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      Hospital nurses' experiences of and perspectives on the impact COVID‐19 had on their professional and everyday life—A qualitative interview study

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          Abstract

          Aim

          To explore how hospital nurses experienced their work situation during the COVID‐19 pandemic and how this affected the conduct of their professional and their everyday life.

          Methods

          Interviews using critical psychology. A total of 24 nurses participated, representing departments of both medicine and surgical specialties. All nurses worked either in the department where they are usually stationed or were recruited from other departments to the COVID‐19 department.

          Results

          Five themes were identified: (1) COVID‐19 had importance to nurses' sense of self as a nurse; (2) a new solidarity developed; (3) professional reflections—caring for patients; (4) the importance of recognition and humiliation and (5) COVID‐19 had consequences for the nurses' conduct of everyday life.

          Conclusion

          The findings showed that some nurses caring for patients with COVID‐19 experienced a new solidarity with their colleagues. Other nurses found it to have a negative impact on their conduct of their professional life.

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          Most cited references35

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          Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019

          Jianbo Lai, Simeng Ma, Ying Wang … (2020)
          Key Points Question What factors are associated with mental health outcomes among health care workers in China who are treating patients with coronavirus disease 2019 (COVID-19)? Findings In this cross-sectional study of 1257 health care workers in 34 hospitals equipped with fever clinics or wards for patients with COVID-19 in multiple regions of China, a considerable proportion of health care workers reported experiencing symptoms of depression, anxiety, insomnia, and distress, especially women, nurses, those in Wuhan, and front-line health care workers directly engaged in diagnosing, treating, or providing nursing care to patients with suspected or confirmed COVID-19. Meaning These findings suggest that, among Chinese health care workers exposed to COVID-19, women, nurses, those in Wuhan, and front-line health care workers have a high risk of developing unfavorable mental health outcomes and may need psychological support or interventions.
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            Mental health problems faced by healthcare workers due to the COVID-19 pandemic- a review

            Mamidipalli Sai Spoorthy (2020)
            Highlights • The current review was done to conduct systematic appraisal of studies conducted on Mental health problems faced by healthcare workers due to the COVID-19 pandemic. • Out of 23 articles selected by initial screening 6 original articles were included in the final review. • Review of all the 6 articles showed that several socio-demographic variables like gender, profession, age, place of work, department of work and certain psychological variables like poor social support, self-efficacy were found to be associated with increased reporting of stress, anxiety, depressive symptoms, insomnia in HCW. • There is increasing evidence which suggests that COVID-19 can be an independent risk factor for stress in HCW.
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              Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China

              Haozheng Cai, Baoren Tu, Jing Ma … (2020)
              Background Throughout China, during the recent epidemic in Hubei province, frontline medical staff have been responsible for tracing contacts of patients infected with coronavirus disease 2019 (COVID-19). This study aimed to investigate the psychological impact and coping strategies of frontline medical staff in Hunan province, adjacent to Hubei province, during the COVID-19 outbreak between January and March 2020. Material/Methods A cross-sectional observational study included doctors, nurses, and other hospital staff throughout Hunan province between January and March 2020. The study questionnaire included five sections and 67 questions (scores, 0–3). The chi-squared χ2 test was used to compare the responses between professional groups, age-groups, and gender. Results Study questionnaires were completed by 534 frontline medical staff. The responses showed that they believed they had a social and professional obligation to continue working long hours. Medical staff were anxious regarding their safety and the safety of their families and reported psychological effects from reports of mortality from COVID-19 infection. The availability of strict infection control guidelines, specialized equipment, recognition of their efforts by hospital management and the government, and reduction in reported cases of COVID-19 provided psychological benefit. Conclusions The COVID-19 outbreak in Hubei resulted in increased stress for medical staff in adjacent Hunan province. Continued acknowledgment of the medical staff by hospital management and the government, provision of infection control guidelines, specialized equipment and facilities for the management of COVID-19 infection should be recognized as factors that may encourage medical staff to work during future epidemics.
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                Author and article information

                Contributors
                Dorthe S. Nielsen:
                ORCID: https://orcid.org/0000-0002-3954-7551
                dorthe.nielsen@rsyd.dk
                Journal
                Journal ID (nlm-ta): Nurs Open
                Journal ID (iso-abbrev): Nurs Open
                Journal ID (doi): 10.1002/(ISSN)2054-1058
                Journal ID (publisher-id): NOP2
                Title: Nursing Open
                Publisher: John Wiley and Sons Inc. (Hoboken )
                ISSN (Electronic): 2054-1058
                Publication date (Electronic): 17 September 2021
                Publication date PMC-release: 17 September 2021
                Electronic Location Identifier: 10.1002/nop2.1053
                Affiliations
                [ 1 ] Department of Cardiology Odense University Hospital Odense Denmark
                [ 2 ] Department of Clinical Research University of Southern Denmark Odense Denmark
                [ 3 ] Department of Clinical Medicine Aarhus University Aarhus Denmark
                [ 4 ] Odense Respiratory Research Unit (ODIN) Department of Respiratory Medicine Odense University Hospital Odense Denmark
                [ 5 ] Department of Infectious Diseases Odense University Hospital Odense Denmark
                [ 6 ] Migrant Health Clinic Odense University Hospital Odense Denmark
                [ 7 ] Department of Geriatric Medicine Odense University Hospital Odense Denmark
                Author notes
                [*] [* ] Correspondence

                Dorthe Susanne Nielsen, Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.

                Email: dorthe.nielsen@ 123456rsyd.dk

                Author information
                https://orcid.org/0000-0003-0577-848X
                https://orcid.org/0000-0003-3310-2997
                https://orcid.org/0000-0001-6783-4112
                https://orcid.org/0000-0002-7582-9919
                https://orcid.org/0000-0002-3954-7551
                Article
                Publisher ID: NOP21053
                DOI: 10.1002/nop2.1053
                PMC ID: 8661914
                PubMed ID: 34533285
                SO-VID: 740f325e-a5f7-4568-9a75-bf969415cd28
                Copyright © © 2021 The Authors. Nursing Open published by John Wiley & Sons Ltd.
                License:

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                Date revision received : 06 July 2021
                Date received : 28 March 2021
                Date accepted : 04 August 2021
                Page count
                Figures: 0, Tables: 2, Pages: 10, Words: 12340
                Funding
                Funded by: Østifterne
                Categories
                Subject: Research Article
                Subject: Research Articles
                Custom metadata
                source-schema-version-number 2.0
                edited-state corrected-proof
                details-of-publishers-convertor Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.9 mode:remove_FC converted:10.12.2021

                Keywords: covid‐19,nurses perspectives,nursing,qualitative study
                Data availability:
                Keywords: covid‐19, nurses perspectives, nursing, qualitative study

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