Battling extraordinary situations and conflicting emotions—A qualitative study of being a newly graduated Registered Nurse in the emergency department during the COVID‐19 pandemic

Carnesten, Hillewi; Gustin, Lena Wiklund; Skoglund, Karin; Wågert, Petra von Heideken

doi:10.1002/nop2.1250

Cited by 7 publications

(19 citation statements)

References 64 publications

(87 reference statements)

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“…In regions still admitting research activity, data collection switched to telephone interviews (12 out of 14) due to restrictions on in-hospital visits to prevent infection transmission. In this study, participants were asked to describe how they experienced caring for patients in the ED during the COVID-19 pandemic and aspects of this followed a previous study of NGRNs' experiences of stress in the ED during the COVID-19 pandemic (Carnesten et al, 2022). The semi-structured interviews in this study started with a more general question 'Could you please describe your work in the ED?'…”

Section: Data Collectionmentioning

confidence: 99%

“…As the COVID‐19 pandemic increased demands on NGRNs, the transition experience into the nursing profession requires further attention in research (Jackson, 2022). We have previously described NGRNs battling stressful working conditions in Sweden during the COVID‐19 pandemic (Carnesten et al, 2022). This Swedish study addresses a key international knowledge gap on NGRNs' experiences of providing care for patients in EDs during the COVID‐19 pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic

Carnesten

Gustin

Skoglund

et al. 2023

Journal of Advanced Nursing

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Aim: To illuminate the meaning of newly graduated registered nurses' experiences of caring for patients in emergency departments during the COVID-19 pandemic. Design:A phenomenological hermeneutical study guided by Lindseth and Norberg. Methods:In-depth one-on-one interviews with 14 nurses from five hospitals were conducted from March to November 2020 and analysed using thematic analysis. The consolidated criteria for reporting qualitative research (COREQ) were used as the reporting guideline. Results:The findings comprise one main theme Caring through barriers and three themes with sub-themes. In the first theme, having intention to care, participants revealed their dedication to care for patients during the pandemic despite extensive stress, little experience and skills. The second theme, with tied hands in human suffering, illuminates experiences of being disconnected from the patient, overwhelmed by responsibility and unable to relieve suffering. The third theme, feeling inadequate, reveals experiences of lack of support and doubts meaning less space to develop into the nurse one wants to be. Conclusion: Findings reveal a new understanding of new nurses' experiences during times of crisis. The essence of caring in the emergency department during the pandemic can be explained as mediated through spatial, temporal and emotional barriers preventing new nurses from providing holistic care. Impact: The results may be used as anticipatory guidance for new nurses and inform targeted support interventions to support new nurses entering the profession in crisis conditions.

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Section: Data Collectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic

Carnesten

Gustin

Skoglund

et al. 2023

Journal of Advanced Nursing

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“…They acted as if they were the relatives of the patients accompanying them to the very end. The research from Arcadi et al ( 2021 ), and Carnesten et al ( 2022 ) emphasizes the importance of compassion concerning well‐being and care based on love, empathy, and the intention to alleviate suffering and support the health of patients (Arcadi et al, 2021 ; Carnesten et al, 2022 ).…”

Section: Discussionmentioning

confidence: 99%

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

Podgorica

Rungg

Bertini³

et al. 2023

Nursing Open

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Aim To explore nurses’ and nurse assistants’ experiences of providing end‐of‐life care during the COVID‐19 pandemic in Austria, Germany and Northern Italy. Design A qualitative explorative interview study. Method Data were collected between August and December 2020 and analysed using content analysis. Healthcare professionals (nurses ( n = 30), nurse coordinators ( n = 6) and nurse assistants ( n = 5)) from hospitals ( n = 32) and long‐term care facilities ( n = 9) in Austria, Germany and Northern Italy were interviewed for this study. Results Five main categories were identified as follows: (i) end‐of‐life care involves love and duty, (ii) last wishes and dignity of the patient, (iii) communication with the family, (iv) organizational and religious aspects and (v) personal emotions. Results indicate that more training and guidelines are needed to prepare nurses and nurse assistants for end‐of‐life care during pandemics. Public contribution This research can help prepare nurses and nurse assistants for end‐of‐life care in pandemics and will be of value for improving the institutional and government health policies. Furthermore, it can be of value in preparing training for healthcare professionals patient–relatives.

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“…ENs develop resilience when experiencing various forms of trauma, although they experience negative effects (50). However, too much of trauma can prevent growth in individuals (33). Effective organizational support should give ENs both external and emotional resources to cope with trauma.…”

Section: Discussionmentioning

confidence: 99%

Psychological resilience of emergency nurses during COVID-19 epidemic in Shanghai: A qualitative study

Jiang

Liu²,

Han³

et al. 2022

Front. Public Health

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Background: In early , an outbreak of Coronavirus Disease (COVID-) occurred in Shanghai, China. The spread of the epidemic put a large amount of stress on the local healthcare system, especially emergency nurses (ENs), which may a ect their well-being and performance. Enhancing the psychological resilience of ENs during COVID-pandemic may improve job satisfaction, retention, and public health emergency response. However, few studies have researched the perception and psychological resilience of ENs during COVID-pandemic.Objective: To understand ENs' perception and psychological resilience and their coping strategies with adversity during COVID-in Shanghai, as well as factors associated with psychological resilience.Methods: This qualitative study was conducted using a phenomenological approach. A total of ENs from a rd level hospital in Shanghai were selected using a method of purposive sampling. Between April and May , in-depth semi-structured interviews and Colaizzi seven-step method were performed for data collection and analysis.Results: The investigation discovered three themes and nine subthemes. The first theme is "risk factors." Risk factors for ENs to remain resilience are sudden multiplication of workload, stressful of screening of infected patients, and the support nurses being unfamiliar with the procedure. The second theme is "promoting factors." ENs emphasized the importance of management assurance and humanistic care, as well as social support. They recognized adversity and resilience, and used self-management strategies to cope with the situation. The third theme is "motivated by altruism." ENs were driven by altruism to respond to adversity with a positive attitude. They realized their self-worth by helping patients with a sense of sacred mission. Conclusions:Psychological resilience is not a stable psychological characteristic but a constantly changing process that is a ected by internal and external factors. Enhancing resilience of ENs during the COVID-pandemic may improve work satisfaction, retention, and public health emergency response. Adequate preparation before a pandemic, reasonable arrangement, a trustworthy working atmosphere, encouragement and improvement of individual and collective strategies for nurses to Frontiers in Public Health frontiersin.org Jiang et al. . /fpubh. . cope with adversity, timely rewards, and nurse empowerment, as well as counseling and training, can be used to enhance psychological resilience of ENs.

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Battling extraordinary situations and conflicting emotions—A qualitative study of being a newly graduated Registered Nurse in the emergency department during the COVID‐19 pandemic

Cited by 7 publications

References 64 publications

Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic

Caring through barriers—Newly graduated registered nurses' lived experiences in emergency departments during the COVID‐19 pandemic

End of life care during the COVID‐19 pandemic: A qualitative study on the perspectives of nurses and nurse assistants

Psychological resilience of emergency nurses during COVID-19 epidemic in Shanghai: A qualitative study

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