The early impact of COVID-19 on intensive care nurses’ personal and professional well-being: A qualitative study

Calkins, Kelly; Guttormson, Jill; McAndrew, Natalie S.; Losurdo, Holly; Loonsfoot, Danielle; Schmitz, Shania; Fitzgerald, Jacklynn M.

doi:10.1016/j.iccn.2023.103388

Cited by 11 publications

(9 citation statements)

References 33 publications

(40 reference statements)

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“…This may, among others, impede nurses from committing to their work, hence potentially reducing job satisfaction and increasing nursing staff turnover. [24][25][26] Furthermore, Medina and Tzeng 27 pointed out that the COVID-19 regime may have a future impact on staff (in)stability and thus on the long-term quality of EOL care. These matters are in line with our study, showing moral distress and a substantial loss of job satisfaction due to the COVID-19 regime.…”

Section: Discussionmentioning

confidence: 99%

“…Hemberg et al 23 stress that when health care professionals experience that certain actions are incompatible with their personal ethics due to external circumstances, feelings of powerlessness and frustration may emerge and become apparent. This may, among others, impede nurses from committing to their work, hence potentially reducing job satisfaction and increasing nursing staff turnover 24-26 . Furthermore, Medina and Tzeng 27 pointed out that the COVID-19 regime may have a future impact on staff (in)stability and thus on the long-term quality of EOL care.…”

Section: Discussionmentioning

confidence: 99%

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Being a Hospice Nurse in Times of the COVID-19 Pandemic

Bové

Noer

Mousing

2023

J Hosp Palliat Nurs

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End-of-life care changed during the COVID-19 pandemic, and the previous prevailing hospice philosophy and essential values of hospice care were suddenly under pressure. The aim was to explore hospice nurses' lived experience of providing end-of-life care to patients admitted in an out-hospital hospice setting during the COVID-19 pandemic. Data consist of 10 individual in-depth interviews of hospice nurses. A purposive sampling strategy was used, and the data collection and analysis was guided by a descriptive phenomenology. Providing end-of-life care was described through an existential dimension and a practical-related dimension. The pandemic and the ensuing constraints created an unfamiliar gap, triggering insecurity and unfamiliarity within nursing. Findings are elaborated in the following constituents: being a hospice nurse and providing end-of-life care. The latter constituent was further elucidated in additional perspectives: a new job position and bending the rules. Providing end-of-life care during the COVID-19 regime was a highly challenging and distressing experience due to the coercion of maintaining rules and restrictions as well as providing care. An experience of having to reinvent and work within a new agenda was present. Furthermore, the nurses experienced significant loss of job satisfaction and may be morally injured as well as highly exposed to secondary traumatization.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Being a Hospice Nurse in Times of the COVID-19 Pandemic

Bové

Noer

Mousing

2023

J Hosp Palliat Nurs

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“…Lessons learned from the health crisis in nursing professionals' work It is essential that nursing education and curricula include continuous training programs related to crisis management for decision-making (Aliabadi et al, 2021;Bucher et al, 2021), effective training that includes evidence-based practice and clinical skills (Calkins et al, 2023). Psychological interventions are recommended to address the mental health issues still unresolved by nurses and help them overcome the impact of the pandemic (Maideen et al, 2022).…”

Section: The Qualities Highlighted In Nursing Professionalsmentioning

confidence: 99%

“…These measures are essential in preventing conditions such as anxiety, depression, post-traumatic stress disorder, and other mental health-related issues among nurses. (Calkins et al, 2023) should also be put in place. International institutions, governments, and healthcare organizations should develop strategies to support nurses' efforts to strengthen their professionalism (Lee et al, 2023).…”

Section: The Qualities Highlighted In Nursing Professionalsmentioning

confidence: 99%

Lessons learned during the health crisis caused by COVID-19 in the work of the nursing professional: A systematic review

Meneses-La-Riva,

Fernández-Bedoya,

Suyo-Vega

et al. 2023

F1000Res

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The health crisis caused by COVID-19 impacted the dynamics of the work of health professionals, specifically in nursing professionals who were aware of the essential need for care and a safe environment to reduce in-hospital risks and mortality indicators. The study aimed to analyze the scientific evidence on the lessons learned during the health crisis in the work of the nursing professional, and the analysis of scientific articles published between 2020 and 2023 in the Scopus databases, obtaining a total of 30 articles. The findings show that there is a need to adopt health contingency policies to respond to health crises, as well as to establish and apply coping strategies in health professionals to avoid the impact on their mental health. Additionally, it is important to recognize their role in society. In conclusion, contingency policies and coping strategies must be developed to ensure the safety and well-being of nursing professionals and prevent the impact on their mental health during health crises like the one caused by COVID-19. Furthermore, it is important to recognize and value the fundamental role of nursing professionals in disease prevention and care in society and continue to work on developing policies and support strategies for health professionals to ensure their safety and well-being during health crises.

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“…Patients and families suffered. Staff also suffered, through moral injury and burnout due to the daily scale of distress witnessed and the inability to provide person-centred care due to workload pressures (Calkins et al 2023). Many critical care staff have left the profession, replaced by younger and less experienced staff, some of whom only know nursing in the context of the pandemic (Vogt et al, 2023).…”

Section: Introductionmentioning

confidence: 99%

Person-Centred Critical Care: Lessons from a Service Evaluation

Pearson,

Petsas,

Balabanovic

et al. 2024

Preprint

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Context: Critical care encompasses intensive care, intensive therapy and high dependency care and is operationalised when patients require specialised monitoring and intervention following complex surgery, or a life-threatening illness or injury. Background: During the pandemic, the Critical Care Department at UCLH formed a family liaison team to bridge the connection gap between patients, families, and clinical teams. This evolved into the Patient & Family Team (PFT), which organised several engagement events to understand patient and family experiences in critical care. Methods: Focus group discussions were conducted online and in-person with patients and bereaved families exploring their experience of the service. Discussions revolved around pivotal moments in the critical care journey. Feedback was analysed thematically and validated with the participants. Findings: Patients described their journey through four stages: Admission, Period of Disorientation, Re-Awakening, and Recovery. Bereaved families categorised their experiences into seven stages from 'The Phone Call' to 'Bereavement.' The need for effective and compassionate communication and support was evident for both groups. Discussion: Feedback revealed the emotional journeys of patients and families in critical care. While many experiences align with the existing literature, they also highlight areas for improvement, emphasising the value of human connection in healthcare. This study also demonstrated the need for continuous service evaluation and strategies for understanding underserved populations.

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The early impact of COVID-19 on intensive care nurses’ personal and professional well-being: A qualitative study

Cited by 11 publications

References 33 publications

Being a Hospice Nurse in Times of the COVID-19 Pandemic

Being a Hospice Nurse in Times of the COVID-19 Pandemic

Lessons learned during the health crisis caused by COVID-19 in the work of the nursing professional: A systematic review

Person-Centred Critical Care: Lessons from a Service Evaluation

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