13
views
0
recommends
+1 Recommend
2 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

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

      research-article
      , MD, MPHE 1 , , , RN 2 , , RN 2
      Journal of General and Family Medicine
      John Wiley and Sons Inc.
      COVID‐19 ward, identity crisis, Japan, nurses, rural hospital

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Introduction

          This study inquires into nurses' changing perceptions with regard to the efforts in preparation for working in a COVID‐19 ward in the rural Japanese context.

          Methods

          Data were collected using ethnographic methods and semi‐structured interviews among 16 nurses working in the COVID‐19 ward of a rural community hospital in Japan. A grounded theory approach was used for the qualitative analysis.

          Results

          In total, 70 hours' observation and participation were completed, and 27 pages of field notes were taken and used for the analysis. In addition, 32 interviews were conducted with 16 participants. Four themes emerged from the data: pre–COVID‐work perceptions, overcoming fear, shadow cast by working in the COVID‐19 ward, and an integrated approach to the fear of COVID‐19. The nurses initially felt unpredictable fear. However, the establishment of standard approaches and practices for COVID‐19 gave them confidence in their safety and helped them regain sympathy for patients. Nevertheless, working on COVID‐19 cases negatively affected their activities outside of the ward, and some of them developed an identity crisis as they feared for the future.

          Conclusion

          Better teamwork, comprehensive understanding of COVID‐19, and continuous provision of proper knowledge in rural hospitals should be driven by appropriate understanding and sympathy for nurses and patients in COVID‐19 wards. The results of this study can be applied to mitigate nurses' fear, improve teamwork, and ensure understanding of COVID‐19 by all medical staff in rural hospitals.

          Abstract

          This study clarified rural nurses' experiences in the COVID‐19 ward. For overcoming the challenges of COVID‐19, comprehensive approaches of community hospitals are needed.

          Related collections

          Most cited references39

          • Record: found
          • Abstract: found
          • Article: not found

          COVID-19 and Italy: what next?

          Summary The spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has already taken on pandemic proportions, affecting over 100 countries in a matter of weeks. A global response to prepare health systems worldwide is imperative. Although containment measures in China have reduced new cases by more than 90%, this reduction is not the case elsewhere, and Italy has been particularly affected. There is now grave concern regarding the Italian national health system's capacity to effectively respond to the needs of patients who are infected and require intensive care for SARS-CoV-2 pneumonia. The percentage of patients in intensive care reported daily in Italy between March 1 and March 11, 2020, has consistently been between 9% and 11% of patients who are actively infected. The number of patients infected since Feb 21 in Italy closely follows an exponential trend. If this trend continues for 1 more week, there will be 30 000 infected patients. Intensive care units will then be at maximum capacity; up to 4000 hospital beds will be needed by mid-April, 2020. Our analysis might help political leaders and health authorities to allocate enough resources, including personnel, beds, and intensive care facilities, to manage the situation in the next few days and weeks. If the Italian outbreak follows a similar trend as in Hubei province, China, the number of newly infected patients could start to decrease within 3–4 days, departing from the exponential trend. However, this cannot currently be predicted because of differences between social distancing measures and the capacity to quickly build dedicated facilities in China.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            How to fight an infodemic

