Critical care nurses’ experiences of working during the first phase of the COVID-19 pandemic – Applying the Person-centred Practice Framework

Critical care nurses’ perception of moral distress in intensive care during the COVID-19 pandemic – A pilot study

“…During the pandemic, CCNs constantly worked with new colleagues which has been associated with higher moral distress among CCNs during the pandemic compared to before the pandemic ( Petrișor et al, 2021 ). This finding highlights the importance of good communication among team members which has been substantiated by Andersson et al (2021) and Bergman et al (2021) . Successful ICU teams exchange information and work together ( Ervin et al, 2018 ) or deal with emotions from relatives whose loved ones are critically ill. Based on this, improvements in communication and teamwork are needed to reduce moral distress among ICU staff.…”

“…A recent study by Andersson et al (2021) used the Person-Centred Framework to deductively investigate person-centred care based on CCNs experiences during the first phase of the COVID-19 pandemic. CCNs described how organisational structures such as visiting restrictions required to prevent the spread of the virus, affected person-centred outcomes, and patients were objectified because of less contact with patients’ relatives ( Andersson et al, 2021 ).…”

“…To improve critical care nurses’ (CCNs) ability to care for patients requiring intensive interventions, hospitals have increased the number of available ICU beds and have sometimes also set up temporary ICUs ( Andersson et al, 2022 , Maves et al, 2019 ). CCNs have worked with general care nurses to meet care demands and to increase the total number of patients they are able to treat ( Andersson et al, 2022 , Cadge et al, 2021 , Halpern et al, 2020 ).…”

“…To improve critical care nurses’ (CCNs) ability to care for patients requiring intensive interventions, hospitals have increased the number of available ICU beds and have sometimes also set up temporary ICUs ( Andersson et al, 2022 , Maves et al, 2019 ). CCNs have worked with general care nurses to meet care demands and to increase the total number of patients they are able to treat ( Andersson et al, 2022 , Cadge et al, 2021 , Halpern et al, 2020 ). CCNs had to quickly adapt to new physical workspaces, co-workers, limited resources, hospital guidelines and treatment protocols ( Andersson et al, 2022 , Cadge et al, 2021 , Lai et al, 2020 , Vincent and Creteur, 2020 ).…”

“…CCNs have worked with general care nurses to meet care demands and to increase the total number of patients they are able to treat ( Andersson et al, 2022 , Cadge et al, 2021 , Halpern et al, 2020 ). CCNs had to quickly adapt to new physical workspaces, co-workers, limited resources, hospital guidelines and treatment protocols ( Andersson et al, 2022 , Cadge et al, 2021 , Lai et al, 2020 , Vincent and Creteur, 2020 ). They were also forced to contend with inadequate personal protective equipment and their obligations to provide nursing care for patients ( Brown, 2020 ).…”