Compassion-based care for COVID-19 Patients: a qualitative analysis of nurses’ perceptions

Ghanbari-Afra, Leila; Salamat, Akram; Hamidi, Hadi; Mardani-Hamooleh, Marjan

doi:10.18502/jmehm.v14i19.8179

Cited by 7 publications

(17 citation statements)

References 37 publications

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“…Shin and Yoo ( 2022 ) showed that during COVID‐19 pandemic, there was a close relationship between patients and nurses (Shin & Yoo, 2022 ). According to a study by Ghanbari‐Afra et al ( 2021 ), in Iran, showed that during COVID‐19 pandemic, high workload caused nurses to have a better understanding about patient care, despite enduring many hardships, and there was an atmosphere of friendship, cooperation and sympathy with patients and also colleagues(Ghanbari‐Afra et al, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

Frontline nurses experiences about human caring during pandemic of COVID‐19: A directed content analysis study

et al. 2023

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Aim This study aims to investigate experiences of frontline nurses about human caring during COVID‐19 pandemic based on the Ten Caritas Processes® of Watson's Human Caring Theory. Design A directed content analysis was performed. Methods A total of 15 frontline nurses were recruited by purposive sampling from Razi hospital (north of Iran), in 2020 and semi‐structured interviews were conducted. Results Extracted categories based on Ten Caritas Processes® included feeling satisfied in providing care to patients, effective presence with patients, moving towards self‐actualization (moving towards transcendence), care with trust and compassion, experience positive and negative emotions, creativity in providing care, self‐directing learning experience in the field of care, unfavourable environment for providing care, feeling acceptance and worth, uncertainty (facing the unknown). This study showed that communication skills, self‐sensitivity, patient dignity, teaching‐learning and problem‐solving skills, holistic attention to the patient, and the provision of a healing environment are necessary for patient care.

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Section: Discussionmentioning

confidence: 99%

Frontline nurses experiences about human caring during pandemic of COVID‐19: A directed content analysis study

et al. 2023

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“…The HCWs responded to the COVID-19 pandemic with valuable efforts to address physical, emotional, social, and spiritual needs. In addition, they were able to develop relationships with the patients and their families and support them in dealing with stress and fear [26]. For example, despite the challenges of the COVID-19 pandemic, nurses continued building a nurse-patient relationship through therapeutic communication.…”

Section: Discussionmentioning

confidence: 99%

Compassionate Nursing Care for COVID-19 Patients in the ICU in the Western Region of Saudi Arabia: A Lived Experience Study

Omer,

Rawas,

Bukhari

2023

Cureus

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Introduction: The rapid spread and the severity of symptoms of COVID-19 led to an increasing number of critical cases that need to be admitted to intensive care units (ICUs) worldwide. Compassion is a principle of nursing practice and indicates the meaning of providing high-quality care in all units, especially in the ICU. It means that nurses know what is important to patients and when they should be there for them when it is needed. There is a paucity of literature from Saudi Arabia that explores how critical care nurses perceive compassionate care during COVID-19.Objectives: The aim of this study was to investigate the lived experiences of critical care nurses providing compassionate care to COVID-19 patients at King Abdulaziz Medical City, Jeddah, Saudi Arabia. Methods: A prospective, cross-sectional, descriptive phenomenological approach was utilized in this study. Data were collected from 13 ICU nurses through interviews. Collected data were transcribed and analyzed using Colaizzi's data analysis method.Results: Eleven out of the 13 ICU nurses hold a Bachelor of Science in Nursing (BSN) and have more than five years of experience. Despite all the challenges surrounding the care for critically ill COVID-19 patients, nurses provide compassion in different ways to show personal interest to the patients. Data analysis revealed five themes: (1) contemporary meaning and competencies for compassionate nursing care, including communication and the inability to freely use touch; (2) physical symptoms, including discomfort, body aches and headaches, and sleep disturbances; (3) emotional turmoil, where three sub-themes emerged, including fear and anxiety, uncertainty, and isolation and loneliness; (4) role changing, including frequent guidelines change, additional roles and responsibilities, and altruism; (5) professionalism, including cultural facets of care, teamwork, and support.Discussion: The COVID-19 pandemic has caused major changes in nurses' working environment and so their experience. The results of this study indicated that nurses working in the ICU experienced remarkable and massive physical, psychological, and emotional symptoms during the COVID-19 pandemic. The nurses extended the relationships to the patients' families as they are at high risk of stress, anxiety, and depression. In addition, they were able to support them in dealing with the fear associated with the uncertainty of COVID-19. Also, results revealed that remote therapeutic relationships and psychotherapy can be credible and trustworthy alternatives to in-person care.Conclusions: The results of this study indicated that ICU nurses provide compassionate care despite experiencing unprecedented and immense physical, psychological, and emotional symptoms during the COVID-19 pandemic.Recommendations: Further study is recommended using other research methodologies. It is also recommended to conduct the same study in different cities for better generalization.

