Caregivers’ perception of the caring challenges in coronavirus crisis (COVID-19): a qualitative study

Mohammadi, Fateme; Farjam, Mojtaba; Gholampour, Yousef; Sohrabpour, Mojtaba; Oshvandi, Khodayar; Bijani, Mostafa

doi:10.1186/s12912-021-00607-1

Cited by 19 publications

(34 citation statements)

References 23 publications

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“…Consistent with the present study, these nurses have reported moderate anxiety and moderate resilience, and there was an indirect relationship between resilience and anxiety [ 25 ]. Similarly, Ozguc et al (2021) reported that nurses in COVID-19 wards suffered from high levels of death anxiety.…”

Section: Discussionsupporting

confidence: 89%

Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study

et al. 2022

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Background Being on the frontline of the battle against COVID-19, nurses and nursing students have been under considerable psychological stress and pressure. The present study is done to explore death anxiety, moral courage, and resilience in nursing students caring for COVID-19 patients in the south of Iran. Methods The present study is cross-sectional research conducted between September and December 2021. A total of 420 senior nursing students (nursing interns) who were undergoing their clinical training courses were invited to participate in the study by convenience sampling method from three hospitals affiliated with the University of Medical Sciences of Southern Iran. Data were collected using a demographics survey, Nurses’ Moral Courage Questionnaire, Connor-Davidson Resilience Scale, and Templer’s Death Anxiety Scale. Results The nursing students participating in this study had a death anxiety mean score of 12.78 ± 1.17. The results showed that there was a significant and indirect correlation between death anxiety on the one hand and moral courage (r = -0.91, p < 0.001) and resilience (r = -0.89, p < 0.001) on the other in nursing students caring for patients with COVID-19. Also, it was found that there was a significant and direct correlation between the students’ resilience and moral courage scores (r = 0.91, p < 0.001). Conclusion The nursing students caring for COVID-19 patients had experienced high levels of death anxiety in the past few months. Considering the persistence of the COVID-19 crisis in Iran and other countries, there is an urgent need for measures to preserve and improve the physical, mental, and spiritual health of nursing students, enhance their moral courage and resilience and reduce their death anxiety.

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Section: Discussionsupporting

confidence: 89%

Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study

et al. 2022

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“…In a study conducted in Iran, stressful work environment, doubts on the occurrence of unexpected conditions, lack of support received from officials, and lack of adequate equipment were among the challenges experienced by the nurses who provided healthcare to the patients infected with COVID-19. In addition, staff shortage and lack of equipment were indicated to affect the quality of nursing care [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…The results of previous studies performed in Iran showed that nurses in COVID ward mostly experienced high anxiety. Based on the participants' experiences, Corona anxiety leads to fatigue, decreased concentration, sleep disturbance, decreased resilience, and burnout; also, it threatens the nurses' mental safety [ 17 – 20 ]. Also, Felice et al (2020) in Italy stated that healthcare workers, especially women who work in high-risk wards, reported an increase in workload and the need for more psychological support during the COVID-19 pandemic [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Exploring the experiences of operating room health care professionals' from the challenges of the COVID-19 pandemic

et al. 2021

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Background The operating room nurses have encountered several challenges during the current COVID-19 Pandemic, which subsequently impact their clinical performance. The present study aimed to investigate the experiences of operating room health care professionals' regarding the COVID-19 pandemic challenges in southern Iran. Methods This is a descriptive qualitative study. The required data were collected using in-depth and semi-structured interviews. Accordingly, 19 operating room health care professions were included in this study through purposive sampling. The data were collected from February 2020 to August 2021 and then analyzed using the Granheim and Lundman’s method. Results Three main themes and 9 sub-themes were presented in this study. They included: 1- Challenges of applying protocols and standards of care in the COVID-19 pandemic in the operating room (lack of specific guidelines regarding care protocols and standards for crisis management of Covid-19 in the operating room and impossibility of keeping social distance in the operating room). 2- Professional challenges (tedious and hard work, professional burnout, lack of adequate support by the managers and lack of personal protective equipment). 3-Psychological crises (indescribable anxiety and worry, parenting stress, and weakened resilience). Conclusion Based on the findings of the present study, it was indicated that lack of a specific guideline in the COVID-19 pandemic led to a sense of indecision and confusion among operating room staff. In this regard, performing tedious tasks, feelings of tiredness and exhaustion, lack of support by the authorities, and lack of access to adequate facilities and equipment were reported as the professional challenges of the healthcare staff in the current COVID-19 pandemic, which consequently affected the quality of care and patient’s safety. It seems that hospital officials can use the results reported in this study for efficient planning and effective management during the COVID-19 pandemic.

