Emergency nurses' experience of crisis: A qualitative study

Abstract

Findings showed the meaning of the crisis and challenges and issues faced by emergency nurses throughout the crisis. Health services authorities can use these results to make comprehensive plans in order to reduce emergency crises.

Reflections on the lived experience of working with limited personal protective equipment during the COVID‐19 crisis

“…These changes also created moral and ethical dilemma for the nurses. Evidence from public health literature indicates that appropriate communication of information is a major challenge during public health disasters (Powell et al., 2008; Vasli and Dehghan‐Nayeri, 2016), and poor communication and inaccurate information can weaken public trust in the government and result higher mortality rates (Choi, Kim, Moon, & Kim, 2015). The nurses in this study struggled to balance their concerns with personal safety with their ethical and moral obligation to provide quality care for their patients.…”

“…Little research has examined the experiences of nurses during global, regional, or national health care crises related to disease outbreaks or natural disasters. Existing studies have focused on hospital preparation, availability of resources, and the safety of patients (Barbisch & Koenig, 2006; Karabacak, Ozturk, & Bahcecik, 2011; Ruchlewska et al., 2014; Tzeng & Yin, 2008), the education of hospital staff (Powers, 2007), emergency room nurses’ description and management during a crisis (Vasli and Dehghan‐Nayeri, 2016), and the psychological impact of disease outbreaks on hospital workers (Sun et al., 2020; Wu et al., 2009; Yin & Zeng, 2020). However, in mass casualty events and disease outbreaks, nurses may experience anxiety and personal loss (Sun et al., 2020; Veenema & Toke, 2007; Yin & Zeng, 2020).…”

“…Crisis is defined as an undesirable event or outcome, which includes the element of surprise or disruption of action, and is a threat to the resources and well‐being of an individual within the organization. It can have negative consequences, such as increased risk of death, delay in treatment, ignoring medical advice, and putting nurses under pressure (Vasli and Dehghan‐Nayeri, 2016). In crisis situations, important lifesaving resources, such as ‘ventilators and components, oxygen and oxygen delivery devices, intensive care unit beds (adequately staffed and equipped), health care providers, medications, etc.)…”

Overcoming the challenge of COVID‐19: A grounded theory approach to rural nurses' experiences

“…26,27 Previous research suggests that emergency situations can elicit identity crises among nurses in the Japanese context. 28 In this study, nurses often cared for older people with multimorbidity, which needed close care and physical touch and felt identity crisis owing to a sense of inadequacy to conduct patient care.…”

“…However, continuous endeavor to improve conditions and processes of treatment can improve nurses' perceptions and redress this impairment. 28,29 Being in the COVID-19 ward can also induce anxiety that one will be viewed with fear by others, causing one to cloister oneself. In this research, fear of COVID-19 infection was accompanied by emotional stress based on the imaginary perceptions of others and the risk of discrimination; these findings have also been corroborated by other studies in COVID-19 30 and non-COVID-19 contexts.…”