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“…After witnessing the intense suffering of these patients, nurses expressed great concern about their patients' fragility, as their very existence was threatened. Nurses were concerned about their patients' gradual health deterioration, 16,43,44 sense of isolation, 22,24,45 fear of death, 22,23,46 despair of dying alone, 16,[23][24][25]43,47 and the risk of possibly having an indecent funeral. 43,48 Such concerns led nurses to imagine and reflect on how distressed their patients and families must be as the disease progressed.…”

Section: Ambivalent Emotionsmentioning

confidence: 99%

Ethical issues experienced by nurses during COVID-19 pandemic: Systematic review

Oh,

Gastmans

2023

Nurs Ethics

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Background Frontline nurses who care for patients with COVID-19 work in stressful environments, and many inevitably struggle with unanticipated ethical issues. Little is known about the unique, ethically sensitive issues that nurses faced when caring for patients with COVID-19. Aim To better understand how frontline nurses who care for patients with COVID-19 experience ethical issues towards others and themselves. Methods Systematic review of qualitative evidence carried out according to the Preferred Reporting Items for Systematic reviews and Meta-analyses on ethical literature (PRISMA-Ethics). The electronic databases PubMed, Embase, Cinahl, Web of Science, Philosopher's Index, and Scopus were queried to identify candidate articles. Articles appearing from March 1, 2020 to December 31, 2022 were considered if they met the following inclusion criteria: (1) Published qualitative and mixed method studies and (2) ethical issues experienced by nurses caring for patients with COVID-19. We appraised the quality of included studies, and data analysis was guided by QUAGOL principles. Findings Twenty-six studies meeting our inclusion criteria for how nurses experience ethical issues were characterised by two key themes: (1) the moral character of nurses as a willingness to respond to the vulnerability of human beings and (2) ethical issues nurses acted as barriers sometimes, impeding them from responding to requests of vulnerable human beings for dignified care. Conclusion Our review provides a deeper understanding of nurses’ experiences of ethically sensitive issues, while also highlighting the critical need for adjustments to be made at organisational and societal levels. Ethical issues that emerged in situations where organisational and situational constraints impeded nurses' ethical responses to patients’ appeals suggests that early practical support should be made available to resolve ethical issues recognised by nurses. Such support contributes to protecting and promoting not only the dignity of patients with COVID-19 but also of fellow humans in need during crisis.

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Compassion-based care for COVID-19 Patients: a qualitative analysis of nurses’ perceptions

Cited by 7 publications

References 37 publications

Frontline nurses experiences about human caring during pandemic of COVID‐19: A directed content analysis study

Frontline nurses experiences about human caring during pandemic of COVID‐19: A directed content analysis study

Compassionate Nursing Care for COVID-19 Patients in the ICU in the Western Region of Saudi Arabia: A Lived Experience Study

Ethical issues experienced by nurses during COVID-19 pandemic: Systematic review

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