            WHO's newly launched platform aims to combat misinformation around COVID-19. John Zarocostas reports from Geneva. WHO is leading the effort to slow the spread of the 2019 coronavirus disease (COVID-19) outbreak. But a global epidemic of misinformation—spreading rapidly through social media platforms and other outlets—poses a serious problem for public health. “We’re not just fighting an epidemic; we’re fighting an infodemic”, said WHO Director-General Tedros Adhanom Ghebreyesus at the Munich Security Conference on Feb 15. Immediately after COVID-19 was declared a Public Health Emergency of International Concern, WHO's risk communication team launched a new information platform called WHO Information Network for Epidemics (EPI-WIN), with the aim of using a series of amplifiers to share tailored information with specific target groups. Sylvie Briand, director of Infectious Hazards Management at WHO's Health Emergencies Programme and architect of WHO's strategy to counter the infodemic risk, told The Lancet, “We know that every outbreak will be accompanied by a kind of tsunami of information, but also within this information you always have misinformation, rumours, etc. We know that even in the Middle Ages there was this phenomenon”. “But the difference now with social media is that this phenomenon is amplified, it goes faster and further, like the viruses that travel with people and go faster and further. So it is a new challenge, and the challenge is the [timing] because you need to be faster if you want to fill the void…What is at stake during an outbreak is making sure people will do the right thing to control the disease or to mitigate its impact. So it is not only information to make sure people are informed; it is also making sure people are informed to act appropriately.” About 20 staff and some consultants are involved in WHO's communications teams globally, at any given time. This includes social media personnel at each of WHO's six regional offices, risk communications consultants, and WHO communications officers. Aleksandra Kuzmanovic, social media manager with WHO's department of communications, told The Lancet that “fighting infodemics and misinformation is a joint effort between our technical risk communications [team] and colleagues who are working on the EPI-WIN platform, where they communicate with different…professionals providing them with advice and guidelines and also receiving information”. Kuzmanovic said, “In my role, I am in touch with Facebook, Twitter, Tencent, Pinterest, TikTok, and also my colleagues in the China office who are working closely with Chinese social media platforms…So when we see some questions or rumours spreading, we write it down, we go back to our risk communications colleagues and then they help us find evidence-based answers”. “Another thing we are doing with social media platforms, and that is something we are putting our strongest efforts in, is to ensure no matter where people live….when they’re on Facebook, Twitter, or Google, when they search for ‘coronavirus’ or ‘COVID-19’ or [a] related term, they have a box that…directs them to a reliable source: either to [the] WHO website to their ministry of health or public health institute or centre for disease control”, she said. Google, Kuzmanovic noted, has created an SOS Alert on COVID-19 for the six official UN languages, and is also expanding in some other languages. The idea is to make the first information that the public receive be from the WHO website and the social media accounts of WHO and Dr Tedros. WHO also uses social media for real-time updates. WHO is also working closely with UNICEF and other international agencies that have extensive experience in risk communications, such as the International Federation of Red Cross and Red Crescent Societies. Carlos Navarro, head of Public Health Emergencies at UNICEF, the children's agency, told The Lancet that while a lot of incorrect information is spreading through social media, a lot is also coming from traditional mass media. “Often, they pick the most extreme pictures they can find…There is overkill on the use of [personal protective equipment] and that tends to be the photos that are published everywhere, in all major newspapers and TV…that is, in fact, sending the wrong message”, Navarro said. David Heymann, professor of infectious disease epidemiology at the London School of Hygiene & Tropical Medicine, told The Lancet that the traditional media has a key role in providing evidence-based information to the general public, which will then hopefully be picked up on social media. He also observed that for both social and conventional media, it is important that the public health community help the media to “better understand what they should be looking for, because the media sometimes gets ahead of the evidence”.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Managing mental health challenges faced by healthcare workers during covid-19 pandemic

                Bookmark

                Author and article information

                Contributors
                ryuichiohta0120@gmail.com
                Journal
                J Gen Fam Med
                J Gen Fam Med
                10.1002/(ISSN)2189-7948
                JGF2
                Journal of General and Family Medicine
                John Wiley and Sons Inc. (Hoboken )
                2189-6577
                2189-7948
                29 November 2020
                : 10.1002/jgf2.410
                Affiliations
                [ 1 ] Community Care Unnan City Hospital Unnan Japan
                [ 2 ] Department of Nursing Unnan City Hospital Unnan Japan
                Author notes
                [*] [* ] Correspondence

                Ryuichi Ohta, Community Care, Unnan City Hospital, 699‐1221 96‐1 Iida, Daito‐cho, Unnan, Shimane, Japan.

                Email: ryuichiohta0120@ 123456gmail.com

                Author information
                https://orcid.org/0000-0003-2593-091X
                Article
                JGF2410
                10.1002/jgf2.410
                7753682
                33362984
                e454aa57-5cb0-41de-a0e9-4c1808702bac
                © 2020 The Authors. Journal of General and Family Medicine published by John Wiley & Sons Australia, Ltd on behalf of Japan Primary Care Association.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 September 2020
                : 08 November 2020
                : 15 November 2020
                Page count
                Figures: 2, Tables: 0, Pages: 7, Words: 10267
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                corrected-proof
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.9.6 mode:remove_FC converted:22.12.2020

                covid‐19 ward,identity crisis,japan,nurses,rural hospital
                covid‐19 ward, identity crisis, japan, nurses, rural hospital

                Comments

                Comment on this article