipment in their workplace. Just over half of respondents (54.8%) felt well supported by their employer. A third of respondents (34%) perceived that care provided in their workplace was significantly or slightly worse than before the pandemic. Conclusions This is the first study of primary healthcare nurses’ experiences during the COVID‐19 pandemic. The study findings highlighted a concerning level of insecurity around primary healthcare nursing employment, as well as issues with the availability of personal protective equipment for these nurses. The perception that the pandemic has resulted in reduced quality of care needs further exploration to ensure that those with chronic conditions are supported to maintain and promote health. Clinical Relevance Understanding the implications of COVID‐19 on the primary healthcare nursing workforce is vital to ensure staff retention and care quality. Ensuring that the community remains healthy and supported at home is vital to both reduce the burden on the health system and reduce secondary mortality.

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“…At the policy level, nine studies suggested to develop a strategic plan for future outbreaks (Sin and Huak 2004 ; Tolomiczenko et al 2005 ; Wong et al 2005 ; Lu et al 2006 ; Maunder et al 2006 ; Holroyd and McNaught 2008 ; Lung et al 2009 ; Corley et al 2010 ; Kim 2018 ) and one study to conduct public campaigns to protect HCWs and reduce their stigmatization (Matsuishi et al 2012 ). From an organizational point of view, many studies underlined how it is important to ensure favourable work conditions (Bai et al 2004 ; Maunder et al 2006 ; Su et al 2007 ; Austria-Corrales et al 2011 ; Matsuishi et al 2012 ) and provide HCWs with all the personal protective equipment (PPE) necessary to work safely and reduce their risk (Chen et al 2005a , b ; Goulia et al 2010 ; Khalid et al 2016 ).…”

Section: Resultsmentioning

confidence: 99%

“…Firstly, it is important that the whole national health system is involved in the development of preventive strategies (Sin and Huak 2004;Tolomiczenko et al 2005;Wong et al 2005;Lu et al 2006;Maunder et al 2006;Holroyd and McNaught 2008;Lung et al 2009;Corley et al 2010;Kim 2018). Corley et al (2010) underlined the relevance to plan a strategic approach for future pandemics, through Pittsburgh sleep quality index Su et al (2007) Spielberger trait anxiety inventory Su et al (2007) effective information regarding infection control interventions, in both clinical and non-clinical settings.…”

Section: Policy-related Strategiesmentioning

confidence: 99%

The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review

Barello

Falcó‐Pegueroles

Rosa

et al. 2020

Int J Public Health

124

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Objectives During a pandemic, healthcare workers (HCWs) are essential to the health system response. Based on our knowledge, little information is available regarding the psychosocial impact on HCWs or interventions for supporting them during pandemics. Therefore, the study aimed to assess available literature on perceived stress and psychological responses to influenza pandemics in HCWs and identify implications for healthcare practice and future research. Methods This is a rapid review of the literature. The review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis. Results Across all the studies—both qualitative and quantitative—HCWs working during the epidemic reported frequent concerns regarding their own health and the fear of infecting their families, friends and colleagues. Moreover, social isolation, uncertainty, fears of stigmatization and reluctance to work or considering absenteeism were frequently reported. Moreover, many studies highlighted a high prevalence of high levels of stress, anxiety and depression symptoms, which could have long-term psychological implications in HCWs. Conclusions This rapid review offers an overview of the major concerns regarding HCWs’ psychosocial well-being and possible preventive strategies, which could be useful for the current COVID-19 outbreak and similar future pandemics. Studies suggested to invest on preventive psychological, social, family and physical support and to guaranteeing reasonable work conditions and others in order to protect HCWs from the long-lasting psychological effect of the COVID-19 pandemic.

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The SARS crisis: reflections of Hong Kong nurses

Abstract: In dealing with future health crises, it is imperative that a multilevel approach be taken.

Cited by 44 publications

References 7 publications

Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

Explaining the experiences, challenges and adaptation strategies of nurses in caring for patients with COVID-19: A qualitative study in Iran

The Experiences of Primary Healthcare Nurses During the COVID‐19 Pandemic in Australia

The psychosocial impact of flu influenza pandemics on healthcare workers and lessons learnt for the COVID-19 emergency: a rapid review

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