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“…Of the 70 included studies, nineteen were from China (13,(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39), sixteen were from Iran (9,11,12,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)(50)(51)(52), eight were from Turkey (53)(54)(55)(56)(57)(58)(59)(60), seven were from US (61-67), three were from Italy (10,14,68), two were from Spain (69, 70), two were from South Korea (16,71), two were from Canada (72, 73), two were from Brazil (74,75), two were from the Philippines (76,77), and the remaining seven were from Japan, Thailand, Indonesia, Demark, Leba...…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…In order not to worry their family, some of them hid the fact that they worked in the front line from their family (34,50,53). Separation from family and minimum communication with colleagues were causes of depression (43). For nurses with children, they also experienced various psychosocial problems related to social isolation, such as fear and distress (51, 59).…”

Section: Meta-synthesis Of Qualitative Datamentioning

confidence: 99%

Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis

Ding

Deng²,

Zhang

et al. 2022

Front. Public Health

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BackgroundFront-line nurses have played a critical role during the coronavirus disease 2019 (COVID-19) pandemic. A number of qualitative studies reported front-line nurses' experiences and needs in caring for patients with COVID-19. However, the application of evidence from a single qualitative study to guide clinical practice has limitations. This study aimed to explore front-line nurses' experiences and needs during the COVID-19 pandemic through a qualitative meta-synthesis.MethodsSeven databases were searched from 1 December 2019 to 20 January 2022, including PubMed, Web of Science, Cochrane COVID-19 study register, CINAHL, PsycINFO, MedRxiv, and bioRxiv. The quality of included studies was appraised using the Critical Appraisal Skills Program (CASP) qualitative research appraisal tool. Meta-synthesis was used to synthesize the data from included studies.ResultsA total of 70 studies were included, and five synthesized findings were developed: (1) Although nurses actively devoted themselves to fighting against COVID-19, considering their professional responsibility and historical previous experience with mankind, they were not invulnerable; (2) There were various difficulties and challenges in caring for patients with COVID-19, including fear related to providing patients with care, shortage of protective equipment and manpower, and negative attitude of family members; (3) Facing difficulties and challenges, nurses could only partly cope by using mixed means to overcome those, including media, learning, gaining skills, responding together, and organizational assistance; (4) To better respond to the COVID-19 pandemic, nurses' needs should be paid attention to. Counseling, training, information, resources, and investment are pivotal; (5) Despite the hardships, nurses became stronger and gained gratitude, positivity, mental peace, and confidence.ConclusionsThis study reveals that the psychological experiences of front-line nurses varied, and they faced a variety of challenges. Although nurses had some coping strategies, they still needed multifaceted support to meet the challenges.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, PROSPERO: CRD42021255468.

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Caregivers’ perception of the caring challenges in coronavirus crisis (COVID-19): a qualitative study

Cited by 19 publications

References 23 publications

Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study

Death anxiety, moral courage, and resilience in nursing students who care for COVID-19 patients: a cross-sectional study

Exploring the experiences of operating room health care professionals' from the challenges of the COVID-19 pandemic

Experiences and needs of front-line nurses during the COVID-19 pandemic: A systematic review and qualitative meta-synthesis

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