The experiences of critical care nurses caring for patients with COVID-19 during the 2020 pandemic: A qualitative study

Gordon, Jacqueline M.; Magbee, Terry; Yoder, Linda H.

doi:10.1016/j.apnr.2021.151418

Cited by 120 publications

(287 citation statements)

References 22 publications

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“…Discourses routinely co‐exist with one another (Powers, 2013 ). The discourse of ‘nurse‐as‐hero’ during COVID‐19 has been discussed by other authors (Brophy et al, 2021 ; Cox, 2020 ; Einboden, 2020 ; J. M. Gordon et al, 2021 ; Mohammed et al, 2021 ). Mohammed et al ( 2021 ) concluded that the nurse‐as‐hero discourse was positioned as a reward for nurses and as a convenient means to ignore the lack of support that nurses receive from their places of work, managers and the government.…”

Section: Discussionmentioning

confidence: 97%

A Foucauldian discourse analysis of media reporting on the nurse‐as‐hero during COVID‐19

2021

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This study uses a Foucauldian discourse analysis to explore media reporting on the role of nurses as being consistently positioned ‘heroes’ during COVID‐19. In so doing, it highlights multiple intersecting discourses at play, with the caring discourse acting as a central one in negatively impacting nurses' ability to advocate for safe working conditions during a public health emergency. Drawing on media reports during the outbreak of COVID‐19 in Ontario, Canada in the spring of 2020 and on historical information from SARS, this study seeks to establish caring as a discourse and examine if the caring discourse impedes nurses' ability to protect themselves from harm. The results of this analysis explicate how public media discourses that position nurses as caring, sacrificial and heroic may have impacted their ability to maintain their personal safety as a result of the expectations put upon the nursing profession.

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Section: Discussionmentioning

confidence: 97%

A Foucauldian discourse analysis of media reporting on the nurse‐as‐hero during COVID‐19

2021

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“…The COVID-19 pandemic will most likely have a tremendous influence on ICU nurses' mental health and potentially their continuation in the workforce. Although the experiences of nurses in other countries, [12][13][14][15][16] nurse managers, 17 nurses from 1 ICU, 18 and HCWs in general [19][20][21] have been reported, at the initiation of this survey, we found no published studies that described the national ICU nurse experience in the United States. To fully support ICU nurses currently and after the pandemic, it is of critical importance that we explore nurses' perspectives about working in ICUs during this time.…”

mentioning

confidence: 78%

Critical Care Nurses’ Experiences During the COVID-19 Pandemic: A US National Survey

Guttormson

Calkins

McAndrew

et al. 2022

American Journal of Critical Care

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Background Given critical care nurses’ high prepandemic levels of moral distress and burnout, the COVID-19 pandemic will most likely have a tremendous influence on intensive care unit (ICU) nurses’ mental health and continuation in the ICU workforce. Objective To describe the experiences of ICU nurses during the COVID-19 pandemic in the United States. Methods Nurses who worked in ICUs in the United States during the COVID-19 pandemic were recruited to complete a survey from October 2020 through early January 2021 through social media and the American Association of Critical-Care Nurses. Three open-ended questions focused on the experiences of ICU nurses during the pandemic. Results Of 498 nurses who completed the survey, 285 answered the open-ended questions. Nurses reported stress related to a lack of evidence-based treatment, poor patient prognosis, and lack of family presence in the ICU. Nurses perceived inadequate leadership support and inequity within the health care team. Lack of consistent community support to slow the spread of COVID-19 or recognition that COVID-19 was real increased nurses’ feelings of isolation. Nurses reported physical and emotional symptoms including exhaustion, anxiety, sleeplessness, and moral distress. Fear of contracting COVID-19 or of infecting family and friends was also prevalent. Conclusions Intensive care unit nurses in the United States experienced unprecedented and immense burden during the COVID-19 pandemic. Understanding these experiences provides insights into areas that must be addressed to build and sustain an ICU nurse workforce. Studies are needed to further describe nurses’ experiences during the COVID-19 pandemic and identify effective resources that support ICU nurse well-being.

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“…The copyright holder for this preprint this version posted October 29, 2021. ; https://doi.org/10.1101/2021.10.28.21265608 doi: medRxiv preprint who came in contact with health professionals were mainly feelings of rejection, fear, and categorisation (Duan et al, 2020). Recent research, which is extremely limited on this issue due to the fact that this outbreak is quite recent, has started to record the experience of health professionals during the pandemic, although there is no similar research in Greece and Cyprus (Eftekhar et al, 2020;Gordon et al, 2021;Montgomery et al, 2021;Smyrnakis et al, 2021). It is characteristic that such opinions were expressed in the daily press during the pandemic period about health professionals that were forced to separate from their families and live in hotels, thus preventing further spread of the virus.…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Social discrimination and stigma on the community of health professionals during the Covid-19 pandemic. An ethnographic approach

Argyriadis

Patelarou

Kitsona³

et al. 2021

Preprint

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Severe Acute Respiratory Syndrome Coronavirus Type 2 (SARS-CoV-2) that caused the pandemic since March 2020, has affected among others, health professionals who work in covid-19 units by facing social discrimination. The aim of this study was to record the experiences of health professionals working in the first line of treatment of the pandemic, to analyse the effects of the pandemic on the interpersonal relationships of health professionals, and to ask about the stigma they faced during their work with people with covid-19.This is a qualitative study with an ethnographic approach based on 160 semi-structured interviews with health professionals living and working in the Epirus Region, Greece. For the data collection we used semi-structured interviews, discussions and participatory observation. Specifically, the interviews were conducted on health professionals and more specifically doctors, nurses, rescuers, physiotherapists and administrative staff, working in covid-19 units at the University General Hospital of Ioannina (Reference hospital for Ioannina, in Epirus), which assists in the treatment of patients with covid-19, and in the branch of the rescue department of Ioannina.The data were analysed in four thematic units based on their common characteristics: a) emotions and experiences of health professionals, b) interpersonal relations of health professionals, c) social exclusion and discrimination, and d) health professionals as patients. The results showed that the main emotions that health professionals experienced when they were moved to covid-19 clinics were fear, anxiety, distress, anger and insecurity. These feelings worsened when their family environment treated them with fear and hesitancy. Their social environment tended to avoid them, leading to a state of self-isolation. To conclude, health professionals faced discriminating behaviors and stigma both from their families and social environment, and from other health professionals. The government struggled to handle the situation in keeping a balance between both the security and well-being of health professionals as it was not prepared for a pandemic like this.

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The experiences of critical care nurses caring for patients with COVID-19 during the 2020 pandemic: A qualitative study

Cited by 120 publications

References 22 publications

A Foucauldian discourse analysis of media reporting on the nurse‐as‐hero during COVID‐19

A Foucauldian discourse analysis of media reporting on the nurse‐as‐hero during COVID‐19

Critical Care Nurses’ Experiences During the COVID-19 Pandemic: A US National Survey

Social discrimination and stigma on the community of health professionals during the Covid-19 pandemic. An ethnographic approach

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